Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
331 W 1st St - Building
PCF ACQUISTIONCO LLC 22026 68TH AVE S KENT T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000551 Date 6/05/09 Application pin number 616191 Property Address 331 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1315 0000 Tenant nbr name UNION 76 CONVENIENCE STR Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 500 Application desc CARBONATED BEV DISP RED PRESS BACKFLOW DEVICE Owner Contractor WA 98032 ANGELES PLUMBING INC P 0 BOX 1151 PORT ANGELES (360) 452 8525 WA 98363 Permit PLUMBING PERMIT Additional desc Permit pin number 147892 Permit Fee 57 00 Plan Check Fee 00 Issue Date 6/05/09 Valuation 0 Expiration Date 12/02/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 rya zee e ?A c 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. N ate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 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) G ine Back Flo I Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar 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 INSULATION Slab I Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab I Blocking Hold Downs I Skirting I Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL Date t I Accepted by h FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By T:Forms /Building Division /Building Permit C_ Initial Test Repairs Details Final Test COMMENTS NAME OF PREMISES A 76 A/ 1 X C' 4 /C" 5 7,4 i r SERVICE ADDRESS 31 LOCATION OF DEVICE. Ai RACK w A .fir 1 r !i 7 b ASSEMBLY f// I 7 .S' G r Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES ©'NO IS ASSEMBLY INSTALLED CORRECTLY'' YES ®']VO DATE OF INSTALLATION .71/7 C' UNKNOWNO REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA DC DCDA PVB Air Gap SVB AVB PVB /SVB DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 Leaked Held at 6psi Cleaned Replaced Held at 6 psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES 0 NO Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division CHECK VALVE #2 RELIEF VALVE Leaked Did Not Open Closed Tight l30 Held at Opened at psi psi Cleaned Cleaned Replaced Replaced Closed Tight 00."'" Held at psi 3 psi Butler YES NO Opened at 7 psi /t/ /A/ )7 4 C t- 7 17 PEEP if iW5 AH7r Si/'wAv- BA(kfe!,,., A/ I Yl; r i fl y /a rt- Date/Time Tester Signature 4t, f J 6 �Gt( Initial Test Repairs Final Test C (;f ,4 &k 1. (Lrd Cert. WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Leaked Held at psi Replaced AC Official Use Only Assem.# Received U AIR INLET 'Did Not Open Opened at psi CHECK VALVE REPAIRS Cleaned 9 5 5 7 AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD •S #/l ,QJ,Si e /1'6; Line Pressure psi Held Backpressure YES IEYNO #2 Shutoff Held YES L9' NO Relief Valve Exercised YES Er NO Test Kit Passed Failed Alp GLt`) 44 lP l,L T E, L CITY OF PORT ANGELES DEPARTMENT C ''OMMUNITY ECONOMIC DEVELC 5'NT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES e, 98362 Application Number 09 00000551 Date 6/05/09 Application pin number 616191 Property Address 331 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1315 0000 Tenant nbr name UNION 76 CONVENIENCE STR Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 500 Owner Contractor PCF ACQUISTIONCO LLC 22026 68TH AVE S KENT WA 98032 Qty Unit Charge Per T:FormsBwlding Drvision/Bai[ding Permit Application desc CARBONATED BEV DISP' RED PRESS BACKFLOW DEVICE ANGELES PLUMBING INC P 0 BOX 1151 PORT ANGELES WA 98363 (360) 452 8525 Permit PLUMBING PERMIT Additional desc Permit pin number 147892 Permit Fee 57 00 Plan Check Fee 00 Issue Date 6/05/09 Valuation 0 Expiration Date 12/02/09 BASE FEE 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Extension 50 00 7 00 I a Rcr ec, s Af c ve-ed Ze-itkri g de, 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 iaw regulating construction or the performance of construction. Date Print Name Sigt,a *.ure of Contractor or Authoriz_d Agent Signature of Owner (if ov ner is bu der) 06/04/2009 11 52 ApplicantorAgent ANGELES PLUMBING. INC. Property Owner pt^T ACf�TTTCTTO_ C(1 T 7.r Property Owner's Address 22 626 68th Ave S.. Kent. WA 98032 Contractor/Engineer ANGELES PLUMBING. INC. Contractor/Engineer's Address P 0 Bog 1151, Port License ANGELPIO77KP PROJECT ADDRESS Parcel Number 3604528583 ANGELESPLUMBING BUILDING PERMIT APPLICATION Print in into CITY OF PORT ANGELES Alto: Budding Pena Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 331 West First St 0630000013150000 FIoOt'.Aroaas FxisSiRo &a ft) Proposed fact ft) Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. R 4 Lot size Max height of proposed structures WIl a lawn sprinlder system be installed? WO a fire sprinkler system be installed? I. Occupancy group Occupant load Constmdion type Signature Ptlotie Phone Phone Angeles, WA 98362 For CCityy U On Date Received 0 5 Perim# c C .Date Approved 452 -8525 452 -8525 5 -15 -2010 Uh■Oli 76 Lot Zoning persq.IL TOTAL VALUATION 50 0 sq. R Lot coverage *of bedrooms *of fUlt baths of half baths PAGE 02/02 Pro Tyj A �D scrfpiilrea: a ResFdenGa/ Commercial n Aftrlikramilty o IAdiitslrWal Chad( all that apply CI New Construction o Addition o Remodel Repair o Re -roof o Demolition Heat System Other o Heat pump o wood- burning stove a gas fireplace a pew stove a other Instg12 Reduced Pressure Barkflow Assembly for Carbonated Beverage ni4ilPnQPT Afze_ 96 I have read and completed this application acid know it to be free and correct 1 am authorized to apply for this permit and understand that it is my responsibility to delennin e what permits its are required, and to obtain permits prior to wovricing on projects. Date to --/-4" 9 Print Name DALE BRIM T:FonnaBuiidn® Divisian/Bklg PermitAppt_ 2006 Code,doc Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Prope~"ty Use Property Zoning Application valuation 08-00000766 Date 067766 331 W 1ST ST 06-30-00-0-0-1315-0000- ELECTRICAL ONLY 7/01/08 COMMERCIAL ARTERIAL o Application desc Sign and canopy Owner Contractor TIME OIL CO PROPERTY DEPARTMENT SEATTLE WA 98124 PHOENIX SIGN CO. 112 CLEMONS RD MONTESANO (360) 532-1111 LLC WA 98563 129007 83.00 7(01(OB 12/28/08 plan Check Fee Valuation ',' .00 o ~ Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS - Qty 1. 00 3.00 Unit Charge 35.0000 16.0000 Per ECH ECH EL-COMM-1ST SIGN EL-COMM-ADD SIGN Extension 35.00 48.00 G Fee summary Charged Paid Credited Due ----------------- ---------- -------- ---------- Permit Fee Total 83 .00 83 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 83 .00 B3 .00 .00 .00 ~ fNSPECTION ELECTRICAl TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - --- ROUGH - IN 7/'{,. log c;/J///Jb Iij7 mr FINAL 1/11108 ~ - - - ~ COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 08-00000608 Date 53B368 331 W 1ST ST 06-30-00-0-0-1315-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor TIME OIL CO PROPERTY DEPARTMENT SEATTLE WA 98124 ALLIED ELECTRIC PO BOX 3855 LACEY (360) 459-0575 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 127019 Permit Fee 58.00 Plan Check Fee Issue Date 5/23/08 Valuation Expiration Date 11/19/08 Qty Unit Charge Per 1. 00 58.0000 ECH EL COMM ALT <5 CIRCUITS Fee summary Charged Paid Credited ---------------- -------- ---------- Permit Fee Total 58 .00 58. 00 .00 Plan Check Total .00 .00 .00 Grand Total 58 .00 58 .00 .00 5/23/08 WA 98509 .00 o \jJ oJ Extension 58.00 ,..- Due .00 .00 .00 [ r ~ f pORT ~ tO~~~ ,. 'IL -=-a' ~ 't.ii:.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001014 Date 725392 331 W 1ST ST 06-30-00-0-0-1315-0000- COMM REPAIR 8/19/08 COMMERCIAL ARTERIAL 4000 Application desc REPAIR DAMAGE TO SIGN Owner Contractor PETROSUN WEST PROPERTIES, LLC CUMBERLAND INn CNTR, BLD A 22026 68TH AV SOUTH KENT WA 98032 ( 2) PACIFIC ENVIRONMENTAL SERVo IN PO BOX 2049 PORT ANGELES WA 98363 (360) 385-4221 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL REPAIR DAMAGE TO FREE STAND SI 132407 123.75 Plan Check Fee 8/19/08 Valuation 2/15/09 .00 4000 Qty Unit Charge Per Extension 95.75 28.00 BASE FEE 2.00 14.0000 THOU BL-2001-25K (14 PER K) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 123.75 123.75 .00 .00 hhtt~ // 0/ /~, O~ 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. C)~~ Signature of Owner (if owner is builder) Print Name T:Fonns/BuiJding Division18uilding Permit (05/] 3/08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. ~ \N -- I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE SLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CElLlNG I MECHANICAL HEA T PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT",s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. /1 PLANNING DEPT. 417-4750 PLANNING DEPT. I I A " BUILDING 417-4815 BUILDING II t:JJ)1 ~ 1/1 T.r:nnnc/rlllilrlinll nivi~inn/RlIilr.irll' Permit (05113/08).wod I v 'I. / ( ~ \\1\ ~ ~ Jj C{) ~ 1 ~ ~ ,. <:J ........... ~ ~ 1- CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant or Agent J) t?c-1ljic & v I rq~ <~ f, / Property Owner ~..t' \JI"") Property Owner's Address Contractor/Engineer Contractor/Engineer's Address License # BUILDING PERMIT APPLICA TION Print in ink For City Use Only: Date Received ~-lc.. -08 Permit # 1f ~ j C> Il; Date Approved _ c -er Phone Phone Phone Expires PROJECT ADDRESS JJ / L- j::: rJ + .cd- Parcel Number Lot Zoning Project Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel i7Repair /0 Re-roof o Demolition o Heat System o Other o Residential ;t Commercial o Multi-family o Industrial r2J o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Floor Areas Existinq (SQ. ft.) Proposed (SQ. ft.) Basement @$ per sq. ft. = $ 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other / ~oVV ,- TOTAL VALVA TlON $ / sq. ft. = Lot coverage % Total footprint of structures sq. ft. Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # 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. ~ ~ Date3-lt-og- Print Name JCr/r/ C' f'C?v--f::d Signe./~~ T:FormsfBuilding DivisionfBldg Permit Appl.-2006 Code.doc CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . . . . . Application valuation . . . . OB-00000545 Date 711530 331 W 1ST ST 06-30-00-0-0-1315-0000- "76" GAS STATION 5/09/0B SIGNS COMMERCIAL ARTERIAL 1250 Application desc 3 SIGNS: 6B.6 SF F/S, 6.B SF CANOPY, 6.B SF CANOPY Owner Contractor PETROSUN WEST PROPERTIES, LLC CUMBERLAND IND CNTR, BLD A 22026 6BTH AVE SOUTH KENT WA 9B032 PHOENIX SIGN COMPANY INC PO BOX 497 ABERDEEN WA 98520 (360) 532-1111 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN 3 SIGNS: 68.6 SF F/S, 6.8, 6.8 126144 209.00 Plan Check Fee 5/09/08 Valuation 11/05/08 .00 1250 Qty 2.00 1.00 Unit Charge Per 47.0000 PER S- SIGN LESS THAN 25 SF 115.0000 PER S- SIGN FREE OR PROJ 25+ Extension 94.00 115.00 Fee summary Charged Paid Credited Due ----------------- - - - - - - - - --" ---------- ---------- ---------- Permit Fee Total 209.00 209.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 209.00 209.00 .00 .00 /?h //;:v 'Q ~ Separate Permits are required for electrical work, SEP A, 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. "5~11)' rD~ Date ~l-{e~ P I-UJ.Hrrod ~? _ ~ Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:F'orms/Building DivisionIBuilding Permit (10101/07). wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o oQ \ ~ .-L 0\ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL om Y) T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE REsmENTIAL 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 4/7-4653 FIRE DEPT. PLANNING DEPT. "...... 417-4750 '....' PLANNING DEPT. '" BUILDING 417-4815 BUILDING ll-U-OSZ -rLL vJ IjJ .,--. E .----. 4 ~ VJ - ~"'7 :.J" \;1 T:I'orms/Building Division/Building Permit (10/0 1/07).wpd " .,.CO , 0 , '- , '" , N , '- , ri , ri , , , , r>lr>l , ClE-< , <(<( , 0.0 , , , , , , , , ri , ri , ri , ri , , , N ., , M ri Z , IJ1 >< , tJl 0 , <:: H , 0 '" E-< , '" 0. <( :>< , M ri E-< ...:l , ffJ I>: , r>l , .. ~ ffJ H , ;> <( ...:l , H r>lr>l Cl E-< , 0 ZZ '" ffJ r>lffJ , gJ 00 'OM r>l >:r>l , :x::x: 0 .. '" E-< ~~ , ffJ "'''' .. CO t- O , riM Z E-<,.., , 0 .. , CO 0 Z .. , riffJ ~ 01>: WOOlJ')Z HO ffJ ~OO{!) E-<E-< E-< HCO\H ffJ UU Z E-<N , ffJ E-< r>lr>l r>l N Z 0.0. :>: -.,. , r>l ffJffJ Z:>: "'''' :>: ~~ U 00 ...:IN ...:l :>: ...:l HU <( 0<( 0 ...:l E-<'- Zlo-ll.DZ U o.ffJ HQ.lMH HE-< "'{jr>l'" UffJ I>:...:l Zr>l , U:=> Cl.,;>Cl HHO ffJffJ 0>r>l0 E-<O r>lr>l ..:lOE-<...:l :><1>:0 01>: <XlZffJ<Xl ~r>l0 0.' OlOlO(I) Z:>: I>: riZ .~ OOo..MC) E-< M HU ri H o....:l .,. E-< E-< , ffJ ffJ:=> E-<<(ZffJO ZffJ 0 ffJE-<Clr>l , IJ1 Hr>l 0 cnH~O'<1' I>: E-< ffJ , IJ1 0 ~~:<sg:5 riffJ ~OO r>l ClHffJ '0 H -...:l 3 ZOoo ....r>lr>l cor>l WP::MO enE-<E-< oCl .-iIJ)O~ ' , ffJr>l ~~ 1""'lt':I:~\Oco Or>l...:l M = 0..0..00 O:=>o. N 0:>: '-E-< ~r>l0 ril>: I>: I>: I>:U riO - <Xl I>: -r>l .... 0. ZO <Xl en 0 E-< -~ r>l'" ffJ -U ri 1>:0 ffJE-<<( ...:lZ E-< 0 0 <( ~~~fHJ...:l .... ffJ 0.:>< ~ '- '" r>lE-< OZZZl>:o. 0. '" I>:H ~r>l03<(0. :>< ...:l o.U E-<UOo.<( 0. E-< <Xl I- u. o en co N o ~ x N Z C> ,,' U) ;~ ~ o Z ~ () lC> ',Z ';~ en ~ .J. ~-1e~ . _ -e t>ll.= cO \ ~ \ \\ \t ~ ~o ;E.S'li..g c::.,g no ~ \~ C c)._ c; el ~ ..A. a: ~'. -== c (1.' .s::::.~.:) ~ ~ ) c:. ~ ~.- e ~ .~ 1 ~ c: en c: ~ 0. ~ .a. ~ !~~~e~~ j ~ t;) o..::ICle='-:5 ~ e~~o-~o ..J 1n~:Sc:~Z 9. z ~ W ,- ~ ~ <<i ~ a. 0. ...: 1Ut; C:::v aJ~ o -t::'u N ~ (J') ~ .oZ 0'\ cw .-iaJO ~.-igI r-....;>.-i~c.. 0'\ ~.-t C V Z N Ol'**= Xtl::lM.~W o 0 a.n .- U COcx:.........5]Z .wO OW qco~.c~ ~ <( ......- 0....J ~ ~ wv; z:~ ~2!iaV)* Vl !o!~llI12lS<!: ~fa - =>~[ljffi =>> ~g5IiE~ 00 o~!j: ~ WCX: ~ 5~~!;; uo.. 00.. cx:< O~d z 0..0 ~M~~~ OZ z< liJ~i5 z~ <0 flI~ozi ~~ !1dt ~ ri!~ ~O!!!I;:;:I w . ~~lll~a ~-! ~gt;?!!!~~ . :;;=> ...J~ 15~~~Hl!1l1 ~< ~1:;6~~~ ~~::i:SBU~:5 lIlIl lIlIl lIlIl lIlIl I- U. o en (l() <0 ~ C5 U) z Z 0 0 U) 6 I-f Z => U) 0 0 I-f ~ > I-f !i 0.. UJ U) " I-f cx: 0:: > 0 u.. :c UJ 0 a::: w I- > 0 0 I-f cx: ~ 0.. Z 0.. < D D w >: ~ ~ ~ I- 0 en 0 I- 0 en Z u. 0 l- s: I- a. 11 0 ~ ::!!: 11 a. C') ~ (l() :ll:: C') 9 () I ...... ~ en co ...., .b '"' co z ~ w . . .J 0 ~ (/') lHI.r~-. z z 0 0 (/') 6 ...... z => (/') 0 0 ...... ~ > ...... ~ UJ (/') ...... <> ex: 0::: 0 > u.. UJ 0 :c w !:; 0::: > ~ 0 r & ~ Z W < C.9 0 0 ~ <( ::1i Z C.9 (j) I- a::: C.9 ~ I- Z o en I- o I- (j) o en z u. ~ f2 >< I- ~ W o ~ n. n. C"l :E ~ C"l <t: <0 () :z: 9 ::!5 en C; '*" .;, 0 ..J <( ,-- z ~ w 1 11 .....r-... Va C:'<t" - I.D a ~O\ ~ c~ co .3z 0\ C W <(_vo r-...~;:@5: 0\ ~...-1 C '<t" Z I 0'1 =l:I: X W l"\l .- owfri~W co ~ ,......c ~ dw55~W a:~n-B.~ ~ '" z ~~ ~ alS ",*i III z~~~lS~ ~o ~~!5~~~ =>w ~f'? ~ 15 0> ~iLl'5:!; t'j~ ~ t'l~~~ ~~ <>n:~ III ~~ i5i~ Q.o oz ~~~~I~ z< <0 r!~i~ ~ ~~ II i~1 ~::1 Ol!]1ll a w . !;;:-! ~o15Ili~~ ~:::l ~u~~n :J~ << m ::;;~~5~ - .-- - . --- r: ~ E)${ON-" ----~ --------~ ...~ .,.,..._--..-....- -- - Food Mart , 11..~~-1 , . _lAIlt 'f t~..._' ._~_~~~--:_._,.... 'j EXISTING MID FREESTANDING SIGN EXISTING sa FT 109.56 lQBl!AME: JACKPOT FOOD MART lOB LOCATION- 331 W 1ST ST 84" , , I; 84" ~. ConocoPhiDips w'1 ~, REGULAR UNLEADED $4.00 2'10" NO SIGNAGE OPEN BOTTOM OF SIGN TO GRADE 12'-10" NEW MID FREESTANDING NEW sa FT 68.8 APPROVED FOR PRODUCTION DRAWING # DRAWN BY' S HAMPTON o WITH REVISIONS o NO REVISIONS DATE' 05-01-08 NAME DATE SALES: 11f5[tmNIJ.~Mr.AID6IJt)I>>.~ mill IW1IR YtI!Df II PRIM1M'flJ'tamIf1lI< 11) PIIlltIl S9S !ll)SIWlI<<lTIf~IIIV1lWlIRPllf(lllli8l IN lIlY IWHI EXlIPIIII (llfj1r1J(Jt WlIH PIIlltIl SIJS IlJSIff$ WlIH OOTTIf WRlTlEN ~ lJ' PIIlltIl sntS lIR LIII5S 1IAIl'IDRfD BY PIIlltIl sntS 11) 00llER Pl.l.lY IN MI1Ki. P.O. BOX 497 ABERDEEN,WA 98520 (360) 532.1111 phoenixsign@centurytel.net UCENCE # PHOENSC923TG ALl MATERIALS AND PROCEDURES ARE U.L LISTED AND APPROVED t i I I I I ... \ \\ ~~ '~......-. 41!l.!lUll4 I "'- n.p> l.hl:'1I" (.) :,:(" i:JT :"..IW I{; J;F:Q'n F'a; S~'-':EFi ~v. ~~"T ""0 StI"F::R.T t:....-~----... ( 1 \ '.... ---- .../ / . t I 1 I , ( JOB NAM.f:: JACKPOT FOOD MART lOIUQCATIOO: 331 W 1ST ST DRAWING # QBAWN BY' S HAMPTON Ofr01.0B DATE: SALES: ~CV':~ ~NG~ I'ISTALlJoT'ON R:.:).JIRW F S"oI.C:: 3Er/lllEN ColB~\EI .....D SUFPD.'!I lX:EE:S . /~ L INST,ld. SK;N C~R~\ETS "70 SUP,"ORT ;:01 E :!r .r.ssn..all\c....D'J...T...C ~.. TS THF<I.~UC'" SIr:.... lNiC SU..r>O'iT ;>OL.;;. :.1- ",lI(:CU~ ~"''':E:<IS IW.'..... "'1o:1/!f 'TUU!: ~'C'.lL'!!~ .^.t~:; P...ACt ::!lI''''LLN SIC'" o\.tm S1JP:>CRi ~R \G AS!:lM:!L"'. 3. ~nf'i .I.U ;:;It.....~ ~RE 'N!iT.L1J.f.:l ,r.:-:D crNt:=i ..I,~:;l.[s. TC W:;f or $(:N A.~ $<<:W'" -4. ,\J-;(jL(S W.L~ Sf SI.:.:lpU[:; It-. H)';). L[MTtIS. s'-....'[p. rop' I.D $'Gl\. ru:.::; ro;:;. "LL On'E~ SIC;NS. ~. WI l{;'O LLNG1IIS l.S Il(r.;UIIli:..; TO SP...... ruu. ..L "'G'~t ;:II SG'4'o:.iL ,I.'#,; MII<::" 'N'"" If 03/1 e;" S/5 ::!L1"'~ .'lrvLl".:i ...".; st+".:'......... Si:CTI~'~ A-." --..----------.-'------ .-.....- -..---...-.......... CO'y'E~ .t.NG E KII' ~U..:o:.'II._I\I~~ . t:~, "''l:U: K:':~iL~~j (4) l:rn" ".u:..N.... .,,~ ,.., If;f~ '/" ~1I"iD ~'i'XO Sl.\I{R (1) 2'C' ~ lU!:t! ;".or -Vii' r;----- (' I I I I I ~'O..:u:_:I._I\I1l! - to'. .....::u: Kl1 (HW:' (.) !:rrf .,U;\IN..... u.r... ,..l 1/7'~ '/11 D.\ I("r-D ~"XJ) om {1) 2'C' Jo:.. lutl! ." .',. <Vii' ~- - - -. .~ ____ _.___--------04-~. ~.-~;~--I .l,L ."CO '.1 1/2.1/1 e (.) Iv:'!' :;U(R ('AI :") 'nl:" Rrn APPROVED FOR PRODUCTION 1If5ElmNAlDRAwrnGS,M!(AllONSAMlDAT.\ir<<l1ll: . M!1m \\lIKII1S PRIml/,qY IJ ClJmIf1JIJ. 10 PIIDIX SDS AND SIWlI<<JlIl ifI'ImIlD Dl WIlli OR NT (l \JS(]) INlK1lWmEXOJ7TINCOONm WlI1l PIIlNIXSDS mNE$ WlI1l OOTTIf WRITIDI ffiIHlSSI()t IJ IffifNIX SDS (l UIIlfSS 1WISItRRID BY IlI((NIX SJafi 10 00IlER NlY DlYmOC P.O. BOX 497 ABERDEEN,WA 98520 (360) 532.1111 phoenixsign@centurytel.net UCENCE # PHOENSC923TG D WITH REVISIONS D NO REVISIONS DATE ALL MA1ERIALS AND PROCEDURES ARE U.L USTED AND APPROVED NAME ~; ~ 7 ~ @ (1'"" ~~~ ",g ~ ~ . it: 32 lIT ~I ~ ! ," ~ ---- - -- i; lI<!L~ ~Iil~ . . g~~~ !II~ i~& i r ~ I i '\. i I I I ! I G i----.--------~~---- I I I. 12 1.1 .: '" "ik '" 'it~ ~ ~~ ~.s' <~ i I i I I I I i I I I )\ --JI -I I ~I I 1 . I - I Ci I I I -I )1 JI I -I i '--- - --- - - -----0- I I I 8 ~ r----------l i . L~____.____:.J I r-------i I Ie. n. I I L_______..J I ,--------1 ~~___.___~.:J I I r ., I ~ I I I I II I I I .; I L! I i 0 '" I 'IS I .~ ~ .r- I~ I :. .J I i~: '\. ~ '\. '" ,~ '" V)~ y -S) ~I '\. ;:\"- -' I '" ..; ~ c_~ ~-~ I ! i ~ lJd ~~IU !~~ d Ii I I ,'f f. I! , il ~ll~ I ,lJJ I i ..Jl ... ..._~. .._.. - DILl! I ~i-==~~ I I \ I I I I I la I ti w 0:: ~ ~ ~ ~ ~ w Z o '" h h€.- Ctt\\ ttJlttt siev~ fumptnn (~~ !tfpllCAV\+")-- *- pex- p ~ bill Y'Ulpien+. Se.viJ.. -to : p\-)oel'\l'l< 5(jl'\ (OO) 112 C.\e..moY"\S R.cl) . Fe;l~ SIGN PERMIT APPLICA TION P~f~~~~a.00) WA- 9 ~S63 CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 ~.~ r. ~ Applicant or Agent' -L1o~.IiC ~ . <;;"~ fliiMJ,'Yli211. Property Owner ~ ~ l€.'~ UL Pone Property Owner's Address Lu~E/2.<ANi) IJ..lO CNrtLi f>1..0l~ A. '2UUP t.8rI+ AVE" (; I4:/JT1WA crRd7t -\'1,<1 Contractor/Engineer - <) ~ Phone /;;tb ,,'?2 - II , I lfContractor/Engineer's Address -t L Cl lCa t... '37tJ .fl ~. License # ~rc.q~~ Expires ''!--7-/0 For City Use Only: Date Received () S' -0{0 - 0 Permit#~~ Date Approved~ /J/LJ-f ~'2- it I I . Project Address Business Name Parcel Number . j - $1 v I =tt:v (') (? t'? ro.;;tO 1"$1 '5 a;>OQ Zoning -<; '0<..- (~ Submit two sets of Dlans & a site Dlan that includes: · Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) · Placement and sq. ft. area · How the sign will be securely attached (Engineering specs may be required for freestanding signs) · Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. (Type, location, sq. ft.) Sign #1 Sign #2 Sign #3 Sign #4 Totals (Unit charoes Unit Charae Quantity multiplied bv Quantities) Tvpe of Sian Sign(s) Valuation $ \, 1... f tJ . 0 0 $47.00 x 't = $ 44.b'O $85.00 x = $ $115.00 x = $ \\?DO GRAND TOTAL $ Wi.oO All signs less than 25 sq. ft. Wall or marquees, over 25 sq. ft. Freestanding and projecting, over 25 sq. ft. Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Total sign area 82. ~ sq. ft. Maximum allowed sign area \t{) sq. ft. 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 ~ -\ -oZ Print Name <;;e-"e l-k..MPiOM Signature \= ) - ~ T:FormslBuilding Division/Sign Permit Application.doc ,.~. " -s N "<j- '& 0 Q) III 0 0, 0 0 III - - ,.",: " -, =';1 I .9 t 0 '" z ... - t; ,:: " E c ~ <J '" . c -5 d..i, 8, . .. z' .~, i..i Vl C " ,;j, "0 11.1'-, :5 '" ',"< ','.:~~ i .~ .' , 0 (:l., ;) " ):; CIl - Z ~ '" , 0)--. :> :::. - '" c '" ,9 i:i 0 ~ ~ ~ ~ c <: 8 ~ 0 8. ~ 0.. '" '" c f.:j ;,; ,g '" " ~ ;; , .~ u CIl " ~ '" '" ~ "1:1 ~ <: 0 '" . 0- - c Q " ~ " " c e . '5 :5 0 0 '" c' 2)<),DII\- 'Food M o-v-r ROUTING SLIP ,.CAr,,1V lO~o<"<<,, . J Certificate of Occupancy ~_. 0'= ~~ ~ Rc.' $~ Certificate/Inspection Fee -- ~lCwcJI't<' DATE .:':s-13-o'Z New Business .................. . . . . . . . . . . ( ) Address of Proposed Business Transfer of Business location, , , , , , ' ......... ( ) <'<I \A/1ST Change of Ownership , , , , . ............... (~) ./\ <'./vi iA JJ.I../...k, IJ 1 ii' T SeEf<J New Building ( ) Applicant .., -'. . . . . . . . . . . . . . ......... -'.-' Address ':>,-:':>1 .. uJen (if E;,{-<- Remodel, , , , , , , , , , , , , , , , , , , , , , , , ' , , , , , , , , ( ) , Temporary Business . . . . . . . -' . .............. ( ) Phone: business 1-1 (1-1'3'= home t(6/-6,'l/10 Change of Use, , , , , , , , , , .................. ( ) , Brief description of proposed business: legal Description: lot it - i1 Block i '"' Subdivision Current Use of Property: CA- 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) . " -- 2) Plumbing 2) Peddlers Plumbing changes ............ " ............. -- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ....... ............. -- 4) Mechanical 4) Pawn Broker New septic tanks. ...... -- 5) Sewer 5) Dance New sewer service ... .............. ". -- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. .... .............. -- 7) Driveway installation 7) Fireworks Is this a home occupation? ...... -- 8) Curb installation 8) Ambulance Excavation of filling of lots ...... ........... '" -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. ............ " -- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . -- 11) F}re New driveway openings ....... ............... ... -- 12) Occupancy A grading plan for site drainage. ......... ..... -- 13) Sign (parking lots, downspouts, etc.) ......... -- 14) Shoreline Are the existing streets paved? . -- 15) Home occupation Are there existing sidewalks? . ..... ............ -- 16) Conditional use Is there curb and gutter? ........................ -- 17) Other Other... . ........... ...... .., ........ .... .... j hereby apply for a Certificate of Occupancy and acknowl- 3 -}J-02, edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signed:~::f ~ knowiedge, ~yoVED REJECTED Comments / Conditions 3-zl3-C8' Building Section Public Works Department 3-/9.03'!J? Planning Department KntJ Fire Department 3- /1/. Q3 ,8u City Clerk ~(, P.B,IA 1f.:j <' I <10"} .p:: i " I '10 -3 E~>'D\''\- 't:ood M o...v-r- ROUTI G LIP , J Certificate ( 0 cupancy fi:<>' $47.00 Certifica a/In ,pection Fee DATE ~:S - I ;::) -dZ Address of Proposed Business ~ I ~/ I c;T Applicant ~q-.~/J--I~1 ,]J..,./J-"JJf11fi/i..liT'Si:ft' Address ?'-"'i' l..dilST CtJ- f..;A-t Phone: business /...1 <:l-l6'-= home '-I c h::, ?,cJ 0 ~ New Business ...............,.....,...... ( Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . , . . . . . . . . . . New Building ....,..... . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . Temporary Business ..... . . . . . . . . . . , , , . , , , , Change of Use, , . , . . . . . . , . , , , . . . . . . . . , , . , . ..CR'.... lO~G<,,<;, ~-~ ';k;;,\%f ....~ ~ - "1.;,/JeW(;fi'f" ) ( ) ('/......) ( ) ( ) ( ) ( ) Brief description of proposed business: legal Description: lot i (- '1 Block i "3 Subdivision Current Use of Property: C4 Zoning Classification of Property: W W 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 f Mechanical (heating, cooling, stoves). ... - - 2) Plumbing 2) Peddlers Plumbing changes .................. -- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. .... ..... -- 4) Mechanical 4) Pawn Broker ~ New septic tanks. .......... ........... -- 5) Sewer 5) Dance il New sewer service -- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. -- 7) Driveway installation 7) Fireworks Is this a home occupation? .... ........... -- 8) Curb installation 8) Ambulance Excavation ot tilling ot 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? ........ ...... -- 1t) Fire New driveway openings. . . . . . ....... ..... -- 12) Occupancy A grading plan for site drainage. . . -- 13) Sign (parking lots, downspouts, etc.) .... -- 14) Shoreline Are the existing streets paved? ... .. ........... .. -- 15) Home occupation Are there existing sidewalks? . . ...... ......... ... -- 16) Conditional use Is there curb and gutter? ....... -- 17) Other Other. ....... ... .... ...... .... ........... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. ~yoVED s-2c;3.~L€ REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B,I.A, Date: 3-/3-02, '- 4-Jd )u.~ Signed: Comments / Conditions . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. a f/b ~ /i:z-y /P~ . ' DATE Site Address: ;):J- { J ~If~ T 4c-,l i:JC4f. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL ~ COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR DetailslDescription: 'T&t~~. ~ ~ --fli7'/lI1{J.A--d-r o TEMPORARY SERVICE .e o RISER ~ OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: / ZO /;zc/D o 1 r/J ]%3 ~ SERVICE SIZE ~V AMPS FEEDER SIZE AMPS C&n 1,171.11 d !lfht~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. ~ ~ O.K. to connect service o Final O.K. Site Address: Installer: ;}"Jj g/l tv. Id Z-~.;tuJ a.~~ Permit/Receipt No. d c;((/ . Date: 'c, c .f'7 , 2C, 7 .' Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT d~ $ . \ Electrical Inspector New Meters ;t7D Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall/ / ....... OLYMPIC PRINTERS INC . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. ~/<f'~ DATE7j 1-.7/ tJS- Site Address: "3~1 o READY FOR INSPECTION License Number: :5f!IJa3'S* /'J..Oi:L WILL CALL FOR INSPECTION Phone: t:>1f2- 1'-73 Phone: ~fS'-:Z IJ1) Sq. Ft. W. Flf<.."t;.r InstalledBy 5tto(c:2L1A/E >16/11 /NC.'f7tgRTTtE Owner/Business: 7/NE {} i L- (!..t) I Owner/BuSineSSAddress:;j 737 W. tiJuHoPoLe Wy. 7/:347TiE W.4. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o .REMODEL ~ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE ;>l. UNDERGROUND SERVICE VOLTAGE: J ";-0 V pi11/J D31/J SERVICE SIZE FEEDER SIZE .20 AMPS AMPS Details/Description: /),/-51'.4//1.- I'''!U;N SJ&/J 1- EXTew[}jN'4 {!;1'~/r TO ~ 1.-t9CA TJoN,/ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service A;~ Final O.K. Installer: New Meters ~ Site Address: . Notify Port Angeles City Light by Street Ad ress and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per~. PHONE 457-0411, EXT. 224. J' ~ "'7J",z~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ c2....~ Electricallnspeclor Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 'J/ 7G: ? ,Ad' #.r DATE Site Address: '$3/ Installed By: ('-~ r o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE C o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: Dlfl\ D3!11 SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: ~ - Ca-. . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service AOt,,\ ~ Final O.K. c'"~ New Meters . Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writin~Jl either the Wi~i R od.- or on the Building~rmil. PHONE 457-0411, EXT. 224. If/" ~ 'r ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ .s-S ~O ~ Eleclricallnspeclor Permit Fee WHJTE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept" Bottom: City Hall OLYMPIC PRINTERS INC ~ \ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457.0411 ELECTRICAL PERMIT Site Address: :.;> '1 IJ , READY FOR INSPECTION License Number: t..-iVE ldEC- /II.DI o Will CAll FOR INSPECTION Phone: I -.g-:Jg;.5 Phone: Installed By: Owner/Business: . /. Owner/Business Address: o RESIDENTIAL ;@' COMMERCIAL o BASEBOARD KW o FURNACE KW o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL Dr' ADD/ALTER CIRCUITS tJ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: PERMIT NO, //:;;~y Y-/C:/13 DATE Sq, Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS () tI JPA7418 - r;A~&.. l..tkt!/;J f P/Ccll. j J . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. .~ROUgh'in/cover O.K. o O.K. to connect service 4,1,t"'ifJ Final O.K. Site Address: Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per it. HONE 457-0411, EXT. 224. IS NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;3 O. V CJ Permit Fee GREEN - Top: Meter Dept., Bottom: Cit"..----- ~-- Installer: J2 ej-- . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC Permit/Receipt No. ~67 New Meters - ~,' / . . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. "j/O 7 Z. y/z z./P3 , DATE ELECTRICAL PERMIT Site Address: Sq. Ft. Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: o RESIDENTIAL ~ ~~~E~~~~I~~w_ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ~ REMODEL ')(l ADD/ALTER CIRCUITS tJ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS DetailslDescription: eh- ~~ ~ Col9/u..c U/,'eL W.S. No. SERVICE SIZE CAPACITY: o OK NOT OK ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection OK o Rough-in/cover O.K. o O.K. to connect service ~Final O.K. Site Address: w. New Meters Notify Port A eles ity Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per it. PHONE 457-0411. EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~O ~ Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYMPIC PRINTERS INC . o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW o HEAT PUMP KW_ ~SIGN DetailslDescription: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 3<R 7 go DATE II ~Jt?- '1'- ELECTRICAL PERMIT o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT / (LIST BELOW) b X If/ o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS II ~1.r~ ~lYd IJ1J If . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service If. Final O.K. Permit/Receipt No. New Meters Date: /1-/9-9'- - Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. /5 / a! NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT rP 6 00 e{ec,,;ca'f;fpec,o, $ :m;, Fee . WHITE - File by address OLYMPIC PRINTERS INC. YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Half .. CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 3070 '7 -10 - ~ , ELECTRICAL PERMIT DATE Site AddreSS3 3 I W. 1{2.;;,7~-r. Installed By.;.: r;, , ,.-. ;...r4--n.I~/J ~e.tc.. OwnerlBusiness: /Mt, GAL jALJ::PoT M,tJ IMM~T _h- 33/ W. o READY FOR INSPECTION License Number: ur<:Ei:-/47 g.c. )'(WI LL CALL FOR INSPECTION p'1-r;;1 .. :5 SID ';) Phone: Owner/Business Address: Sq. Ft. 12-st: o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction )'( Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage /w/VIO 1&10' 03.0' Service size 100 . o Temporary Amps . DetailslDescription: //.JS17tt.J..-l tJb /00 A pf\/JEL- :t (2...Ll N~ I Nt:, N IN6 C-1R-t'.t1/TS(/2JCpl-l'tC.-lN& 6X15>iHJl? C-IfUUrr.s $ CD~PUIT) (Y-liL_l.-- IZWwrzo fwD .~pe:1z-f'rTG INSpGc...-nDloJ TJZlpS ~ BE<-U?6 OF ''NO GI"tSOl-l/-.le. /5'Ll+NDt; , oN€:- "F Wt+IUf /..A USi !ZENIA-IN IN se.R.V/C.E; WHiLE- y..,O~ I~ pE/2-FOfZ-Mf;P ( 1')f\.J oTt-t6~) W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. AIl' P Rough.in/cover O.K. o O.K. to connect service Arl' Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: PermitfRecefpt No. 331 W. Fi~ST 3070 Installer: ~lc.. I New Meters I ~~" - ~ I :5 I\-rurz;J . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~AI\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ -4-cJ?!? ~ Inspector ' Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer .GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. j007 DATE / It, I f?'j I , Installed By: D READY FOR D WILL CALL FOR INSPECTION INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage J;}O 01003.0' Service size 10 o Temporary Amps Details/Description: o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) !) ~r'<l C/'r'- On.-u '[J .L...e e.. . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service -1;fo'^}4 Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: New Meters Site Address: fJfjJ ~W . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. --(5 /~ Jl'nspect r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,.j0.00 Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. Site Address: :\- 331 W.,~ S+. Installed By: Ske~.1, k..Q. License Number: wke.s Electr:e:- Tvlc-. P.D.Oo" /L{;);;l. 'liSY f,lAwKESrn'lH Owner/Business: -r; 0' \ '""\. -+ 11M I - -.J(C:- 01 Owner/Business Address: ~ .0. '>00:><' ;:J,-/L./ '-Jl Se",:# o New Construction Q. Remodel *Service update/alter/repair ~Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) '\e..~ec...-\c,-{'- 'l'Du-"Ik-'.V' ~ ~~~ <j. -:r bo)(e::, .k,y- li.V\cl V(\.o"'~ ks CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT . o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other "commercialllndustrial load Total Connected load (attach breakdown) Totai Motor load (attach breakdown) Details/Description: LeQK lea.l<. ~e:te~-t-o'Cs PERMIT NO. / '/...30 DATE fp //3/rr f' , , Jill READY FOR INSPECTION o WI LL CALL FOR INSPECTION Phone: 4;;J~- 't'1SS- Phone: 9'6/;;)'-/ Sq. Ft. Overhead Underground Vo age 01 03.0' Servi size o Tem orary Amps ~*,^"e_ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments ArlB15itch inspection O.K. o RO~Qh.i.,/~o"er O.K. ,.g..0.1<. to cc.nReet ser.ice o Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: "','r\'.e.. 0; \ - -::f'GJL\::.VO'T Permit/Receipt No. ~3 \ 1-0, I ~ ::;+. be\- <'\ eleS vJA. q Installer: 1'.0. t!,o'''- l"i,;};). New Meters a.w\::.es S d-l-o 0. 'iG'lL/ 10 -&, -8'Z' Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. --r)....., NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT d (J, 00 I~or Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYMPIC PR1!'lTI?'!S. INC. FiR?cEI~ NfBER CITY OF PORTANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A E ~:tTNUMBER . TOTAL FEE p~ ~/'t j co C.ND. TIMETOCOMPLETE NO. RIES LEGAL OCCUPANCY Site Address ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT !;r PERMITS WITH WRONG ADD Installation By Installers Address Installers Phone L Owner (J,.J 2. ,. s. &d-r f . Wiring Method . NUMBER AMP 240V NUMBER AMP 120V 240V 12QV 100R FEE USE OF CIACUIT PER 100R FEE USE OF CIRCUIT CIRCUITS PER CIRCUITS 10 CIR 10 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE .~ .. "- MOTOR CONVENIENCE MOTOR APPLIANCE . MOTOR DISHWASHER FI RE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS- OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT . TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C, UNIT AMP PHASE . FEEDER SIZE OF SERVICE ENTRANCE CONOUCTORS . SERVICE A.W.G. I 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 installer and in conformance with the N.E.C. Electrical Code. Date Application made if) It / I' j:. . .19 By ,,1f..R . . I. . . CONTRACTOR OR OWNER lOR AUTHORIZEO AGENT) . Permission is hereby given to do the above ~~scribed work, according to the conditions hereon and according to the approved plans and speCifIcations pertaining thereto, subject to compliance with the Ordinances 9' the f"Qity of Port Angeles. .. 10 ; if t BY.' .Ii j ~,?CTr ~CITY LIGHT Date Permit Issued of/I ~ ~ PLANS APPROVED' '. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be co,":,ered or current turned on before inspection and O.K. for covering or se~vice has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY - Duplicate PINK. Triplicate WHITE CARD - Inspector's Report rol vUPlr PQII\ITI"P~ 11\1(' DATE OF VISIT , , J{)/~/fc I ( MADE BY L IPlI-- I REPORT OF INSPECTOR REMARKS . . z Cl a: <C :!E !!1 J: I- Z W I- ~. l- e z e c O.K. rEl.. _0__...116 &:n. Iv,",v'.I...cTBER"~E .JW1JJ.Le.1C . Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. /6 r 7 s h3/rf'cY , DATE Site Address: o READY FOR ~WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Ad Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) ~New Construction ~Remodel o Service update/alter/repair o Overhead o Underground Voltage 011/' 03" Service size o Temporary gAdd/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Details/Description: ;s.t,ec r /lJoIrl-l~ fl-J d~~ / C A~'r,1-Cv1 . KuJ IO.t G<9tue. /rP / W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ ~ Rough-in/cover O.K. o O.K. to connect service 1cw-\.. f1J Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending ""3/ /d Permit/Receipt No. It, <if New Meters o Site Address: 'nstall~ /1111 f . Notify the Department of City Light Y Stree. Address and Permit Number when ready for Inspection. Work must not be covered or eiectrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ..:/' ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ;# / r:; :!!P llnspectO'r Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Half OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT 10/36 ~ '0 I 'v,j Vl ~ 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 3_.u3..mL.umW.m..m.L...~---m.uu.m. occupanCyuh.."_~U~._m.n__.mm.m.u ~::gr~~::~:~ei;z:~:~&;::;~~:n._;::;~;:::::::::::::..':::.~::::::::::=::::::::::::::::::::::::::::::::::::::: <~ Light Outlet.....u.rP.___L.f.....n_...___u. Service, voit. _1:J._~._?!!.t?.....,_ Type 01 Wiring: Receptacle Outlets.h..2..__..~...... No. wires "~~'~"'':'i:.J~':'.......~~:_:_..:-..; ~ Armored Cable ....0......................... D'ye,. KW umumnummmuuUUmmnn tJ:.- Jlt-~~~S__:::_~u~_~~_u Range, KW uumUmmnmm_.mmnu_mn. Main lu.e /:i..P...P.....umm umuuu :.;LEnclo,ure _~_S::.{!,uuA::_~.:u Type of wiring: ~O C)~ Entrance Cable ............................. Water Heater: ~ ;L J(W KWm_m.~nmn-mu-uum.:nnnn Hea" KWu?!..!.~u.f/[.,~_ HI' I Motors: size. volts and phase: ",'~~Lu:.::~!<'_u'_m_~2..!.f'._/'__u_uuu_ I ....... ...... .......0...... ...._........0................. /5- / It': _ Cc. .t;o? 'T .......r.........._.L(...h......h............._...... m~ ,!T-r.Lu'__t'.u___.uu_uu_n_m......u...u._ N~ 1 77 3 0 ELECTRICAL PERMIT Port Angeles, washlngtonh__.,~.::::u....i.__~.muuu..._....u__m__., 19.~u::-" Non-Metallic .........................0....... Knob & Tubeuuuu.uu_u_m_m..._._u_ RIgid Conduit uu.U_UUUm_U_UU_u... Metallic Tubing 0...................___.... Raceway ..............................._......_ Circuits, Light....................................... Rigid Conduit ....................0.......... Metallic Tubing ........................... Current transformers: Utility uu_.uuu_uu.nm_...n.m__..._mn Jleat ......................................._...... Range ............................................. Water Heater ...0........................... No. & Size....................................... Ser. NO...........................h.................. :':::~n::~;:Z:::::::::::::-_:h.c:2. Ser. No. ............................................. Ser. NO...h.....h................................... Furnace .........................._................... y.?~ .30~ Total Load............h............... Ser. No. ................._.......................... Total ............0......:....0.............. Remarks: _.uumuuum._muuU_nu_muu.UUh_n_nn._u._U_U.UUhUmmmhu___mmm.muuh_um?::..!:.eum.muuuY::.~ 0 .mu.m______ummu__.______mmumuhm.m.mu.m.__.mmmumh.hm.mu__m"um.-------u--m---mu----m.mm;7:"6.0-__.__mu ........nnnu...nnnn__n.__uh...n__nnnnnnn..uu.hnn........hhO..nn.uhunnnn........nuhuou.nnn_nu.nn.nu....n.____n...u...__nn__ By .--//__e..~/J_f.~L!.!"L.. /' NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It' work Is to be COD- cealed due notice must be given the Inspector so that work may be inspected before concealment. Permit Fee . 9' 011 $_m___Lr._....um______n_______.. Treas. Receipt NO,.__________mm.__...____. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 77 3 0 ELECTRICAL PERMIT Address........................................................................................................................................Date..._.........._.._.._.........._......_......_......... Owner ..................................._.........._......_......_.._...................................:........................ Tenant................h.................hu............................. Wiring Contractor .......................................................................................................................... By.....h..h................................................... NOTICE-Current must not be turned on until Certlflcate of Inspeetion has been issued. If' work Is to be con- cealed due noUce must be given the'Inspector so that work may be inspected before concealment. \ I 1M Olympic Printers, Inc. Ma~ 20 2008 11:03AM ALLIED ELECTRIC 360-456-8036 p. I 06-DbDca . ELECTRICAL WORK PERMIT APPLICATION ~j ~(OO-l.{17 - Li7/l (' i (( .V.I-\--<S ore +-rn ~ +- fI a. ~~'1 -&-N Kr+S 1- 4 1'<\ @ o o ~ Job wir",~ by ;t{ Ele<trlcal Contractor [J Own~~~ I 0 EICClric:al <::ontractor name License mzmbcr Date ~ire5 A It", U t:=l.tc\Y-1 c...:)e<u,u. kLL-1.lScSl\lcoBc.... P?D''''~i)( 3~ Sc:, City. . jl8.te ZIP 7AJ...~ vJ.ft- ClbSO~ Telephone 1lumber { I c....r _ () ll'S I ::> - "I u~ - Pre~e' Gwner~n.me J t::'..e<t<-r.Pl,< T'l ~ (j I ~ '3 l.P Address .r hupec!I~~ L ~ ~ _ . _ 'S ~ \ \,}J ~~'1 -r--. '!f .. .. "f I-lIZb I CI'Y~6"-\ . ~ U'S Pbone number ~ .e~~e20ectl07 Owner- QS defined by RCW. 19.18.261 :(1; Owner will OCC:Iq})' lhe sI'I4C1l1n for two years qfter (his ~l<<tricnl pet7I1i1 is finaIizrd. (1) Owll~ iJ nqrnTed to hire an eltcrrlcaJ ,:ontrrIClor !"f aboW! soid !"operty if for sale. relit 01' lease. After reading the above: slatcmml. I hCTeby certify that I am the owner (If the above named property or a licensed electric.l contractor. J am mek:ing the elemical instal- lation or alteration 1n compliance with the electrical laws. N.E.C.. RCW, Chapter 19.28, WAC. Chapter 296-46B, Tht: City of Pori Angeles Municipal Code. and Utility Sper.ificatiolls. SiCDst e of owau, electrical cootnctor or electrlnl administrator Installation dcscription )i(Commercial [J Rflldential aNew ;( Altered/Addition MAY 2. 1 2008 [J Cash [J cbeekli.lBHT DEPT. x Date: Credit Can! VISa Mastercard Discover ~! -'-~'';' _r,,;a- -~I Card#~::,;:.~.rl!l~~~~~ Expiration Date ofean! 0/ I , IflSIXctioD fee ~ S Set,.. u V' Service Infcrmatloll Electrical Load Additions and or subtractions D NO LO,~D CHANGES 1:1 Baseboard . KW Q FUm&Ol3 KW o Heat Pllmp. _ Ton _ LAR o Fan.Wall KW Q O\i8rt\Gad Service D Temp Service o Underground Service Vohage PhaseD1D3 Service Size:_ Feeder Sla: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN / TIlERMOSTAT SERVICE O;/tdtlO '71rf 0". ~By '- "'~ _By .Ok A,ppnvd8)' r FINAL DITCH (' FEEDER 1'1/I;{o'6 ~ .... Appraved By DIle _By P"e AppIovd 8y Insp<:etion Atca. Building or Equipment Inspected Action lakCtl Electrical Dale Inapeel0[' . ~, . '. :SLNtIWWO 90/,1 'b lVNId (Sf 9JJ1J'.b ,. NT-HDDO t[JIA~3:S HJLIG :-aOL;)3:dSNI :SL'1DStRf :3:lVa tIdAL '1V;)nIL;)d'13: NOILJtIdS EZEC.-' ;/.1')(- l%J..if' '1~()'oot-:J(P(3 . ELECTRICAL WORK PERMIT APPLICATION rob Job wlr"d by ~..trlCBI CODtnetor a Owner Instlll,llon dbt.eriptiOd JlI"Commcrdlll 0 Rtold..tlal tJ New o AllcndlAddllloo a \ o ..J ()' D pr_WD~_ )lJJJ A~~'lor Irr:~;z<;,.- $",-. ~tr ~~(q e) ~ Pbo.. number 10 "bodule 10.pec'lo., ~f 0 -1~ t - { l ( ( Ow,.,,. G.f d./ilt.d by RCW.J9.28.J6I:(I) Owlft,. will ocCltpy rhe ,,,ucrurt!!,,r two JHfQ"$ qft,r ,lIu ,~"JCGI plmdl ;$ ./iAaIiuNl, (1) OwINlr it NJql4it'ed lD 1t1~ an tllrctrlcal conlrtu:tDr if abuwt ~G;d P'tJPrrry 16 JDr Jalc, nnl Dr INJe. After resdln, the .boYC JWOmcnt, I hereby comfY thai I 8m the OWfttr or Ille above named property Dr . licensad ellSCtl'icIl ~nD'8CI0f. lllm maldn. me electrical IDltal- l,tioD ar alteration in oomplllncc with the olectrical Jaws. N.S.C., ItCW. Chqptctr 19.28. WAC, ChIp'" :Z9~46B. The Cily 01 Port Anac!c. Municipal CDdll, and Utility Speclfklttons. Sl'alcuro ot aWDer, el.ctrlcal CODIrector or elee.nul admlalllnror ~18 Zlq 8'S 20 FAX numb..- "/V:'7 r; (,0- 2,-{.., -('/7f~ L.J~S r _/,J.~~u... (2) CI+iJ.oofJ,! s-lC.JJ)'- ~~d"~ LI) ~(tJ ~ \1.{1\-14 )[(,,1-.(- c,) rrz.u.cYL ~ TOI of (cI) 1t;, 60 - -Llf. ~<. ~ AC.-I-I ' tt ~ . tL., I". /4 - 8',00 lRllE C IE ~ " IE \D) Date: t-fo.-o ~1C811 L08d AddttlonB and Dr subtracttana o LOAP CHANGES C eo_ord _ 'rf:-N CJ Furnace _ KW o _Pump _ Ton_ LA~ ~ Fon-WlIIl 'rf:-N Expiration D.... of~ard \ c Cub C CII ~redilCard Cord # . AArvlca Inform.llon a Overhead Bervlae C Tomp Service lJ Underground SIMce Vottoge Pho...C,C3 Gellli.. SWl; _ F_Slzo; SAME DAY INSPECTION U ~F1NAL - 0 ) . CALL BEFORE 7:00 AM 360-417-4735 THERMOSTAT SERVICE Dill ...."......1:0 B) "'" ..........._B.. DrrCH FEEID 0.... A~a)' U.l~ o Inlpcction Oote Area, Building or Equipment fnspectm Action Taken Blectri"l lnlpector ld7 - i'?" teOd W~ av=10 a00Z-10-lnr Look Up a Contractor, Electrician or Plumber License Detail Topic Index I Contact Info Search Safety Claims & Insurance Home Workplace Rights Trades a Lice-nsing 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 Lfrl 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 PHOENSC923CG Lice.nsee Name PHOENIX SIGN COMPANY INC Lic'ensee Type ELECTRICAL CONTRACTOR UBI 602790701 Verify Woekes> CQmp Premium Status Ind. Ins. Account Id Business Type CORPORATION Address 1 112 CLEMONS RD Address 2 City MONTESANO County GRAYS HARBOR I State WA i Zip 98563 Phone 3605321111 Status ACTIVE Specialty 1 SIGN Specialty 2 UNUSED Effective Date 2/7/2008 Expiration Date 2/7/2010 Su spend Date Separation Date Parent Company Previ ous License Next License Associated LASWf'972L T I License , , https://fortress.wa.gov/lni/bbip/Detail.aspx?License= PHO ENSC923 CO Page. I of2 . 6/30/2008 Look Up a Contractor, Electrician or Plumber License Detail Page.2 of 2- I Master Electrician Information I License LASWF'972L T I I I Name LASH, FARON Status ACTIVE I Business O~ner Informati~~-- - - , Effective Expiration I Name Role Date Date I JON M ANTHONY, P.S. AGENT 02/07/2008 I LASH, FARON A PRESIDENT 02/07/2008 I LASH, TANYA M SECRETARY 02/0712008 ---. - rB~nd Informati~~ --------- ----- 'i I No Matching.~~n~_____J I Savings Information --~ Bank Assignment Branch of Savings Effective Release Assignment Impaired Received Savings Bank Name Location Number Date Date Type Date Amount Date I GREAT 1#2 NORTHWEST Until F.c.U. ABERDEEN 15065-8 01/01/2008 Released Bond $4,000.00 2/7/2008 GREAT NORTHWEST Until #1 F.C.U. ABERDEEN 15065-8 08/01/2007 Released Bond $4,000.00 2/7/2008 ,---- - ----'-.'-""- ~,,~ -.-. .._--~ -_.._- - .. - - . - ~.~ ---- l r------- Insurance Information No Matching Information S.tarLaJ~tew Search Pri!1t!;,'L~rjJCDdly_\l.ersion ~':pll." Ulit ...~; ~mf!.,!Jr.l; f11'l'lhE ~i.~~. About L&I I Find a job at L&I I Informacion en espanol I Site Feedback I 1-800-547-8367 . (, Washington State Dept. of Labor and Industries. Use of this site is subject to the taws of the .....:... ;..;.,.wastllngton 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://fortress. wa.gov/lni/bbip/Detail.aspx?License=PHO ENSC923 CO 6/30/2008 09- 14- 15;04:38PN;From: To 13604174711 ;4257413521 -7�,��� CITY OF PORT ANGELES PERMIT APPLTCAxyON Building Division/Electrical Inspections SEE I) f 321 East Fifth Street— P.O. Hox 1150 / Port Angeles Washington, 98362 � I � Ph. (360) 417.4735 Fax. (360) 417.4711 f:f.i (;Ti lCfa� Data: / G Sr _ Multi- Family or Commercial" " Plan Review Mav Be Required, Please Complete Electrical Alan gRiiew Information Sheet Job Address:. � ,31 U� J�'�- Sh�'��v j c.r fjy r do Building Square Footagq: Description of above Dwner Infarma #ion Mailin Hpdress: 33t U% • 1 - Cily: 11 (nv�t t+ State: _ 41p: Phone:_ 'i._.. License # 1 Exp.�/y • Item Uni.t.CharGe Service /Feeder 200 Amp, $132.00 ServicelFesder201.0f Amp. $160,00 Service /Feeder 401$00 Amp $ 225,00 Ser0celFeeder 601.1000 Amp, $ 288.00 Service /Feeder over 1000 Amp. $ 410,00 Branch Circuit W1 Service Feeder $ 5,00 Branch Circuit W/O Service Feeder $ 74,00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 $ 88.00 Tamp, Service/ Feeder 200 Amp. $102.00 Temp. Service /Feeder 201 -400 Amp, $121.00 Temp. Service /Feeder 401�600Amp, $164.00 Tgmp. SorvicplFeeder 604 -1000 Amp. $185.00 Portal to Portal Hourly $ 96,00 Slgn/Oulline Lighting $ 86.00 Signal Circuit/ Limited Energy — Multl•Family $ 64.00 Signal Circuit! Limited Energy I First 1500 sf — Commercial $ 96.00 Note., $5,00 for each additional 1500 sf Renewable Electrical Energy - SKVAsystem or Less $113.00 Thermostat $ 56.00 Note: $5.00 for each additional T -Stat cti ~��. rUlrr,l,ti���r s Contractor Information Name: C IA12 c Ma vta tip-K4 yr Cr' Mallln Address; Cily: u aJ o State: Zip: 4 Phone: Z Fax Z$ SS-7- License # t Exp, I • o y QtV Total (9—ty Multi "lie Unit Chard je $ _ i 6 $ 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 elactrioal installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 49.28, WAG, Chapter 296 -168, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of er, electrical contractor or electrical administrator: I] Cauh ❑ Check ' 1;0Cr6d1t Card W a�� ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 15- 00001161 Date 9116115 Application pin number . , , 426337 Property Address . . . . . . 331 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0- 1315 -3000- Application type description ELECTRICAL ONLY Subdivision Name . . . . , Property USE) Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation , . , , 0 Application desc Lighting upgrade to LED Owner Contractor RESULTS; SEERA CORPORATIpN DITCH ENERGY MANAGEMENT SERVICES INC 331 W 1ST ST 15008 35TH AVE W STE C PORT ANGELES WA 98362 LYNNWOOD PIA 98087 (425) 741 -3526 Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 66,00 Plan Check Fee .00 Issue Date 9/16/15 Valuation 0 Expiration Date 3/14/16 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 Grand Total 86.00 86,00 .00 .00 REPORT SALES FAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS; - INSPECTOR: DITCH SERVICE ROUGH-IN� FINAL COMMENTS: PERMIT WILL EXPIRE SLX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical. Contractor X QTXCHANGMBUILDING Data: