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1403 E 1st St - Building
t � DF OCCUPANCY Crt.YA Port Angeles ...Building Mvision This certificate is issued�pursuant to the requirements"of Section 111 of the 0,091nternational Building Code certifying that at"the ttme iof issuance this structure was in compliance wiih the various ordinances of the City regulatcn&y'ldcng constri coon oruse for the following _ Business name: Masonz Brothers Auto kD;etailing Plus y n Business address.fl 1403 .East 1 S street '. Property owner: xl-lubert Hertzog 4 " N I y Property owner's address = 122 W Ldd seh,. v, Port:Angel:es, WA„98362 Automatic fire sprinkler�system: Not Required . ..., Use & occupancy classc ication: Business: f �Y Building permit number 11-1395 ] AV Occupant load: PerM2009IBC, Table'1004 11 Type of construction. V B : K a - 4-12-12 Ste fRoberds r nntngIVlanager Date Post on the premises in a conspicuous place Th s certificat' all not be removed except by the ` Building Official. o� CERTIFICATE OF OCCUPANCY APPLICATION Permit# //-13 S� �- FEES CITY OF PORT ANGELES $5 Certificate / Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $ 00 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.—Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME QD � Business addre s G{5 SW—CC—tSW-CC-t Mailing address Phone numbe —7 — O ening date Days & hours of operation Business owner's name `,6-{1v� � ,Contact hone Business owner's address Wud 16 to Brief description of business Grt Property owner's nam , Contact pho e Property owner's address/contact V . BUILDING DEPARTMENT phone 417-4815 Bldg approval bpo on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval byY+Wt, a" Changes to a fire sprinkler system or fire alarm system? Yes ❑ Nom Work planned: / 1 PBIA (Parking Business Improvement Area/-`Downtown) phone 417-4623 Square footage of business? /000 [-PBIAnotified on Is business moving within the PBIA? Yes ❑ NOX CITY CLERK phone 417-4634 City Clerk approval by on IL tow Second-hand dealer/pawnbroker business? Yes ❑ Nov Will there be dancing at this business? Yes ❑ NFX 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 I of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parkin paces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: ton o b I Its n 01 b V1 PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by ` (� PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812p Is site work planned (new orae-located 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 ❑ Work planned: l ' PWW val b on a ro y PUBLIC.WORKS WASTEWATER phone 417-4845 PP Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ N0-k If yes, what will be discharged: 0 GO V' . Call for Certificate of Occupancy inspections BEFORE opening business. Builiding Department Inspection 41.7-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. l 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. 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Page 1 of 1 Clallarn County Assessor & Treasurer Property Search Results > 70528 HUBERT E HERTZOG for Year 2010 - 2011 Account Property ID: _ 70528 _ Legal Description: SHORT PLAT#93-06- 05 V25 P63 LOT 2- SUB LOT 10-16A Geographic ID: 0630991010400000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 64 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: �� 1403 E FIRST ST m Mapsco: PORT ANGELES,WA Neighborhood: Cycle 5 Comm Map ID: 2 Neighborhood CD: 20953140 Owner Name: HUBERT E HERTZOG Owner ID: _ 30280 Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Owner Name: HUBERT E HERTZOG Owner ID: 30280 ro Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Taxes and Assessment Details r Val eu s Taxing Jurisdiction Improvement/Building _. FSketch Property Image Land Roll Value History Deed and Sales History {�P' ayout Agreement Website version:9.0.32.2200 Database last updated on: 12/14/2011 3:49 ©2011 True Automation, Inc.All Rights AM Reserved. Privacy Notice http://websrv8.clailam.net/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=70... 12/14/2011 PREPARED 12/14/11, 9:22:06 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/14/11 -------------------------------------------------------------------------------------- ADDRESS . : 1403 E 1ST ST SUBDIV: CONTRACTOR : PHONE : OWNER HUBERT E HERTZOG PHONE : (206) 940-8771 PARCEL 06-30-99-1-0-1040-0000- APPL NUMBER: 11-00001395 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 0099 01 12/14/11dLL BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 12/14/11 TIME: 08:44:53 to December 14, 2011 8:43:51 AM pbarthol. 3U, G'Anna 360-710-6291 ------------------------------- COMMENTS AND NOTES ---------------------------------- Heather Catuzo From: Ken Dubuc Sent: Wednesday, March 28, 2012 10:12 AM To: Heather Catuzo Subject: One morel Mason Brothers Auto Detail was also done on 1.30.2012. Permit 11-1395. Thanks, ken i Heather Catuzo From: Roger Vess Sent: Wednesday, April 11, 2012 3:32 PM To: Heather Catuzo; Jeff Young Subject: RE: Certificate of Occupancy--Mason Brothers Auto This site is not approved for car washing, the applicant has been notified along with the property owner. No other comments. Thank you, Roger From: Heather Catuzo Sent: Wednesday, April 11, 2012 2:51 PM To: Jeff Young Cc: Roger Vess Subject: Certificate of Occupancy--Mason Brothers Auto Hi Roger/Jeff, I'm trying to get the attached C of O issued and I need to know if there are any problems from your end on the wastewater aspect. 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 Heather Catuzo From: Jeff Young Sent: Thursday, April 12, 2012 8:05 AM To: Heather Catuzo Subject: FW: Certificate of Occupancy--Mason Brothers Auto Ok. From: Alisha Hicklin Sent: Thursday, April 12, 2012 7:38 AM To: Jeff Young Cc: David Freed Subject: RE: Certificate of Occupancy--Mason Brothers Auto I do not see any problems with this. From: Jeff Young Sent: Thursday, April 12, 2012 7:31 AM To: Alisha Hicklin Cc: David Freed Subject: FW: Certificate of Occupancy--Mason Brothers Auto Do you see any problems with this C of 0?thx Jeff From: Heather Catuzo Sent: Wednesday, April 11, 2012 2:51 PM To: Jeff Young Cc: Roger Vess Subject: Certificate of Occupancy--Mason Brothers Auto Hi Roger/Jeff, I'm trying to get the attached C of 0 issued and I need to know if there are any problems from your end on the wastewater aspect. 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 1 CERTIFICATE OF OCCUPANCY City"of"Port Angeles .:.l3uii.1diing ,Diiv,iision This certificate is issued.,pursuant to the requirements of Section111 of the 2009 International Building Code certifying that at-AqWme,qf issuance this structure was in compliance with the various ordinances of the City i-egulating"building'construction',.or,use:fol-the fpllowl'n Business name., Mike's;Custom Detail ,,(Owner:Michael Olson) Business address,, 11403:E. 15t St.' Property owner: Hubert E,-Hert2og!-, ,? A-98362-7752 Property owner lsl..`M��s':' 122 W. Lauridsen',Blv' d'''-,:P`oftJAn',g' el'es. W Automatic fire sp r'--inkler.system: Not I required - - Use &occupancy classification: Business Building permit number.- 11-96.5 Occupant load: Type of construction: 09/30/11 Date hi Post OD the premises in a conspicuousplacef , s.cer I i shalFjiot be removed except by the Buildina Official. TION Permit# CERTIFICATE OF OCCUPANCY APPLICA FEES CITY OF PORT ANGELES $5 Certificate / Inspection —: Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?Change of ownership only? Q Moving location from within P.A.? ❑ Zoning �) BUSINESS NAME _ OILt rIoI Business address Mlin adcirpss !.0 Phone number Op ng dat a Days & hours of oper ti .n - —S Business owner's name � *-,:, -�G� Contact phone M3, Business owner's address Brief description of business 6 206 Property owner's name Contact phone Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by. on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating ooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone .417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area.-Downtown) phone 417-4623 Square footage of business? z -L— PBIA notified on Is business moving within the PBIA? Yes ❑ N YR CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ Nec Will there be dancing at this business? Yes ❑ Qc 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 417-4750 CED approval by on Number of off-street par " spaces mailable for employees and customers? �^ (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-fram etc?) Signs planned: CU PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DFPAF?TMFNT_ FNr:/AIr=CD/Al r:` ..h--- A117 Aorl n PwE approval by-K -- on —/2-// 1 Is site work planned (new or re-located sewer or water service, 1,--Ave- '/412 te e3 r 'M -4 � excavation; grading or filling, work in City right-of-way, r new driveway openings, site drainage, parking lots, downspouts, C� irrigation system backflow devices, etc.). Yes ❑ No ❑ -- - planned: Work ss.� C t�np� 7 ahA 5 ft h,A, (gqerierri`5. P "s.' PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby on I Will waste, other than domestic house old waste, be discharge into t e ewer.systep ?_Yes o X If yes what will be discharged: p _ 1 c, t n - f 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 a 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 evocation of permit. 112:�11R Il �-e Date � � Print NaG' Signatur TAFormslBuilding DivisionlCertificate of Occupancy Application(2010).doc Page 2of2 h t• ` j Kji L /1 �.. SOL� jf�t.{' ���A�•t !��{�� � 4; � / NIX . / .2 '��t. � /x ,/fit "��-�y� s rt; ��� •/ e– �''« 'S „�,J 3 '"�4 �. /may 4 '^♦ ,y /I c t I fiV L i S �� �'��, i( �iF �, �"♦j l .r4*�'^,y�. �i7�� � - ' �� `�:l' /O � �4>.`+` rI.,�N� ZN �� ,%, � 'fir ° �.� 9�"� - >�S ��J ✓ � �'' 'l c � _ ��� � xti i,r` ,/�tv w�(, q� ��•_, �:J Sls�• ;. 1 v �..;.1�"��''��a;r.: .",.� � ryi� (I`�`/✓�/ , 4 �d /� C—'.F /„�"" 'k• Wit. °ot<',f.^ ._ ri, - - .. _ .._�� s „ _ ,,, _ _� --, . ,; . - ., _ T - .__ r. 5 "P - _ .1 �., : S GG .a. a- . !. tin .. _ u _ t. 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O'-- - . . > w ,£ a.: > ,- .,-, . - . ,1 _ r _� �_ - , - Ap J �.z"Z2 CERTIFICATE OF OCCUPANCY APPLICATION Permit# ANON— FEES CITY OF PORT ANGELES 5 Certificate /Inspection Attn: Permit Technician p r 321 E. Fifth St., Port Angeles, WA 98362 Pdrking Business Improvement Area (PBIA) (360) 417-4815 fax (360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK f� /1 Check one: New business in P.A.?Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning `_�1 BUSINESS NAME Business address r M lin address Phone number Op "'ng dat /a Days & hours of oper ti .n - s —S Business owner's name , /� / SGS Contact phone `7496z Business owner's address Brief description of business Property owner's name Contact phone Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating ooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area --Downtown) phone 417-4623 Square footage of business? ! � PBIA notified on Is business moving within the PBIA? Yes ❑ N R CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ N�I Will there be dancing at this business? Yes ❑ Nc11�' 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 PREPARED 9/12/11, 9:50:27 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/12/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 1403 E 1ST ST SUBDIV: TENANT, NBR: MIKE'S CUSTOM DETAIL CONTRACTOR : PHONE OWNER HUBERT E HERTZOG PHONE (206) 940-8771 PARCEL 06-30-99-1-0-1040-0000- APPL NUMBER: 11-00000965 CO- CHANGE OF OCCP/USE ------------ -------------------------------------- --------------- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------—---- ---------- - --— ------------—-----------—------------------- - C099 01 9/12/11 J L BLDG C/0 FINAL TIME: 01:00 * OVERRIDE TAKEN BY LPANGRLE DATE: 09/07/11 TIME: 08:41:57 September 7, 2011 8:41:05 AM 1pangrle. MICHAEL 460-4288 C OF 0 FINAL - MIKE'S CUSTOM DETAIL AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- Clallam County Assessor& Treasurer - Property Details - 28 HUBERT E HERTZOG for... Page 1 of 2 Clallarn County Assessor & Treasurer ' 70528 HUBERT E HERTZOG for Year 2011 -2012 Property Account Property ID: 70528 Legal Description: SHORT PLAT#93-06- 05 V25 P63 LOT 2- SUB LOT 10-16A Geographic ID: 0630991010400000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 64 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location / Address: 1403 E FIRST ST Mapsco: PORT ANGELES,WA Neighborhood: x ref Cycle 5 Comm Map ID: 2 Neighborhood CD: 20953140 Owner Name: HUBERT E HERTZOG Owner ID: 30280 Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Owner Name: HUBERT E HERTZOG Owner ID: 30280 Mailing Address: 122 W LAURIDSEN BLVD %Ownership: 100.0000000000% PORT ANGELES,WA 98362-7752 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/06/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Half Second Half { Year Statement ID Base Amt Base Amt Penalty 1 Interest - Base Paid Amount Due Statement Details 2011 163314 $759.24 $759.16 $0.00 $0.00 $1518.40 $0.00 Statement Details 2010 51618 $738.02 $738.03 $0.00 $0.00 $1476.05 $0.00 Values Taxing Jurisdiction Improvement 1 Building Sketch Property Image Land Roll Value History Deed and Sales History http://websrv8.clailam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=70528 9/6/2011 �,.PORTq,4Cf/ CERTIFICATE OF OCCUPANCY A PPLICA TION Permit# 1� FEES • ` CITY OF PORT ANGELES $5 Certificate /Inspection L Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362arking Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning CA BUSINESS NAME l QIk Q ere y Business address M Iin�9 addypss W `O Phone number , Op �ng dat %o Days & hours of oper Business owner's name ,�2 TG>� Contact phone X36z Business owner's address Brief description of business Q,[� Property owner's name Contact phone Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by U tl Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating ooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on — Z' Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area.-Downtown) phone 417-4623 Square footage of business? LPBIA notified on Is business moving within the PBIA? Yes 11Nq ' CITY CLERK phone 417-4634 City approval Clerk a y b on Second-hand dealer/pawnbroker business? Yes ❑ N� Will there be dancing at this business?Yes ❑ Nc " 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 I of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by Number of off-street par kA spaces ailable for employees and ' customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-fram etc?) Signs planned: - re-sK;h„►ha exIsh`hg s,�ir� PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on - PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work,planned (new or re-located 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 ❑ Work planned: v L/ f !ri► ��`,J� J PUBLIC WORKS WASTEWATER phone 417-4845 PWWapproval by on Will waste, other than domestic hous old waste, be discharged into t e ewer_syst qui? Yes If yes, what will be discharged: OLh� 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 a Certificate of Occupancy. I acknowledge that,I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in evocation of permit. Q /-7 �j �c�� Date [/ Print Na M16.00, Signatur T:\Fortns\8uilding Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 Application Number . . . . . 08-00001191 Date 9/18/08 Application pin number . . . 625883 Property Address . . . . . . 1403 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-1040-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------- ------------------------------------ A lication desc Security system ---------------------------------------------------------------------------- Owner Contractor ------------------------ -------------- --- HERTZOG HUBERT E SECURITY SERVICES NW 122 W LAURIDSEN BLVD PO BOX 660 PORT ANGELES WA 983627752 PORT TOWNSEND WA 98368 -------------------------- (800) 859-3463 ----------------- ---------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit pin number . 134833 Permit Fee . . . . 40.00 Plan Check Fee .00 Issue Date . . . . 9/18/08 Valuation . . . . 0 Expiration Date . . 3/17/09 Qty Unit Charge Per Extension 1.00 40.0000 EL-LOW VOLT SYS <=2500 SQFT - 40.00 ------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 V INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE SUCH - IN io zJPW FINAL /OIZ�l� OMMENTS : �. CITY OF PORT ANGELES � 1 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION L 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001521 Date 12/11/08 Application pin number 699899 Property Address 1403 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 99 1 0 1040 0000 Tenant nbr name HUBERT E HERTZOG Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2000 Application desc TEAR OFF & RE ROOF Owner Contractor HUBERT E HERTZOG THE ROOF GURU INC 122 W LAURIDSEN BLVD 93 TONDA VISTA RD PORT ANGELES WA 983627752 PORT ANGELES WA 98362 (360) 683 4125 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pin number 138933 Permit Fee 95 75 Plan Check Fee 00 Issue Date 12/11/08 Valuation 2000 Expiration Date 6/09/09 Qty Unit Charge Per Extension BASE FEE 50 00 15 00 3 0500 HND BL-501 2K (3 05 PER C) 45 75 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 95 75 95 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 100 25 100 25 00 00 9 Separate Permits are required for electrical work, SEPA, Shoreline,ESA, utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit es not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru io . Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.FonnsBuiIding Division/Building Pennit O BUILDING PERMIT INSPECTION RECORD � s - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS 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 by AIR SEAL. Walls T Ceiling FRAMING p Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab V.� 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 I Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By i' Electrical 417-4735 -S D Construction R W PW I Engineering 417-4831 Q Fire 417-4653 Planning 417-4750 Building 417-4815 C T'Forms/Building Division/Building Permit A\ 0�4°R�.,� BUILDING PERMIT APPLICATION Print in ink , ►•�..+r►- CITY OF PORT ANGELES a For City Use Onl .�' Attn. Building Permit Technician Ir Date Received (-Og �.�. 321 E. Fifth St.,)Port Angeles, WA 98362 `Mb01 Permit# - 15ZA (360)417-4815 fax (360)417-47110�&Y C,& C0 � Date Approved Applicant or Agent Mrdul�l �vr]-2-(t Phone a 210-rl??p Property Owner h © al soh c/1161- C Phone XT2 - Property Owner's Address Contractor/Engineer G Phone 5 o-C8,'-y/2 Jr Contractor/Engineer's Addressori f,� cL (�r,A'y License # �oO F GT 2qZ6*-:xpires E-mail oo U J �►x.,l �� PROJECT ADDRESS o Parcel Number Lot Zoning Proiect Type&Brief Description. ❑Residential rCommercial ❑ Multi-family ❑ Industrial Check all that apply l ❑ New Construction ❑Addition 71,544 ❑ Remodel (C ❑ Repair h �. /Re-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sg. ft.) Proposed(sq. ft.) Basement @$ per sq. ft. _ $ 15` Floor 2nd Floor 3`d Floor _ A. Garage �-a o S� LI.,0 o Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 2 0- O lt> Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % Max. height of proposed structures ! 2 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. /am authorized to pply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain p6ymits prior to working on projects. Date �2 ��- C)PPrint Name / ' �vrO`t� /��r �� _Signature Application Number . . . . . 08-00000782 Date 7/08/08 Application pin number . . . 460240 Property Address . . . . . 1403 E IST ST ASSESSOR PARCEL NUMBER: 06-30-99-1-0-1040-0000- Application type description ELECTRICAL ONLY SubdivisionName Property Use . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation 0 ____________________________________________________________________________ Application sees Meter change ____________________________________________________________________________ Owner Contractor ________________________ ________________________ HERTZOG HUBERT E BOB'S ELECTRIC INC 122 W LAURIDSEN BLVD 2293 DEER PARK RD. PORT ANGELES WA 983627752 PORT ANGELES WA 98362 (360) 457-6887 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . Permit pin number 129296 1 Permit Fee . . . . 34.00 Plan Check Fee .00 Issue Date . . . . 7/08/08 Valuation . . . . 0 Expiration Date 1/04/09 {---� Qty Unit Charge Per Extension 1.00 34.0000 ECH EL-R OR RM REPAIR METER/MAST 34.00 _____________________________________________________ _____________ Fee summary Charged Paid Credited Due Permit Fee Total 34.00 34.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 34.00 34.00 .00 .00 SPECTION ELECTRICAL TYPE DATE: RESULTS : INSPECTOR: DITCH SERVICE 7/11 ROUGH - IN FINAL z it COMMENTS : l" CERTIFICATEIOF40CCUPANCY %ewlv� Cftyf, fryPort�Angeles �Buildtngvtston This Cei•hficatlonlissuedpursuant to therequirements of Section.109 of the Unefarm'Bueldrng Cgde certifying that at the hme;of Issuance this structure was in comp#ance4withothevariqus ordinances of the Ctty regulating Building � const nor se.'=For the jollowtnp, Use Classification: AutoDetalll - "kButi"dm�'�"'�p-mrtTJi, t WGroupM of Construction: Usg'rZone: CA Owner of Business/Residence rJesse Banks Addt&, ABlue Ridge R&TorttAneeles WA 98362 Building Address: 1403 E �Street s,.WA 98362 .Fq4, <..- •- , May 16, 2001 MaildiOf cia - Date Poston the p" ' " se in a conspicuous place. Shall not be removed:,,except=by Building Official. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee //�� � DATE �" rl ©I New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( 1e/ ) Address of Proposed mess Transfer of Business Location . . . . . . . . . . . . . . . . ( ) 6t' Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) A ress j hx.) 'U Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .tTW ( ) CL5 Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: home 1 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Tu Legal Description: Lot 2– Block Subdivision !>A Lot /C) Current Use of Property: Zoning Classification of Property: CA- WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes..... . . . . . . . . . . . ........... PERMITS BUSINESS LICENSE Electrical changes..... . . . . . . . . . . . . ............. 1) Building 1) Taxi Mechanical (heating, cooling, stoves). . ........ ... 2) Plumbing 2) Peddlers Plumbing changes .. . . . . . . . . . . . . ............ . . . 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . .. .......... .. . . . . . 4) Mechanical 4) Pawn Broker New septic tanks.. . . . . . . . . .. ........... .. . . . . . . 5) Sewer 5) Dance New sewer service . . . . . . . . . . .. . ......... ... . . . . 6) Sidewalk installation 6) Hotel- Motel Admission charged to patrons. . . . .......... . . . . . . 7) Driveway installation 7) Fireworks Is this a home occupation? ... ......... .. . . . . . . . . 8) Curb installation 8) Ambulance Excavation of filling of lots ............ ... . . . . . . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way............ . . . . . . . . 10) Water meter installation 10) Other Is there sufficient off-street parking? ....... . . . . . . . . V/ 11) Fire New driveway openings . . ............ . . . . . . . . . . . 12) Occupancy A grading plan for site drainage... .... . . . . . . . . . . . . 13) Sign (parking lots, downspouts, etc.) .... . . . . . . . . . . . . . . 14) Shoreline Are the existing streets paved? . . . .. . . . . . . . . . . . ... 15) Home occupation Are there existing sidewalks?....... . . . . . . . . . . . . . . 16) Conditional use Is there curb and gutter? ........ . . . . . . . . . . . . . . . . 17) Other Other.... . . . . . . . . ....—.. .. . . . . . . . . . . . . . . . . . . I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Daley il I information I have supplied is correct to the best of my (Il I ,— ({ knowledge. Signed< ` dJLi APP REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department V City Clerk P.B.I.A. ROUTING SLIP Certificate of Occupancy $47.00.Certificate/Inspection Fee DATE F " New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( I ) Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( ) 1'-,16,1 _f 1 s` "5—, Change of Ownership Applicant �:" 5 q, 0Ak5 New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address '1 �� `."���Jc. 1.),C ae., ��f Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) '4r-' WYIG� S. VVI 0 Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: b sine, _&L— home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Aon Dt,`Q' lloo hi k�, Legal Description: Lot a- Block Subdivision 5A Lcf /O Current Use of Property: A,,A' , �G I �• Zoning Classification of Property: CA , / WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . .. ..... .. . . .. ..... .. . . . . ✓ PERMITS BUSINESS LICENSE Electrical changes. . . . . . . ..... . . . . . ......... .. . . ✓ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ! 2) Plumbing 2) Peddlers Plumbing changes Y 3) Electrical 3) 2nd Hand Dealer New or relocated signs..... . . . . . . .. _..... . . . . . . ✓ 4) Mechanical 4). Pawn Broker New septic tanks . . . .. .... . . . . . ......... . . . . . . . . V 5) Sewer 5) Dance New sewer service . . . ..... . . . . ....... .. . . . . . . . . ✓ 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons ✓ 7) Driveway installation 7) Fireworks Is this a home occupation? . . ....... . . . . . . . . . . . .. T 8) Curb installation 8) Ambulance Excavation of filling of lots . . .. ..... . . . . . . . . . . . . .. 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way...... . . . . . . . . .. .. .. ✓ 10) Water meter installation 10) Other Is there sufficient off-street parking? .. . . . . . . . . . . ... 11) Fire New driveway openings . . .......... . . . . . . . .. .... . 12) Occupancy A grading plan for site drainage. .. .. . . . . . . . . ...... f 13) Sign (parking lots, downspouts, etc.) . . .. . . . . . . . . . . .... •/ 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . ....... ✓ 15) Home occupation Are there existing sidewalks?. .... . . . . . . . . ........ 16) Conditional use Is there curb and gutter? .. . . . . . . . . . . . . .......... k� 17) Other Other. . . . ........... .. . . . . . . . . . . . . .. .......... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the DateY l information I have supplied is correct to the best of my ? 1 knowledge. Signed �I-� 0 T'I/y✓IA A V APPROVED REJECTED Comments / Conditions Building Section y� Public Works Department t � C " 1�t9 l�" - SLA Planning Department Fire Department fA City Clerk P.B.I.A. 'T° CITY OF PORT ANGELES M, PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES.WA 98362 ELECTRICAL PERMIT Issued: 8/27/97 Permit No: 6041 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ BERT HERTZOG 1403 1ST ST E Lot: 10 Port Angeles, WA 99360 Block: 15 Long Legal: 206/000-0000 Sub: PSCC 1 T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452-9104 000/000-0000 PROJECTINFO-------------------------------------------------------------------- Prj Type: COML. MISC. Prj Value: $0. 00 Occ Type: Cnstr Type: ALTER SERVICE Occ Grp: Occ Load: Land Use: CA Electrical Heat Service Type Baseboard KW: 0 Riser Voltage: 120, 240 Furnace KW: 0 X Overhead Service Diameter: X-1 -3 Heat Pump KW: 0 Underground Service Service Size: 100 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECTNOTES------------------------------------------------------------------- REPLACE OLD FUSED PANELS WITH 100 AMP BREAKER PANEL PROJECT FEES ASSESSMENT----------------------------------------------- Service: $67. 00 Additional Feeders: $0. 00 Circuit Wiring: $0. 00 Temp Service: $0. 00 TOTAL FEE: $67. 00 Misc $0. 00 Amount Paid: $67 . 00 -------------------------- TOTAL FEE: $67 . 00 Balance Due: $0. 00 COMMENTS/ACTION NEEDED I i I I ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PFRMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICEZ FINAL GENERAL COMMENTS: rw.i irn.Is lawe� i 1 'd4PD���c�`� CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ® c.r"' (206) 457-0411 PERMIT NO. DATE ELECTRICAL PERMIT Site Address: ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: r cense umber: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ;-!�OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUNSERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: AZO ❑ FAN/WALL KW ADD/ALTER CIRCUITS SERVICE UPGRADE/REPAIR 1 ❑ 3 SERVICE SIZE _�AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: i • W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: O CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ,nu�[O.K. to connect service tro 1 ❑ Final O.K. Site Address: Permit/Receipt No. S-073 Installer: New Meters Date: Notify Port Angeles City 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 Badding Permit. PHONE 457-0411, EXT. 224. //l NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT NN Electrical Inspector W � Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. ii Op pORi 4NC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 o T i (206) 457-0411 PERMIT NO. ® DATE /O ELECTRICAL PERMIT Site Address: CC � L I READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: O License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE OVERHEAD SERVICE COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUI ME CE 11 BASEBOARD KW El NEW CONSTRUCTION VOLTAGE: //G �(��55 �� ❑ FURNACE KW ❑ REMODEL SINGLE PHASE ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS THREE PHASE ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (L T BELOW) Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. 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 No. i yo 3(9 V Installer: New Meters Date: © a-G - Notify Port Angeles City Light by Street Address and Permit Mu ber 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. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee WHITE—File by address YELLOW—File by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC 1 N° 18208 CITY OF PORT ANGELFS LIGHT DEPARTMENT ELECTRICAL PERMIT Port Angeles, Washington-------�_.. ----.- ••------------•- ............ 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 J(/z(/ - L— /- ........ ........ Occupancy-------•-------------- ----------------------- Owner -''-Q /�n L» /tJe+� ant ...... – – ------- ---------•-------------- - -:..r -------------------- ------- ; . it 2� Wiring Contractor ----------- --,----1=�----------`a - -- $y-- --'- - Light Outlets--_---_---------------- 2..W Service, volts ....................................... Type of Wiring: Receptacle Outlets..............��Xlw No. wires ....................................... Armored Cable ............................. Dryer, KW.......................................... Size wires..................................._. Non-Metallic ................................. Knob & Tube.................................. Range, KW........ Main fuse ....................................... Rigid Conduit ........................'...... Water Heater: Enclosure ....................................... Metallic Tubing KW.............. --.`_:---------------------. Type of wiring: Raceway ._....................................– Heat: KW............_!!Q................................... 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..........................----------------- . / ... Ser. No.............................................. Total ��Load:?Z—k f! Ser. No.................._------------------------- Total ....................................... Remarks:,t,Y�.r_,t.�_ 1.1 �> ------....------------------•-----------------------------------------------------------------...--------------------------------------------------------------------------- ........------------------------------------------•------------------------------------------------------------------------------------------------------------------- Permit Fee o C Tress. Receipt / 7 /� $ ___ '� C £ ------------ By ���.� .. - v r - - r� ii-v NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work to be con- cealed due notice must be given the inspector so that work may Inspected before concealment. NOTIFY THE INSPECTORBY PERMIT NUMBER WHEN READY FOR INSPECTION �/AN° 18208 / 7 ELECTRICAL PERMIT ,/ Address ..L...... ..J-.._ ....... . .. . .....-' ........... .-......._.._......._.......... Date_LL..: v '--------'- ��jj�� / --- / .......V---• Owner u��.. _. ... .... Tenaut ........._ ......-- . `.._._........... ��/�� tee....... �P Wiring Contracto :i%7_�l...�.�.... .. ............ �..... ..... .... .. By.._/., ......... .. /f n� v _ _ 1i7y,.. .t..�L/�....................... ..... �� ��... ..... ..__........ NOTICE--Current must'not be turned on until Certificate of Inspection has been issued. If wor is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. RECEIVED SEP j 7F2byTRICALWORKPERMITAPPLICATION UQ , lotion description Job wired hP AElectrical Contractor ❑Owner Commercial ❑ Residential Electrical contractor name License number Dale Expires Seeuri hf .Seryr es_A4j SECURSAOId o7" UA4 ❑ New LJAltered/Addition r(� Purchaser's mailing address V V P0. a 660 City State ZIP � pba_Towswl� D 'telephone number PAX number $o0--SS9-/}3 /3 1 360tour' Presises •/I//Is/ 6fi/ej/ �0//–f Address ofinspection 1140.3 E I J-21 ' Cit, oyfi Arn5 Plea , wA 28t36z Phone numb r to .cZc h-dule intion: Owner as defined by RCN!19.28.261:(1) Owner will occupy the structure for two rears after this electrical permit is finalized. (2)(Avner is required to hire an elect Teal ` ^ contractoij r 'hove said property is for.vale, rent or lease. C3 Cash /lt�rf Check# 'd1✓ 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 instal- ❑Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Card# - - -__ ---_ Utility Sp¢cificotions. Signature of owner, lectrical contractor or electrical administrator Expiration Date r tl Inspection fee O0. X ` 61LIA Date: of card $ 410 Electrical Load Additions_and or subtractions Service-]nformation ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace — KW ❑ Overhead Service Phase Z) 1 El3 ° ❑ Heat Pump _Ton LAR LJTemp Service Service Size: •' u c LJFan-Wall _KW ❑ Underground Service Feeder Size: o SAA1E_DAY_I_IYSPF"T ON,_CALL_BEF9FIF 7:.Q—A—M_3 --4r-m4735 �Z��ROUGH-IN THERMOSTAT SERVICE Lc1 Dia, Avprored By natz Tprmced uy oma npyeo.ed By FINAL DITCH FEEDER l� 2&F nate Ap Date Approccd By nate Appmcnd BY Inspection Area,Buildingor Equipment Inspected Action Electrical Date Taken Inspector T LECTRICAL WORK PER WITAPPLICATION V instal talion description Job wired by UElectrical Contractor U Owner xCommercial U Residential Hiectrical contractor name Licenseatunber Date Expires Bcks f._y ���, — Z2 1� ❑ New O Altered/A.ddifinn FUrcbascr'S mailing address 9t. State ZIP AOG�t(j — cicphone mumbler FAX number cc 5 I 1 QO Premiss oow�uer's name ,I PT 4V2T2�6 Address of inspectlorn C.iry `xLt: - WQ J EC_ A V n _ Phone Dumber to schedule inspection: n�� (honer as defined hY RCW.l Y.Z8-261:(I) Owner will occupy the structure for two "J U L :3 C280� — years titer this electrical permit is finalized (l) Owner it required to hire an elecrKral contractor if above said property&for sa(r, rent or lease. ❑ Cash ❑ Check# After reading the above statement, I hereby certify that I atm the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit Card VisaLIGltUPRId Discover lation or alteration in compliance with the electrical laws, N.L.C., RCW.-Chapter — 19.28. WAC. Chapter 296-46B, The City of Fort Angeles Municipal Code, and Card# --- ---,--- Utility Specifications. Sig re or owner. clectri at contractor or electrical administrator Expiration Date �[1nspcgpon ice Date: ElectrleaLLoad Addition. utitmixAlons rVlce InformatiQII ❑ NO LOAD CHANGES U Baseboard —KW Voltage ❑ Furnace —KW O Overhead Service Phase O 1 U 3 ❑ Heat Pump ._Ton_ LAR ❑ Temp Service Service Size:_- O Fan-Wall —, KW l7 underground Service Feeder Size: _— $&MEAY INCP=ON-EALL.RaEFftR !Q AM It 1-417-4735 ROUGH-IN CTWHMMOMT < SERVICE Z � 6 —onto npprvvW aY Aoorvved ny �» Appw•cd By //qqJJ/yyr.gqrrMNAL DTTC:H FEEDER AI411-' _ 7T-11 Arml.. ny L nPprv•W My Electrical h)aPcction Arca,Building or Equipment Inspected Action Taken Inspector Date 7- 7-07 09- /IP PTA Td Wd0T :T0 800E 20 'Inf £466 ZS4 092 T 'ON Xtid 3"13aiS SrH� WON3 11/18/2014 16: 34 3607978482 SECURITY SERVICES NW PAGE 01 i E 0! CITY OF PORT ANGELES PERMIT APPLICATION Building Divislo>utElectricalInspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Waslhington,98362 Ph. (360)417-4735 Fax- (360)417-4712 iNS��C�'fQitl� Date; hs �� Niulti•Fatnii or ammercialk "Plan Review Ma Be Reredp P_1 ase Co let! lectrical Plan Review Information Sheet Job Address: 6uildiny Square Faolag% Description of above Owner Information Contractor Infanpatip Name: — �/� Name I-01 �r_J _ W1311;A dress; MaIII Address:,, city 51ate,wJ zip: City Siate;L.r _ ip; 3 Phony [.�— p ax Phan ax:3 —9 - Z License#1 Exp, f_ License#1 Exp.S� SAIvPv i Item Unit Charrie ftyt Total(Qty Multiplied by,Unit Charge) ServlcelFeeder 200 Amp, $132..00 $ ServlcelFeeder 201-400 Amp. $160,00 $ .. Service/Feeder 401-000 Amp $225.00 Servlce/Feeder 601-1000 Amp, $288.00 Serllce)Feeder over 1000 Amp, $410.00 $ Branch Circuit W1 Service Feeder $ 5.00 $ Branch Circuit VV10 Service Feeder $ 74.00 $_ Each Addilioral Branch Circuit $ 5100 $ Branch Circuits 1-4 $ 86,00 $ Temp.Service/Feeder 200 Amp. $102,00 $____._. .... Temp,ServicelFeeder201-400 Amp. $121,00 $ Temp,ServlcelFeeder 401-000 Amp. $16400 $ Temp,ServlcelFeeder 601-1000 Amp. $185,00 $ Portal to Portal Hourly $ 9600 $ 810001ine Lighting $ 88,00 $ Signal Clrcultl Limited Energy W Milli-Family $ 64,00 $ Signal Circuit)Limited Energy 1 First 1500 sf—Commercial $ 96.00 $� Note: $5.00 for each additional 1500 sr Renewable Electrical Energy-5KVA System or Less $113,00 � $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $ t �Total Owner as defined by RCW,10,20.201;(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 ofthe 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 296466,The City of Port Angeles Municipal Code,and Utility Specikations and PAMC 14.05,050 regarding Electrical Permit Applications. Sign wrier, c c tractor or electrical administrator: 71 caah 0 Check Credit card 0 o¢ �� ELECTRICAL INSPECTION `�� IF I WIRING REPORT V� AKS �1 7-4735 dtf� oRTE: PERMIT it INSPECTOR OWNER CONTRACTOR � -� ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ •� ) � . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ®. . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . 11 CORRECTIONS NEEDED: �— NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DMZ NOT REMOVE -- ..0 . 3 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , . , , . 14-00001409 Date 11/19/14 Application pin number , , 087963 Property Address . . . . . . 1.403 E IST ST A ASSESSOR PARCEL NUMBER: 06-30-99-1-0-1040-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise fax form Subdivision Name . . . . Property Use to the City of Port Angeles Property Zoning , , . . . , . COMMERCIAL ARTERIAL (Location Code 0502) Application valuation . . . . 0 Application desc Security system ---------------------------------------------------------------------------- Owner Contractor HUBERT E HERTZOG SECURITY SERVICES NW 122 W LAURIDSEN BLVD PO Box 660 PORT ANGETaFS WA 983627752 'PORT TOWNSEND WA 9B368 (206) 940-8771 (800) 859-3463 ---------------------------------------------------------------------------- .Permit . . . . , . ELECTRICAL. ALTER COMMERCIAL Additional desc. , Permit Fee 96.00 Plan Check Fee 00 I.saue Date 11/19/14 Valuation . , . , 0 Expiration Date 5/18/1.5 Qty Unit Chaxge Per Extension 1.00 96.0000 ECH . EL-LTMITED IST 1500 SQ FT 96,00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 04 OD Plan Check Total ,00 .00 .00 00 Grand Total 96.00 96,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN �� FINAL COMMENTS: PERMIT WILL EXPIRE SEX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING