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HomeMy WebLinkAbout1830 E 1st St - Building Ju1, 10, 2013 3: 52PM NatlonaI Sign CorAaration No 4115 P, 1 RECEIVED ti c�4t pogr, ,�� C13 CITE'OF POINT ANGELES PERMIT APPLICATION JUL 10 2013 � �' rl" ]Building Division/Electrical Inspections ELECTRUL NE=Z,w 1 321]Enst Fifth Street--P,O, Box 11.501 Port Angeles Washington,98362 INSPECTION' Ph: (360)417.4735 Fax: (360)417-4711 Date: �/ ---,Multl-Family or Commercial' 'Plan Review May Be Requ edd,please Cplete Electrical Plan Review Informalioh Sheet JobAddrass: IF Building Square Foolage: oesopuonorabove LZ pl4go.AaL pjl( WP II 0-04 To 6KQKyC cirtf 1 - owner Information Contractor Inf rm tion Nama: lmtr a V A ND Name; lU A`G rfrf Mailing Address f Mailing A d s: 1 L City. L n, Wfi slate: In _zip: ^ Gily SW G Stale: W Z{ ; 7 Phone; u ax: Phone: ? 4; ax: p; 21P�- 0 ql Lkense I<l I:%p, Dense 41 Exp. 0 Item Un1t Chara® (Qt( Total(Qty Multiplied by Unit Charge) 8ervicelFeeder 200 Amp. $132.00 $ ServicelFeeder 201-400 Amp. $160.00 $ Servio0eeder 40"00 Amp $225.00 $ _ ServicelFeeder 601-1000 Amp. $288.00 $ Servicell'oder over 1000 Amp. $.410.00 $ _ Branch Circu%W/Service Feeder $ 5.00 $ Branch Cirmil W10 Service Feeder $ 74.00 $ Each Addigonal Branch Circuit $ 5.00 $ Branch Circuils 14 $ 86.00 $ Temp.&Moe/Feeder 200 Amp, $102.00 $ Temp.ServiealFeeder M400 Amp. $121.00 $ Temp,SelvicelFeeder 401600 Amp. $164.00 $ Temp,ServicelFoeder 601-1000 Amp. $165.00 $ Portal to Portal Hourly $ 86.00 SignlOuiline Lighting $ 88.00 Signal ClrcuiV Limited Energy-MuIG•Family $ 64.00 $ Signal Clrcuill Wiled Energy 1 First 1500 sf-Ccmmerdal $ 96.00 Note: $5,00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Lis $113,00 $- Thermostat $ 56.00 $____ Note;$5.00 for each Wdilional T-Sal $ Owner as defined by RCW.19.26.261:(1)Owner will occupy the structure for two years after this electrical permit Finalized,�(2)�Oo wnor Is required to hire an eleotrical contractor If above said property is for sale,rent or lease. Permit explres after six months of Iasi inspection. After reading the above statement.I hereby certify that I am the owner of the above named property or a licensed elecWcal contractor.I am making the eleclAcal insfallalion o alteration in compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-450,The City of Port Angeles Municipal Cal nd Ulilily Sp eificalions and PAMC 14,05.050 regarding EleoVical Permit Applicalions. Signature of own r, I'cal contractor of electrical administrator: ❑ Cash ❑ Check ACiedli Card d r �f3 X PPled: �JJ r/ 01fa11t0i2 r.. ELECTRICAL PERMIT l CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000756 Date 7/10/13 Application pin number . . . 559568 Property Address . . . .. . . 1630 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER;06-30-11-1-1-900-0000- 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 2 new sign circuits Owner Contractor --------------------- -- - ------------------------ SEAWEND LMT'D NATIONAL SIGN CORPORATION DBA WENDY'S #8 1255 WESTLAKE AVE N 1328 DUBLIN ROAD STE $#300 SEATTLE WA 98109 COLUMBUS OH 43215 (206) 282-0700 Permit , . , . ELECTRICAL ALTER COMMERCIAL V y Additional desc ADDITIONAL SIGN v�J Permit Fee 93.00 Plan Check Fee ,00 Issue Date 7/10/13 Valuation 0 Expiration Date 1/06/14 Qty Unit Charge Per Extensicn BASE 5.00 - 1.00 88.0000 ECH EL-COMM-MM-SIGN 88.00 Fee summary Charged Paid Credited Due Permit Fee Total 93.00 93.00 '00 .00 Plan Check Total. .00 .00 ,00 00 "a Grand Total 93.00 93,00 '00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN .� FINAL -71 -AR- COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTI-18 FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCHANGRBUILDING I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc BACKFLOW DEVICES FOR TWO SODA MACHINES Qty Unit Charge Per 2 00 7 0000 EA Fee summary Charged T:Forms/Building Division/Building Permit 10 00000580 485200 1830 E 1ST ST 06 30 11 1 1 9010 0000 SEAWEND LMT D PLUMBING REPAIR COMMERCIAL ARTERIAL 1600 Owner Contractor SEAWEND LMT D AFFORDABLE PLUMBNG SVCS /RMDLNG DBA WENDY S #8 940 HOMESTEAD DR 1328 DUBLIN ROAD STE #300 BURLINGTON WA 98233 COLUMBUS OH 43215 (206) 718 2760 Permit PLUMBING PERMIT Additional desc 2 SODA MACHINE BCKFLW DVCS Permit pin number 167197 Permit Fee 64 00 Plan Check Fee 00 Issue Date 6/08/10 Valuation 0 Expiration Date 12/05/10 BASE FEE PL- BACKFLOW PROTECTION <OR =2 Paid Credited Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Grand Total 64 00 64 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same •e ru .nd correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. Th granting of permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the per •rmance of c• struction. Date 6/08/10 Due Extension 50 00 14 00 6 -(Mg c P9C/4M/ k Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Date Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building Accepted By Comments 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Backflow Prevention Inspections 417 -4886 BacKfiow vro +�ov� deNtes For -fwo soda e►aOnlnes R FINAL Date 6—Z$- fo Accepted by Beci(4 (FINAL Date SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By ,4 GITY :OFPORTsANGELES DEP. ARTIvIEN; T` OPICOMMUNISTY- ?ECONOMIC :BU'ILDFNG DIVI'S'ION 32'1 :EAST'5TH.STREET 'PORT ANGELES; WA!98362. Appl'icat ion Number Application pin :number. ;Property 'Ad'dres ;ASSESSOR ",PARCEL NUMBER `,Tenant :nbr, :name Application ',type •:descripti'on Subdivision `Name, Property :Property 'Zoning' Appllcation'avaluation ;F. ;Applicat ion .des "BACKELOW., :DEV„LCES` F9R eTWD :.SODA,`MACHINES. ?Owner, ,'SEAWEND: ?LMT 'MBA ;.WENDY''S #.8 7 l'328:D :ROAD.kSTE t #'3:00 S OH W 43 ?2(15'✓ F,ee,summary. Cliarsed' Permit `Fee} ,Total 264."00 :Plan :Check- "',Total, 0,0. :Grand -Total 64. .0:0; /dU /fly Date, Pint tNarrie T:Fo ms% Building .Division /Building' Permit oti 10.:00000580 485200' 41'83'0 rE <'1ST ST 06` 30 :1'1 :1 .1 .901`0 .0000 `SEAWEND:LMT D ?PLUMBING :REPAIR it COMMERCIAL ..ARTERIAL 100 .,Contrac•or ;AFF.ORDABLE :PLUMBNG SV,CS %RMDLNG' '94: HOMESTEAD ...DR' eBURLINGTON:` WA' ,=9'8233, 718 '27:60, f ;Perrtit_ =PLUMBING' :P•ERMI:T' x, :Add tional`..desc. ;2';SODA,'MACHINE' BCKFLW :DVCS' '_Permst ,pih number' 4'6374:97 ;P.erm.t.Fee. a ;64- ;0:0, Plan ;Check- "iF,ee 'Issue :Date ti bp .Exp'iranon ;Date 12;/0,540 Qty .Unit: ;Charge' 'Per ,BASE -FEE' r 2.':00 7 .0,00.0 'EA' PL- BAGKFLOW 'PROTECTION ;<OR= 2,4• Paid A ,Creds;ted :64 0.0 0.0 64 :0'0 00' :0'0• a :Due :Eict ens i on .5 :0, „0;0 s 14 .00 00 'do' µn ;'00 '0. a k Separate_Permits are,required,for :el eetrical`.work„ SEPA,'Shbreline; ;ESA, utilities,, pi ivate andlublic irnprovemehts:'This.permit ecomes nullcand avoid if wor`k construction. commenced within, 180. days, if construction #or workais suspended,, or' abandoned: for a',period of 180 days; „after the :work has; commenced;-or if required'ins`pections have not been requested' within.: 180, days from�the°last 'I'hereby.certify that:I,have: read and applica and,know the:same't e tru nd correct. ,All provisions :of:laws'• an '.this type of•wo be complied with wheth specified. herein or not,`Th granting of per``mit does.not presume to give:auth viol ate' or cancel the state of local lav ✓.;regulating: constructioii,or tl e p nriance of c struction, Signature of•t2 ntractor Authorized. A gent .tf=Signatu'r"e• of Owner,(if. owner.is.buil der) u; fir' ,1,, o r, ,r� NAME OF PREMISES. SERVICE ADDRESS LOCATION OF DEVICE. VA/ ir e'/? ASSEMBLY Manufacturer IS THIS AN APPROVED ASSEMBLY? YES ll NO IS ASSEMBLY INSTALLED CORRECTLY YES/EFINO DATE OF INSTALLATION Al qtr a PI! UNKNOWN REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY Initial Test Repairs Details Final Test COMMENTS Initial Test Repairs Final Test CHECK VALVE #1 Leaked Held at r ,a 9Dsi Cleaned Replaced Held at 1 1psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION Backflow Assembly Test Report City of Port Angeles Pblie,.Works and Utilities Department Water/Wastewater Collection Division 3 G E f Av'E•cz7 it fi A' 7'i-X? St vVi C r. 0/®` I Model CHECK VALVE #2 Leaked Closed Tight I Held at psi Cleaned Cleaned Replaced Replaced YES NO Closed Tight Brr''' Held at psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY IA/ /A /I,L'W JW4 /2IS1 Size Serial No RELIEF VALVE Did Not Open Opened at C/m +/psi 3 psi Butler YES NO Opened at d D psi /1/ t C 7 t ,G f 7"e S i 4e,a PAW RP DC PVB SVB AIR INLET Did Not Open Opened at psi Leaked Cleaned Line Pressure (0 Le psi PINK TESTER COPY Replaced Official Use Only Assem.# Received RPDA DCDA Air Gap AVB PVB /SVB CHECK VALVE Held at REPAIRS psi AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD S4 ,/,1 /S_ fe Held Backpressure YES,Qr' NO #2 Shutoff Held YES.9,NO Relief Valve Exercised YES ICJ/ NO I Date.Time Tester Signature Cert. Test Kit Passed f Of Ck c,= r 1 M /rove f C-'-Id k t 0e ivecii Failed NAME OF PREMISES. gi ors o 1 o CA j it fait/ ij WA ,+f 6' r-,/& r-,/& ra e-Arsr 1 SERVICE ADDRESS I l� 3 a S r LOCATION OF DEVICE. f Sao /9 fl/ s /can' s c a A i ,v t g F.4 7 a ASSEMBLY VIA T 1 s (f UG 1, 33/f Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES CH CO IS ASSEMBLY INSTALLED CORRECTLY' YES 01-NO DATE OF INSTALLATION .4 UNKNOWN❑ Initial Test Repairs Details DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked 0 Held at T psi Cleaned Replaced Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division REDUCED PRESSURE PRINCIPLE ASSEMBLY CHECK VALVE #2 Leaked Closed Tight Held at psi Cleaned Cleaned Replaced Replaced Final Closed Tight GL— AIR INLET Opened at psi Test Held at 9: psi Held at psi Opened at (r ps i BACK PRESSURE NO YES CHECK VALVE Held at psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO TYPE OF HAZARD -S S, A f>>f/ l Line Pressure GJ psi COMMENTS y' 1+ A f i e f C L P 7 c--.5 p d ,4 j 2 Held Backpressure YES D NO #2 Shutoff Held YES p NO Relief Valve Exercised YES Gar NO I Date:Time �r�t Tester Signature Cert. Test Kit Passed Failed Initial Test 6 lea t re ff 5, /J o ci 9 CJ Q"' Repairs Final r �J f Test +O J l e x de. 1. CR i FT r/ 1 nip we j/ LJ WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY RELIEF VALVE Did Not Open Opened at?. T psi 3 psi Buffer YES NO Official Use Only Assem.# Received RP 0 RPDA DC DCDA PVB Air Gap SVB AVB Replaced PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned OVIner Clanton Applicant 4-c irJ gr t et) a� f 5 7 EV'V irrr./ Phone <rb -1 -23760 �L Property Owner e wend L Phone 'L` Property Owner's Address a Z,.1 E,,— 2 5 r 7Y- Contractor 41,143 NI ,F il1A 44 k S rflrrr Phone A ?Je 2 6 Contractor's Address 4, q,, nylntA5'1te,44/ jYre A c/4 9S License ,i r 6 1 i'' 1 d Expires E -mail 1S' a /if II 5 -f. fir 4 Lot PROJECT ADDRESS Project Type Brief Des Check all that apply New Construction Addition Remodel 4 ,e Repair Demolition Re -roof Heat System Floc Parcel Number www.Affordnbl'PlumbingNW.com Shed Other Date L 14 Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. I am that it is my responsibility to determine what permits are required, and to obtain pe T:Forms /Building Division /Bldg Permit.doc Coy vri9 WQ }e- Se4Wend La PBA W01 BUILDING PERMIT APPLICA CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 cr1otion. Residential n `A't1 Print Name d6-.= ✓o Ch Multi- family Commercial Industrial House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other ELlt. TOTAL VALUATION /(n (jam' oorized to s prior to worki Signature 7 i328 tublih,K, 54e4 300) Cplurn o4- 4 3 TION Print in ink 245 For City Use Only Date Received (D to Permit jA Date Approved Wend S Zoning per sq. ft. of bedrooms of full baths of half baths patios, ply for this permit and understand on projects. Clallam County Assessor Treasurer Property Details 65303 SEAWEND LMT'D for Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 65303 SEAWEND LMT'D for Year 2010 2011 Property Account Property ID Geographic ID Type. Tax Area: Open Space Historic Property' Multi Family Redevelopment: Township Range Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Property Tax Information as of 06/08/2010 Amount Due if Paid on. M., Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 2009 2009 2009 2009 2009 Statement ID 47542 47542 47542 47542 47542 47542 47542 47542 47542 47542 653032008 653032008 653032008 653032008 653032008 653032008 65303 Legal Description. MAC MILLAN SP LOT 1 V 8 P 55 69A SURVEY V52 P23 0630111190100000 Real 0010 N N N Agent Code. PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property 1830 E FIRST ST PORT ANGELES WA Cycle 5 Comm 20953140 SEAWEND LMT'D DBA WENDY'S #8 1328 DUBLIN ROAD STE #300 COLUMBUS OH 43215 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY_STORMWATER CITY STORMWATER WEED_CONTROL WEED CONTROL 2010 47542 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY Section. Mapsco Map ID Owner ID Ownership Exemptions: First Half Base Due $1067.24 $567 96 $79 82 $1315 00 $1382.37 $165 04 $232.99 DIST $74 14 $227 30 $0 82 $5112.68 $1245 51 $630 33 $89.29 $1382.60 $1540 27 $183 15 58 N N 51392\`i 100 0000000000% Second Half Base Due Penalty Interest Base $1067.25 $0 00 $0 00 $10€ $567 95 $0 00 $0 00 $5€ $79 83 $0 00 $0 00 $7 $1314 99 $0 00 $0 00 $131 $1382.38 $0 00 $0 00 $13E $165 03 $0 00 $0 00 $1€ $232.99 $0 00 $0 00 $2; $74 13 $0 00 $0 00 $7 $227 30 $0 00 $0 00 $22 $0 81 $0 00 $0 00 $5112.66 $0.00 $0.00 $511 $1245 51 $0 00 $0 00 $245 $630 34 $0 00 $0 00 $12€ $89.28 $0 00 $0 00 $17 $1382.58 $0 00 $0 00 $27€ $1540.28 $0 00 $0 00 $30E $183 16 $0 00 $0 00 $3€ http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =65303 6/8/2010 PREPARED 9/17/08, 12:21:24 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/17/08 ADDRESS 1830 E 1ST ST SUBDIV: TENANT, NBR: WENDY'S RESTAURANT CONTRACTOR COMMERCIAL STRUCTURES INC PHONE (206) 246 -3939 OWNER SEAWEND LMT'D PHONE (614) 737 -7810 PARCEL 06-30-11-1-1- 9010 -0000- APPL NUMBER: 08- 00001123 COMM REPAIR PERMIT: BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 9/17/08 BLDG FINAL TIME: 01:00 September 15, 2008 8:51:53 AM 1pangrle. LANCE 206 246 -3139 BLDG FINAL AFTERNOON COMMENTS AND NOTES fflORT~ CJ~O~~~ ~ 1!:c-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 9/10/08 08-00001123 Date 450482 1830 E 1ST ST 06-30-11.1-1-9010-0000- WENDY'S RESTAURANT COMM REPAIR COMMERCIAL ARTERIAL 7000 Application desc REPAIR CAR DAMAGE TO THE MASONRY VESTIBULE WALL Owner SEAWEND LMT' D DBA WENDY'S #8 1328 DUBLIN ROAD STE #300 COLUMBUS OH 43215 (614) 737-7810 Structure Information 000 000 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Contractor COMMERCIAL STRUCTURES INC 13822 1ST AVE SOUTH SEATTLE WA 98168 (206) 246-3939 REPAIR VESTIBULE MASONRY WALL BUILDING PERMIT - COMMERCIAL REPAIR VESTIBULE WALL 133900 165.75 Plan Check Fee 9/10/08 Valuation 3/09/09 Qty Unit Charge Per 107.74 7000 BASE FEE 5.00 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 70.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total 107.74 107.74 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 277.99 277.99 .00 .00 ~ ? ~~ ~~ "- ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. q- I d- '"'08- 1..D ~1 c.e. (;.. N e \ S6 y'\ Date Print Name '{-/;)..... DS" Lo,ncl1: 0, 1"~I~oV\ T:Forms/Building DivisionlBuilding Permit (OS/13/08).wpd ~ ~ 'Il~ Signature of Contractor or Authorized Agent Pr'~'1 e.c..r 6.'0r-d ,'",a.l-Dr Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD o 00 I o \N CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE, I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGfLlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417.4750 PLANNING DEPT. BUILDING 417-4815 BUILDING Iq -17,(),f{ "TLl- - oQ W () f\\ ~ + T.I:nrlllC'II~llilffino T)ivio;;inn/Hllilrlilll' Permit r05113/08twod D ~ i -- ") " 09/04/2008 15:00 2062462094 . WU0~i~ ~,;<eSs.~r \~30 ~ \:lit St , c5 ~OJ \ s *eP~ tI BUILDING PERMIT APPLICATION Printinink ~ CITY OF PORT .ANGE.l.:ES ...~ For City Us Attn: Buncrmg Permit TechnlCl3fl '1 '6""-\ ~ Date Received 321 E, Fifth St., Port Angeles, WA 98362 (0' 1 ~ Pennit". l?" & (360) 417-4815 fax (360) 417-4711 ryO \ Date Approve ~Co~ O\,()\'\~.:?AwQ\ L.(1)t't) cP' \ Applicant or Agent Lq V\ c:.e., G, N d:.Dn Q, S, ::C Pho \ .;Ji)~ - ~'i~ ~<<t3Cf' Property Owner c.eJo.r I~ 1f.~"fri5e$: ]'t'lc. Pho ~ I~ -7~7- 7~/OI:9tf-f,t,'!.> Property Owner's Address I ~ Q~ ,:).~ h I ~ R.J - c.. DIIJ.IN'I b"~ j 011 I D ContractorlEngineer c.OW\""'C::~'-I~ I ShlA.c+t.l("c.":> :r....c.. Pho_"e Contra~lEngineer's Address ~:L;z. - . A. tl Co So Ll TIt (3 IA I'" I~ y) 'License# (omfl1frf IR'l-mK Expi~ CSI PAGE 01/02 PROJECT ADDRESS Is 1"" - Parcel Number *' . Prolect Twae & Brief DescrlDtJon: Chec:k all ItIat appl1 o New Construction c Addition tJ Remodel )( Repair Cl Re-roof o Demolition o Heat System Other o Residential 1< CommercIal a Multi-family o Industrial , 1--0 ..,..I\t Vesl;,...le Floor A~ Exlstina (sa, ft.J PTODOsed (SQ. ft.l Basement @$ per sq. ft. = $ 181 Floor 2nd Floor 3"' Floor Garage Carport Covered Porch Deck Shed ~ Other 00: ....~.,~ A-er~ Arrrll')C ~6>~,F, ~~ ~O 0,"0 TOTAL VALUA nON $ Total footprint of structures sq. ft + Let size sq. ft, = lot coverage % Max. height of proposed stnJctures \Mil a lawn sprinkler system be installed? Will s fire Sprinkler system be installed? ft. 'Occupancy group Occupant load COOstruc.1ion type # of bedrooms # of full baths # of half baths I have read and compfeted this Bpplicatlon and know it to be true and correct. I am authorized to apply for this permit and understsnd that it Is my responsibility to det9rmine what permits are required, and to obtain permits prior to worf</ng on fJrojects. Date 9 - y - C::> 9 Print Name L" r'\ Co ~ e:,.., 1\11:: ( ~ D r, Signature ~.()...,,~.. '~f 71 elbJ..<J ..\.... T:Fonnsl6ufldfng DMslon/81r;lg Penm,l Appl,-2006 Cods.doc I (9/5/2008), Lin~a"pang~le - FW: Page 1 I From: To: Date: Subject: Attachments: "Jeannie A Miller" <jam@CSIBUILDERS.COM> <Ipangrle@cityofpa.us> 9/5/200812:05 PM FW: SDOC1102.pdf Linda, Mr. Lance Nelson is sending the Building permit application, with some drawing and pictures, If you have any question please give him a call at 206-246-3939 Thank you Jeannie A Miller Contractor Administrator Commercial Structures, Inc Ilj- .'!~"'. . , . \I.' ",i')\\'*; '. .<...:;....~ .;...",,:!~.jihi;:.,{~..: - /"--'<s.~ ..,'\ f)f;'. " 'r.') x,. I r. . . v;N "11 liT; JI. J;' !. /" '\J ! V 't\ I tI _f" i.. -:.:':'2~---:-~ ~,.,::':;..::~'~;.;~':"'::; . 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IV/ """"'''' ' 1 ~ ~~~......... ~ .........,~,.. ~ ; ....- .~ ~ I~ ;;: :..~~ '~ \\ ..... \J ~::C' \:x1 ~ ~ ............, -- I ,,/ <-- 0' _.1 \- \, .~ :> \ ~ \ , , \ ....w \ \ .......':'..........1 ! \ \.j,j I;. , 'j .~'~ ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 EAST 5TH STREET. PORT ANGELES. WA 9HJ62 ELECTRICAL PERMIT Issued: 10/31/97 Permit No: 6107 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ WENDYS 1830 1ST ST E 1830 E. 1ST STREET Lot: 1,2 Port Angeles, WA 98362 Block: 3 Long Legal: 360/452-8808 Sub: GREEN'S BELLVIEW ADD T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- COCHRAN ELECTRIC INC. P.O. BOX 33524 SEATTLE, WA 98133 206/367-1900 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ALTER CIRCUITS Occ Grp: Occ Load: Land Use: CA Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: o -1 X-3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- ALTER\UPGRADE SITE LIGHTING CIRCUITS PROJECT FEES ASSESSMENT--------------------------------------------------------- . Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /3h4 /~3V i ~ '2A!) /<67 . ELECTRICAL PERMIT DATE Site Address: 14,~0 ~ o READY FOR INSPECTION icense Number: ~IP<1 , ,,1" 171 J .'j ~ o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load ~Add/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (list below) Total Motor load !iSl..Special equipment (attach breakdown) . (list belOW),' . _I') DetailslDescription: i ~"S~.....; SlbJ tZP.P1 ~/M-e-~VS i-----1C..d"i \i?-UC-C' 1)iH--1f\--&4' _ e-;- (2~ RrnR.:.j PL ~ h ~IS'r7JC-- ('.-/( ~ ~ =;-u <;;''l6't...1 <:::' ~ New Construction o Remodel o Service update/alter/repair o Overhead ~ Underground Voltage I '2..,..-<:) ~10 030 Service size o Temporary Amps .. W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough.in/cover O.K. o p.K. to connect service dFinal O.K. 1~ 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: /'& 0 (f?~ h0 e- ) of IUcY'- Permit/Receipt No. /30 -I 'i :3 0 Site Address: . Notily the Department 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in ,iting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /0 ~ In peel or Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OL,YMPIC PRINTERS, INC. CIIII) FEE RECEIPT NUMBER 'CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ~~<j PERMIT NUMBER . TOTAL FEE .2~__Ol) - . ~ CO NT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY - ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /(/3 -s ~iHr ST .AI' CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG p:;r..s ,ARE ~C...E.LLED Owner U/P'htft 1"5 , Re-s'1j:A-uA-7t;/ In~llation By , S. _~ Gf:1 . Owner's'Address / / t:J 7 .$ c G;>(- otJ A/"'1 R~rfs'i,;]r.rs Address I ~ I 'TtJ S'T;,<r f7 ~f" #<1. Day Phone ? ' InstallBrs Phone .:l't:.f"'-t? ZS/Z- Ap'plicBti9n is hereby made for Permit to install Electric~1 Equipment as follows: 4/~ q hp,(/ C 1)..,:1 4t rr- by 4-tdc/T"J./1 ~. ~ ~ p.J~ n:- 7T~ LOA-d' (!Ch19''-J'T?'70/'1 ;iF z. ,41::--1'.1 $' ~.I/ &0,. .'p Wiring Method . AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PER 120V 1 (2"OR FEE USE OF CIRCUIT PER 1@OR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE . MOTOR CONVENIENCe MOTOA APPLIANCE MOTOR DISHWASHEF:! F:IRE 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 .. ....:2. & , 00 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 - , rmad under this permit will be done by the installer and in conformance with the N.E.C S- ,19 By Date Application made co ACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.; .. ~~ . DIRECT OF CITY LIGHT j' '. , . Date Permit Issued 0/~~ WARNING I " Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. 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. @3&7 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 00 () !-!;-/ PERMIT NUMBER . p-tM1 EL1..,fIS\'ff/1 <. '--'''1-\ I (70 ~ -- ~ - \ \ , .\ ::.& JJ 0 "j' \ , < ~ 10 TOTAL F.EE : \ \.' , - 'CONT.lI~;'NO, .~IME,TO COMPlET~ NO."S:rORIES LEGAL OCCUPANCY .- - , . " ELECTRICAl.PERMIT ONl.;Y NO,OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site:ddress 'j;"S-r-'Of-'-u:atF C;'i/r.:.:'5<: -/?.P .,,', CORRECT ADDRESS IS,RESPONSIBILlTY OF'APPLlCANT Owner (i J e f..! Pi 1 - Owner's Address /:. h-r 01-(;'" l fC' ('''''III s ~ ~ [) . Day Phone Installers Phone Application is hereby made for Permit tp install ElectricBI Equipment as follows: I,{/S r;J Le t/,JL-K II'{ Coo!e" Aj{.f} 1'X/!TIILe Ne,J L,e-J..Tf' ARe,+ " PERMITS WITH WAONG ADDRESSES ARE CANCELLED InstBllBtion By (r 0 N\ GLee r InstBllersAddress'fo 13'f (3"6 [Y/'{/I.ttlo oj) Fc-ctlC' ~ I Jo{ NrP uJ Wiring ~ethod Fc/\ DJ#NI/,fc.. C'ONPl&lrr .'.... " . ~ .--" <:- NUMBER AMP 120V 240V NUMBER AMP 120V 24QV USE OF CIRCUIT CIRCUITS PER '0 ,00R FEE USE OF CIRCUIT CIRCUITS PER '0 100R FEE CIR 30 CIR 30 LIGHT ( ,",0 I h. 0tJ SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE . MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL . BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY - - DRYER - REINSTALLATION LIGHT FIXTURE # FURNACE SU~ TOTAL FEE . GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT .. :Z;/',OO TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER - A.C. UNIT AMP PHASE FEEDER r ",,0 t/ 1f),O(l SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL U,Of) SIZE OF GROUND SIZE OF EN:t:AANCE SWITCH I.certify that the work to be performed under this permit will be done by the installer and in c I6rm~~vr. N.E''1::.e~tricBlcod~: Date Application made /~ I r 199r.s- BO ~ ~11,;'i-r\ W ./ . ' . ("'.9 TR~TO:i~NER (OR AdTHORIZED'AGENT) .. Permission is hereb iven to do the above described work, accordin to the conditio'hs hereon and a cardin to the a roved. lans and y g, 9 9 pp P specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. I~ I c(r DS- By /lf~;(:;~ Date Permit Issued PLANS APPROVED ' Notify Department of City Light byStreet Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ . WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. r! Od,pa FEE RECEI.F:,T NUMBER I '~ I ~~J\lif CITY OF PORT ANGELES l' J~'i>) ~ DEPARTMENT OF LIGHT . ~,APPLlCATION AND ELECTRICAL.PERMIT (98~ A PERMIT NUMBER . TOTAl FEE 0<: ~.(P ? -:; l €;.;\) TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY 1if;J':, d--.-.;_ ELECTRICAL PER~lT ONLY NO ~CCUPANCY OR U;E ESTABLISHED UNDER THIS PERMIT Site Address ~ K,,~c2.-fl-'~ Owner W fAJ o-c, :~RRE?T ADD.RES~ I RESPONSIBILITY ~F APPLICANT 1~:t~)I~:t:I~HB:~ONG A~~&:}JRE ;Jf.~~1 ~ I 6 I . Owner's Address . ,Installers Address 225 ( f-te.t f!..D ", , ',' " ," A.'C-~ -:>- zLf Oay'Phone, - ,,'. - '. ~. Installers,Pho'ne' ~" (.} z- s. z.- ~ . . Applic'ation ih hereby,madefor Permittoinst~II.Electrlca,-~quipment as fol!ows:' ,(~',O rJ,,!fA'~'I' <;3, I 6J "rO C:A e.tAI,r <-JPPI.-1E_P 1~':l :b~t2 S , , I . , Wiring Method ('~1Il il iJ I q-- .. NUMBER AMP 12DV- 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS -PER-' 10 100A FEE USE OF CIRCUIT CIRCUITS PER 10 100A FEE CIR 30 CIR , 30 ( "7,~ ~ ' ' LIGHT SIGN i2-b 1:-- LIGHT 50 VOLTS OR LESS CONVENIENCE. MOTOR .. CONVENIENCE- -- MOTOR . APPLIANCE -t- MOTOR DISH~ASHER , -- ' ,FIRE ALARMS H DISPOSAL , BURGLAR ALARM -- RANGE MISC. .. OVEN WATER HEATER LAUNDRY DRYER H REINSTALLATION LIGHT FIXTURE # FURNACE .. SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC - BASIC FEE ELECTRIC HEAT , . 'Z.(tP ~ , TOTAL FEE ELECTRIC HEAT . SIZE OF. SERVICE SWITCH OR CIRCUIT eREAKER A.C. UNIT "7..1;> AMP S 1 rJ'&-",,€, PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTA'L SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the_work t~ be performed under this permit Will, be done by the in,staller and in con~rmafef'Yh_ th~_N.E.C. Electricai C~de. Date Application made {50-<" I {p ,19 <61.f- Byfl {J~~ 1~<;A.d/ . ... . - CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) . Permission is hereby given to do the above described work, according to the conditions hereon and accordIng to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinanc~s of the City of Port Angeles. , DIRECTOR OF CITY LIGHT ~CANS~~&o/ .~# ~~~j . Date Permit Issued WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been giveh 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. r G g 'p-D FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 000080 PERMIT NUMBER .'. TOTAL.f..EE . \ :p,;!..!3, '. PMf(['t({5"{& / f1.. LEGAL OCCUPANCY CONT. LIC. NO. TIME TO COMPLETE NO'-STQRIES ";_ }.lE~T~lf~L, PER~: O~L y /~O 9CCUPANCY OA ~US: ESTAB~lSH~O U~DER THIS PERMIT , , <J--'f:' c-" %.,;1" ", Site Address c...; ~ _ . '" L--'" __ ':,. ,~ _' ~/J 'CpRR.ECT AD?RE S.IS E PONSIBI Y OF APP.CAliI . PERMITS WITH WRONG AO R Owner l(J //{ { ~- . 717' , rf}-- Installation By ., Owner's Address ...: I q'l ~-C/&,w.-'- ,;.(11( Installers A'ddress .J, Day Phone I Installers Phone Application is h~iBbY mad~tor per';'i\ to instail ElectricBI EqUi~ment BS follow,;': Y..~. Ex TEtVLJ .i1/J1J rp~'E S'1'2..t30":' HtlAC' VA/iT. EX.15(/,v,/ , , Wiring Method (~I'l,o r .' NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT I.. ;).0 2- SIGN T ;)t!) I LIGHT 50 VOLTS OR lESS CONVENIENCE MqTOA CONVENIENCE - MOTOR - ",'l.., .. , .. APPLIANCE MO"fOR . DISHWASHER . FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE '. . , . . MISC. . .' , OVEN \ , WATER HEATER LAUNDRY , DRYER ......., . AEINSTALLATI9~ 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 I Co 0 3<1 AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH 1 certify that the work to be performed under this permit will be done by the installer and in confo manca with the N.E.C. Electrical Code. Date Application made I~-.. /0- . R ( AUTHORIZED AGENT) Permission is he.reby g!ven to do the above described work, according to the conditions hereon and accor ing to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY, LIGHT . DBte Permit Issued WARNING Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. 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. CITY OF PORT ANGELES LIGHT DEPARTMENT .' , ELECTRICAL PERMIT N? 17335 r -,;}. ~ y-o Port Angeles, Washlngton__mm.?m......_....:..mmmm...m......mm..., 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- ::::s: ~..!:9!~~:~~U.::IO:~cupancy..._~~~.~m...............__..__... Owner ~" . .-'-.L?:!:k;/;,~.......__.mm._m.__.m.____ TenyL.SZ..--.m.m---.....--...-.......m.mm--m.m-----m.... Wiring ~~~~~~~~r ,~~-'J',~L~.......f];&__ By~L...n.m.mm.mm..m.m....m__.m____.... .__n~___'. ... n.nnn _ ~ ;;1o/J d' y Service, volts ....................................... )' No. wIre. ~.?!..-!...;[c:.~lt..9{ SIze wlre.:.~O".d../Yc:.LL I7!J (J A- Main fuse ...................................._... Enclosure .C.:-..T_~~._m__..___....._ .~ " LIght Outlet..................................._..... Receptacle Outlets.......m..___............_... Dryer, KW..........__.___u...._nu......._...____ Range, KW..n....._nu........... Water Heater: KW....__............................. Type of wiring: Entrance Cable ...__..m_____..___......... Heat: KW................~......._....................... , .i Motors: size, volts and phase: Rigid Conduit ........___.......m.....__... MetalUc Tubing ....................m.... Current transformers: No. & Size....................................... Ser. No.....--.--.....-.-.____.....__................ Ser. No............................................... SeT. No. _.........................................._. 'f-yr of WIring: 1;7 ~red Cable ............................. Non.Metallic _n.._......................._h_ Knob & Tube__............._................_ RIgid COOldult .........................._. MetalUc TubIng h_............._m____... Raceway ____._____............._.....___._ ClrcultB, Light....................................... Utillty ........................................... Heat __._________..................__......._...... Range ..........._...._______._.................... Water Heater _.........__................._. Motor _._...__._....._..._._................___.. Dryer _____________..................___._....__._..__ Furnace .............____......_.._m._.....m...... / d 5"(::;.. ' Total Load............................. Ser. No. ..........._....._.......___..._._.__....... Total.............................::...... Remarks: m__n.-j;::.~..__if:.':':!?.____ri!..yqz.it,r.::::.__.____....mm....m__m__m__...m.m.mm..mm.........__ .~ ::~2i.~i.::.::::..:::..:..:.:mm..--::~.~.~:...~.~.~.~~~.~___.:..~_m--.m..mm~~..~:J{Zl;2~~L~::::::.::: NOTIC~Current must not be turned on until Certificate at Inspection has been issued. If work Is to be COD- cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17335 Address.........___n_______...__...__..............__......................................__........._______.........________................Date..._....______.__.._._........_._...__......_....._... Owner ..................................._......_.._......_......_.._.......___............_.................................... Tenant.._n_.............................................................. WirIngContractor..______..______.._.___.....__....._....___.....______..._......................_...........__.._._.........._...._._..By._............................................................ NOTICFr-Current must not be turned on until Certificate ot Inspection has been Issued. If work Is to be con. cealed due noUce must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc. ')" iJ.'J./ . ~'itI~ ~ j7;:~ !~y ~~<<~. ~" ~~ ~ ~~ If#,4.I-- .,.-I(~ IK~ fY A"'4I- II f/!;tIw 3'~ ,~~ I~k'___ ~/(JY,;fV ,.) I/'- 7;f'~ -.-.., J /,J/Itr ELECTRICAL PERMIT CITY OF PORT ANGELES 360417-4735 Application Number . . 17-00001697 Date 11/22/17 Application pin number . . . 250361 Property Address . . . . . . 1830 E IST ST ASSESSOR PARCEL NUMBER: 06 -30 -11 -1 -1 -9010 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Coke machine/ Ice with condensor on roof ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SEAWEND LMT,D MASTERCRAFT ELECTRIC INC DBA WENDY'S #8 206 FRONTAGE RD N, SUITE A2 1328 DUBLIN ROAD STE #300 PACIFIC WA 98047 COLUMBUS OH 43215 (253) 737-4367 ---------------------------------------------------- ----------------------- Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 11/22/17 valuation . . . . 0 Expiration Date . . 5/21/18 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN ho FINAL COMMENTS: PERMff WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION S' ttu f EI tri al Contras X igna e © aWner or ec a for RESULTS: 'a REPORT STATE S on your excise to to the City of Port. (Location Code INSPECTOR: Date: i -4� 5 TAX CITY OF PORT ANCF,LFS PFRMIT APPLICATION fir Building Division/Electrical Inspections 321 Fast Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 ` Ph: (360) 417-4735 Fax: (360) 417-4711 Date: 41 jj 11-7 _ Multi -Family or Commercial* * Plan Review N Job Address: Building Square Fool Desa4)tion of above Owner Inf maty n , - Contractor Irtf rmadion n G Name; � Nartne: f��. " e c Mailing s: s } MitiN 66 Ft2N - CtiY State.. Lp: VX3 b City State: Zip: Phone&0: �'A r^R Fax: Plane' 7 Fax: License # 1 Exp. License # l Exp. 5 Item Urth Charae gty Total (Mv Multiolied by Unit Chareel Service/Feeder 200 Amp. $132.00 $ Se vice/Feeder 201.400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $ 225.00 $ Service/Feeder 601-1000 Amp. $ 288.00 $ ServicelFeeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 86.00 $--R-� dIl— Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. ServicelFeeder 201400 Amp. $121.00 $ Temp. Service/Feeder 401-6W Arra. $164.00 $ Temp. SwAce/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy - Mufti -Family $ 64.00 $ Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KYA System or Less $113.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat $ 01D 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. Signature of owner, electrical contractor or electrical administrator: O cash V check )K CrMU cam f C C+ KtO-n VAS y Scanned by CamScanner