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728 E Front St - Building
PREPARED 1/13/11 8 06 26 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/11 ADDRESS 728 E FRONT ST SUBDIV TENANT NBR HABITAT FOR HUMANITY STR CONTRACTOR T C NORTHWEST INC PHONE (360) 683 6655 OWNER ROBERT G GERMAN JR PHONE PARCEL 06 30 00 5 1 2200 0000 APPL NUMBER 10 00001038 SIGNS PERMIT SIGN 00 SIGN REQUESTED TYP /SQ COMPLETED BL99 01 1/13/11 t/ INSP DESCRIPTION RESULT RESULTS /COMMENTS BLDG FINAL January 12 2011 3 29 10 PM 1pangrle I CALLED BOB AT 417 7543 TO FINAL THIS PERMIT BUILDING FINAL SIGN (HABITAT FOR HUMANITY STORE) COMMENTS AND NOTES 4 -ZZ ro CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ROBERT G GERMAN JR 3325 E MASTERS RD PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Fee summary Permit Fee Total 85 00 Plan Check Total 00 Grand Total 85 00 Jr(WvLn.y T Forms /Building Division /Building Permit WA 983628749 SIGN 32 SF ILLUM 173609 85 00 9/27/10 3/26/11 Per 10 00001038 Date 9/27/10 784790 728 E FRONT ST 06 30 00 5 1 2200 0000 HABITAT FOR HUMANITY STR SIGNS COMMERCIAL ARTERIAL 400 Application desc 32 SF ILLUM CAN SIGN REMOVE AN EXISTING SIGN CAN SIGN Contractor T C NORTHWEST INC 333 W PINE ST SEQUIM (360) 683 6655 Plan Check Fee 00 Valuation 400 1 00 85 0000 PER S WALL SIGN OR MARQUEE 25 SF Charged Paid Credited Due 85 00 00 85 00 00 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 WA 98382 Extension 85 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 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 I ESA. Landscaping I SHORELINE. 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 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By per Guam, Roloei(t G German Sr l 3 3Z.5 E mas r S Rd PA t,J. SIONI PERMIT APPLICATION Print 9i$kbz 6711 o w n in in CITY OF PORT ANGELES Qlv Attn. Building Permit Technician cpC For City Use Only 321 E. Fifth St. Port Angeles WA 98362 d ate Received 9- h- 10 (360) 417 -4815 fax (360) 417 -4711 e i��ate It Approved r` Applicant or Agent (4 1. 13I 1=oVt. u vv. va k )1 rA_vZ Ci;uwz�P Property Owner -3 5 m Phone Property Owner's Address 77.y E. F o S; Contractor /Engineer -r- S'r„ee (TG Not, 4-64vb.i-ainc)Phope 68e 46-s Contractor /Engineer's Address w Ave' S� p w .4 4338.7 License 333 Expires Project Address `t z g c Business Name I- }Agt,T c 1-ovz Huvvun ,t-v `SToa-c Parcel Number Lot Unit Charae Quantity multiplied by auantities'i $47 00 x $8500 x 65,00 $115 00 x GRAND TOTAL 85. cc �kl G k0 r hano name +coed e Skov 40 Zoning L; P Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted projecting freestanding illuminated other Placement and sq ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. Sian Type Brief Description. (Type, location, sq. ft.) Sign #1 g'x -i x G DE,Ep t_1(04-tct Sign Sign bh Pi 4 A4 Yla Sia1 011 In P_ Ire l/ `1 ndck 1lniS e.4 )Sikh Sign Totals (Unit charoes Sign(s) Type of Sian Valuation 'IOC All signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. Freestanding sign or projecting sign, over 25 sq ft. Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area 110 sq. ft. Proposed sign(s) area _32. sq ft. Total sign(s) area 19 sq. ft. Building facade area (height I `I ft. X width Z ft.) l I oZ 5 sq ft. (If a building has more than one business in it, only measure the area of the building fat;ade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Date9.- /7— Print Name pBAV T /ea Signature T Forms /Building Division /Sign Permit Application.doc Clallam County Assessor Treasurer Property Details 61472 ROBERT G GERMAN Page 1 of 6 Clallam County Assessor Treasurer Property Search Results 61472 ROBERT G GERMAN JR for Year 2010 2011 Property Account Property ID Geographic ID 0630005122000000 Agent Code Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 63 Open Space. N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Section Range Location Address: 728 E FRONT ST Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 5 Comm Map ID 2 Neighborhood CD 20953140 Owner Name ROBERT G GERMAN JR Owner ID 26504 Mailing Address: 3325 E MASTERS RD Ownership 100 0000000000% PORT ANGELES WA 98362 -8749 Taxes and Assessment Due Property Tax Information as of 09/17/2010 Amount Due if Paid on. 61472 Legal Description. SMITH, NORMAN R LTS1 -4 E2 LOT 5 BL22 SURVEY V33 P33 Exemptions. First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 44178 ST SCH STATE SCHOOL $868 70 $868 69 $0 00 $0 00 $86 2010 44178 CC -GEN COUNTY $462.30 $462.29 $0 00 $0 00 $46 2010 44178 PORT PORT $64 98 $64 97 $0 00 $0 00 $6 2010 44178 PORT ANG PORT ANGELES $1070 35 $1070 35 $0 00 $0 00 $107 2010 44178 SD #121 SCHOOL DISTRICT #121 $1125 19 $1125 19 $0 00 $0 00 $112 2010 44178 NTH OLY LIB NORTH OLYMPIC LIBRARY $134 33 $134 33 $0 00 $0 00 $1 2010 44178 HOSP #2 HOSPITAL #2 $189 64 $189 65 $0 00 $0 00 $1E 2010 44178 WSMET PK DIST WILLIAM SHORE MET PARK DIST $60 34 $60 35 $0 00 $0 00 $6 2010 44178 CITY_STORMWATER CITY STORMWATER $266 43 $266 43 $0 00 $0 00 $26 2010 44178 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 2010 44178 TOTAL. $4243.08 $4243.06 $0.00 $0.00 $424 2009 614722008 ST SCH STATE SCHOOL $1013 79 $1013 79 $0 00 $0 00 $202 2009 614722008 CC -GEN COUNTY $513 06 $513 07 $0 00 $0 00 $102 2009 614722008 PORT PORT $72.68 $72.67 $0 00 $0 00 $14 2009 614722008 PORT ANG PORT ANGELES $1125 37 $1125 37 $0 00 $0 00 $225 2009 614722008 SD #121 SCHOOL DISTRICT #121 $1253 71 $1253 72 $0 00 $0 00 $25C 2009 614722008 NTH OLY LIB NORTH OLYMPIC LIBRARY $149 08 $149 08 $0 00 $0 00 $26 http. /vpn.clallam. net.8084/ propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =61 9/17/2010 o hl 4 eit V r CITY OF PORT ANGELES Construction Piens The Issuance of this permit Loud upon these plans, specifi- cations and other data sha Al jtMlw the building official from thereafter requilw tiA LIIIImn of errors in said plans, specifications MI other Mid R from preventing building operations tag Mild thereunder when in violation of all codes Mly AMA of this jurisdiction. r -LI'C4" Approval Date ate FILE vo* e4 Jib N g cp, t-1 L ITC- 31. 1 ITArivIT ot.i. Vc tt GILL: X I pas, v% V% g IN 1� DUO 0 Application Number 10 00001133 Application pin number 232885 Property Address 728 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2200 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc sign circuit Owner ROBERT G GERMAN JR 3325 E MASTERS RD PORT ANGELES Permit Additional desc Permit pin number 174821 Permit Fee 88 20 Issue Date 10/06/10 Expiration Date 4/04/11 Qty Unit Charge Per 1 00 88 2000 ECH EL COMM SIGN Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983628749 88 20 00 88 20 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor ELECTRICAL ALTER COMMERCIAL TC NORTHWEST INC 333 W PINE ST SEQUIM WA 98382 (360) 683 6655 a 133 Paid Credited 88 20 00 00 00 88 20 00 DATE. Plan Check Fee Valuation PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 10/06/10 RESULTS 00 0 Extension 88 20 Due 00 00 00 r INSPECTOR. /1-17- 10 A.Mgl ,t6? Date. REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) x d NTH T Za oatc,k4 x /7w-8,773-$- CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 C t Ph (360) 417 -4735 Fax: (360) 417 -4711 Date. 9- 1b -10 1 2 Single Family Dwelling Multi Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 Z. l r v ocvT c t. Building Square Footage: Description of above 5\ LC S buc-'-/ G. L v SS s R Loci[ t= Jl ow r t= Lc v va or Owner Information Name: 1-trq-c vovt k,tr-i o CC. L.LVa„A,. Mailing Address: Co (3o% I LIZ 9 City P.l-\ State: w fa Zip: c15' Z Z Phone: C fc t 6,1 8 o Fax: Cc t G 1 rr License /Exp. K Ar5 i1FH 42_1 Lo Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service/Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charae 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 Dated: Co _J D Credit Card 223 /Io 2J ELECTRICAL INSPECTIONS Commercial Additiog/ Alteration Remodel Repair* Contractor Information Name:TC Ak0ivW7f T Mailing Address: 343 Y/_ City "Teats r►i State: W,+ Zip: 911•352. Phone:34e -6b3 64 ss Fax: .3Ga -lot 3 LGGSS License /Exp. TCn/ ORIe 98 1Z l I' /:Zii /z Total (Qty Multiolied by Unit Charge) LAM', 20 pOR Rr .y�Gf, sr itt, mow 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.0 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 0 Cash )81. Check 01/01/2010 0 t ".■.4y55±4,vilP A ..61v S'Tt \A Jr- v` T Pp ki\A o l2.11) Nt CAA 0 —t (O EU NI k'L LAU Skkk tea 4 2"4. N Lik41C. t4 rirevit ok..1/4 ttoO-C:. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001028 Date 10/06/09 Application pin number 859188 Property Address 728 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2200 0000 Tenant nbr name ROBERT G GERMAN JR Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 13970 Application desc RE ROOF OVER ONE LAYER WEST HALF ONLY Owner Contractor ROBERT G GERMAN JR DIAMOND ROOFING ENTERP INC 3325 E MASTERS RD P 0 BOX 2963 PORT ANGELES WA 983628749 PORT ANGELES WA 98362 (360) 452 9615 (360) 452 9518 Structure Information 000 000 LAY OVER ONE LAYER WEST HALF ONLY Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF WEST HALF Permit pin number 154658 Permit Fee 263 75 Plan Check Fee 00 Issue Date 10/06/09 Valuation 13970 Expiration Date 4/04/10 Qty Unit Charge Per Extension BASE FEE 95 75 12 00 14 0000 THOU BL -2001 25K (14 PER K) 168 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 263 75 263 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 268 25 268 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. 1 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 ocal taw regulating construction or the performance of construction. Date V Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit x G -7.- to Inspection Type 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 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 1 FINAL Date Accepted by 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 I FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T.Forms /Building Division /Building Permit 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 1 Accepted By G-1-lo e`(pilhPA Applicant �AR- Mon r rocs ,nci ..�v�� Phone Property Owne,r Phone Property Owner's Address 2. Contractor l._ c vr1Ci Tr\L Phone Contractor's Address License ci(172_, Expires ?-1q ZDIO E -mail PROJECT ADDRESS fl m. E 7 vrov Parcel Number Proiect Tvoe Brief Des Check all that apply New Construction Addition Remodel Repair Demolition (Re -roof Heat System Other Floor Areas Basement 1st Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other cription. Total footprint of structures Site Coverage the amount of impe and other impervious surfaces (see 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 Residential Multi family «Commercial Industrial House garage other tear off re -roof a lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq ft.) Posed (sq. ft) Max. height of proposed structur ft. Occupancy group Will a lawn sprinkler system b Installed? Occupant Toad Will a fire sprinkler system installed? Construction type Lot For City Use Only Date Received I t7.- C Permit nq -10ZSs Date Approved Zoning per sq ft. bedrooms o II baths of h -If baths TOTAL VALUATION 6—C). gig ft. Lot size sq ft. Lot coverage o rface on a parcel including structures pave drivewa sidewalks patios C 17 94 135 for exemptions) e coverage I have read and completed this application and know it to be true and correct 1 am authorized to apply for this permit and understand that it is ,ny psponsibility to determine what permits are required, and to obtain permits prior ttoworking on pr�ects. Date 0 l P nt Name C\l t Q 'v` ir' Signature 044 i Forms /1Luilaing Division /Bldg Permit.doc e .k° Ar\, I Ki k. DEPAITTYAENir' :13A1s tJ 011 FEFIENCEr' Application Number 08 00001148 Date 9/23/08 Application pin number 561724 Property Address 728 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2200 0000 Tenant nbr name HABITAT FOR HUM RESTORE Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2800 Application desc 3 SIGNS 2 WALL- MOUNTED 1 F/S RESKINNING EXSTNG Owner ROBERT G GERMAN JR 3325 E MASTERS RD PORT ANGELES (360) 452 9615 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32] EAST 5TH STREET PORT ANGELES, WA 98362 WA 983628749 Contractor Permit SIGN Additional desc 3 SIGNS (1 IS RESKINNING) Permit pin number 134296 Permit Fee 170 00 Plan Check Fee 00 Issue Date 9/23/08 Valuation 2800 Expiration Date 3/22/09 Qty Unit Charge Per 2 00 85 0000 PER S SIGN WALL 25 SF+ Special Notes and Comments September 12 2008 4 09 05 PM sroberds The proposal will result in 2 new bldg mounted signs and reface of an existing freestanding sign in the CA Bldg mounted signage is 138 sq ft Fee summary T Forms /Building Division/Building Permit (05/13/08).wpd Charged Paid Credited HABITAT FOR HUMANITY OF CL CO 3430 HWY 101 E STE 32 PORT ANGELES WA 98362 (360) 681 6780 Due Permit Fee Total 170 00 170 00 00 00 Plan Check Total 00 00 00 00 Grand Total 170 00 170 00 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 Extension 170 00 6-7-(0 „04 Date Print Name Signature of ontractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS OQ CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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. -C- KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. OQ INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT it's PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 I PLANNING DEPT 417 4750 1 1 BUILDING 417 -4815 1 T I c /Rt 1,1 Ow) n /Ri ilr Pe nil (05/13/081.wnd BUILDING PERMIT INSPECTION RECORD YES 1 NO FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT 1 PLANNING DEPT 1 BUILDING DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO EA Pire-4 I -111 I G os -v V A Property Owner's Address Contractor /Engineer Contractor /Engineer's Address 3e/. 3 144 43 A License T32 i �j/ /4.E Sign Type Brief Description: Sign #1 Sign #2 Sign #3 Sign #4 Existing sign(s) area Building facade area (height X width) #(967 sq. ft. T: Forms/Building Division /Sign Permit Application.doc SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES '9-'( Q For For City Use Only Attn. Building Permit Technician Date Received q- I -OR 321 E. Fifth St. Port Angeles, WA 98362 rmit (e' (360) 417 -4815 fax (360) 417 -4711 (Type, location, sq. ft.) 1122©' ,Q-Se__ 27A-,4. >ecQ F� C./ GRAND TOTAL 1 1o. d0 to Approve Applicant or Agent calz 4, `4P -y Ph e 1 G 7 V) Property Owner `,,,,,gyp, -fir �.4) r' Phone 2 6 /6 Phone 7Ft? ,-.44t., g4 ZQ Expires Q >f' /.z_e7 72. 1• Project Address 7 Z,�s y t,�3 ��•��y�e� Business Name z �/du ,v.�' /2 5 o V Parcel Number Lot Zoning GA Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted, projecting, freestanding, illuminated, other Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See `Chapter 14.36 Sign Code' of the City of Port Angeles Municipal Code for sign requirements. 4i/ Z-7 0 C �.g n--P. i2 3;-: Cg 2a (ciJ c7?) r Coo G 1` resKin an exi Can Totals (Unit charaes Sign(s) 111 60 t( in 4 S f i- Unit Charae Quantity multiplied by guantities) Type of Sign Valuation io Af,2 SOO Va(ual4Ort s $47 00 x All signs less than 25 sq. ft. T $85.00 x a an. 06 Wall or marquees, over 25 sq. ft. $115.00 x Freestanding and projecting, over 25 sq. ft. Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Signature JCGfiw� QiQ C tIA-" G f sq. ft. Proposed sign(s) area L7 g sq. ft. Total sign(s) area 17 g sq. ft. Maximum allowed sign area sq. ft. I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Date Print Name e:::4-)-.4W y4/ 7.-2- 6-e C� Cc3 RESTORE BUILDING SIGNAGE 728 E. Front St. MDO Sign on facade (left) fr HfHCC logo (vertical) 6'w X 8' tall (48 sf) Painted Copy on facade (right) Door Front: Restore Logo a RESTORE Logo Home Improvement Warehouse 18'w X 5' tall (90 sf) it* Free Standing MDO sign (by street) C Top HfHCC logo 60.5 "w X 30.5" tall Bottom Restore Logo Phone website 60.5" w X 58.5" tall (together 60.5" w X 89" tall 40 sf) Store Hours Thursday, Friday Saturday 10 a.m. to 4 p.m. Phone 417 -7543 In emergency, contact 681 -6780 78' R" orri 728 P Rom r tAilv Habitat for Humanity' of Clallam County C 1 R eS t ore Home Improvement Warehouse 8 x5 7- ey scAL D—C17 C o e•--/v 4,iN S 0 abitat for Humanity C a ,0"' O Ci0 of Clallam Home Improvement Wareho 417_ 3 ,f- 2 r �1e �'t D 1 7_ 4 crfi_0/4 Z?' t" Jtg 12 l 1 e ir iZ 2,9 C r u_eC7' cl,-cri-e12'' --e p /1.,-e_ 72e,s;r.e c AM A s.7 Application Number 08 00001298 Application pin number 278070 Property Address 728 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2200 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Circuits for offices Owner Contractor Habitat for Humanity 728 E Front St PORT ANGELES WA 983628749 KIRSCH ELECTRIC INC P 0 BOX 3396 SEQUIM (360) 683 6819 Date 10 /10 /08 WA 98382 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 136184 Permit Fee 83 00 Plan Check Fee 00 Issue Date 10 /10 /08 Valuation 0 Expiration Date 4/08/09 Qty Unit Charge Per Extension 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 5 00 5 0000 ECH EL COMM ALT ADDTNL CIRCUITS 25 00 Fee summary Charged Paid Credited Due Permit Fee Total 83 00 83 00 00 00 Plan Check Total 00 00 00 00 Grand Total 83 00 83 00 00 00 Ili SPECTION TYPE DATE DITCH SERVICE ROUGH I FIl� AL COMMENTS: ELECTRICAL RESULTS INSPECTOR /644 PP' ntA=P' 5 4r? OE PORTA% N Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application description Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \PLANNING \FORMS \1102.15 11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 667130 04 00000238 Date 3/26/04 728 E FRONT ST 06 30 00 5 1 2200 0000 PACFIC OFFICE FURNITURE COMM REMODEL COMMERCIAL ARTERIAL 5000 Contractor GERMAN JR ROBERT G GLASS SERVICES 3325 E MASTERS RD P 0 BOX 2559 PORT ANGELES WA 983628749 PORT ANGELES (360) 452 7564 Structure Information ADD NEW GLASS STORE FRONT Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF /PRO /MED /REST BUILDING PERMIT COMMERCIAL WA 98362 134 75 Plan Check Fee 87 59 3/26/04 Valuation 5000 9/22/04 Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Due Extension 92 75 42 00 4 50 134 75 134 75 00 00 87 59 87 59 00 00 4 50 4 50 00 00 226 84 226 84 00 00 EXPIRED aAlo4 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date i•na re of Owner (if owner is builder) Date 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE y BACK FLOW WATER AIR SEAL WALLS y CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) y T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. YES 1 NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT I I I 1 BUILDING 417 -4815 M 1 1 1 BUILDING 1 1 T\PLANNING\FORMS \1102.15 [11/14/2003] Applicant or Agent: kfie 7 G- �f':ni,rG17 Owner. t 4/..!/ Address h17 flee/. /(i City Architect/Engmeer• Contractor Address. PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call (360) 417 -4815 State License City PROJECT ADDRESS 77 fk P F/JA ZONING 1 LEGAL DESCRIPTION Lot:1 L I E 3 4 lock: 12- Z- Subdivision. S vim, i 4\-t CLALLAM COUNTY PARCEL NUMBER. (G 3 a 2C 9-a 0 0Oc) Th Credit Card Holder Name: Billing Address: Credit CardType VISA MC Exp. Date: TYPE OF WORK. SIZE/VALUATION Residential New Constr. Re -roof Stove SF /SF Multi family Addition Move Garage SF /SF Commercial 0../(emodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION C /3t BRIEF DESCRIPTION OF THE PROJECT A.,_ J COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type No of Stories. Lot Size- Existing Sq. Ft. Proposed Sq Ft. TOTAL Sq.Ft. Existing lot coverage Proposed lot coverage Total lot coverage City- ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone YTz ���1 Phone fr/1 Zip �7I Phone Exp Phone: Zip FOR OFFICIAL USE ONLY Date Rec. 3 2G b Permit 23 Date Approved: Date Issued. APPROVALS. PLAN BLDG DPWU FIRE. 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 If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 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. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not t Pty's, and that I must obtain such permits prior to work. T•\FORMS\APPS \Buildingpermit.wpd Applicant: i Date D 4 0- Use Classification: Group: M Owner of Business: CERTIFICATEOF QCCUPANCY City of Port.Angele Building Division This Certificatiori=issued pursuant to the requirements of Section 109 of the Uniforn uilding 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 Retail Building Permit No. Type of Construction: Tony, Breen Address: Building Address: 72&East Front Street. :YwF;m. w.,. T• ire$ Poorhh epremises Shall not be removed'exce VN. Business Name: Pacific Office Furniture s� Use Zone: C A 730 East front. Port Angeles, WA 98362 .'Port Angeles, WA 98362 anuary 15.2004 Date onsp i cuous place it 6 yBuilding Official 0 Nov i DATE Address of Proposed Business Applicant 1 Address 73c' ,L Ft' m:4 Sf Phone business '/K 7- i 3 5 7 home Brief description of proposed business vi) d„, I c e i ()Cc e Q Yv(A n l∎lft X kin I 7z8 a► Kd 7RO L` /-rc tti� Legal Description Lot Block Subdivision Current Use of Property Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge A PR VED I 7 1 a4 LcLo_t_sit 11 /-6 t) 'REJECTED ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee YES NO X x n Y y. X x, Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed THE FOLLOWING PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway, in,st Ijation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 2) Occupancy 13) 14) Shoreline 15) Home occupation 16) Conditional use 17) Other WILL BE REQUIRED BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other 1,1e.to ti en e- S-JR)v M Comments Conditions A Oh1?c5C aeff ~ r:::P III 8ve 'ni\Ji)A Je.l,'vev-eJ 12--'11-og \ 0 ~ -so -(- ~ \ eJf c . CFRTIFICA TE OF OCCUPANCY APPLICA TJON Permit # d ll) ~ '132- ~JVe.--\-o ~fL,+h'nq ~E~~'i\d~ng P-ek-thlf l d-~' Certificate / Inspection . I :50~pa'k'"9 Bos'"ess Itopca,eme"' Acea (PBIA) ~.oo fee charged for downtown locations .' CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 Print in ink BUSINESS NAME BUSINESS ADDRESS Brief description of proposed business Business owner's name Ic: Business owner's home address ~ ~3 ?J 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. Call for Certificate of Occupancy inspections before openinq 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. Date ,q/q /L'~ Print Name ~ 4M~ ~ v;;;.F; Signature 7 / For eil use onl : Public Works at 417-4807 ACTION ,/ 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 Will THERE BE ANY OF THE FOllOWING? NOv' YESv' . . . Please sign up for utility services at the cashier counter, Department 'Cefnments / Conditions '~,"~". Building Occupant Load Fire Automatic fire sprinkler system required no yes PBIA Planning City Clerk Public Works T:Forms/Building Division/Certificate of Occupancy Application .e '-<00 o '- '" N '- o .-< WW (9E-< <t:<t: I><el >< ..:l 0: W H ..:l 0<0 00'-< "ID ID'" , , '-<N 00<0 ID"" 00 IDID "'''' ;:; WW el ZZ '" 00 ::> ;x:;x: en '"'" E-< wen ~W 8~ E-<'":l Z .. 0," HO E-<E-< UU WW ,"I>< en en ZZ H H o U ..:l U W '"'" , 00 0 E-< 0 en>< 0 WE-< 0 0: ~ g; ~(I' E-<~~~~ cn::r:::r::Z1 '".-< E-q:t::; 0:: ~ I ZOO(9<O : O~~ I '" (90 ~E-<E-l 0 ~,::( [-i 10 ~ [-i E-q)::: 0 a HH~l"1a co I1l III III I I N<t:<t:OIDOO r--::r:::r:o::oo .-< o ID .-< '" en W -..:l ooW 0(9 ;;,~ N '-E-< 0," .-<0 '" el W'" ,"0 <t: '">< WE-< O:H ,"U '" 'W '" .~ enE-<<t: ..:lZ ~~~gj~L elZzz,"o< elW03:<t:O< <t:E-<uoo<<t: '" . 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(J}(J) ~~ o U ..:1 U W ..:1 0:: ~ I ~ 00 oQ E-< 00 (J)?i o:E WE--t oW Oo:~~g~ E-<~53~6 (I) ~ :r: i: I U Oo:r< E-i 0:: 0:: ~ 1M ZOO{!)LflM o ~ ~ I r-l 0:: c..?Orl l:I...f-1E-1 00 oe:C oe:C E-I 10 WE--tf-lO::OO HH~f"')O co o:l CO o:l I I N'::(~O\DCO c---:.:x:::.:x::o::OO M Lf1 r-- "" m (/) W ...:1 roW oD -:;;~ N 'E-< mOo: o 0. o W'" 00:0 ~ 0.;>< WE-< Oo:H o.U 00: 00: . CO p:; . ~ ZO III (/) . t; . 5 (/)E-<~ ..:1Z ~~~~iL ozzzOo:o. ~~8~:;;~ (/) E-< Z W ~Z~ >-<00 u; ;::~ o.(/) HE-< 00:..:1 OU::O U(/)(/) WW '000: E-< >-< ~ E-< Wo...:1 0.[1}::0 Z(/) D>-<W :z: 00: >-< :J >-<00 ::OWW 1llE-<E-< (/)W OW..:1 0::00. 0:;: WO UOo:U 0. III E-< ~ 0. OJ .-< ... 01 <:: m P< .-< ~ or< 0Lf1 r< co ON .. m W :;:ro HO E-<o N .r-- D""co ZNCO H r-- :E }...l I Z ,::(OJr-- 0 ~~~22 OJ HOo: CJ.w>t;EW o P<00: ~ E-< ..:1OJ<>:Oo:'" Ill(/)D"'~ , , , , , , , , , i~ ' - ..:1 tcl ro o , Lf1 N , m o (/) , 0. ;>< E-< r< o co ..:1 III () W E-< o Z o ~ (/) E-< Z W :;: :;: o U CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001133 Date 9/23/08 189986 72 8 E FRONT ST 06-30-00-5-1-2200-0000- HABITAT FOR HUM. RESTORE COMM REMODEL COMMERCIAL ARTERIAL 6200 Application desc ADD INTERIOR WALLS Owner Contractor ROBERT G GERMAN JR 3325 E MASTERS RD PORT ANGELES HABITAT FOR HUMANITY 3430 HWY 101 E. STE. PORT ANGELES (360) 681-6780 Structure Information 000 000 ADD INTERIOR WALLS Construction Type . . . . . UNKNOWN - - - - - ~~~~~~~~~ - :~~ _ _ ~ _ ~ _ ~ _ ~ _ ~ _ ~ _ ~ ~:~~~~~_ _ _ ~ _ "_ !0_~~ij_l~ @)_________ Permit BUILDING PERMIT - COMMERCIAL Additional desc ADD INTERIOR WALLS Permit pin number 134114 Permit Fee 165.75 Issue Date 9/23/08 Expiration Date 3/22/09 WA 983628749 OF CL CO 32 WA 98362 plan Check Fee Valuation 107.74 6200 Qty Unit Charge Per 5.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 70.00 Special Notes and Comments 2 2A-I0BC fire exinguishers are required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent ~ to an exit. September 11, 2008 9:56:47 AM kdubuc. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total 107.74 107.74 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 277.99 277.99 .00 .00 ~ ~L o ~ ~ :90 ~ Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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. q - ~~. 0 s G Ittl. Date Print Name Signature of Owner (if owner is builder) T:Forms/Building DivisionlI3ililding Permit (05113/08).wpd BUILDING PERMIT INSPECTION RECORD o ~ \ CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 4]7-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOlJS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. .- .~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING . I FRAMING 9-Z5-oS -;\Lt,.. JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT I/'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 -, PLANNING DEPT. ----- 'I,J IO-C1-~ PH BUILDING 417-4815 "- BUILDING , -..-.0; -J N '00 ~ ~ f :s -T ~ ~ 3 T.17rw,nc/P.ll1lrlmo f),vl'win/Rlldr.IIW Permll (05/1 .)/08twod /t) ~ t '" BUILDING PERMIT A'PPLICA TION Print in ink CITY OF PORT ANGELES ~~1 ~ (;P4vor(1 For City Use Only: Attn: Building Permit Technician --::=:" '91 Date Received--.:l=.~ -0 S 321 E. Fifth St, Port Angeles, WA 98362 ::>>6- 417-7337 Permit # (A?; _ fl3 '3 (360) 417-4815 fax (360) 417-4711 tllz.-z/og JLL- Date Approved apph:>V ~ S"5he.J -w-OZ -lItJg , Applicant or Agent JJ~;~I ~~l3-1Vt~~ Of:- ~/fJ,IMm tk. Phone .11,6- /P3/-t?$C> ~ ~~, Property Owner ~"b c:;;..,.",~ Phone ~'?~ '1 Property Owner's Address ;~ E. f1~teYs JfIJ4el f1,,-f ~U5 W~ 9$ 3&).. ~7i- ~ Contractor/Engineer fJ--J+Io ; ~/- Phone ~ /)' Contractor/Engineer's Address 3#';0 Itw~ 101 e $k 32- \"; License # Expires Parcel Number PROJECT ADDRESS \\tL\o\\-o.\--t"or H,u(Ylt),nl Lot Zoning Proiect Tvpe & Brief Description: o Residential o Commercial o Multi-family o Industrial Check all that apply o New Construction o Addition ~emodel 11 ,1;/ l N~rtov ~ ')t I.( 't /2- Wt4/!" - o Repair oRe-roof o Demolition o Heat System o Heat pump o wood-burning stove o gas fireplace 0 pellet stove 0 other o Other Floor Areas Basement 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Existinq (sq. ft.) Proposed (sq. ft.) @ $ per sq. ft. = $ ft1 plrr;- 'fit ~ J.. r.l. h () - t::'t;/ o TOTAL VALVA nON $ sq. ft. % Lot size sq. ft. = Lot coverage Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. # of bedrooms # of full baths # of half baths Occupancy group Occupant load Construction type I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and ~r;::~~and that it is my responsibility to determine what permits are required, and ~perm~or to working on Date ?... '7-0 e Print Name (;~ D~ fle-tL Signature /J T Forms/Building Division/Bldg Permit Appl.-2006 Code.doc ROUTING SLIP ,~ '~) Certificate of Occupancy .f~ (,~ ¥ $47.00 Ce~flcate/Inspecbon Fee DATE 0 7 /P~ New Business Address of Proposed Business Transfer of Business Location .... ~'~.. ~ ~ /~ F¢~0,4} ~ Change of Ownership ...................... Applicant ~O,~ r~!% ~<, New Building ............................. Address ~ ~ ~m.~ %¢. Remodel ................................. Temporaw Business ....................... Phone: business ~/~*'~* / ~ ~' ~ home Change of Use ............................ Briefdescrptio~ofproRosedbusiness: ~<~ ~ ~2~¢~ O~)~ ~'~b Legal Description: Lot Block Subdivision Current Use of PropeAy: Zoning Classification of PropeAy: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ............................ 't PERMITS BUSINESS LICENSE Electrical changes ............................... ~ 1) BuiMing 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 se~ice .............................. ~ _ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ............... ~ 7) Drmveway mnst~at~on 7) Fireworks Is this a home occupation? ...................... ~ 8) Curb installation 8) Ambulance Excavation of filling of lots ........................ ''~¢~- 9) Sidewalk obstruction 9) Ta~oo shop WorkdoneinCitydght-of-way ..................... ~ 10) Watermeterinstallatio~ 10) Other Is there sufficient off-street parking? ............... ~ ~ 11)~. New driveway openmngs .......................... ~ ~ccup~ ~ ~& A grading plan for site drainage ................... ~ 13)~ ~ O~'~ (p¢rk{n9 lots, downspouts, etc.) ...... 14) Shoreline Are the existing streets paved? .................. ~ 15) Home occupation Are there existing sidewalks? ..................... ~ 16) Conditional use Is there curb and gu~er? ......................... ~ 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: knowledge. Signed: APPROVED ~REJECTED Comments / Conditions ~/~ Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A, ELECTRiCAL iNSPECTION WIRiNG REPORT 417-4735 DATE PERMIT 1/ !E,,~~j~~OR o~- I z9B k..~g2(' t:I_~( ~ -iC...l. C ADDRt:SS (2.~E::eDI'-lI APPROVED NOT APPROVED o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 '$. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . SERVICE. . . .. . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . . FINAL.. . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: \z"lf.,I'-">OV L C-11Z.<-lJ ,T +0 IS.... pAl K" \ oJ ~T2.~z.:E.rz 1AVPn 10 . ~l2vK.J:: c..,>J~TIQ.s. NlE-c... no') SJZ:F\-L AlL /J~ OY'fb.[ll\lC,,? N~c J1D.r2./>... ~El'-<.nV"E:. ~ I ON u"'?-€v E\..~..:'!":"&l C-AL ~Q U IV M ~N.l ..kJ2., 1'1. 05 . 17C>)J .' (" =1) N. "'t> AL-l.- M-I'L'T ~~ . Box"1Z "7 N. ~c..._3l '-I . 0/, '2, <..A N .... t> t...A '\ IE S . r.:XTVl2.JI?: CrnJr;:;{Z S'NlE..-~/D' ~ COlJl'z..J"L AU. l6l..T\ N,OJZ...TH <S-ro JZA&.;z.... '?oo 1-"\ (..0 Pre "- Dr::- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC_ {360) 452-1381 OCT-9-2008 03:50P FROM:KIR5CH ELECTRIC IR E~~fVE D TO:4174711 P~l og-\2~8 . OCT 1 0 2008 ELECI'RICAL WORK PERMIT APPUCATION UGHT DEPT. Date expires !CI I~.tion d..eMptioD ~ Commercial Q Realdutl.1 Job wired by C Eleclrleal CODlnelor C Owoer o New C AllcndlAddllloa ~ \ t\u~it::1 l St.. _In C-irC Jli-lS ~1($.. b.lrU'L""~ +- I-!.EFlI c- !'l ~ do Own,r AS defi,.,d by RCw'J9.28.16J:(I) Own" will <<ClIp)' 'h~ 31ruClU" for Iwo )WJn q/Ju ,Ja/~ .t,crrl<<lf ".,.",U II JIM/Iud. (2) (h",er 1I requIred to ItJrw QII rlecmcal collJrtJctor If Qbo~ $Did pro".rry Lr /or """ r"" or leo~e. After rndina the lbo'tt ltatement, J hereby ecrtiry lhIt I 1m the owner or the abo\lc named propel'f)' or I IicenlOd elcetric.! conlractor. I 1m makina the elcctriClI instal. I'lion or altcration in compliance wHh the electricll lawi, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296..68, The ell)' or Pan ADaolo. Municipal Code, find Unlit)' Speciflcariool. SllDlture or OWD. x <:f'I Date: C Cash C Chock # ~C~di~~. Card # "_ " of card ~. ~ "" C NO LOAD CHANGES o Baseboa'd KW o Furnace _ KW o Ha.t Pump _ Ton _ LAR C Fan-WoJl _ KW C OVAfhead Servioe o Tomp Servi<:o o Unde'ground Service VOl1ag. Pha...01C3 Service SI..: _ FMdor Slzo: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN 11IERMOSfAT '\ / SERVICE 'I lottO/DB ~O1 J DIU, Dill AJlClf'O"" By D." "PP"",.:l8)' / FINAL DITCH FmDER 10(;2-( (0'0 ~.,/ 0.11 ~Bl' " "'. Dill AjIprOqlI By "- In,pection Area, Bu.i1dina or Equipml:n1 Inspecled Action TlkeD electriC:11 olle .' Inspeclor . . . ., I ., CITY OF PORT ANGELES PERMIT APPLICA'nON Building Division/Electrical Inspections 321 East Fiifktr Street — P.O. Box 1,1501 Port Angeles Washington, 48362 Ph- (360) 417 -4735 Fax: (360) 417 -4711 Dace: / ____ Multi - Family or Commercial* * Plan Review h Jab Address: ...__.. RECE-1-VEN'....- ;JUN 19 201 ELECTRICAL ` {� INSPECTIONS Commercial Addition / A1�tia,� / Remodel l Repair* Electrical Plan Review information Sheet Owner Information Name: Mailing A re City: State: Zip: Phane ax;. _--.-----_-.--- -___ -- License 9 ! Exp. Item ll_,t Gh�rg� ServlodFeeder 200 Amp. $132.00 Service/Feeder 201.400 Amp, $ 160.00 ServiceJFeeder 401 -600 Amp $ 225.00 Service/Feeder 601.1000 Amp. 328e.00 ServlcelFeeder over 1000 Amp. S 41040 Branch Clrcults 1- $ 86.00 Branch Circuit WI Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 74.00 Each Additional Branch Circuit $ 6.00 Temp, Service! Feeder 200 Amp. $102.00 Temp. Servica/Feeder 201400 Amp. $121.00 Temp. ServicelFeeder401•£00 Amp. $164,00 Temp. 5ervicelFeeder601 -1000 Amp . $185.00 Portal to Portal Hourly $ 96.00 SlgnlOulline Lighting $ 88.00 Signal CirculV Limited Energy - Multi- Family $ 64.00 $gnel Croon! Limited Energy I First 1500 sf - Commercial $ 96.00 Note: $5.00 foremh additional 1500 sf Renewable Electrical Energy -5KVA System or Lem $110.00 Thermostat $ 56.00 y "V "Ir 'M Contractor Information Name: C— 1.41.11 Malling A res d d City: 2 _ State; Zip: Phone: -9 Fax:y �! License !! D# Total IM Mufti - .Hed,hy U1!1t Charge) $ _ �. �6•o +?Taal Owneras defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (, ") 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 inspootion. After reading the above statement, I hereby certify that I area the owner of the above named.pwperty or a licensed electrical car, Ilractor. I am maRing the electrical installation or alteration in compliance with the electrical taws, N.E.C,, RCW. Chapter 19.28, WAC. Chapter 2964°3B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. `Signat of owner, etectricat ctor or electrical administrator: lJ cnxh Cl cr,AC r ` � CrRdItCaCd9r f9"7'��11J Datc�1: �������� 0910112812 ELECTRICAL INSPECTION 7� WIRING REPORT QRf(s 417-4735 DA T. JTE PERMIT n INSPECTOR - -Z, OW _R CONTRACTOR e ADDRESS -7 NOT APPROVED ❑ .............. ......DITCH .................... ❑ ❑ ........ -- .... ROUGH IN/COVER . .............. 0 .......... - -. -, ... SERVICE .......... ..... — D 0 ..................... FINAL ....................0 CORRECTIONS NEEDED: L) M �0 -A 1-4 rl�- lz-Ar L rr-G > 5 � � rte. 1� c F I� t q 350, 36 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 1-5 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , . , . , 13- 00000675 Date 6/19/13 Application pin number 859900 DITCH Property Address 728 E FRONT ST to the City of Port Angeles ASSESSOR PARCEL NUMBER; 06-30-00-5-1- 2200 -0000- Application type description ELECTRICAL ONT4Y Subdivision Name . , . . . , Property Use FINAL Property Zoning . . . , , , COMMERCIAL ARTERIAL Application valuation . . , , 0 Application desc 1 -4 circuits circuit reroute -- ------------------------------------------------------------------------- Owner Contractor ROBERT G GERMAN JP SIMPSON ELECTRIC 3325 E MASTERS RD 243036 W HWY 101 PORT ANGELES WA 963628749 PORT ANGELES WA 98363 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee 00 Issue Date 6/19/13 Valuation . . . , 0 Expiration Date 12/16/13 Qty Unit Charge Pe.r Extension BASE FEE 86.00 &'ee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 ,00 100 Plan Check Total .00. .00 .00 .00 Grand Total 86.00 86.00 .00 .00 ^-si"fS,r2$ t✓ti1 �4"t` 1 i h It INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGMBUfLDING — -