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200 W 1st St - Building
RECEIVED CITY OF PORT ANCELES PERMIT APPLICATION '� .rrr... Buildling llivision/Electricaal Inspections °�'�y � 321 East Filth Street—P.O.Box 1150/Port Angeles Washington,98362 ELECTRICAL, Ph: (360)417-4735 Fax: (360)41.7.4711 INSPECTIOW V Bate: I Multi-Family or Commercial* Pian Review May Be Required Plea e o I to E1ec 'cal Flan view fofmatio Sheat Job Address; ��a'3 � p -- Building Square Footage: _ Description of above__ � p �_-..�� +�� ._�rZ.f[f.� ..._._!___...__.., trr�— A ownContractar In or matlap Name:�. � �11 Name; Halling dregs: 1�-�>�R Mailing dre s; City; City; State: Zi Ph" p: Ph �`.Q _Fax:._� Phone:���tiFax; License#/Exp �.—_-- License#11 xp,. 31"t KEEL I Item Unit Charoa fit rr Total t Multi Ip led by Unit Chargo ServlcelFeeder 200 Amp. $132.00 120 40%o f ServicelFeeder 201-400 Amp. $160,00 $ ServlcelFeeder 401-600 Amp $225,00 ,. $ Service/Feeder 601.1000 Amp, $286.00 $ Service/Feeder over 1000 Amp. $410,00 $ Branch Circuit W!Service Feeder w 6.00 $ Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 5.D0 µ $ Branch Circuits 1.4 $ 86.00 — $— Temp.Service/Feeder 240 Amp. $102.00 Temp.Service/Feeder 201-A00 Amp. $121.00 $� Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.ServlcelFeeder 601-1000 Amp, $185.00 $ Portal to Portal Hourly $ 96,00 $ SignlOutline Lighting $ 88.00 $ Signal Circuit!Limited Energy-Multi-Famlly $ 64.00 _ $_ Signal Circuit!Limited Energy/First 1500 sf-Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.40 $„ Thermostat $ 56.00 Note:$5,00 for each additional T-Stat $ .001T0taI 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 mire 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,!am making N electrical Installations or alteration in compliance with the electrical laws,N.E,C RCW,Chapter 18.26,WAC.Chapter 296-468,The City of Pori Angeles Municipal Cade,and Utility Specifications and PAMiC 14.05-050 regarding Electrical Permit Applications, Signa a of owner,electrical contra" or electrical administrator: © cash © cheek Credit Card# ted: f0110112012 _ _w ELECTRICAL PERMIT CITY OF PORT ANGELES V 360-417-4735 Application Number 13-00000453 Date 5/01/13 Application pin number 632985 Property Address . . 200 W IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06-30-.00-0-0-3300-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning , . . . , . . CENTRAL BUSINESS DISTRICT Application valuation , , . . 0 Application desc sub panel and 5 circuits Owner Contractor JOHN J & ROBIN K MILETICH SIMPSON ELECTRIC 312 RED DEER DR 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7176 ------------- (360 457_9270 Permit , . , , . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 157.00 Plan Check Fee .00 Issue pate 5/01/13 Valuation . . . , 0 Expiration Date 10/28/13 Qty Unit Charge Per Extension 5.00 5.0000 ECN EL-BRANCH CIRCUIT W/FEEDER 25.00 1100 132.0000 ECB BS,-COM 0-200 SRV FEEDER 132.00 Fee summary Charged Paid Credited Due Permit Fee Total 157.00 157,00 ,00 ,00 Plan Check Total .00 .00 ,00 .00 Grand Total 157.00 157,00 00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGRIBUILDING - Electical Permit 200 W 1St 13 -48 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00000048 Date 1/11/13 Application pin number . . . 106592 Property Address . . . . . . 200 W 1sT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . Property Use to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Extending exterior lts. Outlet kitchen ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH SIMPSON ELECTRIC 312 RED DEER DR 243036 W HWY 101 ^ ` PORT ANGELES WA 98362 PORT ANGELES WA 98363 'v ---- (360) 452-7175------------------------ (360) 457-9270 ---------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 1/11/13 valuation . . . . 0 Expiration Date 7/10/13 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 3 �► FINAL ! COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: WEXCHANGEWILDING d CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 Cast Fifth Street—P.O. Box 1150/Port Angeles les Washington, gc gton,98362 Ph: (360)417-4735 Fax: (360)417-4711 EiE�i iyJCP� Date; —/0'/ k Multi-Family or Cortt�mercial* INSPECTIONS *Plan Review May Be Required, Please �m I to Elec al Plan Review formation Sheet Job Address;2 Q 6ullding Square Footage: - Descrlption of above Owner Info at' n Contrac Information NamM,-A-_y/y`C�A Name: Mailing Mailing Addrgs : p d CityState: Zip:! City: Phone;'-W—7i.7.SrFax: Phone: -q License#/Exp, License!f I Exp, C I em Unit Charge (tel TQtaI(tate Multia died by Unit Charge) Servlce/Feeder 200 Amp. $132.00 $ Service/Feeder 201.400 Amp, $160.00 $ .- Service/Feeder 401-600 Amp $27,5.00 $ Service/Feeder 601-1000 Amp, $288.00 Service/Feeder over 1000 Amp. $410.00 $ ` Branch Circuit W/Service Feeder $ 5.00 $ - Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Clrcult $ 5.00 Branch Circuits 1-4 $ 86.00 ✓ Temp.Service/Feeder 200 Amp, $102.00 $ Temp.Service/Feeder 201.400 Amp, $121.00 $ Temp,Servlce/Feeder401-600 Amp. $164.00 Temp,Servlce/Feeder 601-1000 Amp. $185.00 Portal to Portal Hourly $ 96,00 $ Sign/outline Lighting $ 88.00 Signal Circull/Limited Energy-Multi-Family $ 64.00 $T Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-51NA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat s��'metal Owner as defined by RCW,19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is tlnalized.(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 Conti actor.l am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW,Chapter 19.28,WAC.Chapter 296-46 3,The City of Port Angeles Municipal Code,and Utility Specifications and PAMIC 14,05.050 regarding Electrical Permit Applications. Signat f owner,electrical co ctor or electrical administrator: D Cash ❑ Check Credit Card 1 ` Dated:_� _ a /3 0110112012 Electrical Permit 200 W Is' St 12- 1442 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 �L tiPpiication Number . . . . . 12-00001442 Date 11/05/12 Application pin number . . . 140230 Property Address . . . . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 2 circuits for cooler ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH SIMPSON ELECTRIC 312 RED DEER DR 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7175 (360) 457-9270 (� ------------- ---- --- ------------------------------------ ) v Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 11/05/12 valuation . . . . 0 Expiration Date 5/04/13 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN V151 FINAL (2— COMMENTS:COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: _ G:\EXCHANGE\BUILDING %.r-e FORT ANGELES PERMITApmxCATJON CITY Or Building JDMsionnEleddcal In-SpectiOns 37.1.Fast Vifth Street-P-0-1801 I1150 1 Fort Angeles Washiugl*ln,99362 ph: (360)417-4735]Fax:(360)417-471,1 ELECTRICAL INSPECTIONS Date Multi-Family or Commercial* Commercial Addition/Aftration I Remodel 1 Repair' Plan Review May 13e Required,Pl aseCc mpNe E e I chi I Plan Revlew�lrhffnatlion Sheet Job Address: bu�W" .. - Building Square Footage. �45 Description of above r Contracto iformift, n Owner Infortnaflon r- Lo- C-A-it C- .0 Name.!=Tm 12 Name: 0 h K a- z .1 j7 c7i MaMing AM Magg-A+,X zip'. ct, MON: S Ar Cli)r. Slater :Wr Phon8;.N;t51E--1j ax: Phone,m4�1�75 i lJcense# LiCaMeM i9m Unit Chama Total M MtjKIj!fied by Unit Charge) Sefy1ce/Feeder 200 Amp. $132.00 servicoFeeder 201-400 Amp. $160.00 Servfce/Feeder 401-600 Amp $225.00 SWcelFeeder 6014 000 Amp, $288.00 Serviceffieeder over 1000 Amp. $410.00 Branch Circuits 14 $ 86.00 Branch Circuit W/Service Feeder $ 6.00 Branch Circull W/o Service Feeder $ 74.00 Each Addilkinal Branch Circuit $ 5.00 Temp.Serviml Feeder 200 Amp. $102.00 Temp.ServicelFeeder 201400 Amp. $121.00 Temp.Servlcefeecler401-600 Amp. $164.00 Temp.Servlce/Feeder 601-1000 Amp $185.00 Portal to Portal Hourly $ 95.00 SIgn9M0ne Lighting $ 88.00 Signal Circulil Urrilted Energy-MuIll-Family $ 64-00 Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96,00 Note: $5.00 for each additional IBM sf Renewable Electrical Energy-5KVA System or Less $113.00 Themmstat $ 56.00 $-5 6 Total Owner as defined by RGW-1 9.28-261:(1)Owner Will occupy the structure for two years after this electrical perrnit Is finalized. 1,2)Owner is required to hire an electrical contractor 9 above said property is for sale,rent or lease.Permit expires after six months of last inspectioi i. After reading The above statement I hereby certify that I am the owner of The above named.pmperly or a licensed electrical cx atractor.I am malting the electrical installation or alteration in compliance with the elecbical laws,N.E.C.,RCW,Chapter 19.28,WAC.chapter 296.1'168,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. --1 Sign—'re�-k owner,electrical c rorelectrical admInish r 0 cah 13 check CmdItCardf! Dated: Fire Permit 200 W Ist St 12 - 150 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 Application Number . . . . . 12-00000150 Date 2/22/12 Application pin number . . . 515100 Property Address . . . . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on our state excise tax form Application type description FIRE ALARM SYSTEM Y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc INITIATING DEVICES ./ POWER SUPPLY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH HI TECH SECURITY INC 312 RED DEER DR 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-7175 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . . . . . FIRE ALARM SYSTEM Additional desc . . INITIATING DEVICES Permit Fee . . . . 40.00 Plan Check Fee .00 Issue Date . . . . 2/22/12 Valuation . . . . 0 Expiration Date 8/20/12 Qty Unit Charge Per Extension 4.00 10.0000 ECH FIRE ALARM EA ZONE 40.00 ---------------------------------------------------------------------------- Special Notes and Comments This project will require a seperate permit and fire alarm plans for review. A full acceptance test will be required for the fire alarm system. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00' Grand Total 40.00 40.00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced,or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with hether sp cified herein or not. The granting of this permit does not presume to give authority to violate or cancel the r visions o any state or local law regulating the work specified in the permit. Signature o R ontractor or Authorized Agent Date Signature of Owner(if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 Passed Comments FIRE SPRINKLER E Underground piping hydrostatically tested 1� 1 Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank(container) inspection Test#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final GENERAL COMMENTS: c� 2/15/00 �� poRrqFIRE-RELATED PERMIT APPLICATION CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received 'i 321 E. Fifth St., Port Angeles,WA 98362 Permit# (360)4174815 fax(360)4174711 Applicant F%r e a rd S cc U r Phone 3 6 0 '4 S 2 - Property Owner 7o e, c� co h �-� %r Phone 3Epo S o E? 16go Property Owner's Address Contractor "T'esSN Firms a^ e_c.u_r% Phone 360 4f5;L a'1 a7 Contractor's Address '7a3 E 'F ro n S_ o r License# 1A IT E 5 9 55 S Expires I o 1 13 11 E-mail kIV Re^ -cc rVi PROJECT ADDRESS _a00 1NI � St5 r �cS Uckt Project Business Name Fire Alarm Svstem ❑Residential ❑ Multi-family )(Commercial ❑ Industrial Check all that apply Bri ly desFFvibe he pro) t: 1 ❑One addressable loop f�� "t �� EV1Ce5 �o e*fla T V1 ❑O,ne zone G SSo� t�� rm ane dditional zones MA rN C e.S List quantity of additional zones_ Seen PROJECT VALUATION labor&materials $ Fire Sprinkler Svstem ❑ Residential ❑ Multi-family ❑Commercial ❑ Industrial Check all that apply Installing backflow protection device(s)? Briefly describe the project: ❑yes ❑ no <2 inch water line(list quantity of devices) >2 inch water line(list quantity of devices) PROJECT VALUATION 0abor&materials $ Hood/Duct Fire Suppression Svstem ❑ Residential ❑ Mufti-family _. ❑Commercial ❑ Industrial Check all that apply Briefly describe the project: Will only the fire suppression system be installed or altered? ❑yes ❑no Will a hood and/or ductwork be installed or altered? ❑yes* ❑no *If yes,a mechanical permit will also be needed. PROJECT VALUATION labor&materials i have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,and to obtain permits prior t working n p Date_" 4 12- Print Name Gew.P-tr rA �pL%T V-AA, Signatur OVLA T:Forms/Building Division/Fire-related permit application PREPARED 4/04/13, 14:21:55 INSPECTION HISTORY REPORT PAGE 1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF PORT ANGELES -- ----- ------------------------------- ----- APPLICATION PROPERTY ADDRESS ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE/STATUS INSPECTOR ------------------------------------------------------------------------------------------------------------------------------------ 12 00000150 200 W 1ST ST 06-30-00-0-0-3300-0000- 063000003300 000 000 FALM 00 FIRE ALARM SYSTEM FFNL 0001 FIRE FINAL 4/03/13 APPROVED KDD REQ COMM: April 3, 2013 4:01:34 PM kdubuc. REQ COMM: fire final RES COMM: April 3, 2013 4:01:57 PM kdubuc. RES COMM: fire final t � CERTIFI , E;'-,0`F.,,.ftCU PAN CY City of Port Angeles B,tj ;I j g Dwision This certificate is issiced�,'fi�scant to the requirement s'`of Section 111 of th"e 2009 International Building ,s� Code certifying that atttheltime hof issuance this structure was in compliance with the various ordinances of the City regulating�building construction or zcse for the following Business name: i CountryAire, Inc , ' 3�� "� � Business address 200 U1/ 1 Street Y Property owner.• flJohn& Robyn Mihetich Property owner's address 312 Red Deer Dr ue Port Angeles,.WA 98362 Automatic fire sprin kler system: Non`=Spnrikl`er Use & occupancy classification: Business Buildingpermit number 11-672 Occupant load: M k P0,2009 IBC"Table 1004¢1 1{ Z �r " Type of construction. ' B/BHT _ r` IU 5/2/12 "SueRoberds, Ianntng Manager Date t = Post on the premises in a conspicuous place ITh ertficate shall not be removed except by the Building Official. a o�?ORT. ;ioF CERTIFICATE OF OCCUPANCYAPPLICATION .1lo Permit# glIV T FEES rni CITY OF PORT ANGELES ;aJo''�°nJ Attn: Permit Technician $50 Certificate / Inspection 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) N�ap�WesF (360 417-4815 fax (360)417-4711 fee charged for Downtown locations J- P Rom AS S <a41111PA clue +o mov4i.5 wl•N,tyi PBMA AV eta SIS �a�Kr►®w)h PLEASE PRINT IN INK phi„���+�ta R�y r,IeA Pm P�`� p/� A� Check one: New business in P.A.?❑ ChangeEl of ownership only? Moving location from within P.A.? J� Zoning Cl/l BUSINESS NAME d I4n7ril Business address M�aililiina address St Phone number ISD S — Opening date_/Z//j Days & hours of operation �9 S Business owner's name c -t- o e ,c. Contact phone(3�D 1!e S 7 j. tX L Business owner's address 3l Brief description of business 25edL ^ Property owner's name J k r .c. Contact phone( #S2—,9.3V3' ' Property owner's address/contact e /e BUILDING DEPARTMENT phone 417-4815 [;Wapproval by eT on "TYPE DTI �4T b(,cv any ,M Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Q� Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering s ' ays, raps, bathrooms, electrical heating/co lin /ventilation systems, etc). ta Work planned: Va m — r, ; c Ia s. r,/ » FIRE DEPARTMENT phone 417-4653 Fire approval by1!5=_on g 15 11 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? �0 D ti u -S64 PBIA notified on �' l Is business moving within the PBIA? Yes o ❑ CITY CLERK phone 4174634 City Clerk approval by on —T 1*4 11 Second-hand dealer/pawnbroker business?Yes ❑ No ❑ 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 eo� � COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and T customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PINE approval by on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, excavation, grading or filling,work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 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: . r � Call for Certificate of OccupancV inspections BEFORE open 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 2 Signature ` X X T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 +'`„1 isw , y NOS..t d d "t� "r+. fM �5 rs't ,�` .. r. w e"`;, y;h• ad:.����""fix �4r'" ;'. 15Z":Sot pxc�e 'Yya. , d^,}a°ya` dNu "�• S `P,`k �` 15 x y`d k«x'1Yxx S 'd "k k n _YAW J o - ✓ .+y , a �f5 d gin CA q �� AU y lii �. 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TYPE OF LOAN A- SETTLEMENT STATEMENT (HUD-1) 1. ❑ FHA 2. ❑ FHMA 3. [X_1 COWUNINS. & 4. VA 5. JCONV.INS. (i*L*Y* M*PIC PENINSULA 6.FILE NUMBER: 7.LOAN NUMBER -Title Company- 96821-JM ME MURMCE,ESGRQW3 S.NIORTGAGE INS.CASE NO.: C.NOTE This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown. Items marked"(p.o.c.)"were Paid OLItSidv the closing;they are shown here fur informational pUrpOSCS and are 1101 included in the totals. D. NAME&ADDRESS John J.Miletich and Robyn K.Miletich OF BORROWER: 312 Red Deer Drive,Port Angeles,WA 98362 E. NAME, &ADDRESS K.O. Erick-son Charity Trust Fund of Port Angeles OF SELLER: 3005 W. 18th,Port Angeles,WA 98363 F. NAME&ADDRESS K.O.Erickson Charity Tnist Fund of Port Angeles OF LENDER: 3005 W. 18th,Port Angeles,WA 98363 G. PROPERTY LOCATION: 200 West I st Street,Port Angeles,WA 98362 11. SETTLEMENT AGENT: Olympic Peninsula Title Company PLACE OF SETTLEMENT: 319 S.Peabody,Suite A,Port Angeles,WA 98362(360)457-4451 1. SETILEMENTDATE: 7/01/2011 J. Summary of Borrower's Transaction K Summary of Seller's Transaction 100. Gross Amount Due From Borrower 400. Gross Amount Due To Seller: 101. Contract sales price 650.000.00 401. Contract sales price 650,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower:(line 1400) 1,410.68 403. 104. 404. 105. 405. Ad*ustiments For Items Paid By Seller In Advance: Adiustments For Items Paid By Seller In Advance: 106.City/town taxes to 406.City/iovm taxes to 107.County taxes to 407.COL111tV taxes to 108.Assessments to 408.Assessments to 109. 409. 110. 410. 411. 112, 412. 113. 413. 114. 414, 115. 415. 116. 416. 120. Gross Amount Due From Borrower: 651,410.68 420. Gross Amount Due To Seller; 650,000.00 200. Amounts Paid By Or In Behalf Of Borrower: 500.Reductions In Amount Due To Seller: 201. Deposit or earnest money 10,000.00 501. Excess deposit(sea instructions) 202. Principal amount of new loan(s) 550,000.00 502. Settlement charges to seller(line 1400) 47.305.82 203. Existing loan(s)taken subject to 503. Existing loan(s)taken subject to 20+ Additional Deposits To Escrow 91181.61 504. Payoff I st Mtg.Ln. 205. 505. Payoff 2nd Mig.Ln. 206. 506. Payoff City Electricity 75.00 207• 507. Seller Carryback 550.000.00 208. 508. 209. 509. Adjustments For Items Unpaid By Seller; Adjustments For Items Unpaid By Seller; 210.City/town taxes to 510.City/town taxes to 211,County taxes toto 511.Cotilitv taxes 212. Assessments to 512.Assessments to 213. 513. 214. 514. 215. 515. 216. 516. 217. 517. 218. 518. 219. 519. 220. Total Paid By/For Total 520, Toa652,181.61 Reductions Borrower: 597.380.82 In Amount Due Seller: 300. Cash At Settlement From/To Borrower: 600. Cash At Settlement From/To Seller: - 301. Gross amount due from borrower(line 120) 651 410.68 601. Gross amount due to seller(line 420) 650,000.00 302. Less amount paid by,for borrower(line 220) 652,181.61 602. Less reductions in amount due seller 597.380.82 303. Cash(LIFROM) LkITO) Borrower: 770.931 603. Cash ixlro) LIFROM) Seller: 52:619.18 Previous Edition Is Obsolete Forni No. 1581 SB-4-3539-000.1 3/86 HUD-1(346) Page I of 3 RESPA,11B 4305.2 CERTIFICATE OF OCCUPANCY APPLICATION -\-v Permit# 1 [— (n-72 C�~ `•s tee, ;. � CITY OF PORT ANGELES FEES t,._ unr_ � $50 Certificate /Inspection o Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) N j�1a`�'` �eqf (360 417-4815 fax.(360) 41.7-4711 fee charged for Downtown locations � p -` res J-S UIV� ALP *0 �'✓�19b'tYl�! l.i f4,tv� {�S=f� h <0 PLEASE PRINTIA1INK ph��,��8��;{ 9r,y , 1P_w �/� A� Check one: New business in P.A.?[] Changfr e of ownership.only? ❑ Moving location om within P.A.? ' Zoning GiD BUSINESS NAME G-l�L9��Y►q— �✓ ., �j�G Business addressMailing address Sf Phone number lrG' q3-,2- 2119's- Opening date� Days & hours of operation Business owner's name c M1 c�i —Contact phone( )1i S Z Business owner's address 3i Brief description of business Property owner's name J h 1 ,' .'c. Contact phone4ahi-A) 3V 3, Property owner's address/contact e'el beer D Al r�tr/e - BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No N/ Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering sta Ways, ra� ?ps, bathrooms, electrical; heating/co lin /ventilation systems, etc). Work planned: ,✓� r, ac c,/S — a FIRE DEPARTMENT phone 417-4653 Fire approval by %U-rj_on m-lS Zo%I Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 4174623 Square footage of business? ; D 1) 'l ih esir)YS PBIA notified on Is business moving within the PBIA? Yes o ❑ CITY CLERK phone 417-4634 City-Clerk approval'by on Second-hand dealer/pawnbroker business? Yes ❑ No ❑ Will there be dancing at this business? Yes ❑ No ❑ A City of Polt Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 CERTIFICATE OF OCCUPANCY APPLICATION �,, Permit# 1 �— �� CITY OF PORT ANGELES 00OS FEES d $50 Certificate / Inspection Attn: Permit Technician 321 E: Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) Wei" .(360 417-4815 fax.(360) 41.7-4.711 fyee charged for Downtown locations P�� � , rt�5 s-S '� W4'IVeol �lu� `t-e, �navi'n� wit4rtn �'a-1`l +Is �r�Ki�cin PLEASE PRINT ININKy ph�n ,�s� � .ri A� Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location fi•om within P.A.? ZOning BUSINESS NAME_ ;fl 64yl-A-i4-A i`z r�- Business address_ D 0 Mailing address Phone number?. Ir " — j� Opening date .. Days & hours of operation AL S Business owner's name o c! „/ e Contact phone(314) Business owner's address i c Brief description of business Property owner's name --30Iin Contact phoneUhb) 9'3V,5r Property owner's address/contact : e r"e, BUILDING DEPARTMENT phone 417-4815Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people?. Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering sta)'Tways, rapps, bathrooms, electrical, heating/co lin /ventilation systems, etc), Work_ planned: .i 0,77 ^, 4: S /-. a FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? '�7 01) _l IA,, 7PBIA notified on Is business moving within the PBIA? Yes o ❑ CITY CLERK phone 417-4634 City Clerk approval.by on Second-hand dealer/pawnbroker business? Yes ❑ No ❑ Will there be dancing at this business? Yes ❑ No ❑ A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Nand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 o,yaer:;;:v� - CERTIFICATE OF OCCUPANCY APPLICATION Permit# - - tee. . � rn, FEES CITY OF PORT ANGELES $50 Certificate / Inspection Attn: Permit Techriician 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) (360 41.7-4815 . fax.(360) 41.7 <a-4711 X.,fee charged for Do.wntown,locatio(n�s 4� �dils v�Kr►c; yin PL EASE PRINT IN INK phoneck 8+v1a (Lcb n Int` ;Y` A) Check one: Newbusinessin P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? XZoning BUSINESS NAME -e klr7 Business address� Mailing address Phone number hC 7- %� , Opening date Days & hours of operation s Tr Business owner's name c ' r�i / e ;', Contact phoneL3i•P)�q 5 9.3! Sf Business owner's addressi ^^ k Brief description of business l Property owner's name :L477 AV,' "'A Contact phone��/0) —IS 2.3 V,' Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering staays, rappps, bathrooms, electrical, heating/co lin /ventilation systems,etc). Work planned: 14 I' cL/S — foe 5 P ti i a FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned: PBIA (Parking.Business Improvement Area - Downtown) phone 417-4623 Square footage of business? Z&O D "7 t4 s ►,YS FPBIA notified on Is business moving within the PBIA? Yes o ❑ CITY CLERK phone 417-4634 City Clerk approval by on (c Second-hand dealer/pawnbroker business? Yes ❑ No ❑ 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 �4'�`r�l� �1 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on "21zz 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: . PLEASE N07-E:E: IVO flashing, intermittent, or chasing signs are permitted in the City of Hort Angeles. pin1E approval by on 11WILIG VVUHnZ Utf'HKI MtNl- EIVGflVEERWG phone 417-4812 Is site work planned (new.or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 Pwwapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ❑ If yes, what will be discharged: Cal/ 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^% J Print Name 2 Signature ! / x x T%FormslBuilding DivisionlCertiricate of Occupancy Application(2010).doc ' 1 Page 2 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on 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: PLEAS NGTE:C: NV flashing, intermittent, or chasing signs are permitted in the City of Fort Hnge)es. PAJE approval by k V or,_-7_6 PUBLIC: 0VORKS DEPARl MENl EIVGINEEKINCi phone 417-481Z 1V6' "1 fb CC:-Mf 1-t e,L4 f-5Is site work planned (new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ Work planned; PUBLIC WORKS WASTEWATER phone 417-4845 Pwwapproval 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. r DatePrint Name Signature � � X T:\Forms\Building Division\Certificale of Occupancy Application(2010).doc Page 2 of 2 PREPARED 4/27/12, 9:05:41 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NBR: COUNTRY-AIRE, INC CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000672 CO- CHANGE OF OCCP/USE --------------- --- - --- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------- -------------------- CO99 01 4/27/12 L BLDG C/O FINAL ' I ' OVERRIDE TAKEN BY HCATUZO DATE: 04/26/12 TIME: 08:35:47 -------------------------------------- COMMENTS AND NOTES -- CITY OF PORT ANGELES �. J DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION .�/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . 11-00000841 Date 8/17/11 Application pin number . . . 101504 Property Address . . . . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Tenant nbr, name . . . . . . COUNTRY-AIRE on your state excise tax form Application type description COMM ADDITION to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 270000 ---------------------------------------------------------------------------- Application desc TI & ADD 490,SF MAIN ENTRY & 1,350 SF SOUTH ROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH OWNER 312 RED DEER DR PORT ANGELES WA 98362 (360) 452-7175 Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . Permit pin number . 190629 Permit Fee . . . . 1972.25 Plan Check Fee 1281.96 Issue Date . . . . 8/17/11 Valuation . . . . 270000 Expiration Date 2/13/12 Qty Unit Charge Per Extension BASE FEE 1020.25 170.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 952.00 ------------------------- ------------------------------------------------ Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 191080 Permit Fee . . . . 143.95 Plan Check Fee .00 Issue Date . . . . 8/17/11 Valuation . . . . 0 Expiration Date . . 2/13/12 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 29.60 3.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 21.75 2.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 21.30 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 ---------------------------------------------------------------------------- Permit. . . . . . . PLUMBING PERMIT Additional desc . . fi n /1 6. I • 19/ Permit pin number . 191106 Permit Fee . . . . 219.00 Plan Check Fee .00 Issue Date . . . . 8/17/11 Valuation . . . . 0 Expiration Date 2/13/12 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. Jai [. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footincls Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof I Ceiling D all Interior Braced Panel Onl ) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rou h-In Gas Line Wood Stove I Pellet/Chimney Commercial-Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Li htin ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 -r-Cn—c/Rnilriinn nivisinn/Ruildina Permit sz�.. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00000841 Date 8/17/11 Application pin number . . . 101504 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form BASE FEE 50.00 to the City of Port Angeles 20.00 7.0000 EA PL-PLUMBING TRAP 140.00 1.00 7.0000 EA PL-WATER LINE 7.00 (Location Code 0502) 1.00 15.0000 EA PL-SEWER LINE 15.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ---------------------------------------------------------------------------- Special Notes and Comments August 9, 2011 8:05:27 AM rbecker. I will inspection building later to see if backflow assembly is needed on the plumbing system. If you have any question please contact Ron Becker at 417-4855 or E-mail: rbecker@cityofpa.us August 10, 2011 11:23:19 AM kdubuc. Existing fire alarm system must be maintained and altered where necessary in order to continue functioning. Address numbers shall be plainly visible from the street. Address numbers .shall be a minimum of six inches high and be of contrasting color from the background. August 10, 2011 11:27:26 AM kdubuc. Fire alarm system will need to be extended into new mezzanine office areas. August 10, 2011 11:27:57 AM kdubuc. A fire extinguisher will be required at the top of the mezzanine stairs. August 11, 2011 10:25:33 AM sroberds. The proposal is a remodel of an existing structure in the CBD with 87% lot coverage. No new footprint is proposed. Interior and facade improvements only. No land use issues are anticipated. August 9, 2011 11:13:24 AM banders. New roof on south side must provide minimum of 3-1/2 feet clearance under electrical service conductor Right of Way Use permit is required for installation of roof structures if sidewalk is to be used for work area. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2335.20 2335.20 .00 .00 Plan Check Total 1281.96 1281.96 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3621.66 3621.66 .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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- �— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in - Water Line(Meter to Bldg) Gas Line �7�- N Back Flow/Water FINAL Date b�' IVAccepted b AIR SEAL: G Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs _ Walls/Roof/Ceilin �— D al! Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling ^ MECHANICAL: q Heat Pump/Furnace/FAU/Ducts Rough-In \ Gas Line Wood Stove/Pellet/Chimney �.a� , Commercial Hood/Ducts FINAL Date ccepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Li htin ESA: Landscaping ]SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW /Engineering 417-4831 Fire 417-4653 Plannin 417-4750 Building 417-4815 T-F—me/Ruilriinn nivisinn/Auildino Permit PREPARED 5/01/12, 14:39:55 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/01/12 -------------------------------------------------------------------------—-------—-------- ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NBR: COUNTRY-AIRE CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000841 COMM ADDITION ----------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -—----------—-----—--------------------------------------- - --------- BL3 01 1/23/12 JLL BLDG FRAMING 1/23/12 AP January 23, 2012 9:04:31 AM pbarthol. AO John 808-1690 January 23, 2012 3:50:11 PM jlierly. BLI O1 1/31/12 JLL BLDG INSULATION 2/01/12 AP January 31, 2012 8:38:19 AM pbarthol. John 808-1690 February 1, 2012 10:48:54 AM jlierly. BL99 01 4/27/12 JLL BLDG FINAL 4/27/12 DA April 26, 2012 8:37:06 AM hcatuzo. April 27, 2012 4:38:12 PM jlierly. verify hold down on tractors / seal bath tile and clean out caps/jll BL99 02 5/01/12 JLL BLDG FINAL Ir -------—------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/27/12, 9:05:41 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/12 -----------------------------—----------- ADDRESS . : 200 W IST ST SUBDIV: TENANT, NBR: COUNTRY-AIRE CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000841 COMM ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------- BL3 -------------------- BL3 01 1/23/12 JLL BLDG FRAMING 1/23/12 AP January 23, 2012 9:04:31 AM pbarthol. John 808-1690 January 23, 2012 3:50:11 PM jlierly. BLI 01 1/31/12 JLL BLDG INSULATION 2/01/12 AP January 31, 2012 8:38:19 AM pbarthol. John 808-1690 February 1, 2012 10:48:54 AM jlierly. BL99 01 4/27/12BLDGFINAL Api1262012 8-37,06 AM he ----- ----� -------- -------------- ----__-- ---------- - PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- ----------------!-ki ---- - -------------------------- - - --- � . ME99 01 4/27/12 �D ---MECHANICAL-FINAL -------------('�- ------ --- ----------- PERMIT: PL 00 PLDNIDING ERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---——-------------------——--------------------------- PL2 01 1/13/12 JLL PLUMBING ROUGH-IN 1/13/12 AP January 13, 2012 8:46:36 AM pbarthol. Doug 460-3839 please call January 13, 2012 4:27:33 PM jlierly. PL99 01 4/27/12 PLUMBING FINAL C -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/31/12, 9:01:08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/31/12 ------—---------------------------—-----------—---------------------------------------------- ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NBR: COUNTRY-AIRE CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000841 COMM ADDITION ------------ ------- --- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- --------------------------------------------------------------------- BL3 01 1/23/12 JLL BLDG FRAMING 1/23/12 AP January 23, 2012 9:04:31 AM pbarthol. John 808-1690 January 23, 2012 3:50:11 PM jlierly. BLI 01 1/31/12 LL BLDG INSULATION -� January 31, 2012 8:38:19 AM pbarthol. John 808-1690 --------------- -- -----—-- COMMENTS AND NOTES -------------------------------------- PREPARED 1/13/12, 9:33:46 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/13/12 --------------------------- -- ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NSR: COUNTRY-AIRE CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000841 COMM ADDITION ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------—-------------------------- ------------------------—------------ PL2 01 1/13/12PLUMBING ROUGH-IN L January 13, 2012 8:46:36 AM pbarthol. Doug 460-3839 please call ---------- COMMENTS AND NOTES PREPARED 1/23/12, 11:10:27 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/23/12 --- -------- ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NBR: COUNTRY-AIRE CONTRACTOR : PHONE OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00000841 COMM ADDITION --- ------ ------------------------------------ PERMIT: SPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- ----------------------------------—-----' -—-------- BL3 01 1/23/12 JL BLDG FRAMING January 23, 2012 9:04:31 AM pbarthol. John 808-1690 -------------------- --------- COMMENTS AND NOTES -------------------------------------- '6116111 Per owher ©6x- CO' r1C�ir► KeF- 'o M now On . r +t, BUILDING PERMIT APPLICATION Print in ink �►e►401►- CITY OF PORT ANGELES Attn: Building Permit TechnicianDate Received `6-?i, For City Use Only: �( 321 E. Fifth St., Port Angeles, WA 98362 ��1ho Permit# 1t- (360)417-4815 fax(360)417-4711 ate Approved ! Applicant Crohn a- Robyn IT),'I.ef-ich O-y57- 3 1 Property Owner Soh + r-Z(DbvnfIc --k Phone Bu,5 -H52-'7/7$ Property Owner's Address 31 6 2 Contractor (%une4T, i1d�t : �Ohr, y��'�+icG, Ph eceI( -, 3loo-foq !Z0 . l4sen� /� 'ohcee/ T. t;er�try Get-%±rW Ar--j);4-ec4zcrg CD/Ie(,nreL+,Ve— f ileo — 445`7- '7550 �— E-mail q\-f) car .c PROJECT ADDRESS 2-00 to Parcel Number Lot Zoning �QD Proiect Twe&Brief Description: ❑Residential ❑ Multi-familyMCommercial ❑Industrial Check all that apply T�rl4 m - rrnp rr� oven-P-"+s Cts w.9 WS ❑ New Construction lq j ❑Addition � ) n�AAJ /y 3 y s rueux- _ d (Remodel i°�'�epair s e ? haw wo ❑ Demolition ❑ Re-roof Qf ��'Fera'or w•alFs ir�-Fe a cros ►; se' =Vhl �- Heat System �0� ❑Other s f 1 P1.►, C ,er fis �--1-h is - ww-- wi 1 aw- strae+ eve C . oor Areas '� Existina(sa. ft.1 Pro osed s . ft. i 1 I CAS d: a W phi n5 S a'r� N a r� Basement East Sides o'� 9 + � wi Il @$ , per sq. ft. =$ 1" Floor Law-et-Leve 1 1%6 00 C'IVn dt dvel Q rij int Of w 2nd FIOOfSfiYcet-1-¢Ve1 17 , loto0 fon 1004000 3`d Floor Ath'e 1, 000 CL -f,'ve a Garage C��1 Carport -16,I Covered Porch �U Deck--S�re+;k.fych�- �� in �,�� 1 ,p � OtherMezzan%Yv, S?1 rin1, 0.dv �c) ?C O WeA tea TOTAL VALUATION $ 2-70, 0000-1 Total footprint of structures '-L{ 64T sq.ft. T Lot size Z'Tr169 sq. ft. = Lot coverage % Site Coverage=the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group 1111 #of bedrooms Will a lawn sprinkler system be installed? >o h. Occupant load #of full baths Will a fire sprinkler system be installed? t4o Construction type #of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is m/y responsibility to determine what permits are required, and to obtain permits prior to working pr 'ects. Date �6���� Print Name *ktC�L——V 6" Signature T:Forms/Building Division/Bldg Permit.doc NOTES }} Permit# I C�Ck S S S u(Onq li- Oan-s c �1c LP- re-- vre Pl kf Whe*l ? Z rogF6 refh - vN V T:FormsiBuilding Division/Notes ;;.� T�tvgipure�namwom�.str �m Ila ?&ira!(BONN 1 rrmft r01, rw " ,At! a OR �v "s of sin" 3 i �02 0 low" long * b R # is �"av aaRON yW ,x tali °" ff low IMi r F • W. F1RbT STREET — 23.3 W)ANNIt3G s / OVEHH�JG n GA �— � `N'R°°E � 2=•'6n � w a e. z u rE)WAREHOUSE �o w EblStltlG a.4RKING i0i ❑ `., S�9 au f u I j� / fi OV_RHnNG '0 CL !. "Country Aire" � L - ❑ I I O ° z EziSVIG a4RKWO LOT EXISTINU aAakwc LOT Z �W Lo — „ Q ® (N)RODE 04EB(E)LOGJER LEiEL � � I W N Ig Cb.6 X10.5 4�LEY I © 0 Z) 10.6 5D-0 f Z Q — — — — (n Z Q D En 0 o I � {� 3 faKIrlc for(a SPAIESI /^ p D409Dug11 J SNEEt/ X _ i A-0.2 u� ' � ° s . � �``4.01 05 _ FA �b \/ s� n JJ � +4 a � of 66 i � e gga 6 � a Q- �O�b' V>iC 1 E ;W'B. CLAUSEN o STRUCTURAL ENGINEER PROJECT JOS NQ. CLIENT SHEET s.. DESIGN BY ®ATE 7 Z 9 t - - ._ i s �CS.;1 G w.►:: � coo -; _: �...�+.+6: ear-•,� ,�• �,:y + CD ix Z Dp In) ;R+g-TS- j;< 3 ��SIGr t�2.c1' �Wi�A , 13C2:ppoJ 5' LL 50 5F 4L 'CIT : 1,. : L- 1o5F PL: 2 0 p5 p LU2, P5 .457" Ps � -uw t oe� b a .W..B. CLAUSEN STRUCTURAL,ENGINEER PROJECT _ JOB No. CLIENT. SHEET 2 oda DESIGN BY DAT • i h .1s =Zxtze l &P'o , vim' E'�'1 , ;��V. n , -�= IS •SxtZ CrtEL it-L ev G aw- c+edAv Ilry.L o4-as n �G �.� m e 0 4-ro x 5-208 L Wr t')')�ZZ iso six IS 22��aQ� UV, B. CLAUSEN -STRUCTURAL ENGINEER PROJECT JOB NO. CLIENT SHEET e' DESIGPJ SY DAYE : lcr+ fig`! (-A 1 Us E L= 35 , 2,7 Wit_F , M- .27x3Sz ': S - 4.2' b 4 zx(2, 9ro� 53 i E W. B. CLAUSEN o STRUCTURAL ENGINEER PROJECT — ,OB NO CLIENT SHEET- s R f E DESIGN BY DATE , , w 2;ca YD'S F' -. 5:p O J 1 PA-TSY%A Z- t3 Z2--!+ J�004- $S oak : Q . Zx ZZ D4P M � •�9 x Z - r4 2— P425 • 3IZe: o:. i�x 2 PT 3 S -�oIST J7Ift i LC o'PS F 2xc:z n 140"-0' Li � \ I� I� X O U� 0 N 6) W W Q is El I a IJ <3 O — o —I ° I � c a Im ly O R r- IJ LJ U Z I CTJ 023.8 200 W. FIRST ST. PORT ANGELES, WASHINGTON ENTRY m` COUNTRY- AIRE C0L F iECi 1RE " A 0 L L A B 0 RCA i R E N NATURAL FOODS 115 E.RAILROAD AVE.SUITE 308.PORT AIIOELES.WA 98352/457-7550 E . E � VEGene :E. MAY 161 2012 . Engineering, Inc. 14 May 2012-l'. CITY^OF PORT ANGELES BUILDING DIVISION Civil � Structural ,• Management John Miletich 1401 west 7th street + 312 Red'Deer Dr 'Port, Washington 98363 ' Port Angeles,_WA 98362 - 5 Office•(360)452-2098- Fax 452 2098. Fax (360) 4172098' Subject: -inspectlon-of Tractor Tie down COUntry Air E--;�ail:'ungele@msn.com Dear Mr: Miletich Y .I cond:ucted'an Inspection at Country Air, in-PortM'geles, Washington :Your , installation of hold,down.devices*on the,two platform mounted,tractor's.was'I y`task: ..l observed '/4'inch swaged.cables on'.each.wheei with".equivalent eye-bolt screw-anchors - attaching each.wheel to=the`platform. You also installed 4x4 blocking on both sides of each wheel so that the!tractors cannot move in'what we would call the design load event: ,1 am:-therefor advising with this letter�that the-platform mounted-tractors are now In _ compliance.with',generally,accepted principles�in relation.to hold downs.for their position rn`your,facility;at Country:Air: The attached:photographs .exemplify my findings ; TbiS concludes: my obser.v tlonsycOncerning.:the.Tractom mounted.in Country:Air store on-West Flrst.;in Bort A. ngeles. 'The.conclusions'and.recommendations contained in.thls 'report are laaped on site�cor ti-ps, as they existed at the time of my �risi and<. inspection Awlsual inspection was made;,the configuration was analyzed, and conclusions vvere,d:rawn from-this information. :if the conditions are..defined'further in any way`or if changes to-the site occur, different conclusions can be anticipated I; , should�be_advised of changes so fiat I-can review.these.conditions'and,reco'nSider; further..r'ecommendatlons This report has,been for.the:exclusive,use of John Miletich:and hi`s assigns. The recommendations and conclusions`are, ase d on the site materials'observed'and on pre ion�s,experierice vyith,bui!dings with slm�lar obseni concitions. TIER conclusions and recommendations are,professional opinions in accordance with �curren#-standards.of practice'within the.limited scope of my,services No warranty. is' expressed,o.r.implied s Sincerely, - :> uy :Gene H_ Un0er., PE Lnc. Photographs: 44 CC:,< City of Port Angeles, Build Department ONAL. 1260 ni'sp 's i � � y ii h 4 J el • • 1 r F _ - _ /' .,.. .. -a; �. ,� .- J'S L ,��' �I: , = f ,`,� ,,; a I 1 1 � ,'� s� '. � ,� �. <� . 1 k..-.. - ..- .. .,. ��' �..,�.,`.h, ��`�\ .. \\���\ham <<��� {: ,� 3' �l jj '6""1 �et �Y' CITY OF PORT ANGELES al DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION +� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001351 Date 12/06/11 Application pin number . . . 454783 Property Address . . . . . . 200 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- REPORT SALES TAX Application type description SIGNS on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation 3800 Application desc 3 WALL MOUNTED SIGNS OVER 25 SQ FT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH OWNER 312 RED DEER DR PORT ANGELES WA 98362 (360) 452-7175 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc .. . 3 WALL MOUNTED SIGNS Permit Fee . . . . 255.00 Plan Check Fee .00 Issue Date . . . . 12/06/11 Valuation . . . . 3800 Expiration Date 6/03/12 Qty Unit Charge Per Extension 3.00 85.0000 PER S-WALL SIGN OR MARQUEE > 25 SF 255.00 ---------------------------------------------------------------------------- Special Notes and Comments December 5, 2011 3:00:28 PM sroberds. Three face mount signs are proposed on three building faces per requirements of the CBD zone. Total of all three signs is 318 sq.ft. No land use issues anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 255.00 255.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 255.00 255.00 .00 .00 final S� � • 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 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 s to or to aijaw regulating construction or the performance of construction, j III Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - I�I Building Inspections 417-4815 Electrical Inspections 417-4735 l� Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IN. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. -7 I Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: . Footing I Slab Blocking& Hold Downs. Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Li htin ESA: `; .. Landscaping SHORELINE: V � FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE sol Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 PREPARED 5/01/12, 14:39:55 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/01/12 -------------------------—--------------------------------------------—--------—------------- ADDRESS . : 200 W 1ST ST SUBDIV: CONTRACTOR : PHONE : OWNER JOHN J & ROBIN K MILETICH PHONE : (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00001351 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------—----------------------------------------------------—------------ BL99 01 4/27/12 JLL BLDG FINAL 4/27/12 DA April 27, 2012 4:38:47 PM jlierly. not installed yet/jll BL99 02 5/01/12 JLL BLDG FINAL -------------f/-------4-- - COMMENTS AND NOTES PREPARED 4/27/12, 9:10:45 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/27/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 200 W IST ST SUBDIV: CONTRACTOR : PHONE : OWNER JOHN J & ROBIN K MILETICH PHONE : (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 11-00001351 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------ --------- -------------------------------------------- ---- BL99 01 4/27/12 JLL BLDG FINAL --------------------- --------- ___ lz�_______ 1 . COMMENTS AND NOTES ----- I,''�J/�� J VL E l SIGN PERMIT A PLICATI rint in ink �- CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician D to Received - � 321 E. Fifth St., Port Angeles, WA 983 2NOV 3 ®,:20�� P r t# -13 (360) 417-4815 fax (360) 417-4711 N ID proved CITY OF PORT ANGELES Applicant or Agent -JOVft4-+ Q01�/�f MIL"Jfr(c NJln � INGDIVISION q Property Owner J K-- I4 IYIILeTi CDUNi"IZ A1126 Phone (� Property Owner's Address ;JI?_ )2W ,OW12 Vg_jNrr _I��� Contractor ��H dY1 }� I Q -�-- Phonem D Contractor's Address M Il.� �✓I N ►L C _ License # 11°10 CAP_I 609L1 ROAV c irn VJ+ Expir IMI '06 5eTOf)eo 130,d Project Address 20i� i(\!. 1c-r Business Name _CjWN-r- y Parcel Number cl tp� Lot ��>� 1�L 3- Zoning C p IM M . Submit an 8 % "x 11 "site plan & three sets of plans that include: ■ Type of sign (wall-mounted,, projecting, freestanding, illuminated, other...) ■ Placement and sq. ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) • Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 94.36 Sign Code"of the City of Port Angeles Municipal Code for.sign requirements. Sign Type & Brief Description: (Type, location, sq. ft.) W ftA,M NI'E1� to I-V' W A' '/ r�►�� Sign #1 (�185th F-r� 019 X 2Z,ly� #VF DAM�0►14 O�i WM 7z1 -J'H'ILiL iNb, (,�7ft-IeS Sign 42,`�—tF—arm 11 X ►o IZ&10 /r�2 - (cp 5QT-rl Polzy rny�mtyir4n_ Sign #311UgU-MUVt4MA9 Poow�mdy�a yet. I)umy. Sign #4 Totals (Unit charges Sign(s) Unit Charge Quantity multiplied by quantities) Type of Sign Valuation $47.00 x = $ All signs less than or equal to 25 sq. ft. $85.00 x 3 = $ ,215Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 2r55 , j20 Credit Cards (Except American Express) are accepted Existing sign(s) area 'D sq. ft. +Proposed sign(s) area 1gS4- sq. ft. = Total sign(s) area �1$. sq. ft. c�l � f #PZIi?n -t- Building r Building fagade area (heightft. X width ft.) = qV2- sq. ft. (if a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) `2114N 4 � V�GI�V (;O N0 WKL4, ftOCr,1f� AU. ,Y--II 'T- � I have read and Completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my. responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date Wt Print Name ►�I'V Yin, -`�� �T Signature T:Forms/Building Division/Sign Permit Application.doc Su�� � � �p+r� i � i�n�� . �2 Si��J � � l� �r(� 1 , • • � ���; ,. ,,,;, �� � �r�l���•n��. s �� ._ �� �' ��,:; . ,� ���� � �.�it t ���/IY 7�r� x �� TRYA I ;rarwmae qd,,u& T4 RKE i Of , MARCE"T4# INFO a� CE 1976 r (� COUNTRY AIRE CE 79 7 S s / ,r COUNTRY AIRE Aft - CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000013 Date 1/06/12 Application pin number . . . 739998 Property Address . . . . . . 200 W 1sT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form subProperty Name . . . . . . to the City of Port Angeles Pro ert Use Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 20000 ------------ Application desc FOUR 5 TON HEAT PUMPS ---------------------------------------------------------------------------- Owner Contractor JOHN J & ROBIN K MILETICH ANGELES HEATING INC. 312 RED DEER DR 2114 W 8TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7175 (360) 457-0111 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . 4- 5TON HEAT PUMPS Permit Fee . . . . 122.80 Plan Check Fee .00 Issue Date . . . . 1/06/12 Valuation . . . . 0 Expiration Date 7/04/12 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 18.2000 EA ME-FURN/HP/FAU > 5 TON 72.80 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 122.80 122.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 122.80 122.80 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements..This permit becomes null-and void if work or construction authorized is not commenced within 180 days,if construction orwork 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. A�1-2== Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) y: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 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/ChimneyLL V Commercial Hood/Ducts FINAL Dates*1 ' I T Accepted b ✓� MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking/Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 \ Planning 417-4750 W Building 417-4815 T:Forms/Building Division/Buildinq Permit PREPARED 5/01/12, 14:39:55 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/01/12 '- --- ----------------- ------------- --- -------- ------ ADDRESS . : 200 W IST ST SUBDIV: CONTRACTOR ANGELES HEATING INC. PHONE (360) 457-0111 OWNER JOHN J & ROBIN K MILETICH PHONE (360) 452-7175 PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 12-00000013 MECHANICAL APPL. PERMIT --- ----- ------------ -- -------------------- ------- ------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ' ----------------------------------------- ------------------------------- ME99 01 5/01/12 JLL MECHANICAL FINAL �r A -------------------------------------- ------'-------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES fr „ For City Use Only: Attn: Building Permit Technician Date Received j-,& 321 E. Fifth St., Port Angeles, WA 98362 Permit# (360) 417-4815 fax (360) 417-4711 Date Approved - -� Applicant A/ Phone /-I _d /Z/ Property Own d J, ,✓ 1 Phone r�� T � — Property Owner's Address Contractor () Phone Contractor's Address License # 4N xpires 3 2--E-mail PROJECT ADDRESSp s t- Parcel Number Lot Zoning Project Type & Brief Description: ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition 5 o-Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System e-Moat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft.) Proposed(sq. ft.) Basement @ $ per sq. ft. _ $ 15' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parce), including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths 1 have read and completed this application and now it to be true and correct. 1 am authorized to applZtor this permit and understand that it is my r sponsibility to determine w itrequired, and to obtain permits prior to wor i'on pro' Date ,Pfr4a-`F?te --Signature T:Forms/Building Division/Building permit application i l7W✓!�/; �D It o9 �s�/ � �iG. 3 � Z �e� do ter` �►^, r Ge 1/ ®Old l 6 t U JL( 7?� .c-re w� Q8 3 f3 v/v ASIVED y�� RECat' - JAN 062012 '�. CITY OF PORT ANGELES BUILDING DIVISIONSjOTYAL 12-Q� zoo � .rte G -e- All -e .,e J•fie/C e(/ d��iLY "'�✓� i _ it yz- � lywao� fl /7-A 2ky/ ji �� DGi 7-11� '/7- 7- 7--Cj ,a 7- a = zy ,a elf- T��o fie•*-�'v�.� �J 6 - _.._ y 6 l/ r _�adsi I ✓1 q --T z3z- 2-�Z z3Z 2�Z L32- Lot- Z3Z-- 23 Z_-`---7,��►- zit #7- eowf t/ d�l0 8 �� �a ✓ 9� o n. 7117o 1� 6 � 2%yx 9 G�i3 y y F -V `f TD�0 l Z Io ✓ gy qo /z-vim da G K s ! '7 /6 � /r���-mac aG✓^�e -LR> c= ,d I� i r 7y-,y 83 6 6 � la � ✓y z/z fbs, AD �{ 20 /bs, ,+/ Brad /1'OC�i� �� �o q"tr.Zcc,� /✓1 ��`/ rc�d!✓�ev�i V, IF Sgs 2r.3 /2 C3 /aar e.o-4 <te e '�, MR, 3 /,Of: r , / r , 4A ��ti CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES; WA 98362 Application Number 11-00000926 Date 8/26/11 Application pin number 624774 Property Address . . . . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name . . . . . . to the. City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Use sidewalk to install awning RUP# 11-21 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH OWNER 312 RED DEER DR PORT ANGELES WA 98362 (360) 452-7175 ---------------------------------------------------------------------------- Permit . . . . . . RIGHT OF WAY Additional desc . . RUP# 11-21 Permit pin number . 191684 Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 8/26/11 Valuation . . . . 0 Expiration Date . . 2/22/12 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Special Notes and Comments No work on weekends, holidays, or during any event. 4 foot . clear space to be maintained on 1st Street sidewalk. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00G.}-- V V Grand Total 75.00 75.00 .00 .00 t ' " l 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 construc e of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL A-NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL . PARKING SIDEWALK'.., CURB&'GUTTER DR I V E W AY'APPR OACH -',BACK-FLOW DEVICE. 777777 y : s FINAL INSPECTIONS,REQUIRED PRIOR,TO OCCUPANCY/USE RESIDENTIAL . DACE IES NO COMMERCIAL DATE ACCEPTED YES NO EOG NEERINIO_4 R W /;PW/; 417 480T'` CONSTRUCTION:-R W PW/ENGINEERING FIRE 4174653 FIRE DEPT.- PLANNING DEPT. 4174750 PLANNING DEPT. BUILDING 4)] BUILDING 4815 T Porins/Budding Division/Publ�c ELECTRICAL PERMIT N CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000050 Date 1/20/12 Application pin number . . . 266700 Property Address . . . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation . . . . . 0 ---------------------------------------------------------------------------- Application desc store remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH SIMPSON ELECTRIC 312 RED DEER DR 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (� \ (360) 452-7175 (360) 457-9270 -------------- ---------------------------- --------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 1363.00 Plan Check Fee .00 Issue Date . . . . 1/20/12 Valuation . . . . 0 Expiration Date 7/18/12 Qty Unit Charge Per Extension 72.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 360.00 v 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 4.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 20.00 4.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 528.00 1.00 288.0000 ECH EL-COM 601-1000 SRV FEEDER 288.00 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 3.00 5.0000 ECH EL-LVT-ADDITIONL THERMOSTAT 15.00 ----------------------------- ---------- -- --- Fee summary Charged Paid Credited Due r a -------------- ---------- ---------- v Permit Fee Total 1363.00 1363.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 1363.00 1363.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 2 Z ROUGH-IN i FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X f Date: G:\EXCHANGE\BUILDING oFPOArny�� LSL�LS��lfll��Q� �UV�I�LS����ll\i tii � N MING ONO RIEFIGo HT KS 417-4735 DATE): PERMIT N INSPECTOR 1/Z3/)-Z 2"�DoSd OWNER L& 1 CONTRACTOR G✓i y`^ �✓� t c ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ,-"^o.. . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ L�CORR�,ECTPONS NEEDED: I"C 'Tb Gz D ✓ -(Z �rsfzs Si-7- a Pit,IT- 4 4 Q U 1 E_f-17 "�76-tz. t oW LkLyh�.0 . 3� 3Z*r-mo v PF- PrIL-i— -111A 115 fFL;r-�(cjk C. w-n NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHON 95 DAMS DO MOT REMOVE — OFp0RTA" ELECTRICAL INSPECTION ai /wcF! �—� WIRING REPORT U N R- 417-4735 DAT PERMIT# INSPECTOR 1 I2- I 6-Z ��C� OWNER/CONTRACTOR ADDRESS 2,00 Li S APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ �- . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: 5j� izAc g- ��©� yc r- 104 S H 0 AU- 63)Yi �'a 6DI)Eta e 0 C.0611y-rz- S`Tp-r i,)19-L-1- a v 96Z — NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 OF VOR744,C� ELECTMAL NBPECTM d ay Mn/Mma REPORT 417-4735 Ks DATE PERMIT# INSPECTOR l� 12- OWNER/CONTRACTOR r'j ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: S 1 r7,-R t--s c- ?)Pr III,)ML - L` 1 L-R k n 944 V t tRln 0 r-1 1 n.1 6- cuf�Do S� LV-'o1T#4-0 z o�T 151 14 t 5 H rA 7) ?�IjNjmc—e, Got,L DISC—'� i5 c7 '7 e� t4-'rti (� A u-(�t�' �+5 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 95 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1351 0 VORT4N ELECTRICAL INSPECTION �''-� WIRING REPORT U N G` r FR?KS& ��a 417-4735 DAT PERMIT a INSPECT R 7/ 12--005D OWNER/CONTRACTOR r` ' ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . ORRECTIONS NEEDED: 5*-PvPv ► I Z) S SL e Au— 2T3n'A j'e=� C'6 k4 3?p Lfi- bj NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 .0) rc�ar,it,/ CIfX OF PORT ANGELUS P]EAtNI[T]C APPi.,iCATIOly1°" t Building Division/ElectricalInspections I Or 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 +e Ph: (360)417-4735 Fax: (360)417-4711 ELECTRICAL C Date: /—I?-- INSPECTIONS Multi-Family or Commercial" ,�(Commercial Addition/Alteration/Remodel!Repair *Plan Review May Be Required, Please Compe Elactricallan Review Information Sheet Job Address: -�`'�' Building Square Footage: Description of above ' -5' ok r Owner Infoation Contractor Information Name; / r e c cLL-Ci MailiA �2.67 ! MailingA I . 6) .�LL City; Stalo; " Pip: J/ City: J, Slate:,L) Zip�'- �h�no: Fax: Phone; 14.5 .0 Fax: License#I Exp. License#t Exp. Item Unit Chargef3ty Total(Qty Mull iplied by Unit.Chargel Servlce/Feeder 200 Amp. $132.00 _ $., ac) Service/Feeder 201400 Amp. $160"00 _ Service/Feeder 401600 Amp $225.00 $ ServlcefFeeder 601-1000 Amp. $288.00 $ — Service/Feeder over 1000 Amp. $410.00 $ Branch Circuits 1.4 $ 86.00 $ Branch Circuit W1 Service Feeder $ 5.00 Branch Circuit W/0 Service Feeder $ 74.0006 Each Additional Branch Circuit $ 5.00 Temp.Servicel 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 S 96.0D $ Slgn/Outline Lighting $ 88.00 $ __ Q �p�iJ Signal Clrcullf Limited Energy-Multi-Family $ 64.00 9 loop $ Signal Circull/Limited Energy/First 1500 sf—Commercial $ 96.00 A7 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113,00 �j $ Thermostat $ 56.00 — r , coo —7T- $ ^ If.crr> 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 Inspectio u. After reading the above statement,I hereby certify that I am the owner of the above named.property or a licensed electrical c,ntractor.I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296 466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signat of owner,electrical cont or or electrical administrator. ❑ Cash ❑ Check R] Credit CeM# �7�f iter-� Dated: _ P r S -7- 9' .770 Dun �� � � 1 57 A- 0 V-4 7 4C 6 3c' 17 S-7 zj I :4-7 ij IF ELECTRICAL PERMIT E ' CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 12-00000063 Date 1/24/12 Application pin number . . . 047245 Property Address . . . . . . 200 W 1sT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Low Voltage permit (Owner ) ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH OWNER 312 RED DEER DR PORT ANGELES WA 98362 (360) 452-7175 ------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER COMMERCIAL 1 v Additional desc ((( Permit Fee . . . . 146.00 Plan Check Fee .00 Issue Date . . . . 1/24/12 Valuation . . . . 0 Expiration Date . . 7/22/12 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 10.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 146.00 146.00 .00 .00 Plan Check Total .00 .00 .00 .00• Grand Total 146.00 146.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN A 41'q f Z FINAL Z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING O : .pt yeahr,t,tc� N CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ,� ' 2 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360) 417-4711 ELECTR(CgL INSPECTIONS Date: /'d 3 '/ _Multi-Family or Commercial* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: goo Building Square Footage: ;t7�C9 Description of above Owner Information ly1��"� Contractor Information Name: _��(r.1U �l��tGV" / Name: Mailinq Address: Mailing Address: City: State: ,0 4 Zip:QjjA.(,2 City: State: Zip: Phone: Fax: Phone: Fax: License#/Exp. License#I Exp. Item Unit Charge Qty Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 �— $ . Note: $5.00 foreach additional 1500 sf /0 Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat '/ ov $ 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: ❑ Cash ❑ Check ElCredit Card# Dated: l 0110112012 ti 1-IS ELECTRICAL PERMIT d CITY OF PORT ANGELES U 360-417-4735 Application Number . . . . . 12-00000381 Date 4/04/12 Application pin number . . . 883991 Property Address . . . . . . 200 W IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- on your excise tax form Application type description ELECTRICAL . ONLY Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . 0 Application desc Camera termination ---------------------------------------------------------------------------- Owner Contractor JOHN J & ROBIN K MILETICH HI TECH SECURITY INC 312 RED DEER DR 723 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 {� (360) 452-7175 (360) 452-2727 1+; ----------------------------------------------------------- YJ �J O Permit ELECTRICAL ALTER COMMERCIAL Additional desc Q Permit Fee . . . . 96.00 Plan Check Fee .00 Issue Date . . . . 4/04/12 Valuation 0 Expiration Date 10/01/12 Qty Unit Charge Per Extension J 1.00 96.0000 ECH EL-LIMITED 1ST 1500 SQ FT 96.00 IV! ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 11 Grand Total 96.00 96.00 .00 .00 c ' INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-lN FINAL Z COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor,X Date: G:\EXCHANGE\BUILDING ;�l}pi33trILI, lJ CITY OF PORT ANGELES PERMIT APPLICATION00 Building Division/Electrical Inspections '' 321 East Fifth Street—P.O.Bos 1150/Port Angeles Washington,98362 '"""" Ph: (360)417-4735 Fax: (360)417-4711 Date: 4-3-2D+2 ✓� Multi-Family or Commercial* *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 200 w-s. Building Square Footage: Description of above TcimI.WW suweame ae —marc•Tce T-1—F,-Nam Sys , Owner Information Contractor Information Name: c-fty Are Name: K Tom+S—^M.h- Mailing Address: 200w tat st Mailing Address: 723—Front St City: Pon A.0- State: wA Zip: 06362 City: —AV— State: wA Zip: 9630 Phone:36P49434a Fax: Phone:36--2727 Fax: 360-rW.&%D License#/Exp. License#I Exp.HfTEcTssuws Item Unit Charge QtV Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 $ ServicelFeeder 201.400 Amp. $160.00 $ ServicelFeeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ ServicafFeeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5,00 $ Branch Circuits 14 $ 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 $ Tetnp.Service/Feeder 601-1000 Amp. $185.00 5 Portal to Portal Hourly $ 96.00 $ SigNOutline Lighting $ 88.00 $ Signal Circuit/Limited Energy-Multi-Family $ 64.00 S Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 96.00 t $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-SKVA System or Less $113.00 $ Thermostat $ 56-00 $ Note:$5.00 for each additional T-Stat $%.Do 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 certity 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: 0 cash 0 check O Credh Card 4 on Fre x Mike Shirley/ Gary Politika Dated: 4.S-t2 01101rzat2 Application Number 08 00001538 Date 9/02/09 Application pin number 807500 Property Address 200 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Fire alarm panel and devices Owner Contractor K O ERICKSON TRUST MVMCGHEE 234 WHIDBY AVE 35905 3RD AVE SW PORT ANGELES WA 983626542 FEDERAL WAY WA 98023 (206) 571 2969 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 139170 Permit Fee 194 00 Plan Check Fee 00 Issue Date 12/19/08 Valuation 0 Expiration Date 8/05/09 Qty Unit Charge Per Extension 1 00 40 0000 EL-LOW VOLT SYS <=2500 SQFT 40 00 14 00 11 0000 EL-LOW VOLT SYS >2500 SQFT 154 00 Fee summary Charged Paid Credited Due Permit Fee Total 194 00 194 00 00 00 Plan Check Total 00 00 00 00 Grand Total 194 00 194 00 00 00 Application Number 08 00000373 Date 9/02/09 Application pin number 515130 Property Address 200 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc HVAC circuits Owner Contractor K O ERICKSON TRUST ANGELES ELECTRIC 234 WHIDBY AVE 524 E 1ST ST PORT ANGELES WA 983626542 PORT ANGELES WA 98362 (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc ANG EL / HVAC EQUIP Permit pin number 123588 Permit Fee 116 00 Plan Check Fee 00 Issue Date 3/31/08 Valuation 0 Expiration Date 11/16/08 Qty Unit Charge Per Extension 2 00 58 0000 ECH EL-COMM ALT <5 CIRCUITS 116 00 Fee summary Charged Paid Credited Due Permit Fee Total 116 00 116 00 00 00 Plan Check Total 00 00 00 00 Grand Total 116 00 116 00 00 00 Application Number 07 00001376 Date 9/02/09 Application pin number 000480 Property Address 200 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Owner Contractor K O ERICKSON TRUST HSM ELECTRIC 234 WHIDBY AVE 2700 RICHARDS RD #202 PORT ANGELES WA 983626542 BELLEVUE BELLEVUE WA 98005 (425) 957 7008 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 116202 Permit Fee 40 00 Plan Check Fee 00 Issue Date 11/26/07 Valuation 0 Expiration Date 5/24/08 Qty Unit Charge Per Extension 1 00 40 0000 EL-LOW VOLT SYS <=2500 SQFT 40 00 Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 Application Number 07 00001427 Date 9/01/09 Application pin number 645804 Property Address 200 W IST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300 0000 Tenant nbr name GOTTSCHALKS Application type description COMM MECHANICAL PERMIT Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 50000 Application desc REPALCE EXISTING / INSTALL NEW HVAC EQUIPMENT Owner Contractor K O ERICKSON TRUST SEA AIRE INC 3005 W 18TH ST 340 UPLAND DR PORT ANGELES WA 98363 TUKWILA WA 98188 (206) 604 1582 Permit MECHANICAL PERMIT Additional desc REPLACE & ADD NEW HVAC Permit pin number 117317 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/11/07 Valuation 50000 Expiration Date 11/17/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN/HP/FAU < OR = 5 TON 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 P �A°�, �F ELECTRICAL INSPECTION �`��✓ N WIRING REPORT 417-4735 DATE PERMIT q JINSPECTOR C Ow14CRICONTRACTOR 9E,L� ADDRESS 2-60 "'- APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED: Ear;F---A KV--iz SrzJ20-5 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE -- OLYMPIC PRINTERS,INC.(360 452 1381 ;4!16/2008} Robert Larson Gottschalks From Terry Dahlquist To Robert Larson Date: 4/10/2008 3 18 PM Subject: Gottschalks Gottschalks main meter is#E822C. Location 151844 Peak demand was 124kW in November 2006. Average usage is 35000-45000 kWH/Month (v-Oo �� - 7�,5 W,44-')6T- AE- A t� ,LC DoT dF O� 47'47' �f S/lbs►E.. SMXE PI /11C �i9� W T7�•F 'a P .. .r �'• �i.Ju�..t �L.....—.--.-:-..- ^'� -.�--r arm �:n w _ „�� .r,.. 1 ram v� ....� ♦��:' _^�.... �..,r :tib rm: '�'G. �� "1+.R Jr r I �lf�l i�l it !•�`�i t�a �, 1 % ' .r �P '4 r[I� S _ 4�1 3t •.u- X11:• f ;t 1 .. I�J(�F -�.w.._.n� t ' !►L • ;n � J. 1 �+ ! "1 en+�i��w��Y. n,o x>d. � - ' +r_.r '� �`�!t .1(+ _.,Lii:, .' ��, 1 ��J... r� J it;� r �I b''r��,1 � ., r e i u i•- . 1R A,f- /! ..� l � Cr;r�•it!T'w'.,d''✓'� ,�f•,`—•c.r« (4/3/2009) Linda Pangrle Gottschalk's permit — _Page 1 From Ken Dubuc To: Linda Pangrle Date: 4/2/2009 3 23 PM Subject: Gottschalk's permit Linda I took a call today from the Fire Alarm folks who did the Gottschalk's job. They told me that you called them because the permit was never picked up I have offered to pick the permit up for them. I will pick it up from you, sign it where appropriate and get the copies to where they need to go, including you and them. This was a bit screwed up because of the timing of the job. We asked them to rush everything because of the number of false alarms that were being generated by the old system. So, next time I'm there,III take care of it. They did us a huge favor, so I want to save them from making a special trip over to pick it up. Thanks, Ken CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 Application Number 09 00000118 Date 2/04/09 Application pin number 227392 Property Address 200 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300-0000 Tenant nbr name GOTTSCHALKS Application type description FIRE ALARM SYSTEM Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 12931 Application desc FIRE ALARM SYSTEM UPGRADE Owner Contractor K O ERICKSON TRUST STANLEY SECURITY 3005 W 18th St 6000 NATHAN LANE NORTH STE#300 PORT ANGELES WA 98363 MINNEAPOLIS MN 55442 (360) 452 4571 (877) 476 7968 Permit FIRE ALARM SYSTEM Additional desc Permit pin number 141309 Permit Fee 150 00 Plan Check Fee 00 Issue Date 2/04/09 Valuation 0 Expiration Date 8/03/09 Qty Unit Charge Per Extension 1 00 100 0000 ECH FIRE INSPECTION & TESTING 100 00 1 00 50 0000 ECH FIRE ALARM PLAN REVIEW 50 00 Special Notes and Comments A full acceptance test will be required for the fire alarm system Fee summary Charged Paid Credited Due Permit Fee Total 150 00 150 00 00 00 d4m, Plan Check Total 00 00 00 00Grand Total 150 00 150 00 00 00 0?- 66 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced,or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Q� 4 (c O ct Signatu e of Contractor or Authorized Agent Date Signature of Owner(if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Q Alarm final LP-GAS Completed by Contractor- Underground piping inspection/pressure test Test#1 _ Above ground piping inspection/pressure test Piping pressure test psi fiTank(container) inspection Time initiatedTest#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final 11 UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final t� GENERAL COMMENTS �c 2/15/00 2 �'cL rt i Wk S�a�e 5 . o E- ►S: ,K O R VI C�Sovi TUU s_� 3005 W 19A S t:� �R�W� g8 ?0Rrq,%, . BUILDING PERMIT APPLICATION Print in ink 3� s CITY OF PORT ANGELES For City Use Only Attn: Building Permit Technician Date Received �,_ 3°-ol 321 E. Fifth St. Port Angeles,WA 98362 Permit# M--11 a (360)417-4815 fax(360)417-4711 Date Approved Applicant or Agent j NLS Phone op Property Owner J�` Phone Property Owner's Address 200 !16977 Contractor/Engineer Phone �ontractor/Engineer's Address 17License# S'rAExpires 16P E-mail PROJECT ADDRESS Parcel Number Lot Zoning Project Ty pe&Brief Description: ❑Residentialommercial ❑Multi-family ❑Industrial Check all that apply ❑New Construction ❑Addition 7p ❑Remodel ❑ Repair ❑ Re-roof P M A I a-,r f n ❑ Demolition ❑H ystem ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑other Other Floor Areas Existing(sa.ft) Proposed(sa. ft.) Teresa Otto �_ @$ per sq.ft._$ Security Consultant Security Solutions Stanisy Convergent Security Solutions,Inc. F 2700 Richards Rd,Suite 202 Bellevue,WA 98005 Phone 425.957.7000 Direct 425.957 7006 Lax25.746.0084 Cell 425.591.6886 _nleyworks.com■www.stanleycss.com TOTAL VALUATION $ Total footprint of structures sq.ft. T Lot size sq.ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date l Print Nam rC' QX Signa 8*,,44&I 7,. 18 . ����,5�-'�,d�-ice 1l 6 �/, � X0 ELECTRICAL PERMIT AAD INSPECTION RECORD CITE'OF P®RT ANGELES 360-417-4735 Application Number 08 00001538 Date 12/19/08 Application pin number 807500 Property Address 200 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3300 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Fire alarm panel and devices Owner Contractor K 0 ERICKSON TRUST MVMCGHEE 234 WHIDBY AVE 35905 3RD AVE SW PORT ANGELES WA 983626542 FEDERAL WAY WA 98023 (206) 571 2969 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 139170 Permit Fee 194 00 Plan Check Fee 00 A Issue Date 12/19/08 Valuation 0 IJ\Vl Expiration Date 6/17/09 O Qty Unit Charge Per Extension O 1 00 40 0000 EL LOW VOLT SYS <=2500 SQFT 40 00 14 00 11 0000 EL LOW VOLT SYS >2500 SQFT 154 00 Fee summary Charged Paid Credited Due Permit Fee Total 194 00 194 00 00 00 Plan Check Total 00 00 00 00 Grand Total 194 00 194 00 00 00 V INSPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH - IN Lo FINAL Lb OMMENTS: 0��°°RT4,g ELECTRICAL INSPECTION 11 WIRING REPORT KS �,s�"� 417-4735 Rb DATE PERMIT N INSPECTOR 148 1 OWN CONTRACTOR ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER Ak ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 �Porsr,N.��r RECEIVED s m� ELECTRICAL WORK PERMIT APPLICATION DEC 16 2008 Installation description Job wired by Electrical Contractor ❑Owner LIGHT ID ommercial ❑ Residential Electricaj contractor name _ License number Date Expires mi 1 ,*,' q U LJ New ❑Altered/Addition Purchaser's arlin address V 3570 S� -3e-LO A-V'0- 56,-) �� AZ�-�-� GO City State ZIP PLA -E TelIhone number FAX number ULQ �� � _. .0 9 �� CSS Premises owner's name �P G U -r T S y'I ILS 73 NC°W Ct'LN IS (3 ES W Address of inspection 9,0 O AePLAec OLD &,j 12r wSl" city Phone umber to schedule inspection Ca 17 1 2- Owner as defined by RCW 19 28 261 (1) Owner will occupy the structure for two vears 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. ❑ Cash ❑ Check# After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit Card Visa Masterca Discover lation 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 $Sp� 'on fee __j Electrical Load ti Service Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace —KW ❑ Overhead Service Phase❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall i KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360-417-4735 THERMOSTAT SERVICE da Date Approved By Date Approved By DITCH Date App, ed By Date Appr ed By Inspection Area,Buildingor Equipment Ins ected Action Taken Electrical Date Inspector BUILDINtrS PERMIT ARRLI CATION' isrint in ink ' CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received t}-S_-e-7 321 E. Fifth St., Port Angeles, WA 98362 Permit# a i 2 (360) 417-4815 fax ,(360) 4'�117-4711 Date Approved Applicant or Agent ��/, . c' , r1 C?cl LLL ', L n Pho e a66 - Coy 11U)_ Owner (7Phone Owner's Address Contractor/Engineer „-� _ Phone Contractor/Engineer's Address4_ ,� � CWLFe '�,�:.y,\ gvi88 License # 5C *_0 C3(, ExpiresA/-,6/ PROJECT ADDRESS Parcel Number Lot Zoning Project Type& Brief Description: ❑ Residential ❑ Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction ❑Addition Y o Remodel s ", ❑ Repairo)O\<�_- \G ❑ Re-roof Lc ❑ Demolition ❑ Sign ❑wall-mounted YlprojectAg ❑freestanding ❑ awning ❑ other Total sign area sq. ft. Maximum allowed sign area sq. ft. VHeat System g Heat pump ❑wood-burning stove ❑ gas fireplace o pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sg. ft.) Basement @ $ per sq. ft. _ $ 1"Floor 2n Floor 3`tl Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to be true and correct. /am authorized io apply for this permit and understand that it is my responsibility to determine what permits are required, and to (obbtaaiin permits prior to working on projects. ��\� �+ ��v111r�C7 Si '��L]�- \4 _` Date�6l� Print Name � Signature Web Version 10-01-07 ROOF TOP LAYOUT SHOWING EXISTING UNITS AND ONE NEW UNIT EAHI-3 AHU2AIR HANDLER ment Equipment 0 3 So,c.. ��s��s •� Equipment EXISTING UNITS TO BE CU3 REPLACED LIKE FOR LIKE UPPER ROOF Equipment CONDENSING UNITS CU2 CU1 Equipment NEW CONDENSING s UNIT °q Tutt 5�s�e.c� ROOF � n m i ^ 0 2 7 aw o-w' � 3i7 m o _ P ¢. � cod T m o d Z7 _ � n �eo �3 0 4X4 UNIT Equipment MOUNTING INSTALL BLOCKS ____ PIPING ' CU1 •' i ROOF JACK ' HANG UNIT ' _ FROM BEAM �-•--�• REFRIGERANT D 0 0 AHU1 LINES Supply diffusers Equipment 250 cfm each SIDE VIEW OF NEW UNIT AND CONNECTIONS Ll lcnA � � TOP VIEW OF NEW UNIT WITH DUCT Existing electric unit heater To be disabled Supply diffusers side tap 250cfm 250cfm 250cfm - � o 0 AHU1 _ Return Air 250cfm - 250cfm 250cfm Equipment 4 Supply diffusers side tap Existing electric unit heater To be disabled �g NEW REFRIGERANT k � PIPING DOWN TO LOWER LEVEL c f SHIPPING / RECEIVING ' e AREA , k ' EXISTING REFRIGERANT ' � PIPING FOR UPPER FLOOR TOP VIEW OF UNIT WITH P NEW PIPING RUN R o A/C EXISTING 2a Zoe �Y\E 0 UNIT A/C UNIT ' S i E D �..................... EXISTING CYCLONE FENCE SHIPPING RECEI ,vNG / AREA } ) \ } � } UPPER LEVEL FLOOR . ........................................... ..— ------------ PIPING FROM ( UPPER LEVEL TO MECHANICAL ROOM - Equipment _ CEILING 2L \ . ( EXISTING &R / HANDLER i WITH HOT \ . ) WATER COIL \ HOT WATER m. \ , • ; LOWERLEVEL s OR E . ! ------ \NEWCOOLING . ! \ - ) . . SIDE VIEW OF PROPOSED PIPING RUN . ^F, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ji 321 EAST 57H STREET, PORT ANGELUS, WA 98362 Application Number . . . . . 07-00001427 Date 12/11/07 Application pin number 645804 Property Address . . . . . . 200 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Tenant nbr, name . . . . . . GOTTSCHALKS Application type description COMM MECHANICAL PERMIT Subdivision Name . . . . Property Use . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 50000 Owner Contractor ------------------------ -__--------------------- K O ERICKSON TRUST SEA AIRE INC 3005 W. 18TH ST. 340 UPLAND DR PORT ANGELES WA 98363 TUKWILA WA 98188 (206) 604-1582 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . REPLACE a ADD NEW HVAC Permit pin number 117317 Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date 12/11/07 Valuation . . . . 50000 Expiration Date 6/08/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 ECH ME- INSTALL 100- FAN 14.80 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 �j 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Fanns/Building DivisimdBuilding Permit(10/01/07).wpd BUILDING PERMIT INSPECTION RECORD G CALL 417-4815 FOR BUILDING INSPF,CFIONS. CALL 417-4735 FOR F,LEC"I'RICAL INSPECTIONS. 1 CALL. 417-4807 FOR PUBLIC WORKS UTILITIES 'tel PLEASE PROVIDEA MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECFIO.N TYPE DA FE ACCEPTED COMMENTS ves No .� FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WA FER LINE(METER'FO BLDG) GAS LINE. FINAL DATE ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLMOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB 1 WALL/FLOOR/CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEP'I'EDBY: COMMERCIAL HOOD/ DUCTS MANUFACTURED HONIES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNINGDEPT. SEPARATEPERMI'L'A's SEPA: PARKING/LIGHTING ESA: LANDSC\P ING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR'FO OCCUPANCYNSE RF,SIDENTLAL DATE YES NO COMNIERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL. LIGHT DEPT mac" CONSTRUCTION R.W./PW/ CONSTRUCTION R.W. / ENGINEERING 417-4807 PW/ENGINEERINGG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING 5•'. T.Fo,ms/Budd,,,,Divislon/13ui1di,,g Permit(10/0I/07).wpd L PREPARED 5/21/06, 8:49:00 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/21/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 200 W 1ST ST SUBDIV: TENANT, NBR: GOTTSCHALKS CONTRACTOR : SEA AIRE INC PHONE (206) 604-1582 OWNER K 0 ERICKSON TRUST PHONE PARCEL 06-30-00-0-0-3300-0000- APPL NUMBER: 07-00001427 COMM MECHANICAL PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL P® IT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ________________________________________________________________________________________________ ME99 01 5/21/08 / JLL MECHANICAL FINAL TIME: 03:30 May 21, 2008 8:40:03 AM 1pangrle. 20 GREG 206-604-1988 MECHANICAL FINAL LATE AFTERNOON _________________________---- ---------- __ ________ COM S AND NOTES rA /_ ______________________________________ i s�2 Application Number . . . 08-00000373 Date 3/31/08 Application pin number . . . 515130 Property Address . . . . 200 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 --------- ---—---------------------— A lication desc HVAC circuits ---------------------------------------------------------------------------- Owner Contractor _ ------------------------ K 0 ERICKSON TRUST ANGELES ELECTRIC 234 WHIDBY AVE 524 E. 1ST ST. PORT ANGELES WA 983626542 PORT ANGELES WA 98362 (360) 452-9264 ------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . ANG. EL./ HVAC EQUIP Permit pin number . 123588 Permit Fee . . . . 116.00 Plan Check Fee .00 Issue Date . . . . 3/31/08 Valuation . . . . 0 Expiration Date . . 9/27/08 n '� Qty Unit Charge Per Extension (�7 2.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 116.00 Fee summary Charged Paid Credited Due (v� ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116.00 116.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 116.00 116.00 .00 .00 (" NI SPECTION ELECTRICAL TYPE DATE: RESULTS : INSPECTOR: DITCH SERVICE ROUGH - IN z 7 FINAL S 2D COMMENTS : Application Number . . . . 07-00001376 Date 11/26/07 Application pin number . . . 000480 Property Address . . . . . . 200 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 Owner Contractor ________________________ ________________________ K 0 ERICKSON TRUST HSM ELECTRIC 234 WHIDBY AVE 2700 RICHARDS RD 4202 PORT ANGELES WA 983626542 BELLEVUE BELLVUE WA 98005 (425) 957-7008 ____________________________________________________________________ Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit pin number 116202 Permit Fee 40.00 Plan Check Fee .00 Issue Date . . . . 11/26/07 Valuation . . . . 0 Expiration Date . . 5/24/06 Qty Unit Charge Per Extension 1.00 40.0000 EL-LOW VOLT SYS <=2500 SOFT 40.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 n�- u SPECTION ELECTRICAL TYPE DATE: RTS: ESULINSPECTOR: DITCH SERVICE ouGx - IN FINAL COMMENTS : O- CERTIFICATE OF. OCCUPANCY o City"off I'ort`Angeles Buildinga)ivjm,0,i , This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Codecertifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building e construction or use. For the following: Use Clnsai(icution D2UdrtrtleRt Store s Bmldmg Permit No Group T"] '- fype ofcoustruction Use Zone CBD OHnerofgiuinesJResidence Gottsghalks Inc. Address 7 R1V2r Park es Ir'c35t F 'eSRO CA 93')22 Building Add nss 200 West - t Stree -Port Angeles WA 98362 Jan, 11, 2001 Post on thel1��s;��r a ar�seuous place. Shall not be rer�ot��re�$e���: �,gy�'�ui9sisng pgfcial. O� -`� - e 6-27-00; t :55PVI:CiL cf PA FRN'T CNT? 1 O 417 4711 # 1/ 1 ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE '7" 7 100 New Business . . . . ( ) Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( ) Z o D GUe_j'G 1 �C _ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant _ 4!45-r,1..A I L,; New Building . . . . . . . . Address RNer-C pluf' ALA c& NQS Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) gge_fND /74 �z2 . Temporary. Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business V7 44ot- 1907 home frf -V40744 L Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: _Ae� )L Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes.... ..... .... . ....... . ... . . PERMITS BUSINESS LICENSE Electrical changes. . .... . ......... . ... ..... .... . ✓ 1) Building 1) Taxi Mechanical (heating, cooling,stoves)....... . . . .. . . JL 2) Plumbing 2) Peddlers Plumbing changes . ... . . ..... . ............ .... . 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . ..... ..... ... ..... ... .. ✓ 4) Mechanical 4) Pawn Broker New septic tanks.. . ............... .... .... . .... __ ✓ 5) Sewer 5) Dance New sewer service ..... . .......... ... . ..... ... . ✓ 6) Sidewalk Installation 6) Hotel-Motel Admission charged to patrons.. . .... .... ........ . Ll _ 7) Driveway installation 7) Fireworks Is this a home occupation? . ..... ... . ... . .. . .... . ✓ 8) Curb installation 8) Ambulance Excavation of filling of lots .......... ......... ... . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way... .... ........ . . . . . _ 10) Water meter installation 10) Other Is there sufficient off-street parking? .. . ... .... . . .. . ✓ ie3 11) Fire New driveway openings .. ...... .... . ... .... . . ... G 12) Occupancy A grading plan for site drainage.. . ... . ........ .... ✓ 03))Sigh (parking lots, downspouts, etc.) . ..... ... . ... . .... Z 14) Shoreline Are the existing streets paved? . . . ..... .. . .. . . .... 15) Home occupation Are there existing sidewalks?....... . . ... . ..... ... 16) Conditional use Is there curb and gutter? . .......... . ... . ....... . "� 17) Other Other....... . ..... ..... ........ .. . ... ......... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: r>L�_ AP V REJECTED Comments / Conditions Building Section Public Works Department Planning Department _ Fire Department _ City Clerk P.B.I.A. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES,WA 98362 gn� BUILDING PERMIT ISSUED: 7/29/2002 PERMIT NO: 13596 OWNER/APPLICANT PROPERTY LOCATION GOTTSCHALKS 200 1ST ST W 200 W 1ST STREET Lot: 14 PORT ANGELES, WA 98362 Block: 33 Long Legal 206/374-0833 Subdivision: TPA T: S: Parcel No: 063000003300000 CONTRACTOR ARCHITECT SANDPIPER CONSTRUCTION N/A 303 JOHN JACOBS RD Port Angeles, WA 98362 98360-0000 360/452-7542 360/000-0000 PROJECTINFO Project Value: $17,000.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: CBD PROJECT NOTES TEAR OFF, TORCH DOWN, SOUTH SIDE 2000 SQ. FT. r RECEIPT#9482 FEES ASSESSMENT Building Permit: $279.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $283.75 Plumbing: $0.00 AMOUNT PAID: $283.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,SE PA,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 presume to give authority to violate or a provisions of any state or local law regulating construction or the performance of construction. 12�r-G Si ure o ntractor or Authorized A t Date Signature of Owner(if owner is builder) Date TdP[,ANNING\FORMS\1102.15[4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATEPERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEATPUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT#'s WATERLINE/METER SEWERCONNECTION SANITARY STORM PLANNINGDEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I 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 7` PLANNING DEPT. BUILDING 417-48IS BUILDING T:\PLANNING\FORMS\1102.15[4/20021 R CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A �TQ PERMIT NUMBER APPLICATION AND.ELECTRICAL PERMIT rron1EVx TOTAL FEE - QT0 C. CONT.UC.NO.(, TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY n ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address /•-llo �,��� �� A CORRECT ADDRESS IS ESPONSIBILITY OF APPLICANT PERMITS WITH WRO ADDRESSES ARE CANCELLED v2 Owner ,v SRye p(7p Installation By Owner's Address - - - Installers Address 2 �~ r _ 7'• Day Phone -�L, — ile,qq - Installers Phone r� - :2-. Application is hereby made for Permit to install Electrical Equipment as follows_j?DL .0.1 Al2. A 1.PA2 ii�,A - - - Wiring Method NUMBER AMP D - 120V 240V - NUMBER AMP 120V 240V USE OF CIRCUIT PER 1 0OR FEE - USE OF CIRCUIT PER 1 0 0R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS I - OR LESS CONVENIENCE MOTOR CONVENIENCE - - MOTOR APPLIANCE MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLARALARM RANGE MISC. ®' OVEN WATER HEATER ' LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE M FURNACE SUB TOTAL FEE r GAS-OIL FURNACE ENERGY FEE I ELECTRIC - BASIC FEE I i ELECTRIC HEAT _ TOTALFEE , ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the instal r and In confy ante with the N.E.C. Electrical Code. /0Date Application made � — '19 g� By �/� CONTRACTO R OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OFF CITY LIGHT Date Permit Issued By &b PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original . CANARY-Duplicate PINK-Triplicate WHITE CARD Inspector's Report 01 YMPIC PRINTFRR INC REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS - `� - Q J7 s7VAr Co.,'ZP /VoT 'Oa fe/l T A19 LT 4VA-5 131J/v0 S GN2O 7 z Q a x r z_ W r O z O O O.K.FOR COVERING O.K.TO CONNECT SERVICE FINAL O.K. < CITY or POAT ANGELES LIGHT DBPAan= ELECTRICAL PERMIT N? 17 419 Port Angeles, Washington_.... ... .. ------•--•---------•-•-•-------•- 19 Y In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed /below. /.�,�� , Address / Y ' �� -W [CJOccupancy r" '""�,,--------------------- Owner Tenant - - WiringContractor- --- ----- -�---------- By--------------------------------------------------------------------- (If �'�O`.�..... .. Type of Wiring: Light Outlets..............................._._...... Service, volts .....L...,._.......-- Receptacle Outlets..--...-._.............. No. wires ..._7...-..._....... Armored Cable ..-...............-.--....._- Dryer. KW.......................................... Size wires..................._. Non-Metallic ................................. ............._.. Knob & Tube................................. Range, KW--------------------------- -------------- Main fuse ....................................... Rigid Conduit ---'---...---...._...--_ Water Heater: Enclosure ....................................... Metallic Tubing ........................... KW_--------------------------------------------- Type of wiring: Raceway ....----........-....------....__ Heal: KW................................................... Entrance Cable............................. Circuits, Light................................._... Motors: size, volts and phase: Rigid Conduit ............................... Utility MetallicTubing ........................... Heat ......_-...................-....---...._...--- ........................................................... Current transformers: Range ............................................. --------------------...................................... No. & Size....................................... Water Heater .............................. ........................................................... Ser.No...................-......................... Motor ............................................. ........................................................... Ser. No.............................................. .........................................................- Furnace............................................. Total Load............................. __.._-.Ser.No................... Total ......-_-__.___-___-_.__-.._____ Remarks _!�'��s- "'p ---ca.-_ +'1 -•--.=r•`.-�-------'14----_----------------��.a✓--d^ ---•--;;;-----dff'- :'-QCs'.,?—' -'Brt--Ae--------------- -------------------------------------...---•------------------------•----•--------------------......_- �� -- Permit Fee Treas. Receipt $-------------------------------------- No---------------------------- By - -----t- ----- ----- •--•---------------- NOTICE J NOTICE+ Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N° 17419 Address ........................................................................................................................................ Date.........................................-__......... Owner ..................................._......_-........_......_.._.............._........................................... Tenant.................................................................. WiringContractor..........................................._.............._.................................--------................... By-....................................-........................ NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- eealed'due-notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. it � 0"ORT" ELECTRICAL INSPECTION WIRING REPORT 417-4735 ORHS 6 DATE PERMITK INSPECTOR Oz C6 -03 7 OWNEERICON RACTOR A SL. ADDRESS 200 APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: 15r-- AL- �i-i (IH7 �`IL6hIT�-I Sga�9fki}IT Co>`f - VS00121E; UNI U5f—E12 41E eTo)LrS7 r-A Kr-1Z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 ELECTRICAL W ORK PER.NIIT APPLICATION Instal n description Job wired by aflectrical Contractor ❑Owner Commercial O Resfdestiel Electrical contractor name License number Date Expires Ll New AI(3 tered/Additioo Purchaser's mailing address ANGELES ELECTRIC, INC. 524 EAST FIRST M /. � city 62 Telephone number FAX number z 9z - 'Premises owner's name Address of inspection � ryry n,� *10 City Phone numberto schedule Io cotton: �� /L Owner as defined by RCW 19.18.161:(1) Owner will occupy the struclurejor two years after this electrical permit is finalized. (1)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. ❑ Cash ❑Check# After reading the above statement, I hereby certify that.1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑Credit Card Visa Mastercard Discover Iation 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 Card N - - - ---------------- Utility Specifications. Signature of 9pner, electrical contrecto or electrical admini trato Expiration Date InspectiO�fce X Date: of card El :al Load and-oru 'ons Service Information ❑ NO LOAD CHANGES ��,.p- ❑ Baseboard _KW / PhaseVoltag 3 ❑ Furnace KW erhead Service PAese❑ 1 3 ❑ Heat Pump WTon LAR ❑ Temp Service Service Size: ❑ Fan-Wall KW ❑ Underground.Service Feeder Size: _ SAME DAY INSPECTION,.CALL BEFORE 7:00 AM 360-417-4735 ^La ROUGH.-IN ��,v THERMOSTAT SERVICE Daic F AppmvW By nau AppoviA By Dne Appmvcd By FINAL DITCH FEMER 5'naie4 App Dam Appmvcd By Dew Appmvcd By Inspection Area,Buildingor Equipment Ins ected Electrical Date Action Taken Inspector -2 - l y& - Oa FD Pl-zn.?reF 7MY �. b,u�rer/Et' A �.. YA __ 1000/1000in DTJ139T3 SaTaBuv 99Z6 ZS6 09C Xtld 9Z:Zi 900Z/1,Z/C0 (4/16/2008) Robert Larson Gottschalks _ Page 1 ' From: Terry Dahlquist To: Robert Larson Date: 4/10/2008 3:18 PM Subject: Gottschalks Gottschalks main meter is #E822C. Location 151844 Peak demand was 124kW in November, 2006. Average usage is 35000-45000 kWH/Month // $FLIEVfS T)hs wl" A)er 5� A r>�ZMAP �'/( -00o A. — 7HD A f��� �,/i1,4 ,Vo7- 47- ;7,rf 5�E /C B� G � E n Vi ✓ i� ewgy, '1. � 7d�7 g�c ��i � � �� � >#•�`•� i44 Y, � il,.y.� 17'. k I41� .. yi w� ����F IY" .>ri. k���. i rN I y �'1 q� •A�rE d. �Y. �,.i I pN»m�rcA^im lidpv+ i'pii:. Q7 p4 o A �IIt1 ^-itn t �l �7r i { �Iq wy " 1i ,wk Fr q i k 9 k I f,4r �t i rt YI�4y ti.Pk'` r..i:O Ik{'i�i 4 i i R' ii �il I+ S I f 7,a St Cw i ,� k k k •� �ik,t I��l��i BI t it F, ( 4 � � eI 41 1 �fj �yi.kK � I�It t d 4°�i}' 7r! � �� i" i�^� iii � i d 1•,. �, n4 'N '; "I 'h'�i "n '•' �.• i� �i cW AA 4h33 4�t 1,P. ; Lg�C},�'kry r z � � F 1 i it ' SS•�"�r" s.e�n a Y rr i! rv,,�y� '^M' ..� �' 4 4014 j it Lit i G�Z fYrZZb:6 1 .Iv ��. �i a �� •.?� � � }� ^� _� � 1 I,! _ 1 (;ii': ii �p�1. rt :>, �t � ) �f ♦ I �,. �, W"Ea� � e �. /� r � i! n�, s �, n: � J . + � � xi- � �� �t�� q [ 1r sin �Ip� ,,.+.* ^ � :n -Y*K� r 1 girt � ' � /I\� `'l + F ' �,�9I` ''-�.yn � f I� ��A 1�yG� 1 K .� k � '^M^mr f�`� � ,�� .o bye r .�„ x•-- '!�� ,,�.,a. ��f � i t � �` t..y. bh ti-._v,. �' FROM (TUE)NPR 6 2006 13:07/ST. 13:O7/N-.7S24372O60 P l 3c'o L l Phone: (206) 575-8051 Incorporated Fax: (206) 575-0653 Trent Peppard This is in regards to the new electrical circuits that were installed at Gottschalk Port Angeles for the new equipment installed. The Large unit right outside the receiving/shipping area is a 20 Ton A/C unit 208/230 Volt 3 phase attached identified, as#I for the electrical requirements. The Rooftop Outdoor Unit is a 4 Ton Heat Pump 208/230 Volt 3 phase, identified as#2 on the electrical requirements and the matching Air Handler unit mounted in the shipping/receiving is identified as#2A on the electrical requirements. I hope this is the information needed feel free to call with any questions(206) 575-8051 SEA-A1RE,INC. By: Bke t: - Bill Kukahiko Title: Service/General Manager Date: March 27,2008 340 Upland Drive HVAC SPECIALISTS Tukwila,Wa 98188 FROM ,a1 (TUE)APR 0 2008 13:08/ST. 13:07/No. 7524372080 P 3 rAWAff General Data ni .� k�o✓ uV�. c�1rV Product Specifications 1L Modell No.O 2TWA3042A3 2TWA3042A4 2TWA3018A3 2TWA300BA4 Electrical Data V/P1vHz OO 200230/3/60 48013160 20000" 46pfir60 Min Cir Ampadly 13 7 16 9 Max Fuse Size(Amps) 20 15 25 15 Compressor CLIMATUFFe CUMATUFFe CUMATUFFe CUMATUFFe RL Amps-LR Amps 9.5-86.6 5.1.43.1 11.7-100.1 6.4.49.8 Outdoor Fan FLAmps 1.3 0.7 1.3 0.7 Fan HP 116 116 1/5 15 Fan Dia(itches) Z7.6 27.6 27.6 27.6 Coll Spine FinTM Spine Rn91 Spine FinT" Spine Finn' Refrigerant R-22 9/09-L8/OZ 9/09•LWOZ 9/094WOZ 9/09-LB/OZ Line Size-(in)O.D.Gas O 7/8 78 1.1/8 1-1/8 Line Size-(in)O.D.Liquid OO 3/8 3/8 3/8 3'8 Dimensions H x W x D(Crated) 46A x 35.1 x 38.7 46.4 x 35.1 x 38.7 46A x 35.1 x 38.7 46.4 x 35.1 x 38.7 Weight-Shipping 304 305 309 310 Weight-Nei 269 265 274 275 Start Components NO NO NO NO Sound Erldowre NO NO NO NO Compressor Sump Heat YES YES YES YES Oplional accessories:o An6-JMCycle Tinter TAYASCT501A TAYASCT501A TAYASCT501A TAYASCT501A Evaporator Defrost Control A/C AY28X084 AY28XO84 AY28XD84 AY28X084 Electronic Head Pressure Control ELAYLOAM103 BAYL.OAM103 RAYLOAM103 BAYLOAM103 Rubber Isolator Kit RAYISLT101 BAYISL7101 BAYISLT101 BAYISLT101 Snow Leg-Base 6 Cap 4'High BAYLEGS002 BAYLEGS002 BAYLEGS002 BAYLEGS002 Snow Log-4'Exlerxsion BAYLEGS003 BAYLEGS003 BAYLEGS003 BAYLEGS003 Extreme Condition Mounting Kit BAYECMT001 BAYECMT001 BAYECMTool BAYECMT001 Seacoast Kt BAYSEACW1 SAYSEAC001 BAYSEAC001 BAYSFAC001 Refrigerant Unew(D TAYREFLN3' TAYREFLN3' TAYREFLN4' TAYREFLN4' Accessory Description and Usage ARI Standard Capacity Rating Conditions Anti-Short Cycle Tlmer—Solid state timing device that ARI STANDARD 21W240 RATING CONDITIONS— prevems compressor recycling until 5 minutes have elapsed (A) Coding 80"F DB,67"F WB air entering indoor coil, after satisfying call or power interruptions. Use in area with 95°F DB air entering outdoor coil. questionable power delivery,commercial applications,long (B) High Temperature Heating 47-F DB,43°F WB air entering lineset,etc. outdoor coif,70°F DB air entering indoor coil. Evaporator Defrost Control—SPST Temperature actuated (C) Low Temperature Heating 17'F DB, 15°F WB air entering switch that cycles the condenser off as indoor coil reaches outdoor coil,70°F DB air entering indoor coil. freeze-up conditions. Used for low ambient cooling to 30"F (D) Rated indoor airflow for heating is the same as for cooling. with TXV. ARI STANDARD 270 RATING CONDITIONS—(Noise rating Rubber Isolators—5 targe rubber donuts to isolate con- numbers are determined with the unit in cooling operation.) densing unit from transmitting energy into mounting frame or Standard Noise Rating number is at 95°F outdoor air. pad. Use on any application where sound transmission needs to be minimized. Hard Start kit—Start capacitor and relay to assist compressor motor startup. Use in areas with marginal power supply,an long ��, �� tinesets,low ambient conditions,etc. Exinerrre Condition Mount Kit—Bracket kits to securely mount condensing unit to a frame or pad without removing any panels. SNJr sretEY Use in areas with high winds,or on commercial roof tops,etc. 22-2]7501-1205(EM 5 PROM (TUE)APR B 2008 13:OB/ST. 13:O7/Mo.-162<3'12O69 P A Itt Electrical R.f k=,,.bk,r w•k� nMWwA Data b(iEOF)CB WIPNG MTi _.` 1A/. (f107v 1. MR POwlftl bnlWOr Pftilll R.tC♦ E�-^ w 203 YAT 200VCLT /� I "MY1 0 XYY MMIYm MYilllulll C.MmJ MW I.YMIYMn Mle. YM1V� Melt Ne. tai Mp pM frail QwbM Aww er Cwt QMbC Plm Ky( BC11W 0mY MpMf/ Relslal KW BTUI (IFIL MIpMY PmY0a1 o(AC E In WA WA WA f 15 WA WA I WA 2 IS YMII114M-. In 150 IMW 20 a b 3W 1230 173 24 2f YM1SI M. 1n IN 28200 s Q (5 5.75 ISM T.) 51 N YM 110... In lM II800 b L' W >A 2Ym MA Y Y YXRO110000 10 080 3200) 3S4 V N 730 2MW b 37 N YMAIYSBR( 211 ISM 52(0) (OR( W-M wM 1151 SHl MAY21)E 46-M SO= YHfA1.151aw bn84 Omn In ISM .5400 4 00 w 1152 b3S1 N.4 71 W n.)q1 6MIND YHIRL150W 113 "'M4 b w w 1151 SWISS nsY 4 H11F1.12 M V1 0)2 81300 02/4 4TA0 IYb 1142 Nam I7.TN1A S w 4PAO Yn7P1410 9 Sirldf Onvl 1n 0)3 — 80 110 110 4421020) oa a M sa.M b3 Y6pEK116e AYPE6: um I,c1AV 2 Pwmm�CwCArymry Y[YmK I bYbeCam1lMel MMI No. Ml-emrmtfAM b.WF VKn aaww—.. ;Ary pYRIY//NbM M.MaYr pmt�C�/.seA�baM�nelM�aCw A`fOF miMlewi WalCbwCMY 2NTE1�9R'1C'MIMGWA BMmIBmbwaR Bae1wYaf 1) K 20Y T 2AWLT WrM M N41W GV GMmY YIP1W IinnMll (a,on. CM oo Wtla MNmlm WIBXIn fiel6 QmWO =1 CkM dYbe0 qMl KY/ BTIAI CrtK AmpMIC Wmbm Kw 6TIM dm2 NMsry p2R1MOn NCfIE 1n NM WA WA 4I 15 WA WA WA 41 15 MYPInnWS w. VI (AJ tNCO A 20 50 am 1230) 17.3 W 20 "IIWnn(M... In To 26200 Y Y (5 5>8 ISM 2l.7 5f N BAYMK.'D— In 091 6MW N M W 730 MISS YA (> m "WnIMI00W I0 am 320) no N N T.W 2(0)0 w 37 N MWTPI.ISGW NI I5.% S2I0 Nn. 4'T W-W 110.13Wp0 yNpC STM wD YHI111413BPK wl9ndC CRYI In ISM 52N0 M W ) 1153 bra M.1 III w SoW. YS1 EKINO YMPy150W 1n 152 S2II 41 SI N 1I ffi0 ).0 I N YMP14110W an I'm WIN 32030 Y'n0 ww 11(2 (@W n.1N18 36'52 (SM MP14108M mm SrOw COeJ Sn,,o. 1/1 1102 1650101 W 110 110 11.4271 )] M 1N SPEKI4) 'fYse I.pieK2lMM.w CMA ARIfNdOM I IiMtlm Olei IIQar In M) ....em MF NC me.(4MK Bnt.mvMaaK YmYra CN�mCem Nlam.b Mm mpM maY�mmmmmilse mrPPmmirmm wMd4w mMYs.M beYBmnrmYw L(T 413 WV0)l WA (..BWmYYa IbMN ban PWI COe1') Wmar MWLT LOYC(T wr a CWw7 Bmr CbwAl KLwI WYam W..:a.n YYY W O1W W AnP w GM OMbI "So"Poo CYN2 GMmM I SIC Kw B7UM 0'. Amp W/ Pm1Oen KW BTIM CY Aw{NII( IYelftAin 'CE 1/1 WA I WA WA U U WA WA I WA 34 15 BAYMPW)... VI 4E1 joamIo A 21 M 360 124Ktl 173 M '1] SAYMPI"... In NJ 257) Y I I I 576 IO)N ".I b 1164 I00— In BN IIWO I I 51 O 72 MRV M4 47 50 �Mmm BAYMAINS BW w 1534403 4wm I sa I= w= 113330300 M.6n0A ?M WM M1415BW VV Snpf C 1n SSM YNO M N w 1131 MISS ss4 79 a 5MY10 nKK14M "'W11f110000 In am 320w 316 N N 72 MGM 30.0 w N BAYMI(NISWO to 1536 S2IP 3C3 SI N 1111 bbp WI I BAYMM41f BPot 2n 102 650) MIN 4TAV I'.M I.V NQ 0 P.>NtA ww N•M YPiP14128w WBS bCMu1 1/1 163 6503 N SPIX14pB 110 110 1-1-1 1,N 4®p -aM IN 5 wK1 Y 1K ZN®f aFY WI.mMao/1 aYIPLC.o�m W 4'�b e42M`Mw OaK MCmal b Ge/�wws Cera W�4eq WM Pm�rYn wbmMmn RbmlW.aeo6a Gn6m9M mb wwwCM CwiY.mIwIFYimMl Cplm 12 22-M+14 FROM (TUE)MPR 8 2008 13:08/ST. 13:07/Mo.752<372000 P 2 1 y • i c. Electrical Data Lc�lr� oui�.i•I�� S��Pp`^7I Table 81. Unit Wiring-Condensing Units 1 Maximum Fuse Unit Operating Minimum Circuit or NACR Cireuit Tons Unit Model Number Voltage Range AmpadtV Breaker Size(l) 1 TTA090A3 187-253 34.5 50 7% TTAD90A4 414-506 18.1 25 J TTA090AK 342-418 21 3D TrA090AW 518-632 14.5 20 TTA120A3 187-253 48.1 70 TFA120A4 414-506 23.3 35 TTA120AK 342-418 26 40 TTA120AW 518-632 18.8 25 TTA120B3 187-253 47.9 60 10 TTA120B4 414-506 23.9 30 TTA090BK 342-418 32 40 TTA120BW 518-632 19.1 25 TTA120C3 187-253 49.4 60 T'rA120C4 414-506 25.2 30 TVA120CW 518-632 19.8 25 TTA15063 187-253 55.5 70 1214 TTA15084 414-506 28.1 35 TTA150BK 342-418 33.3 40 T'rAl50BW 518.632 21.6 25 TTA18053 187-253 62.7 80 TTA38054 414-506 32.9 45 TTA180BK 342-418 38.2 50 TTA180BW 518.632 26.3 35 l5TTA180C3 187-253 62.7 80 TTAISOC4 414-506 32.9 45 TTA180CW 518-632 26.3 35 TTA24053 187-253 87.8 100 1&- TTA24084 414-506 42.5 50 TTA240B( 342-418 47.5 6D 20 TTA240BW 518-632 34.2 45 rrA240F3 107-253 89.4 110 rrA240F4 414-506 46.6 60 TTA240FW 518-632 36.0 50 Nam: Electrical charaaerlstics reflect nameplate values and are calculated in aawdance vdth UL and ARI specifications.Tri and 10 ton values are system rated; 12%, 15 and 20 ton values am condensing unit Only rated. 10 MACR type circuit breaker per NEC. SS-PRC002-EN 47 / twwrvo' ELECTRICALWORKPERNUTAPPLICATION' Inst Ilation dcscriptiun Job wired by El Electrical Contractor ElOrCommercial ❑ Residential Eleclrjcyl contra c)or n9n c / License nu�ber HS Date Expires '"� S y Seeu 2� �_a3_ ❑ new ❑ Altered/Addition Purchaser's mailin address '?"700 (Zr��a�ns ep/r�tE �itp6RAU� rty State ZIP eo ld S— F, V ,? >- A /AP Tele hone number FAX number Premises owner's name �� NSCFia_IS Address of inspection oqccl w . 1 �-' s1 r pit' s M� Phone number to schedule inspection: Owner as defined by.RCW.19.28.261:(1) Owner will occupy the strucnu'e for nvo years after this electrical pernnit is finalized. (2) Owner is required to hire an electrical contractor if above.said property is for sale, rent or lease. ❑ Cash ❑ Check# After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑ Credit Card Visa astcreard Discover lation 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 Card# Utility Specifications. +++------ Signature of mrnen, electrical contractor or electrical administrator EXP' Ion Date �0— Inspectio fee X Date: card $ �Q , O p Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase❑ 1 ❑ 3 ❑ Heat Pump _Ton LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Woe Approved By Dam Approved Hy Uale Approved By FINAL DITCH FEEDER Dine Approved By Ume Approved By Dam Approved By Inspection Area;Buildin or Equipment Ins ected Action Taken Electrical Date Inspector Nov. 26. 2007 8: 57AM HSM Electronic Protection Svcs No. 0595 P. i JL 3Ce- r. a ELECTRICALWORICPERMITAPPLICATION le Ins Ilation dneription Job wired by O'ieetrical Contractor 0 Owner ?Commercial 0 Residential Electrical eontricror name License monist 4 Date Expires Clew 0 AlteredlAdditlon gl< 6 i{S11i rC 1y "f Purchaser's ma, ng aadross 6/ `�-'$ Cil�j i State ZIY � iJS�.� � Lir Ctn — le Premises owner's name 1 (; Address of inspection •? 9 Ci' Pbone Dumber o c dole ins a n: r Owner as defined by RCW.19.28.261:(]) Owner will occup)-the stricture for two years niter this electrical permil is finalised.(1)Owntr Is required to hire on electrical contractor if above said property it for sale, rent or lease. O Cash O Check# After reading the above statement 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- I'Credit Card Visa Mastercard,.: Discover . lation or•ltaration in compliance with the electrical laws. N.E.C., RCW Chapter Utility Specifications. Signature of pwaer, electrical foolractor or dectrlcal admioistratpr $ ►+ (� QQ Flectrical Lclad Additions and or subtractions Service Infocamilicln 0 NO LOAD CHANGES 0 Baseboard _KW Voltage 0 Furnace —KW 0 Overhead Service Phaee 0 10 3 0 Heat Pump _Ton_LAR 0 Temp Service Service Size: 0 Fan-Wall KW 0 Underground Service Feeder Site: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4174735 ROUGII-IN THERMOSTAT SERVICE tea- Aoiwm By Duo A,,n..d By Daft Append Br e1� FINAL aanyA^L Dn)M F.®ER nw.-W Br — .� Ape er Deis apwo,aa Br InspectionElectrical Dale Arra,Building or Equipment[ttsptx[tdd Action Taken Inspector Look Up a Contractor, Electrician or Plumber License Detail Page 1 of ) Topic Ind:: Contact Info - ' Search Home Safety Claims a Insurance Workplace Rights Trades Et Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version Electrical Contractor A business licensed by L81 to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. License Information License HSMELEP9441-2 Licensee Name HSM ELECT PROTECTION SVCS INC Licensee Type ELECTRICAL CONTRACTOR UBI 602404981 Verify Workers Comp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 2700 RICHARDS RD STE 202 Address 2 City BELLEVUE County KING State WA Zip 98005 Phone 4259577000 Status ACTIVE Specialty 1 LIMITED ENERGY Specialty 2 UNUSED Effective Date 6/23/2006 Expiration Date 6/23/2008 Suspend Date Separation Date Parent Company Previous License SECURI'9680N Next License Associated License KRACHDE976JZ https://fortress.wa.gov/lni/bbip/Detaii.aspx?License—HSMELEP944L2 11/26/2007 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of 2 Master Electrician Information j License KRACHDE976JZ Name KRACHT, DONALD E } Status ACTIVE i Business Owner Information Effective Expiration Name Role Date Date CAPITOL CORPORATE SERVICES INC AGENT 06/21/2006 WHALL, TIMOTHY J PRESIDENT 06/21/2006 STERN, DENNIS M SECRETARY 06/21/2006 ,FORREST, SEAN P TREASURER 06/21/2006 VICE STERN, DENNIS M PRESIDENT 06/21/2006 Bond Information m ! Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date SAFECO INS CO OF Until N3 AMERICA 6404031 05/25/2007 Cancelled $4,000.00 04/30/2007 RLI INS Until Jit CO CMS232697 06/23/2006 Cancelled 05/25/2007 $4,000.00 06/21/2006 RLI INS Until N1 CO CMS232697 07/09/2006 Cancelled 05/25/2007 $4,000.00 06/21/2006 ;Savings Information 1 No Matching Information Insurance Information j No Matching Information Start a_New-Search Printer_Friendly Version About LEH ! Find a job at L$I ! Informacibn en espanol I Site Feedback 1-800-547-8367 .�Washington State Dept.of Labor and Industries. Use of this site is subject to the laws of the ^"�shtOgtUO state of Washington. Access Agreement I Privacy and security statement I Intended use/external content policy I Visit access.wa.gov Staff only link https:Hi'ortress.wa.gov/lni/bbip/Detail.aspx?License=HSMELEP944L2 11/26/2007 2007-1211379 Page 1 of 2 Easement City Of Port Angeles Clallam County Washington 10/29/2007 01:32:23 PM RETURN ADDRESS : City of Port Angeles P. O. Box 1150 Port Angeles, WA 98362 DOCUMENT TITLE : Temporary Construction Easement Grantor (S) : K.O. Erickson Grantee (S) : City of Port Angeles STREET ADDRESS : 200 West First Street ASSESSOR' S PROPERTY TAX PARCEL: 0630000033000000 City of Port Angeles Public Works Engineering Division PO Box 1150 Port Angeles, WA 98362-0217 TEMPORARY CONSTRUCTION EASEMENT The Grantor(s), k.O, , for and in consideration of mutual benefits, grant(s) to the City of Port Angeles, a municipal corporation (hereinafter referred to as the "City"),a temporary construction easement over and along the full width and length of the premises situated in Clallam County, Washington, and described as follows: Tax Parcel Number 0630000033000000 200 West First Street, City of Port Angeles, WA The tempora y construction easement hereby granted shall include the right,privilege and authority,to said City and its contractor(s), of ingress and egress to and over said described premises during the construction of water main, sidewalk, fire sprinkler piping, and related facilities as part of the Downtown Water Main Project, Phase III. The City or its contractor shall, upon completion of said facilities, restore the premises of the Grantor(s), which are disturbed by the City or its contractor, to as good condition as they were in prior to any such construction of facilities. The City and its contractor shall indemnify the Grantor(s)against,and hold the Grantor(s) harmless from, all claims, damages, and lawsuits related to the construction of said facilities. In consideration of the City's construction of fire sprinkler piping for the benefit of the Grantor(s), which the City is undertaking in the interest of public safety and to take advantage of the cost effective opportunity made available by the Downtown Water Main Project, the Gramor(s)hereby agree that the City shall have no legal responsibility or liability for the fire sprinkler piping constructed pursuant to this easement. Grantor(s)further agree to indemnify the City against, and hold the City harmless from,all claims,damages, and lawsuits related to the operation of the fire sprinkler piping following completion of construction. This temporary construction easement shall expire one year from the date of signature of the antor(s). — Grantor 1r..r. t7a"Zta Date Grantor Date STATE OF WASHINGTON) ) ss. County of Clallam ) On this date, before me the undersigned Notary Public in and for the State of personally appeared to me known to be the i i al(s)who ekecuted . yi the foregoing Temporary Construction Easement and acknowledged to me tha ey v d the same for the uses and contents therein mentioned. r Qj DATED this day of 2007. NOT Y P LI mano the State of ;. Washington, residing at c ✓' p t� ' It ' My commission expires: N:WROIECTSNOO-19 DOWNTOWN WATE1U WN PHASE 309 RIGHT OF WAvEASEMENTS\200 WEST FIRST.DOC ROUTING SLIP a°`' '"°N. Certificate of Occupancy $47 00 Certificate/Inspection Fee DATE_ �7 v v New Business ( ) Address of Proposed Business Transfer of Business Location ( ) .2-0o tu&l-y 1 �' , Change of Ownership ( } Applicant _ ,LA I LS New Building ( ) Address �7 R Nero ,V4A c Lz &A Sr Remodel ( ) �G,zesNo 14 WX2- Temporary Business ( ) Phone: business DY aq-1-907 home fes' 440 Change of Use ( ) Brief description of proposed business. Legal Description Lot Block Subdivision Current Use of Property- _-4:e� j� Zoning Classification of Property _ WILL THERE BE ANY OF THE FOLLOWING? YES -NO THE FOLLOWING WILL BE REQUIRED- Construction changes PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling,stoves) L_ 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs ✓ 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk Installation 6) Hotel Motel Admission charged to patrons Ll _ 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-otway 10) Water meter installation 10) Other Is there sufficient off-street parking? e3 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage 33)Sigh (parking lots, downspouts, etc.) �_ 14) Shoreline Are the existing streets paved? —`� 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? 17) Other Other --- I hereby apply for a Certificate of Occupancy and acknowl- 12/7/190 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: AP V REJECTED Comments / Conditions Building Section 1 Public Works Department Planning Department Fire Department City Clerk PB I.A, BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL WALLS/ROOF/CEILING DRYWALL T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATFRLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAE 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 r` PLANNING DEPT BUILDING 417-4815 BUILDING T\PLANNING\FORMSU 102.15(4/2002] REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS C o al p I rh 'ooAMA tNT- z 0 a z LU _r f 3 0 z 0 a O.K.FOR COVERING O.K.TO CONNECT SERVICE 'r FINAL O.K. t 1 d rwi CITY OF PORT ANGELES _ PUBLIC WORKS ELECTRICAL DIVISION 321 FAST STH STREET PORT ANGELES WA 99.362 LrM� ELECTRICAL PERMIT ISSUED' 3/09/2000 PERMIT NO 6895 OWNER/APPLICANT PROPERTY LOCATION ERICSON TRUST 202 IST ST W Lot: 1,2,3,4 11 Port Angeles, WA 98360 Block. 33 ❑ Long Legal 360/000-0000 Subdivision TPA T LAMONT'S STORE S Parcel No. 06300000330000 CONTRACTOR ARCHITECT ANGELES ELECTRIC N/A 524 E FIRST ST PORT ANGELES WA 98362 98360-0000 360/452-9264 360/000-0000 PROJECTINFO Project Type- COML. MISC Project Value $0.00 Occupancy Type Construction Type ADD AIR COND Occupancy Group Zoning Use. Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ® Overhead Service Voltage 120,208 ❑ Heat Pump 0 KW ❑ Temp Service Phase- ❑ 1 ® 3 Fan Wall 0 KW Service Size 0 Feeder Size 0 PROJECT NOTES REMOVE 10KW HEAT FROM EACH OF TWO EXISTING 25KW FURNACES INSTALL 5KW AIR CONDITIONING UNIT TO EACH FURNACE/AIR HANDLER. INSTALL 20 TON/40KW AIR CONDITIONER,WITH 5HP AIR HANDLER. TOTAL ADDED LOAD 50KW OF AIR CONDITIONING FEES ASSESSMENT Service $8975 Additional Feeders $000 Circuit Wiring. $000 Temp Service $000 Misc Fee $000 TOTAL FEE $8975 AMOUNT PAID- $8975 BALANCE DUE $000 (_OMMI-NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MWIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE WSPEMON TYPE DATE ACCEPTED coMMmwTS YSS NO DITCH SERVICE GENERAL COMMENTS: Pw•1102.1514''96) CITY OF PORT ANGELES Q ©cy �j FEE REC PT NUMBER DEPARTMENT OF LIGHT A � PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT t alf-Ai C � u �r TOTAL•FEE Cyy � S l _+ � Z`f CONT LIC.NO. TIME TO COMPLETE NO.STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR i,14V ESTABLISHED UNDER THIS PERMIT Site Address ' pad 4L ORE T ADDRESS ISR SPONSfBILITY OF APPLICANT P RMITS TH ONG ESSES ARE CANCEL EO y Owner InstallationBy C`D/ Owner's Address S� L" ei:�—e---installers Address Day Phone installers Phone _ I App lication Is hereby made f Permit to install Electrical Equipment as follows: J _ Wiring Method NUMBER AMP 120V 240V _ NUMBER RMP 120V 240V USE OF CIRCUIT PER 10 OR — FEE'- USE OF CIRCUIT PER 10 OR FEE GIRCUITS CIR 1 0 3 0 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS ) all OR LESS 'CONVENIENCE MOTOR + CONVENIENCE - MOTOR - + APPLIANCE _ MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC OVEN WATER HEATER LAUNDRY DRYER - - REINSTALLATION LIGHT FIXTURE iY FURNACE SUBTOTAL FEE i i GAS OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT -- " - TOTAL FEE (� ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP . PHASE FEEDER -ze,�d SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W G. 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 conforma with the N E.C, trical Code. Date Application made Id 19 ONTRACTO R O ER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions h eon and a or ng to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Por nge t ' DIRECTOR OF CITY LIGHT ' Date Permit Issued , By PLAN APPROVED * + Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O K.for covering or service has been given by Inspector in Writing on Permit Placard.A. Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS z c� or z W cr3 z 0 0 Q90p0 O.K.FOR COVERING r T CA^11axL[ O.K.T0CONNECT SERVICE/ w7G �� �O FINALO.K. vIry .5-lelver elf T �A r CITY OF PORT ANGELES ©O FEE RE EIP UMBER DEPARTMENT OF LIGHT °FMTNUMBER APPLICATION AND ELECTRICAL, PERMIT " TOTAL FEE CONT LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 20117- ��`:� /ST �TiP��'7 �. �'4vE'T 4 l zC Ltx! ,,��// '/�rCCOORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRON gDDRESSES ARE CANCELLED Owner 144/6 /Yl I—I&I ly .2w. Installation By Owner'sAddress /ilk +BAST A/ /1O2 Inst�ers Address �2 _ _ awb Day Pho��� �� Installers.W--* 'one. � '�`"3r Application is hereb�'rriabe'fd'r Permit to ingtall eoctricakEquipment-as:follows: �/ 1 n\ – 1y Wiring Method C. had( AMP 240V AMP 240V USE OF CIRCUIT NUMBER PER 120V 1 0 OR FEE USE OF CIRCUIT NUMBER PER 120V 1 O OR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN / LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE N FURNACE SUB TOTAL FEE GAS OIL FURNACED ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT �n 6C./ AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONbUCTORS SERVICE �o2D- A.W G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the Work to,beperformedunder this permit will be done by the Installer and In conformance with the N .0 Electrical Code. Vate Application made NTRACTO OR WNER(OR AUTHO ED AGENT) Permission is hereby given to do the above described Work,according to the conditions h Borland ding to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Po es. IRECTO7f CIT%y.f JGHT Date Permit Issued By PLANS APPFfOVED Notify Department of City Light by Street Address and Pe it Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard, A. Permits Phone.457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK— SEE OVER— WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report REPORT OF INSPECTOR f GATE OF VISIT MADE BY REMARKS -Jt57—a-►-v�-e_ � - r z aG a • z_ W H 0 Z C' t O.K.FOR COVERING O•K.TO CONNECT-SERVICE N�3 r ' FINAL O.K. ,�1'G{( v �Jl ►f PAY Nt /.s f/pye© O F a )lj /eo� �41, � A 11 o /l/7 ,s , �+f / 4, / �E!TL H✓x l�(�(l� �r lC, ,-•Ccs eiv 2 X Fri ; /R 3 8 &0 aro c r 4 -CITY OF PORT ANGELES- LIGHT DEPARTMENT BILL-YES 0 N0EJ Job Locoiion FIZs-r -1 Project No. WS. FPC::�6 CF 62.%,L - !A�ti 1C.P.S-r`� EngineerChecked �on for Work -�P L2 Oraftsmc pale isw =�ed Foreman Revised Grid It) Start date C ompbte date Copies to ,(J,C�L7 File 1 Survey DPW TEL TV. Crew Total 2- i 1K A ' � c i I I i79 < I i r � I i I i I i I I i y t i a. Park)n9 ,?,., ;.. :,........... ...... .. . :•. i ».. 19 / ti V Alley r• NEW VrbJ a-, ! 'T •.Y FAQ Parking EX tom.j c•��n v P'.a.V r-�'` I ull psi ,2 b in His lip aifA Lk 1 41 I�lw W First Street parking Parking i t I L i �- TIT m Oak Street ,r: x Z 4+. -Z .. - Wil' MISS L A M O N T S 11i'II MALCOLM CAT ailq ° r ,A 6'0�C A S S C R. _ PORT ANGELES WASHINGTON ''y' `•,F .r F;, _x ;- ti._. for ARCHITECTURE /P Pay Corporation - ° 180 HIGHWAY 303 POUlSsO W• Seattfe.Waahington �•::t\.. ��: ��,�'..., .. ,`• .''% r ..?�: ,.;,�, .-r+Ai':��1��._."t'��s';w�"�,.3_.uti.�%....`..«��iv'�Gt•�r�C'.�•S'J�3•:�;w.'K^ Sys •,� ♦ r� 7 ��x��� ..*:ii',.Y o- ;,4'`j' _S:-: 'i- �; OOC.UMEN7A710N NBCORd. a roar«. , yy+ry�+ ' y L W cc 1 A ,r .14 ,1, y4':• 12 0 0. t tsg'fz f p it 02� t h 0 •:��• ;�,� .i Vit, �.. �,� �� iDt'i�YN.r'•-Ch1r'�N1 t-1rT n.'4.t <=t���:�r.'ix�' 4 �, A!'`k'y' .1 1 � 1 1 6 , 1 i 1 1 Illll 1 � F i 1 a i �,r I:-r1p. A 4K it (� �..7J �� i eat, .r'; .r:, Vi ._. ��:,r. 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R[T IL SnLES 1 ' A 1� II 1}I �j II 1 I� 1 1� �I J 5TAllr re i' I�IUT j RETA -SM-ES i I i� I Rl r o.eS, LIlrT— 7 to ;, 2 O' 1 5 f 40, �.' p { p p - ��K{i J� •4l � .,• I � r I 51.L•ra I _ 9" ..•ca T_ \ k 1 J G1' 11 O f± I j !0) I I r I <vas IST c3(tie Omy I • A,PF f�tNo L.. �r v y MECH co UZI Co 030 D 2f eel LU co cix ii :.� ;i S jCL JI STK I !Oi I) } FLOO LOWER R p A NOrihfy A'i A yS V, 4k 7k VZ AAWLSP v.a 77 , LA-Y--iAWA i Y, Al 0 Lu CCTSJ MANAGER/>� 0 2 'i � � ,• SII ri MECH 74 C,r /I D 72 LIJ H CITY OF PORE'AlAmmwrS PE,RMiT APP]LiCAT[ON Building-DivisionTolectriicatl inspections `" �".. Alt .w 321 East Fifth Street.•-P.O.BOX 11501 Port Angeles Washington, 98362 4? 1� Ply: (360) 417-4735 Fax: (360)417-4711 � o l d Date: Y( ^,3 13 X Multi-Family or Commercial* Pian ReviewM� a �tluiredIt:a �Com fakelectricaf Pian Review Information Sheet Job Address: U Co Building Square Footage; -- Description of above (j Owner Informatl n —• "'" �- Name: h 4 1fo bait �1'}1 fE04� Contracto Information Mailindr s: s Name; City,_ f 2i Name- Mallin dd ss; _ _.l Rhone,Y '7�Fax; p' — City: J �. Sfata, � Z�;_�b License#1 Exp,_ _ - Phone; X item Unit Charge Licensp S ervice/Feeder 20C Amp, 5132 a0 Total(Qty M.ultic ted by llnik Cha Service/Feeder 201.400 Amp, $160,00 a Service/Feedor 401.600 Amp $275.00 ___ Service/Feeder601-1000 Amp. $288.00 $ -- Service/Fender over 1000 Amp, $410,00 $--�-- Branch Circuit WI Service Feeder $ U0 Branch Circuit WiG Service Feeder $ 74,00 Each Additional Branch Circuit $ 5,04 --- $ Branch Clrcuita 1-4 $ 80,00 - Temp.Service/Feeder200 Amp, $102,00 's — Temp,Service/l=eader 701400 Amp, $121.00 '--- Temp.Service/Feeder 401.600 Amp. $161,00 ;R Tornp,ServicelFeeder 601 1000 Amp. $185.00 Portal to Portal Hourly $ 96,00 5-- SignlOutline Lighting $ 88.00 Signe)Circuit!Limited Energy-Multi-Family $ 64.00 �'-- --, Signal Drcuitl Limited Energy(First 1500 sf Commercial $ 96.00 $T�--- Note; $5,00 for each additionaE 1500,9f Renewable Electrical Energy-5KVA System or Less $193,00 Thermostat $ 56,00 '` $— Note;$5,00 for each additional T-Stai fi $ 1, 3�. p t1 trofal Owner as defined by KWA 9,28.261:(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 irispectton. Atter reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contrc ctor. I am making the electrical installation or alteration In compliance with the electrical laws,N,E.C„ CCW,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. Xalowner,electrical contra is or electrical admiinistrakor: CI Cesh C] check Credit Card# q•`;a oatodr /0— -f �„ a1�n91za1z ELECTRICAL PERMIT �1 CITY OF PORT ANGELES 360-417-4735 � Application Number , . . . 13-00001166 Date 10/09/13 Application pin number . , , 920134 Property Address , , , , , , 200 W IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBIR: 06-30-00-0-0-3300-0000 Application type description' ELECTRICAL ONLY on your excise tax form subdivision Name . . . , . , Property Use to the City of Pod Angeles Property Zoning , . . . , . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . , , . 0 ----------------------------------------------------------------------------- Application desc Feeder for kitchen cooker ---------------------------------------------------------------------------- Owner Contractor JOHN J" & ROBIN K MILETICH SIMPSON ELECTRIC 312 RED DEER DR 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360 4.52-7175 (360.) 457--9270 _ -__---- --------------------- _-______------------------------- ----_--__ _---- Permit . , . . , . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Pee . . . . 132.00 Plan Check Pee .00 Issue Date , . . . 10/09/13 Valuation . . . , 0 Expiration Date . , 4/07/14 Qty Unit Charge Per Extension 1.00 132.0000ECH EL-COM 0-200 SRV FEEDER 132.00 - Fee summary Charged Paid Credited Due Permit Fee Total 132.00 1.32.00 00 00 Plan Check Total ,00 Grand Total 132,00 232.00 00 .00 .INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEWILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 03 360-417-4735 W Application Number . . . . . 16-00000836 Date 6/09/16 Application gain number 635916 Property Address . . . 200 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-0-3300-0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use . . . . Location Code 0502) Property Zoning . . . . . CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Move circuits Owner Contractor JOHN J & ROBIN K MILETICH SIMPSON ELECTRIC 31.2 RED DEER DR 243036 W HWY 101 PORT ANGELES WA 98362 PORT ANGELES VIA 98363 (360) 452-7175 (.360) 457-9270 Permit ELEC'T'RICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee �00 Issue :Date 6/09/16 valuation 4 Expiration Date 12/06/16 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 Grund Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN rQ FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Date: G1�EXCHING rANGE�BUILDIectrical Contractor X...._°_ �.�IT _ _...._...... -. vranr%vim "Wj , oil I z , " CIT OF IP+t =ANGEL PMS"AMI CA IO1wl W rrilrlf� � $ � 321 East FM Strom-W$"»' .BOX 1150/POO AngrfmWmbi n,9062 ph:(36U)4117-4735 Fm:(350)417-4711 lWt*alrtifY or Conomlar x Plan Review Mas►Be le ,iTQd.PleeeColllllalete w Man Review Information Sheet ,Jc4sAdwrr�« [)mwon of 4bm Owner "ran r7 *" 0`Nmne_ �" Ar ° phone; tt 4rtx cmQWnm# To ,m Mel t n- a eed 2W ATM. $132..00 ---- _ $ ServRWFee&r2DI40Q RmR_ $180.00 qem�mFemkr401-60DAmp $225.00 Sar mW,ec4w691-1D0D Amp. $288.00 $ SW0cIF aver 1000 Amp. $410.00 - — Branch Circum W/SaMce Feeder $ &no $ �- Branch Ckcua W/O SaMce Feeder $ 74,00 $ Each Branch Chu& $ 5.00 $ Branch Otuft 1-4 S 80.00 --- $ Temp.Service!Feeder 200 Amp. $102.00 $'temp.SaMoWeWar2014W Amp. $121.00 TOM,SmWFOedw401MG Amp, $164.00 Tamp.So 0-10M Amp. $185.00 $------�-- Portai to"I Howly $ 1U.00 $ -- S e $ 88,00 �� -has-Foey $ 84.00 $ 819"A CkWWLW0gd EneMy/FW ISM sf- + rc 1 $ 96.00 Nom. $&00foreac#ad tfioW 1500 Sf Renewable Meekkai Ene SWA System or Less $113.00 $� - Tnannoshat $ 56.00 NOW-$5.00foreachadditionalT rac $ fo+tal Owner as defined by R=1'9.28 1':(1)Vie""11 o=Py the Mrodm fort"ymrs after Oft t4se it l pem Is fimlb 2c.(2)Omer is required to hire an a rxarftctor if ahorre sMd prrafaer)y is for safe,rpt or Imn.P"enAit+etcpims alter S*Moriftaf last inspec o in_ After reacfing the above statement,t hereby cerllyr thea 1 am the owner of the above named property or a I" electrical 1 rontrmCb r r 1 am making the electrical insulation or alteration in campllan©e with the electrical haws,NEC,,RCW-Chapter 1928,WAC,Chapter 2911.4613,The of Port Angeles Municipal Dade,and Ut7$y a " and PAMC 14.05.050 regarding Electrical Pemd Applications. owner,elechical or electrical administrator. ❑ CWh CJ 7--�t4n Caen# . ,P ELECTRICAL PERMIT CITY OF PORT ANGELESr 360-417-4735 Application Number 15-00001482 Date 11/23/15 Application pin number 073866 REP - ASSESSOR PARCEL 200 w IST ST -0 ORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Appl.:i.cat.ion type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning , . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation , . . . 0 Owner Contractor JOHN .J & ROBIN K MILETICH SIMPSON ELECTRIC 31.2 REL} DEER. DR 243036 W HWY 101. PORT ANGELES WA 98362 PORT ANGELES WA 9836.3 (360) 452-7175 (360) 457-9270 Permit ELECTRICAL ALTFP COMMERCIAL Additional. desc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 11/23/15 valuation 0 Expiration Date 5/21/16 Qty Unit Charge 11e:xExtension BASE: FEE 86.00 Fee summary Charged Paid Credited Due Permit Fee Total B6.00 86.00 00 .00 Plan Check Total .00 .00 .00 00 Grand Total 86.00 86.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL o COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BUILDING _ �' _- CITY OF PORT ANGELES PERMIT APPLICATION Building Division/ElectricnlInspections 321 East Fifth Street--P.O.Box 1.150/Port Angeles Washington,98362 Ph: (360)417-4735 Tax: (360)417-4711 Date: Multi-Family or Commerclal* x Y Inf rmatton Sheet Jab Addresevlew May Be ulcers,PI ase Co+p 'iete Electrical Plan Iewri Building Square Footage: Descriptlon of above d ' 11 U Owner Info anon T Name:—-. Name: dress, LE.C on raC car n orimation MaWrag ddgs; city, o Slate: Zip: city: rete; 2i1, - Phone: - ax Phone - �, Fax: 7'- Llcenso /Ex ~~ ~ � Exp ..,_. License# Exp.,.,,�bnI p , Item Unites C�is(tr f-5 0n To$ Q� ultl"Iiedrb I Clta ServicelFeeder 200 Amp, $132.00 $ _ Service/Feeder 201-400 Amp. $160.00 $ Servlce/Feeder 401.600 Amp $225.00 Servlce/Feeder 601.1000 Amp. $288.00 w, $ Service/Feeder over 1000 Amp, $410.00 Branch Circuit W/Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Addilional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 :' Temp.Service/Feeder 200 Amp. $102.00 $ Temp,Service/Fooder 201-400 Amp. $121.00 Temp,Service/Feeder401.600 Amp, $164.00 $ Temp,Servlce)Feader 601-1000 Amp, $185.00 $ - Portal to Portal Hourly $ 96,00 $ Slgn/Outline Lighting $ 88,00 Signal Circultl Limited Energy-Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 115000-Commercial $ 96,00 $� Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-SKVA System or Less $113.00 Thermostat $ 56.00 Note:$5.00 for each additional T-Stat $ Total Owner as defined by RCW,19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized. )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 con r9ct0L I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19,28,WAC.Chapter 296-41;B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Sigamowner,electrical con r or electrical administrator: Cl cash ❑ Chock C Credit Card#__..(�'� gid. ���9.��...�� ..q r►trot►zolz ..,,� Application Number . . . . . 23-00000258 Date 3/15/23 Application pin number . . . 319894 Property Address . . . . . . 200 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-3300-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Coolers ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ JOHN J & ROBIN K MILETICH OLYMPIC ELECTRIC CO INC 312 RED DEER DR 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-7175 (360) 457-5303 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 79.00 Plan Check Fee . . .00 Issue Date . . . . 3/15/23 Valuation . . . . 0 Expiration Date . . 9/11/23 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79.00 79.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 79.00 79.00 .00 .00 Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 | www.cityofpa.us | electricalpermits@cityofpa.us ELCOM MULTI-FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION Project Address: Project Description: □Multi-Family Residential □ Commercial / Industrial / Public Building Square footage: OWNER INFORMATION Name: Email: Mailing Address: Phone: ELECTRICAL CONTRACTOR INFORMATION Name: License: Mailing Address: Expiration Date: Email: Phone: PROJECT DETAILS Item Unit Charge Quantity Total (Quantity x Unit Charge) Service/Feeder 200 Amp.$132.00 $ Service/Feeder 201-400 Amp.$160.00 $ Service/Feeder 401-600 Amp.$225.00 $ Service/Feeder 601-1000 Amp.$288.00 $ Service/Feeder over 1000 Amp.$410.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $86.00 $ Temp. Service/Feeder 200 Amp.$102.00 $ Temp. Service/Feeder 201-400 Amp.$121.00 $ Temp. Service/Feeder 401-600 Amp.$164.00 $ Temp. Service/Feeder 601-1000 Amp.$185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi-Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial (Note: $5.00 for each additional 1500 sf) $96.00 $ Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional)$56.00 $ $ TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (□Owner □Electrical Contractor / Administrator)Permit #: [Electrical Permit Applications may be submitted to City Hall or epermits@cityofpa.us or faxed to 360.417.4711] PREPARED 3/14/23,11:42:32 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000258 200 W 1ST ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 79.00 TOTAL DUE 79.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 3/16/2023 23-258 TAP OWNER CONTRACTOR Olympic Electric PROJECT ADDRESS 200 W 1st St