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HomeMy WebLinkAbout1409 E 1st St - Building CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360)417-4711 Date: s" 16 "C..3 kmult!-Family or Commercial* INSPECTIONS * Plan Review May.Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Owner Information , Contractor Info.rw�tion LT Name ,OGGYS s ��� � � Name: A Mailing Address: Mailing Add ess City: State: Zip: City: IPA state:L-A Zip: Phone: Fax: Phone: Fax: License#/Rip, License#!Exp.- I _ ST51�h Z Item Unit Charge City Total(Qty Multiplied by Unit Charge ServicelFeeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $225.00 $ ServicelFeeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W1 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 Circui#1 Limited Energy--Multi-Family $ 64.00 $ Signal Circuit/Limited Energy I First 1500 sf–Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56,00 $ Note:$5,00 for each additional T-Stat $,��__.Total Owner as defined by 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 296-468,The City of Port Angeles Municipal Code,and Utility Specifications and 1 14,05,050 regarding Electrical Per pplications. Signature of owner,e c . al contractor or electrical administrator: El Cash check Ll Credit Card# X Dated: 01/0112012 v PORT ELECTRICAL INSPECTION WIRING REPORT 417-4735 RKS bl DATE PERMIT 0 INSPECTOR �IZD)13 1 M-os" OWNER CONTRACTOR t3L,Ac-g I 6,40c ADDRESS APPROVED QTA:IPP�ROVED�-_-:� 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 0 [I. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ap —p Z;W77— NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000533 Date 5/20/13 Application pin number 869723 Property Address . . 1409 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUM3ER; 06-30-00-1-0-1036-0000- on our excise tax form Applioatio.n type description ELECTRICAL ONLY y Subdivision Name . . . . . , to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation , . . . 0 Application desc 6 circuit remodel Owner Contractor DIANE MARKLEY -__-f--___ BLACK DIAMOND ELECTRICAL CONTR PO BOX 2835 502 BLACK DIAMOND RD PORT ANGELES WA 983620333 PORT ANGELES WA 98363 (360) 460-5639 - (360) -565-1035 - -- K*- r ----- ------------ Pe -^- ermit , , . , . . ELECTRICAL ALTER COMMERCIAL " Additional de5c , . Permit Fee . . , . 99.00 Plan Check Fee .00 Issue Date . . , . 5/20/13 valuation . . , 0 Expiration. Date 11/16/13 Qty Unit Charge Per Extension 1,00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 5,00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25,00 ------------ --------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 99.00 99.00 .00 .00 Plan Check Total. 00 .00 00 ,00 ^ Grand Total 99.00 99.00 .00 ,00 1y11 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN C FINAL C COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date.: G:IEXCHANGEWILDING ELECTRICAL PERMIT I CITY OF PORT ANGELES 360- 417 -4735 Application Number 12- 00000911 Date 7/20/12 Application pin number 987019 Property Address 1409 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00- 1- 0- 1036 -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) Application valuation 0 Application desc 1 -4 circuits exterior lighting Owner Contractor DIANE MARKLEY ANGELES ELECTRIC PO BOX 2835 524 E. 1ST ST. PORT ANGELES WA 983620333 PORT ANGELES WA 98362 (360) 460 -5639 (360) 452 -9264 9 Permit ELECTRICAL ALTER COMMERCIAL /'mil Additional desc 1 -4 CIRCUITS v y Permit Fee 86.00 Plan Check Fee .00 Issue Date 7/20/12 Valuation 0 Expiration Date 1/16/13 Qty Unit Charge Per Extension BASE FEE 86.00 cl 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 P INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN l Z. a II_ 1 ..1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE\BUILDING 07/19/2012 08:25 FAX 360 452 9265 Angeles Electric 40001/0001 rfiEC 5 1r 1 9 CITY OF PORT ANGELES PERMIT APPLICATION !ill E_ 0 Building Division/Electrical Inspections ELECTRICAL ,--..9 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTION: 'r- Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 7 12- V Multi- amily or Commercial* _ommercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet r Si; Job Address. 9 f r1'T S Building Square Footage: O Description of above AP A i 00 T 7 6 Soza..6 .Ty /3 Y f( u Owner Information Contractor Information Name: `✓fLL y.r 3S0 IiDI" Name: 4A1 ELt( A,(„� GTX1C, /NG Mail A ress: icing .€47- Mailing, Add s: S �1 City: State: /r Z ip: -7 City. Yertr .424 State: WA— zip: Phone: Fax: Phone: WS2 4'g Fax: WT-0.2 License it/Exp. License Exp. Item Unit Charge %it Total ay Multiplied by Unit Charnel 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 Circuits 1-4 86.00 1 2G cc> Branch Circuit WI Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 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 64.00 Signal Circuit/ Limited Energy First 1500 sf Commeraal 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 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 296 468, 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: Cash Cheek f ttCard/ Q#41 FILE. x Dated: 7/' oiroiOM2 S T -7141( CERTIFICATE .CCUPANCY City-p,..CP43rt AngelesBuildmg,pmsion Nv,.g This certificate is issuedijursuant to the requirements of Section Mofthe 2009 International Building Code certifying that atrthelge issuance this structure was in compliance with the various ordinances A' .#1:•;'"ct Y‘ ,S.: of the City regulatingibuadingeonstructibn._,4eiussfor the folloVinr Business name f';' ,—ANiii44'8molee Business address d 144:09aE 1st St 4 '..71'"'s Property owner i Diane Markley vr`' f 4 .-F Property owner staadreSs: 1 IJOX 283t -1ATA'!082-0338 or' -A.- r• t: Automatic fire sprinkler 'system. Not4etifiitetf g Use occupancy classyication. Retail v vs, .1: Building permit numbers 11-5tillile Occupant load. Type of construction. :44; Post on the premises in a conspicuous place. This ,certificate.shallia be removed except by the Building Official. r ZO5e-Ar CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Ir Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes plo 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 Permit 551 FEES Certificate Inspection Parking Business Improvement Area (PBIA) ee 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 UNll U cSlY\ c \'1n0 Business Phone number (DID Opening a Mailing a ddress W� E J' S r g j= r uhutu 161 date /1;3711 Days hours of operation `8";,:-,,, itn Business owner's namej12,0P\ xl 'R o Olr1 Contact phone Pt 1 -t -1 Cie Business owner's address (.A 1— 5k Brief description of business 5me12.e ,ShoD C CACCD Ser6 rnnra„ e:Iz. i J) Property owner's name -1 ,Is\fL &I A Contact phone 3ivU) 1 460 S 39 Property owner's address /contact 2235 F6 Pc es 10A Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No P 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 approval by on PBIA (Parking Business improvement Area Downtown) phone 417 -4623 Square footage of business? 2_72L 4 i PBIA notified on Is business moving within the PBIA? Yes No City Clerk approval by on C p COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned n PASAIY1 6164n \J ;J PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles 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 dowyspouts irrigation system backflow devices etc.) Yes No .9 Work planned PUBLIC WORKS WASTEWATER phone 417 4845 CED approval by on Please sign up for utility services at the cashiers' counter PW approyai by _RI7 on 1 I PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No V If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 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 revocation of permit. Print Name Ida 19 /A I C Signature T' \Forms \Building Division \Certificate of Occupancy Application (20 i0).doc Page 2 of 2 r- PREPARED 6/07/11 8 44 22 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/07/11 ADDRESS 1409 E 1ST ST SUBDIV TENANT NBR WILLY S SMOKE SHOP CONTRACTOR PHONE OWNER MARKLEY DIANE L TTE PHONE 36) 457 5678 PARCEL 06 30 00 1 0 1036 0000 APPL NUMBER 11 00000559 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 6/07/11 ///���TTTL BLDG C/O FINAL TIME 01 00 t.� OVERRIDE TAKEN BY LPANGRLE DATE 06/06/11 TIME 11 08 25 June 6 2011 11 06 22 AM 1pangrle WILLY 209 224 1653 DIANE MARKLEY 460 5639 C OF 0 FINAL WILLY S SMOKE SHOP AFTERNOON PLEASE CALL BOTH WILLY AND DIANE 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES P poR7 C ff NNW CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION Permit# 55'1 CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Second -hand dealer /pawnbroker business? Yes 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 o PLEASE PRINT IN INK Check one New business in P.A.?`/Change of ownership only? Moving location from within P.A.? Zoning C PI BUSINESS NAME (k.)\( 1 u 5 n. S1cQ Business addressi120 u a IsF ��M�aii i address j1 '5 r ct ahl COI Phone number �(r2O -7 100 Opening date 1 1 Days hours of operation Business owner's name(, Au P)(l Contact phoneaPl 22q -ICA Business owner's address.. OSA, tA) 1- N Brief description of business `irne <2e ,c, NO tobacco erirn rnnras ei-c Property owner's name Q c \2l?1 A Contact phone Property owner's address /contact P FSn y. 22S S P -T Pc- ol rdes Bldg approval by on FIRE DEPARTMENT phone 417 -4653 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? 2721, 4 k Is business moving within the PBIA? Yes Nod Yes No g' 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 approval by 4 f on -jl 19 PBIA notified on City Clerk approval by FEES Certificate /Inspection Parking Business Improvement Area (PBIA) ee charged for Downtown' locations (3i,b) 460 -5 JA on COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned leeRbn PX141 f1r- 610 n PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles 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 dow pouts irrigation system backflow devices etc.) Yes No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 T\Forms\Building Divisionctertificate of Occupancy Application (2010).doc Page 2 of 2 CED approval by on PWE approval by on PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter 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 revocation of permit. Date Print Name Vet e_ l 01 19� Signature IN e CERTIFICATE OF OCCUPANCY APPLICATION (ovcier CITY CLERK phone 417 -4634 CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 l fax (360) 417 -4711 nor On BUILDING DEPARTMENT phone 417 -4815 Second -hand dealer /pawnbroker business? Yes plo 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 Is the business a restaurant or bar that will seat 50 or more people? Permit 1- 551 FEES $50 Certificate Inspection Parking Business Improvement Area (PBIA) ee 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 C PI BUSINESS NAME IJ 'U A n c \Inn Business addressiL101 Ja jsr I Phone number (r() 7 VD Opening date Business owner's namel u1'tt>Y1P1 Business owner's address U&' 4- 3 Brief description of business 5mo e ishoD- idhck w Mai ing address '2i —t E_ }i'GhuXut ICI 4 Days hours of operation Contact phone VA, 21.4- W'A 4 :154� 1,7, Piz Property owner's name Mr9.102l ?1 A Contact phone 3 ,o") 460 SL, 39 Property owner's address /contact n-- Flax 22 3 S P6,- Pcacedes _iLJC\ Bldg approval by Yes No V 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 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? 2721, --r Is business moving within the PBIA? Yes Nod Fire approval by PBIA notified City Clerk approval by on J0 Z1 JI X 7/r/ on COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417 4750 Number of off- street parking spaces available for employees and customers? (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Si ns planned I &Cl PY4f1d 6io fl PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles 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 dow pouts irrigation system backflow devices, et.c) Yes 0 No Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Will waste other than domestic household waste be discharged into the sewer syster} Yes No V If yes, what will be discharged Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Print Name4ft2 el 19 (IflW C11 Signature T \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 CED approval by PWE approval by fk on PWW approval by Please sign up for utility services at the cashiers' counter on 1,J ae\\-- 72 V r Clallam County Assessor Treasurer Property Details 60844 DIANE MARKLEY for Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 60844 DIANE MARKLEY for Year 2011 2012 Property Account Property ID' 60844 Legal Description: TX #606 SUB LOT 10 Geographic ID' 0630001010360000 Agent Code. Type: Real Tax Area 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 59 Open Space N DFL N Historic Property' N Remodel Property N Multi Family Redevelopment: N Township Section: Range: Location Address: 1409 E FIRST ST A Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Comm Map ID 2 Neighborhood CD 20953140 Owner Name: DIANE MARKLEY Owner ID' Mailing Address: PO BOX 2835 Ownership PORT ANGELES WA 98362 -0333 Taxes and Assessment Details Property Tax Information as of 06/08/2011 Amount Due if Paid on. M. 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 Exemptions: 38864 100 0000000000% First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 155399 ST SCH STATE SCHOOL $160.81 $160 81 $0 00 $0.00 $160 81 $160 81 2011 155399 CC -GEN COUNTY CLALLAM $88 78 $88 77 $0 00 $0 00 $88.78 $88 77 2011 155399 SD #121 SCHOOL DISTRICT #121 $210.21 $210.20 $0.00 $0 00 $210.21 $210.20 2011 155399 CITY PORT ANG CITY OF PORT ANGELES $204 95 $204.93 $0 00 $0 00 $204.95 $204.93 2011 155399 PORT PORT OF PORT ANGELES $12.50 $12 49 $0.00 $0 00 $12.50 $12 49 2011 155399 NTH OLY LIB NORTH OLYMPIC LIBRARY $37.23 $37.23 $0 00 $0 00 $37.23 $37.23 2011 155399 HOSP #2 HOSPITAL #2 $36 44 $36 44 $0 00 $0.00 $36 44 $36 44 2011 155399 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11.08 $11 07 $0 00 $0.00 $11.08 $11.07 2011 155399 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0 00 $36.00 $36.00 2011 155399 WEED_CONTROL WEED CONTROL $0 82 $0.81 $0 00 $0 00 $0 82 $0.81 2011 155399 TOTAL. $798.82 $798.75 $0.00 $0.00 $798.82 $798.75 2010 43680 ST SCH STATE SCHOOL $163.74 $163 75 $0 00 $0 00 $327 49 $0.00 2010 43680 CC -GEN COUNTY CLALLAM $87 14 $87 13 $0 00 $0 00 $174.27 $0 00 2010 43680 SD #121 SCHOOL DISTRICT #121 $212.09 $212.09 $0 00 $0.00 $424 18 $0 00 2010 43680 CITY PORT ANG CITY OF PORT ANGELES $201 75 $201 75 $0 00 $0 00 $403 50 $0 00 2010 43680 PORT PORT OF PORT ANGELES $12.24 $12.25 $0 00 $0.00 $24 49 $0 00 2010 43680 NTH OLY LIB NORTH OLYMPIC LIBRARY $25.32 $25 32 $0 00 $0 00 $50.64 $0.00 2010 43680 HOSP #2 HOSPITAL #2 $35 74 $35 75 $0 00 $0.00 $71 49 $0 00 2010 43680 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 38 $11.37 $0 00 $0 00 $22.75 $0 00 2010 43680 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0.00 $72.00 $0.00 2010 43680 WEED_CONTROL WEED CONTROL $0 82 $0.81 $0.00 $0.00 $1.63 $0 00 2010 43680 TOTAL. $786.22 $786.22 $0.00 $0.00 $1572.44 50.00 http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =60844 6/8/2011 "~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property zoning Application valuation 05-00000251 Date 633204 1409 E 1ST ST 06-30-00-1-0-1036-0000- COMM REMODEL 1/20/06 ~ COMMERCIAL ARTERIAL 5000 Owner Contractor MARKLEY, DIANE L TTE P O. BOX 2835 PORT ANGELES (360) 457-5678 Structure Information Construction Type Occupancy Type OWNER WA 98362 000 000 INTERIOR REMODEL TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST Permit Additional desc Permit p~n number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL ALTER COMMERCIAL APS/ CIRCUITS = 200A PNL FEE 69195 APS ELECTRIC 78 70 Plan Check Fee . 1/20/06 Valuation 7/19/06 00 o " ~ ~ Qty 1 00 Unit Charge Per 78 7000 ECH EL-COM ALT 0-200 SRV FDR Extension 78.70 '" Other Fees STATE SURCHARGE 4.50 "- ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 .00 Other Fee Total 4 50 4 50 00 .00 Grand Total 83.20 83 20 00 00 \I) j COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE " INSPEqTlON TYPE DATE COMMENTS '~ .. 4 '''' 'dit>^ ~ ~. NO GENERAL COMMENTS: PW.II02.l5 (4196) ~ pORT ~ ~~O~~ ()rta~ lL ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000110 Date .331090 1409 E 1ST ST 06-30-00-1-0-1036-0000- RE-ROOF 4/16/04 COMMERCIAL ARTERIAL 8500 Owner Contractor EMERSON JEAN M 825 N COUNTY RD 261 ALTURAS CA 96101 EMERALD ROOFING 114 MT PLEASENT CREST PORT ANGELES WA 98362 (360) 452-8173 ---------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TORCH DOWN 190.75 Plan Check Fee 4/16/04 Valuation 10/13/04 .00 8500 Qty Unit Charge Per Extension 92.75 98.00 BASE FEE 7.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 ........... ,:z CJ ~? --------------------------------------------------------- Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.75 190.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 195.25 195.25 .00 .00 (\"\ \ '- I {,.-? ., (. \h i Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ON FIL.c- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPLANNING\FORMSllI02.15 [11/1412003] \ BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION . SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ,..J:..il, - 0,,", J..L BUILDING T:IPLANNINGIFORMSIII02.15 [11/14/2003] to t-< '" '" o f-' >-l '" ~ ~ ill ... .0 >-l ~ n;oo 0"'''' 3.0 "'0::0 t-<"'o "'ill >-l>-lto gltJ S ~ ... ;0 IzI "'HQ illZ 0:: ill'" S;"'; ... >-l ;001 "'''' ill illizi 0:: no t-<;O >-lH'" ill"'l<l ......>-l nH"l OO~ 3Z~ 3 '" Z >-l , ill n o 3 3 '" Z >-l ill to S t-< o Z Cl "' Z :>> t-< ~ t:J Z o >-l '" ill ~~~8~ 'O;oZZO t-<C1"'>-l1<l O1;oI<l~ Zt-< :>>ill 0:: nill 3: . >-l to 0 '" . :u . ;0 oottjttjt-> of::o.O'\3:3:ot>. I I tJj tI:I 0 :;6~S;~ 010 t"' tI:l ooZt:l 00 f-' I--'ICj::dUJ l-'f-'tJjO~ O~~~CD :u I H >-3 ~f-'3Z '0 Cl ;OW Om 0' ",0 o o o , "''''ill 88~ ZZO "''''H < n'" ...;0 >-l'" ""'" :>> 0;0 "'''' o '" o ;0'" >-l...... ~~ Clo "'''' t-<- '" illf-' "" W '" W W H HZ Zill "'''' "'''' ",n n>-l >-lH 00 ;oZ '-<>-l ~~ "'?;: ill'" >-l t-< t-< ... '" W ;0 m t-< o "" '" lJ1 "" 1 '" f-' ...., W 0'" :>>:>> >-lCl "'''' '" ...... f-' m ...... o "'''' . ;(~~, ,',,,;.:: ....n,:'<""'.."...'". , _../,;:f.'-'txJ1,';'~ ,', . ~~,r, "" ;~~! ,:. "'~, ";;\~';'r-\ CE RT~:FI_CA TE' O;F -~OCC;"~ P ANCY 1::-' \ . , ~ ~ .. -, \ ~ <;Jty of Port Angele~'~- Building ,.D~vl$"ion .4 ee," ~~, This certificate is Issuiil pursuant; to th({/,equlrements of SectIOn IIO of the 200~ InternatIOnal BUlldl71g Code certzjjdng that If the-ti~~~tl;~jJp~c,e;this strupure was'?h,con:zpl!allce wlt~i/he varzous ordinances of the City regulatirfg buildi1Jg,'<onstrziction or use, for~ the following: 'I", - ". \ I ,~, l ,,~~~~:'~'~::\:""~~" ':;';:"i '<'I ):',~,,'~ ,t,,~ ,,~>::',~::,,'t'.l ", - ^, '~:~~7< \ Business name: ~ ;', Maxim Powel 8portsJrig.,{I;f'i.~;,.I~;/\\I~i':;' ,:-::,~-n:~' I B. dd~' " 1409\E 1st 8t '. :-,~":,'-", .1,,11, "<,~':I'\~',,,,,-:/,,;;:,~:y,,,'!.I~,,"";'~\i~'"" i USlness a ress~ i,'>.'; t > . . t '\l~\;;'~'<l\';": , \,),! f~:"",,\1;t;;;:I~,~,<;;,1.'\;~V:\~~0~'!'~~~~\', <~;'\':,'J.ti';'!," if . ~ \\" , , ,',~,,' ~"'\,'\.\';\<,~ ",~ ':';l';'c, ,',':f'--:~",-,>':\~"'~~~'(~\ "l..";t'~:~tl< ~ Owner ofbuszneSR' . Marcy Donaldson', r .;'"'i~Yh',, ,.' ,,~.t,";,("~';:'{;i~\o~', ",,1 ~ :, _' _" \ '\~11",'1 "~1\ )~";1 I_",~'~' ",',\ ' I" \;:.t"(,~"~".{' I,~^'v~."" ~! Owner's address.l528 N. Bagley Creek Rd.;'PortAngeles, WA98362 Use & occupancy ~l!issification Business,'~;J,'" ,'. I \t:> 'c ,~' _-'" ;;:<....~ \ '. ~"i' Building permit n~~er~::: ".>C,,) 'ii, O~-25-tC;--;t~(. ' ' .if Ti. pe 0 onstruc nt', ''If= ~l#" , J i; II 1:;- 1:" o-:::ti,F' ~~'(' Lasered CED 01126/07 Date ~',\ 'hI, Post on the premises in a conspicuo~~'-'p,ace .,F",,\c ~ ~. 0..,<, C,p![;"p.-%#J mot ~etremoved except by the Building Official. ~_\I" .~. (lJ 6-- }61 (; \)O~~,~~oROUTING SLIP ~ ~ORT...." J1 Lasereo ~O~O~I" ~f'. ~o..f i Certificate of Occupancy (J~~1Il ~ CEO J, _ "- =-.:0 =- OU>'{\ ~ Certificate/Inspection Fee ~ "t&t1CWO"'+-''<> \J\ 1/2(,101 - DATE New Business. . . . .... . . . . . . . . ....... . . . (~) Address of Proposed Business Transfer of Business location . . . . . . . . . . . .. . ( ) /Lf09 F/~-I ~ Change of Ownership ..................... ( ) Applicant ;'U~d> /~I,-b:. ]:11e.. New BuildIng ............................ ( ) Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) A,ess ,~54G /I. ~ ~ ~dI rr, /If c;fJ~6 Temporary Business. . . . . . . . . . . . . . . . . . .. .. ( ) / ~ Phone: buslness~ home '71/& If''117r Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) -=S;---d'1 {/"7'7 <"~ ~/ t mC;co~V\E ~ Brief description of proposed business: (~~~ ~ ~OU'~ ~ A-rV (~~ legal Description: lot Block Subdivision Current Use of Property: 6p rY ~, Zoning Classification of Property: c.?f Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes ./ PERMITS BUSINESS LICENSE 1/- Electrical changes ... . ---;;r- - 1) BUilding 1) TaxI Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers -- ----vr- - ..+: Plumbing changes ~- 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker a .. . - --vr ~ New septic tanks ... . - ---vr 5) Sewer 5) Dance New sewer service 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons -~ 7) Driveway Installation 7) Fireworks - ----;:;r- IT\ 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? .. . . . ---LL----;;r- 11) Fire \j) New driveway openings .... . ~- 12) Occupancy ~ A grading plan for site drainage ~- 13) Sign (parking lots, downspouts, etc ) ---T - 14) Shoreline ~ Are the eXisting streets paved? vr-- 15) Home occupation Are there eXisting sidewalks? -;r- 16) Conditional use Is there curb and gutter? -- 17) Other Other . . -- I hereby apply for a Certificate of Occupancy and acknowl- l/c2C./bl7 edge that I have read this application and state that the Date: Information I have supplied is correct to the best of my Signed: '-;1/}~ Oh~ "3 knowledge. ~I ~ -'- ~~Drt~REJECTED - Comments / Conditions ~ ,1 I l,BUilcfingSectiC5fl) ~ -'1 - '-=------~ - - - ~- -~" ~ 1(30{O7 Public Works Department 5R Planning Department 0 ~ KD- Fire Department 6l~ V tA. Co.\'\. t (-31-07 filLl:Z,'7-C>/ City Clerk n P.B.I.A. % Q) 0( o ~ ff'ORr~ ~~O~"" Uha- ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUlLDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001239 Date 12/15/05 668211 1409 E 1ST ST 06-30-00-1-0-1036-0000- DIANE MARKLEY MECHANICAL PERMIT COMMERCIAL ARTERIAL 9470 f1t-JAl~ '7?J b~/!O~ Owner Contractor MARKLEY, DIANE L TTE P. O. BOX 2835 PORT ANGELES WA 98362 ( 36) 457-5678 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 67322 36.40 12/15/05 6/13/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 67314 64.70 Plan Check Fee 12/15/05 Valuation 6/13/06 .00 o Qty Unit Charge Per Extension 50.00 14.70 -- -r ~ ,"""t. 0 ;~ J f\ ~ f -- ~ -1 V'. 1 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 101.10 101.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 101.10 101.10 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pre e to give authority to violate OJ cancel the provisions of any state or local law regulating construction or the performance of c ,str ctiO(' '. 1/ ,t~0" :; ignature of Contractor or AuthOrize Agent Signature of Owner (if owner is builder) Date T \PolIcles\!! 02 _!5 bUlldmg peront mspectlOn record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS y/'YJO & ___TW GAS LINE FINAL v!z,-I k DATE flu WOOD STOVE 1 PELLET 1 CHIMNEY ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A- PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 I, I I ........ PLANNING DEPT BUILDING 417-4815 fYj P1 / (JfJ::? VI1/' BUILDING T \Pohcles\ 11 02_15 bUIldmg permIt mspectlon record05. wpd [1/4/2005] PREPARED 6/21/06, 13'52:54 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER: INSPECTION TICKET INSPECTOR BOB KAJFASZ PAGE DATE 1 6/21/06 1409 E 1ST ST DIANE MARKLEY DAVE'S HEATING & COOLING MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00001239 MECHANICAL PERMIT PHONE PHONE (360) 452-0939 ( 36) 457-5678 SUBDIV: PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MECHANICAL DUCTS 12/23/2005 08:08 AM PBARTHOL --------------------------- BUILDING UNOCCUPIED CALL 1ST *****DIANE 457-5678 / 460-5639***** 12/23/2005 03:45 PM JLIERLY ---------------------------- no access left message/Jll MECHANICAL DUCTS 12/27/2005 08:15 AM PBARTHOL --------------------------- ****DIANE 460-5639***** ****CALL 1ST***** 12/27/2005 04:46 PM PBARTHOL --------------------------- bU11d1ng locked MECHANICAL HEAT PUMP TIME: 13:00 02/01/2006 02:40 PM DYASUMUR --------------------------- DIANE 460-5639 CALL BEFORE GOING TO PROJECT 02/02/2006 04'40 PM JLIERLY ---------------------------- MECHANICAL DUCTS TIME: 13'00 02/27/2006 10:03 AM DYASUMUR --------------------------- DIANE 460-5639 CALL 1/2 HOUR BEFORE GOING TO JOBSITE 02/28/2006 04:37 PM JLIERLY ---------------------------- th1s 1nspect1on 1S for frame and a1r seal. and the 1tems are not complete. th1s 1nspect1on should be on the remodel perm1t/Jll ~~~~-::---~~:---~~---::~~;::~::::~~DP:OT::~~:~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ ME5 12/23/05 12/23/05 JLL DA 01 ME5 12/27/05 12/27/05 JLL DA 02 ME3 2/02/06 2/02/06 JLL AP 01 ME5 2/28/06 2/28/06 JLL DA 03 lasered CEO PREPARED 2/02/06, 13 47:16 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 2/02/06 1409 E 1ST ST DIANE MARKLEY DAVE'S HEATING & COOLING MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00001239 MECHANICAL PERMIT PHONE (360) 452-0939 PHONE (36) 457-5678 SUBDIV: PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME5 01 12/23/05 JLL 12/23/05 DA ME5 02 12/27/05 JLL 12/27/05 DA ME3 01 2r2r6 lW ~ ~~~~ Lasered CED MECHANICAL DUCTS 12/23/2005 08.08 AM PBARTHOL --------------------------- BUILDING UNOCCUPIED CALL 1ST *****DIANE 457-5678 / 460-5639***** 12/23/2005 03 45 PM JLIERLY ---------------------------- no access left message/)ll MECHANICAL DUCTS 12/27/2005 08 15 AM PBARTHOL --------------------------- ****DIANE 460-5639***** ****CALL 1ST***** 12/27/2005 04 46 PM PBARTHOL --------------------------- bU1ld1ng locked MECHANICAL HEAT PUMP TIME: 13 00 02/01/2006 02 40 PM DYASUMUR --------------------------- DIANE 460-5639 CALL BEFORE GOING TO PROJECT -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/23/05, 12 39 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 12/23/05 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL APPL NUMBER, 1409 E 1ST ST DIANE MARKLEY DAVE'S HEATING & COOLING MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00001239 MECHANICAL PERMIT SUBDIV, PHONE PHONE (360) 452-0939 ( 36) 457-5678 Lasered CEO PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~~--~~--~~il,~~~---~!~~~i~~~:~~:~;~:~:~~;~;~;:~-~~~~~~~~~~~~~~~~~~~~~~~~~~~----- ~~ *****DIANE 457-5678 / 460-5639***** COMMENTS AND NOTES -------------------------------------- ~o ij CLt'lo 'J Dee 14 05 0357p DAVE'S HEATING & COOLING Lasered CEO BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 LQIV7Ac--r fJr:..oP6:-R.-rYOL.JN~R -To AC.C.~Ss FoR =cNsP6<:~oN Phone: "/0 ;:;-o"r3 ~ . <Jt.;H €(\/ /? t;~r.At:'STf! ~ Phone: "'I61-5~ f<g / 4~O-5b3Cj pOy'"~h~l-cs Zip: q~3f:::,d-. Applicant or Agent: .]) V't ve 16 H eo-- -h Y\ 'l' Owner. J) 100.. VI -e... M a.. r tz l ~ '1) Address: City: Phone: J)AV€5Hc.c:r""t(;;JC q=t,JKc.. ~ StateLicense#:J)AV~.sHc...; Exp: S C>7 . City: lor-+hcazJ.JUs e:;- C{ s-f- F/rs + Srr-e-e- -f ArchitectJEngmeer: Contractor])~ v-e. \05 l1-ea.:-h n~ Address: (.0. ,go k /-( /3 PROJECT ADDRESS: / ~ If) CJ LEGAL DESCRIPTION: Lot:' CLALLAM COUNTY PARCEL NUMBER: Phone: 7"S-dJ-O?37' Zip: '7~3.{,;;J.. ZONING: Block: 7 SubdiVIsion: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Expo Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 R~roof 0 Stove SF. @ $ ISF. = $ o Multi-familv 0 Addition 0 Move 0 Garage SF. @$ ISF. = $ IB'" Commercial 0 Remodel 0 Demohtion 0 Deck SF @ $ ISF = $ o Rep3..\1" 0 SIgn 0 Other TOTAL VALUATION $ crJ '71 O~ BRIEF DESCRIPTION OF THE PROJECT: JY\ s+",-l I. 0....4-. on 0+ -e.. (-e..c.....+r-, c.... -k.. Irfl\o....::....s:L 0...,", d.- ~ of LA. '^"- P ,-"..4 Ju.... c.;-r ~ r k --I1vuv-VV1 0 5 +~ t<J 1- r-e.. COMMERClALfRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stones: Lot Size: Existing Sq. Ft. & Proposed Sq.. Ft. = TOTAL Sq. Ft. Total lot coverage % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checkhst required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIus figure will be reviewed and may be revised by the Building DivislOD to comply WIth current fee schedules. Contact the Pennit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are subnutted. All other permit fees are due at the time of petmlt lssuance. EXPIRATION OF PLAN REVIEW: !fno peImlt IS issued \l\rithin 180 days of the date of application, the application will expire. The Building OffiCial can extend the time for action by the applicant up to 180 days upon wntten request by the apphcant (see Secnon RI05.3.2 of the International BuildlDglResldential Code, 2003). No applicanon can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it ,s my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work T\RVESS\BLDG-f_-bn>....~I2004-B.,ld""'mi'wpd Appl"""t ~ ~.t<, I :?!I 'f (,,:5 I [ave..l5 '-ea:h h ~ I f pORT ~ cY.J.O~~~ ha ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION . 321 EAST 5TH STREET, PORT ANGELES, WA 98362 /.~s c/j}'r; Applicatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Appllcation type descrlption Subdlvision Name Property Use Property Zoning . . . Applicatlon valuation 05-00000251 Date 633204 1409 E 1ST ST 06-30-00-1-0-1036-0000- COMM REMODEL 4/27/05 ~ ~ . ~ - COMMERCIAL ARTERIAL 5000 Owner Contractor MARKLEY, DIANE L TTE P. O. BOX 2835 PORT ANGELES (360) 457-5678 Structure Information Construction Type . . Occupancy Type OWNER WA 98362 000 000 INTERIOR REMODEL TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST Permit BUILDING PERMIT - COMMERCIAL Additional desc INTERIOR REMODEL Permit pin number 47035 Permit Fee 134.75 Plan Check Fee 87.59 Issue Date 4/27/05 Valuation 5000 Explration Date 10/24/05 Qty Unit Charge Per Extension BASE FEE 92.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 Other Fees STATE SURCHARGE 4.50 -. ...:t:. ~ -.Q Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 134.75 134.75 .00 .00 Plan Check Total 87.59 87.59 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 226.84 226.84 .00 .00 . \~. ~. :l'~\ "<II ~ \\'\ ~~ ~~ 7- -':'7\ ~ 'J o~e~ /0;> Separate Permits are reqUired forelectncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes null and void if work or construction authorized is not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. (!) tV FI t.E Signature of Contractor or Authorized Agent Signature of Owner (If owner is bUilder) Date Date T \Pohcles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005] " BUILDING PERMIT INSPECTION RECORD \h~ CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE 'P INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCi} TION. ~_ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE - \ INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: , FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL . WALLS 3hh& Jf,-v CEILING " I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING 'Jt1 II" 7/</ I MECHANICAL - 1~ fr' V'- fi A HEAT PUMP/FURNACE/DUCTS tn~- GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA- PARKING/LIGHTING ESA- LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 i '''is'- O~ IJfI) ELECTRICAL LIGHT DEPT CONSTRUCTiON R W / PW/ CONSTRUCTION - R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 (I I FIRE DEPT PLANNING DEPT 417-4750 , I PLANNING DEPT I BUILDING 417-4815 _'fry./, '/I J BUILDING lJ.d- T \Policles\1 102_15 bUlldmg penml mspectlOn record05 wpd [1/412005]{ 't W I f I ~i 3 tit ,~ MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00000251 COMM REMODEL PREPARED 1/26/07, 9:50 09 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 1409 E 1ST ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 1/26/07 SUBDIV PHONE PHONE (360) 457-5678 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING AIR SEAL 03/01/2006 08 38 AM JLIERLY ---------------------------- 03/01/2006 08 39 AM JLIERLY ---------------------------- complete frame requlrements from last lnspectlon and alr seal/] 11 BUILDING FRAMING 03/01/2006 08.38 AM JLIERLY ---------------------------- 03/01/2006 08:40 AM JLIERLY ---------------------------- alr seal was not lnltlated/]ll BUILDING FRAMING 03/01/2006 10 59 AM PBARTHOL --------------------------- DIANE 460-5639 03/03/2006 08 18 AM BUILDING INSULATION 03/06/2006 10 18 AM DIANE 460-5639 03/08/2006 08 07 AM JLIERLY ---------------------------- JLL BUILDING FINAL ~ 01/25/2007 09:35 AM PERMITS DIANE MARKLEY 460-5639 PLEASE CALL SO BUILDING CAN BE OPENED -------------------------- ----------- COMMENTS AND NOTES -------------------------------------- BAIR 01 2/28/06 3/01/06 JLL DA BL3 2/28/06 3/01/06 JLL DA 01 BL3 3/02/06 3/03/06 JLL AP 02 BLI 3/07/06 3/08/06 JLL AP 01 BL99 01 1/26/07 \,( Lasered CEO JLIERLY ---------------------------- TIME 13.00 DYASUMUR --------------------------- MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00000251 COMM REMODEL PREPARED 3/07/06, 12 50:48 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER 1409 E 1ST ST INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 3 3/07/06 SUBDIV PHONE PHONE (360) 457-5678 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING AIR SEAL 03/01/2006 08 38 AM JLIERLY ---------------------------- 03/01/2006 08 39 AM JLIERLY ---------------------------- complete frame requ1rements from last 1nspect1on and a1r seal/) 11 BUILDING FRAMING 03/01/2006 08 38 AM JLIERLY ---------------------------- 03/01/2006 08 40 AM JLIERLY ---------------------------- a1r seal was not 1n1t1ated/]ll BUILDING FRAMING 03/01/2006 10 59 AM PBARTHOL --------------------------- DIANE 460-5639 03/03/2006 08:18 AM BLI 01 ~07 406 ~JLL BUILDING INSULATION 03/06/2006 10:18 AM DIANE 460-5639 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BAIR 01 2/28/06 JLL 3/01/06 DA BL3 01 2/28/06 JLL 3/01/06 DA BL3 02 3/02/06 JLL 3/03/06 AP Lasered CEO JLIERLY ---------------------------- TIME 13: 00 DYASUMUR --------------------------- PREPARED 3/02/06, 11-42:44 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 2 3/02/06 ADDRESS CONTRACTOR OWNER PARCEL _ APPL NUMBER: 1409 E 1ST ST SUBDIV PHONE PHONE: (360) 457-5678 MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00000251 COMM REMODEL PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 2/28/06 3/01/06 JLL DA BUILDING AIR SEAL 03/01/2006 08 38 AM JLIERLY ---------------------------- 03/01/2006 08 39 AM JLIERLY ---------------------------- complete frame requ1rements from last 1nspect1on and a1r seallJ 11 BUILDING FRAMING 03/01/2006 08-38 AM JLIERLY ---------------------------- 03/01/2006 08 40 AM JLIERLY ---------------------------- a1r seal was not 1n1t1ated/Jll BUILDING FRAMING 03/01/2006 10 59 AM PBARTHOL --------------------------- DIANE 460-5639 Lasered CEO BL3 01 2/28/06 3/01/06 JLL DA BL3 02 4/02/06 9-\ 0 t..p \ ~ -------------------------------------- COMMENTS AND NOTES ~~\OY' Pr€ At\-- ~ \ PREPARED 3/01/06, 8 39:17 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 1 2/28/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1409 E 1ST ST SUBDIV: PHONE PHONE : (360) 457-5678 MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00000251 COMM REMODEL PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Lasered CEO BAIR 01 ~ JLL BUILDING AIR SEAL '*0 DI!. 03/01/2006 08 38 AM JLIERLY ---------------------------- BL3 01 f28706 JLL BUILDING FRAMING 1.. f"l olp bA 03/01/2006 08 38 AM JLIERLY ---------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~I~~~ WdA-~ , ~ ~~ . ~ -- ~ . ~_ I._ ,4 BUILDING DIVISION Lasered CEO CITY OF PORT ANGELES Job Located at fILE Correction Notice J '5 +-- * * } (,1 0 ? 12 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: \ \ I \, I * I2~F1G:l2- +~ 11 S t'-1vs""t-?-,e \ Y2.. Svf>fV\JP(L~ +- --J?JoCJc. 171+i\-Vl/s,8 'B,P4v'-] ~ -S-t-iL4\.f ?:9~ ~ vJ -4 U * ~l0M ~n,~:::::. (~\":hH_JtQ4 re~~ V }.lD+ e. -uuc:c.J-r;-o' \e :n::;-~ O~'- SO np ,,^ \.-. r, . -~ \,...... i::": ,",.; /J I be W ~ ,~, ~ PD-'\..- ('" e DC. * -0.J ~0( ~e ~ C )( J <; -1--,' v \)~ t "-4 t<L t I M Ii , - ~/\ ''-. j These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call --L/ ( '7 - LIft c;- for inspection. Date ~ -= J C( / Inspector for Building Division -,~ DO NOT REMOVE THIS TAG PREPARED 12/27/05, 14.34:08 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 4 12/27/05 ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL . APPL NUMBER 1409 E 1ST ST DIANE MARKLEY DAVE'S HEATING & COOLING MARKLEY, DIANE L TTE 06-30-00-1-0-1036-0000- 05-00001239 MECHANICAL PERMIT SUBDIV PHONE PHONE (360) 452-0939 ( 36) 457-5678 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS I_asered CEO ME5 01 12/23/05 12/23/05 JLL DA MECHANICAL DUCTS 12/23/2005 08 08 AM PBARTHOL --------------------------- BUILDING UNOCCUPIED CALL 1ST .....DIANE 457-5678 / 460-5639..... 12/23/2005 03~ JLIERLY ---------------------------- no access left message/]ll MECHANICAL DUCTS 12/27/2005 08 15 AM PBARTHOL --------------------------- ****DIANE 460-5639***** ****CALL lST***** ME5 02 12/27/05 JLL ~.) ,4- -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~~. hlO.-na mavlc.-~ 4~o - '5<03'1 Lasered CEO I 6'2 I 11-1 OLb BATl+\UldM .7' 1.( .sic:...~rS. , ~ . n. D~\ e. I ~~---5 4 , , I I I ~I I Ie ,_-' -y-----_ E '/-.. \ S -n N G- /' ~'- / ZCll:>~ ~~ Ll..... II. \ l~q t ~""'bl n., YLu-l<!-htLw" "'"-'- (;\l-~~e ~-.~~ 'r tLo..~ ~a , Tb~ \. t. PL~ ~a...l L.#- ~"'~""'4l:' f.e....s.~t-~ g:> ~r"v1. \3 Pi T\-\~Ot--'t FILE ~t}- W \ N Db W S ~ l....-z... '..J.. ~ ~ Gs:. 0(."- W l't-h 6V~V~CI t.: :::for: ~()~V h-3 i!>AS.(\Vit'l(j~, . 5'2 s+...~ ,-s -~~ +~~ l....~.;.~ ~ t=~y c..co~ LW\y "-0 ~~ ) \"t.. : lia.bl~ - - - - .- -- t; , I I I I 5" 1./ I oz.\ ~ \:)o-w- NE~ PLf'\N 2co3 - ", "'Q c. ""~ I. IN e.\1.J B~\-\,{bOM z. R...e.~\o..<lL' 5 e. ~~ \-~ ~ (y 3, Re.~la-t9- ~\;c\e..y docV'" '--~ . t. o"ii:'r"'-s1.~ ~oV' CITY OFPORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans. specifications and other data, or from prevenbng building oper.:tions being carried on thereunder when In violation of all codes and ordinances of this jurisdiction. (SECTION 303(c).. ifo Bui~ng Code.) ~ Approval Date D~ By , ~ , :)- ~ B~d:: 3" 2.A' Lasered BUILDING -PE'RMIT - APPUCA TION CED~-:~- Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Appltcant or Agent b-t (1\1\ ~ vY\ 6...1' 1<- ~ Owner: ~t o...~ YY\o-.,rk- ~ Address:'? O. ~O1-. :)835 Phone' Phone: 4 51-- 5~?-JJ 3r.o()-4to6~Sfo3Cj CcQ.(1 CIty: ~(\V--t ~F Lv1\ . ZIp: 19Sb 2- ArchItect/Engmeer: Contractor Phone: State LIcense #: Exp: Phone: Address: City: ZIp: PROJECT ADDRESS: , LfO 9 r::A s...t- rr v~ s:t', ?ov't ~~~S ZONING: A ~,J~ LEGAL DESCRIPTION: LotSM1 ~ 10 lt3Block: \ :5;;,.. SubdIvIs~n:~6-f: ~ JL.Jrf:J-i' Sub&.. CLALLAM COUNTY PARCEL NUMBER: D fa < :SCOO , (') \ I.. '3 I... Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o ResIdentIal 0 New Constr. 0 Re-roof o MultI-family 0 AddItlOn 0 Move o CommercIal ~emodel 0 Demohtion o RepaIr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: r\ \ '!\.G,. R€.pJ~c.-"L- 5 N .t.uj uJ\mA~ J NW ~ Pt't~ \ '~DA COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones: Lot SIZe: ExistIng Sq. Ft. Total lot coverage % City: Exp. Date: SIZEN ALUATION: SF. @ $ /SF = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 5666 ~ ) <\- fQ S +D y t (\.~ b If B.Mk~ L~...\ ~f\.1 CVq.:FI\L~ ~oE.. i.:~~kte) Slte~i rock. <. Occupant Load: ConstructIon Type: & Proposed Sq. Ft. = TOTAL Sq Ft APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checkhstreqmred? 0 Yes 0 No Oilier VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure WIll be revIewed and may be revIsed by the Bmldmg DIVISIon to comply WIth current fee schedules Contact the Permrt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due It must be subillltted at the tIme ilie bmldmg permrt apphcatlOn and constructlOn plans are subillltted. All other pemnt fees are due at the tune of permrt Issuance. EXPIRATION OF PLAN REVIEW: 1fno permrt IS Issued Wlthm 180 days of the date ofapphcatlOn, the application will expire. The Bmldmg Official can extend the tune for actIon by the apphcant up to 180 days upon wntten request by the apphcant (see SectlOll RIDS 3 2 of the 1ntematlOnal Bmldmg/ResIdentIal Code, 2003). No apphcatIoll can be extended more than once. I hereby certify that I have read and exammed this application and know the same to be true and correct. I am authonzed to apply for thiS permit and understand that It is my responsibility to determme what permits are required ,not the City'S, and that I must obtain such permits prior to work. TlRVESSIBLDG-fo=,-lrroclmrm\200,"Bmldmgpo=;' wpd APPh,,~l'UUti~Date. L) , 4,- () s.. .. ,... : ;;;; "'"" - .., '-J..... j ...... '\ s~Js , ~ 1.= L c <2-.- pt?~, 1- 2v ,L,t "-' 6- ~14--.',J p'~L ~ (c:;" W O""".~ ~ ~ '" ",J t.0.8~ '=7<1<::. f r r k I . ~T{~ <& <;;; W IiI-d- l.0L U ~ J\!EkJ .- "--~ ...;:,' I .. \ I ' - - ~ - \ " , a~ ',- ~..:..-- , .>-- -- .. , " --- ----- Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. . ELECTRICAL PERMIT DATE Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commerciai/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 10 030 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps \ DetailslDescription: 7Y~ I(~ a ry o ,;/ Id~~~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect service "'A Final O.K. ;tjA Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: /;/t};1 E / or- k>J Permit/Receipt N~ ~ I r New Meters Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready for nspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector' Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;) s--:' CJ CJ Amount paid YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. r / -;;-r, 0 FEE AECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT " A 9 2- z-. PERMIT NUMBEA . 10 00 (V\t \'~-C TOTAL FEE - 1..2 C , Co""",- . CONT. Lie. NO. TIME TO COMPLETE NO. STORJES LEGAL OCCUPANCY - ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /~ 0'9 E / ST' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WAONG A DREj,ES ARE CANCELLED Owner LV/'/liA^1.S0/t../ - . InstatlationBy < ~.......__..w~ F/~o(.T Owner's Address Installers Address :2.3 8' L--t.J l? ,1, Day Phone 4tS 250 0 V - Installers Phone .;;,r? -.>~ l?9- Application is hereby made for .~ermit to install Elect~ical_Equipment as follows: A~ "."", ~ ?:;:: ~ ~ ~/; Tc/:.c.<-.v //s ^ " . I <_ A . I " c -' IV 1,lN -2>1./~ Wiring Method ?: /J'f:. - NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER , 00R FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT ~t It SIGN , LIGHT I.... IJ ./ 50 VOLTS ^ ^ OR LESS , CONVENIENCE I ()V , . I IM-, ~ 1./ MOTOR CONVENIENCE '^ .<\) I~f -- MOTOR , APPLIANCE .. IIV I ( , MOTOR _ .. DISHYJASHEA \ \ \ () .....- IjlREALARMS DISPOSAL . \ Ur\'t >7 BURGLAR ALARM RANGE ND I' / V MISC. OVEN / WATER HEATER // V LAUNDRY .. DRYER REINSTAllATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - Oil FURNACE ENERGY FEE elECTRIC . BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . . A.C. UNIT .200 -" bO AMP //~ PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE .r60 .4<70 --'-~ A.w.G. , I SUB-TOTAL SIZE OF ENTRANCE SWITCH SIZE OF GROUND . I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. ,19 <;-L By ~OR~ORAUT~NT) Permission is hereby given to do t.tle.above_d~scribed work, a.ccording to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances 0 h~ ,City !Jf Port An eles. - CT FC 'I>~~ "?- Date Application made . Date Permit Issued /Z/lllfk ,. WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be cqvered or c.urrent 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. 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 MADE BY REMARKS - . : . . , , . ^ 7 K'II'AK\.. CLuJ h lq \at NUr O.K. FOR COVERING \. l\ 1'\ ~ II Jel O.K. TO CONNECT SERVICE ~ , , . z Cl a: 0:( :!!1 ~ J: I- Z W . l- e z e c . r //99 FEE RECEIl5r NUMBER CI.TY OF,PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND,ELECTRICAL pERMIT NUMBER . TOTAL FEE ;7&P TIME TO COMPLETE NO. STQRI ES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY O....A JSE ESTABLISHED UNDER THI~RMIT ~_ PIh Jv- s~/2.,?~ l;rJ'f ~ /;3- , , .. CORRECT AD~RES IS RESPONSIBILITY OF APPLlCAN~ PERMITS ~ITH WR012J;~El!:l GArCEs- / ~ } Owner InstallatIon By . . fA. owner'sAddress~~~ Installers Address ~~~' :P. Day Phone - (J('J 7 ' Installers Phone , . Application is hereby made for Permit to install Electrical Equipment as follows: _ I ~5 I L -,/ . ~/~) , . Wiring Method aJj)! I V-- . NUMBER AMP 240V NUMBER AMP 120V - 240V USE OF CIRCUIT . PER 12QV 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN I q} V ~ 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 # - FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC , BASIC FEE ELECTRIC HEAT /7/"<:.::'- 'TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. . I SUB-TOTAL' SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that'the work to be performed under this P7t wil', be done by the installer and ir~j;:t;;';e w'ith tpr~cal Code, Date Application made J '7 -' c:z ,1~ Ba A ~ /- -7 I . - V CO'Nl'RACTOR OR OWNER(OR AUTHORIZED AGENT) t' Permission is hereby given to do the above described work, according to the c9nditions.hereon and according to the'approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ZCITY.LIGHT By '~aJ' c4 PLANS APPROVED : . ;;;;j;;ed I WARNING .. . Notify Department of City light by Street Address and Permit Number when ready for inspection. Work -must not be covered or cur~ent 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR ~ DATE OF VISIT MADE BY REMARKS - .' . , '. '. , . , , \ ,. . . . '. . , , , . , , ,. . , " , . - \ . , . , . . - , , . ) , : - - ~.r\. rUM (,;UYCMI...".. / .1-/'1/17 Ji-l- Ftf'M[ O.K. I I I '. . z CJ a: <l: ::E ~ :I: I- Z w ;. I- o Z o C . S- .<~ -- ... -== W ~'t' '"4''' -.. ELECTRICAL WORK PERMIT APPLICATION J()b wired by ~ Electrical Contrad~r' 0 Owner ~~C$C5 CO"f;:io~nd,,;- eaJ t~ &Lec..~qg1';:;j PU5~<Th m'~~d~1\ ~/Ldl ~t"-X AC\q eL~s t'J A; T~lc'phonc numbel' FAX number "1 a -(,.:,.S3 '54.l't\'€- Pre~hes OWDer~s name L,{ ~\ "-l\'€- Y'V\J1.,l'.....~ Addre.'U of ilJspecthm ] 1 S'!d 1. a~ \r..tbq.. 6 . f.:r~..~. ,. - :lfi'e.'€.-!! City ~..-r A Y\l tl.e.s. Ul..i1 Pbou\ l'umber '9 schedule ~spe"io.: /9 ~ "'. ;;t-bi<53 ~ r J I (hvner (l.J d('jlned by RCw'19.28.261:(l) Owner will occ"py rhe srructure for lwo yerJI",'I" a/jcr thi.. electrical pe.rmit i.. finaliud. (2) Qwn(!t, is reqlJired. to hire all electrical contractor if above ...aid property is fnr sale, rent or lease. After rea.ding the abo\"e statement., I hereby certify tbat I am the owner of the above named property or 3. Hccnscd electrical contractor, I ~m making the electrical instal. lation or nlterd.tion in""complianee with the: electrical laws. N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296-46B. TIle Cit)' of PorI Angeles Municipal Code, and Utility Specificatiolls. Sfg1l3t "0 owner, de installation description " ~\commerdRl, Q Residential ClNew ~ Altered/Addition ~ tlfZ'3b3 . ~o f)6.?J'f o Cash o Check If 61\.. /yl.L o Credit Card Card # Visa Mastercard Discover ) x Expiration Date: of card $"'p?ti~ t~ ServiCE! Information VO~ag~d lb F'hasa 1 Cl 3 Service Ize: ~ Feeder Size: Electrical Load Addil n o NO LOAD CHANGES o Baseboard KW o Furnace KW a Heat Pump Ton o fan.Wall 'KW LAR bt Overhead Service O'T emp Service a Underground Service SAME DAY INSPECTION. CALL BEFORE 7;00 AM 360-417-4735 ROUGH-IN 11IERMOSTAT SERVICE 1/.#' '-~ I)~l': AltpN~coJ fly "I)"te Approved My .'I'1I1e .\pprovdBy ,,1..,rJ~AL~ DITCH ~EEDER o .'I.l'PNvedRy llllle A""rovw.8y Dll\~ Apf'<Ovcd By Inspection Area, BUilding Or Equipment Inspected Action Taken Elccmcal Date , lnspector I~Zv - (It, ;?'~/""'- ~L',~. . /N AC At? Ad) . ., ~..~ . . 4,-,/7 i h, /~ t:. /. / 1d WdSS:S0 900G 61 .ue[ >:S<'.9 GSI' 09>: 'ON Xtlj ~O~JtI~~NOJ ltlJI~~J3l3 'S.d.tI WO~j Application Number . . . . . 22-00001121 Date 9/08/22 Application pin number . . . 063718 Property Address . . . . . . 1409 E 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-1-0-1036-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WAEL ALAWAWDEH JOHNSON ELECTRIC COMPANY 1409 E FIRST 3129 S REGENT PORT ANGELES WA 983620333 PORT ANGELES WA 98362 (360) 460-5639 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 9/08/22 Valuation . . . . 0 Expiration Date . . 3/07/23 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 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Multi-Family Residential D Commercial I 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 llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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 (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 9/07/22,13:53:48 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001121 1409 E 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment