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HomeMy WebLinkAbout629 E Front St - BuildingCERTIFICATE° PF OCCUPANCY City of Port Angele5.f- B °iuiiding.. ®ia�ision This certificate is issues .pursuant to the requirements of Section tb'of the 2006 International Building Code certifying that atahe<tinexof issuance this structure was in compliance with the various ordinances of the City regulating =building. construction° orsusefor the following: Business name `Charming Consign`m.ents (Owners JJonale and`SKaren Sargent) Business address e2'9 ',E` Front 'St. Property owner William E.1E1ton Property owner s add ress 154 Strait Dr °Poft Angeles,` 98362 Automatic fire sprtink7er Per Use occupancy classif cation. Mercantile: Occupant load. Per, 20`06 :AFB :a Table 1':.O4 1a Building permit numb Type of construction. 06/08/10 Date Post on the premises in a conspicuous place. This.certifcate „shallvot be removed except by the Building Official. 6 Ca Le ji 5- 10 7 PREPARED 6/01/10 8 44 08 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES DATE 6/01/10 ADDRESS 629 E FRONT ST SUBDIV TENANT NBR CHARMING CONSIGNMENTS CONTRACTOR PHONE OWNER WILLIAM E ELTON PHONE (360) 457 8704 PARCEL 06 30 00 5 1 4080 0000 APPL NUMBER 10 00000109 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/25/10 JLL BLDG FINAL TIME 01 00 5/25/10 DA May 25 2010 8 42 45 AM 1pangrle NO NAME WAS LEFT 452 9863 BUILDING FINAL CHARMING CONSIGNMENTS AFTERNOON May 25 2010 4 25 49 PM jlierly ADA grab bars shall be installed per code hand rails on steps and ramps shall be returned to post at each end and each side/j11 BL99 02 6/01/10 BLDG FINAL June 1 2010 8 01 47 AM pbarthol V Y 452 9863 COMMENTS AND NOTES PREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 629 E FRONT ST SUBDIV TENANT NBR CHARMING CONSIGNMENTS CONTRACTOR PHONE OWNER WILLIAM E ELTON PHONE (360) 457 8704 PARCEL 06 30 00 5 1 4080 0000 APPL NUMBER 10 00000109 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/25/10 BLDG 5IN TIME 00 2010 42 May 25 2010 8 42 45 AM 1pangrle NO NAME WAS LEFT 452 9863 BUILDING FINAL CHARMING CONSIGNMENTS AFTERNOON COMMENTS AND NOTES •:4 BUILDING DIVISION CITY OF-PORT ANGELES Correction Notice JobrLocated at C.ant Inspection of your work revealed that the"following is not in accordance with the codes governing the work in this jurisdiction ?0 cc_ 4, Poo lDesi. r\ These corrections -must be made an Are not to be covered until reinspection is made i corrections have tbeen made, please call for inspection Date C Xr vylnspector for Building Division DO NOT REMOVE THIS TAG t4r-o-o-go&utk-, z., PREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 629 E FRONT ST SUBDIV TENANT NBR CHARMING CONSIGNMENTS CONTRACTOR PHONE OWNER WILLIAM E ELTON PHONE PARCEL 06 30 00 5 1 4080 0000 APPL NUMBER 10 00000035 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 1/22/10 JLL BLDG C/O FINAL TIME 01 00 1/22/10 DA OVERRIDE TAKEN BY LPANGRLE DATE 01/21/10 TIME 15 01 36 January 21 2010 3 00 04 PM 1pangrle KAREN 360 808 3761 C OF 0 FINAL CHARMING CONSIGNMENT AFTERNOON (PLEASE INSPECT BEFORE 4 00 PM January 22 2010 4 42 39 PM jlierly verify change in occupancy/j11 C099 02 5/25/10 BLDG C/O EITAL BIME O1 ---A4 OVERRRIDE TAKEN BY LPANGRLE DATE 05/25/10 TIME 08 46 19 May 25 2010 8 45 32 AM 1pangrle NO NAME WAS LEFT 452 9863 C OF 0 FINAL CHARMING CONSIGNMENTS AFTERNOON COMMENTS AND NOTES 0-e„1-2_ Le, Pe)sA— fQ caetz l P*G 6 9-4 e) e.,2 &L./ ‘a. It Hsu E Sk0 c'racL 01/4v L_ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000109 Date 3/05/10 Application pin number 368986 Property Address 629 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 4080 0000 Tenant nbr name CHARMING CONSIGNMENTS Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 800 Application desc ENLARGE FRONT DOORWAY ADD AN ADA RAMP ETC Owner Contractor WILLIAM E ELTON OWNER 154 STRAIT VIEW DR PORT ANGELES WA 98362 (360) 457 8704 Structure Information 000 000 ENLARGE FRONT DOORWAY ADD RAMP Construction Type UNKNOWN Occupancy Type MERCANTILE Permit BUILDING PERMIT COMMERCIAL Additional desc ENLARGE FRONT DOORWAY /ADD RAMP Permit pin number 160341 Permit Fee 59 15 Plan Check Fee 38 45 Issue Date 3/05/10 Valuation 800 Expiration Date 9/01/10 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 3 0500 HND BL -501 2K (3 05 PER C) 9 15 Special Notes and Comments The Fire Department has reviewed the project application and has no comments February 3 2010 2 50 31 PM rlarson Electrical permit is required if any electrical work is to be done in conjunction with this project Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary T:FormsBuilding DivisionBuilding Permit STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 59 15 59 15 00 00 Plan Check Total 38 45 38 45 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 102 10 102 10 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate pro sions of any state or local law regulating construction or the performance of construction. 2 3 5- I U (V AI S G PA/ Date Print Name Signature of Contractor or Authorized Agent Signature of Ow) (if owner is builder) FOUNDATION Footings Stemwall IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Inspection Type Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 1 Building 417 -4815 1 —1-16 'Tune C of 0 2- I Z- I o -t-hra u5h 3- is to Ex-Iv/1666k Torn? C of 0 3 ter, -)o F ro ugh Li 1(B 10 T E M P O R A R Y Issue Date Expiration Date Business Name Property Address Parcel Number Legal Description. Property Zoning: CITY OF PORT ANGELES 321 E 5 ST PO BOX 1150 PORT ANGELES WA 98362 CERTIFICATE OF OCCUPANCY (Revision) 02 -12 -10 03 -15 -10 Charming Consignments 629 E Front Street Port Angeles, WA 98362 06 30 00 5 1 4080 0000 LOTS 17&18 BL 40 Commercial Arterial Property Owner William E Elton, 154 Strait View Drive Port Angeles, WA 98362 Business Owner Donald Karen Sargent 1212 Georgiana Street Port Angeles, WA 98362 Application Numbers C of O 10 -035 Building Permit 10 -109 Specific Condition. Building Department At least one accessible building entrance including an accessible route to primary function areas *All door openings in the accessible route shall have 32 minimum clear opening per ANSI 117 1 Section 404.2.2 (see attachment) Provide grab bars in bathroom per ANSI 117 1 2003 Section 604 5 (see attachment) Provide an application detailing the above items for the building department. (See Attachment) *Please contact the City of Port Angeles Building Department with any questions regarding these requirements Maintain continued construction Nn a manner that does not endanger the public by restricting area's that are still under construction. Maintain exists and fire protection systems from damage or obstruction due to construction that is on going. At any time this Temporary Certificate of Occupancy may be revoked for any reason deemed by the Building Official. All adopted codes apply. If you have any further questions please contact the Department of Community Development if you have any questions 417 -4815 Approved by Math, n West. Building, Official Date VOID UNLESS SKIN ED BY HE BUILDING OFFICIAL g ik 19 -i-uy 0 vv 011- -S wt�_ 5( C U r2o 4 t (2/12/2010) Linda Pangrle Fwd Certificate of Occupancy for Charming Consignments From Nathan West To Linda Pangrle Date: 2/12/2010 1 42 PM Subject: Fwd Certificate of Occupancy for Charming Consignments Linda, FYI, See email below Nathan West 2/12/2010 6 21 AM Jim and Roger Further to yesterdays meeting I have completed my review of the facts and applicable code in conjunction with parking requirements for the Charming Consignments Certificate of Occupancy In preparation for your meeting this morning I have the following findings: 1 PAMC 14 40.090 Parking Space Requirement Modification New Uses in Existing Structures. A change of use in a building or structure that exists as of April 25, 2004, may occur without provision of additional off- street parking spaces unless the floor area of the building or structure is increased. 2. Parking Rate In review of the record on the property the parking rate associated with the building has remained unchanged. The proposed occupancy /use does not result in an overall change to the required number of parking spaces. 3 History at least three consecutive uses with no parking improvements required have been allowed in the building. When the last two occupancies occurred in the building no parking lot Improvements were required. 4 Future Increase in Sq.Ft. Any future increase in sq.ft. on site will result in a new parking assessment and required parking lot improvements 5 Future Occupancy Future occupancy changes that result in a use that demonstrates a higher parking rate may require a new parking assessment and parking lot improvements 6. On -site parking The applicant should be reminded that customers parking should be accommodated on site in the pre- existing lot. The applicant should be encouraged to provide notice to customers that parking is in the rear of the building. In conclusion, no parking improvements are required in conjunction with the Certificate of Occupancy for this business. Please do not hesitate to let me know if you need further clarification. Thanks Nathan Nathan A. West, AICP Director Community Economic Development Department City of Port Angeles (P) 360 417 4751 (F) 360 417 4711 Page 1 Attachment Building and ADA requirements 3409 4 Change of occupancy Existing buildings, or portions thereof, that undergo a change of group or occupancy shall have all of the following accessible features as per the 2006 IBC chapter 34 and ANSI 117 standard. At least one accessible building entrance. At least one accessible route from an accessible building entrance to primary function areas. Signage for accessible unisex bathroom complying with Section 1110 2006 IBC /ANSI 1171 2003 Section 604.5. Grab bars in unisex bathroom per ANSI 117.1 2003 604.5 (see below) Provide an application detailing the above items for the building department, 604.5 Grab Bars. Grab bars for water closets shall comply with Section 609 and shall be provided in accordance with Sections 604.5.1 and 604.5.2. Grab bars shall be provided on the rear wall and on the sidewall closest to the water closet. 604.5.1 Fixed Side Wall Grab Bars. Fixed sidewall grab bars shall be 42 inches (1065 mm) minimum in length, located 12 inches (305 mm) maximum from the rear wall and extending 54 inches (1370 mm) minimum from the rear wall. In addition, a vertical grab bar 18 inches (455 mm) minimum in length shall be mounted with the bottom of the bar located between 39 inches (990 mm) and 41 inches (1040 mm) above the floor, and with the center line of the bar located between 39 inches (990 mm) and 41 inches (1040 mm) from the rear wall. Please refer to ANSI 117.1 2003 for details. PROJECT ADDRESS Parcel Number Project Tye Brief Des Check all that apply New Construction Addition X Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be install Will a fire sprinkler system be install 'd? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 N o,v.e_ 1) ay Applicant )o1r1 P Koce,,>\ ,.,,.C 24,� Cek1 $d'' 3761 Phc V A- 91(63 Property Owner ''R I l 6 Phone y �j ‘g 7o Lj Property Owner's Address t. 'i Sr,2 ,r -v J be. An (ai um 9'36L. Y b o 6 Ay Contractor \1 E\ A-oz Phone ys �f ro t Contractor's Address rs Th f sn 1/,1±-1,0 /Jr' I l a�714yi e//5 w 9636 Z License Expires E -mail CO 9 -con1 c Lot cription. Residential m Emit 130y' W„ i er`1te.i7 �10 tAc_corti�. ctk Zg ,r ✓J Oerti` C,n0 `0 00' .11 -rkm0 c, -t(y+ 1)90C n?ogc hN�j h �f, tr^ rn -e th/+ ry f ZOI n \e+ut1� hng Z f a0 S od ve Cos 4 VCA 0t) Rasa 'note 1i 1 2 .o C� t �c� a �at� v 4 sn s4 �.1 CP 0-rou.nO �)flck cp i .o CO House garage other tear off re -roof lay over one layer Heat pump wood burning stove El gas fireplace- pellet stove other Existing (sq. ft.) Posed (sq. ft.) Total footprint of structures, sq ft: T Lot size Site Coverage= the amount of impe r.. s surface on a parcel, including struc and.other impervious surfaces. :ee PA C 17 94 135 for exemptions) ft. Occupancy group Occupant load Construction ty For City Use Only Date Received L Z 1© I< Permit Ib q Approved e� WfnSi jh r eN Zoning e Multi family Commercial Industrial per sq ft. nc eroclS iO LGAbo r 0 TOTAL VALUATION $OO ft. Lot coverage paved driveways, sidewalks patios :Site coverage of bedrooms of full baths of half baths 1 have read and completed this .application and know it to be true and correct. I am authorized to apply forthis permit and ugderstand that it is my responsibility to determine what permits are required, and to obtain permits prior to worf;ingorynrojects. Date L'ZI 1 ti Print Name ovr}L0 VO, SAfc T Signature J T Forms /Building Division /Building permit application Permit 1 0 1 0 6 1 T Forms /Building Divisio ,'Notes NOTES w "12 c (100d1is s �sstJ 124„.. L Lc C_ rat 4 y /1 s 1 OX-- a tY1.-L4- ti ort.4-4 iot It_ •N--- v v p F r 6)F14.4. aeLS S A e 1- h.,9 GIDOC t A A I 0"4 -7----- 0. it 1‘ i 'N' j C I q FILE re.....„.. -CITY OFRTtSco1Mu 6ir=: The issuance of this permit based upon these cations and other data not prevent the from thereafter requiring the Mention c plat speci cetions and other dsta, 0 bui ing all Codes and ordinances ions being carried en I f 1 0 ‘7 7 „i n RECIVE MAR 0 2 2010 ,_I 1 CITY OF PORT ANGEL*.'S BUILDING DIVISION y.,f) 7 0 gc ,.7.5.71)-(,./e4. r 1 Aeita )‹.o. f q3 4-ST VAT/ i) aje a vegi.oiCi ouiv„,„4„ 4‘ et% 7 I g,'1,11 PREPARED 1/22/10 8 28 59 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/22/10 ADDRESS 629 E FRONT ST SUBDIV TENANT NBR CHARMING CONSIGNMENTS CONTRACTOR PHONE OWNER WILLIAM E ELTON PHONE PARCEL 06 30 00 5 1 4080 0000 APPL NUMBER 10 00000035 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 1/22/10 LL BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 0 /2 /10 TIME 15 01 36 January 2 2010 3 00 04 PM 1pangrle KAREN 360 808 3761 C OF 0 FINAL CHARMING CONSIGNMENT AFTERNOON (PLEASE INSPECT BEFORE 4 00 PM COMMENTS AND NOTES gAf klyo-S a 4 61 14- '1.60 ra. Burs 5, J ca /so 14,0k vtutei-w.-141. Print in ink BUSINESS NAME rm In q Co s gn/Ytt'yr BUSINESS ADDRESS (,q Lr f S 7cf -4fr,ex"S I goz,e2 Zoning C Business mailing_ address Q,5' ab Phone a2 -37�/ Opening date �P:h. L 1,O/Q Days &.hours of operation. q,9en stern: Washington State Tax I D If known list the of the.previous business at this location Brief description of proposed business f{P. o .Business owner's name 0A ac o f Phone #sv -1$' ay3a Business owner's homeaddtss. /a.%a Cpcbrafaila .Sf POPE n9d1c5 /,k4 T'62- PLEA SE"NOTE 4 1>M 's cell 8.0S-12.86 A Business License`is also• required for the following businesses. Taxi Peddlers Second -hand dealer Pawnbroker •Dance Hotel Motel •Fireworks, Ambulance Tattoo shop Contact the =City Clerk at 417 -4634 for additional information. ACTION I New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use For City use only Department Building Fire PB, Planning City Clerk PL. forks CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321' E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 =4711 Call for Certificate of Occupancy inspections before ooenina business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24-hour nofice for inspections I hereby apply fora Certificate of Occupancy I acknowledge that I have read this application and state that the information. I have supplied is correct to the best of my knowledge Date_ n /2 .2n /p Print Name r4 Signature Qs ./i1 pe 1 Approved Initials date T.F ms'L'uddutc D: 'Cc Occupancy Application WILL THERE BE ANY OF THE.FOLLOWING? Electrical changes New. or •relocated signs p %o SiCirk t n S lip vt,+ Construction changes I W ilnctrDty Mechanical changes (.ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site.drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a.home occupation? Is this a second- hand»dealer or pawnbroker business? Is there off street, parking for this business? Is the street in front of.this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Rejected Initials date Type of construction Automatic fire sprinkler system required I $400 00 FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations NO/ v a n YES/ I IF YES CONTACT Eiectrical Dept. at 417 -4735 Building Div at 417-4815 Comments Conditions Occupant Load no Permit 10 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 4750.,. City Clerk at 417 -4634_ How many spaces? Please 'sign up for utility services at the cashier counter yes 1;1 vr in sce,c4e &erbv qv to Print in ink Washington State Tax I D Brief description of proposed business Rg Business owner's name jI jaf a. Business owner's home address /a ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel T emporary business Change of use Department Building Fire PBIA Planning City Clerk Pubiir Works T Forms; ©uilding Div Ce; ate of Occupancy Arplication CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Approved Rejected Initials,& date Initials date r L t 13lul �(h 111 rt �Y Type of construction O IG AL I 1 /25 io 5P. l I -Z -Ip 5N 1 $100 00 BUSINESS NAME L/r/ri /n 4 C(")/1$ l cnrmids BUSINESS ADDRESS &R e f c fir/ 4 S 9 5/ Zbning Q. Business mailing address i Ove Phone #31,6 828-37/ Opening date f�b ,a,o //d. Days hours of operation Q4m S ,ov If known list the name of the previous business at this location q it2s.52frieni Phone v- 45 s& Oeq /Chat 57` 4, 4 ieS b 4 qj6 2— PLEASE NOTE A Business License is also required for the following businesses. Taxi, Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance Tattoo shop Contact.the City Clerk at:417- 4634 ,for additional information WILL THERE .BE ANY OF T HE FOLLOWING? Electrical changes New or relocated signs paper t „c ;rip rrymy+ Construction changes W1v.An4Y Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in theCity right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge DateL/9 -i //0 Print Name /1!/) Sy led Signature For City use oily J Comments Conditions Occupant Load Automatic fire sprinkler system required no Permit FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations YES✓ IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter yes N i MINIM MUD z1 i1 )1,0) y61 br 5- 5 I let (x *11 ,i,AMO AMID WIMP M3.t `e.,.VIr►d c%•VL!r 0 )1%1 `yl 11 it S ce ANEW 8 5 4 q-l-A1 Vasa 77 712_ y-2mt! (7Qy S1 if 2 c/hIC rDg 17C w4oJfiq 7w-L/512 c /7?1 vn y+ �n si7'► t ay-S' ill+ 4o rioai- vO cam,■ 07- s ss�vIsri `vi 79 iou mr, f"9 as11Q y fo 7779 f1 w�JPaq .1 ✓b sl ardia �ro,I va r clw" r sc?"5" f iv i g- g/ A l'PO 6 MJ/' /7 hvj V14.‘4"21 )01, ..t:,,,„ .......„:„0_, 9 to rz 4 ta4 IP* I rsU..' _r72.. 111150/f:Ckgr-:.t.re b ,*.441301•10 4 t A .re TholP qk 1/01 r 1 •9 d% /41 1 i 1 6* 11 7 4481 IN A el 7 Ja cP= Afacklb 4 **Ali %NW% .:#4110, *la %was CHARMING CONSIGNMENTS KAREN SARGENT 629 E FRONT ST PORT ANGELES WA 98362 THE CITY OF W A S H I N G T O N U S BUSINESS LICENSE For term commencing February 11, 2010 and expiring June 30, 2010 Date Issued. February 11 2010 License for 5 44 SECOND HAND DEALER Amount 10 00 City Seal T /A NGELES This License must be posted in a conspicuous place at the location and is not transferable or assignable. Office of the City Clerk City of Port Angeles 321 E. 5rh Street P 0 Box 1150 Port Angeles, WA 98362 www cityofpa. us 360- 417 -4634 License No 10- 00000609 PREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 629 E FRONT ST TENANT NBA CHARMING CONSIGNMENTS CONTRACTOR OWNER WILLIAM E ELTON PARCEL 06 30 00 5 1 4080 0000 APPL NUMBER 10 00000137 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/25/10 t SUBDIV PHONE PHONE (360) 460 6847 BLDG FINAL TIME 01 00 May 25 2010 8 45 00 AM 1pangrle NO NAME WAS LEFT 452 9863 BUILDING FINAL RE ROOFED CHARMING CONSIGNMENTS AFTERNOON COMMENTS AND NOTES ef CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000137 Date 2/09/10 Application pin number 237140 Property Address 629 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 4080 0000 Tenant nbr name CHARMING CONSIGNMENTS Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2065 Application desc TEAR OFF RE ROOF THE BUSINESS BLDG Owner Contractor WILLIAM E ELTON OWNER 154 STRAIT VIEW DR PORT ANGELES WA 98362 (360) 460 6847 Structure Information 000 000 TEAR OFF RE ROOF THE BUSINESS BLDG Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 160705 Permit Fee 109 75 Plan Check Fee 00 Issue Date 2/09/10 Valuation 2065 Expiration Date 8/08/10 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall /Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By 0 O 5- 71,t- t T /Building Division /Building Permit BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 •(360) 417 -4815 fax (360) 417 -4711 Applicant k' Property Owner Property Owner's Address /5 ,5 v.., Dr Contractor ltd /b,p f EL-t Contractor's Address /r4 /Jca.� 72r n.I License Expires PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other z -1 S T Forms/Building Division /Building permit application Residential Multi- family Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Wil! a fire sprinkler system be installed? Construction type Phone 4 /66 -1 klie 7 Phone Phone to4 x' 3/ 2 E -mail For City Use Only Date Received 10 Permit* le t3 Date Approved cr 3 6 z (C oxmnq Cons; Lot Zoning`- X Commercial Industrial House garage other X tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other f frliA ,1 032.t6 Labo 1 qc TOTAL .VALUATION. 4 2-,,0 to 90 Total footprint of structures sq ft. Lot size sq ft. Lot coverage ok 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 per sq ft. of bedrooms of full baths of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to l working on projects Da.e Z o Print Name krtihAw to F i yt Signature y `%emu /ek CUST.NO: JOB NO: PURCHASE ORDER: :REFERENCE: 4' 000 SOLD .TO: CASH TOT WT 3689.97 :$HIP J O: HARTNAGEL BUILDING SUPPLY INC 3111 HIGHWAY 101 EAST PORT ANGELES, WA 98362 TOLL FREE 1- 888 452 -6252 PHONE (360) 452 -8933 AN EMPLOYEE OWNED AND OPERATED LUMBER TRADERS STORE ,TERMS: 'CLERK. CAS H /CHEC K/BAN KCARD. 911 EXP DATE: 2/16/10 TERMINAL. 569 SALESPERSON: 91 MIKE DEESE TAX. H4 HARTNAGELS -CASH RETAI PAGE NO 1 ;DATE 2/9/10 11:07 ESTIMATE: 323891 LINE ;,SHIPPED ORDERED UM �,SKU: „DESCRIPTION;."'" SUGG.. UNITS, 3 rjPRICE ,'PER EXTENSION 1 32 EA P627AB PAB PREM 30 ANT.BLACK [4]Y 32 15.86 /EA 507.52 2 26 PC OSB716 7/16' 4 X 8 OSB 26 8:96 /PC.. 232.96 3 4 RL' ASTM30 ASTM 2 SQ 30# FELT 4 33.99 /RL 135.96 4 1 EA 112NEO 1 1/2' NEOPRENE FLEX FLASH (12) 1 4.59 /EA 4.59 5 1 EA 2NEO 2' NEOPRENE FLEX FLASH (12) 1 4 79 /EA 4 79 6 1 EA RVS4BK RVS4 4' BLACK ROOF VENT W /STEM 1 11:99 /EA 11.99 7 1 BX GRCR3DGAL 1 1/4' E.G COIL ROOFING 7.2M 1 34 99 /BX 34 99 8 2 EA P625B PAB SG -30 BLACK [3]Y 2 18.33 /EA 36.66 9 1 EA PROSEAL PROSEAL 34 11oz. CLEAR 1 13.49 /EA 13.49 10 1 EA RTOP ROOF TOP DELIVERY PER SQ. 1 50.00 /EA 50:00 11 VERIFY ROOF PITCH AND ACCESS, 12 CUSTOMER MUST PROVIDE TOE 13 BOARDS FOR ROOF PITCH OF 4/12 14 OR GREATER, OR HOOKS AND 15 BOARDS FOR ROOF PITCH 8/12 16 OR GREATER. OR WE WILL 17 PROVIDE FOR THE COST OF 18 MATERIAL PLUS $40.00 PER 19 HOUR! STEEP PITCH AND UNUSUAL 20 ACCESS CONDITIONS WILL BE 21 BILLED ON AN INDIVIDUAL BASIS 22 REFLECTING OUR INCURRED COST X TAXABLE 1032.95 NON TAXABLE 0.00 SUBTOTAL 1032.95 TAX AMOUNT 86.77 I TOTAL 1119 72 Received By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nun~oer ..... 03-00000112 Date 2/05/03 Property Address ...... 629 E FRONT ST .5-~SESSOR FJ~RCEL ~WJMBER: 0630005140800000 Application description . . . RE-ROOF Property Zoning ....... Application valuation .... 500 Property owner ....... ELTON WILLIAM E Owner address ........ 154 STRAIT VIEW DR \ PORT ANGELES WA 983629156 () Contractor ......... OWNER ...... Structure Information TEAR OFF, FELT, TORCHDOWN ..... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Permit ...... BUILDING PERMIT - NO PR FEE Additional desc . . Permit Fee .... 47.00 Plan Check Fee . . .00 Issue Date .... 2/05/03 Valuation .... 500 Expiration Date . . 8/04/03 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 t 80 days after the work as commenced, or if required inspections have not been requested within ~180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) ! rDate T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DP~INAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LiNE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL STORM I FOP. OFFICiL~L USE ONLY: I BUILDING PERMIT - APPLICATION DateDatePermit#:Appr°ved:lssued:-~ ~-~ The Building PermitApplication must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: Phone: Owner: ["t)l~/,~);~"'c- /~". /~.-7~,~ Phone: ~7/S~-~q Address: /~'%q~- ~T~:~ ~ ~ City: ~ ~ , ~, Zip: ~chitec~ngineer: Phone: Contractor ~ License g: Exp: Phone: Address: 6 g ~ ~, ~, City: Zip: LEGAL BESC~PTIO~: Lot: / ~ Block: Subthwsmn: ~ CL~L~ COUNTY P~CEL N~BER: Credit Card Holder Name: Billing Address: City: Credit Card ~: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: [] Residential [] NewConslx, J~Re-roof [3 Wood-stove ~7~ SF.~$ e/t~'~ /SF.=.$ ~?c_~Z't~ [] Multi-family [] Addition [] Move [] Garage SF. ~ $, /SF. = $ El Commercial [] Remodel [] Demolition [] Deck SF. ~ $. /SF. = $ [] Repair [] Sign [] TOTAL VALUATION $ .~& ~' BRIEF DESCRIPTION OF THE PROJECT: ~ O g. 7_~ 3 oC~-~F ~ ,/Za~/s.-o-x~-o~ ~ COMMERCIAL, RESIDENTIAL: Occupancy Group: ~. I'~ Ct Occupant Load: Construction Type:. ~ No. of Stories: / Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVERAGE: /sq. fi. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes [] No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this 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 1 have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant: ~L/J/~9.~.-~__ ~, ~'Date: ~_~/5-/~.~ T:WORM S~APPS~Buildingpennit CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~--- [~)'~* (~--_.~ Time Received by ~.. [~ (phone, person) Location of Work to be inspected ~:3~,~ ~- F~'<~L~ Name of person requesting inspection '~[I [ Address of person requesting inspection Phone No../'~'--~-- Type of Inspection (circle appropriate one): Permit No. / / ~-~ Sewer Foundation Framing Chimney Plumbing ~na~ Sewer Excav. Other ~NSPECT~ON NOTES: ~ ,~'-~ Inspected: Date "~' Time. By ~:'~",', Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~-IAsphalt []PCC []Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE [--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ VORT ~ /O~ ha '"-~ ~ ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application descr1ption Subdivision Name Property Use Property Zoning . . . App11cation valuation 04-00001020 Date .161300 629 E FRONT ST 06-30-00-5-1-4080-0000- ELECTRICAL ONLY 11/04/04 o ~ COMMERCIAL ARTERIAL o Owner Contractor ....... C) ~ Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL METER REPAIR ANGELES ELECTRIC 36.30 Plan Check Fee 11/04/04 Valuation 5/04/05 .00 o <S' ~- ~ ~0J\ ELTON WILLIAM E 154 STRAIT VIEW DR PORT ANGELES WA 983629156 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Qty Unit Charge Per 1.00 36.3000 ECH EL-R OR RM REPAIR METER/MAST Extension 36.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.30 36.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 36.30 36.30 .00 .00 '"' ""'- \ ~ \ o ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T IPLANNING\FORMS\1102.15 [11/1412003] 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ~ tJ"F)~ ~ ROUGH-IN V'1-l(-dI IH K r . PLUMBING I UNDER FLOOR 1 SLAB ROUGH-IN W.f'TER LINE (METER TO BLDG) , dAS LINE BACK FLOW 1 WATER AIR ~EAL WALLS I CEILING I I T FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIviSIOn) SEP ARA TE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED /"'\ YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 (I-lf-~Cp f~~ ELECTRlCAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERlNG 417-4807 PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1 102.15 [I 1114/2003) 11-01-2043,44PM ,., --.-J. ~\~ -" '''-~l / . ";-"on~T' r ,,1J" "'....$"'-:> 11 ~ FROM ANGELES ELECTRIC INC 360 452 9265 P. 1'" . . lhr. EIC'Chir.:'l1 Pelmit Applic<'lliO" musl be 'IJl<!d out cOlnDlelelv. s:2' e type or reprinlln Ink, Jl YOll have .l'lnrQul"'!>1Ioos, please coli (360. 417-.47.35 fax number; (360) 417-4711 ) , REOUEST INSPECTION 0 "ron,..; I)j,,~ A",",,~(t1: l)'lth,...",: OwnOIOI I ,nil 'Agonl: ANGELES ELRr,Tlll r Propony'Ow r: /3/LL ~~~ Add,." -'-6:~ ~I?/iT 0ew 2l e, lNr Pllo",e:4 57-'1)64 Fa" 4<;7-'1)[;,> Pl1one-.7S:7- X-?oy Zip: 9~.~~2 Cily: P-A. . EreclI'icalConlraclor: ANGELES ELECTRIC INC. ANGELF.1460RS Ucco!':c il; E;Il;p: Phone: dl:l.?_Q7t\d Adc:lres:.: 524 EAST FIHST Cily: POHT ANGELES. WA Zip: 9f1362 INSTALlATION WIRED BY, [I OWNER xJt;lECTAICAl CONTRAC10P. Credit Card Holder Name: T~rl ~-1 mp~"'n Billing Address: City: Zip: VISA:_ MC:.l!.- Credit Card Number: / Exp, Date: PROJECT ADDRESS: ~Zq E. TYPE OF WORK: ~idenlal Check alllhal apply: ONew o Alleralion/Addilion o Remote Meter 0 Delached garage 0 Hal Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom, 0 Sign (j ~ o Multi.family o Commercial '0 Mobile Home Sq, Ft Number of Circuils added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: IU~ ~~ , e 3(9- "'- ~ \'J 0) , Eleclrleal Heal Load Addilions ~/c- Service Information Voltage: I? 1J4'fj) Phase: ~ Service Size: ~ Feeder Size:~ o Baseboard o Furnace 'CJ Heal Pump D Fan.Wall _KW _KW _KW _KW o Overhead Service o Temp Service o Underground Service DAMe I 4,05,060(8): F~r industrial, commercial. & residential projects la'ger Ihan a duplex, a one. line drawing ollhe E1aclrical Service & ceeders, building si,. (sq, It.), load calc'Jla!lo"s, and Ihe type 1\ 01 conductors andlor raceway Is required and shall accompany the Electrical Permit application, , hereby certify that IIJave read and examined this application and know that same to be true and correct, and I am 3uthorized to apply for this pennit, I ,:)nderstand it is not the Citys legal responsibility to determine whal permits 3re required; it remains the applicants responsibilily to determine what permits are required and to obtain such. \1 "J rk-- Crod" ~m "0."" '"-~.:z;V' a +-.... ~'4 W-. O,L-fO Owner or EI"c. ConI. Signature: _r=---,- ---------"= = 2 Dale:.i;f"'tl 'W.9019 ~LA