The URL can be used to link to this page

Home My WebLink About124 E 1st St - Building OG �O CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: FURNITURE FOR LESS Business address: 124 E. 1S Street 0 Business owner: Les Samples Property owner's address: 70 Mains Road, Sequim, WA 98382 Automatic fire sprinkler system: Use occupancy classification: Business Occupant load: Per 2009 IBC, Table 1004.1.1 Type of construction: VB 10/16/2012 Sue Roberds, Planning Manager Date Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. a0c> -O T ..-our, CE T F /CA TE OF OCCCJPA NC A PPL /CATION Permit# L Z'4 g� FEES ti/" C ITY OF PORT ANGELES Attn: Permit Technician $50 Certificote Inspection E. Fifth St., Port Angeles, WA 98362 $10. Porking Business Improvement Are. (PBIA) 60) 417 -4815 fax (360) 417 -4711 fee chorged for bowntown locotions J UN 1 S 2012 Pd--- CO vg- 1--,,- PLE7.4SE PR VT _Z S/ S/VK GP Q 005 I 1 1 „El :!P. ?1aL S_•N.l67( .177. n P.A. ?FliP Change of ownership only? Li Moving location from within Y.A.? Zoning erl'` BUSINESS NAME ,�j i'/- J �lTZ S IB usiness address I,„</ �i'." S 9 Mailing address Sw- Phone number 3(.x H /7 2./ 9 Opening date l- -zcY -Z -_pays a, hours of operation cloSP,� fr >eS /o -W Business owner's name S Sn. //az Co ntact phone ti Business owner's address T /S 2..a_4 r S �c:«. Brief description of business .0.4 d,', Property owner's name %X5%---, /Y7Ti C ontact phone Property ow address/ contact -�--e_- •-4 ic.6o cJe_ ✓kY�C� BUILDING DEPARTMENT phone 4'17 -4615 B/r1g approval bt. C- C- o 3-it c=:•\,‘, n 't l Is the business a restaurant or bar that will seat 50 or more people? Yes I 1 No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc). Work planned: F /RE OEPA R TMENT phone 417 -4653 Fire approva/ by �f� on -Z\ —1,Z Changes to a fire sprinkler system or fire alarm system? Yes Li No 1 Work planned: PB /A (Parking Business Improvement Area [Downtown) phone 417 -4623 n Square footage of business? IC), U�C-D P131.4 noriseri vvia YI�C N (pii,$ I 1'a� Is business moving within the PBIA? Yes "Alf No -I CITY CLERK ph one 417-4634 �L City Clerk approva/ byes U' Z� Second -hand dealer /pawnbroker business? Yes Li No./�_I Will there be dancing at this business? Yes I No�_l A City of Port Ange /es Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Oance, Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on /.9r5//.'-'7-- Number of off- stre�,parking spaces available for employees and customers? XJ (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: t W Y Jhe k PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by V Mop (O 1 PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service, V\b ct rl\ mutts excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes NoSC Work planned: PWW approval by N K on PUBLIC WORKS WASTEWATER phone 417 -4845 Will waste, other than domestic household waste, be discharged into the sewer system? Yes No X If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter. 1 hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date6 Print Name 5a` es Signature 4/ T. \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 -44 .4 JC it,/ ,,,,v..., ''1/4,4i',L",:"..!'':.-/,,,,,,/, v%; 04.4'/ 44, „,i 0 1, ,,.,,,,44 0 0 1. 1•,".0/1,,,,,... ■‘‘f 4. 4 .4 4 e l■- 4:7'4 „.4 ,4.., p i. „'4' I cl 4 ,,..tf.f N N ii 7 77,77,77 7 r, .0 47 ,f A ,..,1 40,,, s, 4:: 1....%411141411°' ,r, ....A.. ,-t.. A. 1 r. i i 1. #t t 4 iilloolip lit a a a 7 I' COT '1. e A „4",,, 1 cliiillt. '4/7 771.77 r° 7 7 ,72 1 7 1 q737 4 i"."774741" ‘,4" csi i N'1,,,,, .0 o I*1 ;J a-- '‘1,..,.., ri:r N7,7, 04. 74 i 1111:1 NI), e•• 41 0,' 7 7777P1"71/7/ ,7” 1 '4. I N 17, 4'N\ 7" "77 7 7 777 '717 O' N H o m r n 0 m 0 W W 0 E, W aQ ti H N O H 0 W H a 0 a a 0 7 H W W N x w xx a H u o a s u 0 -4 x z E h 0 z CO o -0 0 z u u 0 z a x H W W 0 W Z F Z H Z 0 O H 0 W W O 0 0 O E+ O H U W 0 W O 0 U0 O u: a W o W 0 0 0 0 0 0z 000 w« o x m x U 0 W H H a P: H 1 U 0 H W M 0 O a a d a W U Z E 0 Z, W z v] a 0 fn W W' N O 0 W Z 0 CA 0 (0a --1oo 0 O a o CO w 0 O o I 0 0 Co) (0 Z a 0 CO H F U' a In W Z N U 00,1 0 0 1 0 J o r 4 -((0 E o r 00 H 0 00 �H W O t` t` a' a 0: U O zo w O 0 a0 (0i KC W Z E. 0 o to KC 41 Z W U a H w U UO aQ Pi F O U Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amp service change Owner MC CRORIE ROBERT M 175 AMBER LN SEQUIM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 93 7500 ECH EL -0 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983828017 155168 93 75 10/15/09 4/13/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 09 00001067 782815 124 E 1ST ST 06 30 00 5 1 3115 0000 ELECTRICAL ONLY 0 Contractor ELECTRICAL ALTER COMMERCIAL BOTERO SON ELECTRICAL 940 TAMARACK WAY PORT ANGELES WA 98362 Plan Check Fee Valuation 200 SRV FEEDER Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications t� the City s electrical facilities will be at the customer s expense Charged Paid Credited 93 75 93 75 00 00 00 00 93 75 93 75 00 Date 10/15/09 `jSZ q GL Due DATE RESULTS 00 00 00 Izz/io St§V 12-41 ti 00 0 Extension 93 75 Signature of owner or Electrical Contractor X Date INSPECTOR. 3 0 City of Port Angeles Permit Application Building Division /Electrical Inspections '321-East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417-4711 Date -l' 2 60 1 2 Single Family Dwelling Multi- Family or Commercial* J Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Co Job Address: .z V Building Square'Footage. n Unit Charoe 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 Qty Description of above c Owner Information Name. .72 C Mailing7ddress: r C./ f SSA City xr Statue_ Zip' Phone: Fax: License Exp •ature of owner electrical contractor or eic. J adminisl!etor RECEVED OCT 14 2009 ELECTRICAL INSPECTIONS lete Eler.trical Plat Revie formation Sheet Cash Li Check L rI card 7 Contractor Information Name: �t. Mailin Address• City' d PhoneW i 94 License Exp 7/, Total (Qty Multiplied by Unit Charnel c Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 20D Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Owner as defined by PC W 19.28.261 (1) Owner will occupy the structu,:e for two years after this electricai.permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. iter reading the above statement, I hereby cellar that I am the owner of the above named property or a licensed electrical contractor I am m king the electrical installat!on or alteration in compliance with the eiectrical laws N E.C. RCN Chapter 19.28, WAC Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Spe f'',alions C Statee,o/ Zip: 9 nb 'S Fax: c/if'a ,e)(12• s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST51HSTREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000743 Date 642749 124 E 1ST ST 06-30-00-5-1-~115-0000- D & K PAINTING PUBLIC WORKS UTI LITES 7/11/06 o ~ Owner Contractor \ MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 OWNER ~ \)J Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY R/W USE #06-16 82255 70.00 7/11/06 1/07/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 70.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.00 70.00 .00 .00 ~ ~ m - 'A ~ ~ 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 constructio'n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policies\1102.ISR (I/OSJ ~ PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. 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 I INSPECTION TYPE DATE ACCEPTED COMMENTS I YES 1 NO PW UTILITIES (Engineerin8 Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policics\1102.15R (1/05] , '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 91B62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000486 Date 209916 124 E 1ST ST 06-30-00-5-1-3115-0000- ELECTRICAL ONLY 5/15/07 o Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit Addit~onal desc Perm~t pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL OL Y EL. / EAST SIDE PANEL CHAN ' 100941 OLYMPIC ELECTRIC 75.00 5/15/07 11/11/07 Plan Check Fee Valuation 00 o "- )..J ,"'" Qty Unit Charge Per 1 00 75 0000 ECH EL-COM ALT 0-200 SRV FDR Extension 75.00 Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75 00 .00 .00 plan Check Total 00 .00 .00 .00 Grand Total 75 00 75 00 .00 00 ........ \'i \A :1 COMMENTS/ACTION NEEDED ELECfmCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEFI'ED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.lI02.1S (4'96) Of ,"ORT ~ ~~~~<.. ~ha' ~ -- "ltii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number App11cation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name App11cat1on type descr1ption Subdivision Name Property Use Property Zoning . . . Application valuat10n 06-00000166 Date 595866 124 E 1ST ST 06-30-00-5-1-3115-0000- ROBERT MCCRORIE RE-ROOF 2/15/06 24000 Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 LARIAT CONSTRUCTION INC P. O. BOX 280 PORT ANGELES WA 98362 (360) 457-0952 71316 403.75 2/15/06 8/14/06 plan Check Fee Valuation .00 24000 AVL~W 2!~V!()C- :]~ Permit Add1tional desc . Perm1t pin number Permit Fee Issue Date Expirat10n Date BUILDING PERMIT - NO PR FEE Qty Un1t Charge Per Extension 95.75 308.00 BASE FEE 22.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 403.75 403.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 408.25 408.25 .00 .00 y ..:t. "' '- ~ 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. LJJ' b Date Signature of Owner (if owner is builder) Date T:\Pohcles\1102_15 bUlldmg permIt mspectlOn record05.wpd [1/4/20051 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 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 FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY' COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING 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 ")rfyv/()~ J(,,'V N ~ I; % ~ T:\Policles\1102_15 bw1dmg permit mspectlOn record05.wpd [1/4/2005] PREPARED 2/22/06, 13:30 13 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR- JAMES L LIERLY PAGE DATE 124 E 1ST ST ROBERT MCCRORIE LARIAT CONSTRUCTION INC MC CRORIE ROBERT M 06-30-00-5-1-3115-0000- 06-00000166 RE-ROOF SUBDIV: PHONE (360) 457-0952 PHONE PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~~ BUILDING FINAL 02/21/2006 09 LARRY 460-2088 NORTH SIDE 2ND TIME _ 13 00 54 AM DYASUMUR PERMIT IN STORE, AVE ENTERANCE TO ROOF IS ON 12 2/22/06 -------------------------------------- COMMENTS AND NOTES -------------------------------------- CiDnDn~IlE LARIAT CONSTRUCTION, me. P.O. BOX 280 PORT ANGELES, WA 98362 (360) 457-0952 r No Date } ....,:.. , ..// ( , , l,;. / ;"-0- Sheet No ProDosal Submitted To: Name 7 I f..., l! It, f) r ..... tt :~ : :.. t ! ,~/;r ~ j.ry Work To Be Performed At: )\.1 l 1_., J ..~ / '.. f ' //""';" ';. r r-J,i't"r-ttJt. ~ ~/... ~J Street Stl'eet i.2 y ~, /~. l ! ~ ~ . ~.. J City State City State Phone Date of Plans Architect We hereby propose to furnish the matel'lals and perform the labor necessary for the completion of T I r if r .... .r". (Vir ,''\ f./ I' t ,,~~.. to ~r - .f? ; t J/(J ..t / ,I l\ }..)-I.' ~'-,7 ;)y WI"> .{ It- -- ./' 1, j /'t bj'i/ l; I r"of"j / 7- f 1-, .r / F.. J I .1/~~ Ii'... ' o}.x JI ,'... Ff ~," r W> , // ~ , fFJ- ntt ...- , I (// I- rl tI //''i 1"- 1/1.. / .J'~ f~ /"' -" .""'!f t '> ,I iff" .tht~~N j>-' ,'1.., J' .(:' (;';~IJ 'e; ,,~. (.2 p. /.::1 /" ');/.?, 1~' , r~ t, ~ -..," .. $ I I I"-! It ; ~~ t/' i/ Jt: { ~!"'i-/ ", /.' t #f ~:tl'fl .... I ,~ ;"/l'j/i } I f .I .: /1/ If '~'J 11/ ~ fty i-;, ~ , fl' S'-rr:J"tr?"" 1:,,\ (_:;.t fr- ,/ ~ f.... I',.'J ( ,," 1/ ..... / sf' :1> ~'/'J / r j t" t)l;"Jko r J /.7 /: ~ ~'.' ~ / l !y~ I y. ; r . .s I i~ oil /~(rr l' ::..~- j.....g .1:-1 tL~ :,t ~;'>'''I' i f<.~ j J'-! ,,' j' J.... f ( // " ~, :tv ~L;" " ~/ V[l..'/ " r r t~ f All material IS guaranteed to be as specified, and the above work to be performed In accordance with the specifications submitted for above work and completed In a substantial workmanlike manner for Dollars [$ with payments to be made as follows ft. F ~ <., II I r /.~tJ,J ~ .. if <. "r / ~ p ,i-, '",. C ~ ff"', j~M drawings and the sum of ] Any alteration or deviation from above specifications Involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate All agreements contingent upon strikes, accidents or delays beyond our control Owner to carry fire, tornado and othel' necessary Insurance upon above work Work- men's Compensation and Public Liability Insurance on above work to be taken out by ,/ , ~ -- J}.. L.- ,../) "':.' f n ~/ pu\i . ./1 Jt,:"....--\. /~ /~~~' /' ,I Note-This proposal may be withdrawn by us If not accepted 'f/) within !I days "("/tAI ,/' / ( 1.... : f Respectfully submitted Per ACCEPTANCE OF PROPOSAL The above prices, specificatIOns and conditIOns are satisfactory and are hereby accepted You are authorized to do the work as specified Payment will be made as outlined above Signature Date \ Signature .~ lOPS i=ni=l~A "lR"in nIICIIt""^Ta:: II A ^r'lr- '1\1 II C' ^ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent: Lar ,'/vl Co /I ,f f, Owner: fJ.. Qb~r't h( (ri)r/-e Address: r).. '1 B. F,'r (1. f 1'1(_. Phone: J "] C (/ ) Yto -2.oa.? Phone: ~f' i' 11/1.9 .//( f (,vA- ZIp: CIty: 'fJ.?t'2... ArchItect/Engmeer: Contractor L..~ 1-11 fJ r ("n fJ<, Ihl((. State LIcense #: Phone' Exp: Phone: Address: CIty: ZIp: ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdIVISlOn: TYPE OF WORK: D ResIdennal D New Constr D Re-roof D Multl-family D AddItlOn D Move D CommercIal D Remodel 0 DemolItlOn D Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT. D Stove D Garage D Deck D Other SIZEN ALUATION: SF. @ $ /SF = $ SF @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ COMMERCIALIRESIDENTIAL: Occupancy Group. No. of Stones. Lot Size: EXIStmg Sq Ft Total lot coverage % Occupant Load. & Proposed Sq. Ft ConstructlOn Type' = TOTAL Sq. Ft APPROVALS: i PLAN: : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): DYes D No SEPA Checkhst requrred? DYes D No Other VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. Th1s figure will be revIewed and may be reVIsed by the BuIlding DlVlslOn to comply with current fee schedules. Contact the Peront Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the trme the buildmg permIt applicatlOn and constructlOn plans are sublTlltted. All other permIt fees are due at the time of penmt Issuance. EXPIRATION OF PLAN REVIEW: lfno peront IS Issued WIthin 180 days of the date of applIcation, the application will expire. The Buildmg OffiCIal can extend the trme for actlOn by the apphcant up to 180 days upon written request by the applicant (see SectIOn R105.3.2 of the International Building/ResIdential Code, 2003). No apphcanon can be extended more than once. J hereby certify that J have read and exammed thIS appilcatlOn .and know the same to be true and correct. I am authonzed to apply for this permit and understand that it IS my responslbJlity to determme what permits are reqUIred ,not the City's, and that I must obtain such permits prior to work. T'\Pohcies\BL-1102 _13 wpd Applicant. Date: .::.~~ 1..'\ ,. ,,:,,"1,.)'\ .c' /'l . . . .. ., \ f. '.)', .~~ . ~\t~1ml_'fJit1tERtQaf,l:lISsttaf9~lJta~~~m .. I '~ PLUMBING TRAPS: WATER HEATER: SEWER WATER: MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: ~ pORT ~ ~~O~~~ rea 11:: -- 'ltii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descr~pt~on Subdivision Name Property Use Property Zon~ng . . . Application valuation 06-00000163 Date 2/15/06 314013 124 E 1ST ST 06-30-00-5-1-3115-0000- MCCORIE BLDG. DEMOLITION 60000 EXPIRED t!J/~4Iw Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452-5381 permi t . . . . . Additional desc . Permit pin number Permit Fee ~ssue Date . Expiration Date . DEMOLITION 71290 50.00 2/15/06 8/14/06 Plan Check Fee Valuation .00 o Qty unit Charge Per Extens~on 50.00 BASE FEE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 ~ \ --. t v~ ~~ 0\\\ ~ 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 orwork is suspended or abandoned for a period of 180 days atter 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 ot presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance f CO~;d~ //IJ~6' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Pohcles\1102_15 bUIldmg permIt mspectlon record05.wpd [1/4/2005] , \ \. r BillLDING 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 ACCEPTED COMMENTS I YES I NO FOUNDATION: . . .~' ~, FOOTINGS , WALLS ... . .. J ~ 1. ..........- ~ <i!'" ~ FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY' BACK FLOW /WATER AIR SEAL WALLS I I CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W / PW / CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING f: ~. 8 \~ Z. ~ T.\Po1icles\1102_15 bUilding permit Inspection record05 wpd [1/4/2005] , ' , "l\h"" ~ORTANGELES WhA- 0 (p --0]0 WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT Febmary 15, 2006 Hoch Constmction 4201 Tumwater Tmck Rt Port Angeles, W A 98363 RE: Port Angeles Landfill Waste Disposal Application, WDA 06-06; (Interior Building demolition) at 124 East 1 st ( McCrorie Bldg ), Port Angeles We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results. Based on the testing results the debris appears to be acceptable for use III the landfill, A copy of your approved application is attached. This approved application must be shown to the landfill scale attendant at the time of disposal: Please be advised that this disposal application is only for the matenals and quantities lIsted in the application. Matenals not listed or in excess of the quantities noted may require separate applications and approval, Please call if you have questions. Very tmly yours, ~~r City Engineer ' Deputy Director of Engineering Services GWKtf Encl WDA 06-06 Copy Ken Loghry N IPWKSIENGINEERIWDAPPLICI06-06 WPD FILE Landfill Sohd Waste DIsposal ApplIcatIons 321 EAST FIFTH STREET'. POBOX 1150 · PORT ANGELES, WA 98362-0217 PHONE 360-417-4805. FAX 360-417-4542. TTY 360-417-4645 E-MAIL publlcworks@cltyofpa us /~ 9 BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 3'1S/b6 Pelmlt # tJV ~ '''?J Date Approved o/t/Pc. Date h,med ~/r-" 'Db - ~ Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agentlloe /7 C (,) S+(U-t Jf()'IL tPU Phone: 3bf(?J -{.-!.<:?:) -5:1~/ Owner. rl('i/}() r (.II cfk'/?1l{. '/lU'() / S 11 / P Phone: 717 - / d / r Address: J;y it jS'I 51. Clty.H)i-ll)n.gLt{o ZIp: q~i~) Z Phone: State LlCense ttIIc"'(1A~ Exp: rL.:.J/c)ri Phone: .f5~ ::S~~/ IJL ~Ol/I' / CIty: A"htjLI?/ /) ZIp: 9~::s&_-q fi I2-S-t- ZONING: ArchItect/Engmeer: Contract014)( f; C(f)u~..f I~U Address: 0)/ '/A;.u.J../2/ j) r PROJECT ADDRESS: \ 24' e. LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdIVIsIOn: TYPE OF WORK: o ReSIdentIal 0 New Constr. 0 Re-roof o MultI-family 0 AddItion 0 Move o CommercIal 0 Remodel V DemolItIOn o RepaIr /0- SIgn BRIEF DESCRIPTION OF THE PROJECT i)p /)J o.~ /1 {/fl ey ~ fJ1 () t) u.f o Stove o Garage o Deck o Other SIZEN ALUATION: SF @ $ /SF = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ c TOTAL VALUATION $--:r~/ll"-l9.P.'_-' -~/- ijI/1 Jb-.rkJ rilL hll1Jefl c1/vax:Lt-f / COMMERClAL/RESIDENTIAL: Occupancy Group' No. of Stones' Lot Size: EXIStIng Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. ConstructIOn Type = TOTAL Sq. Ft ESAlWetland(s)' 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. This figure will be reVIewed and may be reVIsed by the Bmlding DlVlsIOn to comply with current fee schedules. Contact the Permit Coordmator at 417-4815 for assIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the trme the building pennit applicatIOn and construction plans are subnutted All other pefIDlt fees are due at the time of pefIDlt issuance. EXPIRATION OF PLAN REVIEW: Ifno pefIDlt IS Issued WIthm 180 days of the date of applicatIOn, the application will expire. The Buildmg OffiCial can extend the trme for action by the applIcant up to 180 days upon wntten request by the applicant (see SectIOn R105.3.2 ofthe Internatlonal Bmldmg/Residential Code, 2003) No applIcatlon can be extended more than once. I hereby certify that I have read and examined this applicatlOn.and know the same to be true and correct I am authonzed to apply for this permit and understand that it is my responsibility to cje ermin what permits are required~not the City's, and that I must obtain such permits pnor to work T\Pohcles\BL-1102_13.wpd APPlican~: . ~Date: ~J.fl!J6 ..... "".\ .-' :. ~\ \F "u~Ilr~~FJE1QJi;UlSG~G1mg~st~&i~~~~ - . . PLUMBING TRAPS: WATER HEATER: SEWER: WATER: MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: ~ ,"ORT ~ ~~O~",,:.., U,._ 'L -=-- ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appllcation Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Appllcatlon valuatlon 3/13/06 06-00000057 Date 322155 124 E 1ST ST 06-30-00-5-1-3115-0000- ROBERT MCCORIE COMM REMODEL H"JA~ 3/2&lIO~ ~ 18000 Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL WA 983828017 PORT ANGELES WA 98363 (360) 452-5381 Structure Informatlon 000 000 ---------------------- TYPE II NON-RATED BUSINESS:OFF/PRO/MED/REST Construction Type . . Occupancy Type Permit . . . . . Additional desc . Permit pln number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL ~-\4 72769 319.75 3/13/06 9/09/06 Plan Check Fee valuation 207.84 18000 Qty Unit Charge Per Extension 95.75 224.00 BASE FEE 16.00 14.0000 THOU BL-2001-25K (14 PER K) Fee summary Charged Pald Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 319.75 319.75 .00 .00 Plan Check Total 207.84 207.84 .00 .00 Grand Total 527.59 527.59 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void jf 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 ordi nces governing this pe of work will be complied with whether specified herein or not. The granting of a permit does not presume t ~Je authority to violate or c el the provisions of any state or local law regulating construction or the performance of construct' nhn '\ / ~7 f Contrac r or Authorized Agent Signature of Owner (if owner is builder) Date T:\PoJicies\II02_15 bUlldmg permit inspection record05.wpd [1/4/2005] ~ .:r.. Pil ......... \~ 't \ BIDLDING 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. B INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER ~ AIR SEAL .....,J WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS I WALLS/~/CE~ ~/lf,g I 0 (.I) ;y~ DRYWALL (INTERIOR BRACED PANEL ONLY) I ~ T-BAR 37., a /f.9 c.. (TL-..-I . INSULATION SLAB WALL 1 FLOOR 1 CEILING I ~-ut !()~ I JLv #' MECHANICAL HEAT PUMP 1 FURNACE I DUCTS GAS LINE WOOD STOVE 1 PELLET I CHWMNEY FINAL DATE ACCEPTED BY' 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.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 , I PLANNING DEPT. BUILDING 417-4815 ?/v:t /tJf.p V~ BUILDING , \J U\ ,-..J ~t 1m 1 &r)~ ~~ ~ T.\Pohcles\1102_15 bulldmg pennlt mspeCl10n record05.wpd [1/4/2005] PREPARED 3/29/06, 16 02.22 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 124 E 1ST ST ROBERT MCCORIE HOCH CONSTRUCTION MC CRORIE ROBERT M 06-30-00-5-1-3115-0000- 06-00000057 COMM REMODEL PERMIT: BPC 01 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLWS 01 3/15/06 JLL 3/16/06 DA BL3 01 3/16/06 JLL 3/16/06 AP BL99 01 3/29/06 ~ \\ BLI 01 3/29/06 JLL 3/29/06 AP BLTB 01 3/29/06 JLL 3/29/06 AP BUILDING INSULATION WALL/FLOOR 03/15/2006 12 27 PM JLIERLY hoch 03/16/2006 09 28 AM JLIERLY frame and electr1cal rough reqd BUILDING FRAMING 03/16/2006 10 03 AM PBARTHOL bob 417-1219 03/16/2006 01:51 PM PBARTHOL 03/16/2006 01.51 PM PBARTHOL BUILDING FINAL 03/29/2006 04 02 PM BUILDING INSULATION 03/29/2006 09 59 AM 03/29/2006 03 54 PM BUILDING T-BAR TIME 03/29/2006 10 20 AM RICK @ 460-3824 03/29/2006 03 54 PM PAGE DATE 3 3/29/06 SUBDIV. PHONE PHONE (360) 452-5381 bfore 1nsulat1on/]11 JLIERLY ---------------------------- TIME: 13 00 DYASUMUR JLIERLY ---------------------------- 13 00 DYASUMUR -------------------------------------- COMMENTS AND NOTES -------------------------------------- JLIERLY ---------------------------- PREPARED 3/29/06, 12 30,28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 21 3/29/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 124 E 1ST ST ROBERT MCCORIE HOCH CONSTRUCTION MC CRORIE ROBERT M 06-30-00-5-1-3115-0000- 06-00000057 COMM REMODEL SUBDIV PHONE PHONE (360) 452-5381 PERMIT: BPC 01 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLWS 01 3/15/06 JLL BUILDING INSULATION WALL/FLOOR 3/16/06 DA 03/15/2006 12.27 PM JLIERLY ---------------------------- hoch 03/16/2006 09 28 AM JLIERLY ---------------------------- frame and electr1cal rough reqd bfore 1nsulat1on/]11 BL3 01 3/16/06 JLL BUILDING FRAMING 3/16/06 AP 03/16/2006 10 03 AM PBARTHOL --------------------------- bob 417-1219 03/16/2006 01 51 PM PBARTHOL --------------------------- 03/16/2006 01.51 PM PBARTHOL --------------------------- BLI 01 3/(1/06 ~ BUILDING INSULATION TIME 13:00 03/29/2006 09:59 AM DYASUMUR BLTB 01 3/29/06 BUILDING T-BAR TIME 13 00 '-\ ~ 03/29/2006 10 20 AM DYASUMUR RICK @ 460-3824 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/15/06, 13-27 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 6 3/15/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER- 124 E 1ST ST ROBERT MCCORIE HOCH CONSTRUCTION MC CRORIE ROBERT M 06-30-00-5-1-3115-0000- 06-00000057 COMM REMODEL SUBDIV PHONE PHONE (360) 452-5381 PERMIT: BPC 01 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLWS 01 ~ BUILDING INSULATION WALL/FLOOR 03/15/2006 12 27 PM JLIERLY ---------------------------- hoch -------------------------------------- COMMENTS AND NOTES ---------------------- --------------- ~J- ~~ ~ ~I ~UL YcNUf ~W'I BUILDING PERMIT - APPliCATION ApplIcant or Agent Owner. (Y\ Address: \ ~L:li-J ~ G ~, Phone. 3/d) . J-k:5t2 . 5~g'J CIty. ZIp. q~3(P3 ArchItect/Engmeer. Contractor ~GJ\ ~ r~OwJ Address. J-{ d-D I I tudL- 12.+. PROJECT ADDRESS: \ ~ L\- <C.. LEGAl DESCRIPTION: Lot' CLAlLAM COUNTY PARCEL NUMBER: Phone: State LIcense #:rtoc.ltC;t1f'.ll.?ONlExp. CIty PoYt- G "'9fl~/ \ Sj::- ~t-. Phone: ~ ~S.~~f ZIp: q g-:<; /.0 ';), ZONING: Block SubdIVIsIon: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYl'E OF WORK: o ResIdenhal 0 New Constr 0 Re-roof o Mulh-family 0 AddITIon 0 Move ~ CommercIal ~Remodel 0 DemohTIon o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF @ $ /SF. = $ SF @ $ /SF = $ TOTAL VALUATION $ /~ ~O~ dfX:J COMMERCIAL/RESIDENTIAL: Occupancy Group: No of Stones: _' Lot Size: EXlStlng Sq Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft ConstrucTIon Type: = TOTAL Sq Ft ESAIW etland(s) 0 Yes 0 No SEP A Checkhst reqUITed? 0 Yes 0 No Other APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant Tills figure will be revIewed and may be revIsed by the Buildmg DlVlslOn to comply with current fee schedules Contact the PermIt Coordmator at 417-4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee IS due It must'b'e'submitted at the tlme the buildmg permIt apphcation and construCTIon plans are subnntted All other permIt fees are due at the tnne of permIt Issuance. EXPIRATION OF PLAN REVIEW: lfno permIt IS Issued WIthIn 180 days of the date ofapplicatlOn, the application will expire. The Bmldmg OffiCIal can extend the time for actIon by the applicant up to 180 days upon wntten request by the apphcant (see SectIOn RI05.3.2 of the InternatlOnal Buildmg/Residentml Code, 2003) No applicatIOn can be extended more than once J hereby cerlify that J have read and examined thiS applicatIOn and know the same to be true and correct. J am authorized to apply for this permit and understand that it IS my responSibility to detennme what p~U1red ~ the City:S, and that J must obtain such pennits pnor to work. T\Pohcles\BL-1l02_13wpd APPhcant:~ ~ Date:. ~~? ,/0 C; INTER-OFFICE MEMO 1/18/06 TO: Jim Lierly Ken Dubuc RE: 124 E. 1 ST STREET PERMIT # 06-057 I , i PLEASE REVIEW THE ATTACHED WORK FOR YOUR APPROVAL. THIS PROJECT IS TO DEMO THE INTERIOR AND REPAIR WATER DAMAGE. THANKS ~ DAVE I ! Fill out COMPLETELY and in LNK. Your applicatlOn and site plan MUST CGIvIPLETE LO be accepleu 101- ] evie"V\. If you have an~l' qucst::'Gn5~ ~:lll PERMITS (360) 417-4815 FAX(360 )417-4711 ..... (....\ 1l:)1~ f .1 \'(,/ '~(I (~~) r' ~~~ \; -:_...:- .. '" - / .~~' BUILDING PERMiT - APPLICATION Apphcani or Agent: ItN DfiJ (!.otJS1tLu (..:no~ Phone. ~ 70 -"Q'7'1 Owner ~o~-+ Wl.C(2..0l2-\L Phone' 4/7 -/211 Address.-'2--Y ~ \ ~f" C1ty.~IZ..-r ~1-"t'.-s Zw 983' 2- ArchItect/Engmeer 6A./b8bLb Phone: 4)2. - (;,/16 Contractor~ ~ foAJ1/ev41~'Me bcense # ANbtNG~?8~ 3-/2-' 0' Phone C 70 -~97? Address. 2-37 w, Alc:f~ S1- CIty. ~t.a. viM... ZIp: 183?j7 ' PROJECT ADDRESS /21 L / '5r I?A.. tJ4 ZONING: LEGAL DESCRJPTION Lot: CLALLi\M COlJ:l'\TTY PARCEL NUMBER: Block SubdIVISIOn' SIZE/VALUATION: /1. so-o SF @ $ & :1D /SF = $ , SF @ $ /SF = $ SF @ $ /SF = $ TOTAL ViuJUATION $ /1lf<d)L:.. "'r f!5u/L/)ltJ4 :R::fltlJe.. 4J.If1U.... ~~trO ~l.1.41..J-.: ~kJ ..0 Gb, D/!>O -- 18~ "?p C"\>. TYPE OF WORK: o ResIdentml 0 New Constr. rti- Re-roof o MultI-fannly 0 Addmon 0 Move ~Commerclal 0 Remodel 0 DemolItlOn ~Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT' ~fr!11-6e (~p o Stove o Garage o Deck o Other ~fVtt.> A.Lt.L'\ COMMERCLL\L/RESIDENTIAL: Occupancy Group. Occupant Load & Proposed Sq Ft. ConstructlOn Type' No of Stones Lot SIZe Total lot coverage Existmg Sq Ft. = TOTAL Sq Ft PLANNING USE ONLY: \ b~::~t~---'~1-v~I- APPROVALS: PLAN: BLDG: V ~ ~~ DPWU: FIRE: ESAlWetland(s). 0 Yes 0 No SEP A Checkhst requrred? 0 Yes 0 No Other OTHER: - % VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant TIllS figure will be revIewed and may be reVIsed by the Buildlllg DlVIsIon to comply WIth current fee schedules Contact the Pemnt Coordinator at 417 -4815 fOl asslstance_ PLAN CHECK FEE IF a plan check fee is due It must be subll1ltted at the trrne the bUlldmg pernnt apphcaTIon and construCTIon plans are subll1ltted. All other pemnt fees are due at the tm1e of pernllt Issuance. EXPIRATION OFPLA.N REVIEW: lino pernllt IS Issued withlll180 days of the date of applIcation, the application will expIre, The BUlldlllg OfficIal can extend the trrne for actlOn by the apphcant up to 180 days upon wntten request by the applIcant (see Section Rl 05.3.2 of the InternatIOnal BUlldlllglResldentlal Code, 2003). No applicatlOn can be extended mOle than once. I hereby certify that J have read and examined thl understand that it is my responsibility to deter e d know the same to be true and correct. I am authonzed to apply for this permit and are reqUIred )not the City'S, and that J must obtam such permits pnor to work 1-/7- tJ' Date: T'\Pol1cles\BL-] ]02_13 wpd Apphc \ \ .' 1',:;",..>/'1:," , e ~ 'V;;Rt-lll,.,...,,_."l""'..... ""'.jJ_*"''"''''^~ ~ ""'0, M}' -I ~W.igit\st~~fTI;iii: "", ,,~~I~~;~;:>~~I: g1t~~j~}j4i~~i1%i3j PLUMBING TRAPS: WATER HEATER: SEWER: WATER: MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 14906 /;1-)3)3 Port Angeles, Washlngtonmm.uu.......um.mum.mmu..mm___m______.. 19,,000000 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. i~'f {;/,;}/ I Address .4;r;..~~...y..oo~:=:m::=;;;;::::.moooooooo---oo Occupancy._~oo_______________.oo..oou. Owner ____'__moooooooo..mmmoo.m__mL,u..oooo.m.",;,.".__.n__ Tenantmoom.mmmmoom..oo__.oo.m.___oom.ununoo.oo.oomm__. Wiring Contractor .oo(~:,:~:'.ri:.~q,.*__dfk::'.'./t.~..oooo By..mm.____.n.m.oom__.muu__..mmoooo__oooo__.__oooo.__oo f/ Light Outlets.....___..______.____.........__..__... Service, volts ..___nm.___m.___...n......._..... Receptacle Outletsn..___m...m....__......... No. wires .._......_...............00..00.0000... Drye" KWloomn..oo....m..n.....__....,..,...., Size wires...._.......__................n..._n. Range, KW _...m___ Main fuse .__..______........nn.....m._______ Water Heater: Enclosure ____...___...._____.___._.nmm_.... KW..____..n...........,..,..,..,..,n....,..... Type of wiring: Entrance Cable nm........n.m..n___.n Heal: RW......__...n....__n_..n__n...nn.n______..... RIgid Conduit ....______n___m..___._______ Metallic Tubing ........................... Current transformers: No. & Sizenm_..m___.m___m..nn__.___.n Motors: size, volts and phase: Ser. N 0..__..00___.00000000000000.._00..__._.._._..._ Ser. NO~.___._nn..__n_...n.n._................. Ser. No.,_.____.........._..........._.______.._.... Type of Wiring: Armored Cable h.......mh.._............ Non-Metallic ._.............._______.._.00..00 Knob & Tube...n....m___..______.___.___._. RIgid Conduit ............................... Metallic Tubing nnn___nm___.......... Race,vay ..hn..._......_...._.........__...._._.. Circuits, LighLm..___..___.._________h.____.._... Utillty ....................................__..n... Heat Range 000000..000000..____00........._............. Water Heater ....00.........00_____.______.. Motor _.._.___.___.___________...____..._........_ Dryer .....0000...00000000__00_.00__.00__00......._.__ Furnace ..n_nnn_nn..nh__.,_....n....___m.. Total Loadn..._...n_______.__..n.... Ser. No. n__..___n_..__......n._..._............_n Total .............n.......__............__. Remarks: ...!.ltr:f~.'.~L____.__.:.~~____..too..,:.c!'::?~:!=/?::1:.'b.oo.-".::..:..,?-.<.u,=tk"X.oooo.oooooomm. trJ[;. 1- .., V { ;/~ --., ',- . / #~. m__(:'.l'.,t,C!;.'!:mmoo~:.'.:"'_r..mm.oooo~oo1?:oooo.oo=._____:.oo.".'0.:!__:__!:'__m..l__.!::./..!.ii.ooAI;b~~~oomoomm.m__m.m IV v; J , :)/ " :.~:.~~..~~~.__......__........ ~~~.~:..~~.~.~~.~.~.___m By :3.f..t...~.(0df~,~!~,-:,:.~....__.__....__ ,I NOTICE-Current must not be turned on untll Certificate of Inspection has been Issued. If work Is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 14906 Date called for inspection.__......_......._.._......................_____.....____..__________............._______.........._.._.___.._...__.___.......____.._.............__..__...___.......__.._... Pr~.P1inaryinspectiondateB......................................_......__..._..____~___.__..........._.___._..._...._..._............__..._.........__..............._..._..___..............._ lnspectionccrmpleted...____.._.........._......_.........................._.._.......~._.......___..................___..._.........._...........__..._.___.........._____..___.._....._......_ / I \ , Total Load ........_......_..................__.._...................._..00..000000........._......_ .0000___. 1M 3-72 Olympic Printers, Inc. ...........__nn.............n_....n..........._..__n_..._.._........n_._.__........._......_ dr<)l"~. $(i~~ D!i ",",;,,;",. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 911:162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000067 Date .920346 124 E 1ST ST 06-30-00-5-1-3115-0000- ELECTRICAL ONLY 2/01/05 o Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL 200A PANEL/ METER MAST REPAIR SHAMP ELECTRICAL CONTRACTING 145.60 Plan Check Fee 2/01/05 Valuation 7/31/05 .00 o Qty 1. 00 1. 00 Unit Charge Per 78.7000 ECH 66.9000 ECH EL-COM ALT 0-200 SRV FDR EL-COMM ALT- REPAIR ME!ER/MAST Extension 78.70 66.90 ~ ~ "'-!." \ \ "'- ~~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 145.60 145.60 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 145.60 145.60 .00 .00 ~:: " \ V\ U"" C\ ". , \ COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPECT.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPEcnON TYPE DATE COMMENTS NO ;lll.~ Ii.' ')- '-114.8; ~~t:'-- /fP.I'iU',,'k~ ,t:c.c.. //zT~"t: -itp ;} /:7)t/ j' _;t;/hs / fJ/h.JU-- /f;O/J. ViE-d GENERAL COMMENTS: PW-II02.1S (4'96) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 A~plication Number ..... 03-00001043 Date 10/27/03 Property Address ...... 124 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-3115-0000- Application description . . . RE-ROOF Subdivision Name ...... Property Zoning ....... Application valuation .... 4000 Owner Contractor MC CRORIE ROBERT M AN DEN CONSTRUCTION 175 AMBER LN 364 SHORE ~D. SEQUIM WA 983828017 PORT ANGELES PORT ANGELES WA 98362 (360) 457-9396 Pez~ait ...... BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF MID. SEC. TORCH DOM Permit Fee .... 120.75 Plan Check Fee . . .00 Issue Date .... 10/27/03 Valuation .... 4000 E~piration Date . , 4/25/04 Qty Unit Charge Per Extension BASE FEE 92,75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28,00 Other Fees ......... STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 120.75 120.78 ,00 .00 Plan Check Total .00 .00 .00 .00 Other Feu Total 4.50 4.50 .00 .00 Grand Te~al 125,25 125.25 .00 .00 Separste Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null ard void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a p(riod of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspe(tion. I hereby certify that I have read and examined this application End know the same to be true and correct. All provisions of laws aid or(:~,3ences governJ~l this type of work will be complied with whether specified herein or not. The granting of a permit does not presune/to/,~v/9%uthori~o.~iolate or cancel the provisions of any state or local law regulating construction or the performance of constr~o,l~.// ~ / / S'gn~re of Contracte/r or Authonzed Agent Datte" Signature o~ Owner (if owner is builder~ Dat~ T:\PLA,rNING\FOKM$\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: POOTINGS WALLS FOU~NDAT [ON DRAINAGE EUECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLEMBING ROUGH IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS S}IEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAl. HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUUTS PWUTILITIES/ SITEWORK {EngineerlngDivision) SEPARATE PERMII #'S: WATEILLINE / ME rER SEWER CONNECTION SANI [ARY STORM PLANNING DEPT. SEPARATE PERMII #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEIFED YES NO ELECTRICAL L1GHT DEPT. 4]7-4735 ELEC'I RICAL CONSTRUCTION R W / PW/ CONSTRUCIION - R.W. ENGYNEERING 417 4807 PW / ENGINEERING FIRE 417 4653 FIRE DEPT PLANNING DEPf 417 4750 PLANNING DEPT BUILDING 417-4815 //"O,L/--O~ ,1./--. BUILDING , r:' PI ANN[NG\FORMS\I 102 15 [4/2002] '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Appl~cat~on p~n number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Appl~cat~on valuat~on 06-00000166 Date 595866 124 E 1ST ST 06-30-00-5-1-3115-0000- ROBERT MCCRORIE RE-ROOF 3/16/06 24000 Owner Contractor MC CRORIE ROBERT M 175 AMBER LN SEQUIM WA 983828017 LARIAT CONSTRUCTION INC P. O. BOX 280 PORT ANGELES WA 98362 (360) 457-0952 Permit Additional desc Perm~t p~n number Sub Contractor Perm~t Fee Issue Date Exp~rat~on Date ELECTRICAL ALTER COMMERCIAL OLYMPIC/ 200 A SVC + CIR 71431 OLYMPIC ELECTRIC 140 00 Plan Check Fee 3/01/06 Valuation 8/28/06 .00 o "'" ~ ..z Qty 1 00 1 00 Unit Charge Per 78.7000 ECH EL-COM ALT 0-200 SRV FDR 61 3000 ECH EL-COMM ALT <5 CIRCUITS Extension 78.70 61 30 Other Fees STATE SURCHARGE 4.50 ~ Fee summary Charged Paid Credited Due ----------------- ---------- -------- - ---------- ---------- Permit Fee Total 140 00 140 00 00 00 Plan Check Total .00 00 .00 00 '""' Other Fee Total 4 50 4 50 .00 .00 \~ Grand Total 144 50 144.50 00 00 COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 COMMENTS NO g.-~o- ()b eeu..II..Jb GENERAL COMMENTS: PW-1I02.J5 (4196] B5/B2/2BB7 15:45 35B4523498 OLYMPIC ELECTRIC PAGE 01 ""," " ELECTRICAL WORKl"ERMlT APPLICATION JDb wind by rilectrlcal COJltta.tor tJ Owuer IDst~atian 4esorlplion IS'"C.lDlDer<lal 0 RuldtlltlaJ Electricll oontrDCtor nlmo Lleell!lle number Date 1!lCplrea t'?t~d?P/-. ~,,-I-.n"- (?'('Y#l;?~~.2Jrr-L?? Purt*}I m.UinJ addroa /./.2 ?/? /V/7?u-'l'kr City 0 -L d_ / SIa'. ZIP t22c:zp.g,,"r'j tvr? <....f16"3' Tclq1hone number FAX llumber <- - o New o A1lerodlAddltl.. ,,,1/-fr,,-,/- ~_V..../:--:- ~Jny' rremlu. o,..aftl, ..me1f ;1e.t!A-z:,,.., ....r 172M'7fi- n..,r-/U r;,h//7r Addreu or lo.p..i1.. r ' -, /2'/..c, IE. CIl;t6'r-r ~,~/"r ' PJlODC .~lDb-er ;, I.-~'edute 1.lptCUODI ~/l- Ow..,.. Ii.fln.d by RCIY./9.ZI.161:{I/ awn". wllloccll,P.l' IA. :lrve,.,./o, '..... )1f!1GI7 4f!er "ds .J,:t"IOJJ ~lit. "JlndUml. (1) 0wI1tr U rlfulrcJ ID hiff an ela:rrlcal C:oIllNClOr' ,,0&0,. IGtd profMt'Y IJ jof Ja'~. f:DfI or leMlt. ' Afta' reMlnJ 010 ibove..llIlemmt, J h.,.,ay certifY thOot lam. the Ownof' Qr the abOve oamed P"'pe~ or . licenaed electricll eonttaclOr. I lPI'I mlklng lbe eleetrlca.ll11ltal- lallon or alteration In. ~1Dp'iIDce with thll clcctricll l.wl. N,B,e.. Rev.'. Chapler 19.'2.8. WAC. Qup\er 296-46Bt The City orpotl Analllet Munlclpal Code, .nd ULiJU:y Speclfio,riOD!. SIC.tlllre -vt owau. eleurlnl eD'dttlclor or electrlul adlnh,lIlrator Q Cash Q a.ecle # ~il Can! Y"" Mastercard Discover Can! # ____-____.------,--~ x Date: 7 I!.xpiralion Dale' oloud C NO LOAD CliANGES o Ilasoboard _IC-N C Fumace _IC-N 0 Overhead ServleG o tiBet Pump _ Ton _ LAR C Tomp Servle<! o Fan-Well _IC-N C Underground soNfce ' SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 Voltaga PhaaoOICS Service Size: _ Foedo' SIze: f ROUGH-IN THERMOSTAT r SERVICE D.... 1\RI"","!fJ Do. A~Br " 0111 G'hlo~ALkn ~","d BY7 DrrCH FEEDER D... . A,.wovcdJlJ/ gilt! ~.alQy ~ IntPlcti01l D,le Area, Building or !!q.lpmCIIllnspcolcd , Actio" T.k.. Bloem.al In.peo~r ....-- Iffj;;;; MAY 03 20r ....1- .... w~1JJ , UGKT DEPl , ',; rl ~ lob wired by ti(tlectrical Contractor 0 Owner ElectriC;l.1 contrac or name o /Z Igff :~t3-3 Oilins_/~V In vU "'+41- Cp State ZIP OJr I1I1J ~/e) IN/!} Telephone lnlmbcr F..'\X numbtc 5 6303 Premi5~~ UWD~ O~ Addresj :?:'4.Cli.~ I sri- City Po/tlfn,9t1t5 Phone number- tu !lcbedult! ia!lpecrlop: Owner- a~' defilU:d by llCw'J9,18.16J:(1) Own!'!' will uccupy tllf! ~lruclurc jor two YC(J/'J' aft!!, this t:/e;r:trlr..al pi!rmi( i~ jUlalized. (2) OW.le,. is requin,..ri to /tire an <:h:crric"J COfW'at'tor if ubove said pruperty is for sulc, ,.~nt or least:. Ai":r reading the above stutement, I hereby cel,itY that r iloffi the owner CJf lhe ubove named property or ll. licensod ~lectrical coU1i'actor. 1 um lllakins [ht: e:1cctric::d inslal- .alion O( alceratioa. in' complhmcc wittl the c1ccLricallaws, N.E.C.. tl.Cw. Chapter 19.21$, WAC. Chapter 296.466. Tne Cil)' of Port Angeles Municipal" Colic, and Utility Specifications. ~g.Mn~, d.",lnl ,..tm'.'.' .,;:'::: '~?;'7/4' Electrical Load AddItions and or subtractions J;li( NO LOAD CHANGES o Basaboard _ KW o Furnace KW o Heat p...mp _ Ton _ LAR D Fan-Wall _ KW 1CTRICAL WORKPERMITAPPLICATlO~ Insta lation description ~ComlDel"clal 0 ResldeotiaJ o Nl:w ~Ueredl Addielo>> ftr t'e. PI", C-i!... 0 re Y" lie'" JtJ · M~{)c ~NiJ L. :6J.r r t:. y. T j./ If<!,e}" OC..h o Check # o Credit Card Card # VIsa Mastercard Discover . . ---------------- Expirntion Date of card Servi~8 Information vollaga PhasaD1D3 Service Size: _ Feeder Size: o Overhead Service a Temp Service o Undatgtound Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 f THERMOSTAT ( SERVICE " ROUGH.IN ~ ;jrAQ lJlI'~ Appra~..d nr 1e4$/"c; 1:!;?, \(.. ApprO~1I Y./ /' FEEDER FINAL 1/f DlTOl /.t..~/.Db "- Dull; APf"(I~cd9y/ D"',, AJI"ro"~d By '- l)t.le "ppra~~d ny,./ Inspection Area, Building Qr Equipmt.:nl (nspecred Action Talen Electrical Date Insp"ctor 3~ 3D.O b ee, LoWO -f:~" C:;Ovev ".,p TEf" '-,- /.f'b{;, rlIV.,tIL At" I~ /\./ 1/ 1./ , 17 r . W 39\1d JI~lJ3l3 JldW^lO 85PE~SPB9E ,P:5B 9BB~!L,!~B 01/27/2005 11: 11 FAX ~001/003 ~/I'1'O ~ ELECTRICAL WORK PERMIT APPLICATION ~ 0 Request Inspection o Owner .~~~ o Carnival ~mDlerdB.1 . 0 Residential Cl Residential Maiol. C Signs 0 Thermostat 0 Telec::om. 'E1ilectrical Contractor o Annual Permit 0 Alarm Job wired by ~Iectrlcal Contractor 0 Owner Ins~311a(ion description Electrical contractor name Sti.....ttm P Rr;CT/2/ (A-L Purchaser's mailing address fO I~ 31('3 c"\, 'f~ A /J&-E"1E:\, Telephone number .~ S J..- (., y,,/ License number C c) ~ ri[l1-C T7 A I (~ 4 ..c.. . C01f11ge 0/,/ f Z00I17M~(ViU ill I . f?"( f)1fi ( ()( t- I l!"1 $, VfIJ I"'"tlt) (...,(.~ SIP-II; ZIP qf3~1.. FAX nU11lber Premises owner's name /YJ<('.,lJYie. f-k-rYlG ~UYl1i<:.h;nJ~ Address of inspection I'l<./ C7lC+- 1St Sfrct'f City;) r6Y-{ ~ o Cash 0 Check # I hereby certify tha( I am the owner or lhe above named property or a licensed CI Credit Card Visa Mastercard Discover electrical contractor (or the fiTTfl',s authorized agent) and am mak.ing the electrical instaUation or alteration in compliance with the electrica11aw, Chapter 19.28 RCW. Card # _1.Jn_ 5__1 c::. ___ _ _ ___ _ __ ontractor or elec.trical adminiUr:Hor' Expiration Date of card x WALLS [nsulation Only DAte ApprovcdBy Cover Olte Approvt4 Hi CEJUNG Insulation Only D~'e .All1'rovcd By Cover I.}ale Apprtlvcd B)' r THERMOSTAT '\ Dalc Approved 9y DITCH Ollie AP\ll'Ovc4 By SERVICE "- Dall Approvod By fiElDER Dlle AIIPTtlV~ By Electrical Load Additions and or subtractions o NO LOAD CHANGES (J Baseboard KW CJ Fumace _ KW o Heat PumQ _ Tol"l _ LAR o Fan-Wall _ t<:>N t..{o Ti'f: Service Information o Ol/srhead SelVice o Temp Service o Underground Service Voltage PhaseC,03 ServIce Size: _ Feeder Size: Inspection DfHe ~ Electrical Inspector Area, Building or Equipment lnsp<<:etecJ Action Taken A<"r:"'~ '" ~ I,i'I 1~:J-7-oS