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HomeMy WebLinkAbout107 E 1st St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit for freezer Owner FIRST STREET HAVEN INC 107 E 1ST ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: WA 983622902 183723 73.50 4/14/11 10/11/11 73.50 .00 73.50 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 11- 00000323 107452 107 E 1ST ST 06-30-00-5-1 -1639- 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 ELECTRICAL ALTER COMMERCIAL 73.50 .00 73.50 Plan Check Fee Valuation Qty Unit Charge Per 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER Paid Credited Due DATE: (-241, )2_ .00 .00 .00 Date 4/14/11 RESULTS: WA 98363 .00 00 .00 .00 0 Extension 73.50 4 REPORT SALES TAX on your exc tax form to the City of Port Angeles (Loca Code 0502) INSPECTOR: Date: Crry OF PORT ANGELES PPRMIIT.APPLICATION Building Ditviaion/feetriewl Jnepeetione 321 East Fifer Street —P-0. Box lISO Port Angeles Wnelbri tgtnn, 98362 P1t: (360) 417 -4735 Fair: (360) 417 -4711 Data: 7 ~J3-z/ i& 2 Single Family Dwelling x Plan Review May 80 Required Plew Complete Electrical Plan Review Information Sheet Job Mtge: 0 lt7 1 Bu11QIng Square Footage: Demi i "01 above Owner InParmma��� a l �,pue...r MMh�g Adpge v O Phone*. Z F b 2 license if Exp. (tam SetviceiFeeder 200 Amp. &mice/Feeder 201 -400 Amp. Serolee!Feeder 401600 Amp SetvicelFeeder 601 -1000 Amp. Se,v c IFoeder over 1000 Amp. Branch CIrCUR VW Senn loo Feeder Branch Circuit WIO Service Feeder Each Adefionol Branch Chu* Temp. SeMce1 Feeder 200 Amp. Temp. Serino ester 201-400 Amp. Temp. SeMreIFeeder40l -800 Amp. Temp. Senrice/Feerier801- 1000 Amp Portal to Portal Hourly SIgn(OullIne (.IghtIng Signal Circuit/ limited Energy Prat 1900 sf Commercial Note, 35.00 tar each Memel 15001 Signal Circuit/ Limited Energy -1 2 Faintly Dwelling signer Chuff/ United Enemy- Muts- Family oweffig Manufactured Home Connection Renewable Electrical Energy 6KUA System or Less' Tinurnosiet NEW CON87R ICTION ONLY First 1300 Square Ft, Each Addfltonal 500 Square Ft. or Parson of Each Outbuilding or Detached Garage Each Swimming Pool ortfotTub RECEIVED APR 13 2O1i ELECTRICAL. INSPECTIONS Multi -Family or Commercial X Commercial Additon /Attention Remodel 1 Repair" Unit ct ge $11990 145.50 204.00 $26220 372.50 2,60 73.50 2.60 92.70 $110.90 148.70 $167,90 95.90 3 88.20 9590 $63.90 63.90 $119.90 $102.30 56.00 110.30 35.20 $73.50 110.30 t Cotdr ctar Intonmatl0m Neme: Wing City Phone* tiaenae#► Total (x mut. !mil Unit Chs1 J Owner as defined by RCW.19.28.251: (1) Owner will occupy the structure for two rare afterlife electrical permit Is finalizes 2) owner is tequlred to hire an electrical aonbactor if be said property Is for sale; rent or lease. Pernit expires after sixmonths of last hasped r After reading the above statement, 1 hereby certify ihat'I am the owner of the above named property or a licensed electrical x 7hedor. I am making the electrical installation or alteration In compliance with the etecMcal lavas, N.EC., RCW chapter 19.28, WAC. Chapter29 169. The City of Port Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Beelike! Permit Applications. 0 cane Moen Ci code O of 0'71 ortelfmto ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 10 00001189 Application pin number 136901 i Property Address 107 E 1ST ST ASSESSOR PARCEL NUMBER II 06 30 00 5 1 1639 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 2 circuits for heater Owner Contractor FIRST STREET HAVEN INC ELECTRIC SERVICE 107 E 1ST ST 82 DRAPER RD PORT ANGELES WA 983622902 PORT ANGELES (360) 452 6424 Permit EL ALTER COMMERCIAL Additional desc Permit pin number 1 Permit Fee 76 10 Plan Check Fee Issue Date 10/14/10 Valuation Expiration Date 4/12/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 60 Fee summary Permit Fee Total Plan Check Total Grand Total 5i r 95.D14 Ii INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL pp COMMENTS 11 Cha II 76 10 00 176 10 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Electrical Credited Due 76 10 00 00 00 00 00 76 10 00 00 Tb Oi SF At45-t DATE. RESULTS 19, it I cv:47 TT Date 10/14/10 WA 98362 00 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: .4- ADDRESS 7 OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT 6 INSPECTOR DATE I2.of (0 6-1)6 9 1 OWNER/CONTRACTOR STi� hlPrvt -rate APPROVED NOT APPROVED DITCH ROUGH IN /COVER Wk SERVICE tigr. FINAL CORRECTIONS NEEDED' 12_ s? A e__ FA r1 K f T5o p ozb S��Dt3 Cam. 914 V- 14 M019 Re.a1°kK� T cs1 Lt_ t, -JC 3 P1=)t.1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE DEC 2 -2 006 07 56A FROP1:IELECTRIC SER "ICE 452b424 City of Port Angeles Permit Application Bull/ling Division /Electrical Inspections 321 East Fifth Street P.O, Sox 1150 Port Angeles Washington, 98362 Pk. (360)4117 35 Fax: (380) 417.4711 Date: t 1 2 gte'ramliy Dwelling u ti- Family or Commercial` Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Informatior I ;el Job Address: �1 Building Square Footage: I goo o S I II Description of above Owner Information� �ryry� Contractor rmatio Name: 1 A1 1 l it/. Name: (Q c. r_ Cr,."- --4 Mailing dres f l U "t E T Mailing s: IC L 111 111 lees i City' State W Zip: A B1 62 City' ;�I r Stater- Zip: ci ]rte Phone: Fax: I Phone:J I L (Fax: S c.--....0 License l Exp. I Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 .2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 Thermostat Sq So Total After reading the above statement, l hereby certify that 1 am the owner of Ih., above named installation or alteration in compliance v,Ith the electrical laws, N.E.C. RCW Chapter 19 28, Utility Specifications. Signature of Miler electrical contractor or electrical administrator D Cast D Cred CI 13 202 ELECTRICAL INSPECTIONS 11 II Total (Qty Multiplied by Unil C Service /Feeder Xrnp. Service /Feeder 4 j00 Amp. Service/Feeder :00 Amp. 7 m sZS TO 4174711 Service/ Feeder f 000 Amp ServicelFeeder r 1000 Amp. Branch Circuit N t vice Feeder Branch Circuit N ervice Feeder Each Adot.ional 1 Circuit Temp, Service/ F.: er 200 Amp, Temp. Service i 201.400 Amp. Temp. Service/ i I C 401 -600 Amp. Temp. Service t :r 601 1000 Amp. Portal to Portal I f a y Sign /Outline Lig Signal Circuit/ L r ,t i Energy Commercial Signal Circuit/ L r Energy 1 2 Family Dwelling Signal Circuit/ 'LJ I Id Energy Mutli- Family Dwelling Manutactured t Connection Renewable Ele I l Energy 5KVA System or Less First 1300 Squ Each Additional q Square Ft. or Portion of Each Outbuitdir- ?Detached Garage Each Swimmirn`, or Hol Tub F 1 Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after i s h .ectrical permit is finalized. (2) Owner is requir to hire an elcctricel contractor it above said property fs for sale, rent or lease )rty or a licensed electrical contractor 1 am making the electrical Chapter 296-468, The C of Port Angeles Municipal Code, and Permit I 5 3 Date 12..- 15- l I phoned the Applicant Property Owner Contractor To 6 1 a S I (left a phone message, o u PROJECT STATUS UPDATE The permit (has .expired, or ill expire soon) What is the status of this project? Please call and schedule a final inspection Or Submit a `permit extension request" letter Or Let me know if the project is abandoned I Z -19 1 o Kim T, A 1Vpry, L4. yt.nr .2iW d C kr .t-- SID- {w c9-t,- A c5P I s4— S-+ f pA„ W‘ u T Forms /Building Division/Project Status Update at at 5 ?--3 5 Li- D t— 26 lb Po_t9: I Moifkrirn o CAeLic (s �fl 03 0 3--11 tso 1,1(NSa Aio h u OuS „-p,s X P i VV-61, Date Application Number 10 00000953 Date 9/01/10 Application pin number 549520 Property Address 107 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1639 0000 Tenant nbr name FIRST STREET HAVEN INC Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 7000 Application desc INSTALL A DUCTLESS HEAT PUMP EVAP COOLER Owner FIRST STREET HAVEN INC 107 E 1ST ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 14 8000 EA 10 6500 EA Fee summary Charged WA 983622902 Permit Fee Total 75 45 Plan Check Total 00 Grand Total 75 45 Print Name TForms /Building Division /Building Permit Contractor MECHANICAL PERMIT HEAT PUMP EVAP COOLER 172601 75 45 9/01/10 2/28/11 ALPHA BUILDER CORPORATION 105 1/2 E 1ST ST PORT ANGELES (360) 452 3154 75 45 00 75 45 Plan Check Fee 00 Valuation 0 BASE FEE ME FURN /HP /FAU OR 5 TON ME EVAP COOLER (ATTACHED) Paid Credited Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state; r local law regulating construction or the performance of construction WA 98362 Extension 50 00 14 80 10 65 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Contractor or I Pethorized Agent S nature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD o; PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS _9 Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting Inspection Type 'FINAL Date Accepted by PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 1 1 X Planning 417 -4750 I I./ f 1f /V 4( Building 417 -4815 I1/ Date Accepted By crt d c T:Forms /Building Division /Building Permit Applicant Property Property Contractor Contractor's License Floor Areas Parcel Number Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other 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 A P 0� c o� Ow 11-7 05 /4...,,,/,..! J Owner's Address I p 7 I: j 5 -I A I hod 13 �,'Jc/ Addr i f j v, ie r M P H A vi9 ?)t- WExpires Lilo 2 PROJECT ADDRESS PCB 8, t Proiect Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof ya(Heat System Other Residential 1 krJ 4. 4- cr. oVlz.. 11 House garage other {Heat pump wood- burning stove Evan Cno i er Existing (sq. ft.) 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 Proposed (sq. ft.) Phone L S 2_ _3Isq Phone Phone -mail Lot For City Use Only Date Received 9 Permit# gc53 Date Approved Zoning Multi- family Commercial Industrial (Uwnec- i I_ W r. IP C., O Q p tear off re -roof lay over one layer gas fireplace pellet stove other per sq ft. of bedrooms of full baths of half baths o r'c•v3 (?i- Si- Haves ©p• TOTAL VALUATION '7O DD 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 cyo I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit an d understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Qt Print NameE Signature T Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 14711 FIRST STREET HAVE Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 14711 FIRST STREET HAVEN INC for Year 2010 2011 Property Account Property ID: Geographic ID Type Tax Area: Open Space: Historic Property' Multi Family Redevelopment: N Township Range Location Address. Neighborhood' Neighborhood CD• Owner Name Mailing Address. Taxes and Assessment Due Property Tax Information as of 09/01/2010 Amount Due if Paid on. 12010 10590 2010 10590 2010 10590 ;2010 10590 2010 10590 2010 10590 2010 10590 14711 2410000 Personal 0010 N N 107 E FIRST ST PORT ANGELES WA 98362 FIRST STREET HAVEN INC 107 E 1ST ST PORT ANGELES WA 98362 2902 Year Statement ID Taxing Jurisdiction 2010 10590 ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Section. Mapsco Map ID: Owner ID Ownership Exemptions: 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 DIST 2010 10590 TOTAL. 2009 147112008 ST SCH STATE SCHOOL 2009 147112008 20009 147112008 2009 147112008 2009 147112008 2009 147112008 2009 147112008 CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 2009 147112008 TOTAL. N N Legal Description: RESTAURANT Agent Code 24495 100 0000000000% 1 First Half Second Half Base Due Base Due (Penalty Interest Base $9.24 $9.24 $0 00 $0 00 $1 $4 93 $4 91 $0 00 $0 00 $0 69 $0 69 $0 00 $0 00 $11 38 $11 39 $0 00 $0 00 $2 $11 97 $11 97 $0 00 $0 $1 43 $1 43 $0 00 $0 00 9 $2.02 $2.01 $0 00 $0 00 $0 64 $0 64 $0 00 $0 00 9 $42.30 $42.28 $0.00 $0.00 $E $1002 $1001 $000 $000 $2 $5 08 $5 06 $0 00 $0 00 $1 $0 72 $0 72 $0 00 $0 00 _9 $11 13 $11 10 $0 00 $0 00 $2 $12.38 $12 37 $0 00 $0 00 $2 $1 48 $1 47 $0 00 $0 00 9 $2 08 $2.08 $0 0 00 $42.89 $42.81 $0.00 $0.00 $E NOTE. If you plan to submit payment on a future date make sure you enter the date and RECALCULATE to obtain the correct total amount due http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =14711 9/1/2010 s NAME OF PREMISES. fi 11 l' 5 7 /e 67 h 4 V 6 1 i t 7 4 1 1� /t SERVICE ADDRESS 0 7 LI S S T/? e LOCATION OF DEVICE. V Nae/e c (j,' t2/si f el ex i/A fp x ASSEMBLY W 4 J TI' 0 e7 4:- Manufacturer Model Size IS THIS AN APPROVED ASSEMBLY? YES EKO 0 IS ASSEMBLY INSTALLED CORRECTLY' YESCkNO DATE OF INSTALLATION 7///‘ 2-G )I UNKNOWN D REDUCED PRESSURE PRINCIPLE ASSEMBLY RP ge" RPDA DC DCDA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #I CHECK VALVE #2 N RELIEF VALVE PVB /SVB Initial Leaked Leaked Did Not Open AIR INLET Closed Tight m/ Did Not Open Test Held at psi psi at _7. psi Held at psi Opened at psi Repairs Details AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO E f COMMENTS Final Closed Tight IZIi'"' Test Held at e r psi Held at psi Initial Test Repairs Final Test Cleaned Replaced 2' A/ 5-10c r ep 7es e#, fA Y$ e lf DateTime Tester 6- a4 giCrrA. C)-,,g iU Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Cleaned Cleaned Replaced Replaced Signature 3 psi Buf'f'er YES NO Opened at 'psi SA-A. d Al t tv>= rT I X+ y "I-96 1 f`li t'f /,14 --&c/ t WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assenn.# Received U rie4/3 C 76A 3s6 Serial No 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 G a 4 .9 /'e* Line Pressure U psi Held Backpressure YES 15" #2 Shutoff Held YES 0 NO Relief Valve Exercised YES CO/ NO Cert. Test Kit Passed Failed F, 1 I0- '00.00.0553' Application ''.pin,:number :11 ;50:72' 'Property ,Address' :i017. ^E: IST`vST: .;AS SESSOR, ;PARCEI;;NUMBER '06 :'3'0 '00 ;5 1- :16'39 '0000 'T.enant nr'' b puma "FIRST STREET SHAVEN :Application .type. des cr ptiori, 'iPLUMBING,;,REPAIR `'M Siibil si'on`_Naiue t ..4r``" v ;Property s Property :Zoning' CENTRAL =BU DISTRIC,B.' a :App1i•cation 'valuat;on w. 6 ;G Applicat'ion.' :MAC-i5H .._INSTALL. A.- BACKFL E:: OW.;DEUICON.: A. :SODA INE.- 'Owrier R N LEAN 07: ;S' ;PEABOD ST' PORT ;ANGELES, (.3:60) ;4`6a- :61'7;I :Perrri,ta `<v :Addi.fronal 4desc Pernist ;piri „.number: Permit =Fee Issue :Date? '14 .Expiretion,,Dete »Application 1, ;0:0 TOO ;summary` Permit Fee "Total., Plan ;CliedkTOta1:' d ".T 1Grano CITY OF "P.ORTMAN',GELES DEPARTMENT -ARTMENT MUNITY &:ECONOMIC DEVEL ®PMENT :'B.UILDIN.G DItV.ISTON` 321: EAST`S.TH.S,TREET ;1PORT.ANGEL'ES, WA:9,8362'. ,7 WA. 9.8 3'6 2',63.07 ;PLUMBING: 'P,ERMI,T 7BACKFLOW'"DEVICE, .16618 :57' 0'0' T.. /3' ;10%`10 e, `Uiiitt :Charge ter; .BASE,- 10;0' -'EA, PL 4B OW ACKFI :PR N OTECTIO.: <0R =2 Char :Pai3; Grad” tad, bue, 3 P -w '57.' „0:0' '5 ',7; 00 ;OA'. `'D, 0'0,,, :00 c57 X00' s7. 0'0 0. w -00 :Separ-ate.Pern itsaare,: requ forel' ec` trical•:w`ork,.SEPA,'Shoreline, 'ESA,. ut private, and;puli1icsim m proveent's :This pull' h ri .e Su p y, oid''ifwor`.k- ,oi:construcfion, authorized ;is:noYcommenced;•withm _1'80day s; ..ifconstruction:or:workgissq "s ende8�or�abandoned'fora' period aof;l'80:days; •w 'aftertheork':has:commenced, or;if required ^ms,pectionshave'not:been :requested within 180,days�from,the last inspection. .I hby_ erece"rtify.that: .read and examined this: application and "know the-same;tto'- be,true and correct, Al] r provisions, of, laws: and ordinances, governing: this: type• of work will: 'be complied with whether specified The granting,of a permit does not., giv sume.to es authority' to violate`or cancel the °.provisions of any,' State or.local law,regtilating,constructiotirb the:perforrriance of construction:¢° }J Date' Pi int Name T:Forms /Building Division/BuiIdirig;Pennit 5, Date' 'E /03,%T0 le 'Contractor ?ANGELES :PLUMBING' INC' PO. BOX :1'1'51 "PORT,ANGELES; '(360),7 452 ,B525 SODA ?MACH -I■E: `Plan Check Valuation 0` Signature of CMtraciteor Authorized Agent .1WA �e+ :Signatuure Owner, (if is builder); 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 INSTALL A BACKFLOW DEVICE ON A SODA MACHINE Owner RICHARD N MC LEAN 2507 S PEABODY ST PORT ANGELES (360) 461 6171 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total 7 0000 EA T:FormsBuiiding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 983626307 PLUMBING PERMIT BACKFLOW DEVICE 166850 57 00 6/03/10 11/30/10 Per Charged 57 00 00 57 00 10 00000553 115072 107 E 1ST ST 06 30 00 5 1 1639 0000 FIRST STREET HAVEN PLUMBING REPAIR CENTRAL BUSINESS DISTRICT 600 Contractor ANGELES PLUMBING INC PO BOX 1151 PORT ANGELES (360) 452 8525 SODA MACHINE BASE FEE PL- BACKFLOW PROTECTION <OR =2 Paid Credited 57 00 00 00 00 57 00 00 Date 6/03/10 WA 98362 Plan Check Fee 00 Valuation 0 Extension 50 00 7 00 Due 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. a1 /eDG JZg/M d/kk Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type 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 Rouqh -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T /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 'L/` Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments atcK -f Io p aev■c,e -For sob_ C1odn►Ytie 6-28 -10 FINAL Date e01 D e Ac cepted bV FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 I Planning 417 -4750 Building 417 -4815 06/03.2010 08 35 3604528583 0u3ne.r PVC' I ffEr Apphrcant or Agent ANGELES PLUMBING. INC Property Owner 1 FIRST STREET 8AVEN Property Owner's Address 107 E First St Contractor /Engineer ANGELES PLUMFIN(. INC. Contractor /Engineer's Address P 0 BOX 1151, Port License ANGELPI077KP PROJECT ADDRESS 107 E F -.rat St Port Angeles Parcel Number 06 0051 /631 Protect Ti e Brie Descr nt1on ReSkienfied g Commert o kfuNi Famffy u Industrial Check all that apply D New Construction a Addition o Remodel o Repair o Re-roof o Demolition o Heat System o Heat pump o wood- buming stove o aas fireplace G pellet stove o other '''Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? WU a fire sprinkler system be Installed? Insta]1 back flow device on pop machine sq. R T Lot size C u W�vs }e (�I choxd, N McLean 2507 5 P bodj s PA ,WA- 98362_ 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 Frisiinc me. ft.) p posed (so_ IL) ANGELESPLUMEING PAGE 02.02 ft. Occupancy group Occupant load Construction type Lot Zoning Phone 452 -8525 Angeles, WA 98362 Expires 5 -15 -2010 Phone 452 -8525 Phone 461 -6171 TOTAL V4(.LIA'rIONd 600 00 sq. ft. Lot coverage For City Use Only Date Received, S-10 Permit Date Approved Per sq ft. of bedrooms of full baths of half baths I have read and completed This apprcation and know it it) be true and correct. 1 am authorized to apply for this permit and understand Mat it is my responsibility to determine what perm is are required, and to obtain permits prior to working on projects Date 4' /1 Print Name DALE BRUNTZ T Forms/Building DivisioniBrdg PermitAppl. 2006 Code.doc ti 7 Clallam County Assessor Treasurer Property Details 61414 RICHARD N MC LEA. Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 61414 RICHARD N MC LEAN for Year 2009 2010 Property Account Property ID 61414 Legal Description SMITH, NORMAN R UND 1/4 INT W2 LT 12 BL 16 Geographic ID 0630005116390000 Agent Code Type. Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 56 Open Space N DFL N Historic Property N Remodel Property N Multi- Family Redevelopment: N Township Section Range Location Address. 109 E FIRST ST Mapsco PORT ANGELES WA Neighborhood Cycle 5 Comm Map ID Neighborhood CD 20953140 Owner Name RICHARD N MC LEAN Owner ID Mailing Address. 2507 S PEABODY ST Ownership PORT ANGELES WA 98362 -6307 Taxes and Assessment Due Property Tax Information as of 06/03/2010 Amount Due if Paid on 741, Exemptions. 40326 100 0000000000% First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest I Base 2010 44127 ST SCH STATE SCHOOL $24.20 $24 19 $0 00 $0 00 $2 2010 44127 CC -GEN COUNTY $12 87 $12.88 $0 00 $0 00 $1 2010 44127 PORT PORT $1 81 $1 81 $0 00 $0 00 9 2010 44127 PORT ANG PORT ANGELES $29 81 $29 81 $0 00 $0 00 $2 2010 44127 SD #121 SCHOOL DISTRICT #121 $31 34 $31 34 $0 00 $0 00 2010 44127 NTH OLY LIB NORTH OLYMPIC LIBRARY $3 74 $3.74 $0 00 $0 00 9 2010 44127 HOSP #2 HOSPITAL #2 $5.28 $5.28 $0 00 $0 00 9 2010 44127 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1 68 $1 68 $0 00 $0 00 9 2010 44127 CITY STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0 00 $Z 2010 44127 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9 2010 44127 TOTAL. $147.55 $147.54 $0.00 $0.00 $14 2009 614142008 ST SCH STATE SCHOOL $28.23 $28.24 $0 00 $0 00 $E 2009 614142008 CC -GEN COUNTY $14.29 $14.29 $0 00 $0 00 $2 2009 614142008 PORT PORT $2.02 $2 03 $0 00 $0 00 9 2009 614142008 PORT ANG PORT ANGELES $31 35 $31 33 $0 00 $0 00 $E 2009 614142008 SD #121 SCHOOL DISTRICT #121 $34 92 $34 91 $0 00 $0 00 $E 2009 614142008 NTH OLY LIB NORTH OLYMPIC LIBRARY $4 15 $4 15 $0 00 $0 00 9 2009 614142008 HOSP #2 HOSPITAL #2 $5 86 $5 86 $0 00 $0 00 $1 http. /vpn.clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year= 2009 &prop_id =61414 6/3/2010 Application Number 07- 00000437 Application pin number 879761 Property Address 107 E 1ST ST ASSESSOR PARCEL NUMBER 06-30-00-5-1- 1639 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner MC LEAN RICHARD N 2507 S PEABODY ST PORT ANGELES WA 983626307 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 -9270 Fee summary Charged Paid Credited Due Date 4/30/07 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SIMPSON/ NEW MAST WIRE Permit pin number 100263 Sub Contractor SIMPSON ELECTRIC Permit Fee 64 00 Plan Check Fee .00 Issue Date 4/30/07 Valuation 0 Expiration Date 10/27/07 Qty Unit Charge Per Extension 1 00 64 0000 ECH EL -COMM ALT- REPAIR METER /MAST 64 00 Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 .00 Grand Total 64 00 64 00 .00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM MUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: INSPECTION TYPE DATE ACCEPTED YES 1 NO DITCH 1 I 1 ROUGH IN COVER SERVICE 1 1 1 FINAL 1 4 1 iir 1 1 1 1 1 1 1 1 I 1 1 1 COMMENTS M.Iw 2. is (ate Site Address Installed By: Owner /Business: Owner /Business Address: ELECTRIC HEAT BASEBOARD KW FURNACE KW HEAT PUMP KW FAN /WALL KW Details/Description: Ditch Inspection O.K. tP %1 Rough -in /cover O.K. O.K. to connect sere i v E(Q, Final 0.K Site Address: 70 7 Installer: WHITE File by address OLYMPIC PRINTERS INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457 -0411 ELECTRICAL PERMIT /0 7 r READY FOR G INSPECTION License Number: RESIDENTIAL "i3: COMMERCIAL NEW CONSTRUCTION REMODEL ADD /ALTER CIRCUITS SERVICE UPGRADE /REPAIR TEMPORARY SERVICE D W.S. No. CAPACITY: O.K. NOT O.K. ACTION REQUIRED: CHANGE TRANSFORMER INSTALL SERVICE POLE SERVICE SIZE DATE PERMIT NO. .S /z 9/f1 DATE RISER OVERHEAD SERVICE UNDERGROUND SERVICE VOLTAGE: 1 0 3 SERVICE SIZE FEEDER SIZE A OA ENGR. OVERHEAD SERVICE APPROVED CHANGE SERVICE WIRE OTHER New Meters Permit /Receipt No. Date Notify Port Angeles Citi/Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per it. PHONE 457 -0411, EXT. 224. _914 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical tnspector .moo Permit Fee WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. AMPS AMPS PINK Top: Eng, Bottom, Customer GREEN Top: Meter Dept., Bottom: City Hall 04/24/2007 07:31 4579270 Address of et F St Inspection Date ne APR 2 4.20b7 LIGHT DEP1. Installation description Job wired by A Electrical Contractor Owner 14" Commercial Residential Electrical contractor nantc SDP PSE L License number Date Expires STlnpson ataxic SD 913,LP GI New Altered /Addition Purchaser's mailing address JlJ r d 7 J a_ti� JJu ici /0/ kJ iYl as" Res i2 c it y AC/ State l ZIP P 1i9e% t 91.3, 3 Telephone number FAX number Vs1 9z 7o JArraz Premises n ner s name jireel City graikitietahlf Phone number l e inspetlron: 1 •%CgrTlr =C f11� Owner as (kflned by RCNU9.24.251 :0) Owner will occupy the siructrve fir nve years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if abmoe said property is Jar saln rent err leers. C After reading the above statement. 1 hereby certify that 1 am the owner of thc above named property or a licensed electrical contractor. I am making the electrical instal Credit Card Mastercard Discover lalion or alteration in compliance with thc electrical laws, N.E.C.. RCW Chanter 19.28. WAC. Chapter 296.468. The City of Port Angeles Municipal Code, and Card Utility Specifications. n Signature f ow 7, eletrieal o raetor or electrical administrator Expiration Date X Date: -o ofoard cy/ 'o El &trical Load Additions and oil AbttactIons NO LOAD CHANGES O Baseboard KW Furnace KW Overhead Service O Heat Pump Ton LAR Temp Service Fan-Wall KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 ROUGH -1N I THERMOSTAT Apprnved Hy note AUpmvrd ay AL DITCH norm•MI By time Approved ay 2 Arca, Building or Equipment Tnspected SIMPSON ELECTRIC PAGE 01 ELECTRICAL WORK PERMIT APPLICATION Check# Brae Voltage Phase 1 O 3 Service Size. Feeder Size: SERVICE Action Taken 0043 on fqc Servlce_JPtnrmation Blllc Appmved By J FEEDER Aprrped nv Electrical inspector FROM : A.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Feb. 11 2215 13:52AM P1 t CITY OF FORT ANGELES PERMIT APPLICATION Building DivisioWElectriical Inspoctions 321 East Fifth Street — P.O. Box 1.1501 Fort Angeles Washington, 98362 ph: (3S0) 417- 47351Fax: (3G0) 4174111 Muni Family r' Cornrrtercia Date: ' , 115 * Plan Review May 13e Re uil ed Please Co lete Electrical Plan Review f Job Address d' Building square Footage: Description of above F5 ,- �R r1R SUOMI RE 11 8A ti �al Owner inf rrrjatlort Contra r formation Name: i' n _ Name: .6 ' f� i Mailing Address: -3 tf Clly: _ P yb Sfata: 7.ip Wailing Address: City: Phone• �O Fax: Phone; t_k nsa # I Ex p• _ .,.... � License #! Exp.� - KIM Unk Charge [ i�r tai (t�ty Niutupliag ty Unit Chproel ServlcelFeeder 200 Amp, S 132.00 $ $aMcelFeeder 201 -400 Amp, $160,00 ServicelFeeder401.600 Amp $ 22$.00 Service /Feo* 601 -1000 Amp, $ 298,00 Servioe/Feeder over 1000 Amp. $ 410,00 $� Branch Circuit Wi Service Feeder $ 6.00 $ Branch 'Circuit W/O Service Feeder $ 14.00 � g Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 86.00 Temp, Service/ Feeder 200 Amp. $102,00 $�W Temp. Ser IIWP'eeder 201 -400 Amp. $121.00 s Temp. ServicelFeeder 401 X600 Amp. $164,00 $ Terhp, ServiQ*eeder 601 -1000 Amp , $185.00 $ Portal to Portal Hourly $ 96,00 Sign/Outline Lighting S $9,00 $ Signal Circuid Umiled l;nergy ^- multi-Family $ 64.00 '' $ Signal OrcuN Umiled Energy /First 1500sf- Commercial $ 96.00 $ Note: SS -00 for each addiliorW 1500 sf Renewable Electrical Energy - 5KVA System or Less $113,00 ,- $ Thermostat $ 56,00 $ Nate: $5.00 fareach addilional T-Stat 0 � _� Tatai Owner as defined by ROW. 19-2$,41: (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, f hereby certify that; am the owner of the above named property or a Licensed electrical contractor. I am making the etectrcal installation or alteration in compkance with the eleclr+cal laws, N.E,C., RCW_ Chapter 18.28, WAC, Chapter 296 -468, The City of Port Angeles Municipat Cade, and Utility Specifications and PAMC 14.05.050 regarding Electrical PermitApplicadons, Slonature of owner, aledrical contractor or electrical administrator; D cosh © cha* W credttcard# %awl_ °" I i C Haled' ( _ _ ,� 01101fZ012.,, ELECTRICAL PERMIT CITY OF PORT .ANGELES 360- 417 -4735 Application Number . . . . . 15- 00000128 Date 2/1.1/15 Application pin number 322880 INSPECTOR: Property Address 107 E 1ST ST ASSESSOR'PARCEL, NUMBER: 06-30-00-5-1- 1639 -0000- SERVICE Application type description ELECTRICAL, ONLY Subdivision Name . , . . . . ROUGH -IN Property Use . . . . . . , , Property Zoning . , . . . . . CENTRAL BUSINESS DISTRICT Application valuation . , . . 0 COMMENTS: Application dear Lights and outlets ----------------------------------------- Owner Contractor --------------- --- - - -- -- FIRST STREET HAVEN INC ------------------ APS ELECTRIC - --- -- 107 E 15T ST 546 BENSON RD. PORT ANGELES WA 90362 PORT ANGFT,ES WA 98363 (360) 452 -6753 Permit . . . ... . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Checic Fee 0,0 Issue .Date . . . . 2/11/15 Valuation . . . . 0 Expiration Date . . 8/10/15 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 ,00 00 .00 Grand Total 86,00 86.00 .00 .00 REPORT SALE'S TAX on your excise tax form to the City of Port Angeles (Location Code 0502) I. Zrry -t- k5 kL INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGEIBUILDING UN