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HomeMy WebLinkAbout1417 E Front St - Building ?oRr V� CITY OF PORT ANGELES PERMIT APPLICATION t Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port zt eles Washington, 98362 g g Ph: (360)4174735 Fax: (360)417-4711 f '' CQt�� Date: (I w Multi-Family or Commercial* INSR C RO * Plan Review May Be Rewired, Please Complete Electrical Plan Review Information Sheet Job Address: EAJ. 'T _. Building Square Footage: Description of above _ f�n.1 C o^jAj _,U-17 a►1 Owner Information Contractor Information Name; '0L-!1'_.P rG- Name:_ ODE Mailing Address: Mailing Address: .SOY 3&-,vC/e 1>f0knn., .a City: State: Zip: City: Pk- State: Zip; Phone: Fax: Phone: Fax: License#1 Exp. License#I Exp Bit fFyp t_ Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $13200 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225,00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit Wl Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 86.00 $ - Temp.Service/Feeder 200 Amp, $102,00 $ Temp.Service/Feeder 201-400 Amp. $121,00 $ Temp,Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp, $185.00 $ Portal to Portal Houriy $ 96.00 $ Sign/Outline 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 additiona€1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $.._.._ .Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCVV. Chapter 19,28,WAC. Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of o I r' I contractor or electrical administrator: 17 Cash XC heck Il Credit Card# X Dated:(j ✓ 0110112012 /�� y6 s ELECTRICAL PERMIT r CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000605 Date 6/06/13 Application pin number 708680 TAX Property Address . . . , , , 1417 E FRONT ST REPORT SALES Tfil� V 41 ASSESSOR PARCEL NUMBER: 06-30-DO-5-3-1555-0006- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles , Property zoning . , . . (Location Code 0502) Application valuation . . . 0 Application desc Sign circuit Owner Contractor MOWBRAY ROBERT C BLACK DIAMOND ELECTRICAL CONTR 1417 E FRONT ST 502 BLACK DIAMOND RD [� PORT ANGELES h'A 983624618 FORT ANGELES WA 98363 �°1�v. (360) 565-1035 - ------------------------------------------------------------------------- . t Permit , , . . . . RLFCTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 88,00 Plan Check Fee .00 Issue Date 6106113 Valuation , . . . 0 Expiration Date , , 12/03/13 l Qty Unit Charge Per Extensionf -- 1,00 88,0000 ECH EL-COMM-SIGHT -- 85.00 {`} Fee summary Charged Paid _ Credited Due ----------------- ---------- ----_- Permit Fee Total a8,00 88.00 ,00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 88.00 88.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH—IN a FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 FAST 5TH STREET PORT ANGELES, WA 98362 05 00000054 904010 1417 E FRONT ST 06 30 00 5 3 1555 0000 COMM ADDITION 135000 Contractor Date 2/24/05 MOWBRAY ROBERT C CLAWSON CONSTRUCTION LLC 1417 E FRONT ST P 0 BOX 2683 PORT ANGELES WA 983624618 PORT ANGELES WA 98362 (360) 457 1473 Structure Information 864 SF COMM ADDNT /REMODEL Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF /PRO /MED /REST Other struct info TOTAL LOT COVERAGE 20 10 HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 2664 00 LOT SIZE 17500 00 PROPOSED LOT COVERAGE 864 00 TOTAL LOT COVERAGE 3528 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL ALTER COMMERCIAL Additional desc OLYMPIC EL ADDITION 1 5 CIR Sub Contractor OLYMPIC ELECTRIC Permit Fee 61 30 Plan Check Fee 00 Issue Date 2/24/05 Valuation 0 Expiration Date 8/23/05 Qty Unit Charge Per 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations A minimum 2A 10BC fire exinguisher is required The proposal will result in an addition to an existing clinic for a total lot coverage of 20% Setback from environmentally sensitive area is good at +25 No land use issues are noted Public works electrical engineering has no requirements for this plan review Exist SVC Connection Fee DOES NOT apply Charged Paid Credited 61 30 61 30 00 00 00 00 4 50 4 50 00 Due Extension 61 30 STATE SURCHARGE 4 50 00 00 00 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO DITCH 1 1 1 ROGGITZITTCOVER 1 I I SERVIC 1 I I FINAL 1 I I 1 1 1 1 1 1 1 I I I I COMMENTS PM/- 1102.13 (M➢6I Application Number Pin number Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 05 00000054 Date 2/24/05 904010 65 80 65 80 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DI'11;H ROUGH IN/COVER Is =3 o' I SERVICE FINAL 06 sir..1 1 1 1 1 1 1 1 1 1 1 1 1 1 GENERAL COMMENTS: PW- 1102.15 (4"96J 02/23/2005 14 23 3604523498 Electrical Contractor O Owner I. Annual Permit Alarm Carnival PKIntnereini Residential Residential Maint. Signs 0 Thermostat Telecom. S�Inatailati Job wired by Electrical contractor name Ti c 4 it ,_5(s 57) Telephone numbe Premises owner's nom f l/C. Ad ss inspection on O Cash O Check #t 1 hereby certify that T am the owner of thc above named property or a licensed. f� 'Credit Card Visa Mastercard Discover electrical contractor. (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with thc electrical law, Chapter 19/8 RCW Card /Signature of owner. electrical contractor or electrical administrator Date Dote mailing address WALLS Insulation Only Cover Electrical Contractor 0 Owner Approved By Approved By A a'J A y /O5 Electrical Load Add jons and or subtractlorxs. O NO LOAD CHANGES Baseboard KW D Furnace KW O Heal Pump Ton LAR Fan -Wall KW License number State ZIP t7 r rr FAX number 1:0 r41 5 1 Date CEILING Insulation Only Approved BY Cover Dote ADpv'ed NY ,1 Area, Building or Equipment inspected OLYMPIC ELECTRIC ELECTRICAL WORK PERMIT APPLICATION Request Inspection Expiration Date of card THERMOSTAT Dote Approved By f DITCEI Thde Overhead Service O Temp Service Underground Service Approved Hy Inspection fee Dec Date Voltage Phase 0 1 0 3 Service Size: Feeder Size: Action Taken PAGE 01 SERVICE Approved ay FEEDER C\ Service information Approval By Electrical InapectOt Tnspcctian Date 1 ,0-y/o 1 al AP/ (7m <i s i,v st (G i C' 1 I e latO. g Li /1 1,147 f S ST-1A I /C�1C/ =1-1—'‘ r 1 1 v gi /?4 �Cl �.GrJ 5 �.��70f 7 7 z i 02-2---,e,6 0'02 Dv` ,�//il,4f— „1-1 .. d'ORT~ S~~ ,..... ~-- "loi:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 05-00000054 Date .904010 1417 E FRONT ST 06-30-00-5-3-1555-0000- COMM ADDITION 2/03/05 135000 Owner Contractor MOWBRAY ROBERT C 1417 E FRONT ST PORT ANGELES WA 983624618 CLAWSON CONSTRUCTION P. O. BOX 2683 PORT ANGELES (360) 457-1473 864 SF COMM ADDNT/REMODEL TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS LLC WA 98362 Structure Information Construction Type Occupancy Type Other struct info 20.10 1. 00 2664.00 17500.00 864.00 3528.00 1. 00 Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit Fee 1213.25 Plan Check Fee Issue Date 2/03/05 Valuation Expiration Date 8/02/05 788.61 135000 0 l\ 0. ~ ..r: ~)l) -""'\ ....J n-, 3/ ~ ~ Qty Unit Charge Per 35.00 BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1017.25 196.00 Permit PLUMBING PERMIT Additional desc Permit Fee 54.00 Plan Check Fee .00 Issue Date 2/03/05 Valuation 0 Expiration Date 8/02/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. A minimum 2A-10BC fire exinguisher is required. The proposal will result in an addition to an existing clinic for a total lot coverage of 20%. Setback from environmentally sensitive area is good at +25'. No land use issues are noted. 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 uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 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 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CIDMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING 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 PW 1 CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PoJicies\1102.J5 building permit inspection record05.wpd [1/4/2005] -e ~-- "loi:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000054 pin number . . . . . . .904010 Page 2 Date 2/03/05 Special Notes and Comments Public works electrical engineering has no requirements for this plan review. Exist SVC-Connection Fee DOES NOT apply. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1267.25 1267.25 .00 .00 Plan Check Total 788.61 788.61 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2060.36 2060.36 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_J5 building permit inspection record05.wpd [1/4/2005] BmLDING 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS n.. -!L "2._-<') '<' 1 J WALLS FOUNDATION DRAINAGE 1 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 '-<'- /,~ -0 Y .J J- L. (.) . CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING '3 -/0;:-0-'- jJ..L- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING r;;; - n -1,1 '" I-.\~/... MECHANICAL tvlec h . rl V).C\, I &// !U~-UL-['; Ap HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CIDMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING 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 ~/"Y / CJC) ,-J~l/ BUILDING . . T:\Policies\1102_15 building permIt mspectlOn record05.wpd [1/4/2005] 01 01 01 01 01 >-3 'd i:;~~8E; n'd I:" I:" I:" ;l> I:" >< ~ H:U '" ::8 w H H 'd 'd:uZZtJ >-3 to '" rn :u '- I:"nto>-3:u ><'0 rn H to:u:uto ;l> 0 0 0 0 0 0 ...; ZI:" ;l>rn O:u H H H H H ~. nrn "lto >-3 tJ tll tll 0 'd 'd to. :U. 0 n:un :u :u'" lowwwwwm Oto >-3'- - .............................................................................................. 3:0 '" . ('. 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I , 01> H I U1 --J , --J .. , , 0 , H 0 , 01> , --J , LV , , , , , , , 0'0 , :>>:>> , >-lQ OJ OJ , , , , , N '- , N , LV , '- , 0 , U1--J OL YMP I [ UETER I NRRY [L I N I [ 1417 E. Front Port Angeles, Wa 98362 452-8978 R.e. Mowbray DVM 800 339 3647 D.R. Waknitz DVM Environmentally Sensitive Areas Application Description of how proposed addition to Olympic Veterinary Clinic will affect the adjoining sensitive area. · Erosion, and landslide hazard No area of erosion or landslide hazard has been identified. The project is on level ground that has been stable for twenty plus years. · Seismic hazards No seismic hazards other than the normal hazards in the Pacific Northwest have been identified. · Drainage, surface and subsurface hydrology, and water quality There will be runoff from the roof and the parking lot that is being paved as a requirement by the City of Port Angeles. The roof runoff will be diverted to four dry wells and should not effect local water quality as the roof has been draining into the area north of the building and soaking into the soil for the past twenty years. The parking lot will drain into the unpaved area north of the building and should cause no water or drainage problems. · Flood prone areas None exist. · Existing vegetation related to slopes. soil stability and habitat. Only three existing rhododendrons will be moved and they will be replaced on the south side of the addition. No other vegetation will be affected. · Locally unique land forms. I would not expect any affect on the adjoining Rayonier Truck Route and Ennis Creek east of truck route. · Slopes No slopes exist on property and vegetation on adjoining slope to be undisturbed. The largest part of the planned addition is to be built on an existing parking lot. The smaller area is going on top of a small landscaped area and the three rhododendrons to be displaced will be moved to the front of the building. If you require further studies prepared with assistance of experts in the area of flood, landslide, steep slopes, wetlands, streams, or marine bluffs please notifY me. Dwight Waknitz D. V. M. 11/10/95 BUilDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 PROJECT ADDRESS: /J tr {J J' ny?t C. t,/ R '-,.,. Co' ~ .L "'C:- / Applicant Of Agent: l/"",ylOY ~.cA'-0:5 Phone: '{!F?- t";"" 7<f Owner I!- L. ~~-;~,; ,- Phone: 'iT /_ .-R'-1-7d' Address: I 'f /2 L :tZ.....4 City &0:. /J-,jC~ Zip: %.3& L- ArchitectlEngineer:' a~ ~<-< r (/2""'!6 f (,//, I<~. ~) , Phone: 7'>2 - ~ 7 is ContraCtOf_C I<!.o'~""" LonS f, - State License #: Cl~S<--L "7~5n -I~hone: '1'57/'77 , Address: f'" Ih" 2 t 'n City: ;;.- Zip: <1J':3bL- ~ ZONING: L (t . Block: I S- Subdivision:' -f O<..L/\,;! ~f (~ ~ OCo3ooo ~t:)3/,t;S5 0000 LEGAL DESCRIPTION: Lot: l3 i I ~ CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family flJ Addinon 0 Move .~ Commercial fJ. Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SJ~fij ALUATION: SF. @ $ let.> /SF. = $ .~~ y~ SF. @ $_.5"'1 /SF. = $__ . SF. @ $ /SF. = $ )p pfrler TOTAL VALUATION $ t3~c;oco /1 q.rl ~0 'I ..,t:;:- ;v L.c./ <--t...... L ''''''Y' d h.",", ;; ~;. I- ><:.. ~~ &'-. r? ,,~ rO~h.,.'\ o Stove o Garage o Deck - No. of Stories: -I- Lot Size: Occupant Load: 17" '11 _ Existing Sq. Ft. Z "'-~<( & Proposed Sq. Ft. Total lot coverage_ 2. 0.. I % Construction Type: I'f~J 't = TOTAL Sq. Ft..3.s:28 -". / PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ...I = ESNWetIand(s): 0 Yes~No SEPA CheckIistrequired? 0 Yes)( No Other: BlJILDING PERMIT APPLlCA TlON SUBMITTAL: The Buil<ling Divi,ion can pmvide you with information on the application and plan submittal requirements if you have questions. V ALUA TlON OF CONSTRUCTION, In all mes, a valuatinn amount must be entered by the ,",plkant. Tbi, figure will be reviewed and may be ",",ed by the Building Division to ,omply with c"""'Hee "bedules. Conta" the Penoit Coonlina'o, ,,41 74815 fo, ",istance PLAN CRECK FEE IF a plan 'hoek fee j, due it mw;t be 'ubmitted at the time the building penoi' application and 'o"'!m,tion p","" are submitted. All other permit fees are due at the time of permit issuance. EXPIBA TlON OF PLAN REVIEW, lf no penoi, " i"ond within 180 day, of the date of application, the apptieation will eIpire. The Building Olli,ial can extend the lime fo' "tion by the appli"'" up to 180 daY' Upon written reque" by the applicant ("e Se'tion RIOS.3.2 of the International BuiIding/Residential Code, 2003). No application can be extended more than once. I h,reby COrlffy that I have read and '''mined this applieslion and know the same to be true and 00_. I am authoriz'd to apply fo, 'his perm' and understand that it is my responsibifity to determine what permits are required ,not the City's, an hat I must obtain such permits prior to work. T'IRVESS\BLDG-r'='brooh"=~003.B"i1d;"".rm"w,d Applicant, Date! 21. q, ~ ~ MEMO DEPARTMENT OF COMMUNITY DEVELOPMENT Brad Collins, Director 417-4751 Sue Roberds, i\ssistant PlaIUler 417-4750 Scott Johns i\ssociate PlaIUler 417-4752 Jim Lierly Building Inspector 417-4816 Roger Vess Permit Technician 417-4712 FORrAN ELES WAS H I N G TON, U. S. A. DATE: January 24, 2005 TO: FROM: RE: The site at E. 1417 Front Street is located near an environmentally sensitive area, the ravine wall of Whites Creek. No proposed construction is located within 25 feet of the top of the ravine. No steep slopes exist on the site and the site does not contain any geohazard areas. The Department of Economic and Community Development does not require review of an ESA permit for this project. ff'ORT~ -S4.0~~~ ha ~-- "loi:",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000054 Date .904010 1417 E FRONT ST 06-30-00-5-3-1555-0000_ COMM ADDITION 3/15/05 135000 ~1vtt1 ~ fl ee-O (Z/{~/ai Owner ------------------------ Contractor MOWBRAY ROBERT C 1417 E FRONT ST PORT ANGELES ---------------- WA 983624618 CLAWSON CONSTRUCTION LLC P. O. BOX 2683 PORT ANGELES (360) 457-1473 864 SF COMM ADDNT/REMODEL TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 20.10 ------------------- ------------------- 1. 00 2664.00 17500.00 864.00 3528.00 1. 00 Permit Additional Permit Fee Issue Date Expiration ------------------- ------------------- desc ELECTRICAL THERMOSTAT 36.40 3/15/05 9/11/05 ALTER COMMERCIAL Date Plan Check Fee Valuation .00 o ........ ....t ..... ----------------------- Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE -...J Permit Additional Permit Fee Issue Date Expiration ----------------- Extension 36.40 "\ ----------------- ------------------- MECHANICAL PERMIT desc FURNACE, DUCTS, HEAT PUMP 61.70 Plan Check 3/15/05 Valuation Date 9/11/05 Fee .00 9425 \1 d , '-\ Qty Unit Charge Per Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. A minimum 2A-10BC fire exinguisher is required. The proposal will result in an addition to an existing clinic for a total lot coverage of 20%. Setback from environmentally sensitive area is good at +25'. No land use issues are noted. Public works electrical engineering has no requirements for ----------------- ------------------------ Extension 47.00 14.70 1. 00 14.7000 ECH BASE FEE ME- INSTALL 100- FAU --------------------- -------------- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005] 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. INSPECTION TYPE DATE T ACCEPTED COMMENTS YES T NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE 1 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 1 FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 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: PARKING/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 T:\policies\l 1 02_ 1 5 building permIt inspection record05.wpd [1/4/2005] ~;~~,~' ,~~~.ty;~~~fi"'1 i'lwJi: ~ of pORT ~ -,,~~~.., ~".. ~ ~-- "loi:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT _ BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ------------------------ Application Number . . . .. 05-00000054 Pin number . . . . . . .904010 Page 2 Date 3/15/05 --------------------------- Special Notes and Comments this plan review. Exist SVC-Connection Fee DOES NOT apply. ------------------- ---------------------- ----------- Other Fees ------------------- STATE SURCHARGE ------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 102.60 102.60 .00 .00 4.50 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180.days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2oo5J 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF 1 CEILING DRYW ALL (INTERIOR BRACED pANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE I DUCTS GAS LINE WOOD STOVE 1 PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. I 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 T:\Po]icies\1 ]02_]5 building permit inspection record05.wpd [1/4/2005] FROM :Dave's Heating & COoling Srvc FAX NO. :13604520939 ~~LI'''_ '-17/1 tB BUILDING PERMIT. APPLICATION ...... .- FJII out COMPLETELY and in INK. Your applieation and site plan MUST BE COMPLETE to be accepted for review. lfyou have any queatlODI, caO (360) 417-4815 Mar. 11 2005 11:21AM P1 FOR OFFICIAL USl ONLY, DareRec.: 3- / {.....O$.- Pennit#: OS--~).( Date Approved: Date blued: Applic:antor Agent Dave's Hea.+I'''1 Phone: 'IS;;).. 0939 Owner: 6 1 'It '" I' \' Co Ve. + en' ...".. r'1r Gl,.....' c.. Phone: 'i 5;J. _ "l> q 7 ){ Adm.ss: I 'i 1'7 .f' <t s ... Foro", -\- a City: Po ...-.;. A,., S"- t.....s Zip: qli":~ (. d. ""''U'M'' ""i_I"'" C6 n-+rn~-f">::, Cl",:;:: ;,;,~ ~:;' ~~~"'- Phone: '{ 57.- li";;> <( 7 Con tn_ .Dave's He<>"+II" 11 "-' , Stale L,,'ense : Exp: S / oS Phone: "Is;. 0'139 Coo li. Y\ '7 8<.l("'v \ ~, ::z;., c... fJ { _ ' Address, P,o. b>X <{1:3 City: 1'0"'--+ An'1f<"'-S Zip: 'l:5?qba PROJECT ADDRJ:SS:__l.:iJ I .f' <t s -r F..-o ".1: .s rr-e-e+ ~ ZONING, LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY P AReEL NUMBER: ~ Credit Card Holder Name: J e.C\. V\ "" e. f. BilliDl Address: ~ . o. /10';<. y ( .3 Credit CardType VISA. ~MC _ #-:... TYPE OF WORK: SIZENALUATION: o Residential 0 New Constr. 0 Re-roof 0 Slove SF. @ $ ISF. = $ o Multi-family ~ Addition 0 Move 0 Garage SF. @ $ ISF. = S ......c..._..1oI 0 Remodel 0 DomoImo. 0 Deck SF, @ S /SF. ~ S o Repair 0 Sign . 0 Other , TOTAL V AWl, nON S.q I Lf ~ ,,,>:3- IIRJU DESCRlP'nOJlIOF THE PROJIlCT: JYJ S +-.D "+""<> ~ d'-<. '* I.i >0...- k e.l....<--h- (<-- -& or" ""--<.- ."1-- ~ fu. "'" f - <>.J.. 50 \ 0", v..l-+ "-~ --K. 0 .~ ~ Q S+",* '-<> i r. COMMERCIALlREsmENTIAL, "'''".>o."y GroUP' 00",_ Load: C........... TYPe: 1'1.. .fStoriea: - Lot Size: &i.ling Sq. FI. & Prop...d Sq. Fl~ . TOTAL Sq.F, Existing 10' e.....g. _ % & Propos.d lot eo\'erag. _ % . T olal lot coverage l! ..D o..lte. '.s H e,c.d-i '" ~ Ccc l ,'.., J/ .... r6tr...1- A._~~ qi'3"'~ _ Exp. Date: _ - - PLANNING USE ONLY: BIJILDING PERMIT APPUCA TION SlIBMlTT At: Tho Building o;...i.ioo ... pro'ide you with mformatioo on the applica.on... plan submittal requirements if you have questions. VALVA nON OF CONSnr.VcnON: I.... '..... a \'a'oa.o. amooo, _'be "'...... by the applic.o, nu, fig..., will be >evi..... and may be >ev;a"d by... Boilding Dm.ion ro C"""ly Wi" Curreh' ro. "hodul" Comae.!he...-. COOrdinator at41 7... 15 fur ...iotaoee PLAN' CHECK FEE: IF a plan chock foe .. due " muot be 'ubmilted " the """ !he bu;1d... J>C>mi. application and e""'..e.on plam au submitted. All other pennit fees arc due at the time of pcnnit issuance. EXl'1RA nON OF PLAN JlEvmw: If... pcrmjt is ","cd wi.hin 180 daY' hf the date of application, tho .ppliealloo "mOlpire. The Boildin& OlrlCiaI can extend tho .mofor action by tho applie.o, up '" 180 daY' upoo writton request by the applica.t (... Sectioo 107.4 0' the Uniform Building Code, CWTent edition). No application can he eXlended more than once. APPRO V AU: PLAN: BLDG: DPWU: nIlE: OTIIER:_ = ESAlWetJand(s); 0 Yes 0 No SEPA Checklist required'? t) Yes 0 No Other; I_y CIIfrfy /hall ..... - """ "- /his ""pllca'lon and 1m"", tho aa... 10 ba /rue and conact. I am __ 10 apply '" /his -.. "'" -....... my -y '" -- ..., po"""~,, "".... ,hot tho cty'a.~...., must obi....... penojIa _10.... T:\FORMSIAPPS\B"i~i..p""'iLwpd APPiLC'h'~~~tc: a! 'Ilo s ('i1rf (~ tu...-uv . Site Address: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ DetailslDescriptian: ;- ....- -- .~ - ., c CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Part Angeles, WA 98362 (206) 457-0411 PERMIT NO. ~Y9'.3 DATE "'/ //7 /r b ELECTRICAL PERMIT c. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: YiPn I- -y~ ~('c. {:J CU.t-k.-Li J Phone: Sq. Ft. o RESIDENTIAL 'I2f COMMERCIAL i:J NEW CONSTRUCTION ,.g REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o RISER JZ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: /20#-'1'0 %1l11 039\ SERVICE SIZE ~O FEEDER SIZE &.(..~ .Il1te-4.--r A !Jta) fJOi)!? I o TEMPORARY SERVICE AMPS AMPS d~ . W.S. No.. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. i1 O.K. to. cannect service );gv^-'fL Final O.K. Site Address: Natify Part Angeles City Light by Street Address and Permit Number when ready for inspection. Wark must nat be covered befare inspectian and O.K. far covering has been given by the electrical inspector in writing an either the Wiring Repart ar an the Building ~. PHONE 457-0411, EXT. 224. # I NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '/,r"a ~1 $ /U Electricallns'pector Permit Fee Installer: //7 C. ~ . WHITE - File by address OLYMPIC PRINTERS INC Permit/ReceiRt No. sIp New Meters PINK - Top: Eng, Bottom, Customer ;1 GREEN - Top: Meier Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15096 / --/r - ~'s:/ Port Angeles, Washlngtonn__m_'_<:n_____________n_________________n__n__n__m_, 19__mm In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below_ ~::~~ii~:,;~::=-;'"~,~o="'-.~==-::~===-::== Wiring Contractor _m_~~_~m___~"_~,_~_____m______________mn__n_ By_m____nm_nn_n______n________n______m_n_n______________n Light OUtletsm___;7;c'..nnn....._n_~.. Service, volts ..n(~.~(~~J~n~~mm. Type of Wiring: Receptacle OUtletsnmi.Qnu......_mm No. wires nnm~n...m.....mm._____... Armored Cable ........mm...mnm.m Dryer, KW) mnn..nt.;..n..__u..._u.....n..... Size WireS.n..j./O...d':._/':~nn... Non-MetalUc ....-. .m._m................. Range, KW _nmnm_h__m__ _mmmmm_ Main fuse .j;?u."::::.I._?_YAm_ Knob & Tubeumu ___mum_m__m_uu ~ V ~ Rigid Conduit ............................... Enclosure ~...L~__...!.~~....._..._..... M I III T b- e a c u mg .....................00..00 Water Heater: ..."" KW..___......~.)...n.____...n............. ,- . Ileat: RWm,/'ZuP.._'_<'1_~""&"""~~9' Type of Wiring: Entrance Cable ...n....n Ser. NO..nnnn...n.nnn......n........n.._... Raceway ....__";...............................00. Circuits, Llght...~.. ...........m....n......... DIlllly ____CU_h_Uh________mum_uh_____ Heat ...1..2_......._.._...................... Range .......0000..000000.0000........___.0000_0000 Water Heater .~.....n......n..n..... Motor __.....................n._.._n............_ ~ Dryer...._..~...__.....__..............__.............. Motors: size, volts and phase: Rigid Conduit ...._....................00.... Metall1c Tubing ...._._..........__........ Current transformers: No. & Size.....................................n Ser. NO.,..nn......___.......nn_.n___.n.nn.... Furnace nn..n.__n....n......'_........ ........ ..jT Total Load._....n..nnnnnnn..__ Ser. NO....._nn.nnnnnn....n.n.__nnnn___ Total .n....nn!nnn..n.....n.n.nnn Remarks: __mn_nn.-':1->n_q,<!__~:_____~,_,_",,,_5t,________________m____nnn_nnnm_______nnn_n___nn_n__m_____________________n_U_ Ser. No......__.................._...._......._...._. Permit Fee $_________-?J_j:t,.!_________________. Treas. Receipt No.___________________________ By ___tl..f!i0:!::Jk~_"_;,_~~=_____n__u NOTICE-Current must not be tUrned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may he inspected before concealment. NOTIFY THE INSPECTOR 'BY PERMIT NUMBER WHEN READY FOR INSPECTION /~,__e.( L' 1~f , ~~-p ,r -- <r- t2 ''/' ! 1; C Irz:-~ /1/--"'.~/_"'-" -A. .A _.f!"t.-, " ELECTRICAL PERMIT Nf! 15096 z~ r:/ Date calle'~J fns~~1. rJ~:::;'.~-:---mmm--m--h-------m--mm-mmm-mmm------m--------m_mu____m______m____________ PrelimInary ns~ction dates...:':.-.......r. 'g' ..............nn................__.......__...n..n._.................... I J - - _ _______m_m____m______mm________n___________mm__ _ O/At ---' InspectlonCOIDPleted..._.............(y_.__..............._..-........................-......................................................---.....-......-..................-..........-......... Total Load ....................__..............._............__n_................n .......__........ ................. .................._n....._.....................____....____._.....n._......_ 1M 3.72 Olympic Printers, Inc:.