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1230 E 1st St - Building
Building Permit 1230 E 1St St 13 - 1213 l3 THE CITY OF For City Use Permit# W A S H I N G T O N, U . S . Date Received: /U/,7"13 321 East 5"Street Port Angeles, WA 98362 Date Approved P: 364417-4817 F: 360-417-4711 permits@cstyofpa.us Building Permit Application Project Address: 11-30 e ft5i FIRST 5 QE t✓� Main Contact: ,&%k OCA Phone# E-Mail: Property Name w(ik fit nom L}5'? Owner MaffftAddress znan aaf0ex �1N[9E�S sate W& �p c1$ 34 Contractor NaO'a R i t �-Uc e.AT 1 N none 69 - 31"1 o 1 Mawogaaarew eman W. . CRY S�Q tit M stm \Af k q g 3 ;?- Contractor License# L` A-b(e D & Expiration: Lot Project Value: Zoning: Tax Parcel# # ills 1. ro Type of Residential ❑ Commercial Ut Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ For the following,fill out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical IN Plumbing ❑ Other ❑ adsting Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Ballrooms Yes ❑ No ❑ Project l4 5ThLV !i - blefAbeb b0C7kLCSS Ef PU AP Description SEM I have read and completed the application and know it to be true and correct.I am authorized to apply for this permit I understand that it is my responsiblUty to determine what permits are required and to obtain permits prior to worldng on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date Print Name Signature 1011&f( 13 G usj ME`sic'�LS J T 'd IL66 689 096 0-1A NId Wd2o :2 6102 91 '400 Residential Structures For Office Use Area Description(SQ FT) Wsting Proposed $S value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck Garage Carport Other(describe) Area Totals Commercial Structures For Office Use Area Descriptions(SQ FT) 0xisting Proposed $S Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Area Totals Lot/Site Coverage Calculations Footprint(SQ FT)of all Structures: Lot Size: Lot Coverage SQ FT Site coverage(all impervious+ %Site Coverage structures Mechanical Fixtures Indicate how many of each tyin of fixture to be installed or relocated as part of this project Air Handler Size: # Ai Haz/Non-Haz Piping #of Outlets: Appliance Vent # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Stu: # HeathWCoolfng appliance # air alteration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace/Gas Stove Gas Cook Shave Misc. Fuel Cas Piping #of Outletr. Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # , Ventilation System # Forced Air Unit Nl Plumbing Fixtures Indicate how many of each tYpe of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: Water Heater # Medical gas piping #of Outlets: Water Line # Ventpiping # Sewer Line # Industrial waste pretreatment # intercer Other(describe): T.\BUXDING\APMCATM describe - T:\BUXDING\APMCATM PORNS\BUn.DMG PSRPtrr o81212j)= 2 -Cl ILGE 689 096 01A blu Wd20 :2 ETOZ 91 400 ��► C17Y OF PORT ANGELES �. DEPARTMENT OF COMMUNITY`&RQONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST STH SST, PORT ANGELES,WA 98362 Application Number . . . . . 13-00001213 Date 10/17/13 Application pin number . . . 818704 Property Address . . . . . . 1230 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- REPORT SALES TAX Application type description COMM MECHANICAL PERMIT Subdivision Name . . . . . . on.yow State excise tax=form Property Use . . . . . . . . to the City of Port Angeles Property Zoning COMMERCIAL ARTERIAL [, r�., -----Application valuation17542 (L--------------- fDn Code 0502) Application desc 4 HEAD DUCTLESS HEAT PUMP SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ �.. JAY OEN AIR FLO HEATING CO INC 7494 OLD OLYMPIC HWY 221 W. CEDAR SE01 M WA 98382 SEQUIN WA 98382 (360) 477-1336 (360) 683-3901 Permit . . . . . . MECHANICAL PERMIT Additional dear 4 HEAD DUCTLESS HEAT PUMP SYST Permit Fee . . . . 109.20 Plan Check Fee .00 Issue Date . . . . 10/17/11 Valuation . . . 0 Expiration Date . . 4/15/14 Qty Unit.Ch"a-rge .Per Extension ; BASE FEE 50.00 4.00 14.8000 EA ME-FURN/HP/FAU c OR = 5 TON 59.20 -----------------.-.-.----------------------------------------------.------- Other Fees . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due _ } ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 109.20 109.20 .00 - .00 -: Plan Check Total .00 .00 .00 .00 Other.Fee Total 4.50. 4..50 ,.00 .00 Grand Total 113.70 119.10 .00 .00 Separate Penmfts are required for electrical work,SEPA,Shorei'me,ESA,utas,private and public improvements. This permit becomes null and void if work or construction authorized is dot cxrmme. within t1ts,ff n ! r Oci;c .wculc IS suspended or abandoned for a period of 180 days after the `not been=requested within 180 days.from the fast Inspection. I hereby certify that 1 have read and examined this application and knowthe same to be true and correct. All provisions of laws and ordinances governing this type of work will be Compiled 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 tion or the performance of construction. 01 11 0,Ls-1� ��GJ;�s�► Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Fonns/Building DMsWMuNing Permit PREPARED 11/14/13, 13:35:10 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/14/13 ------------------------------------------------------——---—------ ---- ADDRESS . : 1230 E 1ST ST SUBDIV: CONTRACTOR AIR FLO HEATING CO INC PHONE (360) 683-39 S OWNER JAY OEN PHONE (360) 477-1336 PARCEL 06-30-00-7-5-0200-0000- APPL NUMBER: 13-00001213 COMM MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- ------------------—----------—---------—--------------------------—-- ME99 01 11/14/13 MECHANICAL FINAL November 14, 2013 1:33:26 PM pbarthol. --------------- ----- -- - -- COMMENTS AND NOTES Building Permit 1230 E 1St St 14- U8 T"EJORT jGELES for uty use �G ITY OF (/ :w Permit# WASH 1 N G T O N, U . S . Date Received: lhip it 321 E 51h Street Date Approved 1 114 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@citXofna.us BUILDING PERMI A LIGATION Project Address: 3 p �' + r4 0 /1/✓414. 4 l Phone: .2 43 z Primary Contact: L l^r- / ` i41 Email: L A/I Aplj 9 6; 4 r Name �� , � � Phone 7 7s -38G8 Property Mailing Address S�. Email Owner /Z 3 = I City 0 'a State Zip Name Phone /, / / 0,Pr ,iH 46 Contractor Address Email 2 r v r r Information city p� � State 4r S A zip Contractor Lice nse# �. Exp.Date: . Z ais Legal Description: Zoning: Tax Parcel# j Project Value: (materials and labor) $ .30-61V Residential ❑ Commercial ® Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ Reroof(tear off/lay over) ❑ Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement appropriate) Mechanical ❑ Plumbing ❑ Other ❑ Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms or modified? Yes ❑ No 0 Yes ❑ No Project Description Fill/ i p Is project in a Flood Zone: Yes ❑ No® Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application will be considered abandoned and the fees will be forfeited. r? Date Print Name Si ature HANNA CONSTRUCTION , 332 GROUSE RD. PORT ANGELES, WA 98362 s t 36Q-452-1572 cz : lC//i � � { t''...+ ,. �,c'^Ma gsrml`. -• ':ion !: ,�'p��:" `•;- i ,,r da+� the l l f of reo frill of tLiPOOL tr I� ° ' jll � Il � ► � � ii /d i�L2 (� , n G+✓d GC/ 4�t �I j f ' �✓4 p� J�' V �/'(/f�r'i��/,t���/i� OSYrf o i t o - 4iy t t ov- i s c a y = ! SC,e I 2 I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES,WA 98362 Application Number . . . . 14-00000068 pate 1/16/14 IN Application pin number . . . 869444 Property Address . . . . . 1230 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- Application type description COMM REMODEL REPORT SALES TAX Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL to the City of Port Angeles Appl-ication valuation . . . , 3000 (Locatfo l Coda 0502 --------------------------------------------------------------------------- Application desc enclose garage door ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JAY ORN L P HANNA CONSTRUCTION INC 7494 OLD OLYMPIC HWY 332 GROUSE DR. SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 477-1336 (360)452-1572 -------------------------------- ------------------------------------------- Permit . . . . BUILDING PERMIT - COMMERCIAL Additional desc . ENCLOSE GARAGE DOOR Permit Fee . . . . 109.75 Plan Check Fee 71.34 Issue Date . . . . 1/16/14 valuation . . . . 3000 ra Expiration Date . . 7/15/14 �. Qty Unit Charge Per Extension BASE` FEE 95.75 1.00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 ---------------------------------------------------------------------------- Other Fees . . . . . . STATE SURCHARGE 4.50 : ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due w ----------------- ---------- ---------- ---------- --------_-- Permit Fee Total 109.75 109.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Fee Total 4.50 4.50 .00 .00 Grand Total 1.85".59 185.59 .00 .00 Separate Permits are required forelectrical 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 Mspectaions 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. Ali provisions of laws and ordinances governing this type ofworkwill 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 perforrriance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Buitding Division/BW[ding PemUt PREPARED 2/12/14, 12:27:29 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/12/14 ------------------------------------------------------------------------— -`---- .------------ ADDRESS . : 1230 E 1ST ST SUBDIV: CONTRACTOR L P HANNA CONSTRUCTION INC PHONE (360) 452-1572 OWNER JAY OEN PHONE (360) 477-1336 PARCEL 06-30-00-7-5-0200-0000- APPL NUMBER: 14-00000068 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------- BL3 01 2/12/14 BLDG FRAMING February 12, 2014 9:40:06 AM pbarthol. VMV Larry 461-2032 He requested an AM on the message -------------------------------------- COMMENTS AND NOTES -------------------------------------- 3 A UCt 3"1 ZU"IJ Ub!U?_Ar`l Ul Electric (_o., Inc 3W45234Y6 page 1 ON CITY OF PORT ANGELES PERMIT APPLICATION 2 13 Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150 I Part Angeles Washington,98362 Ph: (360) 417-4735 Fax. (360) 417-4711 Date: / R] Multi-Family or Commercial* Plan Reviev!M Be Requimd Please Complete Ell Plan Review Information Sheet Job Address: _ %� Building Square-rociage: Description of above Owner information Contractor Information Name: VXeZ Name: 0LYMP1Ca4ECMjC Mailing Address: P` Mailing Address: 4230 TUMWATER City42 --State: Z}p: JEXX City: FURTANGEL.CS Slate. VVA Zip: 90303 Phc no:42�—_q V'Ef"4 ax: Phone;360-457- 03 IF&(. 360-52.3498 License P I Exp. License#/Exp,OLYMPGC285I)1 Item Unit Cl Total(9&Multiplied by Unit Cl Sorvic-sl!FoWer 200 Amp. $132.00 $ Service/Feeder 201-40 Amp, $160.00 $_ So rvioelFeeder 4C"00 Amp $225.00 $_' Service/Feeder 601-1000 Amp, $288.00 ServicafFeeder over 1000 Amp. 1 $410,00 Branch Circuit Wf Service Feeder $ 500 X_ Branch Circuit WIO Service Feeder $ 74.00 $ Each Additional Branch Cil $ 5-00 1 $_ S. Branch Circuits 1-4 $ 86.00 $_ Temp,Service/Feeder 200 Amp. $102.00 $_ Temp.Service/Feeder 201400 Amp. $121.00 $ Temp.Seryic&Feeder40i-6C0 Amp. $164.00 Temp.ServbeFeeder 60 1-1000 Arnp $185,00 Portal to Portal Hourly $ 96.00 5ignl0v.�inoe Lighting $ 88,00 Signal Circuit!Limited Energy-Multi-Family $ 64.00 $— Signal Circuit/Limited Energy I First 1500 sf-Commercial $ 96.00 Note: $5.00 for each additional 1503 sl Renewable Electrical Energy-5KVA System or Less $11HO Thermostat $ 66,00 Nola:$5.00 for each additional 7-Stat Total Owner as defined by RCW.1928.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.t2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease,Permit expires after six month s of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property of a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, i i Chapter 19.28, WAC.Chapter 296-46B,The City of Port Angeles Municipal Cade, and Utility Specifications and 1105.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 1:1 cash 11 Check © Credit Ca rd# X" 9d: 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001282 Date 11/06/13 Application pin number . . . 198638 Property Address . . . . . . 1230 E IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use Property Zoning . . . . . . .. COMMERCIAL ARTERIAL (Location Code 0502) 11 Application valuation . . . . 0 Owner Contractor SAY OEN OLYMPIC ELECTRIC CO INC 7494 OLD OTaYMPTC HWY 4230 TUMWATER SEQUIM WA 98382 PORT ANGELES WA 98363 {360} 477-1336 (360) 457-5303-- j� - ----------------- -------------------------------------- "- E`1 ----- Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc , DUCTLESS SPLIT SYSTEM Permit Fee . . . . 79,00 Plan Check Fee 00 Issue Date . . , . 11/05/13 Valuation 0 [� Expiration Date 5/04/14 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 79,00 79.00 .00 .00 Plan Check Total .00 .00 .00 00 Grand Total 79,00 79.00 00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPHCTION Signature of owner or Electrical.Contractor X Date: G:IEXCHANCIRB UILDING O- -1W.- -O C E RT I FISC; `.`E°� F C=C lJ PA nl C City of Port Angeles , Building ®ivision This certificate is issuedpursuant to the requirements of Section 1"llWthe 2`009 International Building Code certifying that at the t `, f issuance this structure was in compliance with the various ordinances of the City regulating butldingNconstructionor use for the following ?t.� Business name: NAFAAuto Parts � ` x t � n Business address 1St StrJ. eet k � Property owner: Property owner'm ddress 7494 Old Olympic Hwy Sequim 1Ni4 98382 Automatic fire sprinkl r system: NotRequred ' Use &occupancy class f cation: Business i Building permit number W,.�a12-364 t �, Occupant load: Per�2009 I BC;Ta'ble;10®411 r Type of construction: V x x ` 4-23-12 eRoberds; n n Manager Date Post on the premises in a conspicuous place. This certificate shall not be removed except by the ` Building Official. CERTIFICATE OF 000(1PAINICYAPPLICATION Permitil 2— 6&4 "-E S CITYOF PORT ANGELES f- a -- Tejl X50 Certificate /Inspection Attn: Permit Technician `s �� . Fifth St.; Port Angeles, VVA, 95362 $100 Parking Business Improvement Area (PEIA) Y j 41%-45155 fax (360) 41 i-4711 fee charged for Downtown locations MAR 3 0.2012 Pd b � PLEASE PRINT IN INK Ch . cmp:pp yq Mr in P.A:?❑ Chanwe ofowncrship only? ❑ Moving location from within P.A.? X Zoning WUILWINU ;7 BUSINESS NAME lox r 9S' Business address1�3d t S ��- f aiii g address / /� / St ,� Phone number � -2 7 —/336 Opening date z �/Z Days & hours of operation 7 1247 Business owner's name toContact phone Business owner's address 7 l G O ,,N i S0 W A..00— Brief description of business 11V L- G a,r f Property owner's name A Q tv .Q,el ow Contact phone y 7 7 — IJ Property owner's address/contact 7,v 9 G Q �- ,-z BUILDING DEPARTMENT phone 417-4815 Bldg approval by Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No X 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: FIRE DEPARTMEiJT phone 417-4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes ❑ No 9 Work planned: PB/A (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBI,a notified Is business moving within the PBIA?.Yes ❑ No !� CITY CLERK phone 417-4634 City Clerk approval by on- Z 3 l y Second-hand dealer/pawnbroker business? Yes ❑ No L� Will there be dancing at this business?Yes ❑ No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750CFD approval by 3' Number of off-street parking spaces available for employees and customers? S D f- (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A,-frame, etc?) Signs planned: toy r 0,,7__ PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by .'q, t,?_ PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812 Is site work planned (new or relocated sewer or water service, excavation, grading or filling, work-in City right-of-way, new driveway openings, site`drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No JX Work planned: PWW approval by on PUBLIC WORKS WASTEWATER phone 417-4845 Will waste, other than domestic household waste, be dischar ed into the sewer systems ❑ No If yes, what will be discharged: �2eyn 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. I hereby apply for Certificate of Occupancy. 1 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. / � ----_ Date Z 3 D Print Name L.0 r r Signature_ T:TormslBuilding DivisionZertificate of Occupancy Application(2010).doc / P�S� C41� � r �Page 2ofG �sr�i o1P PORT ANGELES INDUSTRIAL WASTEWATER PRETREATMENT U QUESTIONNAIRE and DISCLOSURE FOR ��NKS ANa Complete all applicable sections. Information must be rypewritien or clearly printed. Attach requested information as needed. Signing official must have the authorization to provide such information on behalf of the company, corporation, or partnership. Company..Name: /A-19 /0114 Mailing Address: Address of facility in Port Angeles (if different than above): 12 3a /_ "s' Contact Person: r�-X1 /Jw'e Phone: 4/ 7 7 - 1. Type of Industry: A ...r ���'�t' Standard Industrial Classification number(4 digit SIC code) 2. Type of Product(s) or Service(s) produced; rate of production; process used: Type of product Rate of production Process 3. Product Volume: 4. Number of Employees: 5. Operation Pattern: (hr/day) /0 (days/yr) 31 f (mo/yr)_0 6. Water Usage (gpd): Average Maximum 7. WASTEWATER DISCHARGE TO SEWERS: [List the principal materials(cleaning agents,solvents, plating solutions,catalysts,process chemical,etc)by their generic name and principal chemicals that are regularly used in your facility and that will or might be discharged to the City sewer system] AVERAGE DISCHARGE MAXIMUM DISCHARGE TYPE OF MATERIAL OR CHEMICAL GAL. TIME& CONC. GAL. DURATION CONC. PER DAY DURATION (MG/L) PER DAY (MGIL) a)Process b)Cooling c)Sanitary d)Others listed below _ _� ,P'� �. "r �'a Y`.;..-y ', '{+ ,�.C`p x exam "Ie De reasei chloroeth leve- rt,.. . 3_yf> - 4 3PM,aou' inlda a <Oh �r3 10AM, (O min/da A Total Discharge i'r 9. Are there seasonal variation to the above discharges? PW-804_02 page 1 1 IT ' cam'' 1 "� ' /`Opp PORT ANGELES INDUSTRIAL WASTEWATER PRETREATMENT QUESTIONNAIRE and DISCLOSURE FORM (continued) 10. Does your company sample and analyze your wastewater? 0 Yes )9 No If yes, what is the nature of that sampling program? 11. Discharge to sewerage system: Attach as"Exhibit 1" a plan of your property showing accurately the site plan, floor plan, mechanical and plumbing plans and details showing all sewers, connections to the City systems, inspection manholes,-sampling manholes, and.appurtenances by.size, location.and elevation.. a) How many wastewater discharge points does your company have that are connected to the City's sewer collection system? o n 2 b) Where are your discharge points located? I/h A Ano w Pq 12. Does your company have any pians for expansion?0 Yes )K No If yes, when and how would expansion alter your industrial wastes? 13. Do you provide any pretreatment of wastewater streams that occurs prior to discharge to a sanitary sewer? 0 Yes;9 No 14. Do you have a spill prevention, containment and control plan (SPCC)for your company? 0 Yes 9 No 15. Does your company have or plan to provide a parking lot, with a drain system to collect run off? 0 Yes 2Q No 16. Do you dispose of any chemicals, solvents or hazardous materials to other than the sewer? 0 Yes A No 17. If yes, provide a description of each material, giving the composition, solids content, annual quantity, means of disposal, and ultimate disposal location: 18. Does your company have the necessary Material Safety Data Sheets (MSDS) on file? 0 Yes )9 No 19. List any prohibited pollutants being discharged as regulated by the City's Industrial Pretreatment Ordinance: Pollutant Daily Max. Conc. (mg/1) Daily Avg. Conc. (mg/1) 20. List any environmental control permits that are held by or for your facility. 21. If additional pretreatment and/or operation and maintenance activities are required in order to comply with the City's Industrial Pretreatment Ordinance, then the discharger shall provide a compliance schedule attached to this form which describes how the facility will conform to the requirements. The information contained in this questionnaire and disclosure statement is familiar to me and to the best of my knowledge and belief, such information is true, complete and accurate. /2DATE: 3� 2 Signature: �` -�--"� _Title: �'� Tom— f NOTE: Attach additional pages, if needed. RETURN TO: City of Port Angeles Wastewater Treatment Plant Attn: Superintendent /�G,s �s o of 321 E. 5t Street t/ P. 0. Box 1150 // /l ,� d,3 Z Port Angeles, WA 98362 `� PW-804_02 page 2[Revised 7/05] Heather Catuzo From: Sue Roberds Sent: Friday, March 30, 2012 11:44 AM To: Heather Catuzo Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY No issues with this use from a land use perspective. Site is in the CA zone where retail uses are permitted and adequate off street parking is provided. Thank you. Sue Roberds From: Heather Catuzo Sent: Friday, March 30, 2012 10:57 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Hi All, You can either print and send me a sign off or respond via email with comments. Please respond by April 6, 2012. Thank you, Heather Catuzo Building Permit Technician City of Port Angeles--Building Division 321 East 5th Street Port Angeles,WA 98362 (360)417-4817 hcatuzo@citvofpa.us i Heather Catuzo From: Roger Vess Sent: Friday, March 30, 2012 1:57 PM To: Heather Catuzo; Janessa Hurd; Ken Dubuc; Sue Roberds Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY They will need to provide a scaled parking plan for engineering to review and approve. I will also need to know how many stalls are required, looks like they have lots of room on site. Thank you, Roger From: Heather Catuzo Sent: Friday, March 30, 2012 10:57 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Hi All, You can either print and send me a sign off or respond via email with comments. Please respond by April 6, 2012. Thank you, Heather Catuzo Building Permit Technician City of Port Angeles--Building Division 321 East 5th Street Port Angeles, WA 98362 (360)417-4817 hcatuzo@cityofpa.us 1 Clallam County Assessor & Treasurer - Property Details - 62412 LONDON PARK ASS... Page 1 of 1 Clallarn County Assessor & Treasurer Property Search Results > 62412 LONDON PARK ASSOCIATES for Year 2011 - 2012 Property _.. _ Account Property ID: 62412 Legal Description: LONDON PARK SUBDIVISION LTS1- 8&W5'VAC LIBERTY ST BL2 Geographic ID: 0630007502000000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 55 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address. 1230 E FIRST ST Mapsco: PORT ANGELES,WA Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner _.....- .. .. _....._ _.. _.... ....-_. _..... _ Name: LONDON PARK ASSOCIATES Owner ID: 37600 Mailing Address: 95 DEER PARK RD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7484 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction Improvement/ Building Sketch Property Image Land Roll Yalue History _.. - Deed and Sales History j Payout Agreement Website version: 9.0.32.2200 Database last updated on:3/30/2012 3:49 ©2012 True Automation, Inc.All Rights AM Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=62412 3/30/2012 '�+. �.'� a ' �- �a t4`=: a..FwMI 79�i!yw:s „;+,wr '"$'i ��a�� .'* � *, Nt„z, p^'6 :^ �� v c'a a.� .�" � ^v r � ;:.•,�r �����..:w �'' ,j�rw`.�"z,� sµ :«� ,. s�aN„ ��aAA.` r•� ,. �hi�,tskwr^'`..w k4.f:R.wcdj �y'',*x � .eaa3wSin� puAg� .,�..?. wa �k� ki4ia�,rf „' e" "� Jg "Wow, a a t w a iR' p{� v� at 1 F pro d,a !_ 'a4 w .day. .� v r ape mi�a�, w. yy, rip a too4 - t�A a � kid f � 4 R `�'••� �.. ,k �2.a�; F .. y� ,ham„ M r...s N r�,. 3a `,, b��r A -a�aA;��y ,t ? a �« r• .t �.i ��:� � �:::"a �m �.* _ a�a, `��. gw `�� �wro� w �#,; �n ��`,"•`w� d� x..a. � d � f r w xs (P r � �� zu" T ,',�,{ � Ka.,,a � ba. 1 � '�� ay fid'"a v °» �at " gy— gm z '' a t itlA r ;`rev 3 „r a �.awu{. x e s d§r,#tr� ✓ a �..r :N; ro ,�„ »,A� r. .�`' a G'y' ✓.;•�.`.T�A' a^� ".�w, c Jd"1 e A:,f'� (I� �r � S �vv III,a 4 .".y`a"' 3, "`: �y s w.i,5 & ':.�h..i f !^' {^,'a 4 k`£• ._':- .. p ,.t4.£':( �q ,L. �}• ova t » A;i as'"� r� OKI O I ����� f X zr. sm, ,.,'NA, yr h... ly �,y r ",�'. t _'. r;�,�<. '--•;re. a` "0._a Sv (�.. "--:. ux, .: * ! x €�* .x s •di 'd ti."�E as + -�"§«* 3 � u,n �. ro �w r ��� v i t i° wvc a *r .' +`;' � v. , � : w Rte° n •. a E Y s w k d'�` 9- 7 i ` 3 " s'wd A» £ iAr ,+ : b> fi «• �ti,,a�w `„����•'�s;'Ya �� ryd'�,=•� �, ,{ ;e .A a ;"� tl w� �'�£ .aT �'�'��,' �„ �» '��� n w,�"a�_uN s �z��� w'� s "w• � i �°� am rt e� r' '`», a �' a �;. r �i� 'k�a�L Fr... a= .pi»ry{�a..r+ °� .' +h, � "`:w �' vw�.,�" n.`� '9k�'�i ..:-w+i «:. snr P`; .,lt� '4h'�`wa �a`. R «».n�:� � .r•aq a z,p ;e m",��u,... kNar�;. .yn ,arAnt^ w"':':�.;`,. ,',�` a,"�l:"..lN ,� AAt,.. g a gg g .:>:dµ� .:9u 31A�6 ,, .A" m"k, vro a� e'� .7 ro xTr, k. >i. .g,»q i uu A A .* �& ,.,k °"w , .�• z a"� h�"N"�rzka�::" "dN,`„ar R d a. m C h9p��SVL'., U” ✓u- a rw ww. u L '+mwsmss m w - '1117, (° �' rt Na'? ,w "• � '�A� :�: � '»i Tas, g "�` d w�.' ,�` '4w 6 g s °"�.` �,ra�. �"»rfris ,�,5.s ; ";ta } aha ,�. .f .�aw+aa,Alp za� '. � dew •�.aro v��.ay,, w � �` 0. ;°a A s ON y�p :x*"$' .a^t t w"7 A , a�g� ; 'a 3/12/04 PARKING REQUIREMENT TABLE"A" LAND USE PARKING SPACE REQUIREMENT Automobile Services Automobile service and repair shops Three(3)parking spaces plus one(1)for each mechanical bay Automobile sales dealerships Two(2)per employee Gas stations with convenience stores One(1)parking space for each employee with a minimum of six(6)parking spaces. Drive aisles must accommodate two(2)cars per pump. Commercial Activities Banks,professional and business offices One(1)parking space for each four hundred(400)square feet of floor area Bowling alleys Six(6)parking spaces for each alley Furniture/appliance stores and laundries One(1)parking space for each six hundred(600)square feet of floor area Night clubs and lounges One(1)parking space for each fifth(50)square feet of floor area Retail stores One(1)parking space for each three hundred(300)square feet of floor area Skating rinks and other commercial recreational One(1)parking space for each two hundred(200)square feet of floor area places Theaters One(1)parking space for each three(3)seats Music,dance, art, and other academies Eight(8)parking spaces for each classroom Food Service Activities Food/grocery stores One(1)parking space for each three hundred(300)square feet of floor area Restaurants,taverns,and any other One(1)parking space for each one hundred twenty-five(125)square feet of floor area of the establishments for the sale and consumption of building food,alcoholic beverages,or refreshments Food and beverage establishments that do not One(1)parking space for each employee and three(3)per drive-up window have on-site seating Personal Services Barber,beauty shops,tanning salons,physical Two(2)parking spaces per station(office area at one for each four hundred(400)square feet) therapy,and similar services Day care centers Two(2)parking spaces plus one(1)unloading space for those centers serving twelve(12)or fewer children;One(1)parking space per employee plus two(2)parking spaces for unloading for centers of more than twelve(12)children Medical Services Medical and dental offices Six(6)parking space per doctor Hospitals As determined by the Planning Commission Research,dental,x-ray laboratories One(1)parking space for each two hundred(200)square feet of floor area 5a1'� Zb �a�t�i p�cis Permi ;:= PDR T `h'NGE1 PS �5 e i=ccre nspectior55 Attn: Permit Technician �:iftr. S4.1 °qr• hngele VO 9 E iP 5100 Pc-kine uusiness imp^ovemen' area (Pe-1 4 i f-4c11 fax ;350 --F I Ice ,.narged ;ror Jowntowr; locction,s 'ISL-3841 , MSR 3 0-20112 PLEASE D IA.1INK Lnp..(tDi? 0AT-ANGEU159slr, 1 r,- Chatl«E:o-"mvntrshir-onk ; Moving location f-om withir; P.A," ` Zoning BUSINESS NA f d)4" f G pit I s Business address f Q ,. '� Nlaiiino addressr` 1.7 Phone numbe. ..s Ooenlno date . I, 'Days & hours of operation. 7 Business owner's name Contac: phone 5° Business owners address Bnef description of r)I slness ' .._ p^1f LProper-t)�, owner's name ;, ',. � 1 ��,� Contac:phone erty owner's address/contact -21, "> B.JI-DING DBGAPTM-=N'T phone 417-4815 1 Bldg approval b-von Is the business a restaurant or bar that wll' seat 50 Or More people? Yea No Construction changes planned (moving, vvalls, adding/enlarging window's or doors, roofing, siding, iOUn^uatlor: wOrl;. addlno/altering stairways; r amps, bathrooms, electr ICai, heatingiooling/ventilaDon systems, etc;. k/Vorr. planned: DEPARTMENT phone 417-4653 !::ire approval b} I� on •5 LOlZ I I i �hanoes tc c fire spnnkier systerr or fire alarm s'dslern? "yes _ No 1Nori': planned: PSIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? Pr?lA notified L --r Is business moving within the PBIA? Yes '` No ` CITY CLERK phone 417-4634 City Clerk a } approval b on Second-hand dealer/pawnbroker business? Yes 7 No Wilt there be dancing at this business?Yes No A City of Pod Angeles Business License is required for:I Taxi, Peddlers, Second-Hand Dealer, Pal��nbroke•, Dance, I I Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Heather Catuzo From: Roger Vess Sent: Thursday, April 19, 2012 7:05 AM To: Heather Catuzo Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY All requirements have been met. Thank you, Roger From: Heather Catuzo Sent: Wednesday, April 18, 2012 4:38 PM To: Roger Vess Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Hi Roger, Do you have everything you need for this one or are they still working on it? Thank you, Heather From: Roger Vess Sent: Tuesday, April 10, 2012 12:09 PM To: Heather Catuzo Cc: Sue Roberds Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Heather, Thank you for the parking lot plan,they do not show any measurements and is not scaled, but I can work with them. Please provide the business contact name and number. Thank you, Roger From: Roger Vess Sent: Tuesday, April 03, 2012 7:03 AM To: Heather Catuzo Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Yes please,this is part of C of 0 application process. Roger From: Heather Catuzo Sent: Friday, March 30, 2012 2:35 PM To: Roger Vess Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY i I see retail stores needing 1 space per 300 SF of floor area.The CC Assessor's information shows 5912 SF for building and 15,000 SF of asphalt. Do you want me to contact Larry Hanna and ask him for the scaled parking plan? Thanks, Heather From: Roger Vess Sent: Friday, March 30, 2012 1:57 PM To: Heather Catuzo; Janessa Hurd; Ken Dubuc; Sue Roberds Subject: RE: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY They will need to provide a scaled parking plan for engineering to review and approve. I will also need to know how many stalls are required, looks like they have lots of room on site. Thank you, Roger From: Heather Catuzo Sent: Friday, March 30, 2012 10:57 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: NAPA AUTO PARTS CERTIFICATE OF OCCUPANCY Hi All, You can either print and send me a sign off or respond via email with comments. Please respond by April 6, 2012. Thank you, Heather Catuzo Building Permit Technician City of Port Angeles--Building Division 321 East 5th Street Port Angeles,WA 98362 (360)417-4817 hcatuzo@cityofpa.us 2 Clallam County Assessor & Treasurer - Property Details - 62412 JULIAN H AND VICK... Page 1 of 1 Clallam County Assessor & Treasurer Property Search Results > 62412 JULIAN H AND VICKIE M OEN for Year 2011 - 2012 " Property Account Property ID: 62412 Legal Description: LONDON PARK SUBDIVISION LTS1- 8&W5'VAC LIBERTY ST BL2 Geographic ID: 0630007502000000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 55 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 1230 E FIRST ST Ma sco. PORT ANGELES,WA Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner Name: JULIAN H AND VICKIE M OEN Owner ID: 211735 Mailing Address: PO BOX 1576 %Ownership: 100.0000000000% SEQUIM,WA 98382 Exemptions: Taxes and Assessment Details _ Values ... .. Taxing Jurisdiction Improvement/ Building Sketch Property Image Land Roll Value History.--..___ 3 Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on:4/19/2012 3:48 ©2012 True Automation, Inc.All Rights AM Reserved, Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=62412 4/19/2012 1 E • ��t t•f+ y ££ZF 6ZZb t , - CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000245 Date 3/08/12 Application pin number . . . 510495 ASSESSOR PARCELSNUMBER: 06330-00-7-5-0200-0000- REPORT SALES TAX Application type description COMM REMODEL on your state excise tax form subt Property Name . . . . . . to the City of Port Angeles Pro ert Use ,,1 Property Zoning . . . . . . . COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . . . . 9000 ------------------ Application desc PARAPET WALL ----------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LONDON PARK ASSOCIATES L P HANNA CONSTRUCTION INC 95 DEER PARK RD 332 GROUSE DR. PORT ANGELES WA 983627484 PORT ANGELES WA 98362 (360) 452-1572 --------------------- Structure Information 000 000 ---------------------- Construction Type . . . . . UNKNOWN Occupancy Type . . . . BUSINESS:OFF/PRO/MED/REST Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . PARAPET WALL Permit Fee . . . . 193.75 Plan Check Fee 125.94 Issue Date . . . . 3/08/12 Valuation . . . . 9000 Expiration Date 9/04/12 Qty Unit Charge Per Extension BASE FEE 95.75 7.00 14.0000 THOU BL-2001-25K (14 PER K) 98.00 ----------------------------------------------------------------------------- Special Notes and Comments March 8, 2012 9:29:55 AM sroberds. The proposal will result in 67 if of parapet wall onto an existing structure in the CA for a total bldg height of 14' . No land use issues anticipated. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---- ---- ---------- ---------- ---------- Permit Fee Tota]. 193.75 193.75 .00 .00 Plan Check Total 125.94 125.94 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 324.19 324.19 .00 .00 2- Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of consttrr�uction. ZI Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit 1 " BUILDING PERMIT INSPECTION RECORD 0 PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- (h 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. 'A POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. , V " 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 FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders I Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE N Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building a 417-4815 ' T:Forms/Building Division/Building Permit y CIVIL ENGINEERING *SO CNDT E S 301 East 6th Street,Suite 1 Port Angeles,Washington 98362 1 N C 0 R P 0 R A T E D (360)417-0501 Fax(360)417-0514 COQQ E-mail:zenovic@ol m us.net April 19, 2012 l3� �l RECEIVED Mr. Jim Lierly, Building Inspector City of Port Angeles Department of Community Development APR 2 0 2012 321 East Fifth Street Port Angeles, WA 98362 CITY OF PORT ANGELES BUILDING DIVISION SUBJECT: NEW NAPA AUTO PARTS BUILDING, 1230 E. 1ST STREET Dear Mr. Lierly: Upon the request of Hanna Construction this office provided some connection criteria for storage racks at the location noted above. The connections were required to provide restraint for seismic events. Connections generally consisted of a series.of steel angle iron screwed to the verticals of the metal racks and attached to the concrete by wedge anchors. Racks that were over 7' tall were also attached at the top to CMU using steel struts. The connected elements have been inspected and approved by this office. It should be noted that the racks themselves were not evaluated by this office. No warranty to the soundness of the storage racks is implied in this letter. If you have any questions, please feel free to contact me. Sincerely,; Scott Headrick, Cc: Larry Hanna, Hanna Construction Fc: JN 12065 �Goj-c R "E � 2 p ,Q 43658 �� FOISTER� SS10 A L EN RECEIVED APR 2 01012 CITY OF PORT ANGELES BUILDING DIVISION PREPARED 3/29/12, 9:54:42 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/29/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 1230 E 1ST ST SUBDIV: CONTRACTOR L P HANNA CONSTRUCTION INC PHONE (360) 452-1572 OWNER LONDON PARK ASSOCIATES PHONE PARCEL 06-30-00-7-5-0200-0000- APPL NUMBER: 12-00000245 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT_ BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------- ------ ---------- BL3 01 3/29/12 BLDG FRAMING AD March 29, 2012 9:40:53 AM hcatuzo. Larry Hanna--461-2032 -------------------------------------- COMMENTS AN NOTES -------------------------------------- l( BUlLDING PERMIT APPLIQATI®lV Print in ink CITY OF PORT ANGELES T X T Attn: Building Permit Technician i For City Use Only: '•=:'�� 321 E. Fifth St., Port Angeles, WA 98302 ate Received —to— l 7- (360) 417-4815 fax (360)417-4711 Permit# 1,11 Approved Applicant ���ii A4,4, r. � P one -- ,?, Property Owner 1,4 �j&,e n Phone 41 Property Owner's Add ess 30 if`_.r r 400. Contractor L.P//,�h,,,� C�ris `�r�,. h �c_ Phone Contractor's Address Por ,oL 4_1111„r .®o License# PIX c 44-1 rt- ExAl- �.�hn.,0-X 49/„0,,,,_ C-�," PROJECT ADDRESS l30 L res l�Or Parcel Number Lot Zoning Project TVpe & Brlef Description; ❑ Residential ❑ Multi-famlly o-fo—mm,ercial ❑ Industrial Check all that apply ❑ New Construction edition OF 4,0 e."aa>rlot, o Remodel o Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑other ❑tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑ other o Other Floor Areas Existing (sq. ft.) Proposed(sq. ft.) Basement @ per sq, ft. _ $ 1g`Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 9 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 PANIC 17.94.135 for exemptions) Site coverage % Max, height of proposed structures f"y ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system-be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it Is my responsibility to determine what permits are required, and to obtain permits prior to orking on projects. Date 3AIli Print Name Ll rr :� �� � Signature T:FormsBullding Division/building permit application ' Contractors or Tradespeople Printer Friendly Page Page 1 of 2 General/Specialty Contractor A business registered as a construction contractor with LEtI to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name L P HANNA CONSTRUCTION INC UBI No. 602178077 Phone 3604521572 Status Active Address 332 Grouse Dr License No. LPHANC1981TN Suite/Apt. License Type Construction Contractor City Port Angeles Effective Date 2/15/2002 State WA Expiration Date 8/15/2013 Zip 98362 Suspend Date County Clallam Specialty 1 General Business Type Corporation Specialty 2 Unused Parent Company Other Associated Licenses Specialty Specialty Effective Expiration License Name Type 1 2 Date Date Status HANNAC*176Q9HANNA Construction General Unused 11/29/1983 4/2/2002 Archived CONSTRUCTION Contractor Business Owner Information Name Role Effective Date Expiration Date HANNA, LAWRENCE PATRICK 113resident 02/15/2002 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 CBIC SE1005 02/06/2002 Until $12,000.0002/15/2002 Cancelled Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Amount Received Insurance Name Number Date Date Date Date Date Capitol 11 Specialty CS01312330 08/15/201108/15/2012 $1,000,000.0008/02/2011 Ins Corp 10 CAPITOL CS01312330 08/15/201008/15/2011 $1,000,000.00 SPECIALTY 101/11/10101 https://fortress.wa.gov/lni/bbip/Print.aspx 3/6/2012 Contractors or Tradespeople Printer Friendly Page Page 2 of 2 INS CORP CAPITOL 9 SPECIALTY CS01312330 08/15/2009 08/15/2010 $1,000,000.0007/21/2009 INS CORP CAPITOL 8 SPECIALTY CS00320797 04/02/2009 04/02/2010 08/15/2009 $1,000,000.00 03/26/2009 INS CORP CAPITOL 7 SPECIALTY CS00320797 04/02/2008 04/02/2009 $1,000,000.0003/27/2008 INS CORP CAPITOL 6 SPECIALTY CS00320797 04/02/200704/02/2008 $1,000,000.0003/30/2007 INS CORP CAPITOL 5 SPECIALTY CS00320797 04/02/2006 04/02/2007 $1,000,000.0003/29/2006 INSURANCE CO 4 CO005 S F INS LGBGL26864R1 04/02/2005 04/02/2006 $1,000,000.0004/01/2 Summons/Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https://fortress.wa.gov/lni/bbip/Print.aspx 3/6/2012 h n124 33 2- 6�ra vxe Or . o"�ze 57 C'e -1-15 0lle- "k-0,1,17,r) CITY OF POPT A%G---LES—Constrt;ction rlia;ls; The Issuance of this Permit based upon those plans,spnnifi- ca-lons and other data S110 not prs,mnt the building official ':44cleec'7PI T>J�— f m'i�n thereafter recquir;n'o the C01'rec,:OR of errors in said Pians, SPecificattions and other data, or from preventing building operations beE;"�(, carried on thereunder when in 1> za violation of all codes al-ij ordi--,,Fn�les of this jurisdiction. isr-eq H Approval Date 3901�By CovesxS1 P71 SIJ l J � Y1 S�!"G t.I • d h .�J/� eX_ /8 v 10 A e- �s I- 33 Z V-ra vxe ��r , �, 3U I� e s SGapn 1- 4n��t rd�► /D-�� rC?_n ?girl F I I L . *f /"-C/. y/D"Th f ire CITY QIP PORTAR'szf_LES Ccna4:�tc'r.n a Plans The ISSU2nce of this permit based upon these plans,specifi- �� rs�5G✓� �- `S*� 'Z`� $ cations and other data shy;'not p-pvcrit the building official from thereafter repuiri�g the corrae#on of errors in said plans, specifications and other data, or from preventing building operations be;;;g ca red on `hereuF;der xhen in VtGla#ion of ail Glides and Grdi` 6s of this jurisdiction. ���4r r✓ ApprovalDate � I BY From: Dan Wilder<danwilder@olypen.com> Date: Wed, 7 Mar 2012 16:38:09 -0800 To: "Lhanna@olypen.com" <Lhanna@olypen.com> I give Larry Hanna permission to get a permit to do work on my building for jay oen if you have any questions please call me at 360 460 7741 ! Thank you? Dan wilder Sent from my iPad 1 of 1 3/8/2012 8:23 AM ELECTRICAL PERMIT , 0 CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000306 Date 4/04/12 Application pin number . . . 402590 Property Address . . . . . . 1230 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ r� LONDON PARK ASSOCIATES BOB'S ELECTRIC INC 95 DEER PARK RD 2293 DEER PARK RD. PORT ANGELES WA 983627484 PORT ANGELES WA 98362 �{ (360) 457-6887 V - -------------------------------------------------------- ----------- Permit ELECTRICAL ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 162.00 Plan Check Fee .00 Issue Date . . . . 3/19/12 Valuation . . . . 0 Expiration Date 9/15/12 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 88.0000 ECH EL-COMM-SIGN 88.00 --------------------------------------------- Fee summary Charged Paid Credited Due --------------- ---------- ---------- ---------- ---------- Permit Fee Total 162.00 162.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 162.00 162.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN L4 -L FINAL y COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING t` ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 J Application Number . . . . . 12-00000306 Date 3/19/12 Application pin number . . . 402590 G Property Address . . . . . . 1230 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit repairs ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LONDON PARK ASSOCIATES BOB'S ELECTRIC INC 95 DEER PARK RD 2293 DEER PARK RD. PORT ANGELES WA 983627484 PORT ANGELES WA 98362 (360) 457-6887 y.y ` 4 34 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 74.00 Plan Check Fee .00 Issue Date . . . . 3/19/12 Valuation 0 Expiration Date . . 9/15/12 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ SIF 74.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING MAR-19-2012 07:03 FROM:13013S ELECTRIC 3604529943 TO:CITY PERMITS P. 1/1 s Ce i w CITY OF PORT ANG'E'LES PERMIT APPLICATION Building Division/.Electrical.inspections 321 East Fifth Street--P.O.Dox 1150/Port Angeles Washington,98362 �.. � Q Ph: (360)417-4735 Fax: (360)417-4711 - 21!;. ELECti�ICA:'. Date, ts- / — _1 &2 Single Family Dwelling IN ECTRI A!. 'Plan Review May Be Re ui Pae Co a EI 'Cal Plan Re iew Infoprmn an heel l �30 Job Addrosa: f�� �C41f ACKlQe C Building Square Footage: Description of above Owner Info ions Contractor Information Name: Name: Mallin Add mail g dress; Clry: tate: zip: CI State: 7Jp: Phone: Fax. Phone: fax: - Llcea+se111 Exp. License a/Exp. ng,Etr Unit Chame 7t Total IQty Multiplied by_0ft Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ 5erviCe/Feeder 601-1000 Amp. $262.00 $ Servioe/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/Service Feeder $ 5.00 $— � ©Q Branch Circuit W/O Service Feeder $ 63.00 � $— Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service0eeder 201.400 Amp. $110.00 $ Temp,Servil*Fseder 401-600 Amp. $149.00 $ Temp,Service/Fooder 601.1000 Amp. $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuil)Limited Energy-1&2 Family Dwelling $ 64.00 __ $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-5KVA System or less $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft.or Portion of $ 40.00 $_...._. .-...� Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ L O $ —Total 7L� 0 Owner as defined by RCW.19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner Is mquirod to hire an electrical contractor If above said property is for sale,rent or lease, Permit expires after six months of last inspection. After reading the above statement,I horoby certify that I am the owner of the above named properly or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: til Caeh 0 Chan D Credit card a�.-n,G(Q '� Dated: s 7 c Ot10t17Dt2 APR-3-2012 14: 18 FROM:8013S ELECTRIC 3604529943 TO:4174711 P. 1/1 Linguine with Smoked Salmon in Cream Sauce -Recipe.com. Age'3 of 3 i ' �0�Pour4,1,� N APSe�i�� l CITY OF PORT ANGELES PERMIT APPI,I ( f.,e,edith IQI Building Division/Electrical Inspections �°^ � � ELECTRICAL Ir V" 321 E�1a�sAt FifthStreet— ttreett—©P.O.Boyf:}ahdg19118{��rene/oiAwg<el�talMtl��ohir�ltdni O II I Reerel Rey�'�"e°oeC710iU� �' � Ph: (360)417-4"5 l aALj OYl/-Y/11 Mn All WOW RararvW I Htvney Pdlcv I By using this ails You a0fee 10 ouf Tolle Or Sam" � U "1;ubenap renftrMarkur4i:o=lner,Demn.nl>n; DAr"u,\1`141'1;uwage enderUnrluwp(eontalner,bszen.nix); Multi-Family or Commercial* 2anlevie(*w M y Be Req ' d, Please mplete Electrical Plan Review Information Sheet Job Address; � :S� 14 BUllding Square Footsg� Description of above S -414 Owner Information Cont cto Information Name: - Name: Mailing ddress: Malling CIly: Stats azq: City: Phone: Fax: Phone: Fex: License#I Exp. License#I Exp. Item Unl Chf rge Total 10tr Multlpllg§-bX y11.Ij Charge) Service/FeWer 200 Amp. $132.00 $ Servlce/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ ServicelFeeder 601-1000 Amp. $288.00 $ ServicalFeeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86A0 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.ServicelFeeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401.600 Amp. $164.00 $ Temp.ServlcelFeeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Slgn/Outline Ughting $ 88.00 ,J_ $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limped Energy/First 1500 sf-Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-51NA System or lass $113.00 $ Thermostat $ 56.00 $ Note;$5.00 for each additional T-Stat spa $ rrTotal Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor,I am making the electrical installation or alteration in compliance with tho oloctrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296A68,The City of Port Angoles Municipal Codo,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cam ❑ choolt _ �Credk Cord 0 ; 42z"J"01 CZ14*'e"WI-4 oared: of 2012 http:/Iwww.recipe.com/linguine-with-smoked-salmon-in-cream-sauce/?sssdmh=dm17.587... 3/21/2012 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000262 Date 3/08/12 Application pin number . . . 282530 Property Address . . . . . 1230 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- Application type description SIGNS on your state excise tax form SubdProperty Name . . . . . . to the City of Port Angeles Pro ert Use G' �1 Property Zoning . . . . . . . COMMERCIAL ARTERIAL Location Code OJOL) Application valuation . . . . 1000 Application desc WALL MOUNTED SIGN Owner Contractor LONDON PARK ASSOCIATES L P HANNA CONSTRUCTION INC 95 DEER PARK RD 332 GROUSE DR. PORT ANGELES WA 983627484 PORT ANGELES WA 98362 (360) 452-1572 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . Permit Fee . . . . 85.00 Plan Check Fee .00 Issue Date . . . . 3/08/12 valuation . . . . 1000 Expiration Date 9/04/12 Qty Unit Charge Per Extension 1.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 85.00 ---------------------------------------------------------------------------- Special Notes and Comments March 8, 2012 10:09:28 AM sroberds. The proposal is to place a 48 sq.ft. bldg mtd sign in the CA for total signage of 48 sq.ft. No land use issues anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ------- -- ---------- ---------- ---------- Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 85.00 85.00 .00 .00 Ti n6d 4. to b 2— Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD v — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 I IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. l y 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 FINAL Date Accepted b 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 Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA. Parkin /Lighting ESA: c� Landscaping SHORELINE: V J FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 417-4653 Q Planning 417-4750 n� Building 417-4815 L{• (P 17' T:Forms/Building Division/Building Permit SIGN PERMIT APPLICA TIO Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician VDate or City Use Onl eceived 3 2 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 # 9 pproved Applicant or Agent /fi 1,411 'Vz-16xM1.4 Phone 4 3?A Property Owner 6�4t,eP1 Phone Property Owner's Address 36 1 Contractor /,o�aia ��yt�s �c�� �M_ ".mac _ Phone 41w" - ,2 D,,? Z Contractor's Address .73 2 r ,►�s, ,gyp: G� �` �� ,,. Ir Ape, License # G 0411,4Ae > 9 8 / 7 Expires L 1,oh o,L L Project Address 1 2. ?-o /= s S ` O r7 Business Name I Parcel Number Lot Zoning Submit an 8 % "x 11 "site plan & three sets of plans that include: ■ Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) ■ Placement and sq. ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■ Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Sign Type & Brief Description: (Type, location, sq. ft.) Sign #1 9 5a F17- .Sign =T.Sign #2 Sign #3 Sign #4 Totals (Unit charges Sign(s) Unit Charge Quantity multiplied bV quantities) Type of Sign Valuation $ $47.00 x = $ All signs less than or equal to 25 sq. ft. $85.00 x = $ Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards (Except American Express) areaccepted Existing sign(s) area O sq. ft. +P opo si n(s area / 2 1 . sq. ft. _�Total sign(s) area ' c� sq. Building fagade rea (height _Yft. X width ft.) sq. ft. (if a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to ,/working on projects. ` Date / Print Name L-,en /7`�ki41� Signature T:Forms/Building Division/Sign Permit Application.doc co r r . j I M ' M 1 N r i Cl) N �nVoo., t � l N Sim I 1 N r 1 J / I ' C14 t' N N r SIGN DETAIL SCALE. TOTAL 6D/FT=96.9 PIPELINE -Aluminum Fabricated -internal Lit -Blue Trim Blue PMS 288 Returns j_Nppp� -Yellow Plex Face 1 �Z 5O/F7=497 PAN CHANNEL LETTERS IF -Aluminum Fabricated - internal Lit - - Blue Trim -Blue PMS 288 Returns •White Plex Face -Yellow 3630-125 Vinyl Graphics ` -Blue 3630-137 Vinyl Graphics -Red 3630-33 Vinyl Graphics 3z r RACE WAY -Aluminum Fabricated -Painted To Match Fascia 5T-9 �, ATYPICAL INSTALLATION DRAWING NOT T05CALE FROWELEVATION 5CALE:3/16'=1' COD CITY DE PORT ANGLLES ,ion The The Issuance of this permit based upon these plans,spn,�ifi- cations and other data She!'not pr-"ent the building official from thereafter requiripg the cerreC;:,jn of errors in said pla s, specifications and other data; Or from preventing building operations beta; carried on thereunder when in violati-on of ail codes ani ordir,i:n%s of this jurisdiction. I r o?oto g -9 ilpprcval�Dater 'r Z o By ASI �v L?I,- � P y SIGN DETAIL u, SCALE. TOTAL S0JFT=96.9 PIPELINE -Aluminum Fabricated • Internal Lit -Blue Trim H , • -Blue PMS 288 Returns -Yellow Plex Face SLllFT=4B7 PAN CHANNEL LETTERS •Aluminum Fabricated - Internal Lit •Blue him `? -Blue PMS 288 Returns -White Plex Face -Yellow 3630.125 Vinyl Graphics -Blue 3630-137 Vinyl Graphics -Red 3630-33 Vinyl Graphics 25Z 7 RACE WAY -Aluminum Fabricated -Painted To Match Fascia 57-e' INAPA / TYPICAL INSTALLATION J ORANNG NOr TO SCALE FRONT ELEVATION 5CALE:3116-=I' ff RU CITY OF POST"ANGELES—Construction Plary The Issuance of this permit based upon these plans,spe,ifi- cations and other data shO not p,2vent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on tiereunder when in violation of ail codes and ordinances of this jurisdiction. ISFUION z �- 6L CO C Approval Date By J Se ((r 7 u CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 721 FAST STH STREET. PORT ANGELES.WA 98362 v�I ELECTRICAL PERMIT Issued: 7/09/98 Permit No: 6368 OWNER/APPLICANT------------------------PROPERTY LOCATION---------------- - ------- DAN WILDER TOYOTA 1230 1ST ST E 1230 E. 1ST STREET Lot: 1-8 Port Angeles, WA 98362 Block: 2 Long Legal : 206/000-0000 Sub: LONDON'S PARK T: S: Parc No: 063000750200000 CONTRACTOR-----------------------------DESIGNER--------------------------------- APS ELECTRIC 546 BENSON RD. PORT ANGELES, WA 98362 360/452-6753 000/000-0000 PROJECTINFO-------------------------------------------------------------------- I Prj Type: COML.REMODEL Prj Value: $0 .00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: ACD Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 01 X Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- WIRE REMODEL FOR DOBSENS AUTO PARTS PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0 . 00 Additional Feeders: $0 . 00 Circuit Wiring: $54 .00 Temp Service: $0 . 00 TOTAL FEE: - $54 . 00 Misc $0 .00 Amount Paid: $54 .00 --------------------------------- -------------------------- TOTAL -------------- - ------ TOTAL FEE: $54 .00 Balance Due: $0 .00 COMMENTS/ACTION NEEDED 1 / ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE WSPEMONTYPE DATE ACCEPT® roes Y&5 NO DITCH RoUGHTTTMVER SERVICE 5 GENERAL COMMENTS: Pw-i�m.u1�'ssl OF poRT pNC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street s Port Angeles, WA 98362Alk ���/ crT�i (206) 457-0411 PERMIT No. C LIG hlSf ELECTRICAL PERMIT DATE Imo/r Site Address: 3O 10:,-e 11READY FOR El WILL CALL FOR INSPECTION INSPECTION Installed By: /J License Number: Phone: Owner/Business: ////�,, /I / ,�'�(� Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS 11 1 Qi ❑ 3 9S ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: �S o.tl W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service ❑ Final O.K. Site Address: Permit/Receipt N Installer: New Meters Date: Notify Port Angeles City Light by Street Address and Permit N umber 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 Permit. PHONE 457-0411, EXT. 224. ,1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ) Electrical Inspector J Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. J c* ,ORT 4HC �� /•��`0N CITY OF PORT ANGELES LIGHT DEPARTMENT �1� 321 E. Fifth Street Port Angeles, WA 98362jO� • qTi (206) 457-0411 PERMIT NO. ((OO DATE ELECTRICAL PERMIT Site Address: 10,30 / E] READY FOR ❑ WILL CALL FOR r ( INSPECTION INSPECTION Installed By: S License Number: Phone: Gl£Gl`�t �-- Owner/Business: i(r 0C %D44 Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL 1-1 FAN/WALL KW `� ADD/ALTER CIRCUITS VOLTAGE: ❑ SERVICE UPGRADE/REPAIR ❑ 1 ❑ 3 SERVICE SIZE AMPS ❑ TEMPORARY SERVICE FEEDER SIZE 16.0 AMPS Details/Description: 044-8 i s W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service A o � Final O.K. �I� Site Address: Permit/Recei t No. hoz Installer: New Meters Dat "el C, z9 Notify Port Angeles C9 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 Permit. PHONE 457-0411, EXT. 224. �/ T� NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT A ly, Electrical Inspector G\P"erm�it Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer- GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC OF PORT 4,lC =FAN CITY OF PORT ANGELES o II __ LIGHT DEPARTMENT PERMIT NO. ,J ELECTRICAL PERMIT DATE ® TY LIGN Site Address: / s El READY FOR ILL CALL FOR d O `. / INSPECTION INSPECTION Installed By: License Number: Phone: OwnerlBusiness: (.0 I'Ifk 70c Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage ❑ Heatpump ❑ Other 010 ❑ 30 ❑ Commercial/Industrial load ❑ Add/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection ��Final O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. 1030 rs, /,sem is ,�>~a q O Installer: New Meters Date: /` !/ 1 ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the InspectgLin Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT o26 (/Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. IMC. ' CITY OF PORT ANGELES //� FEE RECEI tNUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTALFEE CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY /NOnOCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT _ Site Addres -�V ) �� \ C ECT ADDRESS/S RESPONSIBILITY OF APPLICANT PERNfITS WITH WRONG ADDRESSES ARE CANCELUEO[ G Owner �.! �.�./ .��lJ�t/ Installation By T1L4/A-l�jlt�/ All�� %t LLS Owner's Address s� Installers Address - Day Phone - O - - Installers Phone � _ � ,1 Application is hereby made for Permit to install Electrical Equipmelnt as follows: 1,,,� ` /—i 6m P nJ Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 00R FEE USE OF CIRCUIT CIRCUITS PER 1 0 1 0 OR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT - 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE -- - MOTOR APPLIANCE _ MOTOR .. DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE k FURNAC OCE- SUB TOTAL FEE GAS-FURNACE ENERGYFEE ELECTRIC ELECTRIC HEAT BASIC FEE TOTALFEE _ ELECTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE - - A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit II be done by the installer and in confo an dih the N.E.C. Ele r' al Code. Date Application made Co � ,19 I>,,-- By CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of,the City of Port Angeles. DIRECTOR OF CITY LIGHT i Date Permit Issued By - • PL S APPROVED ' -' - ,. • Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER— WHITE-Original CANARY-Duplicate PINK Triplicate WHITE CARD-Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR DATE OF VISIT MADEBT REMARKS Z Q y - F Z W Q 3 0 z 0 0 O.K.FOR COVERING a O.K.TO CONNECT SERVICE FINALO.K. CITY OF PORT ANGELES FEERECEI TNDMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT d. -TOTAL-FEE 6, - - - �/✓y7+ � Lv CONT.LIC,NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ? ELECTRICAL PERMIT ONLY N/l'O��et.OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 93o ' �ls1lec%inern lJ01) CORRECT ADDRESS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCIEL-LED [n1 Owner � i� Installation By /rc�t"�l`� Owner's Addressr!vlzmlfi Installers Address pQ Eox 6 3 ter- ca e' Day Phone Installers Phone k 3 — `//6 `/ Application is hereby made for Permit to install Electrical Equipment as follows: -:2 MIS 'go V i Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 0 OR FEE USE OF CIRCUIT CIRCUITS PER 10 1 OOR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT - 50 VOLTS ' OR LESS CONVENIENCE MOTOR CONVENIENCE - MOTOR APPLIANCE - - MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLAR ALARM RANGE MISC. ® OVEN WATER HEATER t' LAUNDRY DRYER - REINSTALLATION LIGHT FIXTURE# FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGY FEE ELECTRIC - - ELECTRIC HEAT BASIC FEE _ TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP. PHASE. FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS I SERVICE A.W.G. SUR-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH ' I certify that the work to be performed under this permit will be done by the installer and in Conforma-n-cue-/with the NN..E.C�Electrical Code. Date Application made � /a� '19 By JX�-� 5 ?A,,zI "I- C/CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. t -- ^-cD!PECTOR OF CITY LIGHT r - Date Permit Issued BY p/ PLANS APPROVED Y Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS I z Q r z LU r r O z O 0 `.� O.K.FOR COVERING OXTO CONNECT SERVICE FINAL O.K. ' r © J p CITY OF PORT ANGELES , FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A ��U�"� � PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEEj�! �r - - W 'Q6NT.LIC.NO. I TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY g^ ELECTRICALPERMITONLY.. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ! a- Ro � LCORRECT ADDRESSRESPONSII�BIccLOI.T,Y OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner BC../C'/Pl'd+V 91'TtAil Installation By Ana CLI-oo Owner's Address E -� � -Installers Addiess S!M1✓ Day Phone - -yse+c.'� Installers Phone - Application is hereby made for Permit to install Electrical Equipment as follows: P{-V P/N l ow (- f R c a/7--)7 _Wiring Method / -- NUMBER AMP _120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 10OR FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE CIR 30 CIR 30 LIGHT SIGN 'LIGHT 50 VOLTS OR LESS CONVENIENCE - - MOTOR CONVENIENCE - - -- - MOTOR - - - 'APPLIANCE _. _ -. _ - MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLARALARM RANGE MISC. ® OVEN WATER HEATER LAUNDRY - - - DRYER - - REINSTALLATION LIGHT FIXTURE# FURNACE SUB TOTAL FEE GAS-OIL - - - - - - FURNACE ENERGYFEE - ELECTRIC BASIC FEE ELECTRIC HEAT ' _ TOTAL FEE L ELECTRIC HEAT _ SIZE OF SERVICE SWITCH ORB CIRCUIT BREAKER ! A.C.UNIT 60 ..AMP Lf .PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE / i/� m9! � A.W.G. SUB-TOTAL .SIZE OF GROUND SIZE OF ENTRANCE SWITCH Q� I certify that the work to be performed under this permit will be done by the installer and in coonnfformance with the N.E.C. Electrical Code. Date Application made 19By ONTRACTOR OR OWNEPF(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City.of Port Angeles. _ \-, - „f t t dRFYOR CITY LIGHT- Date Per Issued / — / '" By r ?�� .PLANS APP OVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST RE KEPT POSTED ON THE WORK — SEE OVER— WHITE-Original CANARY Duplicate PINK-Triplicate WHITE CARD-Inspector's Report OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS Z 5 Q Q co F Z W I.- 0 O Z O O O.K.FOR COVERING O.K.TO CONNECT SERVICE FINALO.K. CITY OF PORT ANGELES N! 18151 LIGHT DEPARTMENT ELECTRICAL PERMIT Port Angeles, Washington------------------------- ----- -ZQ--------- 19---..... / 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 Yr-.granted to do lectrical work as listed below. 11I1� . 123o E. � �c Address ."�L� k-l�'A�------ ---._©�"�C?-��-------- ----------- - Occupancy S Owner �� �aS.. ldt�Al.....�--S2-A �-UAI -- Tenant------ --- .. . ..- --------------- ------------------------ - - - Wiring Contractor_R�1---_g0? - - N>�4J1�._---- By Light Outlets........................................ Service, volts ....................................... Type of Wiring: Receptacle Outlets............................... No. wires ....................................... Armored Cable ............................. Dryer, KW.......................................... Size wires...................................... Non-Metallic ................................. Range,KW..............._....._------------_._. Main fuse ...................... Knob & Tube................................. Water Heater: ERigid Conduit ........�--------------- nclosure ....................................... _ Metallic Tubing ........................... KW..........._... ....._.._.._. Type of wiring: Raceway ......................................_ Heat: KW.............................................. Entrance Cable ............................. Circuits, Light...................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility ......................._.................... ........................................................... Metallic Tubing ........................... Heat ............................................... Current transformers: Range ............................................. ........................................................... No. & Size....................................... Water Heater ............................... Ser. No---------------------------------------------- Motor ............................................ Ser. No.............................................. Dryer.................. ..........._ �f ......... ...................Ser. No .................................. Furnace............. ..._... � Total Load....-----Q-_: PS Ser. No............................................. Total Remarks: `J� �O.N `C e-dM r x.5.. 1--�--------- � . ------..6..- s��. 1 N sou, --M--� --------OJ".--- -------------------- Per/mit Few Treas. Receipt $ f ---------•---------------- No---------------------------- By .................................-............................... - NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con• cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION CITY OF PORT ANGELES NO 1 7 7 0 5 LIGHT DEPARTMENT ELECTRICAL PERMIT Port Angeles, Washington.--------- _-.2�1-----5•--------------•------_---, 19 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. Address /AL2-=3-� l Y!L.__ c - - - - - - --- O cupancy_".& `:----------_----_---_--- -- -- -- ---- Owner I ... .>r: -esti_ Tenant------ --------------------------------- - - t Wiring Contractor---�L. � -------- B Light Outlets........................................ Service, volts ....................................... Type of Wiring: Receptacle Outlets............................... No. wires ....................................... Armored Cable .............................. Dryer, KW.......................................... Size wires................................... Non-Metallic ................................. Range,KW.......................................... Main fuse ....................................... Knob & Tube.................................. Water Heater: Enclosure ....................................... Rigid Conduit ..........._.................. Metallic Tubing .......................... KW................ Type of wiring: Raceway ..............................._._...- Heat: KW................................................... Entrance Cable ----------------------------- Circuits. Light....................................... Motors: size, volts and phase: Rigid Conduit ............................... Utility ............................................. ........................................................... Metallic Tubing ........................... Heat ..........................................'- Current transformers: Range ............................................. No. & Size....................................... Water Heater ............................... ............................ Ser. No.........--'......................-.......-. Motor ..................------................... ........................................................... Ser. No.............................................. Dryer................................................_ Furnace............................................. . TotalLoad............................. Ser. No.........................................._. Total .................. Remarks: ----- �P,/� ----------------- ........... ------- ----- Permit Fee Tress. Receipt $-------------------------------------- No----------------------------- By -------------------------------------------------------------------- NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N° 17705 ELECTRICAL PERMIT Address ..................._................................................................................................................... Date..._.....-_.._.._.._. Owner .........................................._................_.............................................................. Tenant..................................... -... WiringContractor........*............................................**----------**......*.............................................. By.............................................................. \ NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-473 C� Application Number 17-00001851 Date 12/15/17 Application gin number685585 Property Address 1230 E IST ST' REP©RT STATS ', ' ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- Application type description ELECTRICAL ONLY on your GXClSE3.. Subdivision Name to tf a Ci/tj/of Pod A S Property Use . Property Zoning . . . COMMERCIAL ARTERIAL 'coo Application valuation . 0 - Application deac Parking lot lighting retrofit ---------------------------------------------------------------------------- Owner Contractor VMO PROPERTIES LLC SIMPSON ELECTRIC PO BOX 1576 243036-W HWY-10T SEQUIM WA 90382 PORT ANGELES WA 98363 (360) 457-9570 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL:ALTER COMMERCIAL , Additional deac 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date . . 12/15/17 Valuation 0 Expiration Date 6/13/18 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 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH-IN t FINAL I I )7�� - 4 k::� —If Pas COI+ITS: MW W&[. t Ib)M }HS FROM LAST INSPEMOAI Signature'of*wrier OF Electrical Contractor X Date: r CITY OF PORT ANGELES FEZt1VIIT APPLICATION GO 321 East Fid Street—P.O Boz 11501 Port Aegelm Wad ington,98M r---> Ph:(360)4174735 Fax:(360)4174711 flats /d2-f`�—1 7 _Nbr y or Com mmiar May Be Rte, o�� dReA w ir>OMMOM Sheet JabAftww ` �Plan 00ner l dumadon Corrbactw kdxuu&m NWW.' 9A-P4 Name- 0 ameo L, I Mak 1, r e y1��a ste1� S'7— a licerrselr/Fxn limnse4► aenr tlrachaffle Total My M d by Unit Clalrgg) ServicefFeeder 200 Amp. $132.00 $ ServioelFeeder 201-400 Amp. $160.00 $ s eder4014=Amp $225.00 $ Ser kWFeeder60f-1000 Amp. $288.00 $ SwAoWeeder over 1000 Amp. $410.00 $ Branch QaA W/Service Feeder $ 5.00 $— Branch Grade W/O Service Feeder $ 74.00 $ Each Addlioner Branch Cm d $ 5.00 $ Hmncr Giaub 14 $ 8600 _ $ Temp.Serviced Feeder 200 Amp_ $102.00 $ Temp.SwAcerFeeder 201400 Amp. $121.00 $ Temp.Servio®IFeeder401-600 Amp. $16400 $ Temp.SwAcelFeederSM4000 Amp. $185.00 $ PbM b Forded Horuly $ 98.00 S SOVDUGM LWft $ 88.00 $ SOW QmWlimbedEnergy–INugfan* $ 64.00 $ Signet QnAr(.united Fnergp I Fird 1500 sr–Carnmemud $ 96.00 $ Note: $5.00 for eeM adVAmW 1500 sf Renewable Eleckicd Energy-5KVA Sysil m or less $11300 $ ThenuMM $ 5B00 $ Noce:$5.00 for inch additoW Tit $�Total Owner as defined by RGW.1928M:(1)(mar vA oom"the axe for two yes after ibis electrical perms(is inalted.(2)Owner is reqtdred iQ hie an electrical cortractor I above said property is for sale.nut or lease.Pw"eWm after sa daft of last arsperdim. Atter reading the above st Amment,i hereby osrWy that f am the owner of the above,named properly or a ficensed eleckical corlraclor.l am making the elechical moa or abralson m molowe w1h the etedmai leers,KEC.,RCW_(bier 192%WAG.Chapler29646B.She Cly of Part Angus Mulicipai Code,and UliiilY 4effnfts and PAMC 14.05.050 repr ft Bechicai Perm'(ApWaft& of aoaercanbacim or electrical adnrinkhator: ❑ cad, P ❑ cmtcaa# Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$132.00 $ Service/Feeder 201-400 Amp.$160.00 $ Service/Feeder 401-600 Amp.$225.00 $ Service/Feeder 601-1000 Amp.$288.00 $ Service/Feeder over 1000 Amp.$410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp. Service/Feeder 200 Amp.$102.00 $ Temp. Service/Feeder 201-400 Amp.$121.00 $ Temp. Service/Feeder 401-600 Amp.$164.00 $ Temp. Service/Feeder 601-1000 Amp.$185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.00 for each additional 1500 sf) $96.00 $ Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional)$56.00 $ $ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator)Permit #: [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] PREPARED 2/16/23, 8:33:38 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000161 1230 E 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 94.00 TOTAL DUE 94.00 Please present reciept to the cashier with full payment Application Number . . . . . 23-00000161 Date 2/21/23 Application pin number . . . 400674 Property Address . . . . . . 1230 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-7-5-0200-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Lighting retrofit ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ VMO PROPERTIES LLC OLYMPIC ELECTRIC CO INC PO BOX 1576 4230 TUMWATER SEQUIM WA 98382 PORT ANGELES WA 98363 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 94.00 Plan Check Fee . . .00 Issue Date . . . . 2/21/23 Valuation . . . . 0 Expiration Date . . 8/20/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 4.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 20.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 94.00 94.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 94.00 94.00 .00 .00 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS 1. Cords shall not be used as a substitute for fixed wiring NEC 400.12 2. Seal all unused openings NEC 110.12A 3. Wiremold shall be continuous NEC 300 NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/8/2023 23-161 TAP OWNER NAPA CONTRACTOR Olympic Electric PROJECT ADDRESS 1230 E 1st St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/14/2023 23-161 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 1230 E 1st St