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122 E 5th St - Building
`CML ENGINEERING 2 NVLAND SURVEYING ASSOCIATES 301 East 6th Street,Suite 1 Port Angeles,Washmgton 98362 1 N C 0 R P 0 R A T E D (360)417-0501 Fax'(360)417-0514 R E C E I V ® E-mail:zenovic@olympus.net MAY 0 8 2009 CITY i3r PORT ANGELES � 2�a M BUILDING DIVI9IG—,4 May 8, 2009 0 1� Mr Jim Lierly, Building Inspector City of Port Angeles Department of Community and Economic Development P O Box 1150 Port Angeles, WA 98362 Re Tenant Improvements for B E. Orthodontic Laboratory )28'East 5t' Street Wz_ Dear Jim Attached for your review and approval is a detail for the Vehicle Impact Protection Bollards to be used for protecting the L.P storage tank along the 5/6 alley behind the N referenced project site The detail exceeds the standards for vehicle impact protection as set forth in Section 312 of the International Building Code It is my opinion that his N design meets the intent of the code for protection of stationary equipment adjacent to traveled ways. Please give me a call if you have any questions or if you need further information. Sincerely Zenovic&Associates Inc. St phen M Zenovic, P E. Principal Engineer Fc: JN 09106 Cc: B E. Orthodontics Laboratory/Bart Eykemans w/enc. CONCRETE CAP 6 0 STANDARD STEEL PIPE FILLED WITH CONCRETE 0 I PAVING AND BASE OR F G. PER PLANS SLOPE CONCRETE AWAY FROM PIPE AT BASE _ D D III-II i-IID O -III � D III Q D D i� v D CONCRETE BASE P D D 18'0 NOTES 1 CONSTRUCTION SHALL CONFORM TO THE REQUIREMENTS SECTION 312 OF THE INTERNATIONAL FIRE CODE EN M. 2F,� 2. BOLLARDS SHALL BE PLACED NOT MORE THAN 4 FEET WA BETWEEN POSTS ON CENTER y c" 3. BOLLARDS SHALL BE NOT LESS THAN 36 INCHES FROM THE PROTECTED OBJECT q- 23594 � FC/STERE �? SS�ONAL ENG [DA E. TITLE. PROPANE TANK PROTEC110N SYSTEM AT BE ORTHODONTIC LABORATORY PORT ANGELES SHEET NTS . VEHICLE IMPACT PROTECTION BOLLARD /2009 NO: CLIENT9000 ENOVIC & �' EAsr aTM sr. sulrEB.E. ORTHODON7IC LABORATORY PPO fes;4 7A�2 111 EAST IHIIRD STASSOCIATES FA%: (380) 417-0514 OFEMANS PORTANGELES, WA 98362 INCORPORATED aua: ZMVICOMOM-NET 1 � CERTIFhCATE OF OCCUPANCY - City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 110 of the 2006 International Building a, Code certifying that at the time of issuance this structure was in compliance with the various ordinances ,J of the City regulating building construction or use for the following Business name B E Orthodontic Lab Inc (Owner Bart Eykemans) Business address 122 E 5th St. Property owner ' Vernon D Peters Propertv owner s address PO Box 2461 Port Angeles WA 98362 Automatic fire sprinkler system Not Required Use & occupancy classification Factory Building permit number 09-187 Type of construction VB, _. Occupant load. Per IBC ' 05/07/09 Sue Roberd , Planning Manager Date Post on the premises in a conspicuous place. This,cert ificate.shall:not be removed except by the Building Official. Me N IpU9Ih2SS owner a:�- o- or Goul1ie)f- 3 09 PREPARED 5/04/09 9 24 14 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/04/09 ADDRESS 122 E 5TH ST SUBDIV TENANT NBR B E ORTHO LAB CONTRACTOR GRIFFIN CUSTOM HOMES INC PHONE (360) 460 4644 OWNER VERNON D PETERS PHONE (360) 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 09 00000187 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/31/09 PB BLDG FRAMING 3/31/09 AP March 30 2009 5 46 05 PM 1pangrle VERN 477 1053 FRAMING PLEASE INSPECT AS EARLY AS POSSIBLE March 31 2009 3 29 01 PM pbarthol CHECK ON SIESMIC RESTRAINT FOR T BAR CEILING AND PARTITION WALLS BL99 01 5/04/09J V BLDG FINAL TIME 01 00 May 1 2009 8 58 39 AM 1pangrle r Fl y VERN 477 1053 BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT -- - - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 3/23/09 JLL MECHANICAL GAS LINE TIME 01 00 March 23 2009 8 35 53 AM 1pangrle PJ MAITLAND 477 2440 GAS LINE AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE ME99 01 5/04/09 MECHANICAL FINAL TIME 01 00 May 1 2009 8 59 28 AM 1pangrle VERN 477 1053 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/20/09 JLL PLUMBING ROUGH IN 3/20/09 AP March 19 2009 4 32 00 PM 1pangrle VERN 477 1053 ROUGH IN PLUMBING AS EARLY AS POSSIBLE March 20 2009 3 53 01 PM jlierly PL99 01 5/04/09 PLUMBING FINAL TIME 01 00 L't May 1 2009 8 59 59 AM 1pangrle VERN 477 1053 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 3/31/09 8 20 39 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/31/09 ADDRESS 122 E 5TH ST SUBDIV TENANT NBR B E ORTHO LAB CONTRACTOR GRIFFIN CUSTOM HOMES INC PHONE (360) 460 4644 OWNER VERNON D PETERS PHONE (360) 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 09 00000187 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/31/09 JLL BLDG FRAMING March 30 2009 5 46 05 PM 1pangrle VERN 477 1053 FRAMIN3v/ PLEASEGINSPECT AS EARLY AS POSSIBLE COMMENTS AND NOTES 0, 4% ELECTRICAL INSPECTION WIRING REPORT ff417-4735 DATE PERMIT R INSPECTOR 3 3a oj 1 Qi-02(6 O ER/CONTRACTOR LK 6u L>i L ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ O hbUWi IN/COVER ❑ ❑. SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED: SAL ALL V (�S -� ��J((►�� Rl )l0- t2 ,qr Me- To F3a- PARA w.,7-M f,-zMir- Nrr_-c 110 1z mc- s o 17-,I- �Fpa9Ywd> Al Sig �4a2tL5Grfa.CT 4 Y-o Fj�_ S�p�D RT1v� �IQ.i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 � Application Number 09 00000268 Date 3/27/09 d Application pin number 764012 Property Address 122 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Ortho Lab 15 circuits Owner Contractor PETERS VERNON D MCKINLEY 1034 E 8TH ST P O BOX 1417 PORT ANGELES WA 983626623 KINGSTON WA 98346 (306) 297 7838 Permit ELECTRICAL ALTER COMMERCIAL Additional desc A l Permit pin number 143511 Permit Fee 85 50 Plan Check Fee 00 ^ , Issue Date 3/27/09 Valuation 0 I V Expiration Date 9/23/09 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 57 50 14 00 2 0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 28 00 Fee summary Charged Paid Credited Due Permit Fee Total 85 50 85 50 00 00 Plan Check Total 00 00 00 00 ` Grand Total 85 50 85 50 00 00 v I t V INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 3 -0 °'I ©N V{ FINAL �f47 COMMENTS Signature of owner or Electrical Contractor X Date �J Z /O!Z Mar 24 09 10 04a McK i n 1 etj ��® 360 297 5127 P 1 MAR 2 4 Z009 City of F Drt Angeles Permit Application ��p<pc�eTgA— Building Vision/Electrical Inspections 1� L� <<s 321 East I ifth Street-P.O.Box 1150 ��Ql71 D Port Ange les Washington,98362 �� Ph:(360)j 17-4735 Fax:(360)4174711 . _moi Date: Z`f-cq —1 Me Single Family Dwelling Multi Family or Commercial* Com nercial Addition/Alteration/Remodel/Repair* 1 Plan Re iew May Be Required,Please Complete Electrical Plan Review Information Sheet JobAddr ss: �5� �r,r�- tr'A►tiae'�e�, �lc)/� Building quare Footage: Descriptic n of above Owner Inf rmation Contractor Information _L Malin A d dress: _i �� FU�ct. �b Name:7n,(-- �IoU �1 SCJ V tr 3��1(a Mailing Address: 7�0 City. �`)eie. __,State: (d) Zip: R 9r 3 i 2- City vt s7oh Sfate: r.d Zip:. Phone: Fax: Phone: Z97-7$3dFax: 3Ga 747-5-1Z_7 License# Exp. License#/Exp.yhC1C f✓I(f r 9 g D2 - I - lb Unit Charc e Qty Total(Oly Multiolied by Unit Charge) $ 93.75 $ Service/Feeder 200 Amp, $113.75 $ Service/Feeder 201-400 Amp. $160.00 $ Serviod/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $291,25 S Service/Feeder over 1000 Amp. $ 2.00 $ Branch Circuit WI Service Feeder $ 57.50— $_ 57.50 Branch Circuit W/O Service Feeder $ 2.00_ $ Z4".v0 Each Additional Branch Circuit $ 72.50 $ Temp.Service!Feeder 200 Amp. S 86.25 $ Temp.Service/Feeder 201-400 Amp. $116.25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp,Service/Feeder 601 1000 Amp $ 75.00 $ Portal to Portal Hourly $ 69.00 S Sign/Outline Lighting S 75.00 $ Signal Circuill Limited Energy Commercial $ 50.00 $ Signal Circuit/Limited Energy 1&2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub S 43.75 $ Thermostat $ `].5/) Total Owner as de ned 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 coi tractor if above said property is for sale,rent or lease. 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 o 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 Specif cations. Signature of wrier electrical contractor or electrical administrator ❑ Cash p ❑ Check X Date: ���-i 19 Credit Card 9 PREPARED .3/23/09 9 12 28 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/23/09 ADDRESS 122 E 5TH ST SUBDIV TENANT NSR B E ORTHO LAB CONTRACTOR GRIFFIN CUSTOM HOMES INC PHONE (360) 460 4644 OWNER VERNON D PETERS PHONE (360) 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 09 00000187 COMM REMODEL - - -- -- ---- -- --- --- - PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MEG 01 3/23/09 LL MECHANICAL GAS LINE TIME 01 00 \ March 23 2009 8 35 53 AM 1pangrle MAITLAND 477 2440 GAS LINE AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 3/20/09 8 29 42 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/20/09 ADDRESS 122 E STH ST SUBDIV TENANT NBR B E ORTHO LAB CONTRACTOR GRIFFIN CUSTOM HOMES INC PHONE (360) 460 4644 OWNER VERNON D PETERS PHONE (360 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 09 00000187 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/20/09 Jlft PLUMBING ROUGH IN March 19 2009 4 32 00 PM 1pangrle VERN 477 1053 ROUGH IN PLUMBING AS EARLY AS POSSIBLE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Y Application Number 09 00000187 Date 3/20/09 Application pin number 756737 Property Address 122 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Tenant nbr name B E ORTHO LAB Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 40000 Application desc TENANT IMPROVEMENT B E ORTHO LAB Owner Contractor j VERNON D PETERS GRIFFIN CUSTOM HOMES INC PO BOX 2461 PO BOX 3071 qq PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 477 1053 (360) 460 4644 Structure Information 000 000 TENANT IMPROVEMENT B E ORTHO LAB VV Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Jn�MST [CC111ec Permit MECHANICAL PERMIT �+Y/,e`r Additional desc PROPANE TANK & LINES Permit pin number 143255 � �c / /oeA Permit Fee 25 65 Plan Check Fee 00 Issue Date 3/20/09 Valuation 0 Expiration Date 9/16/09 Qty Unit Charge Per Extension BASE FEE 00 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 1 00 5 0000 EA ME FUEL GAS PIPE EA>5 OUTLETS 5 00 1. 00 10 0000 EA ME SUPPLEMENTAL, PERMIT 10 00 Special. Notes and Comments Address numbers shall. be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 otf the floor Suggested extinguisher placement is adjacent to an exit March 11. 2009 2 55 23 PM sroberds The use as a orthodontic lab requires a minimum of 10 off street parking spaces The site provides 22 parking spaces and serves three businesses On site parking should not be a problem No land use issues are anticipated Any modifications to the City s electrical facilities will be at the customer s expense Public works Utility Engineering has no requirements for this plan review 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 performan 'of con ion. D to Print Name Siature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b 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 Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION a� s 321 EAST 5TH STREET PORT ANGELES WA 98362 • Page 2 Application Number 09 00000187 Date 3/20/09 Application pin number 756737 Special. Notes and Comments March 6 2009 7 40 32 AM rbecker When occupant is moved into building an inspection will need to be do to determine if they will need to install backflow assemblies If you have any questions contact Ron Becker at 417 8917 E mail rbecker@cityofpa us Fax 452 4972 March 6 2009 7 30 19 AM rbecker When occupant moves in an inspection will need to be done to determine if backflow assemblies will need to be installed If any questions contact Ron Becker at 417 4886 Fax 452 4972 or. E mail. rbecker@cityofpa us Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 25 65 25 65 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 30 15 30 15 00 00 Separate Permits are required for electrical work, SEPA, Shoreline,ESA, utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD • -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b 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 Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit I � Q ` dfp p x6j, 10 �O !r reb; tA V� o., i a It CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST STH STREET PORT ANGELES WA 98362 Application Number 09 00000187 Date 3/12/09 Application pin number 756737 Property Address 122 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Tenant nbr name B E ORTHO LAB Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 40000 Application desc TENANT IMPROVEMENT B E ORTHO LAB e)) Owner Contractor F VERNON D PETERS GRIFFIN CUSTOM HOMES INC PO BOX 2461 PO BOX 3071 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 477 1053 (360) 460 4644 7 Structure Information 000 000 TENANT IMPROVEMENT B E ORTHO LAB ` �� Construction Type UNKNOWN / Occupancy Type BUSINESS OFF/PRO/MED/REST To. Permit BUILDING PERMIT COMMERCIAL O\� Additional desc TENANT IMPROVEMENT Permit pin number 142273 Permit Fee 569 25 Plan Check Fee 370 01 Issue Date 3/12/09 Valuation 40000 Expiration Date 9/08/09 Qty Unit Charge Per Extension BASE FEE 417 75 15 00 10 1000 THOU BL-25 001 50K (10 10 PER K) 151 50 Permit MECHANICAL PERMIT Additional desc Permit pin number 142281 Permit Fee 71 30 Plan Check Fee 00 Issue Date 3/12/09 Valuation 0 Expiration Date 9/08/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME HOOD/DUCT MECH EXHAUST 10 65 1 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 10 65 Permit PLUMBING PERMIT Additional desc Permit pin number 142299 h/J� Permit Fee 100 00 Plan Check Fee 00 C Issue Date 3/12/09 Valuation 0 Expiration Date 9/08/09 Qty Unit Charge Per Extension Q G? 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. 6 � EAl6vw 5 Date Print Name Signatu act or Authorized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- Building inspections 417-4815 Electrical inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling, Drywall(Interior Braced Panel Only) T-Bar INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b 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 Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION s 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00000187 Date 3/12/09 Application pin number 756737 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 EA PL-PLUMBING TRAP 21 00 1 00 7 0000 EA PL-WATER LINE 7 00 1 00 15 0000 EA PL SEWER LINE 15 00 1 00 7 0000 EA PL WATER HEATER 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A minimum 2A lOBC 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 March 11 2009 2 55 23 PM sroberds The use as a orthodontic lab requires a minimum of 10 off street parking spaces The site provides 22 parking spaces and serves three businesses On site parking should not be a problem No land use issues are anticipated Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review March 6 2009 7 40 32 AM rbecker When occupant is moved into building an inspection will need to be do to determine if they will need to install backflow assemblies If you have any questions contact Ron becker at 417 8917 E mail rbecker@cityofpa us Fax 452 4972 March 6 2009 7 30 19 AM rbecker When occupant moves in an inspection will need to be done to determine if backflow assemblies will need to be installed If any questions contact Ron Becker at 417 4886 Fax 452 4972 or E mail rbecker@cityofpa us Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 740 55 740 55 00 00 Plan Check Total 370 01 370 01 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1115 06 1115 06 00 00 Separate Permits are required for electrical work, SEPA, Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD D 1 — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 'J Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in ell Water Line(Meter to Bldg) Gas Line C/ Back Flow/Water FINAL Date5— 1'0 (q Accepted b AIR SEAL. Walls Ceiling A � FRAMING 2j-3 1-6 v 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 1 ccepted 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 Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit " ELECTRICAL PERMIT CITY OF PORT ANGELES �7 360-417-4735 Application Number 09 00000220 Date 3/11/09 Application pin number660840 i OJ" Property Address I22 ;,2'-E STH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc T stat? Owner Contractor PETERS VERNON D DAVE S HTG & COOLING SRVC INC 1034 E 8TH ST PO BOX 413 PORT ANGELES WA 983626623 PORT ANGELES WA 98362 (360) 452 0939 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 142695 Permit Fee 43 75 Plan Check Fee 00 Issue Date 3/11/09 Valuation 0 Expiration Date 9/07/09 Qty Unit Charge Per Extension 1 00 43 7500 ECH EL LVT THERMOSTAT 43 75 -Fee summary Charged Paid Credited Due 1 v ;Permit Fee Total 43 75 43 75 00 00 Plan Check Total 00 00 00 00 Grand Total 43 75 43 75 00 00 V INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH INX116 d-9 FINAL 5;- COMMENTS Signature of owner or Electrical Contractor X Date Mar 10 09 09:37a Dave s Heating & Cooling RECEIVED 360-452-0939 p 1 MAR y 2009 Csy of Poem Angeles PelmitAppligtial L,`l„t'c w r a.t 4���s Building Division/Beebieat Inspections M East Sbad-P.O.Box 1150 UGHT DEPT rs'1►�: Pod Angeles Washington,91t3fi2 R- '4 Ph:(=I 4174M Fa:(36M 41741711 _ Date: I c o i —1&2 Single Family Dwelling Multi-Family or Commensal` X Commercial Addison I Alteration I Remodel I RepaiP N Plan Review May Be Required,Please Complete Elect kW Plan Review Information Sheet Job Address: i s L� E of 5-t- S r►-eC--1- e�/r .)d(E P n r F o, Building Square Footage: %�"P r"�.� if r✓C s� / De mpteor of above *./i�� w Lain ( VC, I4'et ,• r/'f?/—i77 n iL CN �r=,r' Y-..�_.� pG_c.4'- r�� �.�_�,-1•- n•_� r.,., P rel.,f+�,r_ 1'Jwna informD Conbaclor in Name: yif�^h t c,+e-rs Name: � Maifing Address cJ c z �- (1 f Mali O `f i"i State Zip: city: o r y-LQ--�- State: ("cam Zap: Phorhe �7r'i= I Phatte Ucerise#I E)q). -- — Lice=#I E>p. -JDA lr'c -- Unb Charge C Total(CItY Multiotied by Unit Chaaoe) $93.75 $ SwvimFeeder2OOAmp. $113.75 $ ServizFeeder2D1-=Amp. $1W.00 $ SwvicW%eder401.60o amp. $205.00 $ SaNbelFeeder6014000Amp. $29125 $ SemioelFeeder ower 1000 Amp. $ 2.011 $ Wanch C mdl W/Service Feeder $57.50 $ Branch Groat W/O Servile Feeder S 2.00 $ Each Additional Branch Ceadt $ 72.50 $ Ternp.Servical Feeder 200 Amip- $8625 $ Temp.ServiciefFeaft 2111400 Amp. $11625 $ Temp.Senicelftedla 4014600 Amp. $13125 $ Temp.SenieoeJFeeder 601-1000 Amp. $ 75.00 $ Portal to Portal Hourly $ 6.4.00 $ SoffiL tline Lighting S 75.00 $ Signal Cm=N Limited Energy Commensal S 50.00 $ Signal Grafi/U m'1ed Energy 1&2 Family Dwelling $ 50.00 $ Signal Ciraril/U mbd Emlrgy Multi-Family Dwelling 5-93.15 $ Mawbctured Hare Connection $ 80.00 $ RenewaMe Eladrical Energy WA Systema Less S 86.25 $ Fast 1300 Square Ft. $ 27'50 $ Each Additional SW Square Ft or Portion of $ 5750 $ Each Outbuadmg or Detached Garage $ 6625 $T Each Swimming Pool or Hot rub $ 43.75 �— $ `f i r Thermostat $�—To1at Owneras da O P by RCw_192MI:m Ownw w6f ocmwtfie smrciin fortrro years aftrthis gig r 11 pwm tis TnaffrmL(2)Omen►is mquhed b hire an decbcvabaclorrTaboresefdpopwyislbrsale:mntorlmn Afierreadiop the above stat wart:t hereby entity the Ian the orwrer d the above named propeery ora licensed ded rival cwbacbr_1 am maldeng the dnxbied installation or alteration In cornpliarrce vft the eiecbkal laws.N.EC..RCW.Ckapter 1928,WAC_Chapter 296468,The City of PortAogetes Mu k#W Code,and UtOty Spexfiatioos. of owner,ded rir l eonbackw or eledrival admewdrAw I a X / r 02":.J 0t oVVCITY OF PORT ANGELE o�ro3jo�, ar '� �- BUILDING DIVISION TRANSMITTAL To Fire Department d a� ❑ Other Department Date 02--25 - 09 Project Address Contact Boxt Y-) S Phone number(s) 3 60 — H 5 2— gz59 Permit number 0 c.—tS7 %Project Description A- ��m AU el -1r,) 6e OL k, os �-o re 4 w ( 1 ❑ New Construction ,xn Iteration Please review & return to the Building Division, Permit Technician T Forms/Building Divis,on/Transm ttal 9.�rz tt c csf©o,, p eo--fi ?;, 4- 40 �,' �� t c �Ine cool vmttay- 'b 5(Ve 40 the bust'hest' owher BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES For City Use Ong: Attn Building Permit Technician ' Date Received 'Zy'G`'J 321 E Fifth St. Port Angeles WA 98362 Permit#—(30(- 1 (360) 417-4815 fax (360) 417-4711 ate Approved Applicant ��% �K`��L��2/s P ne ® 5 Property Owner �/`�nl �`�� e� P ne Vie)— f 7_. Property Owner's Address 1'O,?pe 2-16/ , ?047—X /C��S. y' 36 Z_ Contractor e ,elA�lA ," e6e�ox4_ f/ �s i cf� Phone �3�0-CGU Contractor's Address Pn *Fok 40 7 t;A_0u,- License # FiG'�f9�&8iv✓ Expires !/i& zoic E-mail PROJECT ADDRESS �j1 S' -- B. 1 Lai Parcel Number Lot Zoning h ne Project Type &Brief Description. ❑ Residential ❑ Multi-family Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition mmn+- Mo,:�J2M IParn ❑ 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 Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. = $ 1 St Floor /Z!� ace 3/.S' G 00a 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed e. Other TOTAL VALUATION $ 2LO GbIJ 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 ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to workinon pro. s. Date a ZcY Print Nameti°r `fie��1�P /S Signature./ T Forms/Building Division/Bldg Permit.doc --•*-------- t :�. �_�T �r�,,.. . off� �•"a. �� '__ _..._._—..� i . / A4 . 41 �r �"•l i J l a/r, �,� f X f e,A't:l 40 ea i ,� : PRESCRIP 'E APPROACH-SIMPLE PLE FORM r � For the Washin,Ton State Energy Code (2006 Edition) ��...�. ;: Climate Zone 1 CITY GOVERN MEN Site Information. Building Department Use Only LotiaeD//A.�f`IV7' Permit# 0 — ( K7 Address /22 r' '=ti _ Notes City- 704 T- ,Cl/�'L State !Wk- Zip Contact. ZKoe_.6_6 ee%Fl-iA/^ Phone .760 — -/60 - -�16'y Phone 2 FAX. Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) . - ,.. .., ... W ,.. all: .. .. .. �,: Glazing, Glaiing,U�F4ctor.- 'Door Vaulted; -Wall` 's`Minterior :-:Exterior =Slab on ;Option Area:"/g of x '- -- U= Ceiling.- :,Above, floor Floor Vertical .Overhead:'.'.;Factor„ Ceiling, Grade Below yBelow c Concrete f Vert tle Grade Unlimited Group R-3 IV and R-4 035 058 0.20 R 38 R 30 R 21 R 21 R 10 R 30 R 10 Occupancies Only This Project complies with the following- The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. ❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door 24 sq ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U factor listed above Location of the door(s)taking exception Type of Heat Source: �,' / Pa 44-P /ClACeXA �i('6( m c 'W O'V'k+ T*Forms/Building Division/Prescriptive Approach-Simple Form 10/0(108 I Zy C 5-diW m Electrical Information Form Public Works&Utilities Department(360)417-4700 m City Electrical Inspector(360)417-4735 E Please complete and return to Public Works& Utilities Department . • • • Permanent service. Name �/w Name and address of party Street: ///z responsible for permanent City/ State/ ZIP service billing? Daytime Phone ' Z -�iZ7Home Phone 7 SZ 72 (if. other than above) t: Name. i:% Y hyr Title Daytime Phone Contractor Name Com//an ' "elo'W,0 eaj;,r04,t / / Daytime Phone Electrician. Name.X'`.�// rt Sat/ Compan Daytime Phone Excavator Name Com an Daytime Phone =011TP xisting ❑New ❑Single-family residence ❑Multi-family residence #of units Commercial ❑Subdivision #of lots ❑Overhead service El General service ❑Underground service Other- IMS1=1 • Description of work: 169t A7V1- r1;1NP•e4l/f-/f2`i/VY— Street address/lot number Nearest cross street: Desired connection dateA— Electrical transformer serving property is ❑ on a pole ❑ on the ground . . • Total square footage sq ft. Main disconnect size 200 amps Voltage 120/240 1 p 0120/208 3ph ❑277/480 3ph ❑120/240 3ph ❑480 3W 3ph ❑ Other ❑Standard residential loads (Lighting refrigerator dishwasher washer) Check all that apply [:]A/C (_ton) ❑Range/Oven ❑Hot Tub ❑Cgothes Dryer ❑Heating ❑Pumps ( Hp) QvISTC��c�c Orth ❑No Load Change Orwater Heater ❑Elevator(_Hp) Other • • • 1111 • 11 • • EPlease provide a copy of the following "Detailed plot plan ( dwg or dxf format mandatory for subdivisions) "Electrical one-line drawing showing the service entrance panel and location "Connected load data Size and locked rotor amp of all motor ver 50h Applicant's Signature Date mrl MAIL OR DELIVER C MPLLKD FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360-417-4711 WS WF Information form As N �'•iK,>iLIUHTIENGR(ti:,riyin. :i rr•tion 1,f-vised 1 lw J 7 O 4 1 162: 6 7 ,f 567 w . .509•, 6 S 2O 520 ♦ F / „ o / 'pp �� 0.— ....... ......... 10523 B E. ORTHODONTIC LABORATORY, INC B.J.ORM.EYKEMANS P.O. � HIM 0.BOX 2122 (360)452-8259 DATE 19-2/1250 WA PORT ANGELES,WA 98362 —770 PAY s '5/ TO THE I/ ORDER OF 01 G ) DOLLARS Bank of America Eighth Street 018101 Washington FOR u9010523119 4L250000241: 3L437 BOO ......... ..... N � Application Number 08 00001231 Date 9/26/08 Application pin number 914274 Property Address 122 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc 200 amp service TI Owner Contractor PETERS VERNON D BOB S ELECTRIC INC 1034 E 8TH ST 2293 DEER PARK RD PORT ANGELES WA 983626623 PORT ANGELES WA 98362 (360) 457 6887 Permit ELECTRICAL NEW COMMERICAL Additional desc Permit pin number 135376 N Permit Fee 91 00 Plan Check Fee 00 ` Issue Date 9/26/08 Valuation 0 J{�"► Expiration Date 3/25/09 Qty Unit Charge Per Extension 1 00 91 0000 ECH EL COM 101 200 NEW SRV FEEDER 91 00 Fee summary Charged Paid Credited Due Permit Fee Total 91 00 91 00 00 00 Plan Check Total 00 00 00 00 Grand Total 91 00 91 00 00 00 Y V SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE 3 ( ROUGH - IN FINAL 3�t6 �a5 COMMENTS: FROM BOB'S Electric FAbVCE4VfiM43 Sep. 22 2008 10 36AM _P1 _ son SEP 3 2 2008 s.a.. DffPkECTRJCALW0RLX PERMITAPPLICATION 1tal on description .fob wired by lettrical Contractor O Owner Commercial O Residential Electrical contractor name License number Date Expires O New D Altered/Addition Purchases s mai' E aide a City State ZiP -4f X43 1� Telephone number FAX number Pr Ises ow ' gamc �r Ad ess or inspection 1 Phone nu ber to se d?�ulee Inspection: Owner as defined by RCW/9.28.261 (1) Owner toil/occupy the structure for two years after this elwtricaf permit Is finalized(2)Owner is required to hire an electrical contraetor if above said property rs for sale, rent or tease, 1]Cash D Check 0 After reading the above statement, I hereby certify that 1 am die owner of the above : named property or a licensed electrical contractor. 1 am molt the electrical instal" ❑.Crdit Card Ytsa Mastercard Discover lation or alteration in compliance with the electrical laws,N.H.C. RCW.Chapter 19.28,WAC Chapter 296-46$,The City of Port Angeles Municipal Code, and Card# Utility Specifications_ Si u e of owgtr. cls seal contractor or electrical administrator Expiration Date Date: O oicu f card �� inspccc;oyi 1!� $ C 1I �EO :j EleckicalWad au tractlons Service InforrnWjgrt O NO LOAD CHANGES /?-,O/?,o gj O Baseboard _KW voltage O Furnace _KW Overhead Service PhaaeX t D 3 O Heat Pump _Ton_LAR O Temp Service Service Size. 200 O Fan-Wall _KW O Underground Service Feeder Size; SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4174735 tau 7'HBRMOSxAT SERVICE Dato Approvett ay Doi Aper a d Y DIPC u FMIER Upto Approves 6y D.I. Approves ay Inspection Arca,Building or Equipment Inspected Electrical Date fiction Tskeu Inspector 9-Zio -OS 0< - No Co�v v'K,T F� RtviCwE7] 6� oge CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NU BER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE 8 - f�/.o-/@-T?C•'%/ !!! CONT.LIC.NO. .71METOCOMPLETE NO.STORIES LEGAL OCCUPANCY E,L�ECCTRICgLAGEMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT JSite Address .( ."') ' �I ` '0 I=T A%14 RECT ADDRESS ISONSI %In SIBIILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCEJ1 EED Owner / �' � ,5 06 r cL- ,P�1� stallation By 15Za C-C / W,4J-11 J ee C7— Owner's Address /?• , ' n Installers Address Day Phone Installers� ��'� Installers Phone— Application is hereby made for Permit to install Electrics Equipment as follows: lith f Zee— ��� /✓Gl r0?r' -329, Wiring Method AMP 240V AMP 240V USE OF CIRCUIT NUMBER PER 120V 10OR FEE USE OF CIRCUIT NUMBER PER 120V 10OR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE a FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT �e_> AMP S PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE �� A.W.G. SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer a=1ormanwithth )117 Electrical Code. Date Application made .11PPIL. 70✓ tg B <>•Y C/,E?'4dca'5 fee/IA,,7- CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of /City of Port Angeles. DIRE TOR OF CITY LIGHT Date Permit Issued ����7�j� By-, e , PLA S APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER— WHITE-Original CANARY-Duplicate PINK Triplicate WHITE CARD-Inspector's Report OLYMPIC PRINTERS,INC. �' >> REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS e4ak CURT ONLsmN cd/T-4, i ooZ,5 o n/ OLhAc To e qeL' oN(r OH✓,Q .Leek oi✓ ` �ivni,Y� .6LO,i✓G ' oNLso�i' st,o�.-A._� . /fi14 u� - pu7Le7- O f rRcr 6.1 a F ,CIf{G✓ Z / W /q'. 7-1,49 ltoieq S>o fe o^11 O Z Ull /d \) O.K.FONCOVERINO' L( r&fCI\p S'T%4 BKL�/ �- Alf- CT gT \ O.K.TO CONNESERVICE / i \ FINALO.K. CN/ 77- l �` ��' T C'ONNPc7 SeoQ/�i e Cf(ON/ SlDJi2 Am E L E C T R I C A L P E R M I T A D D E N D U M RELEASE OF ELECTRICAL PERMIT TO OTHERS PERMIT S� I , request release of and inspection Permit Holder on the above electrical permit . I assume liability and responsibility on work done to date and additional work required to pass inspection for release. I assume no other liability and aalk ity on this electrical permit . Signed: ( C-- Date: Passed inspection for release: A<>` � a � Electric I sppec't-or Date: � / — o A 5UMPTION OF ELECTRICAL PERMIT BY OTHERS I � =5z request continuance of the above ermit Ir4quester electrical permit in my name . I assume responsibility and liability for work to be done on this continuance of the electrical permit from this date forward. Signed: Date: Acceptedi �� 'Electrical Inspector `T Date: " 3 6 a 4 Electrical Inspector check one: /� Extra fee required by/far f), o� / °R L`C��lGe //v No extra fee required. Selgvlce A /0uT Port Angeles City Light assumes no responsibility or liability for this electrical permit transfer. S617 c1 7 CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE-- - �, QO CONT"LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY �I ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address_ /� 2 -S—7-k - fVORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner Lee 9L/"if-7:e S �tdC L 'PeAl(grT Installation By 5, L J9 dT/I JO e Owner's Address " PD B 9'® 7 PA - Installers Address shM< Day Phone - 4K(-7— " 7e> Installers Phone S�hMe - Application is hereby made for Permit to install Electrical Equipment as follows: sPM/icP_ .. Wiring Method �/ P� NUMBER AMP - 120V 240V NUMBER AMP 120V" 240V USE OF CIRCUIT CIRCUITS PER 10 10OR FEE USE OF CIRCUIT CIRCUITS PER 10 � 10OR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE - MOTOR CONVENIENCE - - - MOTO APPLIANCE - OR _ DISHWASHER ARMS - _ DISPOSAL GEAR ALARM RANGE MISC. OVEN le WATER HEATER 'LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE N - - FURNACE SUB TOTAL FEE GAS-OIL " FURNACE ENERGYFEE ELECTRIC' - - " - BASIC FEE ELECTRIC HEAT TOTAL FEE - Q ELECTRIC HEAT - -SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE f% O - - - P A.W.G. SUB-TOTAL OO SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be`pperformed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made J / tg BY - CONTRACTOR OR OWNER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. O - IR 0 O CITY LIGHT - Date Permit Issued / l� By ® - - PLANS APfpflffVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not _ be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK Triplicate WHITE CARD"Inspector's Report n1 YMPir.PRiNTPRs lMr" REPORT OF INSPECTOR DATEOFVISIT MADEBY REMARKS 1 r`? a W � Q 1 O.K.FOR COVERING O.K.TO CONNECT SERVICE •- �)'- j ��r11Y� FINALO.K. Alft e7 38'1 CITY OF PORT ANGELES FEE RECE I PT NUMBER DEPARTMENT OF LIGHT A 000 197 PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE ��• ®W��iI.� / .[..L CONLLIC.NO. ',TIMETObOMPLETENO.STORIES LEGALOCCUPANCV ELECTRICAL PERMIT ONLYj,/}{+O OCCUPA CV OR USE E�STTA^BLISFHIED�U�NDER THIS PERMIT Site Addressr/J.eT ��L�iC=J y,�i`�`�` COR CT ADDRESS IS RESPO IBI ITV OF APPLICANT PERMITS WIT W NG ADDRESSES ARE CANCELLED Owner s` �Z' 6` �J Z* Installation By .S—LF /✓ l�/Q Owner's Address • �- (9,(' 1&&Z i`t• Installers Address L.-5,q,17-7 Day Phone _ Installers Phone aSf�/77 E ..��//�� ?? rr..77 .. u Application i4hetebym�uffor Pe �to�inStall�Elactrical Equlpmer1t ash''follows:- r r I> k ' -j el{Viring Alethod ' CC Ft .W17 NUMBER, 1?QV 4[ 1 s'u' '� :✓;. NUMBE AMP 19DV'; 241N USE DF CIRCUIT PER I O OR FEE USE OF CIRCUIT PER 4 00R' FEE CIRCUITS CIR t� 30 CIRCUITS CIR 10i LIGHT SIGN " LIGHT 50VOLTS OR LESS CONVENIENCE q ,},-f",i{.` MOTOR CONVENIENCE MOTOR APPLIANCE `— - - MOTOR r�" ..�. ,.. - DISHWASHER FIREALARMS DISP®SAE= _ -•xr-, ,.,i BURGLAR ALARM RANGE MISC OVEN r ' `{`:- l r•';aY. ° r .�m'>-:"y 3 WATER HEATER LAUNDRY DRYER - - REINSTALLATION LIGHYFIriCTURQk `�' GASH AAE-OIC' i ,{..'-.:= v'C a r,.:.%Y !w+`t Y4 't SUB'IDTAL FEE', !`e_ I Y FUR NACE .r i " y r :.� x � ENERGYFEE 'ELECC7TRIC . , .{t' °'i' fr ' ° ,15'_ ]7BASIC'FIEE R ♦,_ ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT 9�� O © AMP / PHASE FEEDE '-'" SIZE OF SERVICE ENTRANCE CONDUCTORS R . SERVICE P SUB-TOTAL •; -'B OF UND n.,> StZ�'iSPE'NTRANCE SWITCH 'A• I certify that the work to be performed under this permit will be done by the installer and inFConformance_-wl,Jh tWfIl E G•F Electrical Code. Date Application made L4 19., Ey, CONTRACTOR-OR;OWNERi.gR,/LUTHpRIZET�ENTI Permission is hereby given to do the above described work,according lfOtde condi{loos liereOn and according to approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. - - ,_+ {MD TOWPF CITY UG�:1T �✓ c t Date Permit Issued Y fit,By pLq ROVE ,. r. Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before Inspection and O.K.for covering or service hasbeen given by Inspector in '' ! y,rN/rdmg,on R,erfx�rt'Plecard �_ ar[rJIM Fbone 457.,411, Ext 158 x •�. r; ,. `•!� WARNG PERMIT PLACARD h4UST BE KEP NIT POSTER AF{ TJ{E WOR SSE OVER ' 5i WHITE-Original CANARY-Duplicate PINK-Triplicate WHITE CARD Inspector's Report '., - OLYMPIC PRINTERS.INC. REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS ~ Ll-g �� PP�odeo C'oao4�i m ,S"G-�-I3 Allp To s r i5L-,K/ /le R1,l N s i e p z a Q a N F z_ W I.- CIO C CI H O z O 0 O.K.FOR COVERING O.K.TO CONNECT SERVICE FINAL O.K. CITY OF PORT ANGELES ' LIGHT DEPARTMENT ELECTRICAL PERMIT No 17425 / w L Port Angeles, Washington-----I-_- -----.!__.....---•------- ------------------ 19--- in 9--In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to;' �ddyo electrical work as listed below. Address .-/' ---------------- -.".j - -4-&, ---M- ------------------------------ Occupancy.,.=I-A'ft.---------------------- Owner — �� --------:—y_ Tenant------------------------------------•--------•_••--•---•----------••-- Wiring Contractor 7"_ ---------- By------------- Light Outlets........... Service, volts �."�.. Type of Wiring: Receptacle Outlets............................... No. wires ...._ ./.,.r/..._......`...-_... Armored Cable ..------..........---....... Dryer, KW.......................................... Size wires....3ff+`A?+�.- Non-Metallic ................................. .........: Knob & Tube............._ . ................_ Range,KW----------- ---------- Main fuse .'��1;�-"..:............ . Rigid Conduit ............................... . Water Heater: Enclosure ...................................... Metallic Tubing KW----------------=---------------------------- Type of wiring: Raceway .............................—.— Heat: KW................................................... Entrance Cable-------------............... Circuits, Light....................................... Motors: size, volts and phase: Rigid Conduit .........:..................... Utility ............................................. ........................................................... Metallic Tubing ........................... Heat ..------......-----...._........._...... . Current transformers: Range ............................................. -------------------............_.......................... No. & Size....................................... Water Heater ............................... .................................I--------..-.------------- Ser. No................. Motor .................................. ........................................................... Ser. No.............................................. Dryer..............................................__ ...............................I--------------------------- SecNo.............................................. TotalLoad............................ Ser. No-----------------------------------......... Total .................................... Remarks: - •Z / :. e - r'fG 4e-'-w '----------•I !?-11----------I-mo---="=�--' - ---------------------------------- ----------------------------------------------------------------------------_`-------------------------------------------- Permit Fee Tress. Receipt P L. $-------------------------------•----- No............................. By : ' -..d _ - NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con• cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N° 17425 Address ................._.............................................------"---_......._........_....................................... Date...................................................... Owner ....................................................-......-.._........................................................... Tenant....-----.................. WiringContractor..........................................................._............................................................. By-............................................................. t NOTICFrCurrent must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. f � t 1M Olympic Printers, Inc. I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT NY 15557 Port Angeles, Washington........ /- - ----------- 1 5 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do elect 'cal work as listed below. Address --- ----2---- - ----------------------------------------- Occupancy--.... ----------•----------- J�11_ Owner ----- r3� �f- Te t ------------••------------------------•----•-------•------------- Wiring ContractoroNif - ` �t ( /y '----------------------------------------------------------------- Light Outlets.-_..........................._.._.._ Service, volts ../!� l.j..6'.t........ Type of Wiring: Receptacle Outlets.............................. No. wires ..... ............. Armored Cable .............................. �I' Non-Metallic ................................. .......... Dryer,KW........._..._..................._..... Size w$e9_.�..��" � a ......_.. Knob & Tube.................... .............. Range, KW.-......-_....._-_......_............. Main fuse ..... ..................._........ Water Heater: Enclosure -------`-- -------- Rigid Conduit .......'-"'................... - .--.--.- Metallic Tubing KW--------------------- -. -..... ----------- Type of wiring: Raceway Heat: KW....3.....:....Y _ ........................ Entrance Cable ............................. Circuits, Light.................................__. Motors: size, volts and phase: Rigid Conduit ------------------------------- Utility ......................._.................... ........................................................... Metallic Tubing ------------------------ I-leat ..............................._............. Current transformers: Range ............................................. ..----------................_..._.....-----"-----'- No. & Size....................................... Water Heater ............................... .......................................................... Ser. No---_..---'--------......................... Motor ............................................ Ser. No.............................................. Dryer...................................._........-- ........................................................ Furnace............................................ TotalLoad............................. ... p Ser. No.............................................. Total ....................................... Remarks: - tel=-L Ems'=--- tC --------------± .... . ---- --------------•----•-----------------------------------•---------------------------------------------------------...•--- -----------------•-------------------------------------------------•----------------------------------------... -•-------------------------------•------•------------------- Permit Fee Treas. Receipt $-----•------------------------------ No............................ By NOTICE—Current must not be turned on until Certificate of Inspection has been issued. IP work Is to be con• cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT No 15557 Address ....................................................................................................................................... Date.....................................-................ Owner ..................................._......_.._............._.............................................................. Tenant............----..........---..................'----"----....... WiringContractor-----------------------_.............................................................................--_---------- By.............................................................. NOTICE--Current must not be turned on until Certificate of Inspection has been issued, if work Is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment.