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Home My WebLink About114 E 6th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 12- 00000951 Date 7/30/12 Application pin number 026838 Property Address 114 E 6TH ST 114 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 6610 -0000- on your excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Fire alarm panel Owner Contractor HOUSING AUTHORITY OF CLALLAM PERFORMANCE SYSTEMS 2603 S FRANCIS ST 7324 SW DURHAM RD PORT ANGELES WA 983626710 PORTLAND OR 97224 (360) 681 -8971 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 96.00 Plan Check Fee .00 Issue Date 7/30/12 Valuation 0 Expiration Date 1/26/13 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 7/30/(2— FINAL 13 2- f COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING 0 r "iii R ECE1�� `,s N CITY OF PORT ANGELES PERMIT APPLICATION JUL p; i'�- O Building Division/Electrical Inspections L-= 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 CCECTRICA --S) Ph: (360) 417 -4735 Fax: (360) 417 -4711 INSPECTIONS Date: 2� '2— Multi Family or Commercial* Plan Review May Be Re uired Please C nplete Electrical Plan Review Information Sheet b Job Address: )1 L i t 1 p ort- ngele,s, t,o k 9 R 3 67,_. Building Square Foota.e: 9 Description of above F` �i. A. IN. 1 I. s,. b t Stis- e Vi1-109– VAn1,Fa Owner Information n e,, Contractor Information Name: W N�NSt)kA A 4 PMhor`. Na me: f�D -t-& xe S S' Mailin Address: l it E. QO Y Mailing Address: 4, PO 6c-Nt. t RH City: 0 r Angt tQ- SState:(4b Zip:el 83,14:2_ Citye, Az-Ntor State: t j Zip: Phone: Fax: Phone I-1NA Fax: S :2- 04 License Exp. License Exp. vv-e_FDS M Item Unit Charge Cli Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 132.00 Service /Feeder 201 -400 Amp. 160.00 Service /Feeder 401 -600 Amp 225.00 Service /Feeder 601 -1000 Amp. 288.00 Service /Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp. Service /Feeder 201 -400 Amp. 121.00 Temp. Service /Feeder 401 -600 Amp. 164.00 Temp. Service /Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign /Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 1 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, el trical contractor or electrical administrator: Cash Check Credit Card X C94. L-, Dated: 7 i 0110112012 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Sidewalk closure for painting building Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 Permit Additional desc Permit pin number 154138 Permit Fee 110 00 Issue Date 9/24/09 Expiration Date 10/21/09 T \Policies \1102 15 [10/08] Qty Unit Charge Per 2 00 55 0000 HR PW INSPECTION Qty Unit Charge Per Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000985 653290 114 E 6TH ST HSE 06 30 00 0 1 6610 0000 PUBLIC WORKS UTILITES Signature of Contractor or Authorized Agent Date COMMUNITY SHOPPING DISTR 0 Permit RIGHT OF WAY Additional desc SIDEWALK CLOSURE RUP #09 46 Permit pin number 154112 Permit Fee 75 00 Plan Check Fee Issue Date 9/24/09 Valuation Expiration Date 10/21/09 Contractor PUBLIC WORKS INSPECTION BASE FEE Plan Check Fee Valuation Special Notes and Comments 1 Cannot block on street parking in excess of 40 feet in length at any time 2 Must use MUTCD approved sidewalk closed signage at all times a lift boom is in use and must have signage inspected and approved by City inspector before work can begin 3 This permit expires 28 days after issue date Charged Paid Credited 185 00 185 00 00 00 00 00 185 00 185 00 00 Date 9/24/09 ALDERGROVE CONSTRUCTION INC 336 BENSON RD PORT ANGELES (360) 457 2067 WA 98363 Due Extension 110 00 00 00 00 00 0 00 0 Extension 75 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 her certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordina -s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume t•, gi author' .to violate or cancel the provisions of any state or local law regulating construction or the performance of constructi Signature of Owner (if owner is builder) Date CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION INSPECTION TYPE DATE PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE TA\Policies \1102 15 [10/08] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ACCEPTED YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS Owner Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD 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 HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 983626710 ELECTRICAL ALTER EL SVC OFFICE 110122 ELECTRIC SERVICE 46 00 10/23/07 4/20/08 07 00001011 095152 114 E 6TH ST HSE 06 30 00 0 1 6610 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 RESIDENTIAL AC CIR Plan Check Fee Valuation Qty Unit Charge Per 1 00 46,0000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited 46 00 46 00 00 00 00 00 46 00 46 00 00 Date 10/23/07 WA 98362 Due 0 0 Extension 46 00 00 00 00 �,l INSPECTION EL hCTRICAL TYPE DATE RESULTS IN SP EC TOR DITCH SERVICE ROUGH IN FINAL COMMENTS 8 -BD- 07 ,4✓,2.0�.� Job wired by Electrical contractor name License number Date Expires f to rlr' C n c@ hc_ F L EcTs t 13. Purchaser' mailing address Purchaser's mat mg a (Do nc e„ "/g3Ga_ City .1 0 State ZIP Telephone number L.1 FAX number Cir 'Premises owner's name v S e Address-of inspectio I 1` City pL t t Phone number to schedule i ection I Electrical Contractor Owner hu rl of C1 edict ra, Owner as defined by RCW 19 28.261 (I) Omer 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. 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 instal- lation 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. /Signature electri I contractor or electrical administrator Date ;Z7 `l Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAN Fan -Wall KW Date Appr ved By FINAL 304_7 APp_ Inspection Date Asir, 2 R 2Inn7 LIGHT DE'T. Date Date Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360 417 -4735 ROUGH -IN THERMOSTAT DITCH Area, Building or Equipment Inspected Cash Check Credit Card Visa Card 1_ Expiration Date- f card Appr ed By J Date Approved By J N Date ELECTRICAL WORK PERMIT APPLICATION Q r /Installation description Commercial rtesidential New New Altered/Addition 1 Ca v'co i+ c cLL✓' Cam_ 1 o PC/ Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Action Taken Inspection fee Discover Service Information Approved By FEEDER Appr ed By Electrical Inspector Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 983626710 ELECTRICAL ALTER EL SVC 1 4 CIR 100172 ELECTRIC SERVICE 46 00 5/14/07 11/10/07 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 46 00 00 46 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000433 055247 114 E 6TH ST 114 06 30 00 0 1 6610 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Paid Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 RESIDENTIAL 46 00 00 46 00 Plan Check Fee Valuation 4 ALT CIRCUITS Credited 00 00 00 Date 5/14/07 WA 98362 Due Extension 46 00 00 00 00 00 0 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH I. I I giC2 ROUGH -IN COVER I114- 7 I 1 I SERVIC FINAL 0-4-5 07 LAO GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO 1 I 1. I ,1 I 1 I I COMMENTS ..*-1102.1S [mil /Installation description Job wired by >k Electrical Contractor Owner Electrical contractor name License number Date Expires E LF CTSZ Purchaser's mailin ddress &2 ray et) r a,f Rd City State ZIP, oak flv t_ _,ets 1X ft l8•3 G Telephone number FAX number S loot_ Address of inspection t (d Phone number-to hedd in 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. 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 instal- lation 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. /Signature of owner elecjlrical contractor or electrical admii1istrator City Inspection Date x.52 6 HECE APR 13 2 UGHT DEPT 4 p roved By FINAL Appr ed By X I l�n?Nitd 7' fl�l... �l Date. Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7 ROUGH -IN Date 7 Date DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION Commercial yi Residential New Altered/Addition c1 irc_vti 1 Cash Check Credit Card Visa Card K.- Expiration Date f card Overhead Service Temp Service Underground Service 00 AM 360- 417 -4735 THERMOSTAT Appr ed By Date Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Action Taken Discover Inspection fee Service Information Approved By Date Appr ed By FEEDER Approved By Electrical Inspector w "-'L,~~~\t~-:i*J.2;.~,~~U.t~l"",j~~ :~"i:5~:::~:;;.1~t~fs;';i:~1{;;''di::~~~;,,~~~C~15:~;~];,{,cj}~~t~;t~t;1:;-~~:~:gEf\;:i:'2i~~~>',~~{y~~"N.I;t~)3I:1j~:Z~S:'&;i::L;.L . 0.-,:-1:.:',:; _,ro-' . ..... ...,..~;.I;",;.~', '::'" ;;;:'_.U~. I~:lili CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000129 Date .915077 114 E 6TH ST 06-30-00-0-1-6610-0000- COMM ADDITION 3/03/04 COMMUNITY SHOPPING DISTR 2704 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 COZI HOMES 324 E 9TH ST PORT ANGELES (360) 452-9906 CANOPY AT REAR ENTRY ONLY TYPE V NON-RATED HOTELS, APARTMENTS TOTAL t LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 28.70 2.00 14378.00 50750.00 198.00 14576.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL REAR CANOPY AT ENTRY ONLY 106.75 Plan Check Fee 3/03/04 Valuation 8/30/04 ...r:. 69.39 2704 1.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 92.75 14.00 fTl 6" -#- Qty Unit Charge Per ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total 69.39 69.39 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 180.64 180.64 .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 cO[lstructiol1. Signature of Owner (if owner is builder) D'1!e T:IPLAl'.TNJNGIFORMSII102.15 [11/14/2003J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ]NSPECTlON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTR]CAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER A]R SEAL WALLS CEILING FRAM]NG JOISTS 1 G]RDERS SHEAR WALL/HOLD DOWNS ~ ,- '-/ J,J-. WALLS 1 ROOF 1 CEILING -..j -0" DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR ]NSULATlON SLAB WALL 1 FLOOR 1 CEILING I MECHAN]CAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: W A TERL]NE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARK]NG/LI G HTlN G ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERC]AL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENG]NEERlNG FIRE 417-4653 F]RE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BU]LDING 417-48]5 :.< - J q -/1 4 J .t... BUILDING T:IPLANNINGIFORMSI1102.15 [11/14/2003] BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: C,O z:r 1-1 c-'m...eS C DIU.S.:-f- Phone: L1 J:j:;;2- c/7 0 f~ CC ~1/V~ fhe.-1~ Phone::lj:5:J- 7b3/ E 1/ Address:20a....~ 5L)., Rf0c'CS 5;.'f-. Ity: 171.."1"+ A...:J-<.t ~ (,UfJ-. Zip: 9 ~~&J.- Architect/Engineer: ..z.,n )0 t/ Ie Phone: Contractor C () ?::r._ H V))'l~ S State License #: () tu ~k Address: ~':?;) y E cr+~ City: 9_ fl~ l--LJ A PROJECT ADDRESS: Ill/ & ~-tA~. 'FA ( t...u 1+ Owner: Phone: 4.5;;2- crt'd::, Zip: ? e.s6J- ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: D Residential 'Xf' New Constr. D Re-roof D Multi-family D Addition D Move D Commercial D Remodel D Demolition D Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: D Stove D Garage D Deck D Other tJ €ow C-V1.Jo f>/' fOL"f: SI~~~ALUATION: Iqd SF. @ $ /SF. = $ -2,761./., i ~:> SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ . tu /Ze-ff-(' c' J= bJ~ r~, COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size:M-.(D 750 Existing Sq. Ft. IV ~ & Proposed Sq. Ft. 19'~ = TOTAL Sq.Ft. li.j <::f ~ Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage 2..Q.( % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and 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: Ifno 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd APPlicantLX"n~' -;;:::'/'./':~ Date: J- D 5~ D l/ / . i / I- I I I I I I I I I I I I I I I I I I I r ~. t \ , , (\ ",S] C) ~. \ \ ''l ')< \J " (~, v "'. " ......i '" '\ "'., '-l.: \. \ L, t " <i' \...... " '1 '-'" "~' \-lJ ~ ~ '-i .~-.... "" y \ . .....' 1... I..:, "- " \ . 'o.:..l ~ ! ",~ J t I , - "'.~. 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CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT Variance Application and General Information In order to grant a variance from the standards ofthe Zoning Code, the City of Port Angeles Board of Adjustment must come to specific conclusions in accordance with Section 2.52.040 ofthe Port Angeles Municipal Code. Each of the following conclusions listed below must be made and supported by facts stated as findings: 1. That such variance is necessary, because of special circumstances relating to the size, shape, topography, location, or surroundings of the subject property, to provide it with use rights and privileges permitted to other properties in the vicinity and zone in which the subject property is located. 2. The variance shall not constitute a grant of special privilege inconsistent with the limitation upon uses of other properties in the vicinity and zone in which the property on behalf of which the application was filed is located. 3. That the granting of such variance shall not be materially detrimental to the public welfare or injurious to the property or improvements in the vicinity and zone in which the subject property is situated. Please keep these criteria in mind when completing the attached application form as a guideline to determining whether you wish to submit the application form. The criteria may also be used to enable you to focus your application on the three points which will aid staff in analysis of the proposal. Please DO NOT HESITATE to contact Planning staffin the event you have any questions. Decisions and orders of the Board of Adjustment are final per Section 2.52 of the Port Angeles Municipal Code. An adverse party must file a petition for judicial review to Superior Court. HOU::~~': '~CRITY OF CLALL;lvl COUNTY 2603 SOI.JTH FRANCIS STREET Pt'., ,i,iGELES. WA 98362 ApPLICA TION FEE Total: $225 FOR OFFICE USE ONLY Date Rec'd: Z- /1- =1 File Number: ~ "';::5K:J ... "i;4f~;~;,~" ~ ~~~. ~J:.\~r,;[ll~: \~k~" I ~~~~~'~~"~'~~;'~~'~I~J;;t I * * IMPORTANT * PLEASE READ ** "- VARIANCE APPLICATIQN Only completed applications will be accepted. To be considered complete, an application must include all of the following information: IRI A completed application signed by the applicant and the property owner (if different than the applicant). 1&1 A vicinity map showing the site in relation to surrounding uses and cross streets. ~ A site plan drawn to a logical scale (1 "=20' is good) with complete dimensions showing all property lines, existing and proposed structures, setbacks, and any significant vegetation. The site plan must be on 8 Yz" x 11" paper and prepared with a permanent marking instrument such as a black ballpoint or flair pen. (Pencil or colored pen will not do!) ~ A building elevation identifying the proposed construction by cross hatching. ~ Mailing labels (legibly typed or printed) containing the names and addresses of property owners within 300' of the proposed site. A list of the llroDertv owners may be obtained from the County Assessor's Office. o Supporting narrative information that you feel is needed. o $225 Application fee. It is important to be accurate and complete with the information regarding all aspects of your proj ect. The Board of Adjustment's decision will be based on the information contained in this application, and, if approved, will be limited to the proposal as presented and potentially conditioned. Changes to the application or erroneous information may result in the delay of your project review. Don't hesitate to ask if you have any questions regarding the permit process, time periods, or restrictions of certain applications. Planning Department personnel may be reached at 417-4750 between the hours of 8 a.m. and 5 p.m. Monday through Friday. APPLICANT INFORMATION: APPlicant:J/ERAMt'J C. SoHLBtRG Daytime phone #: .L! ~ 2 7 h 3 I E ~T II I Address: 2(,05 S, ;::RlllJc,s ST. 4bl 02-41 t.EI-L *Representative if other than applicant: Daytime phone # Address: Property owner (if other than applicant): J/Or/ .5 I ~ C lluilfC)f? 11' y 0;:: (L~ (i.. Am Address: 2{,05 S. FJ?fiJ!vL''C 5:/. Daytime phone #: Z - 7 ( ? I E"T 1/ lE INFORMATION: Street address: / / 4 , E ~ -r 1--1 :;( Legal description: L"TS 3-9 +- S 5' btH 5'T ABu""- 8L Zoning designation: Property dimensions: 350. 03 X /40 100 Property area (total square feet): 4 CJj () 0 4-, 20 Physical characteristics and current improvements (i.e., flat, sloped, developed, vacant, etc. FL,q f VARIANCE INFORMATION: What standard are you requesting a variance from? State the variance you are requesting: _ Lot Coverage ;::p,., ,,/..,... - S~~~state front, side, rear) Height >< Other (explain) ATTAC.f-.l rlJIJl)p,v To FRDNI c,v7R;fJ./6"L State the unusual property characteristics (i.e., slope, bluff, ravine, dense vegetation, other) that exist on your property that prevent you from observing the standard development regulations (attach additional pages if necessary): ~ () IJ €- SIGNATURE: J certify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of information will terminate this permit application. J have read this application in its entirety and understand that my submittal will be reviewed Jor completeness and, if found to be complete, will be scheduled for the next available Board of Adjustment meeting. Signature ~ C .~ Date 2-10- 64--- Owner (if other than applicant): Jam the owner of the subject property identified herein and approve of this a'P'Plication. Hnl t~!~,<:(-~ !.\ IJTl-!()RITY ..." '-" '-",,1 'J, ~,..J J', l' ~ " ...J. OF CLALLAM COUNTY Signature 2603 SOUTH FRA NCIS STREET PORT ANGELES, WA 98362 T:\FORMS\APPSIVanance,wpd Page 2 of 2 ,-. Date c.. - (0 - 6 4- W~1007 T"ER.JZACL / / ~f E t" TfI It?'; S Print Key Output 5769SS1 V4R5MO 000526 CLALLAM Display Device User ... Mode: INQUIRY Parcel # ~63000 * TaXpay~r L # * Title Owner # * Contract Own # Plat/condol1e Descriptio LTS AUseC 975 166 F/Bk COM F/Pg COM PCC 975 Tax Code Zoning Code Chg Rs . Land: 0010 Acres Taxable Market New/C Sr Cit Cd Lien Date 11-80 B/E Page 1 02/10/04 09:43:42 ASSRPUB3 ADOIG Real Property 01661~0000 Rng 06 Twp 30 Sec 00 Tax HOUS 5000 HOUSING AUTHORITY OF CLALLAM HOUS 5000 HOUSING AUTHORITY OF CLALLAM Auto Roll: OFF Yr 2005 Date 1/22/88 By CONV Aud/File# Loan # Unit Dock Code ~k 3-9 & S 5' 6TH ST ABUT BL TPA Lot 6/12/01 MHOP RV 04 Chg Date Chg By Chg Rs ApprCd EXEMPT EXEMPT Reval 5 PA 121 H2 L Land Use Tax Stat F/P? N Timber Total 9750 E Ac Land Improved Unimp Improvement Total AV OlAV Mob Home AV Sub Cd Int% Regular Taxable App# Agr# o Vol/Pg 583 681 0 As-Tx Yr ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000754 Date .023422 114 E 6TH ST # 114 06-30-00-0-1-6610-0000- COMM ADDITION 8/27/04 COMMUNITY SHOPPING DISTR 5000 f( ~E:O (z/?:> /C4 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 COZI HOMES 324 E 9TH ST PORT ANGELES (360) 452-9906 ADD FRONT ENTERY COVER TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Structure Information Construction Type Occupancy Type Other struct info 28.60 2.00 14378.00 50750.00 176.00 14554.00 1. 00 Other Fees STATE SURCHARGE 4.50 ~ - -1: Ft:., ~1 6" ;t ~ Permit BUILDING PERMIT - COMMERCIAL Additional desc FRONT ENTRY COVER Permit Fee 134.75 Plan Check Fee 87.59 Issue Date 8/27/04 Valuation 5000 Expiration Date 2/24/05 Qty Uill. t Charge Per Extension BASE FEE 92.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 Special Notes and Comments The proposal will result in a short porch roof being placed over the entryway to the apartments. No land use issues are noted. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 134.75 134.75 .00 .00 Plan Check Total 87.59 87.59 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 226.84 226.84 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements. This permit becomes null and void If work or construction authonzed is not commenced within 180 days, if construct/on or work is suspended or abandoned for a penod 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 authonty 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 T IPLANNlNGIFORMSI1102 15 [11/14/2003] ........- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS/~fu~~ING DRYW ALI"BERJIR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LlGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R.W ENGINEERING 4 I 7-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 I YJ. - ? .AJI . ~ L, BUILDING T \PLANNING\FORMS\1102.15 [11/14/2003] PREPARED 12/03/04, 12 13 31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 114 E 6TH ST # 114 C02I HOMES HOUSING AUTHORITY OF CLALLAM 06-30-00-0-1-6610-0000- 04-00000754 COMM ADDITION PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~ BUILDING FINAL KEN 460-0036 CANOPY OVER ENTRY ~ SUBDIV. PHONE (360) 452-9906 PHONE PAGE DATE 4 12/03/04 COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT - APPLICATION --- I Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 C l 1.-. Co ApplIcant or Agent' 0 ~ r~" Owner: Ce. ff fi Te If fTr 12- A J0-/- co Address:~bOS so.~rlr~Ity: P A ArchItect/Engmeer: 2e ,00 u r c. Phone: 45:+- QQOb Phone: L( 0;1 Contractor c~ t> L..:::I:- 3d l{ E q-t"- CIty: I Jlf c- 6-th 6+ State LIcense #: 000 p~J , ZIp" Lie l Exp: F< l< Phone: ~ S36 2- CJ 5'" Phone: Address: ZIp: ? b-36~_ ZONING: PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdivIsIOn: / Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o ResIdentIal ~New Constr. 0 Re-roof ~u1tI-farmly 0 AddItIOn 0 Move o CommercIal 0 Remodel 0 DemolItIOn o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: "/ftff ~I'_ City: MC # EXP.Dat~: SIZEN ALUATlON: o Stove (7&~ SF. @ $ /SF. = $ ~ ') o Garage SF. @ $ /SF. = $ o Deck SF. @ $ /SF. = $ o Other f~ RocF TOTAL VALUATION $ jJ.dd ,icJlcJ... 1<:?c:RSF t U ~ oJ:::::- P-pi-f COMMERCIAL/RESIDENTIAL: Occupancy Group Occupant Load' ConstructIon Type. No. of Stori" Lot Sm~ 7~ ) E''''bng Sq. Ft.1 '(.3 7Y & Pmpo"d Sq.Ft. nc. ~ TOTAL Sq. Ft. ~ '-I S:~L/ - 'Total lot coverage ~ ~ I ~ % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checkhstrequired? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The BUlldmg DIVISIOn can provide you WIth mfonnatIOn on the applIcatIOn and plan subrmttal requrrements If you have questIOns VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tills figure will be reVIewed and may be revIsed by the BUlldmg DIVISIon to comply WIth cunent fee schedules. Contact the Pel1lllt Coordmator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee IS due It must be subrmtted at the tm1e the bUlldmg pel1lllt applIcatIOn and construction plans are subrmtted All other perrmt fees are due at the tIme of pel1lllt Issuance EXPIRATION OF PLAN REVIEW: If no pemut IS Issued wIthm 180 days of the date of applIcatIOn, the application will expire. The Bmldmg Official can extend the trrne for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOn 1074 of the Umform Bmldmg Code, cm1ent edItIon). No applIcation can be extended more than once. I hereby certify that I have read and exammed this application and know the same to be true and correct I am authorized to apply for thiS permit and understand that it IS my responslbJilty to determme what permits are reqUired ,not the City's, and that I must obtain such permits pnor to work. ApplIcant: ~ L Y Date: f5 cP-o<-/ / T \FORMS\APPS\Bmldmgpermlt wpd __ - 1- _ _ '_ _ _ :_ _ _ _ _ _ _ _ _ _ _ , E ftJ~ JJ C c:. ;1 p rs ...., .) SIO f2 l(' f:o I U r.) I -r :; 1/1- E - I ~ -r 1-1 sr I <;J 'N. ~ ~ ) C -AtJoPI{~ s: Do /V4 r EX.TL/J.f) PA<r ,EXI~TltJG /3v 'L.o;N ~ 13v/L~/JV& 0 w;u c J<. ..( /NC S- f ,q ReA CovE.~ E./J / 5 HOUSING AUTHORITY -' . OF CLALLAM COUNTY c.. x IS" I)J Go. C oA/ c;e.6 .,-6 2603 SOUTH FRANCIS STREET ~~~~2 1m @ -==- CENrER ar STREEt @= CE.v:~R. 0 F. S,RE..c/ @ = CEIUTEJ€' Or S'r/flEtE/ -r a BALCO'<'/;;::S- (0 Fa,..ou,O/f71C>.U WAL-i- ~ PR6P(j5"~./) C;q/<K:>p r-- PRoPtJSc D CAt-JOP Y ~ FRoN 1: 128 $9/ REA R : 7 () sq I @= Cr~.JT,E/!. o~ S7R-P'ET /0 P~oPEh f' i-/,v&. i ~ ~ t..- ~ ~ V ~ ~ 'Q a k- @;" ~ql77' - '33 5' '" t I / II 'V. '1/ 3?-ta :-\t 'AtJDIC/JP t-~ @R'7~(/' Z 80 / ~4'l I I .... UI III ~I ..J ~ ~ ..J co .[ ." -' .~, .- _ ~. . ., - _ ~1-f,&TREE9.. 15T F~QOR , t ;. . . .' . ... . .' '_': ." "....,,. - -... -- ., - ---- -...:}" ?f:. g ~ -'CITY OF 'PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 983(,2 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 06-00001160 Date 11/27/06 768320 114 E 6TH ST HSE 06-30-00-0-1-6610-0000- ELECTRICAL ONLY , ,~,_~~: ~ :!~~~i~J~. ~~. :~, . COMMUNITY SHOPPING DISTR o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit Additional desc Permlt pln number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL' ,,~~:' ,.' HI TECH/ SECURITY VIDEO INTERC .' 89409 HI TECH SECURITY 42.20 11/27/06 5/26/07 INC Plan Check Fee Valuation .00 o "" ""- ~. Qty 1 00 Unlt Charge Per 42 2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42 20 Permit Fee Total Plan Check Total Grand Total 42.20 .00 42.20 Paid _~::dil.:d _ Due ~ ~ - 1~t4- 2- ~ 2- o-bZ,-.~~i~o- 00 ~~~ ;;::~~ ~ 0- 0- 0' I; , . ~ <.~.i!- I' ~. . .00 ." ",00 ,00 .42,20 ,00 .00 ~ Fee summary Charged ~ \~ , ., LAfvJ - -;1:y:t - -r-H ~B€ ') l' l:; 'fliO!'" ~ST ~ ~ ..,. ~...- $lt, 1'';;''' lA "'"'\ , 1','1'.1. '_), _ \'1 - ~ ~ \ ~(. COMMENTS! ACTION NEEDED ~ '!~"r~' '" ~ .If. ' .i \ (, .-\. ." ------tt.~ ~~ ii, ~.. <+~~.,. I ,of........7 t* *':-, ~"..'""'~ .~......~- -~~ - ,::i' JttM....1~~, ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.lS 14'96) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 'l' <f 17 IO/s.~f DATE ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ DetailslDescription: . o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Sq. Ft. Phone: ~ RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: oq\ 03~ SERVICE SIZE FEEDER SIZE AMPS AMPS 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 o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Site Address: Installer: New Meters Notify Port eles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspe tion 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. ,j -J' ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ;r ..3 0 ~lectricallnspeClor Permit Fee . WHITE - File by address OLYMPIC PRINTERS INC PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt! 17213 Port Angeles, Washlngtonm..m_umY_.:::/.~mm_mm.......m.u., 19.!f:<? 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 Angeies, per- mission is hereby granted to do electrical work as listed below. Address uul./f!..uc. m~.u:lA!::.u_..u__n..m.mumuuuumm occupancYu.._~.nn__.____um_u Owner uh.J!.U.,(J,1::J! c){~:f..A'-'d-uumu?#? TenanL_u.m__m__mu..__u__..__.____....m.mm.__._m..u.u___u Wiring Contractor .~--toe&.u_u~~_~q__.c..l:t?,esr... By..ummmmmuumummm.um.nm___..__u__n_muu Light OuUets...........................________..... Service, volt, -----./~.r-.~.('-..r Type of Wlrlng: Receptacle Outlets.........................___... No. wires ....~........______.....___.... Armored Cable ............................- Drye" KW ______m_______.__.____________.___._____ 5')( Size wlres___J..~..Q__L'?__(,LIf.r..(!..o Non.Metalllc ..........----.---------..------. /tJO() .. ~()" -.:Ic Knob & Tube............................_____ Main fuse ,........:........................... Enclosure ___(-='.J!:.~.........n Range, KW.......................... KW..m____________________.'.m._________ Type of wirIng: Entrance Cable ._________............. Rigid Coodult .....____................._... Metalllc Tubing __..............___.._____ Raceway ..........................._..__..._ t1. Circuits. Light.............__..__....____........___ .:< C. 4rUtllllY ------;;:t....--..---..........--....---- lIeat .........:............................._.._ .." Range ......~................................. Water Heater .;.:L........................ - Water Heater: Heal: KW................................................... Motors: size, volts and phase: Rigid Couduit ______.___________. Metalllc Tubing .___...._______.._____..... Current transformers: No. & Size___..___....___....___................. Se'. No..________......___......__.___.....__________ Motor -.-:::.-----j-.;;)..G!...........----. Ser. No. ......n..................................... Dryer ..............................................-- ....--.:::~l--.:~~:.:...:.:.:.:.::::.:::::.:.. :::: ::::::::::::::::::::~::::::::::::::::.:::::::: Furn::::l=~~ Remarks: .m_a:?"".CZ,.,~.t.?=.mc.r:r::K(}m:t....u._m.ull.iJj)__. u...t.::.~Am.mumm.mummmm_____ .. .. . ....---------....---.....-...------------------.---................---..-..---.--.....-.-....--....-.................-----...-----------..---.-..-.-.......--------------..----- .___n__n__nmmm____________n.__n__m_m.__um__n.__m.nmm.mm.muu.m.__.__.__n.__mm_mumumu;;r.~_mmmmm_u____...u__...u Permit Fee Treas. Receipt (J! y! ~ t f2. $.._u__/..S;.__f.9..u..__. No......__.__._______._____u By ..-.rff.:.u.:.!..._",...__u(&..f:::f..~:1-.~~.,""-"- ~ 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 ~- /' . ~~ ELECTRICAL PERMIT N? 17213 Address I ~. .1'~ .. .....:;JOi-. , t, '.... '. ' . ,. .' i' .............--.----...---.................................---.......--..................--.....__.._____......__......................Date..._....___..L____..........~......_......__m..... I I Owner ..................................._......_.._......_......_.._...................n.............................uu..... Tenant............................................:.....................n WirIng Contractor...................................... .............._.....................................................................By............................nn.............................. "- NOTICE-Current must not be turned on unUl Certiflcate of Inspection has been Issued. If work Is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment.' . ') 1M .&J,..Olympic Printers, Inc. FROM HI-TECH ELECTRONICS FRX NO. 360 452 8560 Nov. 152007 08: 14RM P1 o .Electrical Contractor ~<!t""'. ~J ',_". '.' ~~7-~'~ . ~~ ~t o Owner ~~;f ELECTRICAL WOIU{I'ERMIT APl'LICATION o Request lusperiion lJ AnOUlll Permit 0 Alarm q Carnival !:it Commercial 0 Rcsidl:ulhtl 0 Residential Muinl. (J Signs 0 Tbermosrar a 1i:.lecorn. Joh wi,",1 hy ~ectrical Coutral.:lor 0 Owner InslalliJlion tlescriplioll [jlt:ctrical cont(acto( llalile 1-11 ,...J:.I"I Stdc..vA' ....Y 'P-l<:- llurch:.ser's mailing address 1'-:1.3 ~'-r C. 'S}.()R.T ~e..! ~~ Telephone Dumbe.r : ~O -'-I-S"")-'2.;/-7.7 UCCllse uwnber H\~9~~~ 0\l(9~~ c;.j ~ "r'E.'M-. Svio!.\JLl\l~ t F"""-', CT. Slale ZIP w~ . 918 3t. 2- FAX number t;:I ~,. ~O -~<;;'2-t:;J;:;'''''O 2 C.l7h . Pl'emlses owner's PAUle C.l...'l.......... Cwu",,'I' ~~0.J6 - T~~ ,~~ Addr~s of inspection' " ~T~ II..... 'fMTi ~ CHy'D ,OR..... ~l'.Los... o Cash 0 Check # D0 i=', I t.- I hereby certity that 1 k the owner of the abOve named property or a licensed electrical COJltractor (or Ithe firm's authoriud agtnl) and urn making the electrical lnsra)1AtiPn or alte:r.uion'in compliance wirh the elccrrical1aw, Chapter 19.28 RCW. o Credit Card Visa Mastercard Discover ~d#________________ x Expiration Date of card Inspection. fee $ <f2.. 20 WALLS Insulation Ohly D;ltC ^pprovcd P.y CQvcr O~I~ Ajll'rov~\:l;y CEILING lnsulation Only Dille A.olPtol'Cll2y Covcr r)~t" ""~lIQV~ 8)' THERMOSTAT "- tU,lC AWo'lll'cd8:r DITOi DllI'" ApplOVDtlDy SERVICE 01.10 Approved fly FEEDER "\ Pal'/l Appr"ved By Electrical Load Additions and or subtractions IJ NO LOAD CHANGES a Baseboard KW o Furnace _ KW o Heat Pump _ Ton _'.~~ lAR o Fan6Wall KIN Service Information o Ovefhead Service o Temp Service o Underground Service Voltage PhaseD' 03 Service Size: __ Feeder Size: Il1spcction D:llc Area. Building or Equipment Inspected Action Taken Electric~l lnspcctor AL- '^' j : .r. .1 I APA:CATION FOP. ILDING PEPMITAND CERTIFICATE OF OCCUPANCY DEPARTMENT OF PUBLIC wOR b -CITY OF PORT ANGELES WASHINGTON e tloINc .)IViStON win 1-/ /77.Q 44 Applicant o fill In between heavy lines Add. B ll'dv etc,/ C c 1 AAA PC t34. 1 llcl.lfe,,d Wash N.P61 -¢ts Ir %'•■•s .i o .I mil. IteaL �l !.'o, r Red r/st,K! A/t c.•, Red ,,x.)J..k a.sA r, N. p I Be. Ileu'O,c.1 c 1?4 9 E Z N' BF LL C. 1sfr37 NA V', i14twazis c` 1 Ht1YU[�1 Add. f101 P :J I 1, 1e Hew ..d Sy. ••,0140 Plot Plow I -t 114-17,- Gj`' q P'.p.••v Uwe t~ 4 4 ROPOSM OR EXISTING BUILDING C a 4 2 a- E c„.; 2,.)C CLASS OF WORK No_ k• I L D.w.erth Ahnotioll Pope Add; Mow U. et r n� L p tez,iy Nes& beikd'mR 5,' 1(Zt'E`± Mr. °h :33 H. of roe wa 21,3 I Ne of Tamil; 4C1 No of fh. 3 I S: es of Lot ''57Set0 No o4r'•dgr. t. .1 elde• G Novo On let I Woo lot 5 T Bieljeg Mato ,el width e l SPECIFICATIONS FOUNDATION v- Well d r d footiog Vet 1,41 r•• He ofit p; I MoPfeiot Sit. _I Spe .R Spa^ Id '1' n. 1 Pea.1.4' .e i Z- /O___ _4' /5 %G 1 e ,t N. (p4 Z- 0,,.ie. NON Roof [.ft.ri iMHi.r Sled. 151w/ 7A z $4. D r i i.t..i« wpak f u p I Reef lf 312` 4' TM. /a, lot. .e ■wofli 6 t ix I of:,R etir- r El feer c J I hereby acknowledge that 1 have read 11tts application and state that the above is correct and a ,ree In comply with 11 (AI) Ordinances and State Laws regulating building con- ruction H wend 0.1 P1CMr °f CF mot r1,1 L B��+nuJ /44.4.491a0. LEGAL DESCRIPTION S.bd :.i.;. T N l., N. 3 le SIO N N I I- i C I J Ice Gad. o..olU P,..+.t V Y)3 fN I l i -ih 414C s •1y par A. Permit No s 434 R 4 V aIuation bv.td:.p P.....t r 'No Ck.,Nw1 re. T R.• No L I. ,.t P,• Crlr ea a A. .1 i, A 2 0 bete et. comPln .i L/ 79. Total No A..n b1e J 14, 3. eu s- ,►z A,., of Lae y, T Construction I II III IV C1{, FR HT N )se Zone c 5 D-C Z Occup..icy Group A E I H B N 2 3 d 5 Fire Zone Date Permit ;atom f2 /I f? t ti -7.sdl; I s /7Se 'll So 4 AP .ROVEI�,J D. ro. of o•pe, of In.p.,t. SPECIAL and UNUSUAL t CONDITION>T TI_. —nTt 1 a 1 /o c Y c Gl c''ts'. c /7' rn Iv 7 f 1 2. Coe e itt d r rea"Seel P IG,.,_s aa.5y I c a •t►iS •.Su u f h t {/v4 n.� o•f E a 6-1 h S4. /ru—A be' p► C t t-C C.c,n 1 .4 i• •=•'',.,:f:i. .1 f i .1 1 4,1 1 t•I'!: ''''.4"..=','-'6 ,.:.1. -;•tt*, t I: 7- ''l c v P',. T i 1 't r 7.. 4r. ",:t■-t■ ./,'-o.,.,71:, liV -1.;%-'11'" '7, i 7.-1' 7 vot: ct 4* f LI Y OF 'POR ANGLES DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION REQUEST 4 FOR INSPECTION ...o Thn Received bricii‘ (phone, person) telIV: _24t5 .7 i Location of Work to he inspected ii llit it...... Name if person requesting insPattion Phone No, Permit ..'P, Inspected: Dote Remarks: N 0'a..." g 7 .4 4 Address of person requesting InsPection, Typo of Inspection (circl• appropriate one)t Sewer ‘Foundatiairr; Priming Chimney. Plumbing Other ft *Alt i ft Th Or; ky„f■ 7r r Ib .4'