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Home My WebLink About218 E 12th St - Building PREPARED 4/22/11 8 22 12 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/11 ADDRESS 218 E 12TH ST SUBDIV TENANT NBR JEFFERSON ELEM SCHOOL CONTRACTOR PHONE OWNER SCHOOL DISTRICT #121 PHONE (360) 457 0949 PARCEL 06 30 00 0 3 8100 0000 APPL NUMBER 11 00000055 COMM NEW CONST --- -- -- -- -- ---- PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/14/11 JLL BLDG FOUNDATION FOOTING 2/14/11 AP Ross 461 2317 February 14 2011 4 11 30 PM jlierly BL99 01 4/20/11 JLL BLDG FINAL 4/20/11 DA April 20 2011 8 26 56 AM 1pangrle ROSS 461 2317 JEFFERSON ELEMENTARY SCHOOL BUILDING FINAL 144 SF SHED TO STORE PLAYGROUND EQUIP April 20 2011 3 57 35 PM jlierly plate washers per code/jll BL99 02 4/22/11 JLL BLDG FINAL April 22 2011 8 20 44 AM 1pangrle ROSS 461 2317 BUILDING FINAL - COMMENTS AND NOTES PREPARED 4/20/11 8 32 55 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/20/11 ADDRESS 218 E 12TH ST SUBDIV TENANT NBR JEFFERSON ELEM SCHOOL CONTRACTOR PHONE OWNER SCHOOL DISTRICT #121 PHONE (360) 457 0949 PARCEL 06 30 00 0 3 8100 0000 APPL NUMBER 11 00000055 COMM NEW CONST --- -------- --- -------- --- --- --- -- PERMIT BPC 00 BUILDING PERMIT COMMERCTAT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/14/11 JLL BLDG FOUNDATION FOOTING 2/14/11 AP Ross 461 2317 February 14 2011 4 11 30 PM jlierly BL99 01 4/20/11 JLL BLDG FINAL SN April 20 2011 8 26 56 AM1pangrle ROSS 461 2317 JEFFERSON ELEMENTARY SCHOOL BUILDING FINAL 144 SF SHED TO STORE PLAYGROUND EQUIP COMMENTS AND NOTES p� PREPARED 2/14/11 10 06 44 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/14/11 ADDRESS 218 E 12TH ST SUBDIV TENANT NBR JEFFERSON ELEM SCHOOL CONTRACTOR PHONE OWNER SCHOOL DISTRICT 4121 PHONE (360) 457 0949 PARCEL 06 30 00 0 3 8100 0000 APPL NUMBER 11 00000055 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ELI 01 2/14/11 BLDG FOUNDATION FOOTING Ross 461 2317 COMMENTS AND NOTES CITY OF PORT ANGELES ri�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ' 321 EAST 5TH STREET PORT ANGELES, WA 98362 - a e Application pin number 073805 Property Address 218 E 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Tenant nbr name JEFFERSON ELEM SCHOOL REPORT SALES TAX Application type description COMM NEW CONST Subdivision Name on your state excise tax form Property Use to the Cit of Port Angeles Property Zoning PUBLIC BUILDINGS & PARKS Y g Application valuation 7204 (Location Code 0502) Application desc 144 SF SHED TO STORE PLAYGROUND EQUIP Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 (360) 457 0949 Structure Information 000 000 144 SF SHED TO STORE PLAYGROUND EQUIP Permit BUILDING PERMIT COMMERCIAL Additional desc 144 SF SHED Permit pin number 180463 Permit Fee 179 75 Plan Check Fee 116 84 Issue Date 1/21/11 Valuation 7204 Expiration Date 7/20/11 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL-2001 25K (14 PER K) 84 00 Special Notes and Comments The Fire Department has reviewed the project application and �t has no comments Public Works Utility Engineering has no requirements for , this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 116 84 116 84 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 301 09 301 09 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 z �5 � 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 �t 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 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) Gas Line Back Flow/Water FINAL Date Accepted b q AIR SEAL. �l✓ Walls Ceiling OQ 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/Chimney Commercial Hood/Ducts FINAL Date Accepted by /\ MANUFACTURED HOMES " Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By c Electrical 417-4735 Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 _ ^ T Forms/Building Division/Building Permit �� .► nOuf.,'1 BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES For City Use 0 - Attn Building Permit Technician Date Received 321 E Fifth St. Port Angeles WA 98362 Permit# – (360)417-4815 fax (360) 417-4711 Date Approved Applicant Rr_s S ca- n Pho y57--P�9L/ YW-2,317 Property Owner 'spy- e..S ego Q)S ) Pho L%5 7-8575 Property Owner's Address U2 )& F L)" PC1e5 i 641A q83 bZ Contractor 7p vi OpA (e5 f--,C 0( Ph e Contractor's Address License # Expires E-mail PROJECT ADDRESS 1 g 2 Si3rl Q�WP on L[eme�-I'ar ool Parcel Number 0(o30 0003 S,100 ()000 Lot Zoning Project Type & Brief Description. ❑ Residential ❑ Multi-family Commercial ❑ Industrial Check all that apply New Construction I 2) S 0 v3o_ pla qr0und. f Mrnrta ❑Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other o e e a r P u ni{aE�r)- i V1• i Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @$ per sq ft. _ $ 1 s' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed 149 03 Other TOTAL VALUATION $ -7 ZD 93-Z Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures t I 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 0— #of half baths /have read and completed this application and know it to be true and correct. lam authorized to apply for this ermit and understand that it is my responsibility to determine w at permits are required, and to obtain permits prior to w ing on prof ts. Date/—/ � Print Name �SS � Y!`J/ - Signature T Forms/Building Division/Building permit application G NOTES Permit# ILA - I D --a-" Ae:� aS�eu�J T Forms/Building Division/Notes 20 V f 1!1 116 r' 1131121201 11 4' 21 1 124 ' 222 1021 . �7 /j � 128 1 �. 11 228 ° eiO111 "� 132 f 2 234 13 120 %° 111 2'15 113 217. t n 117 121' �! SOC 221 - (J , 23, 127 v 227 �rJI 302. a" 30 . 312 3 ,. 129 318 118 7th 22 7? Q324 d S7 �h 118 `rf ` .301 132 30$- 218 309. . 5� '313 318, - Vr 321 12? 4 302 325 - 312 ., 318 Q ~/-t 326 3 1 �J f 221 • � 3 ' 218C,rf 20 309= t 313 - 202 '29 317 323. 120 321' d 2 222 .,, 301.361 ,© / V-4 2 231)- B�Va 335 Ca 20t? `Q 222 236t 21t s- y S V 2215' .� 2210 c'ao "22166# �"' tS`_ "'-*--; a 402= 227 rQo s sf 34'1 306 s r 7 C'3 AS 70, 9 �` 332 So I P� QL O fi �1 P5Je 7 31� 1221 O 4 .40 307 218 . 308 / 313 Q� / 317 �S 04 1 ZI X 2! Z ZQ£ azz sy�z� I!' r i DOUBT- zxG Nr_=4DE/Z ----------------------------------------- I J I a�,C�Vv Golf r I I I i � I k r- 2.x6, rill 1 � _ �co F L4 ML-` �" CF C r fZJO ni EL FAr- r.fTP Y SC i 0 0 L STC) Avch) C�Y'l 1 0 v ,,,v co vv,p 19- 1 0 Aj QV F 7-1x ox OC ;,c -�-/ -e-4 iZZX� DF xiZ- LA ble 2-,X 1� ni � � 4a � � 5/e f f � Oc boy 4q Oc 2,X 4-1 PT- i e10' .-Elf FL0 C T- A I —T F F FF P. 0 L-- E—. T / F 0 f C7 C A V2- = 1 Of P 6?F 2- w ZX-�, D F ZX q b P. x - U.," s bI' yo W, -PeAA �G� IMAX Bv��ld► - 7Z � D� Cc 14cv Qj Y- 67 CC P A- r�( SCA L PA C E i r 'U CITY®F PORT ANGELES—CcnstruCa'an"Ons The issuance of this permit based upon these plans,specifi cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said PIP specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this /juries jurisdiction. dt�V`�V Approval Date By a Ali F7L 4 OF PO��`fP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00000971 Date 8/20/07 Application pin number 701821 Property Address 218 E 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Tenant nbr name PA SCHOOL DISTRICT 4121 Application type description MOVING PERMIT Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 5000 Owner Contractor SCHOOL DISTRICT #121 MONROE HOUSE MOVING INC 216 E 4TH ST PO BOX 686 PORT ANGELES WA 983623200 QUILICENE WA 983.76 (360) 457 0949 (360) 765 3917 Structure Information 000 000 1620 SQ FT MODULAR CLASSROOM Permit M MOVING PERMIT Additional desc FAIRVIEW TO JEFFERSON SCH Permit pin number 109348 Permit Fee 130 00 Plan Check Fee 00 Issue Date 8/20/07 Valuation 0 Expiration Date 2/16/08 Qty Unit Charge Per Extension BASE FEE 130 00 Fee summary Charged Paid Credited Due Permit Fee Total 130 00 130 00 00 00 Plan Check Total 00 00 00 00 Grand Total 130 00 130 00 00 00 Fit R,led Ca-Z6-1® 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 c6mrrienced 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 � 7 Siat a of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102_15 buildiq 'ptitnit inspection record05 wpd[1/4/20051 Y' BUILDING PERMIT INSPECTION RECORD O 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. ITIS UNLAWFUL TO COMER,INSULATE OR CONCEAL ANI'WORK BEFOI?E ^ INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION �'1 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS I PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-BN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING �\ FRAMING ` ) JOISTS/ GIRDERS i SHEAR WALL/HOLD DOWNS N WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. 3 PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO C ELECTRICAL LIGHTDEPT 417-4735 ELECTRICAL I LIGHT DEPT CONSTRUCTIONR.W /PW/ CONSTRUCTION R �J ENGINEERING 417-4807 PW/ENGINEERING r FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\l 102 15 building permit inspection record05.wpd[1/4/2005] See -DUrdlarhon Getur Vera\%+ 4 0-7-g Z© o\rour,�n.,i HOUSE MOVING APPLICATION and PERMIT00 CITY OF PORT ANGELES BUILDING DIVISION O�l SECTION 14 32 030 PAMC ` PERMIT NO The following materials are hereby provided in application for a House Move Permit: 1 Name of applicant: ��'� , .�.C�s Sc-tool �«�`�n�-'� ZI `��oti 2 Address of Applicant: 21Le L %rt , A%A AwcJws-o tAI&%3(oZ 3 Telephone of Applicant: 457-ASIS Date of proposed move and duration $-22-0 4 Name of insurance company and agent and copy of certificate of insuranceA,�C.Id-? fga4(��ol E 5 Original location (address) of building (%,Le � ,.►,. 1� � ��ti� ��koo1� Legal description of original location of building ��1'a ►ac��1� <_. �4 ,Ty 40, R4:�'w (AV) AP's as-336-it,-uoz,iS 6 New proposed location of building / Z t p3 P- 1 zL-%4 f>.--k A C 4� c Legal description of new proposed location of buildingo-� I-IZ TV A kDo , o`-bo-do-0365bo 7 Route to be taken from old location to new location h4Aj 4 IDt -6 L •.u,l S�. r L 8 Description of current building- 2-11Kwo' 9 Written confirmation that the following have been contacted including individual's name telephone and date AGENCY CONTACT PERSON DATE /PHONE NO Police Department oP &°�oso 1// /7#/0 v Public Works Engineering for Signals,Water,Sewer �O D Building Division City Light Department O 7 4//7—z/)06 mmunica i s State Dept.of Trans. ➢ r 0)'D-0 S7•- 12 I hereby acknowledge that I am responsible for injuries,damages,and any expenses incurred by the City or other agencies during the moving of this structure and that the structure is to be restored to minimum Building Code requirements at its new location and ready for use within one(1)year from the date of moving the structure. In consideration of the granting of this permit,it is further agreed by the applicant that the City of Port Angeles and any of its officers or employees shall be saved harmless to the applicant from any liability or responsibility for any accident,loss or damage to persons or property happening or occurring as the proximate result of any work undertaken under the terms of this application and the permit or permits which may be granted in response Pereto,and that all of said liabilities are hereby assumed by the applicant. Signature- Date *OFFICIAL USE ONLY Date move took place. Treasurer's Receipt No. Bldg. Permit# Right of Way Constr Permit# Damage and or incidents en route and comments: Original Site Restoration completed: Date ok for occupancy' Refund Date: Refund Amount:$ Check No. APPROVED BY BUILDING INSPECTOR. DATE. BL 1105_02 [9/04] rrom:rvienssa vcrvia IF Maguire A Fax Cover 1935 West County Road B-2, Roseville MN Date 8/17/2007 04.06 35 PM To Certificates/Permits Phone ( ) - State of Washington Department of Labor &9aodustry (360) 417-2733 From Melissa DeMars Phone (800) 666-9393 Fax: (651) 638-9762 Re Monroe House Moving Inc Number of pages including cover 2 Certificate of Insurance CONFIDENTIALITY NOTICE. This fax is intended solely for the person or entity to which it is addressed and may contain confidential and/or privileged information. Any review dissemination,copying,printing,or other use of this fax by persons or entities other than the addressee is prohibited. If you have received this fax in error please contact the sender immediately and destroy this fax. PayReceipt Page 1 of 1 CONSTRUCTION CONTRACTOR RenewaltUBI --ACTIVE__ Receipt of Payment 601 921 632\ Receipt Date, 8/17/2007 Structure* CORPORATION Valid Until. 9/16/2007 Specialty* BR HOUSE MOVING Receipt #- 304946 Receipt Total. $113 40 Print This Page! Keep this page as your proof of payment This is a receipt for payment of the construction contractor registration and renewal fee and will serve as a temporary registration. The Contractor Registration Program will mail a renewed registration card to you. License Number-MONROHM014C2 License Name-MONROE HOUSE MOVING INC Address: PO BOX 686 City, State:QUILCENE, WA Zip Code, 98376-068 Country, Type Payer Detail Trans. Id Amount Endorse Check Validate Doc Check MONROE HOUSE MOVING INC 4039 101774367 $113 40 Check End. Doc Val. Print Receipt Finished a 4r 1:, • _ ?3 t httn.//field-services.apps-inside.lni.wa.gov/QCIntemal/Payment/PayRecelpt.aspx 8/17/2007 ri Ui YrM ACORD_ CERTIFICATE OF LIABILITY INSURANCE OP ID DATE(MM/DD/ MONRO-3 08/17/0/0 7 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Maguire Agency HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 1935 West County Road B-2,#241 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Roseville MN 55113 Phone 661-638-9100 Fax 661-638-9762 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A St Paul Fire & Marine INSURER B Monroe House Moving, Inc INSURER C. P O. Box 686 INSURER Quilcene WA 98376 INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR NS E - POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDlYY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $500,000 >{ $ 100000 A X COMMERCIAL GENERAL LIABILITY 660 -507C58 08/13/07 08./13/08 PREMISES(Eaoccurence) i CLAIMS MADE � OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY s500,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 1,000,000 POLICY X jEC LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 100,000 A X ANY AUTO BA-5993L202 08/13/07 08/13/08 (Ea accident) ALL OW14ED AUTOS BODILY INJURY $ (Per person) SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY $ (Per accident) X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1CLAIMS MADE AGGREGATE $ DEDUCTIBLE R E C E V E D $ RETENTION $ $ WORKERS COMPENSATION AND 2007 TORY LIMITS ER EMPLOYERS'LIABILITY p E.L EACH ACCIDENT $ ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? DEPT O L& I E.L DISEASE EA EMPLOYEE $ If yes.describe under PORT AN ELES E.L.DISEASE POLICY LIMIT $ SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION NIOEPTL SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN State of Washington NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL Department of Labor & Industry IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR P O Box 44450 REPRESENTATIVES. Olympia, Tom, 98504-4450 AUT11PRUEDR RESENT ACORD 25(2001108) O ACORD CORPORATION 1988 PREPARED 8/08/07 9 24 20 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/08/07 ADDRESS 218 E 12TH ST SUBDIV TENANT NBR PORT ANGELES SCHOOL DIST CONTRACTOR PHONE OWNER SCHOOL DISTRICT #121 PHONE PARCEL 06 30 00 0 3 8100 0000 APPL NUMBER 07 00000820 COMM FOUNDATION ONLY PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/08/07 LL BLDG FOUNDATION FOOTING TIME 09 00 08/07/2007 04 40 PM LPANGRLE JERRY 461 4725 FOOTING REQUESTED A MORNING INSPECTION JEFFERSON SCHOOL COMMENTS AND NOTES `,OF PORT �`N CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00000820 Date 7/31/07 Application pin number 44844,0 Property Address 218 E 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Tenant nbr name PORT ANGELES SCHOOL DIST Application type description COMM FOUNDATION ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 10000 Owner Contractor SCHOOL DISTRICT'#121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 Structure Information 000 000 1620 SF MODULAR BLDG Permit BUILDING PERMIT COMMERCIAL Additional desc INSTALL 1620 SF MODULAR Permit pin number 106831 Permit Fee 207 75 Plan Check Fee 135 04 Issue Date 7/31/07 Valuation 10000 Expiration Date 1/27/08 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL-2001 25K (14 PER K) 112 00 Special Notes and Comments A minimum 2A 1OBC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit 07/19/2007 11 05 AM KDUBUC Fire alarm system must be extended into portable classroom Students in portable must be made aware if a fire alarm goes off in the main building 07/25/2007 04 16 PM SROBERDS No land use issues anticipated Setbacks good MAINTAIN CLEARANCES FROM SERVICE WIRES. Electrical load calculations and elctrical permits are r lv\ required ( .s Any modifications to the City s electrical facilities will J be at the customer s expense V Public Works Utility Engineering has no requirements for \V this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 207 75 207 75 00 00 Plan Check Total 135 04 135 04 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 341 29 347 29 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 or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. � r d lgnature of C ct r or uthorize gent Date Signature of Owner(if owner is builder) Date T-\Policies\1102_15 building pewnitinspection record05 ivpd[1/4/2005] a 1 BUILDING PERMIT INSPECTION RECORD CALL 41'-4815 FOR BUILDING INSPECTIONS CALL 417-473 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES Vjq PLEASE PROVIDE A MININIUM 24 HOUR NOTICE. ITIS UNLAVI FUL TO COVER,INSULATE OR CONCEAL 4NY R'0Rli BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD 4ND APPROVED PLANS AT.JOB SITE. p INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: 7 FOOTINGS 0O 10- SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS I PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/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 WALL/HOLD DOWNS WALLS/ROOF/CEILING ^' DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION 1 /� SLAB v WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY 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 5 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO G ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL S LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT G Ul PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\l 102 15 building permit inspection record05 wpd[1/4/2005] Ic r ` OP OFFICIAL USE ONLY 67 BUILDING PERIVIiT - APPLICATION ate Re 'Permit# D Z� FID out COMPLETELY and in INK.Your application and site plan MUST B ate A.pp,med: COMPLETE to be accepted for review If you have an}'questions,call (Date Issued.- PERMITS (360)417-4815 FAX(360)417-4711 SA'ewy 2. lX16I IE • � t { �Ss� �✓tc Phone: ZLV I-05 a 01 Applicant or Agent: Z--cvw�u te v Owner JPo.1-•/+evsc.[�� Spool bt Phone. 4S� u I Z t -�lds1 Address' Zql2l � CI�� PowAndyeles. Zip 9f33407- Architect/Englneer• t ?rNe4tWv1u 4 As the (Low- �S�" " �""�'"`'� Phone: $-177-PGDI -b Contractor 1Loi-- deE•��.�r�ed`�'� State License# Exp Phone: Address: City. Zip 1 �-- Scknal 2 M • t2A'' S4 • ZONING 'PiS� PROJECT ADDRESS If Subdivision. LEGAL DESCRIPTION Lot: I-IL Block: -6 t> CLALLAM COUNTY PARCEL NUMBER. Ot.e`30 DO- 03�Sbo t� (Ylovi n5 `fi o�nr� �z,jry ieu! � \ vn dvt- w i moving `�° SSUE/VALUATION Se's-�er So n �Gha I TYPE OF WORK. ❑ Stove SF @$ /SF =$ ❑ Residential El New Constr ❑ Re-roof SF @$ /SF =$ ❑ Multi-family El Addition ❑ Move❑ Garage /SF =$ er Commercial El Remodel 11Demohtion 11 Deck TOTAL VALUATION $ �� 0 ❑ Repair ❑ Sign ❑ Other 00 BRIEF DESCRIPTION OF THE PROJECT 1%4% mdl W r c u •►-! C 1 bass.-opal COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load. Construction Type �fZExistm S Ft. ''&Proposed Sq Ft. =TOTAL Sq Ft. c 20 No of Stories:__I__ Lot Size. 3010 _ g q - Total lot coverage I.7 t�o Wa�eN- o� Sew•ek- �h -�h e mods l ate, APPROVALS PLANNING USE ONLY PLAN BLDG DPWU FIRE. ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. . This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. e is due it must be submitted at the time the building permit application and construction plans ar PLAN CHECK FEE IF a plan check fee submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is Issued within 180 days of the date of application,the application will expire. The tten request by Building Official�can m Tonal Building/Residential Code,2003)t No application up to 180 days upon be extended more than once. (see Section X105.3.2 of the I hereby certify that 1 have read and examined this application and know the same 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 not the City's, and that I must obtain such permits prior to work. Date: 7110&1 T-T0RMS\B1dgPennitform.wpd Applicant:7&�-- ! V, 1 l -rL �j - ----------- --- ----- i I i ! I I `s _-f-- ---------- ----- --- I '0--------------- — — — --- --I�'------ i cl 41 c, I I /S 4i I I j I / , 7 / V m 6 t y r > r r 3. { 41, Of _iAe 4L AW � r f .10 �,, � X21. ,!,j��AM,�.,;�.,. � - _ _ - •� � "� �'' � �'..• �'�„�' � 'iN 0. 11 � a - !Flo �' } x c YM.-C PLAY AREA �Q ^� J EXISTING TRASH RECEPTACLE Scale 1 = 2 mho^, s HOLDING AREA O 20' 40' 60' x1a � � 12a EXISTING LP STORAGE TANK Lz] \ PARKING LOT U OOo \ REMOVE EXISTING LZ CHAIN LINK FENCE Z EXISTING METER BOX WITH 3-4"0 PVC CONDUITS \ �7 � 0\\ a cp W EXISTING 6"0 SANITARY SEWER LINE E-- APPROX. LOCATION G CA s `. OF END OF PVC CO \ CONDUIT / \ EXISTING UNDERGROUND 55 \ U A POWER FEED Y 3 SPORT FIELD / ry� �/ EXTEND POWER AND COMMUNICATION, AND FIRE ALARM LINES TO NEWPROPOSED O \ SCALE: 1"=20' MODULAR UNIT \ Cp -�\ �✓ MODULAR EXISTING CONCRETE\ / BUILDING / SIDEWALK TO REMAIN \ / � FILE: July 11, 2007 07093 ,Nllwfen$Q1 VIm.O" JOB NO: INSTALL NEW 07093 5' CHAIN LINK / FENCE LINE / } 3O / SEN M.If EXISTING } EXISTING y��OF WASy��k, ?, BUOIDLDING }/ CLEAN OUT } / } E I p 4� } tea' STERE' �? / CONSTRUCT 4" THK. X 6' WIDE s O7JAL ENG CONCRETE SIDEWALK ALONG }/ 1fj FRONT OF MODULAR AND ES: Ar CONNECT TO EXISTING WALK / AS SHOWN HEE } } REMOVE EXISTING I� CHAIN LINK FENCE } 1 j � of 1 } Q N PLAY AREA #A'4w:g EXISTING TRASH RECEPTACLE Scale 1 = 2 ms / HOLDING AREA 0 20' 40 60' ~ " WSW W, EXISTING LP STORAGE TANK W PARKING LOT °6 o y0 � (/Gp 9 a \\ ` REMOVE EXISTING O C/) \\ CHAIN LINK FENCE Z W Q 3 EXISTING METER BOX CiC '- Q WITH 3-4 0 PVC CONDUITS p �\ EXISTING 6 0 SANITARY W APPROX. LOCATION SEWER LINE n OF END OF 4 0 PVC CONDUIT EXISTING UNDERGROUND lip POWER FEED X03 SPORT FIELD W zaz EXTEND POWER AND / / \\ �Cp /.All � W COMMUNICATION, AND FIRE �V 8 a N a ALARM LINES TO NEW Q p O Q F MODULAR UNIT / J PROPOSED / \\ G+p �� SCALE. 1"-20' MODULAR EXISTING CONCRETE\ BUILDING / SIDEWALK TO REMAIN \ DATE. / July 11. 2007 OI7093 — J01mom Ste Plan.m INSTALL NEW 07093 5 CHAIN LINK FENCE LINE / A- j -10 / M. j�cNO 2 EXISTING } EXISTING �,�`�' wAsy��c A- MODULAR BUILDING }� CLEAN OUT y �� 23594 E`G/STERE } CONSTRUCT 4" THK. X 6 WIDE / ctwnPlans S / NG / CONCRETE SIDEWALK ALONG ELES�'Co" NAL 6 } FRONT OF MODULAR AND } FtT!OF P ANG used peon these Plans.so c a IV CONNECT TO EXISTING WALK 16 / The Issue" h'i 't revcrdtheb>nfd►nB ES: / AS SHOWN ` d other data shall not P on oi �Ts in said k� } REMOVE EXISTING v Dations ens andt�� or from Preventing frem ereafter reQninnB er data, HEE k` k / CHAIN LINK FENCE PI s, specfieab on thereunder when to A aildinB oPefations being o in ntes of this i+ r °"' ` k Ar- / and 2 pplp 1 a ` violation of all cod X� X � A o of 1 t � X` �c' / k` Il r � i N W y 0 w GENERAL tS N07ES (- — - - - - - - - - - - - - - - - - - - - -� 1 ENGINEERING DESIGN LOADS r - - - - - - - - - - - - - - - - - - - - - - - - - - - - -1 ROOF LIVE LOAD: 25 PSF (SNOW) _ { { { { SEISMIC ZONE. BASED PER N: 100 MPH/EXPOSURE "B" � W I { Q { { SOIL BEARING CAPACITY- 1500 PSF { { 2. CONSTRUCTION SHALL CONFORM TO THESE PLANS AND ALL v C/) { APPLICABLE CODES AND ORDINANCES INCLUDING THE 2003 W EDITION OF THE INTERNATIONAL BUILDING CODE. ro N W { { { WOOD MAMM 10 ES Q { { { 1 ALL FRAMING SHALL BE AS FOLLOWS: O o. U { A. PRESSURE TREATED POSTS SHALL BE AS NOTED ON PLANS. � y { L -'- — — — — — — — — — — — — — — — — — J { o B. PURLINS SHALL BE O.F NO. 2 OR BETTER { { I C. BLOCKING AND OTHER MISC. FRAMING SHALL BE NO. D.F 2. w Q Z { r - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - N { { 2. HOLES FOR BOLTS SHALL BE THE BOLT DIAMETER PLUS 1/16" { { (D { { 3. ALL BOLTS, LAG SCREWS AND THREADED ROD SHALL BE PROVIDED WITH Z I { { WASHERS WHERE THE NUT OR HEAD BEARS ON THE WOOD. WASHERS SHALL { A { { tO THAVE A HE OL MINIMUM DIMENSION OF AT LEAST TWO TIMES THE DIAMETER OF Q { { 02 4 ALL NAILS FOR STRUCTURAL WORK SHALL BE COMMON WIRE NAILS AS V { { { INDICATED ON THE PLANS OR ICBO APPROVED MECHANICALLY DRIVEN �s- { I FASTENERS OF EQUIVALENT HOLDING STRENGTH. NAIL SIZE AND SPACING Z Q N SEE CORNER DETAIL C/1 { SHALL BE AS REQUIRED BY UBC TABLE 23-1-0 WHERE NOT SPECIFIED Z -�to L — — — — — { { ON THESE PLANS. ? OO w L - - - - - - - - - - - - - - - - - - - - - — - - - - - - - - - JJ CONCRETE No= � CO =`na 1 CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSIT-MIX PROPERLY N O 3 PROPORTIONED AND DELIVERED TO THE SITE IN READY-MIX TRUCKS. a AGGREGATE SIZE SHALL BE A MAXIMUM OF 1-1/2" IN FOUNDATIONS AND a' W m W 3/4 AT ALL OTHER LOCATIONS. SLUMP SHOULD NOT EXCEED 4 CURING W W W 60'-0" COMPOUND SHALL BE SPRAYED ON ALL EXPOSED SURFACES IMMEDIATELY a AFTER FINAL TROWELLING. 2 Z g t 2. ALL CEMENT SHALL CONFORM TO ASTM STANDARD C-150. ALL AGGREGATES I.- NF- SHALL CONFORM TO ASTM STANDARD C-33. ALL REINFORCING BARS SHALL CONFORM TO ASTM STANDARD A-615 (GRADE 40). w Z 4 N a W FOUNDATION PLAN 3. CONCRETE SHALL HAVE A MINIMUM 28-DAY COMPRESSIVE STRENGTH OF 2500 PSI AND SHALL NOT CONTAIN LESS THAN 5 SACKS OF CEMENT PER SCALE. Scale 1/801 CUBIC YARD. PROVIDE FOR 5X ENTRAINED AIR AT ALL EXPOSED LOCATIONS. NOTED 0 8' 16' 24 A July 10, 2007 FILE. 2-2X8 MODULAR Foundation Plays Mkrson.dn 1/2" GROUND CONTACT RIM JOIST JOB NO: PLYWOOD z 2X4 y2/8 PT OF TOP PLATE, 2X4 #2/8 PT DF TOP PLATE, 2X8 MODULAR FLOOR JOIST 07093 2 FASTEN PLATE TO RIM JOIST FASTEN PLATE TO RIM JOIST _ tO M. 5OF G DLAG SCREWS MODULAR WITH A8 48" O.C. MAX. 5F G. LAG SCREWS MODULAR WITH A4-0 XT 72" O.C. y 9 WA - - EACH RIM; STAGGER LAGS 36" O.C. IT„ 2X4 #2/8 PT OF STUDS 2X4 �IZ/B PT DF STUDS II I I - -_ffim - ti 9l 1 O 16” O.C. �® 16 O.C. INSTALL 4X4 ANGLE-� •r 2X4 �12/B PT DF a 2X4 #2/B PT OF SILL 4X4 POST O 48" OC MAX :•��+"3+� y SILL PLATE, ATTACH I - w PLATE, ATTACH TO BRACE W DI TO POST TWO DIRECTIONS �� i_i�.•. Q TO FOOTING WITH 3/8"0 FOOTING WITH 1/4"0 X 6" AT EACH POST �r ,p�,23594�� X 6" LONG TRUBOLT WEDGE,_ LONG TRUBOLT WEDGE SIMPSON A33 CLIP EACH 1 �� • F- - ~ ' �S'S pIST ANCHORS O 48" O.C. MAX. T ANCHORS 0 72" O.C. MAX. SIDE POST BASE ` 2- 4 CORNER BARS 1 -u _ _ •_ ' - •' i - y�- rti 00 _ W/ 16" OVERLAP POUR AGAINST ?_ T POUR AGAINST •�.+, 2-g4 REBAR CONT E S: FIRM, UNDISTURBED FIRM, UNDISTURBED _ = �;: SytEET EARTH 12" 2-p4 REBAR CONT EARTH 12" 12" - 1 SECTION a SECTION e ALT. SECTION e SECTION c NTS NTS NTS NTS OF 2 C', All wit N 0 —'a z a.a.LZ Q Lj c/) 00 u OU o g 11 jjj III E-1 I POWER AND COMMUNICATION CONNECTION cn CRAWLSPACE ACCESS 8" X 16" VENT Z SOUTH ELEVATION WEST ELEVATION oN QNQ 7 vm SCALE. NOTED DATE. July 10, 2007 NORTH ELEVATION EAST ELEVATION FILE. FounftUm Plans jeffersol JOB NO: 07093 2X6 PT FIR JOIST SUPPORT AT POSTS /—EXTERIOR WALL OF MODULAR UNIT 90NEN M. IfN 4X4 PT POSTS J" AT 6' D.C. MAX. 2X4 PT TOP RAIL Qj ,p 23594 ID AL ENG 1/12 MAX SLOPE 99 -1 ILI 601 2X6 PT JOISTS 0 q4w 2X4 PT FIR RAILI 2X6 TREX DECKING OVER-/ 2X6 TREX DECKING NOT SHOWN FOR CLARITY �A% P I IF in POSTS S)4EET AT 1/2 HEIGHT t 2X6 PT STRINGERS 0 16" O.C. 5'-0* LANDING2 RAMP ELEVATION RAMP PLAN VIEW OF 2 Q 1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 GUS Application Number 10 00000828 Date 8/09/10 Application pin number 904056 Property Address 218 E 12TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Application desc Lighting retrofit Owner Contractor SCHOOL DISTRICT #121 NORTHWEST EDISON INC �7 216 E 4TH ST 21106 86TH AVE S E PORT ANGELES WA 983623200 SNOHOMISH WA 98296 V (360) 668 9200 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 171017 Permit Fee 91 70 Plan Check Fee 00 (� Issue Date 8/09/10 Valuation 0 \�J\ Expiration Date 2/05/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 7 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 18 20 Fee summary Charged Paid Credited Due Permit Fee Total 91 70 91 70 00 00 1` Plan Check Total 00 00 00 00 Grand Total 91 70 91 70 00 00 �o N INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN w 1131 t o FINAL 0 /"J bo INT COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS.FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date- Rug 09 2010 9 29RM HP LASERJET FRX r,�� YOU p 5 v AUG 9 1ja . �POpTgti„ � 0 CITY OF PORT ANGELES PEP.MIIT APPLICATION Building Division/Electrical Inspections i �^ 321 East Fifth Street—P.O.Boa 11501 Port Angeles Washington,98362 Ph.(360)4174735 Fax.(360)417-4711 Date: O 1 V _1&2 gingle Family Ovuelling _Multi-Family or Commercial* X Commercial Addition/Alteration/Remodel I Repair' "Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet Job Address: Z t T t'L ST ?OCT JOW 91,0 • WrA g (a Z. Budding Square Footage: Description of above Qnnx flwrGi?-i ES gp b - J ff+g4,Gn E r-IyL T rrl q 5 C+O o u r-NIL=LB r tFK r t P A-D F Owner Information Contractor Information Name:forr--r RAfbeLE5 - ar-ffe Lsm Leuneatt-'h" 5t4wL Name: Wdnm}w 't' erg saw Mailing Address: ZI8 E"T Q-TN ST' MalingAddress:_7110W StoTN Pr%FF Se,S's'F2 City:Thr-T AM6 a e&State: im A Zip: '1 A 3(o-7- City:,SwoAcKA x514 State: w A zip: 9 8 W(o Phone: 3L6-457-4ZS1 Fax: 8 457-429tc Phone:34o-ie48-9200Fax: d io /if I License 41 Exp. — License#!Exp,hiO�Tei1 G T 9 S 3 D bZ. f 0 Item UnitCharae Ory Total ION Multiplied IM Unit Charnel Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Savice/Feeder 401-600 Amp $204.60 $ Service/Feeder 501-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ ■ Branch Circuit W/O Service Feeder $ 73.50 1 $ 73-50 A Each Additional Branch Circuit $ 2.60 7 Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201.400 Amp. $110.30 $ Temp.Service/Feeder401-600Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp $167.90 $ Porte]to Portal Hourly $ 95.90 $ Sign/Out4ne Lighting $ 68,20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuil/Limited Energy 18 2 Family Dwelling $ 63.90 $. Signal Circuit/Limited Energy MuNtFamily Dweling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEIN CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square FL or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ 111.70 Total Owner as defined by RCW 19.28.261 (1)Owner will occupy the structure for two years after this electrical penittt is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or tease.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 296468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electricat PermitApplications. Signature of owner,electrical contractor or electrical administrator- ❑ cob 0 che* CfedkCordrCP(�"S- F C-41t 60 6- -l!SS haled: S D I<J otrolrtolo ti ELECTRICAL PERMIT �- CITY OF PORT ANGELES 360-417-4735 Q Application Number 10 00000577 Date 6/08/10 Application pin number 397901 Q Property Address 218 E 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Application type description ELECTRICAL ONLY f Subdivision Name J Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Application desc Ethernet and Fiber update Owner Contractor SCHOOL DISTRICT #121 SYSTEM TECH INC ^ 216 E 4TH ST 9514 EAST MONTGOMERY #22 \V'\ PORT ANGELES WA 983623200 SPOKANE WA 99206 (509) 590 1137 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 167155 Permit Fee 95 90 Plan Check Fee 00 Issue Date 6/08/10 Valuation 0 Expiration Date 12/05/10 Qty Unit Charge Per Extension 1 00 95 9000 ECH EL LIMITED IST 1500 SQ FT 95 90 Fee summary Charged Paid Credited Due Permit Fee Total 95 90 95 90 00 00 ('11 � l Plan Check Total 00 00 00 00 ' v Grand Total 95 90 95 90 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FIN AL COMMENTS Signature of owner or Electrical Contractor X Date i RECEWqED JUS! CITY OF PORT ANGELES PERMIT APPLICATION Building Divislon/Electrical Inspections ELECTRI AL r 321 East Fifth Street—P O.Box 1150/Port Angeles Washingtonlgfj6ZTI0NS Ph. (360)4174735 Fax: (360)417-4711 J Date: J 1 &2 Single Family Dwelling _Multi-Family or Commercial' _Commercial Addition/Alteration/Remodel/Repair` 'Plan Review May Be Required, Please Complete Electrical Plan Review I rmation Sheet Job Address: =4 *651i �,.L� �.Y , '0' 1: Building Square Footage: Description of above Owner lnf a ion Contracto�nform9tion Name: i S6l�rb►e Sf�� 'h Name: t.S..Ae Mail;Address:, f G ^r Uglr 1__ Mailing A Fess: 2�5�1 City: e- State: A_Zip: 4? City. e: State:= dLZip: �IS..e,� phone: G2 Fax: Phone:0%9 3PeV 9�k: 2wk 7,��/ License#f Exp License#/ExP-_A o9 Mgg= ilpli_Aw Itern Unit Charge 9!y Total(Qtv Multiplied by Unit Charge) ServkcelFeeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Servioe/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit Wl Service Feeder $ 2.60 $ Branch Circuit WIO Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp.Service/Feeder 200 Amp $ 92.70 $ Temp.ServicelFeeder 201 400 Amp. $110.30 $ Temp.ServicelFeeder 401-600 Amp. $148.70 $ Temp.ServicelFeeder 601 1000 Amp $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy i First 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuitl Limited Energy I&2 Family Dwelling $ 63.90 $ Signal Circuitl Limited Energy Mufti-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hol Tub $1 t0.30 $ $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 41*0 P(Credrt Card A 4tW`3151-1�isr7 3�y x Dated: le `I 1140 0110112010 "AV I Cl IIEb-z9E-1302 OWI H331 W31SAS Wd6S 11 0102 GO Jnr dew CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES.WA'98362 Application Number 07 00000974 Date 9/14/07 Application pin number 096940 Property Address 218 E 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 8100 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 0 Owner Contractor y,. SCHOOL DISTRICT #121 STRAITS ELECTRIC 216 E 4TH ST PO BOX 2914 PORT ANGELES WA 983623200 PORT ANGELES WA 98362 (360) 452 910.4 Permit ELECTRICAL NEW COMMERICAL, • 7: 'Additiona'1 desc STRAITS EL/ 200 SVC + FEEDER t; Permit pin number 109397 ,Sub Contractor STRAITS ELECTRIC h Permit Fee 149 00 Plan Check Fee 00 Issue Date 9/14/07 Valuation 0 Expiration Date 3,/.1'2/08 t Qty Unit Charge 'Per Extension 1 00 91 0000' ECH' EL 'COM 101 200 NEW SRV FEEDER 91 00 1 00 58. 0000 ECH EL COM 101 200 NEW ADD SRV FDR 58 00 Fee summary Charged Paid Credited Due (�\ Permit Fee Total 149 00 149 00 00 '00 t �� Plan Check Total 00 00 00 00 Grand Total 149 00 149 00 00 00 w� Iv V'1 s COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED CMM YES NO DITCH ROUGH-IN CO= SERNICE FINAL GENERAL COMMENTS: aw 1102.15[4" ��h? /"/47 At/ Colt— 4Cr-OR->7 f/L/ CERTIFIOAsTE O £OCCUPANCY 1� Buildisro This Certifcca ion°issued pursuant to the requirements of Section�109 of the Uniform Building.:>Code;certifying.ahatat the time of-It mance this structure was in cvinplianee.yvith4thevarious�ordinances'af.the-City.regulating Building s constru t� puse For the following i Use Classification: School Buildigfermit No. 8� _Bustr� iVa a.e ]Sk?Il_SG�1o01 Group: E-1 ¢` = yofConstruction: Jt 'PBP Owner of Business: Port Aft eles,9chool Dist. # 1M-.,P-Addnss-.-.216:East-4tl' Stree Port�Angeles, WA 98362 Building Address: 218 Eastt66 StreetY Po A i�geles IAW98362 (h',24 2003 'Date Pe sous place. Shall not be'r ± A f Building Official ♦ CITY OF PORT ANGELES PUBLIC WORKS -BUILDING DIVISION qa� 321 EAST STH STREET, PORT ANGELES,WA 98362 BUILDING PERMIT ISSUED: 11/13/2001 PERMIT NO: 12899 OWNERIAPPLICANT PROPERTY LOCATION JEFFERSON SCHOOL 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 ❑ Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT RAS BUILDERS INC. N/A 1045 12TH AVE NW ISSAQUAH, WA 98027-0000 98360-000Q 425/837-9765 360/000-0000 PROJECTINFO Project Value: $4,224,000.00 SFD Units: 0 Commercial: 0 Project Type: COMML BLDG SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PBP r PROJECT NOTES MODERNIZE 4355 SQ.FT. AND CONSTRUCT 33,675 SQ. FT. NEW ELEMENTARY J SCHOOL WITH GYM AND KITCHEN , ADMINISTRATION AND 13 CLASSROOMS \� RECEIPT# FEES ASSESSMENT Building Permit: $17,376.35 Misc Fee 1: $0.00 Plan Check: $11,294.63 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: $29,685.03 Plumbing: $551.00 AMOUNT PAID: $29,685.03 Mechanical: $458.55 BALANCE DUE: $0.00 Radon: $0.00 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 fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Sig atu of Owner(if ownJr is builder) Date 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: - Q.yC.4se Y7,� W'wl 'Z8-2 LE FOOTINGS }I-are' LE11 y/z WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING �y UNDER FLOOR/SLAB ROUGH-IN - WATER LINE GAS LUNES-YT-.y©a1-cli BACK FLOW/WATER J AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS .4kes / SHEAR WALL 1 WALLS/ROOF/CEILING +'7-� - ,dl,�,, �b II -rp l^1 OOie DRYWALL T-BAR INSULATION ��++ / -N/ -p SLAB 6£',QS�LU I.Lq,`21/I N.� O WALL/FLOOR/CEILING -1�� 'G'C MECHANICAL HEAT PUMP WOODSTOVE/PELLET/CHIMNEY/INSERT HOOD/DUCTS PW UTILITIES/SITE WORK (Enoneenng Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 it-/5-Q3 BUILDING C�APPL.WPD 8-31-01 ; 3:30PM;CITV PORT ANGELES ;3604174711 FOR OFFI E ONLY: BUILDING PERMIT - APPLICATION Dae Reo. Pwmit N: Date Approved: e The Building Permit -Pre-application nmat be f&d out conviletely. Dam Ise nd: Please type or print in ink. If you have any questions,please call 417-4815 Applicant and/or Agent: A'706 v-W t /LSU.l3 Phone: Owner: JOARr F+AJwZ t Srur,t�7 /yt�/r r / / Phone: Address:_Z/C 61- ACc- dX911 City: Zip: Architect/Engineer: L/ kiln i rzl Phone: I(SZ-6G//4� Contractor T8 License#: Exp: Phone: Address: City: A e Zip: PRO.IECTADDRESS: Z a CA5t /Z �}ns6LsL�s ZONING: - P13O LEGAL DESCRIPTION:Lot: Block:�3_$_� Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address City: Credit Card#. Exp.Date VISA MC TYPE OF WORK: SIZE/VALUATION: o Residential o New Constr. o Re-roof o Woodstove �4-3—�SF,@$/ Sp =$ o Multi-family }Addition ❑ Move ❑ Garage SF. $ /aF._$ X Commercial Remodel ❑ Demolition o Dock SF-@$ /SF.=$ Repair 13 Sign 0 TOTAL V UAT[ON III:%DE=SON O$Tiff PRO CT: �mfvrst rL� 4< Z�iri cp�,Sr[t a- t'//-2�ts K [[tea CCG �. J 1 COMMERCIALIRESIDENTIAL• Occupy Group: Z,I Occupant Load: Construction Type: VA) No.of Stories: / Lot Sine: :ti.414 %Lot Coverage: 90 axiWn Lot Coverage: 7S?t1 p /sq.fL+Proposed Lot CovIrage: ri /sq.ft.=TOTAL LOT COVERAGE Z O std PLANNING USE ONLY: G Notes APPROVALS: PLAN _ /043 BLDG. ' ' DPW ESA/Wetland(s): o Yes o No SEPA Checklist required?o Yes o No Other: OT TH BUILDING APPLICATION SUBMMAL: Your R appdcetlon and else plan mast beJlUed out rnurpletely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMrrTAL: Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant This figure will be reviewed and may be revised by the Building Div.to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance_ PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Hun permit is issued within 180 days of the date of application,this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days,on written request by the applicant(see Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and brow the same to be true and correct, and I am authorized to apply for this permit I understand it is not the Citys legal responsibility to determine what permits are required- it remains the applicants responsibility to determine what permits are required and to obtain such. Pw-1102_131m51ei] Applicant: � / Date: ;3604174711 # _. BUILDING PERMIT - APPLICATION FOR OMeowty 13a!rtu- Fermsr s: be Buildtrtg Permit -Pre-application nrxat Due�`0�' - = *W00livePlease type or print in ink. If ./Ned anti coaapl 17-4 D--[ - :__—� you have any questions,please cap 4417-4815 ------------ Applicant and/or Agent: UAjI Phone: Owner: Age - QAJbr-7 is �rc�n �}/crPt.r t /Zi Phone: -i(52-R 7S AddressCity 00 Q� Architect/Engineer. L/ ,>s Zip: ' Phone: - // Contractor �C3A License#: Exp: Phone: Address- City: Zip: _ PROJECT ADDRESS: Z/ /Z ZONING: p O LEGAL DESCRIPTION:Lot CLALI"COUNTY PARCEL NUMBER: Bkhck Subdivision: Bigg Address: Credit Card Holder Name: Credit Card#. may, Exp.Date VXSA�MC TYPE OP WORK: (3 13E/VALResidential o New Constr. o Re-roof WoodswS1ZUATION: ve FJVAL ❑ bhM-family }!Addition ❑ Move 13 Garage `�W4�-4�—SF.@ Commercial )i( Remodel o Demolition ❑ Do SF:(a) p Repair o. sign ❑ SF.@ DE $-----/SF- B7 /SF_ B =S TOTAL V DATION Ri SC131PTION OR PR C1 G " d vg 7 reotc COMMEries: /RESID t Size- : Occupancy Groep: 2,! Occupant Load: ' construction �(� No.of Stories: l Lot Sine _2 G,4 %LM Coverage: fie: Existing Lot Co erago: % z: Coverage: Y: /sq.R+Pr'oposed Lot Coverage: r'L/sq.R-TOTAL LOT COVERAGE O s4 PLANNING USE ONLY: _ e Notes: c - - _D. o APPROVALfs: PLAN . fI /hur i 2 , DPW 1 ESA/Wetland(s): o Yes o No SEPA Checklist required?o Yes o No Other FIRE BUIIAING APPLICATION SUBMITTAL: rani OILIER Building Division can provide application arrd sbb p m xxcsf befilfed opt o m be�eptedJor mlew: The You with more detailed information on the application and Ian submittal requirements BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application site plan(for additions)and building constructionplans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount most be entered by the applicant This figure will be review may be revised by the Building Div.m comply with current fee ed and scfiedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building Permit application and construction plans ane submitted. All other Permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of appliicatiou,this by application will expire limitations. The Building Official can extend the time for action by the applicant up to 180 days,on written request at Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. by the applicant see t tel'col#Yr that I have read and examined this application and know the same to be true and correct,and I am authorized to apply for this permit. !understand it is mw the City's legal responsibility to determine what permits are requiret/remains ins the aPplicaM' responsibility to determine what permits ore required and to obtain such PW-1102 Applicant: Date: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . REQUEST: Date_ ?L` Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): - -may Permit No. >� Z Sewer Foundation Framing Chimney Plumbing Final 1 Sewer Excay. Other INSPECTION NOTES: _ Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date V -7 Z Time Received by (phone, person) Location of Work to be inspected— Name / z Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate onel: Permit No. Sewer Foundation Framing Chimne Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date = ' ' Time By--- Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle a iate one): Permit No.�y Sewer Foundatio Framin Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date 'Z 3 -POTime By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES / DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspeotjw (circle appropriate one): Permit No. % Z' Sewer' Foundation Framing Chimney Plumbing Final Sewer Excay. Other _ K INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT . . . . . . REQUEST: Date S - � Time Received by (phone, person) Location of Work to be inspected ( / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundatio raming- Chimney Plumbing Final Sewer Excay. Other /1 INSPECTION NOTES: Inspected: Date �- Time By Remarks: 7- RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES / DEPARTMENT OF PUBLIC WORKS / . . . . . . . . . . . INSPECTION REPORT . . . . . . . v REQU9ST; Date ;2 Time Received by %' (phone, person) Location of Work to be inspected _` Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other.ww INSPECTION NOTES: Inspected: Date '" ' Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: . � � Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. / Type of Inspection (circle apRropriatE one): Permit No. Sewer Foundatiod Frami�)Chimney Plumbing Final Sewer Excay. Other y INSPECTION NOTES:, ' Inspected: Date Time By Remarks: i RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date �_2 Z Time Received by (phone, person) Location of Work to be inspected 2- 18 /�► `� Name of person requesting inspection P5 1 Address of person requesting inspection Phone No. YI7- SS Type of Inspection (circle appropriate one): Permit No. Sewer ound3tio"R, Framing Chimney Plumbing Final Sewer Excay. Other /vt INSPECTION NOTES: Inspected: Date `�S' C' Time By Remarks: RESTORATION REQUIRED . . . . . . YES / NO Lt-,4A -fc r ��cti �s ✓� vim. C-�.,�� 11 S C-o ti�� ut z�'t iL ticxS cz �r ca, V" Gc� ti �eC�eCJ -tom C�;\A- l V-Y—e cC,L.,( � 4 s 6� SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date -5-- 2-/-07— Time Received by (phone, person) Location of Work to be inspected 4 " `/ � 1-2 Name of person requesting inspection Address of person requesting inspection Phone No. _ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney 10 umb' g Final Sewer Excay. Other r INSPECTION NOTES: _..f Inspected: Date ~ ' Time By Remarks: 1 RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 1 z Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other; / i INSPECTION NOTES: / Inspected: Date x`27 Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO _ l SURFACE RESTORATION: SURFACE TYPE: [-] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑I No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . REQUEST: Date G _Z S� 0-L-- Time �/ Received by (phone, person) Location of Work to be inspected L( �1 Z Name of person requesting inspection Address of person requesting inspection Phone No. 1,7-019 Type of Inspection (circle appropriate one): ermit No. Sewer Found tion Framing Chimney Plumbi Fina Sewer Excay. r INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CERTIFI CUPANCY Build i This C ti ursuant to the requirements of Sectio 109 of the Unifor l at the ting; ce this sltycture was in c hel ing " wilding onst v Use Classification: Scho a i ennit No.: ♦ Group: E-1 _ fConsWction: P s, Owner of Business:Port A ck as chool Dist. # 1 rJAngeles, WA 98362 Building Address: 218 Easel9662 Pm a 4 2003 ate p � ous place. Shall not be r ullding Official. O� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DNISION u 321 EAST 5TH STREET, PORT ANGELES,WA 98362 ISSUED: 4/30/2002 PERMIT NO: 13358 OWNERIAPPLICANT PROPERTY LOCATION JEFFERSON SCHOOL 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 ❑ Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 98360-0000 206/000-0000 360/000-0000 PROJECTINFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: FOUNDATION SFD SO FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SO FT: 0 Zoning Use: PBP PROJECT NOTES (J ADD FOUNDATION TO ONSITE RELOCATED CLASSROOM S receipt#9008 FEES ASSESSMENT Building Permit: $111.25 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 comme ed within 180 days,if construction orwork is suspended or abandoned fora period of 180 days after the work as commenced,or if re�ired inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this appltation 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. Signature of Contractor or Authorized Agent Date Sig to Owner(if o ner is uild ) l qq / Date v BSS ' : r T:TLANNINGTORMS\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 I -�"Js' INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: / YES NO FOUNDATION: FOOTINGS ZS0 �t�J J yn WALLS �_/Q--Q �(! /O 11 FOUNDATION DRAINAGE ELECTRICAL (LIGHTDEPT) 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: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 /' PLANNING DEPT. BUILDING 417-4815 ''29-OS af y BUILDING T:\PLANNING\FORMS\1102.15[4/2002] r PORT _.. FGa /O alt.;:, ( r.,... ,.w.✓. rCr... FOR OFFI IAL U !,ONLY: " BUILDING PERMIT - APPLICATION P�,;t#.. Date Approved: O L The Building Permit -Pre-application must be filled out completely. Date Issued: Please type or print in ink. If you have any questions,please call 4174815 Applicant or Agent: Phone: R©S-0.SC3£C Owner: �a4 E7I'S cdot616Zc 1 cr Phone: ZIA 7-SSS 7S Address: Zm C. btek' w City: Agy-A6:�ELCZ Zip: 5&3/ 2- Architect/Engineer: n/a, Architect/Engineer:n/4 Phone: Contractor License#: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: ZI /� ZONING: AV LEGAL DESCRIPTION: Lot: Block: l 'FS Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC TYPE OF WORK: SIZENALUATION: ;jC` 0 13 Residential ❑ New Constr. ❑ Re-roof 13Woodstove SF. @$ /SF.=$ ❑ Multi-family ❑ Addition Move ❑ Garage SF. @$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ 9t. ❑ Repair ❑ Sign ❑ TOTAL VALUATION $ BRIEFDESCRIPT/IO OFTHE PROJECT: C�0t0+` C+ p� Pxl6�ilt I�yr6f12 C�40a+ Oso r n)u"-n cv! _ rr COMMERCIAL/RESIDENTIAL: Occupancy Group:_ Occupant Load: 96 Construction Type: No. of Stories: I Lot Size: 54J 0kcve--S %Lot Coverage: % Existing Lot Coverage: /sq. ft. +Proposed Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE: q.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: —BLDG. DPW FIRE ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBNMTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Applicant: n Zt4 Date: T:\FORMS\APPS\Buildingpermit JEFFERSON SCHOOL PORTABLE RELOCATION The existing Portable Structure is to be relocated to the southeast of the new parking lot (reference attached Site Plan). Work under this contract entails the excavation, construction, and backfill of a new foundation, and installing electrical service from point of connection west of new placement. A section view of the foundation is shown below. Footing Reinforcement: (2) #4 bars longitudinal Vertical Wall Reinforcement: #4 bars at 18" O.C. Horizontal Wall Reinforcement: (2) #4 bars, top bar placed not more than 7" from top of wall. Reinforcement to be minimum Grade 40, with 12" lap splices minimum Anchor bolts: %z" x 10"to be placed a minimum of 48" O.C. Ventilation: Mesh Ventilation shall be provided in units equally spaced around foundation with total net area of 11 sf minimum. Concrete Strength: 2000 psi, 5 sack mix / r Or �}¢✓na e �o+ �M `an of t"CMU.X<3+ ' d tj 1 f ecL Slir� N�a'�e. �O JlE-yy� Wa-e� KZo i1lG� Uy W;4- blocLoul i 1 :yl 1I 1� 'P li 04/04/02 10: 02 $ 206 755 3579 MONROE MOVING P. 01 IX. (. �BQ��iD0008� 4 LO Yom.• �': :•:.� o NEW PARK)tN(,/SiDEW4tY� _ 'lY StDCwAu; NEW LAY o7F1er� 4o')L46' npi 34' 13� SE"�BHCK R.Ectu.i�Ft� � _' 51"f E C�u,C�T loth J FEPSON HOOL, PO�TASL SC AI — V :I30'-0' . 6oULEVARD _............. . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspe circle appropriate one): Permit No. Sewer'Foundation F ming Chimney Plumbing Final Sewer Excay. Other INSPECTION N TES: Inspected: Date Z— Time By L Remarks: RESTORATION REQUIRED . . . . . . YES NO SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other []Repaired by City Work Order # ❑ Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 BUILDING PERMI ISSUED: 7/03/2001 PERMIT NO: 12746 OWNER/APPLICANTPROPERTY LOCATION JEFFERSON SCHO L 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 ❑ Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT PRIMO CONSTRUCTION N/A 970 CARLSBORG RD. Port Angeles, WA 99360 98360-0000 360/683-5447 360/000-0000 PROJECTINFO Project Value: $500.00 SFD Units: 0 Commercial: 0 Project Type: DEMOLITION SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PBP PROJECT NOTES DEMOLITION OF FOUR STRUCTRES TOTALLING 33,893 SQ. FT. TOTALLING 33,893 SQ. FT. INCLUSIVE OF TWO COVERED PLAY AREAS I- FEES ASSESSMENT Building Permit: $23.50 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: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. &-A/ �-/z -F Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date BUELDING 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 (LIGHTDEPT) SEPARATEPERMIT:M 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 WOODSTOVE/PELLET/CHIMNEY/INSERT HOOD/DUCTS PW UTILITIES/SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHTDEPT. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING C\APPL.W PD 11 - 01 i'd: LQPM:C I TY PORT ANGELES ;36C<174711 POar FOR OFF7ClN. SE ONL BUILDING PERMIT — APPLICATION °'°nit �' t Fesalt a: Z� k 6 _ Date ved: The Building Permit -Pre-application must be filled out conrletel y. ' cv Please or print ink. If you have an type P Y y questions,please call 417481 3$ Applicant and/or Agent: ECq sf" EAfit IA3(q Phone: Owner: Poer &)oirLeE5. cSC ooc A/vl T #124 Phone: X57-£Sri 75 Address: 216 GkBr FOaj27 1 City:-_ ALLCYt�[t-t Zip: t Z Architect/Engineer:?L Phone: ContractorALNO L&4r 4U-r10&) License#:P' v'7r Exp:��02- Phone:Ui3-5//t/7 Address: T70 CA42LMLC4 k0A city:'M /M Zi 9'99?. PROJECT ADDRESS: ZI t l2Z J�j-Gr2>'�, ��Y p' 9 —ZONING; PFiP LEGAL DESCRIPTION:Lot: Block: 38/ Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card f. Exp.Date: VISA MC TYPE OF WORK: SIZE/VALUATIOM C� ❑ Residential ❑ New Constr. o Re-roof ❑ Woodstove SF.@$ /SF.=$ ❑ Multi-family o Addition o Move ❑ Garage SF.®$ /SF.—S ❑ Commercial o Remodel X Demolition o Deck ? SF.@$ /SF.=$ ❑ Repair o Sign o TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT ST2C4Ct2tr16 DF7 / � F ' t ti1(33 %9,9 CS �sr = 2 C0VQQCn ,FLAY COMMERCIAIJRESIDENTIAL: Opancy Group: Occupant Load:_Construction Type: No.of Stories:_L Lot Size: �5 6.'f a-rre %Lot Coverage: % Existing Lot Coverage: /sq.ft.+Proposed Lot Coverage: /sq.R=TOTAL LOT COVERAGE: /sq,ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s), o Yes o No SEPA Checklist required?❑ Yes❑ No Other: OTHER BUILDING APPLICATION SUBMITTAL: Your appUcadon and site plan must befilled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application,site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION. In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div,to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application wig expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant(see Section 107.4 of the Uniform Building Code,current edition). No application can be extended more than once. I hereby certify that/have read and examined this application and/crow the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required,' it remains the applicants responsibility to determine what permits are required and to obtain such. ?W-1102_13(mv5JO11 Applicant: / Date: CgLn -cy L- From: Gary Kenworthy To: WPDOMAIN.PA4(GCUTLER), TMCCABE Date: 6/27/01 9:54am Subject: School District to Dump -Forwarded-Reply -Forwarded-Reply The waste disposal application (wda) for the school has been approved except for any contaminated soils which will require a separate wda and county approval. I believe the intent of the original message was that it was ok for the contractors to haul to the landfill and charge the schools account with the city. Gary >>>Tom A. McCabe 06/26/01 02:24pm >>> CC: WPDOMAIN.PA4(LHAEHNLE), �l I� NO. 954 CITY OF PORT ANGELES DETERMINATION OF NON SIGNIFICANCE R.C.W.Chapter 43.21 C/W.A.C. 197-11-355 Description of Proposal: Partial demolition of public school buildings totaling approximately 34,000 square feet in area, partial remodel and new construction of school buildings totaling approximately 39,000 square feet in area, and site improvements including approximately 6,400 square feet of parking area and sidewalks. Location of Proposal (including street address,if any): 218 East Twelfth Street APPLICANT: Port Angeles School District#121 PROPERTY OWNERS: Same Lead Agency: CITY OF PORT ANGELES The lead agency for this proposal has determined that it does not have a probable significant adverse impact on the environment. An environmental impact statement(EIS) is not required under R.C.W. 43.21 C.030(2)(c). This decision was made after review of a completed environmental checklist and other information on file with the lead agency. This information is available to the public on request. [ ] This DNS is issued under WAC 197-11-340(2);the lead agency will not act on this proposal for 15 days from the date of issuance. Comments must be submitted by at which time the DN� may be retained, modified, or withdrawn. [ ] There is no comment period for this DNS. [X] This DNS is issued per WAC 197-11-355. There iso no further comment period. July 3 - '�`2001 C'0' Date Bradley J. Collins, Director City of Port Angeles You may appeal this determination to the Port Angeles City Council through the Department of Community Development, 321 East Fifth Street, Port Angeles, WA 98362, by submitting such written appeal to the Department of Community Development no later than July 13, 2001. You should be prepared to make specific factual objections. Responsible Official: Bradley J.Collins,Director,Department of Community Development,City of Port Angeles, 321 East Fifth Street,Port Angeles, WA 98362, phone(360)417-4750. Pub: Post: Mail: cc: DOE CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION `".., 321 EAST STH STREET, PORT ANGELES,WA 98362 BUILDING PERMIT ISSUED: 8/09/2002 PERMIT NO: 13364 OWNER/APPLICANT PROPERTY LOCATION JEFFERSON SCHOOL 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 ❑ Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT ANDERSON-MAGRUDER CO. INC. N/A P. O. BOX 30759 SEATTLE, WA 98103-0000 98360-0000 206/7844600 360/000-0000 PROJECTINFO Project Value: $71,900.00 SFD Units: 0 Commercial: 0 Project Type: FIRE SUPR. SYS. SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 m Construction Type: MFD SQ FT: 0 co Zoning Use: PBP PROJECT NOTES R' INSTALL FIRE PROTECTION SYSTEM N -r s FEES ASSESSMENT Building Permit: $797.75 Misc Fee 1: SPRINKLERS $100.00 Plan Check: $518.54 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,416.29 Plumbing: $0.00 AMOUNT PAID: $1,416.29 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction orwork is suspended or abandoned fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of ontractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\I 102.15[4/2002] 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 Ws: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\I 102.15(4/2002) poRrq FOR OFFICIAL USE ONLY: 1+°r��F�m Date Rec.: --� --C� " BUILDING PERMIT - APPLICATION Permit#: Dale Approved: Date Issued: The Building Permit Application must be fitted out completely. y b G Please type or print in ink. If you have any questions,please call 417-4815 ' Applicant or Agent: , 2t d Phone: 79 y-q6 Od Owner: �� 2 00 C C_� Phone: ( ��446 1 ` 85? 5 3 Address: 2 1 Z� 5 t City: ��( F ��C� les Zip: Architect/Engineer: 'U APhone: ContractorkSbYI YV\0L4f u °l t� rr o License #:A Exp: 3 0 3 Phone: Address: lD�OZ Eve'—" PA 's)jCity: Seo,.� Zip: PROJECT ADDRESS: .' �6? F,- IZT*�_ lyl ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card#: Exp.Date: VISA MC TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Wood-stove SF.@$ SF.=$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._S ❑ Repair ❑ Sign ❑ L TOTAL $ 211 � 00 BRIEF DESCRIPTION OF THE PROJECT: L-f Fire— P/eL l lnm �t�"{em / h COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: %Lot Coverage: % Existing Lot Coverage: /sq. ft. +Proposed Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE: /sq. ft. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan(for additions)and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply jar this permit. I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants responsibility to determine what permits are required and to obtain such. Applicant: Date: TAFO RM S\APPS\Bu i Idingpermi t PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Jefferson School Remodel Address: 216 E 12th Installer: Anderson - Magruder Telephone: (ZOO 7'61-k- 'i 6&b Type of System: 13 R-3 ❑ R-1 ❑ Com Date: May 20, 2002 Permit#02-04 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: 1. Provide coverage in Room 116. 2. Provide coverage in the enclosed are adjacent to Room 122. 3. Provide coverage in the south east corner of the media/library room. 4. Provide extended reach dry sidewall heads for coverage of the play shed. 5. Amend general note #6. 8334 gpm flow is incorrect. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company as prescribed in WAC 212-80 and the system shall be installed as per NFPA 13. 2. All controlling valves shall be provided with tamper supervision consisting of devices that will cause a trouble alarm on the fire alarm panel and annunciator. 3. All electrical components shall be compatible with the fire alarm system voltage and as per PANIC and Washington Administrative Codes. 4. The extinguishing system shall cause a water flow indication in conjunction with zone of origin. 5. All systems will require witness underground flushing, hydrostatic test, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. FP - 9 Page 1 of 2 6. Before final acceptance of the system,an inspection will conducted by the Port Angeles Fire Department to ensure the system installation complies with NFPA 13. A CAKPLETE St-? of "-As- 3u�c-cs~ W1�� 3r Reo.��caro. ® Contractor Reviewed by 'ILS•\Q ❑ Building Department ❑ Fire Copy Date 5 Z t • CDZ FP - 9 Page 2 of 2 r0 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 9a� BUILDING PERMIT ISSUED: 6/06/2002 PERMIT NO: 13341 OWNER/APPLICANT PROPERTY LOCATION JEFFERSON SCHOOL 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT FEDERAL FIRE SAFETY N/A 2032 SO. O ST. PORT ANGELES, WA 98362 98360-0000 360/457-3308 360/000-0000 PROJECTINFO Project Value: $23,152.00 SFD Units: 0 Commercial: 0 Project Type: FIRE ALARM SYS SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PBP PROJECT NOTES Electronic Fire Alarm, 5 zones RECEIPT#9189 N FEES ASSESSMENT 4 Building Permit: $0.00 Misc Feel: FIRE ALARM $50.00 15 Plan Check: $0.00 Misc Fee 2: INSPECTION $100.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $150.00 Plumbing: $0.00 AMOUNT PAID: $150.00 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 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 fora period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. C 616/L) Signature of Contracidr or Authorized Agent Date Signature of Owner(if owner is builder) Date TAPLANNEJGTORMS\1102.15[4/2002] 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:H 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 Ws: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA; LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE 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. �Z-(j-GZ KLI> PLANNING DEPT. 417-4750PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[4/20021 POFTA ' FOR OFFICI USE ONLY: : Qp • Dale Rec.: Q Building/Utility/Electric/Fire Permit Application Pem,lta: ; Please fill out completely.Type or print in ink. If you have questions PmAppl Complete: SHB1724: Y N q&� please call(360)417-4815 or Fax: (360)417-4711 Letter orCompleleness:_ Bldg. mu tAppl: e-mail: www.ci.port-angeles.wa.us B.P.Issued: Applicant and/or Agent: AL m)L1 Phone: ' S7- 330 Owns: 10iz'F 4l,46Ft6_eb n Phone: Address: 2 I (p F_ . 4+a City: Zip:Architect/Engineer/Designer: p/ Phone: Contractor: f'1 bs�r2 1F,'R&SPI' LrjJj C-License#:ftWRF))9A xp:B 30 02—Phone: q'5 330& Address: 20 2 b , �© S i�t City: 1 o_R..rA0y6f_L.y , WA Zip:j PROJECT ADDRESS:: Z) 1 Z ZONING LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holiler Name: Billing Address: City: ! Zip:_ Credit Card# Exp.Date: VISA MC_ TYPE OF WORK: SIZEIVALUATION: ❑ Residential ❑ New Constr. ❑ Reroof ❑ Stove/Insert SF. @ S /SF.=S ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @ S /SF.=S ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @ S /SF.=S ❑ Electrical ❑ LP-gas ❑ Sign ❑ UST TOTAL VALUATION S 2,3,/52 ,0 BRIEF DESCRIPTION OF THE PROJECT: E Lf crftm N L 4�tR& ALA-Rr -, COMMERCIAL/RESIDENTL&L: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: %Lot Coverage: % Existing Lot Coverage:Esq. ft.+Proposed Lot Coverage: /sq. ft.=TOTAL LOT COVERAGE: /sq.ft PLANNING USE ONLY: APPROVALS: PLAN Permits Required: Notes: BLDG Max.Height: Setbacks: Zoning: DPW Site Plan and Use Approved by: Date: FIRE ESA/Wetland(s): ❑Yes❑ No SEPA Checklist required? ❑ Yes❑ No Other: OTHER PRE-APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMITTAL: Your completed application,site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div.to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct,and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required,it remains the applicant's responsibility to determine what permits are req pr cd and to obta t stick 1 t o v PW-1102l3[rev.6l00] Applicant: Date: o CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREFT. PORT ANGELES.WA 98362 ELECTRICAL PERMIT ISSUED: 1/09/2002 PERMIT NO 7512 OWNER/APPLICANT PROPERTY LOCATION JEFFERSON SCHOOL 218 12TH ST E 218 E 12TH STREET Lot: ALL Port Angeles, WA 98362 Block: 381 ❑ Long Legal 360/457-8575 Subdivision: TPA T: S: Parcel No: 063000038100000 CONTRACTOR ARCHITECT BIRD ELECTRIC ENGINEERED ELECTRICAL SYSTEMS 22930 STOTTLEMEYER RD. N E 11639 N.E. 8th st. POULSBO, WA 98370 Bellevue, WA 00009-8005 360/779-2112 425/454-5440 PROJECTINFO Project Type: SCHOOL BUILDING Project Value: $0.00 Occupancy Type: Construction Type: COMMERTIAL Occupancy Group: Zoning Use: PBP Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 277,480 ❑ Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ® 3 ❑ Fan Wall 0 KW Service Size: 1,600 Feeder Size: 0 PROJECT NOTES remodel and addition to jefferson elementary school reciept#7837 FEES ASSESSMENT Service: $2,881.90 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $2,881.90 AMOUNT PAID: $2,881.90 BALANCE DUE $0.00 COMMENII S/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL /z n GENERAL COMMENTS: N+N-N Nm.Ns[as61 r STATE O� a � x ws T �z 0 STATE OF WASHINGTON DEPARTMENT OF SOCIAL AND HEALTH SERVICES DIVISION OF CHILD CARE AND EARLY LEARNING Post Office Box 45716 • Olympia, WA 98504-5716 D (('h January 2, 2003 JAN - 7 2003 l � TO: Building Inspector aTrOFPORT AN� City of Port Angeles Com IINITmorvr�OPMrNT 321 East Fifth Street Port Angeles, WA 98362 FROM: Martha Standley, Child Care Center Licensor Division of Child Care and Early Learning 201 West First Street, Suite 2 Port Angeles WA 98362 360-565-2272 SUBJECT: RECEIPT OF APPLICATION TO PROVIDE CHILD CARE This is to inform your office that we have received from: City of Port Angeles An application to establish the following Child Care Center: Jefferson Elementary School After School Program 218 East 12th Street Port Angeles, WA 98362 They have requested a capacity of 35 children. The contact person at the center is Amber Cottam, 360-417-4550. We will be acting on this application within 90 days of receipt. While this department does not assume any responsibility for the enforcement of local ordinances, including those pertaining to zoning, land use permits, etc., we have advised the applicant to contact your agency regarding your requirements. If your office isnot responsible for zoning, land use permits, building code, etc., please forward this notice to the appropriate agency. CIO I OFPORI "� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . 05-00000003 Pin number • .339462 Date 1/11/05 Property Address . . . . . 218 E 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8500-0000- Application description . . . COMM REMODEL Subdivision Name . . , • • Property Use . . . . . . . . Property Zoning . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 1800 Owner Contractor SCHOOL DISTRICT #121 216 E 4TH ST - OWNER PORT ANGELES WA 983623200 Structure Information TRAVERSE WALL IN GYMNASIUM Construction Type . . . . . TYPE V NON-RATED _____ Occupancy Type K-12, >50PERS 12+ HRS/WK --- ------------- ------------------------ Permit . . . BUILDING PERMIT - COMMERCIAL Additional desc . . TRAVERSE WALL IN GYM Permit Fee . . . . 86.65 Plan Check Fee . Issue Date 1/11/0556.32 . 7/10/05 Expiration Date . Valuation 1800 Qty Unit Charge Per Extension BASE FEE 13.00 - - 3.0500 HND BL-501-2K (3.05 PER C) 47.00 39.65 ---------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due -------- -- Permit Fee Total ---------- ---------- Plan Check Total 86.65 00 86.65 .00 .00 56.32 56.32 Other Fee Total 4.50 4.50 �) .00 Grand Total •00 .00 147.47 147.47 00 .00 l/ ` 1 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 presumegive author' to violate or cancel the provisions of any state or local law regulating construction or the performance of constr n. //J Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/20031 BUILDE%fG PEST INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 24 HOUR NOTICE INSULATE OR CONCEAL ANY WORK BEFORE PLEASE PROVIDE A MINIMUM INSPECTED AND ACCEPTED-IT PERMIT N AIS UNLA WFUL To C CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. COMMENTS INSPECTION TYPE DATE ACCEPTED YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS ering Division) SEPARATE PERMIT#'s: PW UTILITIES/ SITE WORK (Engine WATERLINE/METER SEWER CONNECTION SANITARY STORM SEPA: PLANNING DEPT. SEPARATE PERMIT#'s ESA: PARKING/LIGHTING SHORELINE: LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE ACCEPTED DATE YES NO COMMERCIAL RESIDENTIAL YES NO ELECTRICAL ELECTRICAL-LIGHT DEPT. 417-4735 LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION RW/PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE DEPT. 417-4653 FIRE PLANNING DEPT. PLANNING DEPT. 417-4750 BUILDING BUILDING 417-4815 T:\PLANNING\FORMS\1102.15 L11/14/20031 PREPARED 2/04/05, 12:33:21 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/04/05 ----------------------------------- ADDRESS . : 218 E 12TH ST SUBDIV: CONTRACTOR : PHONE OWNER SCHOOL DISTRICT #121 PHONE PARCEL 06-30-00-0-3-8500-0000- APPL NUMBER: 05-00000003 COMM REMODEL -------------------------------------------------------------- PERMITc BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --- ----------------------------------------------------------- BL3 01 1/28/05 JLL BUILDING FRAMING 1/28/05 AP Ross 457-0949 Jim check in at the main office first BL99 Ol 2/0_ JLL BUILDING FINAL Ross 457-0949 Traverse wall final -�-- --------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/28/05, 12:54:54 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/28/05 ------------- ---------------------------------------------------- ADDRESS . : 218 E 12TH ST SUBDIV: CONTRACTOR : PHONE OWNER SCHOOL DISTRICT #121 PHONE PARCEL 06-30-00-0-3-8500-0000- APPL NUMBER: 05-00000003 COMM REMODEL ---------------------------------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------- -------------------------------------- BL3 01 /28/05 JLLLBUILDING FRAMING Ross 457-0949 Jim check in at the main office first ------------------ COMMENTS AND NOTES I �.�• Z D.0 . �C:� rJ�►d�r ©G—:_ ACL v�Y V oxrA l' FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Fill out COMPLETELY and in INK.Your application and site plan MUST B Permit#: COMPLETE to be accepted for review. If you have an ate Approved: P y y questions, call PERMITS(360)417-4815 FAX(360)417-4711 Date Issued: Applicant or A ent: E7�S vl VI 1 V pP � Phone: � 7— �,�'- Owner: W e_S SCt o I �i S� 2 Phone: s ] `� Address: Z 1& �{ �J� City:_ POY 4 � �S Zi 3 2 P: Amftbit=t/Engineer: C7 L)LAS. _Y Phone: Z Contractor /�/� State License##: Exp: Phone: Address: pity: Zip: PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION:Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC_# Exp.Date: TYPE OF WORK: SIZEIVALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF.@ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ ❑ Repair ❑ Sign ❑ Other —� TOTAL VALUATION �C�00 BRIEF DESCRIPTION OF THE PROJECT: S � 11 1r A V`e-�I'X UJ (( O1!l P'f S 4 SO LAS avd lv lv j o Sit,4V'I COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ElNo Other: Fes' OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other.permitfees are due_at_the_time_ofpermit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section RI 05.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true a correct. i am a thorized to apply for this permit and understand that if is my responsibility to determine what permits are required,not the City's, a at 1 must obt ' s permits prior to work. T:\RVESS\13LDG-forms-broebures\2003-Buildingpermit.wpd Applicant: ate: / �� CITY OF PORT ANGELES—Constructior.Plens The Issuance of this permit based upon these plans,specifi- catiors and other data shall not prevent the bolding efii,-jai from thereafter requiring the correction of errors in sa;d Plans, s^ecifieations and other data, or from, bulring oper,-'i:,r;s tieing carried on thereunder vh,n in Ylola+'r1!; M Y.41 0,dmanCPS of this ltmO..'t;n. FM01`4 30314'1,)-t.l IfQrm ,;Ili."+it,Code) Apa ora'date 1 _8y VI s-k Tri u r s e 1 T-e-TT00e-w<, o v; Sc o nI i c�7 W.e // If p 91) I �Or'ri /�y1y ♦° �S yc �to0 / j rOJ�"f C/ v�i�i • 9 f/l/,f It �e f J �✓s@�7 Sc 1!D e 2/8 Z—F , /Z s 7-o 9 y 9 6 2 h-e /y w, 7- W A 36o - jlsz - zop � wAs1434 y��F� i i S7ONAL i FE—gm5 -17%75.7, /'/q S YJ — J<f'fr v sB-,-� G-. /-�. Gfi l� G-C�� d t/ Z //�+ , .(O�r�i ��B-s-r S ' ZDD3 1'".� Iwrrt�,0 .{Q� .��.cr�o�r�� o�� Sf!S � r C ��0 N �O d �Z r, � // Fx ► �. ,ri y �e,�.� �o r�� /d /"/�rsa a r'jr w �5 - 3 1>�s, � y �d ►- 3� G /�S. �-� r 3 f or /zo orf`-. aK oyb �� II i 1A Y1 D o r C dX /1�yW ao C./ o v e r �y ,r /Vjq �0�► �C. i f�f W i II 1400 c✓ �!�►vO�o�l ct7ta�1� P 1 W,17-h #8k z " Scr+ ev✓ s, � B/0,�, i 1 i I y 0H0rO 16 wP �qe_ �✓�� 7Dy 3 ,50 /}IS . ��Sr o+� w/ 3 ��6 r +g scY.0rNX -ZoO 2zv l� � Sh�crv' , ��al�irlP /Du/ 10 r- rC41 T 6 Pee I/ J/ 3 iN a �r o 9 b D �� y� L r ✓7 �O r t e A `Oc i7 u/4 `Tr7 Z Upd PSL coo, All 7 �frs7✓� �v+ lY1 /Oacl /p wf 7 rokyh Alyn f oy or/ b Iq Vv,f ft o I I I N i I � f I ( 1 I I i z k,� I �X �,-Qv.� ih y �p„cre?e, b /oma wY //, i I aha 9a 1`� VVO 1p 7 9 --� i p r .P f�f N!✓.e �� ' I xtc-t ho Ti7 N� f II : T� y � U NT I —� Z Wet i;e " / � - v (a��s ps T num re�,.,�� x 3/y /�190 e✓� P/y woc� N N//C')/,w L. +�� wer // K/s i i i Installation/Installation/Instalacion D p 13 FF FV O O • i rr• err to 1- 0111 111 hole kft ft base material required depth.In holbw tor• hello drill 2 Slow the hole.dean of dust and other a Poeitlon tug,heart bolt and lighten.The Installation Tool for Hollow Block: lhragh hlo the cel or Mold.The tolerances Material.Do rat expand the anchor prior to boo should engage a minimum of 2/3 of the Thread the Hollow Set Drop-in onto the hod. of 1fN dill hit used should meet the installation.Insert cone and and tap flush to anchor threads. The anchor in also be Do notD�Danchorand the anchor until tool the Mquirernend dANSI Standard 13212.16. °1rnf°0°' expanded using a setting tool. flange Is flush against the surface.Then tap anchor WW the hole.Tighten Cs anchor, Fore¢un trou dans Is mathfau d•Is thele Nettoya trou an eouttlant pour faire Poeitiornaz la b ation,hsbrez Is basion at then Che unt road Ch•tool. sotir Iwrs posiire ou autres matAres.No mSCIVA x� �' � � dsployez pw rata• avant nnstallatbn. mh4num d devrelt etre engage sur un Oyu 'InD{osL�liwa> pow s blocs crux: kakez rextr6rhhAi oonique et kappez•la �anp• i d itre Set Drop dans routl. No . Jusqur'6 a Grana•. qua vow atelpr is Is cefhde ou Is vide.La Wgararthwt sur,mansau Oqu%o•queue Gpio*wh dlpbyez pas rarer•avant quo in bride G alilrance d• Is mbche utlisbs dowsk eleeurs Is surt". ulikant un cull!dYstallation. routo amoure IS surface. Ensufte, hapr a ►+pondre aux exigences des ra moo ANSI C 10gw N dbpos*vo Keene d Pam y WOO nhert rancr•pow Is faire•ntrer darn Is Standard selim Saple el agulero pare*Umk r el pelvo y aprilitelo.EI Pam dobeerroecar 213 d•In "U.Sens rancre,pule dwissez rout!. Barrens un u m 0`06 rtaterlalea 07�aGa el °rte° rorkn arhda)•canto mrosco.EI credal• Herramlents d•Instalad6n para bloques ag Jeno an el material dabs..a antes de Irstalano. 111601°el extremo del tambibn se puede expandir uulzando ung huecos: Is i VUWW requerida.En rnatenalee G caho y g000lo heats quo quads a ras con herramiente de mont*. Enrosque el Hollow Set Drop-in on Is vaseLas Ie banns a trotlos G V colds o y wpenide. tsrramfents.No expands N andale aures G vada..Las tderarhdas G V barrens quo in qua Is bride G Is herrarthlents quede ame utEce debet W"*los regtrkftw G h NortrsANlsi 8212111. e � andale, lancego For complete product details, refer •�ow�1 to the Fastening EX teen nasion Manual published by Powers F A S T S . . R S ' . Fasteners,Inc. v Installation Instnlctions ir E —i t Pour plus de six les Directives d'installation Installation Toollow ol or SoldMaaterial: produb,veu018s consulter le Manuel Instruccionea de Instalacidn USVQ Tod,subset anchortInt!oUd „�w°�0° (Fasttenir Systerns Design Mena with a few sharp har0 M�S= 'E publie par Powers Fasteners, Inc. OuUI d'Installation pour les 1/40 3/g' 3/4'mat6daux solldes: Para urea s En vowervant d'un Otto d'Inalwietion 3/8' SJ8• W4. de los prodtxtos,reflt3B8e alai MsnuW dodo r I'Hollow Set DmIn. enfoncez DlseAo paraarve los Sistemas de Fgacibn tep�r� sous rleau. avec 3/a• 1'1/2• (Fastening Systems Design Manual) q<relquesbon�tcxwps d malesu. 5/8' 1' 2-1/4' uO"OW *For hollow block publicado por Powers Fasteners,Inc. H Set Herramlenta 11 inst.laci6n para era de k*aW,° ft�;�h to the Drop-In materlabs sbtldos: surface of the block �`� Utfuzendo ung herramlerte d montale Pour les application, darn des blocs creux, f wers. em.materiales s611dos Hollow Set range devmk Etre hstauule d lo Ofagon!ce que debajo d superlide con un ramerte os mWichm aAleurO la suAace du bloc. FASTENERS polpes fuenes de maNilo. Para las aplaiciones G b1oWes vxAecos, el New Rocthele,NY 10801 anclale debe hstalarse con el mangulto a rag con ce= 30108 lo superficie del bbque. M :(`�1;,�•'''h,.;aiycl{TY•*'�fT4��srr`'a"':*• rYt��•� �7a` litiflld y {l`lA X b -Avoid us ing poorly designed holds,such as holds with sharped,. or burrs. es•NTNG! .,.v m' ngbolbhaU-Cii beii :s •Never install a damaged hold. ofQ'pofiettt(alto:fallfrorria bin g` Orient holds in a direction that reduces the chance of s rfa'hold:bar :,P,rio�iidgpottiersforc�mbers:and surer:.- pinning. thatproperlaridit urf 'have'been`Installed,:R'h'id`� •Double check holds for tightness. Artinfincloal that breaks during�lim�fnQ could fall and stftke:a belayer •Don't set a route that exposes a climber to unexpected tails,or falls or an observer=Belayersmay consider=wearing it 0". onto other climbers or objects. ,and shouldtstayr�gufroeathcltrrbersriteQcssible clim ' ' inn ' ' s.' V' '- '' •Set cruxes and other difficult moves in the middle and top sections of the climb. •When setting lead routes,provide stances from which the leader can WHY CLIMBING HOLDS BREAK clip the quick-draw. Information , thethe design, )ver-tightening,uneven wail surfaces,previous damage,poor •Refrain from setting moves that could cause finger injuries.For and limilall.i0fls of lesign,ultra-violet degradation,excessive force,use of an incorrect example,use mono-pockets sparingly and avoid pockets that could lolt and normal wear and tear can all cause a hold to break While catch a finger during a fall. nost hold breakage occurs during installation,holds can also break •Keep the landing area clear of bolts,holds,or other debris. vhen in use.The route setter has the responsibility to inspect each cold for potential problems before installation.It is Important to •Take care not to drop holds,as this may damage the hold or injure ;elect holds that are designed to sustain the intended load without someone below. )reakage.For example: Bouldering G •Set the most difficult part of the route low to reduce the height of a fall. d e •Avoid setting bouldering problems that are too far from the ground. G • % The accepted Industry average height for bouldering walls is no more ® •• Holds with • ' than 12-14 feet from the ground. 0 0 thin cross sections � need to be thick •Create bouldering problems that end low to the ground. D t enough to tibearthe• Always provide adequate landing surfaces. z •Encourage the use of a spotter,especially for cruxes and on hard OK '• N problems. o v © Center OK ,•' NOl ' sleeves should , , % , , . be tall enough to • ' prevent fallium Q Wind the wash- o d er or In the center • ! �' sleeve am touteEmp Setting and Hold Use YQ)UR SAffTY IS Y®UR nspeNSIBILI7Y. Employ experienced route setters. Route setting in commercial facilities should be done during off- ORCA 2475 Broadway Boulder CO 80304 Phone:303-444-3353 peak hours or when the facility is closed.Reduce liability by closing Fax 303-444-3284 www.orca.org email:infoCorca.org off the route setting area to the public. --t holds for cracks or damage before starting to set the route. ORCAthrough CwIG promotes the safety of the crumbing public I`an S( cracks are easilyspotted. establishment of ss, islf Musustry a to 0..•H..I.II.., .1 1 1 1 1 1 1 1 \ NIM G111w MIu.1.� y,; `• '; i ,�~i , t. exploring the possibility of building a commercial climbing wall g •Once installed,there should be at least 3/4 inches of bolt inserted � •' N �; f h• should consult and adhere to the CWIG(Climbing Wall Indust Group)Specifications for Artificial Climbing Walls.These guidelines into the threads of the T nut. a '• vrr provide information for the determination of live loads and structural •Allow the hold to settle f6r a minute,and then check that it is still a. a ;artidec requirements for anchor points.For more information about tight.If not,re-tighten the hold.The amount of force used to seat a u> ;j•� q� e 4 4. q r o o u d�9 climbing walls and design standards,contact CWIG through ORCA, hold Is an acquired feel'and should be enough so that the hold e . the trade association of the outdoor industry. cannot rotate during use,but not so much that the hold breaks. •When in doubt,consult the Installation instructions provided by the CLIMBING WALL TEXTURES manufacturer. 1-1 Artificial Climbing Holds(also called hand holds or foot holds)are Many textures are available for climbing walls.Sand mixed into paint, -If the T nut pops out of the Wall or-the threads are damaged, an integral part of indoor climbing walls.When used in acrylic climbing wall textures,resinous concretes,and regular replace the T nut or contact themanufacturer for assistance. conjunction with climbing walls,holds can provide climbers a concretes such as gypsum mixes are just a few of the options available to coat a climbing wall subsurface.Also available are pre- training alternative to real rock;newcomers a chance to team the basics of climbing,and recreational groups an opportunity to try fabricated climbing wall panels,which are assembled into a the sport In a controlled environment Anyone using artficial continuous climbing wall surface.Whatever the climbing surface,itis ° climbing holds should be familiar with their use and limitations. helpful if the area around the T nut is flat and even.This helps reduce A Make sure the threads ••a•,� Users should also understand proper climbing safety practices in hold breakage and makes seating the hold as simple as possible. of the bolt and T-nut are order to reduce the risks associated with indoor climbing. clean,and drat the T-nut is •'•' Potential B 0 LTS AND T N UTS Perpendicular to the wall. ARTIFICIAL HOLD Four - :•tip areas of ..� fail°re. DESIGN AND MATERIALS topes of bolts are generally used to attach artificial holds to NQ! • The majority of artificial climbing holds are made of plastic,but climbing surfaces:the cap screw bolt,the flat head bolt,the hex can also be made of wood,ceramic,concrete,or real rock.Plastic head bolt,and the button head holds can be produced in numerous shapes and colors.Wood 'A ��a I& •It a bolt becomes cross-threaded in a T nut,it should be removed plated(silver)and non- immediately.Cover the hole with tape to prevent future use if the softer texture,while bolt.Bolts and T nuts come in holds are generally known for providing a so14holds made of rock have the advantage of providing a texture that both duplicates the real thing.Itis important to note that all holdseasi, Plated(black)versions.Plated - T nut cannot be removed. especially wood,may contain porta flaws that are not olds versions should be used if Rat head bolt,hex head bolt,socket •If a hold cracks or breaks during installation,discard or return it detected and Can cause a hold to break y moisture and corrosion are a head cap screw,button head bolt. to the manufacturer.Some hold manufacturers may warranty concern.Questions regarding broken holds. Holds are available in a variety of sizes and shapes and are what type of bolt to use with a hold should be directed to the grouped In categories such as:crimps,pinches,buckets,knobs, manufacturer.Route setters should be familiar with the correct type slopers,handlebars and pockets.Smaller holds are often used for of bolt to use with each hold,as incorrect bolt use can result in hold more difficult moves,while larger holds are most often used for breakage or injury to the climber. t� ti breaks j ry �� ;�' easier climbs or are placed on overhanging surfaces.Almost all holds affix to climbing walls with one centrally located,3/8 inch, FM�IEN NriE,� n INSTALWashln' ol, 4� o.. , :,:.. 16-thread per inch bolt Some very large or oblong holds may use LATION O F �� fcalluleS k build=up;and 11 b�etarrillv' w•: .� y�..,:..•. two or more bolts or screws. CLIMBING HOLDS Via. cetheonginaliY�?. textd t 3M 4 ARTIFICIAL Correctly installing holds onto a climbing wall can reduce the CLIMBING WALLS e y r .. frequency of broken holds and the potential for injuries.In addition to , v c>"�; erti�er�wr�ha o,bNs ocradfsh tii r.'-2= .`• Climbing walls are typically constructed of a sub-frame,like the selecting the correct hold to create the desired climbing route it is " i' "' "'`' framing of a house,and a rock-like climbing surface.The sub- cjeanedra ll.. Y T important to consider the amount of force(torque)needed to secure ' mti" Q .c � �• �:... frame may be made of wood or steel,while the surface can be d,soio the hold to the wall.Due to the infinite variety of hold styles,wall angemns s '" �y"�,�•`�:�t, made of various composite materials.The climbing surface can be texture 'w .e_- d . 69 types,and center sleeve configurations,torque values will trec'�o. '� made of plywood that is coated with a textured material.It can also differ for every hold. .. , sbrsPect' of o•cracks. f: .. be made of concrete,resinous concrete,fiberglass Composite, g P Basic guidelines for installing a hold are as follows: polyurethane or similar materials.The simplest walls are often •Check the hold's center sleeve design as it dictates which ISCLAIMER made of 2 x4c nr 9xRc nr'ila inrh nhw^m 30-i^h,,,,}�,,.�� bolt will be used.Mismatching center sleeves with the incorrect type � ° made by attaching holds to concrete cindegblock walls,towers e • 1 1 1 1 S12 1 1 � STORAGE I I 1 1 I 1 1 303 E.1 I 1 1 X—O A.1 1 1 I33 , S10 1 FrG WIDTH 1 S12 1 1 I HD ' 1 i 1 1 I I � 1 — -� DROP SLABE.4 PER ARCH'L 1 GYMNASIUM I S o i I i 1 , IF3001 KITCHEN 1 1 ' ^A.l S12 1 I PE 1 I OFFICEL QED I i I 1 ti 1 1 I I 1 Twcm STEM i 1 STORAG I 1 I 1 J_j WALL AT VENEER 1 i 301 DROP SLAB COLUMN, TYP 1 L � ' PER ARCIPt 1 1 I . 1 3—0 , 1 1 HD FTG WIDTH I 1 1 ~L A.1 A.1 A.1S12 1 �� CMU 3'—OS12 1 t W STEM WALL' FTG WIDTH I 1 1 1 t I HOLD DO N STEM ^ 1 1 WALL AT OPEN'G 1 1 D I3 TYPICAL I 1 t. - - - � .. ee - as we e - - -� - - - - -, e - - - - - - - - - - - - - - 1 0 E.3 S�2 I ( I I S10 , I I I14.0X6.0 I 14.04.0 — ,— 1 , r — 1 AS_AT ,TIME KNEE 1 1 <$, TYP SEE *I > I i 1 I 1 FOUNDATION NOTES: PLAY SHED 1. ALL SOIL BEARING SURFACES AND STRUCTURAL FILL REQt L —I - - � � — — — � saL Omni . -., s EN RMS � G PRIOR TO PLACING FOOTING FO ,y H x FA San GROUT LAP �caffift mw 23'-4. 4-f5 MN jvotL� ' 4-0 LAP �OP OF WALL 4-#6 TOP NOTE 8 I4 STRJillRUPS, MN 4--15 FPOOCC,KET WF � 2-#5 AT 4'-0` 1.1 7\ 1 "tz- 2-#5 AT 4'-0' 16'-0 1 1 2 5 AT 16" 0 C 1 TOP OF 1 1 NOTE 6 1 WF BM o 1 1 1 1 N 1 1 1 1 U N i t � 1 1 O � • WOOD BM 1 ` - BARS NOTE 7 i N N LINTEL SEE PER PLANS a / L WON 14 12 A 8` 0/C to 16 0 C ~ p 1 / �AT8* 4, T A sTazRUPs , :r 1 r 1 4 4 HOOPS AND TES b) 10 TOS OPP T AND/BOTTOM AT 8" 0/C TOS 01-00 wTY/PICAL EACSPACING 1 PLABTWN AT DOWELS 20" x� PLASTERS (FAR VERT do 20" x 1• PLASTER (FAR M / 6-. VERT 5 SECTION A/ 5 [SOWED. LAP 3p" SECTION A S10 GRID 4 WALL /ELEVATION NOTES: SCALE: 1/8 1 SEE DETAIL 1 WEa& NOTEDETAILS FOR/ATOYP,Cv_ ACMUWELL ... ALL ANCHOR BOLTS FOR BASKETBALL Z. ALL REINFORCEMENT SHALL BE HELD FRMl.Y BACKBOARDS MUST BE CAST N PLACE N PLACE WITH WIRE POSTK►tERS. y A 8.5 W 2- 5 x 0 INSPECTION REODCIAI. 4. GROUT CELLS ON.Y WITH REW ORCIM APD SECTIONS. OTHERWISE ON 6. EXTEND HOR ZRE1�F'G 70 FAR SDE OF OL PILASTER W/ N HOOK. 7. NO SPLI(M At,w MW147 34 t.f Wel S(� (a�jerl� s t, -s L�. C 8. SPLK:E AT LINTEL MDSP/W (F REO DI LAP a`�`� ` b -►-s ' •- �`�e o�P;IOL sem' 5 6 48' MR 8'-0" 80-0" TOP OF ' i W I 2-1TOP, ; ALL. do OT. TYP I ' FA GYM I PILASTER W/ STU MAI � Lot' I-V'"' �, I�,s � �► Zide 7. NO SPLICES. ��"' tom} l06 3/ & SPLICEAT LWEL WSPAN (F RE0% L / y 5 6 4 8'-0- 81--ow TOP OF FA WALL I I , 2—� TOPs ? do BOT. 7YP GYfd ! R00� 23'-4. TOP OF WALL. ! O pLAYsHED `NROOF ! I 2 b AT 48' 0 . O N �N O O in �1 "TOp OF [3M N N ! N N N 1 LINTEL SEE N N i DETAIL, 3/S3 ! 1 ! I TYPICAL. UJO , � N I 1 v WDTH. CENTERED 1 I N ON WALL 1 i 1 j 1 8. ate! 1 j 1 i TOS of ow f5 DOWELS T le O/C T D244_ 07C NoTm ELEVATION1SEE �- �� . - � WALLW ALLDUALS FOR ADDITION- RL OR CE GRID =1'-0 2. ALL KWORC� SHALL L3E HF1D FR&Y E-3 SCALE. 1 a IN PLACE VM WK POSTIONFRS. smQ& Noml FOR 3. SEE DETAIL 2/S3 FOR CONTROL JOINT ALL ANCHOR 60LTSm CSTW� x 4. MW CELLS ONLY WITH RON E WAS AMARRDS � NOTED OTHERWISE ^/� �J/XYRZ � SFWAI. AND SECTIONS. INSPECTION RE('D i 4 TES_ 4 HOOPS 2'-80 AYESIO S FPR SPACING 4 HOOPS Slo Tom. FOR SPACING •. . . „_ .r., �� • �-- SLOPE TOP OF °P SOFF TER FOR ` J@j FACE AT 18" 0/C - ACE AT 18" 0/CGo •. . is `\ COT UNDISTURBED NATIVE EARTH OR STRUCT [4- 1, 5� ',�' e✓ ` 2 t; FILL PER SOLS REPORT 4" 14" ,+!fit r SECTION z2 SIL V. � ��ey �� CB SCALE: 377=1'—O=1'-0 SECTION /'-A'I 5 ,; A.1 SCALE: 3/4"=1'70' 2x6 P.T. P W/ 5//f 10" CMU 10" CMU DIA A.B. P WASHER)AT P 5/ T �y _I 'I 0/C (UNO), EMBED P.T. CDX SPACER W POWDER ACTUATED I I PINS AT 12" 0/C E/ Wgll CALL L DOWELS/ SEE yyq� REINF 5 L DOWELS. SEE WAY TO CMU SEE FLEWS ELEV FOR SPACING SEE ELEVS WALL ELEV FOR SPACING SOLID GROUT CMU W/ BACKFILL, TYP BEAM B0ND � '6F — BEAM BOND � r-s r-s 4 DOWEL #4 ;4- DOWEL 4 D DOWE 24" 0 C (EXTEND AT 0/C VTEMT 24" 0C PMMChIAMFER TO FAR SIDE OF STEM TO FAR SSE STO FAR SIDE STEL PER ARCHIL q WALL) y WALL) WALL) • ` N • TOS 0'-0" db LF t5 L T 16"DOWELS fj HORR AT g� / 2 0/C ��=�1� I�—�� Iii � 125 OH AT � Q 04 N 7� T 1E N PT L DOWELSFU LY COMPACTED N STRUCT F�LL.ABELLOOW 16" O/C • STRUCT FILL BELOW SLAB, TYP SLAB. TYP co ° - ° 3- 5" 1N/ 5 _ ° — - ° 3— S" W/ 5 ao AT 16 0/C AT 16 O/C jII-=IjI ►) jiii i�FIRM UNDISTURBED 12FIRM UNDISTURBED 10 EARTH OR FULLY EARTH OR FULLY COMPACTED STRUCT SEE PLANS COMPACTED ACTED STRUCT SEE PLANS SECTION SECTION SCALE: 3 4 =Y-0 E SCALE: 3/7-1-7—1- CITY OF PORT ANGELES � DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DNISION 'v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 05-00000043 Date 1/19/05 Pin number . . . . . . .605093 Property Address . . . . . . 218 E 12TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-8500-0000- Tenant nbr, name . . . . . . JEFFERSON SCHOOL Application description . . . COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . PUBLIC BUILDINGS & PARKS Application valuation . . . . 4300 Owner Contractor SCHOOL DISTRICT #121 OWNER 216 E 4TH ST PORT ANGELES WA 983623200 ------ Structure Information METAL BIRD STOP CEILING IN PLAY SHED ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . K-12, >50PERS 12+ HRS/WK ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . PLAY SHED BIRD BLOCK CEILING Permit Fee . . . . 134.75 Plan Check Fee 87.59 Issue Date . . . . 1/19/05 Valuation . . . . 4300 Expiration Date . . 7/18/05 Qty Unit Charge Per Extension BASE FEE 92.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 �7 -------- -------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 134.75 134.75 .00 .00 Plan Check Total 87.59 87.59 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 226.84 226.84 .00 .00 V 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 presum to give autho ity to violate or cancel the provisions of any state or local law regulating construction or the performance of cons r tion. Signature of Contractor or Authorized A ent Date Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING p DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: 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./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 3 4 BUILDING -0S 1--1- T:\PLANNING\FORMS\1102.15[11/14/2003] PREPARED 8/31/05, 13:17:29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 8/31/05 ----------- ----------- - ------ ADDRESS . : 218 E 12TH ST SUBDIV: TENANT, NBR: JEFFERSON SCHOOL CONTRACTOR : PHONE OWNER SCHOOL DISTRICT 4121 PHONE PARCEL 06-30-00-0-3-8500-0000- APPL NUMBER: 05-00000043 COMM REMODEL -------------------------------------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------ BL3 01 8/02/05 JLL BUILDING FRAMING TIME: 17:00 8/02/05 AP 08/02/2005 09:49 AM PBARTHOL ROSS 457-0949 08/02/2005 04:33 PM JLIERLY --------------------- BL99 01 31 OS L BUILDING FINAL TIME: 17:00 08/30/2005 09:22 AM PBARTHOL --------------------------- ROSS 457-0949 PERMIT WILL BE IN GYM DOOR -------------------------------------- COMMENTS AND NOTES - PREPARED 8/02/05, 14:19:06 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 8/02/05 ---------------------- ------------------------------------------ ADDRESS . : 218 E 12TH ST SUBDIV: TENANT, NBR: JEFFERSON SCHOOL CONTRACTOR : PHONE OWNER SCHOOL DISTRICT #121 PHONE PARCEL 06-30-00-0-3-8500-0000- APPL NUMBER: 05-00000043 COMM REMODEL PERMIT: BPC 00 BUILDING PERMIT - COMMEMCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------- --------------------------- BL3 01 8 0 /OS JLL BUILDING FRAMING TIME: 17:00 08/02/2005 09:49 AM PBARTHOL ROSS 457-0949 -------------------------------------- COMMENTS AND NOTES - FOR OFFICIAL USE ONLY: °- s BUILDING PERMIT - APPLICATION DateRec.: _0 Permit#:1� Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved COMPLETE to be accepted for review. If you have any questions,call ji�wd PERMITS (360)417-4815 FAX(360)417-4711 Date Issued: Applicant or Age t: �> �� V1 1 Phone: ! 5 7 Owner: PD V� A S Sc two 1 Z Phone: Address: ZD lB C• ( � � City: IfS (&4 zip:— Z 4/ 5 -2- 1 lEngineer: �' fel U Vl t Phone: — 2-09'e Contractor /U e Vk State License#: Exp: Phone: Address: City. Zip: PROJECT ADDRESS: 2- ` Z YDS Yom. ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC-# Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. =$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF. =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ y 3 O©,CSO BRIEF.DESCRIPTION OF HE PROJECT: ^�t s l l >'c�-s c�►1�' �► ve Y� 1 a c. e� COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s): EI Yes ElNo SEPA Checklist required? 13Yes El No No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section RI 05.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true ao correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City`s, a at 1 must obt h permits prior to work. T:IRVESSIBLDG-forms-brochures12003-Buildingpermit.wpd Applica ate: CITY OF PORT ANGELe: —Construction i`l :ns Thr Issuance of this permit based upon these pians,sp iii• cations and other data shall not prevent the building oi!sCiA from thereatter requiring the correction of errors in said pleas, specifications and other data, or from preventing buiOing oper-tions being carried on thereunder when in vieiation of ail codes and ordinances of this jurisdiction. Approval Date D� BYtl• plag W JA S cA vvl T-P TTewe, o yr Oct I" �P film fin. L V 4 q Ifts Mss, I1,7 ,"told i O J-/ 7-16 y�y sts� /-3-7- -5-7 s-8 �r 6 j"e � S 7 3 / �or1 C �osS C.c nn �o�� 9Pl�sJ trli � 9� 363 wAsy��cF� i IT q � R�:ISTER� S{ONAL i FXPIR£9. 3-/7-06 j sof i i ,e141av M � 8 �D• z 4-c z 6(Se- c, 7C9r roD o /t- � P �o �1 � O • C� f� ,- z XH s, o S�✓ P�U l �� /oj�> 8� # h.e �� C� S r r•2 N/s / �o H H r c 1�B-�-t Ne.eof cdIoer c /10 .� l law �a'PAe to �A Mfr � ', USP CZ) S�ye cds �P .�- f f d► � �-�'� �res ., // j A1-'7wr �,►. ems . v fws , pia r� C� r Z ho�et �e ✓ � � M-P Int ol v tr . oNo9j /i i o►a r C�T,'1 6 i i i s i w i �QOF wAsy��c F� � o �o�ct Te ✓' 4439 SINALG r E �14s r TQ f� ��s e� G , /�, �, /6 d�G 'o � 37— D o q/ �7 er br'� ' vii Y v W/ N i or �( cfi� va etc � % fNOvvH oN u Cy ,p q S t W ODS 1 c� r�� l ✓v /S / r7`9 l 1 h DELTA RIB r Featuring 24'Coverage Zincalum6 �4, -I � j Twice the Life! 1316' ❑ Full 24"Coverage. ❑ Lightweight for easy handling and installation. Delta Rib Section Properties ❑ Complementary trim and accessories readily available. wt. S+ 1+ S- I- ❑ Purlin bearing leg offers added strength and improved Gauge Obs/ft) (in'/ft) (in'/ft) (in'/ft) (in'/ft) weather-tightness for roofs. ❑ Available in a wide variety of attractive colors or bare 30 .56 .0154 .0127 .0200 .0105 Zincalume®. 29 .64 .0191 .0153 .0228 .0121 26 .86 .0318 .0216 .0315 .0172 i BHP BHP Steel Building Products USA Inc. Sacramento- 800-726-2727,916-372-6851 FAX 916-372-7606 Los Angeles-800-272-2466,909-823-0401 FAX 909-823-2625 Phoenix-800-551-2062,602-598-1200 FAX 602-598-1219 Tacoma -800-7334955,206-3834955 FAX 206-272-0791 Salem-800-272-7023,503-390-7174 FAX 503-390-7443 Spokane- 800-776-8771,509-535-0600 FAX 509-535-1346 Anchorage-800478-2727,907-349-2727 FAX 907-344-7095 Salt Lake City-800-441-2477,801-978-0888 FAX 801-978-9099 DELTA RIB Allowable Distributed Load (psf) Delta Rib Panels Span(11-in) Load/Span Table 2-0 2-6 3-0 3-6 4-0 46 5-0 f 92 59 41 30 23 18 14 SS IA20 92 59 41 30 23 18 13 30 f 119 76 53 39 29 23 19 Gauge DS 11120 119 76 53 39 29 23 19 f 149 95 66 48 37 29 23 TS 11120 149 95 66 48 37 29 23 f 114 73 50 37 28 22 18 SS 11120 114 73 50 37 28 22 16 29 f 136 87 60 44 34 26 21 Gauge DS 11120 136 87 60 44 34 26 21 f 170 109 75 55 42 33 27 TS 0120 170 109 75 55 42 1 33 27 f 190 121 84 61 47 37 30 SS 0120 190 121 84 61 44 31 23 26 f 188 120 83 61 46 36 29 Gauge DS U120 188 120 83 61 46 36 29 f 235 150 104 76 58 46 37 TS 11120 235 150 104 76 58 46 37 Notes: F] Steel grade conforms to ASTM A-924&A-792(formerly ASTM A-792)Grade 80. Values are based on the American Iron and Steel Institute(AISI)"Specifications for the Design of Cold-Formed Steel Structural Members"(1986 edition,with 1989 Addendum). For wind loading,multiply allowable load values(based on"f')by 1.33. Table applies to positive loading only. Contact a BHP Steel Building Products Representative for information on negative(suction)load capacity. Values to the right of the bold line apply to wall applications only. These gauge/span combinations are not recommended for roofs. Loading Table Legend f-Load limited by flexural bending stress L-Span(Inches) 11120-Load limited by a deflection of IA20 of the span SS-Single span , Support'7W' L —�I DS-Double span n a i- L - - l - TS-Triple span or More L m- —I— L --moi IWBHP BHP Steel Building Products Zincalume•is a registered trademark of BHP Steel(JLA)Pty Ltd USA Inc. 0 BHP Steel Building Products USA Inc. May 1996 Printed in USA Revision 5M(PS 164) i 4* BHP f 14 "Field Proven Fasteners and Accessories Designed Specifically CFI For The Metal Building Industry" FASTENER TYPES &.APPLICATIONS W_ OODGR/PT" _ DRILL SCREWS WOODGRIP WOODZAC Drill Screws. Long-Life Fasteners • Wide Selection Offers Compatibility with any Wood Framed Metal Clad Building Precise.Damage-Free Installation Stronger Than Nails(They Do Not Back Out&Cause Leaks) Fastener HEX HEAD SELF-TAPPING SCREWS Types & TYPE TYPE TYPE AB Applications Comb Wide Coarse Thread Finer Threads ines the Finer with Sharp`Gimlet-Type" with Blunt Point Thread Profile of ••• p Point type'B"Screw with • Available in Plated Carbon Steel or 300 Series Stainless the Sharp Point of • Varied Applications From Light Gauge To Heavy Structurals type"A" • All Require Predrilled Pilot Hole -rm PERFORMANCE SELF-TAPPING OR SELF-DRILLING Fastener IMP�X DRILL SCREWS SCREWS FOR HEAVY STRUCTURAL STEEL Selection -ATr Guide 7 ..............p.2 PANT_ __L PANEL IMPAX 45 STRUCTURE TO PANEL TYPE'B' OR#5 • Designed ...to Drill the Hard High Strength SELF-TAPPING SELF DRILL Steel In Today's Metal Buildings For Heavy Hot Rolled IMPAX 45 For • Engineered...With Unique Point Geometry Steel In Some Combined Drilling WOodG rip For Quick Drilling Through Double Purlins Industrial Building Thickness Up To 31W" • Manufactured...Using Cold Forging Applications • IMPAX 5 For Combined Drill Screws Techniques To Assure Consistent Quality Requires Correctly Drilling Thickness Up And Retain Grain Structure And Strength Sized Predrilled Hole To 1/2" ••••..••••••••p.3 SELECTING THE PROPER ALLOY FASTENERS CARBON STEEL �� 300 SERIES D PLATESTAINLESS.STEEL • Strong:Durable,And Heavy-DutyZlnc/Aluminum • Controlled Analysis 304 Alloy Is Master Flash Reld Proven Cast Alloy Cap On Plated Rust-Proof • Standard- Self Tapping Or Steel Self-Tapping Or Self • Available In Self-Tapping Pipe F I a S h I n 9 Rangws Available Drilling Fasteners Screws Only Range roper Tools And Installation For A Wide • Guaranteed Rust-Free • P ••••••••••••••p•4 Of APPlications � Perfomlance .Techniques Are Required For These Non-Heat Treated Screws RECOMMENDED INSTALLATION TOOLS" oareren<fasterretsiepuiie dlbrent Tr lauon tools and tedni"M-For carbon swet tapping screws a 2000 RPM electric saew driver should be used stainless steel self-tappers require a slower 600.800 RPM d&w and 3Wdr&V fasces shoW be kuWW wdh a 2500 RPM screw gut In al cases, 1119 bots slwM be bq*ped wo a depth bcatirig nose piece to wave vt overdmvg. IMPACTM Toot.S.WMW NEVER BE USED• Sacramento-800-726-2727,916-372-6851 FAX 916-372-7606 Los Angeles-800-272-2466,909-823-0401 FAX 909-823-2625 Phoenix-800-551-2062,602-598-1200 FAX 602-598-1219 Tacoma-800-733-4955,206-383-4955 FAX 206-272-0791 Salem-800-272-7023,503-390-7174 FAX 503-390-7443 Spokane-800-776-8771,509-535-0600 FAX 509-535-1346 Anchorage-800-478-2727,907-349-2727 FAX 907-344-7095 Salt Lake City-800-441-2477,801-978-0888 FAX 801-978-9099 e� <WBHP FASTENER SELECTION GUIDE VARIOUS SELF-TAPPING AND SELF-DRILLING FASTENERS RECOMMENDED DRILL BIT SIZE WHERE APPLICABLE" NOMINAL STEEL PANEL OR STRUCTURAL THICKNESS TYPE DIA10MR GM r 24 n u u u u 12 n is • ver 1r r- 4 yr a ALLOY , DECIMAL 3 3A X _ X X T $ s n s s s X X s s #9 P.S. (FOR METAL TO WOOD APPLICATIONS-SEE FOOTNOTE 1 BELOW) A WOODGRIP PLT 12 (FOR METAL TO WOOD APPLICATIONS-SEE FOOTNOTE 1 BELOW) #14 (FOR METAL TO WOOD APPLICATIONS-SEE FOOTNOTES 1 &2) PLT.STL #14 M/P (FOR METAL TO WOOD APPLICATIONS-SEE FOOTNOTES 1 &2) PLT.ST #14 . (FOR METAL TO WOOD APPLICATIONS-SEE FOOTNOTES 1 &2) 304 S.S. AB PLT.STL tt17 ItF PLT.STL 1/4' „ 304 S.S. #17 304 S.S. B1/4' PLT.sn. 304 S.S. SELF #10 tmtm DRILL PLT'sn #12 UTILITY PLT.STL #12 P.S. IMPAR _LL #12-24 P.S. IMPAX 45 #12-24 P.S. IMPAX 5 1/4'P.S. LAP S/O #14 UTILITY P.S. ( )Use#1 drill bit for 3/8'thick steel-for heavier steel up to 1/2'use.231 bit. (**)Drill bit sizes shown are for new construction applications-#17 AB fasteners are most often used as a repair screw for stripped 1/4'dia.fasteners in sidelap or structural attachments up to 11 ga.steel. (***)Material thickness ranges indicated for self-drill fasteners is substrate(structural)steel only. An unthreaded pilot section allowing for the panel thickness has been considered in the fasteners design. Structural thickness is based on normal single thickness pudin/girt construction. When drilling through more than one thickness of structural steel(overlapped or nested purlin/girt construction),proper installation techniques must be used to assure adequate performance of the fasteners. (****)Utility self-drill screws have an unthreaded pilot length that limits their use to a single structural member or to a single structural member or to nested members where total composite thickness(including space between nested members)is.210'max.for#14 diameter,.140'max.for#12 diameter and.110'max.for#10 diameter drill screws. 300 series stainless steel fasteners require a screw driver with 600 to 800 RPM maximum. Drill size recommendations assumes 50-55000 PSI yield steel. Higher tensile steel may require adjustments in drill size to permit proper installation. (1) Required minimum thread engagement for dimensioned lumber is 1". (2) Fastener must penetrate through plywood a minimum of 1/2" 2 # OSB use is not suggested WDODGRPTm ' BHP DRILL SCREWS i%r r & ivecfte inswiammon N1 Your 9ftj:ftT0MW0WAWka6W Woodgrips are the original drill screws designed for attaching metal building panels to a wood-framed structure.Although physical modifications reflected in today's product provide easier installation, improved Weather Gard@) washer ---__= design and an exceptional corrosion resistant finish,the original advantages still apply) • Stronger than nails _ • Stops leaks = • No hammer damage to panels or substrate • No call backs Woodgrips do not back out like nails and their pull-out strength exceeds nails by over two times in some appli- Stronger Than Nails cations.Woodgrips are specif- ically designed for fastening in No Backouts. No Leaks. The inherent the valley of metal panels(not the crown).The increased strength against wind tendency of wood fibers to return to their stresses, when installing both wall and roof panels with screws, was confirmed original position actually draws WOOD- by Michigan State University some years ago in their"Diaphragm Action Tests.- GRIP drill screws tighter. It's this same Data suggested that a building was about 20% stronger than most timber tendency that causes nails to back out, structures fastened by the conventional methods. creating leaks. Comparative Pull-Out Strengths Fast and Precise 1300 1 (Pounds Ultimate) Installations 1200 WOODGRIP WOODGRIP Using a high speed electric screwdriver 1100 equipped with a properly set depth sens- 1000 ing nosepiece, WOODGRIPS can be dri- 900 WOODGRIP ven quickly and with absolute precision. 800 WOODGRIP Metal panels remain undamaged during 700 installation. Plus, fastener removal for 600 future panel replacement or expansion is made easier. 500 NAILS NAILS NAILS 400 NAILS Stronger Than 300 20.0 Nails 100 WOODGRIPS provide maximum holding 0 YELLOW OAK SPRUCE WHITE power, and will not back out as nails do. PINE FIR Panel movement around the fastener The values shown in this comparison chart are based on 1"nominal penetration of due to wind and snow loads is WOODGRIPS and 1-1/2"penetration of nails into the wood substrate. If WOODGRIPS also minimized. have a 1-1/2"nominal penetration,values can be increased by a factor of approximately 1.4. 3 p4 � ,tom , ..,: � ,.A, �,. a' ,-.. 5 a��" _ yTM „ •; �a 4 v � r �s q�r��c•z rc �`p4k P �+a 5 �' 'y�w Ftri;,�!inStss r:� -,�.-• � _ a, -p... �'��;� ` X1+6.'%„.,, t. ,y...v.y � -" i 4i ..:�,�d'v�"...�,,..�S'+� �` d, j ,. i, ,:•'-*�, y�� ,,. �� e� • yA �' :i�, .,. .- .or � „; m. , a . r f, �"�� +,�� r'� k'��, tie r. �"' ,,, ,��-3�? 3 �'a +t�.a• ,. "' �: '� s; j�� ze,��s+tet 1"�te��+��C�r ��,,�. , a"s�,,.�e'r. , c:. a : o R t 4-11.1 i � v' � ��a, .T wo{v➢d v4 W� { 4 �J'�'*�,j', 4}{i � •fir �' " t i m sr, . -w�r^*r'�'�'��sik3 °fir„Ai��•��s�yp.�'�.,,•,�tx�rt v,x �t� rd��APS �.,.y.t � �^.,- � i ( 1 � n iAid citydn oy q e 3 £ F t t s May10 `P. v � s t r ekt s s ,'r.� a.� 4 s t.#'i taaaixdSM s i err, E0>0 ow �1j11i e?9��a��H# #a;4� � R t 1 Y # # '. a I'M , m � foxw",..n�'s9",f4'F.:t 1 4w!4.; 4• _. r � ilk v , ,.' , g.r VMS— "'77"M »..xwm a� a'*a ;ts't , rsm `^�� i;*.,�gR. .R"'1 ".i% it ea. .�«� J ,ea..µtm, '�'�;r�z-Ssa'+sic,p ems't. z� ,.�.�,.d�`•v�u,�ia ,r ro }`{ f � :�: �'; r - +a..fr.�As..:t;� '� ♦dA L ,,:'��,..e..w�.. .*,�' �Pa�,.n 2. 3�.4Y as,.. ;.:s 'r%, � ,{a.a� pwh IN � 4 0; vdi�rkvi �a�:Jitc'ivtIj PP n. a �5p j i t � 1 -r kr - 61m 4�e a P Z s F } �a `' r i o 4 3 s ytN, r ,3. i e a low w Pit VQY : q,' a � i y o. M aye r�. 20 anon `F�✓t� "94 ..2 ,f� !' i ,k ''°x �MEW �'� �aA�"k�� ;4¢ S !'�"„i i erg ,r �'�•�A�v��"�''§ �' a'�x ”cerci i#�" E - .. u t y � � s �t g �},}n� �+�K\'T l� � h �s. a � �h �,lel{lk•� - +1, '';� 'y �ii�t�.`"+ �,7,. S`.a.N.y4$ yf .il�t. .3'.`Y8'•r.0 +�, a•',,,�, �� ++�"ST�� +!i ., ,. ` ��7 ♦ .'FVC.�4�4t:� .. _ �• s v sm IN ,A� •k ; I 't &� k' . t t'r�d# trk t •k�� '�"` +�, F *��' F92x�3v✓R tF�` 5; 1 i L A: y' 3T, ? f y o F .E1 '�'.0 'u"A05 '0.>'as 14 r � + � � /TMj++ �xx��'�1��•,t.4 '� � �t.9�'�' •f ��J+�` 3ar 5+_ ber'� v."•.'. &n�rJ� `� I �- STEEL Jolsr I90/95 (50) 5/a' DIA BOLTS k3ro PLASTER STEEL JOISt 190/95 (50) B�11NP01/Sj U/ ER P WALLSTORAGt01 Sw 1 ' STEEL JOIST 250/125 (65) I SW 1GYMNASIUMC 300 •STEEL JOIST 250/125 (65) 1 C 1 1 2 x 7 1 4 1 ' wnNuous TO PARAPET n BASKETBALL BACKSTOP I i 11/2! x 7 1/ 4 LSL ATTA ErD STIR 1 �f -SEE NOTE 8 STUDS CONTINUOUS TO CNU WALL W/ �r 1 TO PARAPET 5/8" DIA BOLTS AT I ' STEEL JOtSr 250/125 (65) 48" 0/C, W/ PAPER 1 2'-0 2•-0 I BTWN STIR AND WALL I p ' S16 I I ' i STEEL JOIST 212/106 (55) 1 ' 1 M4.1 x 6'-0' ' ANDER DECK/C _ I Q o � I 1 C3x4.1 x6'—OC 3 AT 4'-0. 0/ x ao I STEEL JOIST 275/138 (104) i ' x t 3IX3 UNDER DECK 1 I U)r 1 r- STEEL JOtST 300/150 (114) 1 I STEEL JOIST 250/125 (95) I N A 1 CENTERED oN CMU PER < ,r ' A S17 , I S17 STEEL JOIST 250/125 95 I N I CENTERED OIJ CMU PEIR I 1 PLAY SHED a TYP ' STEEL JOIST 300/150 (114) I 1 3 I I ID !31. i I I � I 1Sl;�, I 1 STEEL JOIST 300/150 (114)to r- I '� 1 � I f i 1I I STEEL JOIST 150[7557) 5 1/4 x 11 7/8 ' I 5 1/4 x11 7/8 BOTTOM CHORD RAISED W i LOW SEE B ST7 FOR ADDED LATERAL LOAD LO L - - - 1 � 1 ' B B I I U17S17 S17 RO U w ROOF TRUSSES: SHALL BE FACTORY FABRICATED TRUSSES. DESIGN AND FABRICATION SHALL CONFORM WITH THE REQUIREMENTS OF THE UBC AND THE DESIGN SPECIFICATIONS FOR LIGHT METAL PLATE CONNECTED WOOD TRUSSES PUBLISHED BY THE TRUSS PLATE INSTITUTE. ENGINEERING DESIGN AND SHOP DRAWINGS BEARING THE STAMP OF A PROFESSIONAL ENGINEER REGISTERED IN THE STATE OF WASHINGTON AND SHOWING ALL DETAILS OF CONSTRUCTION (INCLUDING PERMENANT AND TEMPORARY BRACING, BLOCKING, OVERFRAMING, AND BEARING REQUIREMENTS) REQUIRED FOR A COMPLETE INSTALLATION ZO OW SHALL BE SUBMITTED TO THE ARCHITECT FOR REVIEW. TRUSS MFG. TO VERIFY ALL TRUSS LENGTHS PRIOR TO FABRICATION. FASTENED BOTTOM CHORD OF TRUSSES TO NON-BEARING WALLS WITH "HTC4" CLIP. FASTENED BOTTOM CHORD OF TRUSSES TO BEARING WALLS WITH "H1 CLIPS. TRUSSES SHALL BE DESIGNED FOR THE FOLLOWING MINIMUM LOADS: 1. TOP CHORD DEAD LOAD - 10 PSF ITION 2. TOP CHORD LIVE LOAD - 25 PSF (SNOW) -IER 3. BOTTOM CHORD DEAD LOAD 10 PSF C 4. ANY TRUSS SUPPORTING SPRINKLERS SHALL BE DESIGNED PER TABLE 16—B SPECIAL LOADS LOAD CASE 13. FIRE SPRINKLER STRUCTURAL SUPPORT. 6. LIMIT DEFLECTION TO L/360 OR 2 WHICH EVER IS SMALLER (DL+LL). �. SEE ARCHITECTURAL/MECHANICAL PLANS FOR ADDED MECHANICAL DEAD LOADS. TRUSS MFGR. TO PROVIDE ALL BLOCKING, DESIGN FOR TEMPORARY AND PERMANENT BRACING, AD BEARING END BEARING DETAILS, AND OVERFRAMING MEMBERS. ZEINFORCEMENT TRUSS MFGR TO PROVIDE TRUSS DIAGONALS IN ADJACENT TRUSSES TO ALIGN FOR MECH DUCTS. ONLY 31NCH. SLUMP �-- ZESSIVE STRENGTH T AGER: WHILE PLACING TO (BASE VALUES) nn REVIEW BEFORE JOIST 2x DOUG FIR 2 OR n BETTER (Fb - 900 PSI) TYPE S MORTAR. BEAMS 4x DOUG FIR 2 OR BETTER ( b = 900PSI m = 1,500 PSI. BEAMS 6x DOUG FIR 1 OR BETTER (Pb = 1350 PSI ,UTING WITH POSTS DOUG FIR 1 OR BETTER (Fc = 1000 PSI 2x6 STUDS DOUG FIR #2 OR BETTER (Fc = 1350 P 1 4—J2x4 STUDS DOUG FIR STUD OR BETTER Fc - 825 PSI PLATES DOUG FIR STUD OR BETTER (Fc = 825 PSI _ ALL OTHER LUMBER DOUG FIR #2 OR BETTER (Fb = 87 PSI) PARALLAM (PSL) PARALLEL STRAND LUMBER (PSL) BEAMS SHALL BE AS NOTED ON PLANS AND AS MANUFACTURED BY Q) TRUS JOIST CORPORATION OR APPROVED EQUAL. MINIMUM ALLOWABLE DESIGN STRESSES SHALL BE: Fb = 2900 PSI AND E — 2,000,000 PSI. TIMBERSTRAND �LSSLL� STUDS 5 TIMBERSTRAND STUDS SHALL BE AS NOTED ON PLANS AND AS MANUFACTURED BY* TRUS JOIST CORPORAON OR APPROVED EQUAL. MINIMUM ALLOWABLE DESIGN STRESSES SHALL BE: Fb = N ALL 2,250 PSI AND E = 1,500,000 PSI. kND TE® c I Ng F-- ; NEER. WOW CONNECTIONS: Q ALL FRAMING DETAILS SHALL BE IN ACCORDANCE WITH THE UNIFORM BUILDING CODE, 1997 (, S EDITION. ALL NAILS CALLED FOR ON THE PLANS SHALL BE COMMON WIRE NAILS OR EQUIVALENT i PNEUMATICALLY DRIVEN NAILS (AMERICAN MANUFACTURERS ONLY). MACHINE BOLTS TO BE A-307. V / THER STANDARD WASHERS SHALL BE UNDER ALL BOLT HEADS AND NUTS CONTACTING WOOD. ALL STUD v , Lij IBC' WALLS SHOWN ON STRUCTURAL DRAWINGS SHALL HAVE THEIR BOTTOM PLATE ATTACHED TO WOOD a- FRAMING BELOW WITH 16d NAILS A 6" 0 C STAGGERED OR BOLTED TO CONCRETE OR MASONRY WITH 5/8- DIAMETER ANCHOR BOLTS6W 2" x 2" x 3/16" PLATE WASHERS AT 48" O/C W/ MINIMUM r (� -TALL 9" EMBEDMENT. ALL METAL CONNECT O S SHALL BE FULLY NAILED OR BOLTED. METAL CONNECTORS v ,LL AND HANGERS SHOWN ON THE DRAWINGS OR REQUIRED BY INFERENCE TO ACCOMPLISH MEMBER— TO—MEMBER CONNECTIONS ARE THOSE MANUFACTURED BY THE SIMPSON COMPANY. METAL CONNECTORS AND HANGERS BY OTHER MANUFACTURERS MAY BE CONSIDERED WHERE LOAD DEFERRED SUBMITTALS CAPACITY AND DIMENSIONS ARE EQUAL OR BETTER. ALL SUBSTITUTIONS MUST BE SUBMITTED TO IJ iN THE ARCHITECT FOR APPROVAL. 1. L ROOF TRUSSES. U BEARING WALL FRAMING: 6 CV TC9 u '+ OIn[ t•I I r •....... __ ��_.__._ 0??ORT 4NC �� •e�`mm CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. car ELECTRICAL PERMIT DATE 8-a3 -9Z Site Address: { EI READY FOR L)WILL CALL FOR C INSPECTION INSPECTION Installed By: © / License Number: Phone: Owner/Business'. ` Phone: OwnerlBusiness Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel )f Underground D E) Baseboard ❑ Furnace/Boiler 'Service update/alter/repair Voltage7?I ❑ Heatpump ❑ Other 10 El d/...,, [ICommercial/Industrial load ElAdd/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: AA W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service ❑ Fire Department notified of inspection ❑ Final O.K. ❑ Plan Review approved/pending Site Address: PermitlReceipt No. Installer: New Meters Date: 8-az- ® Notify the Dartrrgnt 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 Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT D �� Inspector mount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN —Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. OE PORT qNC CITY OF PORT ANGELES / q LIGHT DEPARTMENT PERMIT NO. �a(C J ® c Tei ELECTRICAL PERMIT DATE_,7�� Site Address: SS ❑ READY FOR ❑ WILL CALL FOR C, INSPECTION INSPECTION Installed By: O ! License Number: Phone: Owner/Business: ( ( /, Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction 'Overhead Heat KW E-1 Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage o2© ❑ Heatpump ❑ Other X110 ❑ 30 ❑ Commercial/Industrial load ❑ Add/alter circuits Service size _� Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: C;? 4 W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending /"Site Address: Permit/Receipt No. aL L2 as Installer: New Meters Date: ® Notify the De0artirl of City Light by Street Address and Permit Number when ready for i spection. 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 Building Permit. PHONE 457.04,11, EXT. or EXT.224. /�� NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /5f�1 /�O 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. 08/15/2007 14:08 FAX 3604574698 STRAITS ELECTRIC Os, Ci •�� ELECTRICALWORKPERMITAPPLICA7I6'N t.v�Flr Installation description Job veered by Electrical Contractor Q Owner � Commercial O Residendal Electrical contractor name License number Date G n"es Straits Electric STRAIE*01105 9/07 E3 New ❑Ntered/Addltloo N` Ptaehtaet's mailing address 1206 S. C St. City , state ZIP I D Port Angeles WA 98363 TelephoneFAX number 360-452-9104:, 360-457-4698 '�'a �•�Q� rdllel! er'sppaam� �`WBel ILpt�lnVl + 0 Phone number to scbtu air inspection: Owner as defined by RCIF:l9.2&261:(l) Oarr^err,-will accupytthe stracmre for two yearn after this electrical peg mnit is fmafced (2) Owner it required to hire an electrical contractor if above Said property it jor sale, rem or leare. ❑Cash ❑ Check# After reading the oboe statement, b hereby certify That I am the owner of the above named property, or a licen.ied electrical contractor. I am making the electrical instal- M Credit Card Visa Mastercard Discover lation or alteration in compliance will, the electrical laws, N.E.C., RCW. Chapter 19 C. Chapter 296-469, The City of Port Angeles Municipal Code, and Card# _ - On Films Wit S cifications. %0LO',,)r(CHANGES owner, electrical contractor or electrical Inlstrator Expiration Date Date: of card 1 0�0 8 tnsp uo Additions and or tions f rr119t1Of1 O Baseboard KWVoltage O Furnace KW� O Overhead Service Phase❑ 1 0 3 ❑Heat Pump _Ton_LAR O Temp Service Service Size= O Fan-Wall _KW ❑ Underground Service Feeder Size. SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-1735 ROUG14-IV THERMOSTAT SERVICE Bae nppm.W By Bare nppmved ey Dmc ATP'^°m ay . nNAL DITCH FEEDER , -1Z) /bCr7)04,4- . V 1 . Bre manvea ay Bare nape•ee er Derc�; Appmrea By Inspection Area,Building or Equipment Inspected Action Taken Electrical Date Inspector S-ZZ—o7 /,�✓6�0 pF,CF-i ED AUU