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Home My WebLink About402 E 8th St - BuildingPREPARED 2/08/10 8 17 19 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/08/10 ADDRESS 402 E 8TH ST SUBDIV CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681 OWNER BREEN TONY E PHONE PARCEL 06 30 00 0 2 7133 0000 APPL NUMBER 10 00000120 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 2/08/10 1 JLL BLDG FINAL February 8 2010 8 14 42 AM 1pangrle TRAVIS 460 4471 BLDG FINAL RE ROOF COMMENTS AND NOTES Owner 2 -/D Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF/ INSTALL NEW TORCH BREEN TONY E 402 E 8TH ST PORT ANGELES Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit BUILDING PERMIT Additional desc TEAR OFF /INSTALL Permit pin number 160465 Permit Fee 263 75 Issue Date 2/05/10 Expiration Date 8/04/10 Qty Unit Charge Per 12 00 14 0000 THOU Other Fees Fee summary Charged Date Print Name T:FormsBuilding DivisionBuilding Permit WA 983626220 263 75 00 4 50 268 25 10 00000120 015720 402 E 8TH ST 06 30 00 0 2 7133 0000 RE ROOF DOWN COMMERCIAL NEIGHBORHOOD 13757 BASE FEE BL -2001 25K (14 263 75 00 4 50 268 25 Contractor EMERALD ROOFING P 0 BOX 879 PORT ANGELES (360) 452 4681 NO PR FEE TORCH DOWN STATE SURCHARGE Plan Check Fee Valuation PER K) Paid Credited 00 00 00 00 Date 2/05/10 INC WA 98362 Extension 95 75 168 00 4 50 Due 00 00 00 00 0 0 13757 to 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. Signature p t2ontractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T /Building Division /Building Permit Inspection Type Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 ;71-0" 10 I 3 L-L CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant PO T jNe Property Owner c 410_01, 912E(U Property Owner's Address N, to Contractor t— /Vl- C,h 1200PM 1 N Contractor's Adds P Q I�Qx (z c' License R_ Fr) L-kep Expires A E -mail PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other BUILDING PERMIT APPLICATION Print In ink o Residential Multi- family Commercial Max. height of proposed structures ft. Occupancy group Will lawn sprinkler system be installed? Occupant load Will afire sprinkler system be installed? Construction type Phone Lot For City Use 'Only Date Received_5/ /0 1 Permit /f /do d Date Approved a /5 Phone .%2 `t ZS/ Phone Lt?— 7 Zoning Industrial House garage other )(tear off re -roof lay over one layer Heat pump ❑wood-burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft:) -Pi ryjOted:(sq: -ft.) Basement per sq ft. 1 Floor 2nd Floor 3` Floor Garage Carport Covered Porch Deck Shed Other lam' TOTAL VALUATION i 3, 7S Total footprint of structures sq ft. Lot size sq. ft. Lot coverage Site Coverage the .arnount 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 ok of bedrooms of full baths of half baths I have read'and completed this application and know it to be true and correct. am authorized to apply for this permit and •erstand that it is res nsibility to determine what permits are required, and to obtain permits prior to workirig jects. Date i Print Name c- 71)- 1't t$ Q 1) "t natnir T::FormS /Buil' ing Division/Building perrnitapplication itipAA 4 2" Sc,Offe-`) Uo ILA11 1t 2, ova 1 CA-isEt ito4 Vitt 2 C4k 0 leAt4 4 2' Mic%) LIG tif elf( 1 4 it, 04,e (--retttir cote ic„pi KvaT,5 -6•1.4'4414S Ot, j ftsrE 2 2," f or MS (Na4D vat org 21 LEAD 3" L0 i e.- 5Actaidi. okipit+ vair Li 11 94 :-90tA,t3 311-f2, 93 771-1 5 3 c V., 2,0 la( etiS L_ /v15.1)41, e. 3 (to 4 19 34 (O 3 Lo°P e- 1 Li" %OK vecjv 9,46 g,1,5 D Q itsg Q C'S 1 0 44t7K ‘4, froc t ~ pORT ~ ~..?~~"" ~r..a~ L -=-- ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Laserr'r; c'. Application Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdlvlslon Name Property Use Property Zoning . . . Application valuation 06-00000636 Date 6/29/06 946364 402 E 8TH ST 06-30-00-0-2-7133-0000- PACIFIC OFFICE EQUIPMENT FIRE SPRINKLER SYSTEM COMMERCIAL NEIGHBORHOOD 62790 Owner Contractor " ~ \ ('\ \.N ~ BREEN TONY E 402 E 8TH ST PORT ANGELES WA 983626220 VIKING AUTOMATIC SPRINKLER CO 3434 1ST AVE SO. SEATTLE WA 98134 (206) 622-9319 Permlt FIRE SPRINKLER COMM Addltlonal desc Permlt pin number 80598 Permit Fee 761. 25 Plan Check Fee Issue Date 6/29/06 Valuation Expiratlon Date 12/26/06 494.81 62790 Qty Unit Charge Per Extension 670.25 91.00 BASE FEE 13.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Special Notes and Comments Call for cover inspection for all sprlnkler installations. A full acceptance test will be required for all flre alarm systems. 06/15/2006 02:59 PM KDUBUC -----------------------------Contacted Clallam BUllders on 6.15.2006, advlsed them that the underground portion of the flre sprinkler system must be installed by a contractor with a Level III or level U certification. 06/15/2006 03:00 PM KDUBUC -----------------------------Underground portlon of sprlnkler system will require 200 PSI pressure test and then must be flushed. Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 761.25 761. 25 .00 .00 Plan Check Total 494.81 494.81 .00 00 Grand Total 1256.06 1256.06 .00 00 '5! ~ ~~ o~~ U' '- O~ t ~~ lJU ~ l~ } ~ )- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordina es governing this type of work will be complied with whether specified herem or not. The granting of a permit does not presume to . e authority, or cancel the provisions of any state or local law regulating construction or the performance of constru . n. , L ~ Signature of Owner (If owner is builder) Date T \Pohcles\1102_15 bUlldmg perrml mspeClIOn record05 wpd [1/4/2005] " BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, 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 SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: . COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA- P ARKlNG/LlGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT lDTViId(J -!<b PLANNING DEPT . PLANNING DEPT 417-4750 BUILDING 417-4815 BUILDING T IPohclesl1102_15 bUlldmg penmt mspectlon record05 wpd [1/4/2005] f' :,1 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Laser- - GEL Fire Sprinkler System Plan Review Project Name: POE Building Address: 402 East 8th Installer: Viking Installer Telephone: (206) 622-4656 Type of System: Wet 13 IZI 13RD 13DD - .... Date: 6.15.2006 PAFD Permit #: 06-33 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. Contractor Reviewed by: ~Q,').d"j.o Date: CQ.. V:$. C " D ~ D Building Department Fire Department ArchitectlEngineer: Contractor \.A'-"..JG Av"\o ~~f2.\N"'~r:z.. Address: ~4 ~4 \'5.! PROJECT ADDRESS: LEGALDESCIUPTION: Lo\: l 368 417 4542 P, 81 I FOR omCJ ~ j.}~QNL ~ ~ I Dat~ RlX. ~ q.[ ()~ I I Permtl . - I p.."..'\l" ~Ie\e -, Dale ~ ~ I Phone (t.o&) lat.t.- 4l.o?" I -1 Zip 9&~Z I Phone.~()) 4\"-OS~ Phonc(WW)toU.- ~ ZIp 9th 1~4 I I I I HPR-14-1998 108:24 PR PUBLIC WORKS ~ ,ORT...., . ~ ~ ~~ ~~ I BUILDING PERMIT - PREAPPLICA TION r6~6r;rj I I The Buddtng Pemllt - Pn:appltcQllon must herdied out completely. I Please type 01'" print In Ink. Ir you bave any questions, please call 417-4 1 ~ Applicant and! or Agent. V \ \( t N c; Av'T"OMA 11 Co SPIZ t,..a)c:;U:~ ~.. Owner' PAC' F"'c. ~~'U ~~l'P..t:~,-~r.L~gf:""H~. lrJ VE-sT"~ Address 4o-z. e:. e>f'l ~~1' City 'Fof:.1" ~6-t:~S Phone License #:'J\\(\NAS ~1~~xP: City: r'f'U!. v-J. ZONIN(j Block. Subdivision. TYPE OFWORI<.: SIZEIV AL~ATION: I o Residential )8\ New ConstI 0 Rcroclf 0 Woodsto\'c SF @ $ ISF = $. o Multi.fanuly 0 Addition 0 Move 0 Garagc 51. . @ $~/SF. = s I K Commercial 0 Remodel 0 Dcmohllon 0 Deck SF ~ $ ISF. = $ . I o Repair 0 SIgn 0 TOTAl:VAL ATION ~ ~t.I".~Q.. I BRIEF DESCRIPTION OF TIlE PROJECf: ,a..J$-n&U.. t=~(l.i: St1ItI.too)\~Le-(~b'1s~,"" ~ &-\n'Lc:>-~G-j I }..eS.s Vl-JO"~ROVJ.S'O sur~l ~o E L,€c..-11l..tCAl... w-ol2o\~ 1- I COMMERCIAlJRESIDEl'fflAL: Occupancy Group: Occupant Load ConstrUction Type I No of Stories: _ Lot Size, % Lot Coverage: % I Exlstin~Lot Coverage: Isq.1'\ -+ Proposed Lot Coverage' LOT COVER..l\GE /sq.ft PLANNING USE ONLY: PLAN I Permits Required: NOleS. BLDC I Ma.x. Height Setbacks: Zomng, DPW I Site Plan and Use Approved by: Date: i FIRE I ESAl\Vetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other. I OTHER I PREAPPUCATION SUBIWlT AL: Your applit:alion and site pltvt 1IUlSt herl&d out comp~to be Qccept~d for rt:\o.iew. Thc BUildmlg Division can provide you with more deLailed information on the applicllLJon and plan sUbmi~tal re Uiremcnts.. .\ BUILDING PERMIT APPLICATION SUBMllTAL: Your compleled apphcation. slle pI ~for addlllOns) and bUllulIlg construction plans llJ'C to be submitted to tile Building DI\.jl;lon - . I I V ALVATION OF CONS'IRlJCTlON. In all cases, (l valuation arnOW'll must be enlered by the a I plieant This; figure U'tII he revlcwed an;j may be revised by the Build.in!::! Div. to comply wilh current fee schedules ContDclUle Permit C inalor.at 417 .4K I S for as<;I"tanc.e I PLAN CHECK FEE: Your plan check fee IS due at the time the buildIng pcnnllspphcahon and nstrUcllon plans lire <;ur>mllleJ All OlhC1f pC!1lll! fees are due at the time ofpcnnIt l""llanec EXPIRATION OF PLAN REVIEW: If 1111 pem',1 i:. Issued ",.thIn 180 days of the date of pphc8lion, tfllS appllClltloll \~ 111 ~:'rlrc + Itmil.'luons. 1l1c Building OffiCIal can c:\1end Ihe UIne for llellOO by !he' apphc.ant up to I KO day.... on nen request hy the lIpplr':i1Ilt \ :>IX: Scctlon lU-l(cJ) uflhc Unifonn Building Code. ctllr..:nl ccJl110n) No applIcation can be c>.lcndcd Illorc tll 1 once I I 1 JII.'/'I!hycerrifylha( I have Tt!od (11/d e:ronl/llf!rI (Jus (If'pli~tJII01/ and know the same Icl nt' l1'W! em corrt:ct. and / am (.Jllllu)1'IZ,.d /(J np/J/Y /y lll/s prrmll. J understand ;1 1$ not 11/1' (';~I"S h'ga/n!sf'QIl.<lhI/IlY to detenmllC' ....},at pr:I1J111 arc required, II ""JI/(I//;\ t/r, IJpP/U.QII(! "'P"",,b;[uy 10 d"""",,, who< pem'''' on" ",.,uml oud '0 ob,ou' '"ch _ ^-- ~--=-- Applicant ~ Datl (P-l~~OG:, ,.ar<:\rMTA\WPIXEEPERS\l3LDAl"P.FRM M~~ 't. L4'~~ 1'.~'.lI02 oJlrcv.2196] I b f!:? Q)a U)lJ.J <\)u -.J ?OL ~c)~s~o ~f\~~\q.,l~.~ dv \ABC' SC) ~ -<.-- --------- J os. \ > )\ ~~~Trj (1 . ../ III J ')L -J "" l': 0 ~ 4 ;' g,J r 1P VI ~ ~ ~ G ) g1 d, ~ ~t '-.. ul <::) ~ I::l- ~ OL '"")./ JoL - cJ , ....,...... / cJ f r ~ J G:) " - ')l () ~ ~ ~ /- (f' cf -;l ~ uJ ~ c;j \) j (() ~ ~ Q) - , f ~ ) Q d cY J ... llJ ~ M ~ 0 \J J; J ~ c ~ - cD 'f .... -") ~ .... \.9 ~ ! .( o - t ~ ..... s:- ~ ...... - - Q) L.4 J;, ~ &~ ..J - - - ') >< J ::r OJ /.lJ r-a Vj () , i i ~ \De.. W <A '--'<. ~, ~~o'Dl ~,),. ';<:;:w!~ - ,;(~''';';%i1;'~~~jli1'f^;;.w,.':I!'Yml~(<W~~~~l#i~ljl~~,,;W~}~~~!lffl~~'''~''''''.~,...,.,,'1'Jj~5"\'l~~,~~.""""""'-'-~-'""':~>:,""~"',l!"'.("""""'"N",,,, .,", ", ",.': ~!tl}U;:;:'::'::':- " "it,;!";';; ;.,;,~;:, '?:,'. !':' ',"> "';','.:,..~h:;:::,'~~ ':.:. ",,, , ~i:;'i:( ;; ;::),; , . -' '". . . <" ,; -;":~~{'-~~.>.' ',., ,; ,-,' ',,' ,:;, <..':'1' ,:: t. )(../...ll~~ I \. lJ .). "iI. ," " 6 r # I .... :h :"hl. .~~"" ,~..~ .' '/, 'h#l~l,h...!!..i; 'LI;"''';~~~~'H _ .. .;' H 1.; :.r:..~~U~ ~~~:,~: ijl ....t~..u:....~I-.' ~/: ~'J.!''': .,)..~..:.~~ ~~~i~~...i..~"\~. i:~~~. ': . ' . . ,. _A .,-\l/.-\Q,~~~.. ; " ,I. City 01 Port Angeles Applicant Project Review Sheet Applicant: Owner: \r\\'Le.. b1L~Q~ l<,:)f'\~ ~~e.Q.f" \ Property address: Proposed use: Is the proposed use listed as II ~pennitted us=" oc an ~~ use- in this zone? Is this the only use (business. residence. de.) on this site? Has theR eYa' been a subdivision. shortolat. oc PRO approved for this site. or bas ODB been submitted and is pending approval' . Does the proposed use require II new buisness license? Does the project extend into any required setbaeks 01' cross any lot lines (interior (II' exterior)? Does the project exceed ~ ~tted height allowance 01' cause the property to Q(CCCd the allowed lot cowrage m this 2DDf;'t Does the projcct require any additional parking or special desigD/lBndscapc improvements in this 7JJD.c? Does the project eliminate any existing parking spaces? Is the projc:ctlocatcd within 200' ofthc shoreline? Are theR any environmentally sensitive areas on or within 200" of the property. including; . . . wetlands or areas of standing water (year round or seasonal}, · streams (year.round or seasOOalX . . areas with a slope of 40% or greatc:r, 01' . areas that have evidence Qf past ground movement or erosion? Have all the required submittals ~ provided by the applicant? o Site Plan 0 Construction Dmwings o ParkinglDrainage Plan 0 Civil Drawings o Energy Calc 0 Supporting ~. Calc o LanclscapeJLighting Plan 0 Other l.\Od.- e" ~,~ Zoning: o yes: ok lia"yes: ok o yes: requires PO review o yes: requires CC review o yes: requires PO review ~ requires PO review o yes: requires PO review o yes: requires PO review o yes: requires PO review o yes: requires PD review o yes: ok Lase! GEl I O . I no: ~wres PO Je'IVi~ i o 00: ~Ulres RD ~ew I !;;roo: ok I:itno: ok finio: ok o no: ok Iitilo: ok ~:ok Ci1iO: ok 1iiIIiO: ok o no: rraark !=Iuired ltem(s) If Planning Drpartmenl n!Vif!W i$ rrquired. the processing tirm may be extended. If it b dete.nnined a separaie Pfauning Department permit(s) is needed. the PIonning Department pemril(s) mwI be appraved pnor to the r.uuancr: of any other permit.. The information provided abowt is he to the best of my Anow/etIge.I untler.Jtand thot in the event that any of this infonnotion is de;renninek by the City 10 be incorn . this projfrCt will k slopped until such time the City delu1nines the cornet infomration is pruvidrd ami anY subsequently required 'ew and apJl"O'l'Ob are completed tmd granted. ~ ~-II~~~ t Date Permit Category # ~ (see reverse side) Building Permit" 12/2 (C, Master Tracking #I OCC~DlD Om OPW o File DOttler Date DO Completion oj this form is retJII;red for ,,/1 category I", 2 &- j penn;t.s. Camp/tEjon is nol required for CtJlegory J a permits unless they raub in a potential change of fIR or OICCupanc:\t. I Route to' 0 BD Staff Initials lh APRS 2 ~ s CJ,.~ ~~ "til1C~ BUILDING PERMIT - PREAPPLlCA TION Laserr ^' GEL FOR OFFICIAL USE ONLY: Date Reo.: 1 - d,/ - O~ Pennit #; r I _ c:; Pre-Ap Complete? Date Approved. The Building Permit - Preapplication must be filled out completely. Please type or print in ink. Hyou have any questions, please caU417-4815 Applicant and/or Agent: (' ~(AeV ~8L\{ .Af'-\-\p Owner: ~\\L~ ~("ee(\ LQAC:\ \= ~c... c)l=~\~e ~a \)J Address: l\oa EA.S, ~-r\4- ~. City:~~ ~~~\ <2S- I ! I Phone: 4c;~ -( Slolo 'i- tnl J1.3 I Phone: 4t:;). ~c:r+c::;<;:;:""" ! Zip: ~6ba I Phone: I License #: \)ACl~'L~xp: (~/~/2a:::O Phone: Lf=;"J. -Ci+~ , , I Address: 4 a ~ EA~ 9:-'"\ \.\. <S\- . City: \V{),,""\ ~V'\~'E() l~ Zip: ~3(, 'l. PROJECT ADDRESS: 4C\;) t;:.~~ ~'\4 ~. ZONING ON LEGAL DESCRIPTION: Lot: ~ ~l Cf Block: Z 11 Subdivision. TP A- ArchitectlEngineer: Contractor P. a. f:. . TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Reroof 0 Woodstove SF.@$ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF @$ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $ o Repair 0 SIgn 'f( ~V'\~nrc.... TOTAL VALUATION $ ~~a.}aO- BRIEF DESCRIPTION OF TIlE PROJECT: DY'\\-"'r\l'"\.O. ~~, Caw.t COMMERCIALlRESIDENTIAL: Occupancy Group: No. of Stories: _ Lot Size: % Lot Coverage: Existing Lot Coverage: /sq ft. + Proposed Lot Coverage: Occupant Load: Construction Type: % /sq. ft. = TOTAL LOT COVERAGE: I /sq.ft I I I PLANNING USE ONLY. iNotes: APPROVALS: PLAN BLDG DPW FIRE OTHER ESAlWetland(s): 0 Yes 0 No SEPA Checklist reqUIred? 0 Yes 0 No Other: I I PREAPPUCA TION SUBMfIT AL: Your application and site plan must be frlJed out completely to be accepted for review. The Budding i DIvision can provide you with more detailed information on the application and plan submittal requirements. I BUILDING PERMIT APPLICATION SUBMITTAL: Your completed apphcahon, site plan (for additions) and building construction I plans are to be submitted to the Building DiVIsion. : i 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. i I PLAN CHECK FEE: Your plan check fee IS due at the hme the buildmg permIt apphcation and construclton plans are submItted. All other I' pennit fees are due at the time of permIt Issuance EXPmA TION OF PLAN REVIEW: If no permIt IS issued wlthm 180 days of the date of application, this application WIll expIre by: limitations. The Bwldmg Official can extend the tune for action by the apphcant up to 180 days, on wntten request by the applicant (see Section i 304(d) of the Umform Buildmg Code, current edition) No applicahon can be extended more than once. I I I 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 fori thIS permIt 1 understand illS not the CIly'S legal responsIbIlIty to determine what milts are reqUired; it remains the apphcant's' responsIbIlIty to determme what penn its are reqUIred and to obtam such PW-ll02_J3(rev 2/96) ~ ~ Date r / J ' 0 Applicant ~ - G;~ SITE PLAN . ...11II. ~ DEPARTMENT OF PUBLIC WORKS, BUILDING DMSION APPLICANT: PHONE: PROJECfIDEVELOPMENT ADDRESS: See Pa,ge 4 f",. inslructin,u on comn/eti'tK the site nlan FormOl"uf1fannalion ca1l457-0411 I!Jlttm.non /15. Laserer' CEO TECHNICAL 08/08/200J 08:57 5038485249 ~"'PCS PAGE 01 "-r, '" pes i ,d 5 ct ( l-crt Wireless Professional Commu.nication Serrices, Inc. FACSIMILE TRANSMJTT,AL SHEET TO: __ ./ _ ~ I e~(\"1 ke..V'"I{\et:.^'I COMPAN~ OL'{ 'eJI\. ('_oM FAX NUMBER: FROM: JlAS~~,^ ~lA tl\e'( Of;/0<6/00 DATE: {~ 60)--=';:l -l:{ \ T l PHONE NUMBER: TOTAL NO. OF PAGES INCLUDING COVER: -:;- SENDER'S REFERENCE NUM8ER: RE: Y\ REFERENCE NUMBER: NOTES/COMMENTS: I~lcs ~(' you--<i: ,'(\+ti'ec::Js. L)e... CA..\~ SON"{ I t- too k '50 {O(l~ +U ~e.J 'lOlA .f-,^ese SP~LS, 08/08/2000 08:57 503848524'3 WPCS PAGE 02 i '\..-,.' '1'I'fAN TOWERS ~s~~ue~~o~ S~$T 1. Check all tower sections for damaqe before signing ehippinq papers. 2. ~f matarial is damaqed or missinq, not~ on al~ copias o~ shipping pap$rs for ~utura raferenoa. NOTE: Do not attempt to ~Qpair damaged ~embers as ~hi5 will weaken the $tructure. 3. Asse~ly inGtructions are locatad in a plastic baq with the hardware - 4. Cheek for proper quantities of hardware. noted on assembly drawings. Bolt $i~EJS are s. Before assemblYI check for loose or misein~ bolts and tighten or replace a$ required. 6. Excavate for concrete base as per foundation instructions and in~t~ll reintorcing ~ar. 7. Assem~l~ 4 foot stup Legs to oase section and place in excavation. Splica joint must be above finished concre~e. Plumb tower section with a transit or level. "'-...../ 6. ~our concrete an~ allow to h~rden for one (1) week. 9. Tower ~ay ba erected one (1) section at ~ ti~e by ueing the gin pole mQthod or hy ass~mbling sections and lifting with a crane. NOTE; Do not attach antenna before tower is Qrectad and all bolts are tightened. 10. ComplQte tower in~peo~ion is recommended eve~y two (2) to thrQQ (3) years. j 11. All tow~r bQlts must be properly tightened. Recommended torque values are as follows: 1/.a, tl 6 Ft. lJ::~s_ 5/l6" lJ. F't. Lbs. '3 I a II 1. 7 Ft. Lbs Bolt hardware supplied ~ith split washers shoulq Qe installed by "turn of the nu.t method-"; snug p~us 1/4 to ~/2 turn. It is Qxtreme~y i~portant NOT to overt1ghten bol~~. Exce3sive tightening will reduce the locking ability of the bolt as 5uam.bly _ 12. Do not $Xce~d manufacturer's load~ng specificatiohS. 13. Installation should be oarried out by an Qxper1enced ~ installQr onAY- -"f- . - 08/08/2000 08:57 5038485249 Titan Towers - Free-standing Towers Maximum Load , The maxirown vertical force supported at the tower top should not exceed 300 lbs. And must be centrally lo<;ated and balanced over the tower crosl'I-section. Safety Foetor When supporting the In!Pl:inllUl1 horizontal and vertical forces noted here, the minimunl safety fector in thl; weakest tower component would be 1.05. E~ceeding the indicated maximum loads could result in tower failute. Higher safety factors can be achieved by choosing larger (higher model number) towers. Consult factory on unusual applications. MOOEL T200 1300 1400 TSCIO T800 i700 ~ WPCS 88' 80' 7ft, 1)4' 56' ~a' Our ex<ilusive modular dedgn makes assembly quick and easy right on your site. After you have selected the appropriate Titan Towex- model and number of sections, we wi11smp the components in kit form or in factory assembled 8' sections. Installation To ~ct your tower the most efficient method is with a crane ot' boom tl1Jck, Lay the sections out in their proper order from th.e fourtdation and assemble them according to instructions. As an altentati ve you can use the I'Gin Pole Method". This pole is approximately 10' long and made of alumin\lIl strong enough to lift the heaviest section vertically. The pole requires a pulley block at. the top, and brac.kel:ry al mid and bottom ends so it can be firmly attached to the tower. COlUlult more detailed instrUction available from 'Dylan before attempling this procedure. Antennas lnust be raised after the tower is completely asset:nbled and erected. FOUlldations must be constrncted to meet your soil conditions. Specifications and detailed instIuctions for this procedure are lil.vailable from Trylon. --- -. -.--.... -- -- ------~\..\.--_.......-- ._~ .- PAGE 03 --- -'-'-.........-..- 08/08/2000 08:57 5038485249 WPCS PAGE 04 Titan Towers - Freo-s1:a.Dding Towers .. BII ,1 ,.' ~ ~ . .; ;' . ". '[ . ,..' ' '. - j - ' Reaching New Heights of Dependability Thousands of successful installations all over North Ametica attest to the remarkcible versatility of Titan's Tower Technology. Trylon Towers are now better, stronger, mOre versatile than eYfK before I The Titan is engineered to SUppolt even heavier. bulkier loads. At the tl;1p where the weathe1" is at its worst, this new tower is even &tronger than its predecesoo!s, And at the bottom where it really counts, a n~wly designed base and lower section give tbe Tjtan more rugged stability than ever before. But best of all. the Titan retains all the versatility and affordability of previous Trylcn :systems. It is still the only tower you need for an amazingly wide range of applications. No matter what your local requirementsj no matter where YOll are located, thete is a Titan Tower for you. Every tower' application is different. ThaL'g why Titan Towers aTe designed in easy-to-assemble pre. engineered 8' sections. This allows you to match YOW' height and load requirements to th~ pr~ailillg weather conditions irt. YOW'" area. The result is n safe, reliable, a.ffordable tower that will give you years afrnaintenance-free service. DIIo9SIIII1I11l1 Tll8Il1tJWIR ,., JlIfH /ltIBIIIllJIIIHI First, determine the WIND THRUST VALUE at the top of your proposed toweL This is a function of two factors: a) the surface area of your load, and b) the maximum wind strength in your area. This figure is usually a.vailable from the antenna. manufa.t;furer(.s). Next Gonsult the: chart called ''Titan Maximum Wind Thrust Values". Match the wind value of your load with the appropriate Titan tower model. These figures indic;:ated the maximum wind thrush (centred at two feet or less above the tower's top) that it can withstand in the designated wind zones. Values shown in the brackets are the equlvale-rlt projected areas (round/cylindrical surfaces) which would produce these thrust Valu~B. rf")U~f{lAIION l{}llS: ~HCR[TE; ! (S) I CD -... (S) I CD I -... t-J (S) (S) (S) (S) CD .. Ul ---J Ul (S) W CD .I:> CD CT\ t-J .I:> LD I I, I 1:alCIi.]I( alIfialVCf.Oll 9l1tll:<U"lloRlI m IHI 1IOlllI<(l,(1lr.; ~ '~ ~TNtOoWI......21 ~ SlIlUII il$1Ii Sl~ C~ YWl !VWE . WiW:.IoI CU~ ~NSlIt J,I '211 !loftS Of !Ill W;S 1I11ll .Jon) PSI l. IOIftv.CNO sn:n ~\ DC CAAK :.II ll(t OIiJl{C IIAAS l1li StI'U. ~ wtIM.Bl t~1t CWU or j IIII:IC5. FOlJN~LIOOS; r T 1r L l AU fW~lD1t SlIlU E( xlP1 bIrI. B11'\.l1F'N; F 1fEtl~9Rt. lllroq: ~ CO/ICllflr. JJftI SA LlU IlC KEPT lln' ~fl I!IOO'll. IS f/. P1Kt. 1 &lCXflU. 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OCSICN l1,,!)<.IrE \0Ic.i ~ 1:; PlR var lI(\(1f ... Cl:Ul(S Htl oola R!PllOUIf TItYlOlt 111/lfi ~ flUl)l.WONS- S llmJUI rl\llSl fClI[JI1.!nI Of" I rm f'\l(~, .. NlOVJR IlIMI:K lJI( !lmll II( \,&0 I"OIl \11.I[R'; -.mJ 'ilE: lOlCSt 5!:ClUl _ A starn ruIln: C1 l. J. '. ;\ ~ 6. I, JHl:II)R IU.IOCR JIl(J SlCU 0 E!I: l/!,[O mil TOIlllS 1l11I1 ll( lOBril srCllClfl HMI: A IM&:R (f 1 011 8- I IOOlOCllIl\.Wl n~( $/000 fi( It;lO FCII TOIWlS" MIll III lO1l{SI !ilCCDN H'III<<: A stC11CllIUeDt !If ~, til, 11 ffi It Q. .IltC11IJl ~ t DU'I ~ ~D l!( llSlO rOR JOM'JI$ wl1'n 1UI' UlfCI !ltllCf( tlWl~ A W:JIO'l tmIUI ~ 1.1. .Glli(!3N.. I. fill 1 ow[R S1~\. DC UN I(R(O OIl liI( cootRl: I{ r;I>9SS SotCTlOll SOCH lIf1d lIU~ IlSOL '/II (<lUlU tlllOlSlOIl 'A,' :E -0 (") r.n . I fOOXOAlloti P1.&l I' . I i.1 ,~f-r-'O~~ / elt!<< " ,,'t I' II II II-IY ~~:}lf~~Vl ~ J- ~ ! I!! :: ~~~k-: 1- f . . . -fCl.INJ.l,TtC# SlW ~ (J Rl'JO) I I 1 7 run - L1 \ \. ~ i -I ~l:ISUJllD S<Jl i I J I fOUNOMIO:lLlt.MnON j " - .. ... " _Ill lOIJlA. lMIl_ - !IIQllQ.- N"l LJrol ~U1J ~(In llCll[{llUC ~ "'1ll(l1.~ (lIIlSl IllI( MIS 4_'-_. == - - I J ~ .( I 16 11 0.1 Ul 2 ~ 5 5 5 21} ::/8 U} ~o - J ~ 7 5 :, 20 Ii7 1.7 10.0 ~ S_~ 7.5 5.~ c 1\ 10S 11l ID - - - ~1-IIl!II."_._~__'" "~.IfDM"I.~.-='-""'" lIII"DI......~ ..~=--.... -0 1> Gl fTI (S) Ul 08/08/2000 08:57 , 5038485249 WPCS TITAN SELF SUPPORTING TOWERS ~4 'S'E!:!lON 1.2 SrcrlWl ~~ ~ ~ J4" ----., ~'TlOti Ii' 5Er:1lOH , I Q -J It SF:ct1oH 1+ I ~Qmlol n PAGE 05 ~~no,... ;n I nr;:TIO!j j 1 ] ASSV.SlY NOTE~ 1) SeCTION ji - K8 ~E: ASSEl.lElLEO WITH '/4' . 1/2~ GR.~ BCA..T5 YJIll{ N\J1S IliSIOE. lOexWASHEA lliTtGl:lAl W1l'\-f Nljf. 2i Se:CTlOI'I 19 - '12 !oRE" "SS~IlLED WIn-; '3/IS' ~ 3/&' GR:l BOL.TS W11ll .wrS IN5'OE. lOCKWASHE'F! INrECRAl WITH NUT, 3) seCflolt '1) IS ASS(loIBLED WI'n1 J/G' t " W S<t.TS I'IlTH ~TS ""<D LOCK\'U.~ERS INSIOr. 4} A$Sf;~ii!1.f: ANCl.tS TO TOP SECTION AS A STAICOAAo. TOP ~ ARE AVA/USU: FOR SECTIONS J2 - 68. S) 4SSEI.I6~E SECllDN'3 wl1~{J)r ~,. '-I5Im.! TWlS1. I(EEP STANDS lEVEl TO ~H OTHER. 6) .aU.. aAACl~ ~EI.IBr.RS INSlOE It.''GS WlI14 ;:u.NGE r~... Tt,IP (~O. '1) ~TAci( 000 Nuw8E:RS fClG8:WER AND EYe)1 I;waUls 1'OGDHER FoR SHIPPlNC, 8) DECALS TO CQ ~ BO'rnM StCTIQN LEG5 MID S?AN. II) PAND.. 1-l!;:ICHTS ARt: TH~ ~ F'Q1t Ill!. SEC'nCte E.'XCEPT' SE',CTION '13. IO} iOP EN!) Of LEG J!l CCl.t)VR COOEO. I ,- ~~-- .~ '-TJ !;Fr.Trnll .~ ~4& f B'.1l' .. J --,--- -' U', ~.r ~!::CTIOI1' in StCTlCll ~ T1 TRYLON MANUFACTURING CO, LTD. --.-.. --......... I^'- IS) w C.!J <I 0... ~J TRYLON " IIt/l1'At'fWlIl' co. L'lll. I, " i i ( \ l IJJ U 0... 3: u "ij.'O:81 lIaDl/l. I'IkJl. ~. .~' it1 SltIOlJS ~J:.Il. ~~"'l 9:t.DI ,. MOil ~ S(tllllC Ii r~ ~- .'!iF m In:_Ji f<<jl ~ ='1 lL....prJllrl ffJ(' .. [ =" I]li ~J:.t ff SIt.... ..- fpo..~ 11l' 00 :::,IIG PIt" ..tt: Ill' nil 1U>>r '11 - n - If''l 1'1I\ ~r. -l/f _'ll - L.n!ll'il iii' . ....,..- SIl:llIlN/U 11IlCll il.-Ir/jiltl Jk. H'" en "<:t N LD OJ "<:t OJ (TJ IS) LD I^'- LD OJ IS) IS) IS) IS) N "- OJ IS) "- OJ IS) ) I .~ ?!IJCE BOlTS {~ flU lfG) WASHfR t{.[xr TO 1M AlfClE nw.IE (J I1EQ'O) U-OO~1 ASS'Y LOWEll LEGS ~lJf'PER lEGS JUl lonOOti ~ " WUNJING PI{ SltlDl /.l 10' S{C""/ " g. S[CTlOti SPlICE 5t>:OOl " :a:.tot ,. Kf' l[';1I~ I' - -_.- -~.- .-- - suml 'l _ Sla(pf 15 __'_T____ \1=" S!aDl ~ fOP llCll:lll ,. ... --- _.-=--~_. - $IC!I:~ " IIIJI;II JI =0111 ------- lWlloIt Il IlI:II:>l JB SttTllII U. ---_....-..-_~ ml5lll~ ImIllI . -ll ID:1i'lt III IWJll[ lID Sll:1IlII JIQ llJ' SftUlIlI fJ 1I t:IDl II ""_Ia sm... lJ !fClIlII It III KWlIl JS 5CCIl:ll'ro lmQ,fO -,It. SCt1KII/H ilClIlll'U MIIfIIII :.<uoI 'II -N _'Il. .w:n<II It I . I<<lXW h1 'llUIlt III Im...1W'Il SIAOOARO TOWLR lOP ~p $KIWll lWIO! Ii SltlQ1 'I l((aJJ P lICIDI'1 jfCw.o '1 51C11Gl1 III ><cllell IIJ ~ l.lOO JWEfl r UOOJ!!1lUl llOO. ...J:lJQ. T600 10000ll I1W..lWUl ... l- t- ~ ~ t t t ... c { I I WPCS PAGE 1218 . . 1218/1218/2121121121 1218:57 512138485249 ~~- -""")4 TRYLCN TSF -". - -~~ ..~---, - - \-.. .. I 1 l ~ ~ ~2;i~! ~ ~ j S lAS." !Olilll';; ~~i lit~l:l!!! ~ 112; ~~ ~~ "l 11\ C- - - - f'... I '" I I/" V" I ~ ~ i5 2;; '=2 ~l(j~1 ~I lli;-;;; si ~~ i:: i l'1"(~~ ~ II ~ !!! ; i ~ i .-1 II. iJi 'U! ';1 I ~U 'd i · .... ..... .... - ~i fJ' '" ... L. ~ ~~ V' ~ -I .", .. ;all -" ~ '-" Uo ~ 'l:l~ e "" U' '-" -In .... ~ ~ ~ I II .. .... h q, - ~I ~ ..... PO - i t: - ~ )1 ;.. b ..... l:; S 6 b II II Ii J ~i~!!i~iii!li~ifiiW!; I dhj ~ ai;iil e IJ ~~ ~i~!li~iU~S~~li!I;;d~~ i~UI ~ ;~;~.! .. ~~ iii!~!i~l;i;iii~!ii;;;i ~i;i~ i~~~:a ~ Ii Qg~!~~Q~:I:j;~! :ii~a: I~I~; ~:~IEI ~~ ~:;: ;~:~E~gl!1 ~ii~~;' . :~;~ ~: 5ii ~ s~~ ",""t:> _iiJ"'i~ ~~ia;n s ~~-!!t a i~ I Sri@ ~s~li!~~I= :ClI i~ i ;~~I i I: ; i~1 I~I. :i~aie ~Ii~~ I liE~ i I' i ~ ~ ~ ~ ~ I ~~ r ! ~8 8 q~~ I ~ ~ ~ ~; ~ ~ a Ii ~ ~ii~ I ~fi~~ ~ ~ ~ II ;0; j i ~ i e"'l!I m ~.~ t:= 'i ~ ~ ! I ~ B ...j l! .!". ~ ~ ~I~i i ~ ~ ~ ~ i ~ i= i2 l i f j ; I I j j IsoJ- FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT . TOTAL FEE /&,00 r2 ,rVl------ CO NT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PEAMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address &',.1,',1/ \- "Il,"~ PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner" Installation By \=-\ ..\~V'\~ L I-,~" Owner's Address '-In ~ L(.\.<," Installers Address \ \ '/->.( f',u, Day Phone f~' <;,;) - ~"1 >).t:; Installers Phone '-1 >; -., - "3 "( M, Applica!ion Is hereby mad~ for ~ermit to install Electrical Equipment as follows: ~l' +..f'U \A\r f.. I a"",,,,,,,,, . Wiring Method (\r;)~I--\ !:',,~t'ML . NUMBER AMP 120V 24QV NUMBER AMP 120V 240V USE OF CIRCUIT. PER l00R FEE USE OF CIRCUIT PER leOR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN . LIGHT 50 VOL T5 OR lESS " . CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM '" RANGE MISC, OVEN WATER HEATER . LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE elECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.w.G. I SUB. TOTAL ... SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E;C. Electrical Code. Date Permit Issued e;. By f-.I( X" ",,,-.... ~,~.. Su t. ~] CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to gothe above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT By C;?;aJ,~ ~ ... PLANS APPROVED ; ~ '. ,\ - ~: . . J. {. ,,; f - .,..,...., ~ .. .'. -. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work'musi not be coveredor 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. 17/ f/' Date Application made \'>-- - ,'1 ,19 f;;-I, 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 MADE BY REMARKS . . . -- , . , - , . , . . . -. , , , . .. . - . - . . - . -- .. - . .. . .. , . . - - " . , , I , : . , , " O.K. FOR COVERING .. , - - O.K. TO CONNECT S_ERVICE ,-;I I.~\'l\ ..//~N " FINAL O.K. , , \, '-' " , - . z Cl rr: cl: :IE !a :J: I- Z W l- . I- o Z o C . /002, FEE RECEIPT MBEA -CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A $/ / PERMIT NUMBER ,. . -TOTAL FEE /F3o~ /. o h;" '<" '//,'/'<1;,{. ': LEGAL OCCUPANCY ~ CONT. Lie. NO. TIME TO COMPLETE NO. STORIES ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ./-/O.z F g-rl? --:-:J " .~ORRECT ADDRESS I~ES~ONSIBILtTY OF APPLICANT I'-AC/?-'C 0;:=/-(<: e r cs-;r.l, Owner Owner's Address 4/",':::;> Day.Phone Application is hereby made for Permit.to install Electrjcal Equipment as follows: PERMI1:'S WITH WRON~ ADD ES7ES ARE CANCELLED Installation By ~.z e-<-'/VA"v/ F4 .~,<:' Installers Address ..::7 ~/~-- M.-' i?-"/-'1 Installers Phone +"-..s-?" "'"L 8""9- U/; e e /i,da/, T' "'..... Wiring Method r;';<? ... .. NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PEA 100A FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 .UGHT SIGN LIGHT H 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE t; MOTOR - APPLIANCE . MOTOR 'DISHWASHER fiRE ALARMS ,DISPOSAL BURGLAR ALARM - RANGE MISC. - OVEN WATER HEATER - LAUNDRY DRYER - . REINSTALLATION L1GHT,FIXTURE # - FURNACE - SUB TOTAL FEE h GAS -'OIL - FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT .;2. .....-- TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE << FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH Date Application made \"]A,1</ e- ,19~ I certify that the wo-rk to be performed under this permit will- be done by the installer an Date Permit Issued OWNER (OR AUTHORIZED AGENT} Per~iss~C?n is hereby given to do the above ~escribed 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. ,'~ t ~ D E TOR CITY,L1GHT I /&/~b .. .'. ~CANSAPPRO D - . Notify Department of City Light by Street Address and Permi Number when ready for inspection, Work must not be ,c~>v~red or cu~rent turned on before inspection and O.K. for covering.or service.hasbeen given by Inspector in Writing on PermIt Placard. A.. Permits Phone: 457-0411 Ext. 158. ':.1 .J"/ J . . WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Aeport OLYMPIC PRINTERS, INC. '. REPORT O'F INSPECTOR " , DATE OF VISIT MADE BY REMARKS , , " '- , . , \ " '. , . . , - , , - .. " - -, - . , "'; '" , , -,. , - ,. . ~ . , , , - , -" , .,. " .' ..... , . - " - , , , , . , - - , , : " ."- ,. ,'. , . , . , , ", - . . - ..... , - " .. , " - , , >-.., . '-', "::--' / .~ : ',. "\ .. , ~ " - '-. , .~ - \ , . \\ \<l\1\., -1J.h, -- O.K. FOR COVERING O.K. TO CONNECT SERVICE , . . , ,. FINAL O.K. . , , -:- . . z Cl II: <C ::E ~ J: I- Z W l- . I- o Z o C . . .', CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT . N? 15649 ') -/0 /-C Port Angeles, Washlngton..m..~.mm_u_..mmm_mu.............m.m, 19.u.. In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to do' electrical work as listed below. Address ..~__~~.~#:m....mm.m__mm......m Occupancy.m..m............m..m...._............. ~::~ ~.~~~~~~~~ :..:::4i~:::::::::::::::....~~:~~~;:::::::::::::..:.:...~::::::::::=::::=::::::::::=::::::::::=::::::::: Light Outlets........_m..............mmm_..... Service, volts ....................................... Type of Wiring: Receptacle Outlets......__....................... No. wires ..........................___....__.... Dryer, KW n..........__n.................___...... Size wlres..................................._.. Range, KW ____U___m______________ Water Heater: Main fuse ....................................... Enclosure ............................n......... KW'h..m.m...hhmhmhhh Type of wiring: Entrance Cable .._......mm__...... Heat: KW............___...........umnnm....... Motors: size. volts and phase: Rigid Conduit ............................... Metallic Tubing ........................... Current transformers: No. & Size....................................... Ser. No.............................................., Ser. No.............................................. Ser. No.............................................. Armored Cable ............................. Non.Metalllc ..............................h. Knob & Tube................................_ Rigid Cc>nduit ..__........................... Metallic Tubing ........................... Raceway ........................................_ Circuits. Llght....................................... Utillty .n...n.n.................................. Ileat ......................................._...... Range ............................................. Water Heater ............................... Motor _........................................... Dryer .................................................. Furnace .........................'_................... Total wad............................. Ser. No. ................._.......................... Total....................................... Remarks: ___m___.....;~_~~..___..n&...~.T~I"f{~~~mmmmmmm..mm....m. Permit Fee Treas. Receipt NO..............m....m..__ (/J,/ CjJ ftlt. '/J /i By ....;:i.m.ff:..L...nf~,'-- $:.............mm.................. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector ao that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION \ ELECTRICAL PERMIT .,-,., N? 15649 ,. Address........................................................................................................................................Date....:~....._.._.._.._.........._......_......_......... Owner ..................................._......_.._......_......_.._........................................................... Tenant.:...:.............................................................. Wiring Contractor ..........................................................._..............................n............................. By.............................................................. NOTICE-Current must not be turned on untll Certificate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment.' 1M Olympic Printers, Inc.