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1017 E Front St - Building
PREPARED 7/20/11 8 09 17 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/20/11 ADDRESS 1017 E FRONT ST SUBDIV TENANT NBR SLEEPY VALLEY QUILT CONTRACTOR PHONE OWNER JAMES J AND TONIA V FAGUNDES PHONE (415) 485 5541 PARCEL 06 30 00 1 0 3125 0000 APPL NUMBER 10 00000572 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INS• DESCRIPTION TYP /SQ COMPLETED RES RESULTS /COMMENTS BL99 01 7/20/11 PERMIT ME 00 MECHANICAL REQUESTED INSP TYP /SQ COMPLETED RESULT ME99 01 7/20/11 IL/ BLDG FINAL July 19 2011 3 49 05 PM 1pangrle SUE ROBERDS BUILDING FINAL SLEEPY VALLEY QUILT IT DESCRIPTION RESULTS /COMMENTS MECHANICAL FINAL July 19 2011 3 50 35 PM 1pangrle SUE ROBERDS MECHANICAL FINAL SLEEPY VALLEY QUILT COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REMODEL DETACHED GARAGE INTO A SEWING ROOM Owner JAMES J AND TONIA V FAGUNDES OWNER 28 SAN FRANCISCO BLVD SAN ANSELMO CA 94960 (415) 485 5541 Structure Information 000 000 REMODEL GARAGE INTO SEWING ROOM Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 1 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Extension BASE FEE 50 00 3 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 44 40 Special Notes and Comments July 15 2010 10 36 44 AM sroberds The proposal will result in use of an accessory structure for a commercial use As proposed no land use issues are anticipated Other Fees Fee summary T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BUILDING PERMIT COMMERCIAL REMODEL GARAGE TO SEWING ROOM 167080 109 75 7/19/11 1/15/12 MECHANICAL PERMIT INSTALL 3 WALL HEATERS 167106 94 40 Plan Check Fee 7/19/11 Valuation 1/15/12 Charged 10 00000572 524876 1017 E FRONT ST 06 30 00 1 0 3125 0000 SLEEPY VALLEY QUILT COMM REMODEL COMMERCIAL ARTERIAL 2738 Contractor STATE SURCHARGE Paid Date 7/19/11 Plan Check Fee 71 34 Valuation 2738 Credited Due Extension 95 75 14 00 4 50 00 0 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 andvoid if work or construction authorized is not commenced within 180 days if construction or work is suspended orabandoned 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.l 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 ��bta bti Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION. Date Accepted By Footings Stemwall Construction Foundation Drainage Downspouts PW Engineering 417 -4831 Piers Fire Post Holes (Pole Bldgs.) PLUMBING FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T Forms /Building Division /Building Permit Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 204 15 71 34 4 50 279 99 10 00000572 524876 204 15 71 34 4 50 279 99 0 0 00 00 00 Page 2 Date 7/19/11 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 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 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 construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Inspection Type Comments FOUNDATION i Accepted By Electrical Footings Stemwall R W PW Engineering Foundation Drainage Downspouts Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING 2 Date Accepted by Under Floor Slab II g Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL 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. FINAL Date 1 TT ITV Accepted by o1 Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood !Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s M FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Parking Lighting Inspection Type Landscaping Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 2 Building 417-4815 II g PLANNING DEPT Separate Permit #s M SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T Forms /Building Division /Building Permit w C3 s V 4 o QN 5 Applicant 30c. kevAves P 3620 i 'l 7 7 862 Property Owner 2 M S Z�� FP�'��rio>s Phone t{ IS �4�5 -554( Property Owner's Address 2-`v txtslw c3LV1 �pyJ Contractor ow fler Phone Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition 'Remodel Repair Demolition Re -roof Heat System ather Floor Areas Basement 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage =.the amount of impervious su and other impervious surfaces (see PAMC Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 House garage other Expires E -mail 61 a hi Residential Multi- family �EPl4c s NG G ,p4 c RE-Pc-t l∎ F LOOR 1 L.Art t NC; Existing (sq. ft.) Proposed (sq. ft) sq ft. Lot size 35 for exemptions) Occupancy group Occupant load Construction type ce iji For City Use Only Date Received (o j 10 Permit# 10 -51 Date Approved Z S I eety Val l ey C -vi Lot Zoning CA Commercial Industrial )cop, WC t tJ G A czAC tear off re -roof lay over one layer Heat pump o wood- burning stove gas fireplace pellet stove other wa 1 I T hvcA-ers 114 4 (ei- c.ck.e 5ri km e 'f o vsel aS O Sewth9 room per sq ft For Sews C 10.SSe Plaiwutl 1364 L-alo 1, 3 6 1 TOTAL VALUATION of bedrooms •f full baths o alf baths 2 8 sq L. coverage ce on parcel including structures p- ed dr -ways sidewalks patios 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 'esponsibility to determine what permits are required, and to obtain permits prior to work r on protects Date (o 7 2o10 Print Name l U S 3UC Signature T Forms /Building Division /Building permit application Permit Per Sue, R= his ro f VLee.4ks a B L►' u s+vn eAn, A e Z (A i t� (a r,overLct o- z s Sh,e, r( se, a se K w 1 kean Et jeAVe- ,t Ptife}rwMt*. _4 Dorf 4:,L N ..I. ti V-- C o l #i% NOTES 2- bs tiet Ld c,./elaid,4, .4 11(o Ku) The. vet. luath°av, Nom- Inas ts{s t, etu,, T Forms /Building Division/Notes Clallam County Assessor Treasurer Property Details 60874 JAMES J AND TONIA Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 60874 JAMES J AND TONIA V FAGUNDES for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area. Open Space. Historic Property Multi Family Redevelopment: Township Range. Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address: Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 2009 Statement ID 43706 43706 43706 43706 43706 43706 43706 43706 43706 43706 608742008 608742008 608742008 608742008 608742008 608742008 608742008 60874 0630001031250000 Real 0010 PA 121 PORT ST CNTY H2 L N N N 1017 E FRONT ST PORT ANGELES WA 98362 Cycle 5 Comm 20953140 Taxes and Assessment Due Property Tax Information as of 06/07/2010 Amount Due if Paid on. M. Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY_STORMW_ ATER CITY STORMWATER WEED CONTROL WEED CONTROL 2010 43706 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 Legal Description. TX #S 292 AND 294 SUB LOT 31E Agent Code Land Use Code DFL Remodel Property Section: Mapsco Map ID ik(6 5'9 JAMES J AND TONIA V FAGUNDES Owner ID 28 SAN FRANCISCO BLVD Ownership SAN ANSELMO CA 94960 Exemptions. First Half Base Due $295 78 $157 40 $22.12 $364 43 $383 10 $45 74 $64 57 DIST $20 54 $58 96 $0 82 $1413.46 $345 18 $174 69 $24 74 $383 17 $426 87 $50 76 $71 64 57 N N 207350 100 0000000000% Second Half Base Due Penalty Interest Base $295 77 $0 00 $0 00 $2E $157 40 $0 00 $0 00 $1E $22 13 $0 00 $0 00 $2 $364 43 $0 00 $0 00 $3E $383 12 $0 00 $0 00 $3E $45 73 $0 00 $0 00 $4 $64 57 $0 00 $0 00 $E $20 55 $0 00 $0 00 $2 $58 95 $0 00 $0 00 $t $0 81 $0 00 $0 00 $1413.46 $0.00 $0.00 $141 $345 17 $0 00 $0 00 $6E $174 69 $0 00 $0 00 $34 $24 75 $0 00 $0 00 $4 $383 16 $0 00 $0 00 $7E $426 86 $0 00 $0 00 $8° $50 76 $0 00 $0 00 $1C $71 65 $0 00 $0 00 $14 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =60874 6/7/2010 (6/7/2010) Linda Pangrle Ken and Teresa Dubuc Page1 From <Tonijjf @aol.com> To <Ipangrle @cityofpa. us> Date 6/7/2010 4 33 PM Subject: Ken and Teresa Dubuc Dear Linda, My name is Tonia Fagundes and my husband James and I are the owners of 1017 E. Front St. in Port Angeles Ken or Teresa Dubuc (our daughter and son -in -law) have our permission to act as our agents to sign for us certifying we are the owners for this proposed borderline adjustment. Thank you Tonia Fagundes James Fagundes CITY OF PORT ANGELES Construction Plans on these p, pecifi permit based up plans, s pecif i The Issuance of this p vent the building on of errors in said plar cations and other requiring shall or from Preventing from thereafter ron a other data, building specifications carried on thereunder i building operations being s o f this jurisdiction. 1 violation of all codes 9a� 0 0 By 1per0val Date 4-0 F( fej Pep(tC1)44 1 z Li WAI✓L-S --11‘\G (94 6 (bzubc_c_ J r�- Ppark K�� Lk 7 BIZ vt4 tliVavl_ 4. P mca ()_1-1-0 7 0 CE RTIF C I►k 3. occuPANCY City of Port Angeles- Sullding DiMision This certificate is issued pur, suant to the requirements of Section 1I'0.of the 2006 International Building Code certifying that at; the,time,=ofissuance this structure was in compliance with the various ordinances of the City regulating °buildzng�const �or:use for the following• �:x Business name Sleep }yc4Valleya C 'or pany� {Owners Teres Ken Dubuc) Business address i017 Fron 'St. k Property owner c James J And:'T,onia:V °Fagunde Property owner s address 28 San Francisco:Bivd 'Sani-Anselmo,.-: 94960 Automatic fire spr in Per1BC Use occupancy ela Mercantile Occupant load. ,w w Per '20;0;6 SC 'Table ',0O41,1i 4 4. Building permit numlie JI 7 Type of construction. 06/17/10 ger Date Post on the premises in a conspicuous place: 'llitisvicertificateshaWi of be removed except by the Building Official. o PREPARED 6/11/10 8 21 06 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/11/10 ADDRESS 1017 E FRONT ST SUBDIV TENANT NBR SLEEPY VALLEY QUILT CO CONTRACTOR PHONE OWNER JAMES J AND TONIA V FAGUNDES PHONE PARCEL 06 30 00 1 0 3125 0000 APPL NUMBER 09 00001374 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 6/11/10 JLL BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 06/07/10 TIME 13 56 38 June 7 2010 1 55 35 PM 1pangrle KEN 452 1945 C OF 0 FINAL SLEEPY VALLEY QUILT AFTERNOON COMMENTS AND NOTES INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN c.k io —`s3Q FINAL WI COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc EX MILE EL/ DETACHED GARAGE Owner KEN DEBUC 7192 LITTLE RIVER ROAD PORT ANGELES WA 98362 (360) 477 7862 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total 10 00000549 945831 1017 E FRONT ST 06 30 00 1 0 3125 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL ALTER RESIDENTIAL EX MILE/ DETACHED GARAGE 166793 73 50 6/03/10 Valuation 11/30/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES (360) 457 0198 Plan Check Fee Qty Unit Charge Per 1 00 73 5000 ECH EL R OUTBD /DTCH GAR IN /SEP 73 50 00 73 50 Signature of owner or Electrical Contractor X Paid Credited Due 73 50 00 73 50 00 00 00 Date 6/03/10 WA 98362 457 Extension 73 50 00 00 00 00 0 Date JUN -02 -2010 09 52 AM E JANSSEN •v City of Port Angeles Permit Applieatron Building DlvblonlEloctrlcal Inspections 321 East Fifth Street P•0. Box 1150 Port Angeles Washington, 98362 Ph (380) 4117-4735 Fax; (300) 417.4711 Date. V A7.10 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration Remodel' ?er•.r. Plan Review May Be Required, Please Complete Etecuteal Pian Review Information Sheet Job Address lE$g..e/T —£r, 5r 9:Acing Square Footage N e f-tQre A.�� 4-o Description N above Owner Information Contractor Information Name: Kg S. 1) E.Ii Name. �Ir... i k. LIB Tt 1 4 i aLt UU Co MailinWdress 71 4 Z I/4+1A 'l �Maihn Address: q lta sr City ._e.,6________ Slate 0IPr 7,4) ,15.30_2.... City e r stato:_ zit) yQ7 L. P ie _427_ y_j3LL F ox. Phone' j ta.Fax: Sir? 541 license 11 Exp License 111 Exp €XTeawt.r g 71.Rit r /io /F Unit Charpc 119.90 145.50 S nw.60 5 262.20 S 372.50 S 2.60 73.50 2.60 S 52 70 5 110.30 S 145.70 167.90 S P5,90 5 80,20 5 95 90 5 63.00 5 63.90 11990 S 10230 S 110.30 'S 20 5 '3.50 5 110.36 S 10.00 Total (Qty Multiplied by Unit Charge) Sorvlce /Feeder 200 Amp, Service /Feeder 201-400 Amp Service/Feeder 401-600 Amp. .ervicelr -eeder 601 1000 Amp Service /Feeder over 1000 Amp. Wench Circuit W/ Service Feeder Branch Drain W/0 Service Feeder Eacn Additional Branch Circuit t omp Service/ Feeder 200 Amp. Temp ScrvicelFecder 201400 Amp temp ServiceiFeeder 401 -800 Amp Ternp. ServicelFeeder 601 -1000 Amp Portal to Portal Hourly F„pn/Outline Lighting Signal Circuit/ Limited Energy Colnmercial Additional Signet Circuit) Limited Energy 1 2 Family hustling Signal Circuit/ Limited Energy Multi-Family Dwelling Manufactured Homo Connection Renewable Electrical Energy SKVA System or ess hest 1300 Square Ft. S Erich Additional 500 Square Ft. or Portior of Each Outbuilding or Detached Garage S Each Swimming Pool Or Hol Tub Y Thermostat S7 lotal oa1E!a2 •71 I .1 Credit Card 360 452 2982 P 01 Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is fmatiren i 2 Own Is reoulred to h ire en electrical contractor d above said property Is for Bete, rent or lease. Permit expires after six months of last inspeeflOn• After reading the above statement, l hereby certify that 1 am 1110 owner of the above named property or a licensed electrical contrartor I am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C. ACW. Chapter 19.28. WAC. Chapter 296 -466, Tho Cl y of Port Angeles Municipal Code, and Utility Specifications Signature of owner electrical contractor or electrical adminiotrnlor i Cash WILL THERE BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT •Electrical changes X 4ggt SP.-P. .Phone 94t• =19 5 Days hours of operation 7 DAMS to 5 Electrical Dept. at 417 -4735 New or relocated signs MO cermr4 needed Per ILL. Washington State Tax I D X Building Div at 41.74815 Construction changes Qu%■T StoRG T t1_ SALZS X X VIA•113E. Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes l3 CYO Fire sprinkler system changes Y Fire alarm system changes X New or relocated sewer or water service Public Works at 417 -4807. Excavation or filling of lots X Work done in the City-right-of-way X New driveway openings 1( Grading site drainage (parking lots, downspouts, etc.) ll. Landscape irrigation system (backflow devices) 1( Water Dept. at 417 -4886 is this a home occupation? X Planning Div at 41.7 -4750 Is.this a second -hand dealer or pawnbroker business? X City Clerk at 417 -4634 Is there off street parking for this business? X How many spaces? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? X BUSINESS NAME St-E .l'y t/41.1.-ti QV I LT Co v- P Wj Approved Initials date BUSINESS ADDRESS to t t C- 'ttot4 T Zoning. C I t Business mailing address 4 4ggt SP.-P. .Phone 94t• =19 5 Days hours of operation 7 DAMS to 5 Opening date APfuL 2. 0 to Washington State Tax I D If known list the name of the previous business at this location So,J rFitws To C(LOW Praou t' Brief description of proposed business Qu%■T StoRG T t1_ SALZS Automatic fire sprinkler system required Department Approved Initials date Rejected Initials date Comments Conditions Building Type of construction Occupant Load Fire Automatic fire sprinkler system required no yes PBIA l3 CYO Planning City Clerk P,ibiicWorks Print in ink For City use only ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use 'F itch /Certificate Oc ,pancy 110 CERTIFICATE OF OCCUPANCY APPLICATION Permit# Qq, 1 3 1 9 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 FEES Certificate Inspection $100 00 Parking Business Improvement Area (PBIA) fee charged for downtown locations .Phone 4152- 19 Business owner's name 'Te 4\ -kN D 't »j ut Business owner's home address 'Mt LITTLE. 12-1V1/4.V- 1 p,A 9936 PLEASE FVOTE. A.Business License is also required for the following businesses. Taxi, Peddlers Second -hand dealer Pawnbroker Dance „Hotel Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional.information. Call for Certificate of Occupancy inspections before opening business Building Department Inspection 417 -4815 Fire. Department Inspection 41.7 -4653 Please provide a minimum 24 -hour notice for inspections l hereby apply for a Certificate of Occupancy 1 acknowledge that /.have read this application and state that the information supplied is correct to the best of my knowledge Date 12 3 f 6 °1 Print. Name V■E'1 S11( Signature Please sign up for utility services at the cashier counter I.have WILL THERE BE ANY OF THE FOLLOWING? NOV YES/ IF YES CONTACT Electrical changes X Building Electrical Dept..at 417 -4735 New or relocated signs NO cerm,+ nee. e.& ?et X Building Div at 417 -4815 Construction changes Fire X X MA4 BE. Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes 1S yes PBIA Fire sprinkler system changes X Fire alarm system changes Planning New or relocated sewer or water service 1` `11 Public Works at 417 -4807 Excavation or filling of lots X Public Works Work done in the City right -of -way X Y New driveway openings Grading site drainage (parking lots, downspouts, etc.) 1f Landscape irrigation system (backflow devices) 1( Water Dept. at 417 -4886 Is this a home occupation? X Planning Div at 417 -4750 Is this a second -hand dealer or pawnbroker business? u City Clerk at 417 -4634 Is there off street parking for this business X How many spaces? Is the street in front of this business paved? X Is there a. sidewalk in front of this business? X Is there a curb gutter in front of this business? X Departme Approved Initials date Rejected Initials date Comments Conditions Pdbou'I' Building Washington State Tax I D If known list the name of the previous business at this location SorLt.ZHtNG to CitoW VII (�1 (1 0 Type of construction Occupant Load Fire K1) i 6 O Automatic fire sprinkler system required no yes PBIA Planning 1` `11 City Clerk F 1 11 1 'D t Public Works 1 I Z y BUSINESS NAME SLEX try 11#1,..t,x1 Qul U.T Cptr4. BUSINESS ADDRESS to t1 t✓ ttotl'T Zoning C 1 Business mailing address 40011Witirldhari 5P.-Pv Phone 452 I9y 5 Pdbou'I' Opening date Nek►s_ Zotb Days hours of operation 7 DAYS lb 3 Washington State Tax I D If known list the name of the previous business at this location SorLt.ZHtNG to CitoW Brief description of proposed business Caul LT STORE, ;c-rP tt_ SALE:5 Print in ink ACTION New business Transfer of business location from a PBIA location Remodel Temporary business Change of use Transfer of business location from a non -PBIA location Change of ownership For City use onl T.Forms /BuilOng is /Certificate b` Occupancy Application CERTIFICATE OF OCCUPANCY APPLICATION Permit# Qq 5 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 FEES Certificate./ Inspection $10001 Parking Business Improvement Area (PBIA) fee charged for downtown locations Business owner's name '1'612.t t..t D ke I t `70u3uc Phone 4 l5 2 (9 Business owner's home address 'Rci t_tTTLE. 12-1V 1/4.12- v2-0, h,P 983G PLEASE'NOTE. A. Business License is also required for the following businesses. Taxi, Peddlers Second -hand dealer .Pawnbroker Dance Hotel Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information Call for Certificate of Occupancy inspections before opening business Building Department Inspection 4.17 -4815 Fire Department Inspection 41.7 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that. .have read this application and state that the information I have supplied is correct to the best of my knowledge Date 12 31 6 Print. Name V.t"14 Signature Please sign-up for utility services at the cashier counter e. PREPARED 3/04/10 8 27 12 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/10 ADDRESS 1017 E FRONT ST TENANT NBR SLEEPY VALLEY QUILT CO CONTRACTOR DAVE S HTG COOLING SRVC INC OWNER JIM TONIA FAGUNDES PARCEL 06 30 00 1 0 3125 0000 APPL NUMBER 10 00000181 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 0939 PHONE (415) 485 5541 ME99 01 3/04/10 JLL MECHANICAL FINAL I March 4 2010 8 20 21 AM 1pangrle KEN DUBUC 417 -4653 OR CELL 808 5791 MECHANICAL FINAL FURNACE COMMENTS AND NOTES INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN OM FINAL 31)/0 V °fin COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for furnace Owner JIM TONIA FAGUNDES 28 SAN FRANCISCO BLVD SAN ANSELMO CA 94960 (415) 485 5541 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total ELECTRICAL 161638 76 10 3/01/10 8/28/10 Fee summary Charged 76 10 00 76 10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 10 00000201 484211 1017 E FRONT ST 06 30 00 1 0 3125 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 ALTER COMMERCIAL 76 10 00 76 10 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 00 00 00 Date 3/01/10 Paid Credited Due Extension 73 50 2 60 00 00 00 00 0 Signature of owner or Electrical Contractor X Date INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 31/ /0 AP FINAL 3 it to d c 4`'� „Q COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 15 KW furnace Owner JIM TONIA FAGUNDES 28 SAN FRANCISCO BLVD SAN ANSELMO CA 94960 (415) 485 5541 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 56 0000 ECH EL LVT THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total 161489 56 00 2/26/10 8/25/10 56 00 00 56 00 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000191 424893 1017 E FRONT ST 06 30 00 1 0 3125 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL ALTER COMMERCIAL DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Paid Credited Due 56 00 00 56 00 Plan Check Fee Valuation 00 00 00 Date 3/01/10 00 0 Extension 56 00 00 00 00 Signature of owner or Electrical Contractor X Date ',ity of Port Angeles Permit Application Building OlvIelonlElectrtcaI Inspections 321 East firth Street P.O. Bun 1150 Pon Angeles Washington, 98301 Ph: (350) 411.4135 Fax: (300) 417.4711 li 1 Sclgie Family r)weihng f�lull. F amily or „ommercial' 1. ,omrretclal Addition 1 Alteration 1 Relnodn' ."!an Review May Bo Required. Please Cnmpb'ie i'..let:tricat Plan review Information Sheet F- 12,0 01 1[t tIing Snore rcnt8(Ie finer Ii crplat'oi Name: C j,� i IS !vlailin� Addles5 i f./ �t F�� 1St• ;tare. e 221 11,12 .14 -hone' Y r) ..21 kk•l .cense 4 Exp.... x;r rd :1hUt ;ml Cha 1119.9C 14551 244.60 232.20 372.50 260 3.50 2 60 '270 L 1101(1 5 !:10,10 111.90 35.911 5 3020 1510 :390 i3.tlll 19 90 :2 3C IC 30 -4- 5 SignlOulline lighting "a __Signal CircuiV limited Energy -Commercial Additional 1! fl0 S'' 111 S Signal Circuit/ United Energy 1 2 Family Dwelling 5 Signal CircuiU limited Energy Mule-Family Dwelling S M anuf Ctu1 d Nema Connection S Renewable Electrical Energy 5KVA System or 1 ass S First 1300 Square Ft, t tr 10 Each Additional 500 Spiro FL or Portion of 73 50 5 Each Outbuilding or Detached Garage 1010 y. Each Swimming Pool or Hot Tub Thermostat :6.00 Total 7d )I1ll1 gt U�iOil mtncal contractor or elect !cal administrator 13 herb 1 ^.•!Q F ,_Temp. Service /Feeder 201 -400 Arnp. Temp. S eMCeIFeeder 401-600 Amp Temp, ScrvicelFecler 601-1000 Amp. Portal to Portal I lourty 0 Credit Card a t A Contractor Information Name.£,Xrt�1 MILE gt�+jE �IC0. Mailin Address: fa IACE. City: Q� �f 5I0 40.. Phone l Fax _Yr7 Ljjenii it I Erp,_rX.T._rf.4.iir ti l ICb Ly1 :OIl tlty Total (Qty Multiplied by Unit Dame' Servicelfeeder 200 Amp. S SelvicelFeeder 201.400 Amp. ServicelFeeder 401.600 Amp. SenecelFeeder 601-1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feeder 5 1.3•_% Branch Circuit WIO Service Feeder 4 __!4,,.4e Each Additional Branch Circuit S Temp Service) Feeder 200 Amp. Owner as defined t'y RCW19. (1) Owner will occupy the structure for twe years after this ereclricat permit is rina lixe.I. '21 Owner is required to hire an electrical contractor 11 above said property is for sale, rant or lease. Pennit expires after six months or last inspection. Alter reading the above statement, l hereby certify that I am the owner or the above named property or a licensed electrical contractor I am making the electrical Inetallatlon nr alteration in compl ante with the electrical law N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. I Cult Feb 24 10 11 10a Dave s Heating Cooling City of Port Angeles Permit Application Building DivisionlElectrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Pit: (360) 417 -4735 Fax: (360) 4171711 Dale: a /a'f /f 0 1 2 Single Family Dwelling Multi Famiiy Commercial' Commercial Addition Alteration I Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 c> 11 E0.sk F t�a:� -F Building Square Footage: Description of above n 5 K (it.) -e' sz.s_4 -r-1 c re-r(4C 11 o.c2_, new low V (+a .{-G�a.rr., o s Jt w t r-_ re-e (oz -e )c t sin on 8 -1.0.... rr►_os -'>Fex-z 4 1 aal cr CV ov,r wcr Owner Information Name: K &h 7:e.ves r Mailing Andress: +t Qt Jima- t°o«ci City Por+ �4'+� 2_ State: C= rl�Zip: qt ?hone: x Fax: License Ex D. Unit Charge 5119.90 145.50 204.60 262.20 5 372.50 2.60 73.50 2.60 5 92.70 5110.30 148.70 S 167.90 5 95.90 8320 5 95.90 63.90 5 63.90 119.90 102.30 110.30 5 3520 5 73. 50 110.30 56.00 ct ura Check X f ©g ?/-P 46 t Date: W(J RECE VED FEB 2 2009 ELECTRICAL INSPECTIONS 3604520939 Contractor Information Name .D ciu2`S f e -t Mailing A cress: O. x City: o tate:CO Zip: 1 fZ. Phore: a-0 9 Fax: 4 7 4 5:-//-<=3`7:" 9 License ft Exp. 1)74 t/ s}-{c.-9 5 (a C Total (Qty Multiplied by Unit Charge) ServiceJFeeder 200 Amp. Service/Feeder 201 -400 Arrp. Service/Feeder 401-600 Amp. ServiceJFeeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeaer 5 Each Additional Branch Circuit S Temp. Service/ Feeder 200 Amp. 5 Temp. Service/Feeder 201-400 Amp. Temp. Service;Feeder 401-600 Amp. 5 Temp. Service, Feeder 601 -1000 Amp. Portal to Portal Hourly Sign/Cutline Lighting 5 Signal Circuit/ `imited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 5 Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured -tome Connection Renewable Electrical Energy 5KVA System or Less Frrs11300 Square Ft. Each Additional 500 Square Ft. or Portion of 5 Each Outbuilding or Detached Garage Each Swimming Pcolor Hot Tub .5 (ri. 0C Thermostat 5 .OG Total p k Signature of owner, electrical contractor or electrical administrator 0 Cash Credit Card Owner as defined by RCW.19.26261. (i) Owner will occupy the structure for two years after this etectrfcal is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, NEC. RCW Chapter 19.28, WAC. Chapter 296168, The City of Port Angeles Municipal Code, and Utility Specifications. Application Number 10 00000181 Date 2/24/10 Application pin number 218212 Property Address 1017 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 3125 0000 Tenant nbr name SLEEPY VALLEY QUILT CO Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 3745 Application desc INSTALL AN ELECTRIC FURNACE Owner Contractor JIM TONIA FAGUNDES 28 SAN FRANCISCO BLVD SAN ANSELMO CA 94960 (415) 485 5541 Permit MECHANICAL PERMIT Additional desc INSTALL ELECTRIC FURNACE Permit pin number 161331 Permit Fee 64 80 Plan Check Fee 00 Issue Date 2/24/10 Valuation 0 Expiration Date 8/23/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 14 80 Fee summary T:FonnsBuilding Division/Building Pennit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged Paid Credited DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 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 cgxctruction. 4 g/A critirW arie.-dre Date Print Name Signature of Contractor or Authorized Agdfit Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION: Date Landscaping Footings Electrical Stemwall 417 -4735 Foundation Drainage Downspouts Construction Piers PW Engineering 417 -4831 Post Holes (Pole Bldgs Fire PLUMBING 417 -4653 Accepted by Under Floor Slab Planning Rough -In 417 -4750 Water Line (Meter to Bldg) Gas Line Back Flow Water 6 —1-1.- (Q FINAL Date AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Landscaping Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 6 —1-1.- (Q u PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit 3 OQ Q IT\ Sys NOW PROJECT ADDRESS Parcel Number f-r e 3604520939 p1 Feb 24 10 10 47a Dave s Heating Cooling GvrvA- 2 -2 2 -1p n °wo P D a y ve S Z$ t4 f ci S CO Blvck, �a rl A nSe(mo i C Si gTon� a u BUILDING PERMIT APPLICATION Print in ink `fit ro., lli� CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 0 a v-gt' 5 key r Phone ziS ,2-o 93 9 Property Owner K_,,,, `7 lre. Du. buc Phone `/7-7- 7 Property Owner's Address 7 a L +K� vke. -r Je4 t t o o A c L Contractor 1:)av -e.`s 1- (.ee-4-t el`N Phone `7 Contractor's Address P 0 &>c �F( 3, t'o r- LP--s License D A V 5' F e91( Kc, Expires 5 t t E -mail ,!Ccupe_sL ,p cj Lot Zoning Project Type Brief Description: Check all that apply o New Construction o Residential oMulti- family 'Commercial Industrial n Addition o Remodel o Repair o Demolition o Re -roof n House o garage a other n tear off re -roof o lay over one ayer o Heat pump n wood burning stove o gas fireplace o pellet stove Xother a t-e c_-+ r, 1i(Heat System o Other -lr M ct Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft) Proposed (sq. ft.) per sq. ft. 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 For City Use Only Date Received 2. —d2 y 10 Permit# 1 Date Approved Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant Toad Will a fire sprinkler system be installed? Construction type 1 have read and completed this application and know it to be true and correct 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to orking on projects. Date/9- Print Name J ai cceQN Signature T:FormslBuildirlg Division/Bldg Permit.doc TOTAL VALUATION S of bedrooms of full baths of half baths Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House Heat System Heat Other T Forms /Building Division /Building perm t application BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 1 321 E Fifth St. Port Angeles WA j 98362 (360) 417 -4815 fax (360) 417 -4711 I Applicant KeN 'bu'svc 1 Property Owner co ,TtN, s w .A,GVNitE, Property Owner's Address a B 5A0 F(2A>3c.tsco Contractor 1 J�vES 'i.+. t4G I Contractor's Address I License Expir 1 PROJECT ADDRESS toil E. tLoa; r Residential M ti- family r 5 il 5 pu wood- .urning stove gas fireplace Phone y,t T 05 Phone0I5) S 5641' S S z-Mo Phone ail ef_ Lot Existing (sq. Proposed (sq. ft.) For City Use On Date Received Z-Z-10 Permit# fi BSI Date Approved )(Commercial Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of uctures q ft. Lot size sq o coverage /o Site Coverage he amount of impervious surfa•- •n a parcel' including structures and other im•-rvious surfaces (see PAMC 17 135 for exemptions). Max heigh of proposed structures ft Occupancy group Will a law sprinkler system be installed? Occupant load Will a fir sprinkler system be installed? Construction type l have -ad and completed this application and know it to be true and correct l am authorized to apply for this permit and understand that my responsibility to determine what permits are required, and, to obtain permits prior to working on pro" cts Date 22 2010 mint Name .ts v'b%.1r.— Signature TAL VALUATION tear off r •of lay over one layer Zoning stove Tkother r: L ictJR.IJ c€ per sq ft Q 4 1900 Industrial ved iveways sidewalks patios Site coverage of bedrooms f full baths o half baths TOTAL FEE 3 Q a ELEelST.34 w 120V 1 0 eI alc: -P CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 1 0 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V• 1 0 240V 1 0OR 30 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER t 200 AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE a A.W.G. lil SUB TOTAL SIZE OF GROUND.* CO SIZE OF ENTRANCE SWITCH re S6 FEE RECEIPT NUMBER ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 1 017 F_ Pnnn-4- C RRECT ADD ESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Gee V\ n E owner GQ Installation By 14 r'i r t[ Se, V ifv. Inc. Owner's Address 1 \5 1 G -o1 V M Installers Address t 1 kn g tvtt I ;r` er Day Phone Installers Phone L (y SD- 2,4 Application is hereby made for Permit to install Electrical Equipment as follows- r X00 4 rn p Sc Y V t C'e w t rt- Trent raern Wiring Method r f:M.{ r I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made M ixy CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) 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 i,y of Port Angeles. i DII TWJ OFi'tYIY LIGHT Date Permit Issued WARNING CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT 19 6‘ By By PLANS PLANS APP VED Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has 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 A x'9 PERMIT NUMBER '(s DATE OF VISIT MADE BY REMARKS t A IA r: 7 r j :1 I. •t I .7t I I" 1 0 rd i e a ,..-1 it i 1'12 ..1 II: 1. O' IS, i J 1 10 rf 7 ic r fr I 1 .1) r,.. r.9 3 C2 v i -Y 1 9 r \():1 I e‘ 1 O.K. FOR COVERING (,./11 I I ALLA (i) kit c CA-T;Aft c ci.Ct.. O.K. TO CONNECT SERVICE 5 i z. CP FINAL OK. (5 1 4 4 REPORT OF INSPECTOR 5 cc 2 co 1— z Application Number 05- 00000643 Application pin number 969363 Property Address 1017 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 3125 -0000- Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor GERALD /GRACE JENSEN TRUST 1351 E BOULEVARD PORT ANGELES WA 983626617 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permit STREET ALLEY RESTORATION Additional desc Permit pin number 55053 Permit Fee 270.00 Plan Check Fee Issue Date 7/20/05 Valuation Expiration Date 1/16/06 Qty Unit Charge Per Exte 1.00 270.0000 ECH STREET ALLEY RESTORATION 2 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 55046 Permit Fee 40.00 Plan Check Fee Issue Date 7/20/05. Valuation Expiration Date 1/16/06 T:APoliciesV 1102.15R I/05] Qty Unit Charge Per 1.00 40.0000 EA SAN SEW REPAIR Fee Summary Permit Fee Total 360.00 360.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 360.00 360.00 .00 .00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 115 t GARY'S PLUMBING INC PO BOX 255 PORT ANGELES (360) 457 -8249 Charged Paid Credited Date 7/20/05 WA 98362 Permit RIGHT OF WAY Additional desc Permit pin number 55038 Permit Fee 50.00 Plan Check Fee .00 Issue Date 7/20/05 Valuation 0 Expiration Date 1/16/06 Due Exten i'o¢ 50.00 .00 0 .00 0 Exten 40.00 /00o$ Resra isotoonb Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner Of owner is builder) Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: Date /Oh>4S Time Repaired by City El Repaired by Permittee El No Damage Found p cJ7Ye Of 07D4 `E (Continue on reverse side if necessary) Received by (phone, person) Location of Work to be inspected X E FIC047 Name of person requesting inspection Corfuwn-lb/i7y ewleenun✓ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. D6^6P0 Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: 5 r P$ 7/P RESTORATION REQUIRED YES ✓NO SURFACE RESTORATION: SURFACE TYPE: Unimproved ❑Gravel Asphalt PCC ['Other Work Order If -4111 3 4I c3 ix COMPLETE 10 -I 7 °5 INCOMPLETE hil STREET SUPERINTENDENT (DATE) t ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 14- 00001356 Date 11/06/14 Application pin number . . . 288404 Property Addresa . . . . . . 1017 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0- 3125 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . 74.00 Property Use . . . . . Fee Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 Application desc . 0 Weetside exterior light 5/05/15 Owner Contractor ------------------------ ------------------------ TERE'SA DUBUC OWNER 1017 E FRONT ST PORT ANGRLES WA 98362 Permit , , . . . . ELECTRICAL ALTER COMMERCIAL RESULTS-. INSPECTOR: Additional deac . . Permit Fee 74.00 Plan Check Fee .00 issue Date 11/06/14 Valuation , . . . 0 Expiration Date 5/05/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH BL -COMM BRANCH CIR WO/ S/F 74.00 Fee summary Charged Paid Credited Due ,Permit Fee Total. 74.00 74.00 .00 00 Plan Check Total .00 .00 OD 00 Grand Total 74.00 74.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS-. INSPECTOR: DITCH SERVICE ROUGH -TN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:TXCHANGEIBUILDING CITY OF PORT ANGELES PERMIT APPLICATION NOV 0 6 2014 Building Division /Electrical Inspections 321 East Fifth Street —P.O. Box 1150 /Port Angeles Washington, 9$362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: llf '5' 141 _�C Multi- Family or Commercial* {�1 i',f,IRf f Sr 1 'Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet Job Address 1 a� I v 0 PT Buiiding Square Footage: A. ba Description of above S P (4, , T (-%n L-kG C. Owner Information Name: Ye L 4 T6`Q -k^,.A ZOIUC Mailing Address: to r r 6 f,-Q aWr State: Zip: Gify: P PC State: 9R WA Zip: Ct f5 3 fo 2 Phone: 44. 2.- 6ZZ-'T Fax: License # 1 Exp, license # I Exp, 9t ( Item Unit Charge Service /Feeder 200 Amp, $132.00 Service /Feeder 201.400 Amp, $150.00 Service /Feeder 401 -500 Amp $ 225.00 Service /Feeder 60 1 -1000 Amp. $ 288,00 Service /Feeder over 1000 Amp. $ 410.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1A $ 86.00 Temp, Service/ Feeder 200 Amp, $ 102.00 Temp. ServicelFeeder201400Amp, $ 121.00 Temp. Service /Feeder401 -600 Amp. $164.00 Temp. ServiWFeeder601.1000 Amp . $185.00 Portal to Portal Hourly $ 96.00 Signl001ine Lighting $ 88.00 Signal Circuit/ Limited Energy - Multi- Family $ 64.00 Signal Circuit/ Limited Energy! First 1500 sf- Commercial $ 96.00 Note: $5,00 for each additional 1500 sf Renewable Electrical Energy - SKVA System or Less $ 113.00 Thermostat $ 56,00 Note: $5.00 for aach additional T -Stat Contractor Information Name: Mailing Address: City: State: Zip: Phone: Fax: License # 1 Exp, 9t ( Total (Qty Multiplied by Unst Charge) �— $ q $ $ $ $ $ $ $ $7_ Total Owner as defined by RCW,19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, KE.C., RCW. Chapter 19.28, WAC, Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifioations and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: CI cash ❑ Check ❑ CreditCardq x Daled; tt.• .1i1 0110112012 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Remodel NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/14/2023 21-620 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 1017 E Front St