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HomeMy WebLinkAbout816 E 8th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 1/20/09 09-00000063 Date 678254 816 E 8TH ST 06-30-00-0-2-7520-0000- ELECTRICAL ONLY o Application desc Security system Owner Contractor WESTROM, JOHN 459 DAWLEY RD SEQUIM (360) 683-3414 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 WA 98382 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 140483 Permit Fee 75.00 Plan Check Fee Issue Date 1/20/09 Valuation Expiration Date 7/19/09 Qty 1. 00 Unit Charge Per 75.0000 ECH EL-LIMITED 1ST 1500 SQ FT Extension 75.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75..00 75.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESUL TS: DITCH SERVICE ROUGH-IN FINAL I COMMENTS: Signature of owner or Electrical Contractor X .00 o Date: INSPECTOR: ~ g C)-e lJJ OQ) - o ~ 00> \\\ .-/ City of Port Ange1C$ P~rifJit Application Building D"'i:sionle;le~\l;callnspcdions 321 "'ast Fffth Street- 1",0, 80ll; 11~O Port Aagelos Wllsl1Jngtoh, 98362 Ph: (360) 417-4735 Fax: P60) 417-4111 Dale: I 1\ (( I O~__ _1 & 2 Single Family Dwelling .~ Mli!ti-f amily or Commercial. _ Commercial Addition J Alteration / Remodel/ Repair* UGHT DEPT. . Plan Review May Be Required, PleB Complete Electrical Plan Review Information Sheet Job Address: J!f... f~;, ~. .. Building Square Footage: _. RECEIVED JAN 2 0 2009 ,;~&<;-;.-p . ...l.t.;i'._-:....,:'tf>>~~~'6.'.,_~ >::::~~p . "'. ,..,,, '\ ....:: ...',.~~..:.. '.P~ ~JMl. 'p, ........ '. . ........, ... . . . . . . .. . . . . . . . . . . .. . :P' ::.. "P" pC ::. ppp . . o --0 \ o o 6' \f'J ~...,A~\ ~'t.c..., FU. ,,~ So 'T s."\f:...'JV' Description of above I...~ lDR=\c:..ct: - Owner Information ...,.. "-- N21ma: t-:lw -.l$"t-l~~ ~o.:n:.~~_ M21iling Address: ~$I~ ~"lo. cB ~~ __ City: ~,~~~ Stats: ~..9..- Zip: J~ ~ 2.- Phone:~~~~ License #/ Exp. Unit Charae $ 93.15 $113.75 $160.00 $205.00 $291.25 $ 2.00 S 57.50 $ 2.00 $ 72.50 $ 86.25 $116.25 $1$1.25 $ 75,00 $ 69,00 $ 75.00 $ 50,00 $ 50,00 $ 93.75 $ 80.00 $ 86,25 $ 27.50 $ 57.50 S 86,25 $ 43,75 Contractor Informatiotl c....__, A C Name:~.. ~c:.~ .~~\."'t"'r', ~ , Maili~ress: ..., '2- 3 _ ~ ~o.;rr City; ~r:l.tQs. State:~Zip: fe~2.., Phone: '3"0 - 4OS"2- ~.s?&.D Licens8#/Exp. ~\'T'-at:.'TS 955"8.<;. _ ~ Total (Oly Multiplied by UnitCharaa) $ Sarvic9lFeeder 200 Amp. S Sarvice/Feeder 201-400 Amp, S_ SBl'IIicelFeeder 401-600 Amp. $ SarvicelFeederG01-1000 Amp. S SelViceJFeeder over 1000 Amp, S _ Branch Circuit WI Service Feeder $ Brancn Circuit W/O SeNice I=&eder $~_ Ea"h Additional 8ren"h Cirtuit $_ Temp. Service! Feeder 200 Nnp. S Temp. Service/Feeder 201-400 Amp, $ Temp. Service/Feeder 401-600 Nnl). L. Temp, SeNicelFee.der 501-1000 Amp. $ Portsl to Portal Hourly $ _ Sign/Oudine Lighting S 75"- 0 0 Signal Circuilf Limited Energy. Commercial $__ Signlll Circuilf Limited Energy. 1 & 2 Family Dwelling $ Signal Cireuitl Limited Energy - Multi.Family Dwelling $ Manufactured Home ConnElCbon $ Renewable Electrical Energy - 5KVA System or Les$ $ First 1300 Square Ft $__ Each Addilional500 Square Ft or Portion of $ Each Oulb 1II1ding or Detachel2 Garage $ Each Swimming Pool or Hot Tub $ _ Thermostat $.."75"-.00 iotal Owner as defined by RCw'19.28.261: (1) OWneJ' wilt occupy rile StructUlll for two years aftfJ1 !hIs electticlll PetrJJit is finlll;~d. (2) Owner is required to hifun electrical conlr.ictof If above said property is fa/' sa/e. rent or teas/!. After t9ilding tile above statement, I hereby celtlty that' ilRllhc owner of the allow named proplllty Of a licensed elec:trical contrac1.or. I am lIlilklng the electrical lnstallatJon or alteration In compliance with the electrleallaws, N.E-C., RCW. Chapter 19.28, WAC. Chapter 298.46B, The City of Port Angeles Municipal Cod(,:, and UtJJlty Specifications. '._m ~_~''',",M'''''. rlcat administrator ~ Dale: I/I~/(!)~ 09S8 C:S17 09~ S)INO~1)313 H)31-IH WO~.:l ld Wd17S:S0 600C: 9l 'uer 'ON Xtl.:l ,""en , 0 , '- , U1 , 0 , '- , '"" , , , , , WOO , (9b , <(<( , o,Q , , , , , , , CO"", , '"" '"" , "'"'" , en CO , , , , NCO , U1 '" , ""'''' , ill , '"" , '" 00 , 01 "'''' , <=: >< COCO , <tl '"" , 00. 0< , Or-< 00 , .. 0. H > , '"" :>: '"" H WOO , O~ :=> b Q ZZ , 0. Ul WUl P1 00 , 00 "'00 :=> "'''' 000 b b U:>: Ul 0.0. , :>:0 <( 0 H<( , H 00 Z b':J , bU1 :1: , N Q Z , ~ 00< , en HO Ul , ..:l '"" bb b , <(en <( Ul UU b Z , zor-Z b WOO H 00 , HOC"1H Z 0.0. 1:i :>: , {".I..Nri{".I.. 00 UlUl Z:>: , en :>: zz U 00 00 , '"" - , '"" :>: H H Z 0. HU , <(NN<(Z 0 H b'- , U U1UO U '"" o,Ul , H :>'<:t' H 0 (9 <( Hb , ~~><~~ Z U 0<,"" , H , H U:=> ::r::JP:::::r:~ '"" ~~ UlUl u<=:o<ub 0 WOO WrUWW~ 0 0:1: Eo<Qo< :>:':Jb:>:<( U aU H , 00 ~ .. 0:>: N '" ~ (9 U1Ul '" b en b <-00 0.,"" U1 :1:Z , 0< 6Ul:=> b:>: :r:N ZUl <- UlWo<O , N HW "'" O::Wt-:!O("'f") H 0< :1:b:1: , '" ~QQ '" bUlb -a 0 Ul COW~:EOO 00 ;3:000 , 0 t -,"" 00 ;3: p:; 00 ~WW en enOl Z bcoo bb 0 0(9 \.D::CHUl , , UlW '- ;;,~ rlOHW\.DC"- OW,"" U1 rolJ~;3:oo o:=>o, 0 0 0:>: '- '-b 000 '"" '""0< 0< 0< o<U 0 . P1 ~ '00 ~ 0. ZO P1 Q b .:>: wto Ul -u :=> '"" 0<0 ~b~~oJZ Eo< 0 0 <( H Ul 0.>< O<~E-<WU,"" ~ '- en Wb QZZZo<o, 0. en O<H QWO;3:<(o, >< 00 o,u <(bUOo,<( '" b :>: .,.PORT A~ $~O~,-?~ r'C& 'L -=-- ~ 'ti;(jC~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property Zoning . . . Application valuation 07-00000632 Date 459792 816 E 8TH ST 06-30-00-0-2-7520-0000- JOHN WESTREM RES MECHANICAL PERMIT 6/01/07 o -l \ (5'"'0. \N tJ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 9411 Owner Contractor WESTROM, JOHN 459 DAWLEY RD SEQUIM (360) 683-3414 WA 98382 ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 Permit MECHANICAL PERMIT Additional desc INSTALL HEAT PUMP Permit pin number 103481 Permit Fee 64.70 Plan Check Fee Issue Date 6/01/07 Valuation Expiration Date 11/28/07 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU .00 o tf:) - 6"' Extension 50.00 14.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.70 64.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.70 64.70 .00 .00 fT\ 0() t ~ ~ ~ O~O Cf~ :s- Oy ;::c Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes ~ null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned . for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not ~ presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of 'S constl},lct1' Co // f / / :) r71,--~;:/jrz~ tb/lAf 7 --0 '- / '" //. Signature of'Contractor or/Authorized Agent / Date Signature of Owner (if owner is builder) Date /// /,/ T.\Polici~s\lI02 15 butldm{penmllllspecllOn recOid05 wpd [1/4/20051 I '-.. BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTIUTIES PLEASE PROVIDE A MI!-.JIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANT JVOJU( BEFORE IlVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERM1T CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNIlA TlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAfNAGE / DO\7"1' SPOUTS I I PIERS I POST HOLES (POLE BLDGSl PLUMlllNG UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS I WALLS / ROOF / CEILING DRYW ALL (fNTERJOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUM?/FUP~ACE/DUCTS G AS LINE ~-C;--O? DATE cl LL- ACCEPTED BY: WOOD STOVE / PELLET / CHlMNEY MANUFACTURED HOMES FOOTING / SLAB '\ BLOCYJNG 8:- HOLD DOWNS SKJRTfNG PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE .YES NO COMMERCIAL DATE ACCEPTED . YES NO ELECTJUCAL - UGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION RW. /PW/ CONSTRUCTION - RW. ENGINEERING 4 17-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEFT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T:\Policies\1 ] 02 15 building pem]i! inspection record05.wpeJ [1/4/2005] 05/31/2007 19:49 13504525177 ALL WEATHER HEATING PAGE 02/02 BUILDING PERMiT - APPL\CA TION to'OR OPr-1ClAL USE ONL '\': D~tc Rc~.: O({;,.-6 \-0'1 PeN:o.it #: () I -<'0 32- PDtc Al'pn;wcd: 0 b -01 -07 D~T.C issued; O~ -0 1-07 Fill out COMPJ.,ETEL"{ and in INK. Your application nnd ~itc plan MUST BE COM'.PLETE to be accepted fo" review. IfYOLI have any que,;tions, caJJ PERMITS (360) 417-4815 FAX(360)4J.7.4711 Applic"nt or Agent: ~\ \~)HNM(Y '~(t1\nvY.l)Moo\iY\~ Owner: J 0 \1\ 11'\ W of S t'V e.. VV'\ Address:lOC~ C. ~)o...\\"'lOO... (b'v~ Ci.ty:HtW (>OV"t~()L\() Ph one:: ;UO ~L-jt5 '1..-ct ~ r 3 Phone: Ce<6~"'2f1I'-i Zip: Q1Lo&\ ArchitectlEtl.gineer: Con.tr.actor{\\\ \l\tr1\n'\fV \1rC,t\Vl6j (, (w\~ State License fr:: l\\\\~El1L''; fl \(...U Add.ress:~ r.f V\I1~ 9r. City:j\Vt fmO)<. \{ \ PROJECT ADDRESS: ~\Co E.. tQt'V' PovtA'\f'li)eles "l'lf:lL'L- LEGAl, DESCRIPTION: Lot: Block: Su.bdivision: CLALLAM: COUNn' PARCEL NUMBER: PhOD.e: EA'P:~ U (n Phone:~OA1S'Z-Ctel~ Zip:_qe;(p -z.. ZONING: TI'PE OFWOlt"K: C\ Residential. 0 Ne~'CoT.lSlI. C1 Re-roof 0 Stove o Mu.ltl-fami1y 0 Addition 0 Move 0 Garage CI COIIJIllercia1 0 Remodel 0 DcmolitioD 0 Deck !:l R~pair 0 Sign !:l Oilier BRIEF DESCRtl'TION OF TIlE PROJECT: SIZENALUATION: SF. @.$ /SF. = $ SF. @ $ /SF. ",. $ SF. @$ /SF. = $ TOTAL VALUATION $ q4\\-2.~ \tJ \? \ \f)S ili\. \ \ OCCUpal~t Load: & ProposEld Sq. Ft Construction TyPe: = TOTAL Sq. Ft. COMMERCJAL!.RESIDEN1.'lAl.: OccupaJJoy Group: No. of.Stories: _ Lot Sue: Existing Sq. Ft. Tot3110t covera.ge % ~ A"P.PROV Al..5; PLAN: . BLDG: DPWU; FIRE; OTF.I:ER:_ ~ PLANNlNG USE ONLY: ESAJWetland(.~): DYes oNo SEPAChec,lclistrcql.1.ired? 0 Yes Cl No Other: VA.LUATION OF' CONSTRUCTION: In all cases, a valuation. amount mUllt be entered by the applicant. This figure will bc.reviowed and may be reviscd by the Building Division t.o comply with currel1t fce schedules. Contact the: P cImit Coordina.tor at 4J7~815 for assistance. PLAN CHECK FEE: n< iil. plan check fee is due it :ml19t be submitted at the time. the building pem:rit ap.plication and CODS1n1CtiOIl plans arc submitted. AU ather pCl7t1it fee3 are due at the time. ofpc.n:oit issuance. EXPIRATION OF PLAN :REVIEW: lino pemrit is issued \vitbiD 180 clays oftbc date ofapplicatio:Tl, the application will expire. The Buildiug Official carl ex.teD.d the time for ac.tio:o by the applicant up to 180 days upon ~'ritte1t request by the applicant (see Section R105.3.2. of the lntenlational BuiIdinglRcSidr:mti.!\1 Cod.c, 2003). No appllcatiol1 CalJ be: extended Dlort tba:u one.c. I hereby certify that J have read and examined this application and know the same to be true and CDrrect~ J em authorized to apply for this permft and IJnderstand that jtJs my rssponsibllit . to determine what permits are req 'red ,no' the City's, and that / must obtain such permits prior;z'o w rk. T:'iFO"RMSIBldfV'=itCorm.WPcl,Applic Date: I ....1 ""<Xl 0 ...... \D ... ...... t"- r<lr<l t!)E-o 0<(0<( P<el "" ... "" '"" , '"" <Xl \D Q) 0 ,-i \D ;, >< '"" 01 ..:l <l I>: III r<l 0. H :> ,-i ..:l H r<lr<l E-o el ZZ 00 r<lCll ~ 00 ~ r<l :><:til :Z::Z: E-o 8~ 00 P<P< 0 0\ Z E-o.., '"" Z .. 0 ~ 01>: N HO 00 E-oE-o E-o O\t"- 00 UU Z '"" E-o r<ltil r<l <Xl ... &l P<P< Z~ 00\ 0000 0' ~ ZZ 00 ..:lNN H H HU ~ "., 0 E-o...... -"" U P<CIl H\D E-o HE-o "'... , U ~S >. , r<l , t!) >.;, , .., 0 0000 el,-i;, , 0 0 r<lr<l ..:l:> Q) , I>: 0 ell>: ell..,E-o , P< 0 , , , r<l 000 ~i U NZ H ".,t!) E-o <Xl E-o t"-H ~S ... 00 '00 E-o~ :EN ZOO \D 00'" o , <Xl Hr<l '"" 1>:00\ I>: :Z:E-o E-o 't"- 0\ E-oCll 0000 00 <Xlr<l r<loo ~elel r<l 3 3 '0 -..:l r<l:I: 00 Hr<lr<l Jt <Xlr<l E-o 51'""0 rnE-oE-o ot!) \DI>: , , CIlr<l ~~ "'0 0\D<Xl ~!:lp; <XlZ "'00 ... ~g~ ......E-o ,t"- t"-I>: I>: I>: I>:U , 0 . ell I>: 'r<l H , P< ZO ell rn , el E-o , r<l'" 00 -U ~ , ... ~O CIlE-o;ii ..:l E-o 0 , 0 ~~E-ogj!j..:l H 00 , P<>< ~ ...... , 0\ r<lE-o el&liH~li: P< , 0\ I>:H >< , ..:l P<U ~E-oUOP<O<( P< E-o , ell CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Date 7/14/08 08-00000798 710904 816 E 8TH ST 06-30-00-0-2-7520-0000- NORTHWEST JUSTICE PROJECT SIGNS 900 Application desc 9 SQ. FT. WALL-MOUNTED SIGN Owner Contractor JOHN WESTROM 459 DALLEY RD SEQUIM (360) 683-3414 OWNER WA 98382 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN 9 SF WALL-MOUNTED SIGN 129510 47.00 Plan Check Fee 7/14/08 Valuation 1/10/09 .00 900 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LESS THAN 25 SF Extension 47.00 Special Notes and Comments July 11, 2008 10:20:59 AM Proposal is a wood sign on of 9 square feet in the CN the CN. sroberds. north wall of building for total Zone. 100 sq. ft. is allowed in Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00. . .00 .00 .00 Grand Total 47.00 47.00 .00 .00 ? \ ....- c- '"' ~ ~ ~ ~ Separate Perm its are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or 19callaw regulating construction or the performance of construction. T: Forms/Building DivisionlBuilding Permit (1010 1/07). wpd Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o a;;> ~ J) DO INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOT[NGS SHEAR WALLS / WALLS FOUNDATION DRA[NAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMnING UNDER FLOOR / SLAB ROUGH-[N WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR [NSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY F[NAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SK[RTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL "'- LIGHT DEPT ~. CONSTRUCTION R.W./ PW/ CONSTRUCTION. R.W. ENG[NEERING 417-4807 PW / ENG[NEER[NG FIRE 4 [7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4[7-4815 BUILDING I.., :7/'-"'0 g- ;ILL- oQ 0" rt\ 00 ~ ~ V) :5' T:Forms/Bui[ding Division/Building Permit ([010 [/07).wpd ~ SIGN PERMIT APPLICA TIO '\ Print in ink CITY OF PORT ANGELES ~~~ ~ tflf'~ --\ ,;l' For City Use Only: Attn: Building Permit Technician '* C, '" oJ~ . Date Received 1- 7.....()g 321 E. Fifth St., Port Angeles, W A 98362 l' ~. . \; f' Permit # 6 ~ ~I (360) 417-4815 fa 7-4711 Date Approved ~TV<Y\ - d... q I Phone Phone ~~ 00 - 6> 83 - .5 If / Y- Applicant or Agent Property Owner h Property Owner's Address Contractor/Engineer 13 Contractor/Engineer's Address License # Phone Expires Project Address Business Name Parcel Number Zoning Submit two sets of plans & a site plan that includes: · Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) · Placement and sq. ft. area · How the sign will be securely attached (Engineering specs may be required for freestanding signs) · Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Siqn Type & Brief Description: (Type, location, sq. ft.) wenJ S,~~ CJ IV }J{,J~~ ~ U o-f tu~lct ;~ Sign #1 Gu.sk.v. Sign #2 Sign #3 Sign #4 ~ s~' -F~. ld:b.-L Totals (Unit charqes Unit Charqe Quantity multiplied by quantities) Type of Siqn Sign(s) Valuation $ C]oo.co $4700 x $85.00 x $115.00 x = $ L{ '/,00 = $ = $ i\!! signs less than 25 sq. ft. Wall or marquees, over 25 sq. ft. Freestanding and projecting, over 25 sq. ft. GRAND TOTAL $ Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Total sign area sq. ft. Maximum allowed sign area sq. ft. I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are reQUi?;J to obtain perm~ior to working on projects. Date. () iprint Name:.t, N/r5f /l4Zr1. Signature T:Forms/Building Division/Sign Permit Application.doc " / I I / '- , . " " " / / " " / , I '1, I " " '-.'" .,,,."'- -", / / / / / / I ". f?j ()QJ rR / / / / I / / I / / / ,~ I "''-. I " ~ S ISru -r-- -1 ) . ~. +/ "C' r'J./\ ( . D r '0", \,.J...J ,1/\..1' 0 J ~llE CITY OF PORT ANGELES- ConstmC"~ion !'lsM The Issu3nce of this permit based upon these plans, specifi. cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said pl~~s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this jurisdiction. 4j6Ef)TIOK 363ft) 7"]R/bild93 Code.t ~~rf5 C- Approval Date 'D By "Jf 1\ X "('I ~ l-~~S ~\?f 8 ,..;. ~ .lSe b2\Jf::0 F ~CtMe. D-P S (-3 tJ, J-kL Lu ~~,/ USE G~ox y v,) S uJe- (j 1/ I ~ ~---_._..._---_._.._~..._---_.__.-- ~ --.----.-.-.-.-----..-... ...-----. _.. .... "--"-'.-"';';; I . G IIJ L 0 GO~+ I () A.J of' 1~3 ~Q)\-+J c:/::> " N 0 +~ r(Y us ~ L9~ %"\+3 ~ ~'\t~c-~ . IV ? i11 iJ+~b bJ 5 {' ~ IV ct ita. c.. h eJ ~(;; loll AJ ,) j::;-~,,v\ : ced4fZ.. Le.7!eJ,'v,. $LJew5 (ron\ ~~IC +() MG~ o~ Ij ;~f fl'+! !reA ed o? <;,,~ {\J. ~v; loLS I I I~" \ 1 , 1(-'.' '. I :S' J .'; . J /1' I I II .II / I ./ ! f l l I i I ! I ! 'I ! ( / I / , I / ! l r ! . ! ,. i j JI / I / II I.. I i / j ,. ( ! .< ..........._.."......~/ .. .. j" , ! , .; "'_ ____.....u ..' ,,,.,, . .,;~---...-.""'".,.. ) , ,. ! / , , J f 1/ 'hl I' t j I ! r II' l / f /.' I / , I .i I 1/ I i ! I I ) .J i I I J; I / I i 1/ / l7 //''_.. ...... , -- , . . /j--- I //j - :1; -= \ \\\ f. , \, . . \ ~ \ ." 'c. \ \ \, \ \ '\ \. \ .;"'----" '\..., ~ \ \ , \ \ ... \ <--- \-~" I ( / .f / ! .... ,/ - \ i __._ /---.--------- \ J. \ \ .' \ \ L. \ \ \\ \ \ \ \ . \ , \ \ ~ \ \ ": \ \_..m_ \ ~ \ \ '. \ ...\ j I f i i / I 1 / \ \ I 1 1 1 i I _ ~<; r '1" \. f-'~) t "~J i; .'. . I i ; '-: / f c\ j i~ll ~ ~ ~-. ! r........ \. --.. j'- , j / I I ~. .~) ....-I ........_~..~.._.-. ....---...\ .. 'j 1 , , ) i I I 3 I r--~-- ....J! . - .,~c"",,,_ ! .-...... .\...:.....-- "\.. ......-..~. ',' .h.........._....,..._ ; ",-"--.,( .~; "- , ~._--.....~ ~~~. ".' --:::R'~_____-. ~._T_.'.~..._.__ l I .~. ...-...... .! i j i i !. , i I' i 1 I , f I I I I I --~-l "'J ;.~. \ " \'~....J' .t. ,.... ." 1 -"'i"+ '1 I i .=tJ. f ~ ~Yi "-. I , , 1/"\ 'f ' \"" }" ......,.f,! ~~?l ~ -,.! f l \.,..../} (~.-~i , , ......,.>' j ,..I -1 \ /-!"-''\ ''0.! ) ~"'':j, .' .~~ ~ .... ~ ~~""-.f ,,j~ .....~.-..-~.,,-...jt ~.'1 ,....... ~ "'-..~ /--t! i';... .k t;. '!-.""'i l' ,; f,. j I \.~.,.~ q 1 i ....~~~~ .,.~ "..-- ,.1' ",<"i , ';'~~ ~ Northwest Justice Project 816 E. 8th St. Pt. Angeles, WA 98362 Tel. (360) 452-9137 Fax(360) 452-4053 Toll Free 1-866-402-4452 www.nwjustice.org Cesar E. Torres Executive Director July 1, 2008 John Westrem 459 Dalley Road Sequim, WA 98382 Re: Signage Permit Dear Mr. Westrem: As we discussed early last month, Northwest Justice Project would like to install a sign on the face of the building. To do so requires a building permit which the City of Port Angeles requires you, as the building owner, to obtain. Accordingly, enclosed please find the original permit application I have prepared for your signature. I would ask that you please present the signed application to the City of Port Angeles Building Department for processing. Please be assured that Northwest Justice Project will reimburse you for any fees and/or costs you may incur. If you have any questions regarding this matter, please do not hesitate to give me a call. I have included a "rough" picture of what the sign will look like as well as a stamped return envelope for your convenience in returning the permit back to us. Thanks again for your assistance with this matter. Sincere~ ,Ii J ~~~ ~o J-;J Terri D. Hodge :th Enclosures ~7 Jd~ fl2Mt ~10 J ~!tltM- ~ ~ru ()JA W {' THE ALLIANCE nil LSC '~ YJ! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000612 Date 133212 816 E 8TH ST 06-30-00-0-2-7520-0000- ELECTRICAL ONLY 7/30/07 o Owner Contractor SCHWAB, LELAND 816 E 8TH SEBRING (360) 683-4015 FL ALL WEATHER HTG & COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452-9813 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALL WEATHER/ T-STAT 103184 ALL WEATHER 35.00 7/30/07 1/26/08 HTG & COOLING INC Plan Check Fee Valuation .00 o ~ ......... .~ Qty Unit Charge Per 1.00 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 ~ Plan Check Total .00 .00 .00 ..00 Grand Total 35.00 35.00 .00 .00 ~ \~ CA ~\ COMMENTSI ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I INSPEC110N TYPE DATE I ACCEPTED COMMENTS YES I NO lI"1"l '1-1 RUUe TI-I-IN I CUVER ShR V ICE I T I &/>/ ~ 8 -1-"8 GENERAL COMMENTS: PW-II02.1S (4'96) ?fUJJ€C/ ()1-l12- Lasererj CED New Business. . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . Change of Ownership ................... . New Building ............................ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . .. .... Change of Use . . . . . . . . . . . . . . . . . . . . . . .. .. Bnef descnptlon of proposed business: 'JoJ a (i1 ~ f'Vgw- P'A- Non-profr+- legal Descnptlon: lot \)~ Current Use of Property' Zoning Classification of Property: o -.J ~ ....J ~ (x ( ( ( ( ( ( Block SubdiVIsion U ~"to be. the \; h",j j " , (A, tvVk5- 6 h lYltl' el, L ~. WILL THERE BE ANY OF THE FOLLOWING? YES Construction changes Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service AdmiSSion charged to patrons Is thiS a home occupation? Excavation of filling of lots Work done In City nght-of-way Is there suftlclent oft-street parking? New dnveway openings A grading plan for site drainage (parking lots, downspouts, etc) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other. ...... ~- ~- ~- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read thiS application and state that the information I have supplied is correct to the best of my knowledge. Atp1 s R If~/o7 I(\) B V ~/29/07 REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. THE FOllOWING Will BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway Installation 8) Curb Installation 9) Sidewalk obstruction 10) Water meter Installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Condltronal use 17) Other BUSINESS LICENSE 1) TaxI 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other r:IJ 6' rt'\ ~ ~ ~ HOllY's: q-5 /l1 ~ F PlCtn '\v OF~ Avj l) ZOO7 Date Signed: SVSa.h Comments / Conditions ~.e.. of ('L>r\O:;+VllmnV\ ~ CX-clJ ~+- I()~: When you are almost ready to open your business, please call for Certificate of Occupancy InspectIOns. Call 4] 7-4815 for a BUildIng Dept Inspect Call 4 I 7-4653 for a Fire Dept InspectIOn Please provide a minimum 24 hour notice 2 ~.~ - ~ () Q \1 C) o ~ I ~ ~ 3 " rl~..f~~l~~-ttllrl' ~"S;,,;1.("'''tih ,"t!J~W~~~I,. CERTI,Fl,e:)(i: .- :~~QeCY~PANCY C,i:f:~ df;;~rt Ang~ ' ;B'~l'l" ~ _ ~_jli$ion ,i,# {,t '!.~\1~y=~~~;{.;, '11 ~~I ~<;~~ ~"' '\4, This certificate is Issu.~a l?/J:ls),{arJJlQ,lhe requirements of Section 110 of the 2d~~ Internatzonal Building Code certifyl11g that qltl1~;,tXfii~l9j;'i~SU,tj~'p(!JrhlsAtructure wq~"!J:'!.{c;on,lpJzance Wl~" the varzous ordinances of the City regulating builaiiitif:oii1t;-~'8liert:i/rSjs~ 161; ~the l~llowing;'(,;;~j,~'ii~;:"Si;'". ,~ Ii '. ", ','\~~,"~',~~,:;;:c. \;~;i(~~~;~:;;E~';;;~,~~ :d:',;~~;,;';"~,:;:': ,J::~;;:r:,':, \ Business name. ill ""~,;,,,[ ','est JlJ:s,ticed3:tRr~C~':::<"::"':~;;:::'" ,.~,,. " B. dd i '8'1I a 'E' 8th St r . , .; <" " , \1l uszness a ress~ ,,,,~,,",,J!:~t~,:" ,,''\~~1!~,~!t?t; .' ~~ Owner ofbusineils."':N0ltnwest Justice~ProJect :(El' rioQApfbfit~cor' or;atioh) Owner's address.l~\ '4oi1J2nd Ave. S. #~l0;t{;~~~:ttJ~';~~AJ)8~';g~ f Automatic fire splJt~k~J;~'f!,stem. NobregClired\~'#::::'~\"',;,'.E"'.,J$~' ,i' Use & occupancy ~lassi .lCa!J2!1_ Bu~t~~~$.11i~,~?i(~~~tlli;~}~ ," l Building permit nu l Type of construction .- Occupant load: 08-27-07 Date Post on the premises in a conspicuous place. This cer I I I i all not be removed except by the Building Official. PREPARED 8/27/07, 10 52'14 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 11 8/27/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER, 816 E 8TH ST SUSAN ENCHERMAN SUBDIV' WESTROM, JOHN 06-30-00-0-2-7520-0000- 07-00000772 CO- CHANGE OF OCCP/USE PHONE PHONE (360) 683-3414 PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 iF~ BLDG C/O FINAL . OVERRIDE TAKEN BY LPANGRLE DATE. 08/24/07 TIME' 13.09,18 08/24/2007 01 06 PM LPANGRLE TERRY 452-9137 C OF 0 FINAL INSPECTION FOR "NORTHWEST JUSTICE PROJECT" COMMENTS AND NOTES -------------------------------------- ~ ., of pO T 'Wo v.0 Application Number 07 00000423 Application pin number 856357 Property Address 816 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7520 0000 Tenant nbr name JOHN WESTREM Application type description RE ROOF Subdivision Name Property Use Property Zoning Application valuation 4675 Owner Contractor WESTROM JOHN 459 DAWLEY RD SEQUIM (360) 683 3414 Siure of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98382 Date AFFORDABLE SERVICES 258663 HI WAY 101 SEQUIM (360) 683 9619 Fee summary Charged Paid Credited Due Date 4/23/07 WA 98382 Permit BUILDING PERMIT NO PR FEE Additional desc OVERLAY EXISTING ROOF Permit pin number 100040 Permit Fee 137 75 Plan Check Fee 00 Issue Date 4/23/07 Valuation 4675 Expiration Date 10/20/07 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL 2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 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 as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to. violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -473~ FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDES MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLOCS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS W ALLS ROOF CEILING DPYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES NO FINAL FINAL MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 4] 7 -4815 I l i -21 091 1/.`► V� .1 I BUILDING T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO 0 PORr 44 sar- w Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: /,47r alt ,Q( ("lP I)I LAS Owner',\J(J/1 V\ (1).ef4 -ire Or) Address. u �7 Archltect/Engmeer. ContractorAi(�lp S Address Z-6 MW-( U) PROJECT ADDRESS )1 Co g 91 LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr. -roof Multi- family Addition Move Commercial Remodel Demolition. 0 Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMIVIERCIAL/RESIDENTIAL. Occupancy Group. No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the' building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T \Policies\BL 1102_13.wpd Applicant. BUILDING PERMIT APPLICATION Phone FkQf) (0 Iq Phone. (ft0 Li/ City U )g- Zip C fQ 972... Phone: ti-FFO12 -5 CYoZ3 State License Exp i� Phone: j 3-'4/9 City J._.1'V\ Subdivision. SIZE/VALUATION Stove SF /SF Garage SF /SF Deck SF /SF Other TOTAL VALUATION Z-W7 S 0 v ,fr Zip 't2- 7 C12 ZONING Occupant Load. Construction Type: Proposed Sq. Ft. TOTAL Sq Ft. Date: /"'Z-"; FOR OFFICIAL USE ONLY Date Rec. 04 -23 -07 Permit 0 1 Date Approved. 04 -23 Date Issued. 04' 07 APPROVALS PLAN BLDG DPWU FIRE. OTHLR 3605?2qti29 @2[2/200 12 38 360589025 AFFORDABLE ROOFING 258663 Hwy 101 West Sequim, WA (360) 683 -9619 (360) 385 -2724 (360) 452 -0840 Name_ (AP EggL .,-!,(.f/16 J Phone #1 YZO 6 ddress ((4 9/ Phone #2 /,.,P) 5/ City State CJA Zip Code t SCeZ__ Tarp ho se penmeter to protect landscaping Remove old roofing and haul to Iandfill Install Plywood Install Roofing Felt Install Pipe Flashing Install Exhaust Vents Install Ridge Vents Install Attic Vents Install Sun Tube Install__ Skylights Instal l Install Install Install Secure Locate Septic Drain Field Price Includes Building Permmt Customer to Secure Butldt g Permit C)escnption 1711 3 4N1 Affordable Roofing s Representative C.istomer s Signature of Acceptance OSB nstall Instal l Install Install Cut in Install 4/K_Install Location Payment in full upon completion of project, unless other arrangements accepted We propose hereby to furnish material and labor complete in accordance with the above specifications p it matenat s guaranteed to be as specified. All work to be oompetexd in a professinnal manner according to standard practices. Any alteration or deviation from the above S pcceticntions involving axtra costs wilt be executed only upon written orders and in h, conic an e charge over and above the estimate. All agreements contingent upon s'riiccs. accidents, or delays beyond our control. Owner to carry fire. tornado Britt other nccessary insurance. Our workers art fully covered by worker s Compensation insurance. Acceptance of Proposal the above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified Payment will be made as outlined above AFFORDABLE Drip Edge Metal Metal W- Valleys Roof to Wall Flashing Roof to Wall Step Flashing____ Chimney Counter Flashing Chimney Step Flashing Skylight Flashing PROPOSAL SUBTOTAL --/0 SALES TAX 7.'70 TOTAL 650 Note: this proposal may be withdrawn by us if not accepted within 30 days. Brand (:241�.`-r-� Year Color Workmanship 10 Year Warranty Lifetime Warranty Date Date' Z PAGE: Cl . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: 1It$6/A^ PERMIT NO. '- <)0< rt/ /0/ Ol..s- /fer , DATE Installed By: o READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW _ DetailslDescription: o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE 1/ JJ C~) I/cylj- 44u.J f A/./l.c.v- ~ .{J~~ I . . Phone: Sq, Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 01\1\ 039\ SERVICE SIZE FEEDER SIZE AMPS AMPS ( F ( /2t:;:.~,f. .......,.,. W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER A. .0 Ditch Inspection O.K. IrJfJ 1> Rough-in/cover O.K. o O.K. to conn:c0-r-o"'fe . ~,-1Fmal O.K. ~~ Site Add8/t:. ~ Installer: Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. I h NO OCCUPANCY OA USE ESTABlIS,HED UNDER THIS PERMIT $ J ~f) I Electrical Inspector Permit Fee <\ .... New Meters . WHITE - File by address '.' PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. -' GREEN - Top: Meter Dept., Bottom: City Hall Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .::? d2 cf .::r 7'-/P-Y / . ELECTRICAL PERMIT DATE Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D New Construction iF!. Remodel D Service update/alter/repair ~Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) ~Overhead . D UndergrOUn~ Voltage /2.0 ~0 D3JSL.~ Service size -bl-D Amps D Temporary D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other ~Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: c~f-;t- ()(;'&'A 4~ / . W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. ~ROUgh-in/cover O.K. D O.K. to connect service D Final O.K. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Addresg/ b {. Installer: cf PermitfReceipt No. J~ New Meters - . Notify the Dep rtm t 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Insp~riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT c::2 0 6!!? Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. .~ CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ;:)'~Ss 7//y/J'? ELECTRICAL PERMIT DATE Site Address: Installed By: c.., f;v.. Jt&w s D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: .E. 8 Owner/Business: Phone: OwnerfBusiness Address: Sq. Ft. o Residential Heat KW o Baseboard~ Furnace/Boiler o Heatpump 0 Other ~ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Undergr<~n~;C) Voltage h Q<7"rV / ~10 0 3~ Service size Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Details/Description: . cr:~ IS feQ ) ( W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~rp, Rough-in/cover O.K. ~'p5 O.K. to connect service ~ Final O.K. ./1..'L · "^ EO ~e, - ~I'~ \. t: Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: ~ '/0 E, g Installer: {) ~ PermitfReceipt No. 02.CJ..ss- New Me/fs . Notify the Depa m nt 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspec~r in Writing on the Wiring Report or the Building Permit. PHONE 457.0411. EXT. 158 or EXT. 224. J ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT , S~ r]:Q Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLV~I"IC PRINTERS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. . ELECTRICAL PERMIT DATE ..;2/ c;;l;1.... y~//~r Site Address: G ~ cE'/faf/L ,Q;<, cku</ j \ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/aiter/repair o Overhead o Underground Voltage 010 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai I slDescri ption: ,;r::~k~ . ~- W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~ Finai O.K. 1fJ;'..A Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: /6' r. Installer: c9~ , . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.04t/.IE XT.15~ or EXT. 224. 'T~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT rtJ (; .C/!:!!. Inspector .Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector. Bottom: City Hall OLVMPIC PRINTERS. INC. :J CITY OF PORT ANGELES lJGHT DEPARTMENT .. ELECTRICAL PERMIT . " . Nt? 15504 r / / ,/, Port Angeles, Wasblngton.......~m.......;...._..............m..........m....... 19....m-:> 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. ~:~::s ..:~~~i;::;.::::::::~:::::'::~::z~:;:::~~:~:::~:~~:/:~~::~::::::....;:~~~:::...~::~~:.~~.~:::::::=:;:.~:~:::~:~::::::::::::::::::::: Wiring 6'~ntractor.YJU1f(c;"!.;m......::m'~'''''':'''~:..:n;;.m By.........mm.......mm..........m...............m........... :, LIght Outlet..........::::....:."'................... I] ,- Receptacle Outlets......,._____~:':":........____.. Dryer, KW ___nn_n..._nn......u.._______n..... Range, KW mumm_.m....___. Water Heater: '/ > KW.........:..!...____n.________n.__n Heat: KW.........!....\._h____~._.....~.:.:.._..m Motors: size, volts and phase: Total Load..........__........_______.. .:' -) . ~'" .I- .. Service, volts ..:..;:"::.:.:.____:.........~............ :, No. wIres _.n___...................____......... ./, J Size wires..~:!.:~_____............----.__...-.. . " ~ Jt Main fuse .......-1:..............::.............. Enclosure ....~~___..................___..... Type of wirIng: Entrance Cable ........ Rigid Conduit ............ Meta1l1c Tubing ................ Current transformers: No. & Size....................................... Ser. No............................................... Ser. No.............................................. Ser. No............................................... Ser. No.................._.......................... Type, .of WIring: Armored Cable ............................., Non.Meta.lllc ................................. Knob & Tube....................._............ Rigid Conduit ............................... Metallic TubIng ............___............ Raceway ........n................n..........._ /, CIrcuits. LIght.....;.......n......................... Dtlllty ..........:.................................. / f I }Ieat ................:......................_...... Range ............n............................... Water Heater ............................... Motor n........................................... Dryer..............................:................._ Furnace ....=..::...............,~......_........... ',N. Total ....:.........nn..................__. Remarks:__._._u:_._.__._....__~..._..._____._.......___.!.__..._.~___:".~;.~:.-:...--.-----.-.-.-.-...__---..---......______.____.___.____._________.._.._______.__._._ <of .t":. Permit Fee , ,/,r , $.......m............................ Treas. Receipt NO........m.................. i / ' . ...~, ~ /./ ~ J. / By __"~~I...____j.:_._.._i~:.._:::__~__::~_~___~_:~..~:.__:___.:.__=___.___ 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 so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION " Address ELECTRICAL PERMIT ., . . .. ..................................................n.................................................................................... " \ N? 15504 Date.............................................................. owner.....,~.........~!....:........J.n._...:..~.:.:..~..i......::.._~.........__..................~......................._....Tenant........................................................n.......... Wiring Contractor b.............'........... .~................___.........,'~....___:::.....___......i.~m.I.~.:.~.~....~...................... By.............:................................................ NOTICE-Current must not be turned on until Certificate ot'InspectIon has been issued. If work .8 to be con~ cealed due notice must be given the Inspector so that work may b~ inspected belore concealment. 1M Olympic -Printers. Inc. OS/29/2007 01:25 13504525177 ALL WEATHER HEATING PAGE 01/02. s' ELECTRTCAL WORK PERMIT APPUCATION'- Job wired by ~Elcctricftl Contractor 0 Owner Install:nion description o Cnmm~..cial ~ Residontinl Eledrical contractor name fit\ lJ.llllmcv (illlt\n:j ~ Cllo\inq Purchll.~cr'~ m:Joilin8 :\ddrcss 1-f,1- t-r WI(} 'S-t. City P6vrf\v10e1 f~ Teleb~L{l)~:q ~\ ; Premi!lCR nwnel"~ nllmc h Uccn!lC number A\ 1II1E.l\G~\!ti Date Expire" QloltDl o New CJ Altered/Addition ~v t-~t(A:\ l.U\viY1~ . WP; Zl~q,?;(pz. FAX number I ::rOH N ~.. / AddrleSS or Inspection 13I!u E. 9J tv\ ,:*. 9ty . ~e4..lI\m Phnne nnmbc to ~chedulc inspection: - (Q iQ- Owner a,~ rlt{fined by New: 19.28.261:(1) Owner wm occupy the irtnJ:clure for 1101'0 yeor.t nfier 1Mo: eleclrical pennit i,~ finalized. (2) Owner i~ ,.etjlllrcd to hire an dedricfll contractor if ahQlJIJ sold property ;s for sole. rent 01' }P.DSP.. ^Iter reading the nhovc st.:ncmcnL. I hereby certify that I :'\n1 the OWnC1 of the above n3med property ('Ir a licensed clectriClL\ conl:r.lctar. t am mJlking the electrical ingbl. latioll or alteration in compl;<lnec with the eleetrical law$, N,E,C" RCW, Chapter 19.28, WAC, Chapter 296-46B, 'rhe Ci;y of Port Angeles Municip31 Code, :lnd Utility Spccifielltiol1S, Sit!R:Jtllre of owner, electrical c:ontr . tUv1tf711. o Cash 0 Check # ~Credit Card Vi.. Mastercard Discover ~~#_--------------- f;lee 8' Lo _ <l.dl1l0!! _ Cl NO LOAD CHANGES o Baseboard _ KW Q Furnace _KW [J Heat Pump _'Ton _ LAR Cl Fan-Wall KW Expiration Pole of card 35"co-O $.elJdee Inlormatiol\ Cl Dverll.ad Service CJ Temp Service [J Underground SarI/Ice Voltage Phase Cl 1 Cl 3 SeNice Size: Feeder Size: SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 . . r ROUGH.IN r TIJERMOSTAT r SERVICE \. Oll~ ^plllUvCU Dy I)^le ^Jlllr,wCd B)' \. Dlle i\ppnwPll9y FINAL DITCH r FEEDER . "- DM<: AflprovedB:t Dolle AJtll:fuvoo Dy DAI<: ^rr't1ve~ ~y .../ Tnspcction Area. Building or Equipment Inspected Action T:ll::en Eleotrical l):lle . Jnspector 6PJ~ 'rq~ J - Df? ==,.,:::,..,..." IJlllSlb!1l5 U W MAY 3 0 20 7 a.Jmff Dm.