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903 W 8th St - Building
Electrical Permit 903 W 8th St 11 - 1190 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-4174735 d Application Number . . . . . 11-00001190 Date 10/24/11 Application pin number . . . 842790 REPORT SALES TAX Property Address . . . . . . 903 W 8TH ST B our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4094-0000- 011 y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use (Location Coale 0502) Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 circuit remodel ---------------------------------------------------------------------------- Owner Contractor (� ------- ---------------- ---------- ---- ------ �) RONALD AND LESLIE DIIMMEL TTES THE ELECTRIC COMPANY (� 128 DIAMOND VIEW DR PO BOX 1471 L-f PORT ANGELES WA 983639437 PORT ANGELES WA 98362 ` ^1 (360) 452-0226 (360) 457-7120 V V ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit pin number 195073 Permit Fee . . . . 78.70 Plan Check Fee .00 Issue Date . . . . 10/24/11 Valuation . . . . 0 Expiration Date 4/21/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 2.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.20 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 V v INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: Z(' PERMIT WILL EXPIRE Sly;(6)MONTI-IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: &\EXCHANGE\E31JILD W G pUur.1;ti;Y HEWED _ � l CITY OF PORT ANGELES PERMIT APPLICATION OCT 2 0 2011'_ Building Division/Electrical Inspections 321 East Fifth Street—P.O. Box 1150/Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417-4735 Fax: (360) 417-4711 INSPECTIONS Date: 10—C20-11 1 &2 Single Family Dwelling Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Shee \i Yq Job Address: Building Squar o age: Description of above rnckcX a.Kck ( e vl'l w e— C! ( C. 1 r Owner information Contractor Information Name: RO V\ Ott Name: 1-�e- Co . Mailing Address:-1 z '2 lMailing Address: City: State: — City: State: Zip: Phone: 0-2Z/.Fax: Phone: Fax: License#I Exp. License#I Exp.e.f ec Tc-?*`LSL/Kff Item Unit Charge QtV Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ 'Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 1 $ 7 3, So Each Additional Branch Circuit $ 2.60 0- $ 5, aD Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp. $167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial $ .95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection - $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First'1300 Square Ft. $110.30 $ Each Additional'500'Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming:Pool or Hot Tub $110.30 $ $ ?x.70 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized..(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby.certify that I am the owner of the above named property-or a licensed electrical contractor. I am making the electricalinstallation or.alteration,in compliance with the electrical laws, N.EC., RCW:Chapter.19.28,WAC. Chapter 296-46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical-:Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check ❑ Credit Card# X Dated: C A C)^'f 01101/2010 ' .� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000796 Date 6/20/12 Application pin number . . . 200580 Property Address . . . . . . 903 W 8TH ST B ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4094-0000- REPORT SALES TAX Application type description RE-ROOF on your state excise tax form Subdivision Name . . . . . . Property Use . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . . 6580 ----------------------- Application desc TEAR OFF/INSTALL COMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RONALD AND LESLIE DIIMMEL TTES DIAMOND RFNG ENTERPRISES INC 128 DIAMOND VIEW DR 1295 BLACK DIAMOND RD PORT ANGELES WA 983639437 PORT ANGELES WA 98363 (360) 452-0226 (360) 452-9518 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF/INSTALL COMP Permit Fee . . . . 165.75 Plan Check Fee .00 Issue Date . . . . 6/20/12 Valuation . . . . 6580 Expiration Date 12/17/12 Qty Unit Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 170.25 170.25 .00 .00 �ih rel l� Z� 1 r Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a.permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings vv Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /.Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA. Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By r Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T•Fnrmc/Riiilriinn nivicinn/Ruildino Permit PREPARED 6/22/12, 8:25:32 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/22/12 --- ------- --------- ADDRESS 903 W STH ST B SUBDIV: CONTRACTOR DIAMOND RFNG ENTERPRISES INC PHONE (360) 452-9518 OWNER RONALD AND LESLIE DIIMMEL TTES PHONE (360) 452-0226 PARCEL 06-30-00-0-2-4094-0000- APPL NUMBER: 12-00000796 RE-ROOF ------------------------------------------------------------------------------------------------ PERMIT: BNOP 00 BUILDING PERMIT - NO PR FBS REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 6/22/12 JL BLDG FINAL June 22, 2012 8:20:57 AM hcatuzo. DONALD FORS 452-9518 -------------------------------------- COMMENTS AND NOTES -------------------------------------- poftT,4 BUILDING PERMIT APPLICATION_ � Print in ink L V. - CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received (q 70-t�_ 321 E. Fifth St., Port Angeles, WA 98362 Permit# �'1`C(n (360) 417-4815 fax (3 60) 417-4711 Date Approved (�- l?s Applicant _� N--os5 Phone Property Owner a� ;' Phone Prope e Owner's Address 1 �� ►c_wV.XoIJID - a�' \s ��� Contractor Contractor's Address License # $ _ q y h Z-ZExpires PROJECT ADDRESS qO 3 we,A Parcel Number L(Dt Zoning Proiect Type & Brief Description: ❑ Residential ❑ Multi-family )rc.ommercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition gRe-roof .House ❑ garage ❑ other N: :.earoff& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft.) Proposed(sq. ft.) Basement @ $ —— per sq. ft. _ $ 1" Floor 2nd Floor _ -- 3rd Floor —— Garage Carport Covered Porch Deck Shed — Other —— TOTAL VALQATION $ks goo, Total footprint of structures sq. ft. T Lot size sq.. ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load --__ # of full baths Will a fire sprinkler system be installed? Construction type # of half baths I have read and completed this application and know it to be true and correct. I am auMonzed to apply for this permit and understand that it is my responsibility to determines what permits are required, and to obtain permits pro rc wt'rKing on projects. Date���O-I� Print'Na- e llphc;ti1[ OSS __.._— `ignatur ` �✓ T:Forrs/Bui ding Division/Bldg Permit doc Tiff DIAMOND D MOForsD0 o)4NG9518 836639 1295 Blk. Diamond Rd Port Angeles, WA 98863. CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME ADDRESS fits CITY,STATE,ZIP _ SOLD BY .CASH G.O:D: GNARE ON ACCT MDS!..RETD: ` PAIDOUT :. S 1: - PRIG_ . ;,w,APtIOUN 4 5IT 1. 7 , l 1 1 11 12 C- e �� 113 14 15 16 17 777, 18 _ A-5805 T-06320146350 KEEP THIS SLIP FOR REFERENCE ELECTRICAL PERMIT CITY OF PORT ANGELES �. 360-417-4735 \ 1 Application Number . . . . . 11-00001098 Date 10/05/11 Application pin number . . . 912956 REPORT SALES TAX Property Address . . . . . . 903 W 8TH ST A Q/7 our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4094-0000- y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4 circuits remodel. Gun Shop ---------------------------------------------------------------------------- Owner Contractor RONALD AND LESLIE DIIMMEL TTES THE ELECTRIC COMPANY 128 DIAMOND VIEW DR PO BOX 1471 PORT ANGELES WA 983639437 PORT ANGELES WA 98362 (360) 452-0226 (360) 457-7120 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . ( ^1 Permit pin number 193847 v �' Permit Fee . . . 81.30 Plan Check Fee .00 Issue Date . . . 10/05/11 Valuation . . . . 0 . Expiration Date 4/02/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 3.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 7.80 ------------------------------------------------------------------------ Fee summary Charged Paid Credited Due co Permit Fee Total 81.30 81.30 .00 .00 ( ^ Plan. Check Total .00 .00 .00 .00 V Grand Total 81.30 81.30 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL 2 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION 01- Signature rSignature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING °, RTAS° , � ELECTRICAL INSPECTION � �� WIRING REPORT U N KS 417-4735 DATE PERMIT# I ECTOR 10 n OWNER/CONTRACTOR P R>.1 ADDRESS 4 q In W ` APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ .�rjAab)A. ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ?EZ►-�1 -i e�QA MW--P All�- go 3 114 -W; - I°'67�►.1`S'i 'Fl G�fiIO►I ��4`�� �-�-o7Z :5m,aytG� iz-- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.(360)452-1381 r i=trrir, 0� 44 C)_ Z) CITY OF PORT ANGELES PERMIT APPLICATION dO Building Division/Electrical Inspections Q(,l 321 East Fifth Street-P.O. Box 1150/Port Angeles Washington, 98362 4 2011 Ph: (360) 417-4735 Fax: (360) 417-4711 ELECTRICAL Date: t 0-Li- 1 1 INSPECTIONS 1 &2 Single Family Dwelling Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair* *Plan Review May Be R quer d, Please CompleteElectricalPlan Review Information Sheet Job Address: `l 0 3 � __ W S'S'T 8 Building Square Footage: Description of above Owner Imormation Contractor Information Lcnvl, 1�iwI�Mef( Name: Tie E(eGTfi' �-0_ Name: ` Mailing Address: Mailing Address: City: State: Zip: City: State: Zip: Phone: Fax: Phone:'IS 7-7190 Fax: License#/Exp. License#I Exp.Gf e T415'q K S Item Unit Charge Qty Total(Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 $ Service/Feeder 601-1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $372.50 $ Branch Circuit W/Service Feeder $ 2.60 $ Branch Circuit W/0 Service Feeder $ 73.50 _� $ O Each Additional Branch Circuit $ 2.60 _ $ �O Temp.Service/Feeder 200 Amp. $ .92.70 $ Temp.Service/Feeder 201-400 Amp. $110.30 $ Temp.Service/Feeder 401-600 Amp. $148.70 $ Temp.Service/Feeder 601-1000 Amp . $167.90 $ Portal to Portal Hourly $ 95,90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/first 1500 sf—Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Limited Energy-1 &2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy-5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: 'First 1300'SquareFt. $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ ( .30 Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized. (2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease.Permit expires after six months of last inspection. After reading the above statement, l hereby certify that I am the owner of the above named property or a.licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28,WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical.Permit Applications. Signature of owner electrical contractor or electrical administrator: ❑ Cash � Check ❑ Credit Card# X Dated: (J l �I 01/0112010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t Application Number . . . . . 11-00001016 Date 9/28/11 Application pin number . . . 714824 Property Address . . . . . . 903 W 8TH ST B ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4094-0000- REPORT SALES TAX Tenant nbr, name . . . . SABAI THAI on your state excise tax form Application type description COMM REMODEL Subdivision Name . . to the City of Port Angeles Property Use . . . (Location Code 0502) Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 2000 --------- Application desc ADD A WALL: EXPANDING 675 SF INTO UNIT A ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RONALD AND LESLIE DIIMMEL TTES OWNER 128 DIAMOND VIEW DR PORT ANGELES WA 983639437 (360) 452-0226 --------------------- Structure Information 000 000 --- ------------- Construction Type . . . . . UNKNOWN Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST ---------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . Permit pin number 192708 Permit Fee . . . . 95.75 Plan Check Fee 62.24 Issue Date . . . . 9/28/11 Valuation . . . . 2000 Expiration Date 3/26/12 Qty Unit Charge Per Extension BASE FEE 50.00 15.00 3.0500 HND BL-501-2K (3.05 PER C) 45.75 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 192716 Permit Fee . . . . 64.80 Plan Check Fee .00 Issue Date . . . . 9/28/11 Valuation . . . . 0 Expiration Date . . 3/26/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 193268 Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 9/28/11 Valuation . . . . 0 Expiration Date . . 3/26/12 Qty Unit Charge Per Extension '�� Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit r BUILDIING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: _ Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) _ PLUMBING: Under Floor/Slab _ Rou h-In _ Water Line(Meter to Bldg) _ Gas Line _ Back Flow/Water _ FINAL Date Accepted b AIR SEAL: Walls _ Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling _ Drywall(Interior Braced Panel Only) T-Bar _ INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab _ Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#ts SEPA: Parking/Lighting _^ ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES • � _ DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00001016 Date 9/28/11 Application pin number . . . 714824 REPORT SALES TAX Qty Unit Charge Per Extension on your state excise tax form BAE FEE 50.00 2.00 7.0000 EA PLSPLUMBING TRAP 14.00 to the City of Port Angeles 1.00 7.0000 EA PL-WATER LINE 7.00 (Location Code 0502) 1.00 15.0000 EA PL-SEWER LINE 15.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 246.55 246.55 .00 .00 Plan Check Total 62.24 62.24 .00 .00 .Other Fee Total 4.50 4.50 .00 .00 Grand Total 313.29 313.29 .00 .00 Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: _ Footings Stemwall _ Foundation Drainage/Downspouts _ Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line _ Back Flow/Water _ FINAL Date Accepted b AIR SEAL: Walls — Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling — Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-In _ Gas Line Wood Stove/Pellet/Chimney _ \— Commercial Hood/Ducts FINAL Date2 Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting _ ESA: Landscaping SHORELINE: _FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical _ 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 C Planning _ 417-4750 Building 417-4815 2Z I I T:Forms/Building Division/Building Permit PREPARED 2/23/12, 9:14:22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/23/12 -- ----------------- ------------ ADDRESS . : 903 W 8TH ST B SUBDIV: TENANT, NBR: SABAI THAI CONTRACTOR : PHONE OWNER RONALD AND LESLIE DIIMMEL TTES PHONE (360) 452-0226 PARCEL 06-30-00-0-2-4094-0000- APPL NUMBER: 11-00001016 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- -------------------------------------------------------------------------------------- BL3 01 10/03/11 JLL BLDG FRAMING TIME: 01:00 10/04/11 AP September 30, 2011 9:59:22 AM 1pangrle. RON 460-5630 FRAMING AFTERNOON PLEASE CALL HIM 10-MINUTES BEFORE YOU GET THERE. October 4, 2011 8:17:05 AM jlierly. BL99 01 2/08/12 JLL BLDG FINAL 2/08/12 DA February 7, 2012 10:11:36 AM pbarthol. Ron 460-5630 February 8, 2012 4:23:22 PM jlierly. finish installing panic hardware on rear exit door. BL99 02 2/23/12 JL BLDG FINAL February 23, 2012 8:27:28 AM pbarthol Ron 460-5630 *********** Late Afternoon *********************** -------------------- -C COMMENTS AND NOTES -------------------------------------- PREPARED 2/08/12, 11:28:14 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/08/12 ---------- -----------------------------—---------------------------— ADDRESS . : 903 W 8TH ST B SUBDIV: TENANT, NBR: SABAI THAI CONTRACTOR : PHONE OWNER RONALD AND LESLIE DIIMMEL TTES PHONE (360) 452-0226 PARCEL 06-30-00-0-2-4094-0000- APPL NUMBER: 11-00001016 COMM REMODEL -- ----- ----- ----- ------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------- -- BL3 01 10/03/11 JLL BLDG FRAMING TIME: 01:00 10/04/11 AP September 30, 2011 9:59:22 AM 1pangrle. RON 460-5630 FRAMING AFTERNOON PLEASE CALL HIM 10-MINUTES BEFORE YOU GET THERE. October 4, 2011 8:17:05 AM jlierly. BL99 01 2/08/12 JLL BLDG FINAL February 7, 2012 10:11:36 AM pbarthol. T l cl/IT Ron 460-5630 -------------------------- ------------------------------------------------ PERMIT: MB 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -- -------- ME99 01 2/08/12S49- MECHANICAL FINAL February 7, 2012 10:12:03 AM pbarthol. Ron 460-5630 --------------------------------------------------- PERMIT- ---- ---- ---- ------ ---- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------—-----—-------- ---' PL99 01 2/08/12 PLUMBING FINAL February 7, 2012 10:12:33 AM pbarthol. Ron 460-5630 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/03/11, 9:37:55 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/03/11 --------------------------------------------------------------------------------------- ADDRESS . : 903 W 8TH ST B SUBDIV: TENANT, NBR: SABAI THAI CONTRACTOR : PHONE OWNER RONALD AND LESLIE DIIMMEL TTES PHONE (360) 452-0226 PARCEL 06-30-00-0-2-4094-0000- APPL NUMBER: 11-00001016 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 10/03/11 LL BLDG FRAMING TIME: 01:00 September 30, 2011 9:59:22 AM 1pangrle. RON 460-5630 FRAMING AFTERNOON PLEASE CALL HIM 10-MINUTES BEFORE YOU GET THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- r CITY OF PORT ANGELE BUILDING DIVISIO b � TRANSMITTAL Cj Ov, �` To: x Fire Department X0 w ^ ❑ Other Department t V� Date — 5 Project Address a � Contact Roh �>i 1 rnme1 Phone .number(s) Permit number Project Description New Wd-kk UJO—U view-- r , ReSkumK+ i `� � and i►'� �0-1� S F ty�. '�, h i� �ex-t- ��r: ❑ New Construction Addition I Alteration Please review & return to the Building Division, Permit Technician. T.-Forms/Building Division/Transmittal ' = BUILDING/PLUMBING/MECHANICAL PERMIT APPLICATION - LONG FORM (To be used for projects that require plan review.) Date Received Permit# 111 G, A City of Port Angeles Please print in ink. Date Approved" Attn: Building Permit Technician . Approved b " J 321 E. 5`h St., Port Angeles, WA 98362 360-417-4815 fax: 360-417-4711 Credit card payments are accepted Mon-Fri 8-5 pm (no Am ican Express) Hours: Mon through Fri 8— 5 pm Cash & checks are accepted Mon-Thurs 8:30-4 pm & Fri 8: 0-12:30 pm Contact person: Phone: _ 2 Property owner: 00 / Phone: d Property owner's mailing addre Contractor's In, name: /J��� ,� / Phone: or property owner's name if he/she is doing/overseeing the work �d — �`✓�'Z_02 Z � Contractor's mailing address: Contractor's L&I license number: Expiration date: Project Address: c1a 3 Gv e g f- -►�' Project Type: a Residential Commercial li Industrial m Multi-family Project Business Name: SQ 13a -1 i -& Hi5J, S,:A.. Zoning: / for commercial, industrial, or multi-family projects) cr Parcel# Lot# 903 96 Complete only the portions of this permit that are relevant to your project. (✓) Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: (✓) Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) (✓) Prescriptive Approach —Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: (✓) Three sets of plans* (including engineering calcs, geotech reports; etc. if applicable) (✓) ivA Paperwork confirming conformance to the Energy Code (✓) For large projects, a pre-construction meeting with various City department personnel is highly recommended. To schedule a pre-construction meeting, contact the Planning Manager at(360) 417-4750. (✓) Additional information may need to be submitted including: . landscape plan, parking plan.(including ADA spaces, ramps, etc.), utilities (existing & proposed), curbs, sidewalks,.storm water plan, etc. For Additions & New Structures also submit: (✓) Site plan (8 1/2"x 11") showing all structures (existing &.proposed), setbacks, & new driveways * If an architect or engineer drew the plans or calculations, include at least one "wet-stamped" set of plans. and/or calculations. T:Forms/Building Division/Building/Plumbing/Mechanical Permit Application—Long Form (Revised 2011) Page 1 of 4 - r. Repair/Solar Panels/Miscellaneous: (explain the protect) Project Valuation $ Remodel:'(explain the prosect, includinghow the buildin space is current) beingused and what then w -y-�remodeled use will be) 1 A a ?S r, <CA G S. CAI 58 Project Valuation $ o 2v (✓) If the space will change!from commercial to residential, submit: "Checklist—Converting Commercial Space into Residential Space" Addition: (explain the project and complete & submit page 3) Maximum height of the new addition feet Project Valuation $ New Structure: (explain the proiect and complete & submit page 3) Maximum height of the new structure feet Project Valuation $ PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, .replaced, or altered) Check one: No Yes (✓) If yes, complete & submit page 4 "Plumbing Changes" MECHANICAL PERMIT: Will there be ANY mechanical changes (items moved, added, replaced, or altered) Check nne: No Yes K If yes, complete & submit page 4 "Mechanical Changes" Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Ak, ) Occupant load #of full baths Will a fire sprinkler system be installed? lVo Construction type #of half baths *Homeowner: If you will be doing /overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials looy_4' x 2 = Project Valuation $ �G oo_00 /have read and completed this application and.knov✓,it to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, -and to obtain permits prior to working on projects. ♦. i Date -.2011 Signature_ Print Name /Il h /�,', Jeff Page 2 of 4 I Floor Areas Existing square New square Price per new footage footage square foot Basement x = $ 1s' Floor 2"d Floor 3rd Floor Garage Carport Covered Porch Deck (> 30" high)* Deck (5 30" high)* Shed Other Other Remodel project valuation TOTAL VALUATION $ *Walking surface of the deck above ground For residential building projects the minimum uare foot val tion we accept is: Dwelling $85.00 per sq. ft. garage/utility/ isc.structure $3 . 0 per sq. ft. porch/deck/carport$12.00 per sq. ft. LO COVERAGE & SI COVERAGE Lot coverage is the amount or p cent of ground area on which bui Ings are located. It includes: houses, garages, carp s, covered patios, cantilevered porti s of buildings, roof overhangs that are longer than 30-inches; uncovered deck or porches having walking surfaces high than 30-inches off the ground, etc. Total footprint of structures sq. ft. = lot size q.ft. = Lot coverage Site Coverage is th amount of impervious surface on a parcel, including str tures, paved driveways, sidewalks, patios, and other imp ious surfaces. (see Port Angeles Municipal Code 17.94. 35 for exemptions) Does the project i lude a new driveway? ❑yes kL no If yes, what will t driveway be made of? ❑cement ❑ asphalt ❑ gravel ❑ oth r (NOT : 18 feet is the recommended minimum driveway length for residentia rojects) Does this oject include a new parking pad? ❑yes K no If yes, wh t will the parking pad be made of? ❑cement ❑ asphalt ❑ gravel ❑ other a) Total footprint of structures sq. ft. (existing & n ) b) Total concrete, asphalt, & other impervious surfaces sq. ft. (existing & ne c) Add lines "a" & "b"above to get the total impervious sq. ft. (existing & new) Total impervious sq. ft. _ .lot size sq. ft. = Site coverage Page 3 of 4 PLUMBING CHANGES Check "No" or"Yes" (and enter quantities)for each line item. Type Plumbing Changes oved Added Replaced, or Altered) Sink (hand, mop, floor etc.) No Ye _I Quantity Toilet No s Quantity Bathtub o es Quantity Shower No Yes Quantity Washing Machine No Yes Quantity Hot Water Heater No Yes Quantity Water Line (meter to structure) No Yes Quantity Re-plumb the structure Yes Quantity Sewer Line o Yes Quantity Backflow Prevention Device Types: Beverage Machine No Yes Quantity Landscape Watering System No Yes Quantity Fire Sprinkler System _<2 inch line No Yes Quantity M� Fire Sprinkler System.> 2 inch line No Yes Quantity zlt l Please list all other planned lurnbing changes or additions that aren't lis above. MECHANICAL CHANGES Check "No" or"Yes" (and enter quantities)for each line item. Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit<_ 5 tons No Yes Quantity Furnace, heat pump, or forced air unit > 5 tons No Yes Quantity Ductless heat pump No Yes Quantity Wall (recessed) heater No _XYes _Quantity Baseboard heater No Yes Quantity Steffes room heater . No Yes Quantity Wood-burning stove No Yes Quantity Pellet stove No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove No Yes Quantity Gas cooking stove No Yes Quantity Propane tank set No Yes Quantity Gas line No Yes Quantity Boiler No Yes Quantity Clothes Dryer No Yes Quantity Ventilation fan (single duct) No Yes Quantity Hood & duct mechanical exhaust No Yes Quantity Ventilation system (not part.of a heating or air conditioning system) No Yes Quantity Air handler No Yes Quantity Evaporative cooler(non-portable) No Yes Quantity Please list.all other planned mechanical changes or additions that aren't listed.above. 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".,,m.vw, 1!+."... ...�'...,_ .k�';1� &ai�'.Ip �-"~�. ....... .. ....... u Clallam County Assessor& Treasurer - Property Details - 58143 RONALD AND LESLI... Page 1 of 1 Clallam County ,Assessor & Treasurer Property Search Results > 58143 RONALD AND LESLIE DIIMMEL TTES for Year 2011 - 2012 Account Property ID: 58143 Legal Description: LOTS 19&20 BL 240 Geographic ID: 0630000240940000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 58 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location . ._ Address: 903 W EIGHTH ST Map sco: � PORT ANGELES,WA 98363 Neighborhood: PA West Comm Map ID: 2 Neighborhood CD: 5155000 Owner Name: RONALD AND LESLIE DIIMMEL TTES Owner ID: 21593 Mailing Address: 128 DIAMOND VIEW DR %Ownership: 100.0000000000% PORT ANGELES,WA 98363-9437 Exemptions: Taxes and Assessment Details r Property Tax Information as of 09/15/2011 Amount Due if Paid on: 1, NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on"Statement Details"to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 152819 $2044.78 $2044.70 $0.00 $0.00 $2044.78 $2044.70 Statement Details 2010 41110 $2037.58 $2037.55 $0.00 $0.00 $4075.13 $0.00 i Values Taxing Jurisdiction Improvement I Building _. Property Image _. .e__ __ _ --- __.. _... Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version:9.0.32.2200 Database last updated on:9/15/2011 3:46 AM ©2011 True Automation,Inc.All Rights Reserved.Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=58143 9/15/2011 t CITY®r-POPT Pst LF,; The Issuance 0-this Permit based upon these plans,specifi- _ cations and other data shall net prevent the building of ' e a from thereafter requiring the cornct°on of errors in said r Pla='s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances es of this jurisdiction. f,pproval Date d By x,00 � ertri '1 c �tl �h bd c�/J a b 9 Arw {" f7 `� -� Cow q bo, p p p P, p -4 707 pj'k%-'q .kppR(-')VFr) BY 14 0a,, PoliT ANGEL �4 q.AAA 1 CXR zoo" mos-r st'1%KS3 %4 ___ �—� �� k , � ! r Y n f/ s�. � - - ,� � �� v� `� L�f r /� �� �� ((�/((f G- I �b ��� --�' CERTIFI . T O'F-- CUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use.For the following: Use Classification: BUslncss Building Permit No.: 05-372 Business Name Sabal Thal U Group: B Type of Construction: V-N Use Zone: CA Owner of Business:Victor Posten Address: 903 W. 8th St. Port Angeles, WA. 98362 Building Address: 903 W. 8`h St. Port Angeles, WA. 98362 November 16, 2005 Building Official Date F' Post o -Mcuous place. No.56 Shall noy Building Official. ROUTING SLIP , _ -3 POAr4N A Qh D441 pa�� Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE �� "U New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( ) ,-4 `� � S '_ �` E� _ Change of Ownership Applicant } I t 'J���ck; V-1 New Building ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address "lv`� -7TA Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ,,j�A LV'JC_)lo Temporary Business . . . . . . . ( ) . . . . . . . . . . . . . . . . OO Phone: business� '�� home"� . ' Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) r Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: �4 .- `1-4cw.. Zoning Classification of Property: V WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . ......... ......... . ...... ef' PERMITS BUSINESS LICENSE Electrical changes.............................. 1) Building 1) Taxi Mechanical (heating, cooling, stoves).. . . . . . ....... 2) Plumbing 2) Peddlers Plumbing changes ... . ......................... 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . ....................... 4) Mechanical 4) Pawn Broker New septic tanks... . . . . .. . . .................... 5) Sewer 5) Dance New sewer service . . . ..... . . ................... 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons. .. . ................ 7) Driveway installation 7) Fireworks Is this a home occupation? .. . . . . . . .............. �_ 8) Curb installation 8) Ambulance Excavation of filling of lots ... . . . ................. f 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . ........... ....... 10) Water meter installation 10) Other Is there sufficient off-street parking? ...... . . . . . . . .. 11) Fire New driveway openings .. . . . . . .. . . . . . . . . . . .. .. . . 12) Occupancy A grading plan for site drainage... .. . . . . . . ........ 133j'�8ign (parking lots, downspouts, etc.) ...... .. .......... 14) Shoreline Are the existing streets paved? ................... 15) Home occupation Are there existing sidewalks?..................... 1-11 16) Conditional use Is there curb and gutter? . . . . . . . . . . . ............. 17) Other Other. . ... . . . . . .. . . . ... . . . . ... . . . . ............ I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: APPROVED REJECTED Comments / Condition Building Section Public Works Department 11 Planning Department I Fire Department _`� City Clerk —s L, P.B.LA. ` ROUTING SLIP _ 7� 1 7-149191 ���yv�Certificate of Occupancy 3 $47.00 Certificate/Inspection Fee DATE 'Q—A0 "dam New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( ) 'q01b 1.14 `01j O A Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant vfzv (Mur ) "f2l/� New Building ( ) Address C10`) W %TN _Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) \_J CA q` to Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) AW) Phone: business Qbk home ._0 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: %.o U`" 'WCA i Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: ' WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes..... . . . . . . . . . ...... . . .. ... PERMITS BUSINESS LICENSE Electrical changes.. . ......... . . . . . ........ . . ... 1) Building 1) Taxi Mechanical (heating, cooling, stoves). . . ....... . . .. 2) Plumbing 2) Peddlers Plumbing changes ...... . .. ....... . . ....... . . . . 3) Electrical 3) 2nd Hand Dealer New or relocated signs..... . ................ . . . . 4) Mechanical 4) Pawn Broker New septic tanks.. . ....... ......... . ....... . . .. r 5) Sewer 5) Dance New sewer service . . ...... . ......... . ...... . . . . 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons.. ....... . ....... ... llo� 7) Driveway installation 7) Fireworks Is this a home occupation? .... .. ...... ......... . 8) Curb installation 8) Ambulance Excavation of filling of lots ..... . ....... . ......... 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way... . .. ..... . ........ 10) Water meter installation 10) Other Is there sufficient off-street parking? . ........ ...... 11) Fire New driveway openings .. ....... . ....... . ....... r 12) Occupancy A grading plan for site drainage... . ........ . . . .... �ign (parking lots, downspouts, etc.) ... .. . ....... . . . .. 14) Shoreline Are the existing streets paved? ..... . . ....... . . ... 15) Home occupation Are there existing sidewalks?........ . . ........ . .. 16) Conditional use Is there curb and gutter? . . .......... . . ...... . . . . 17) Other Other..... . .......... . . .... ...... . .. ....... ... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: i AP ROVE REJECTED Comments / Conditions r fL Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. u+�f pe�• Q"� CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 e r 0" (206) 457-0411 PERMIT NO. C3 7�3 DATE ELECTRICAL PERMIT Site Address: ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: /�'r nC,ll License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE OVERHEAD SERVICE COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERG QUND E VICE ❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: GFJ ❑ FURNACE KW ❑ REMODEL S SINGLE PHASE ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ THREE PHASE ❑ HEAT PUMP KW SERVICE UPGRADE/REPAIR SERVICE SIZES AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ® El Rough-in/cover O.K. ,O.K. to connect service ❑ Final O.K. Site Address: Permit/Receipt No. D co. � Gt/es�s,�i //,�pa 371-5 Installer: New Meters Date: C/ zld L 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 Buildin ermit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT @ ^O ' W C—JC/ lectrical Inspector Permit Fee WHITE—File by address YELLOW—file by number PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. PORT qN ELECTRICAL INSPECTO®N cF`m� WIRING REPORT 457.0411 Ext! 158 4 I C2TY L1G� INSP4CSDR' PERMIT If G� II DATE OW E ICONTP C ADDRESS NOT APPROVED APPROVED El . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 11❑ ROUGH IN/COVER . . . . . . . . . . . . . . El ❑ SERVICE . . . . . . . . . . . . . . . . . . ❑ . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: c6C,E O C ) s � s ct f C1 �l5 ��t ee —1 N l� Y✓Tif pf� ils Mu ; L115 r vI 7(' yvvV4-tn7 t'l nrC13 J P CAn �P �. N�-Lp ROvsd vi i awl 2 Gv�t R f q j_4 k J ZZ� 2� wa NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS.INC.(209)4521301 F j04 PORT CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO, / 7I ELECTRICAL PERMIT DATE Site Address: LGt n READY FOR WILL CALL FOR INSPECTION INSPECTION Installed By: License Number: Phone: y ( . Owner/Business: Phone: Owner/Business Address: n / 1 Sq. Ft. 7 0 ❑ Residential ,New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard [1Furnace/Boiler ❑ Service update/alter/repair Voltage ���/ '110 ❑ Heatpump ❑ Other 19 10 ❑ 30 `Vr.Commercial/Industrial load ❑ Add/alter circuits Service size Amps ° Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment i (attach breakdown) (list below) ' Details/Description: ,... U2 d l' ✓ L�. i�u W.S. No. Service Size—Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter //qq'' 6'� ,Rough-in/cover O.K. 7:1 Meter Department notified for installation 1��. , O.K. to connect service ❑ Fire Department notified of inspection Final O.K. n Plan Review approved/pending Site Address: Permit/Receipt No. � 171Y a Installer: ' �� New Meters Date: -� irk. (T — l 6 /7/?A<"!! 'g Notify the Department of City Light by Street Address and Permit Number when ready for inspection:aWork ? � t r_ must not be covered or electrically energized before inspection and O.K. for covering or service has.been.given ,'� t by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT 224 = ,- o - I NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ' Inspector Amount paid ?y�.%;iit: WHITE—filebyaddress YELLOW—fileby number PINK—Top: Eng,Bottom:Customer GREEN —Top:Inspector,Botom City Hall z� `.1JRT�Nr` ELECTRICAL INSPECTION � WIRING REPORT 457-0411 Ext. 158 ®4 CYTY ll�� INSPEGi� - __ NOT APPROVED APPROVED DITCH LD C ROUGH IN/COVER . . . . . . . . . . . . . . C SERVICE . - FINAL ERVICE FINAL . . . . . . . . . . . . . . . . . . . . ❑ i CORRECTIONS NEEDED: C�� S ��o�?s� ��ya 0/0' / i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.(206)4521381 ti 4' CITY OF PORT ANGELES 10 // O // FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT //^ p P�✓G ' TOTAL FEE VVVV CONT.LIG NO. I TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 3 1 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG,AADD/DRES ES ARE CANCELLED T Owner LES L i f � :H ,r t Installation By /'11 4P.e�w..�r Owner's Address -qo 3 W 4'f�� 'Installers Address p23 FS 1,1J Sf7 5 Day Phone Installers Phone /—f-7s--G/ Sq IApplication is hereby made for Permit to install Electrical Equipment as follows: l-lJl Q rB A d . Te Wiring Method 'ex NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 10 0R FEE USE OF CIRCUIT PER 1 00R FEE CIRCUITS CIR 10 30 CIRCUITS ClR 10 30 LIGHT SIGN LIGHT 50 VOLTS - OR LESS CONVENIENCE - - MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLARALARM ® RANGE MISC. I OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE# FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC - - BASIC FEE ELECTRIC HEAT TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT ' AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A W G SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made AP! �1g� By ���7 CONTRACTOR OR OVIINER(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT ® Date Permit Issued PLANS APPROVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. 1 WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY Duplicate PINK-Triplicate WHITE CARD-Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS 1/\ Z Q Q N_ S H Z_ W -C aT UP l ►-rto &-M 3 0 z 0 0 i i n 2 IL I O.K.FOR COVERING FINAL O.N. I , i I 2014.06-14 07:04 CASCADE ELECTRIC 3603799043» 360 417 4711 P 111 r CITY OF_PORT ANGELESPERMIT APPLICATION RECEIVED 4, Building DlvisionTlectrical Inspections \ ,� 321 East FIFth Street—P.0, Box 11501 Port Angeles Washington,98362AU 13 2114 V" Ph.(360)417-4735 Fax:(360)417-4711 ELEC7RIC4 Date;• / _Multi-Family or Commercial" 9i E i -lS Plan Review May Be ul ed ease eta Electrical Plan Rgvti informati n See / y Job Address; F?,..( 1 f �f ) �1 Building Square Footage; Descripllon of above Omer Information/1 Contra r InPormat on Neme;— —<A M e Name- �' 7 A + L Mailing Address; Mailing Ad cess !-�ty _ City: State; Zip: City:_ state: Zip; Phone; Fax: . Phone; License#1 EMp, License#!Exp. ROM Unit Charge Total(Qty Multiplied by Unlit Chanel Service/Feeder 200 Amp. $132.00 $ ServicelFeeder 20 1400 Amp. $160.00 $ Servi 04@der 401.600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ _ ServicelFeeder over 1000 Amp, $410,00 $ Branch Circuit WI Service Feeder $ 5.00 Branch Circuit WIO Service feeder $ 74.00 $ � Each Additional Branch Circuit $ 5.00 $ Brancfi Circuits 14 $ 86.00 �_ $ Temp.Servicel Feeder 200 Amp. $102.00 _ $ Temp.Sefvice/FeWer 2C1.400 Amp. $121.00 $ Temp,ServloelFeeder 401.600 Amp. $164.00 Temp.5ervicelFeeder601-1000 Amp $185,00 Portal to Portal Hourly $ 96.00 $ SignlOulline Lghting $ 88-00 $_,w. Signal Circuitl Limited Energy-Mulli-Family $ 64.00 _„ $ Signal CircuiU Limited Energy I First 1500 sl-Commen ial $ 96.00 $ _ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 5e.00 $_ Note:$5.00 for each additional T-Slat $ � •G`1 Total Owner as defined by RCW,19,28.261:(1)Owner will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is required to hire an electrical contractor if above said property Is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,N,E,C„RCW.Chapter 19,28,WAC.Chapter 296.468,The City of Port Angeles Municipal Code,and Utility Specifications and PANIC 14,05,050 regarding Electrical Permit Appfications. Signature o r,electrical c ctor leclrtcal adminlatrator. 0 Cash 0 Ch r 4'CreditCardK _ Dated: - S ELECTRICAL PERMIT CITY OF PORT ANGELES - ________360-417-4735---- - -- - -- -__ - --- -- ---- --- Application Number 14-00000963 Date 8/14/14 \ r{ Application pin number 3B0902 idr Property.Address 903 W BTH ST B ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9094-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY Subdivision Name on your excise tax form Property Use to the City of Port Angeles Property Zoning . , . , • , . COMMUNITY SHOPPING DISTR (Location Code 0502) Application %laluation , , . 0 f v 1 Application desc Ductless heat pump ---------------------------------------------------------------------------- Owner Contractor RONALD AND LESLIE DIIMMEL TTES CASCADE ELECTRIC & VAC INC 128 DIAMOND VIEW DR PO BOX 369 PORT ANGELES WA 983639437 PORT HADLOCK WA 98.339 (36C) 452-0226 (360) 379-5347 ---------------------..w_._---. Permit . , . , . , ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee 00 zssue Date 8/14/14 Valuation . . , . 0 Expiration Date 2/10/15 Qty Unit Charge Per Extension SASE' FEE 86,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 66.00 .00 00 Paan Check Total .00 'Co .00 00 Grand Total. 86.00 86.00 .00 DO INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL I COMMENTS: 9 PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEISIJILDING