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HomeMy WebLinkAbout1012 W 15th St - BuildingINSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 4 7111 PP FINAL l 0 i YI COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circcuit bathroom remodel Owner CHARLES J DEVONEY TTE 310 W 2ND ST PORT ANGELES (360) 808 -0525 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 98362 Fee summary Charged ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 11- 00000585 679840 1012 W 15TH ST 06-30-00-0-4- 3010 -0000- ELECTRICAL ONLY 0 Contractor. OWNER ELECTRICAL ALTER RESIDENTIAL 187377 73.50 6/10/11 12/07/11 Qty Unit Charge Per 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO/FEEDER 73.50 .00 73.50 Paid 73.50 .00 73.50 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation Credited .00 .00 .00 Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING Date 6/10/11 Due .00 00 .00 .0 0 Extension 73.50 Date: REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) DATE: P PERMIT i7 ig I INSPECTOR OWNE i d CH 1 1 c/ 1) k/c}a 1 1 CONTRACTOR ADDRESS 1b 12 1 1.J l l" ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED DITCH ,G ill: l.2 ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: IPU L+L— Kai- l; /R 11 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Owner Information b Name: Mailing dddres /0 (A 45"1 S fi City: f A.. State: Zip: 3 4 3 Phone:3Co 80 y' Fax: License Exp. 0b o r, 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/0 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 '63.90 Signal Circuit Limited': Energy `Multi Family, Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56 :00 NEW. CONSTRUCTION .ONLY: First 1300 Square-Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charge 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 $'148/0 167.90 '95.90 88.20 95.90 110.30 35.20 73.50 110.30 Signature of owner, electrical contractor or electrical administrator: Dated: 98362 Qty ECEIVE JUN 1.0 all ELECTRICAL INSPECTIONS CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: j �1 7 7 1 2 S ingle Family- Dwelling Multi Family or- Commercial* Commercial.Addition_LAlteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /o i S+. —f 1- (,J4, Building Square Footage: e S Description of above If rJ i /11 Contractor Information Name: Mailing Address: City: State: Zip: Phone: Fax: License Exp. Total (Qty Multiplied by Unit Charge) 3 Total Owner as defined by (1) Owner will occupy the structure for two years after this electrical permit.is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and -PAMC 14.05.050 regarding Electrical Permit Applications. Cash Y Check Credit Card 0110112010 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if requ red 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 connstruction. y i‘f-il C P�1/o/IG� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 Application desc REMODEL THE BATHROOM RE -SIDE THE HOME Owner CHARLES J DEVONEY TTE 310 W 2ND ST PORT ANGELES (360) 808 -0525 Structure Information Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 7.2500 EA T:Forms /Building Division /Building Permit WA 98362 Permit Additional desc Permit pin number 182535 Permit Fee 93.00 Issue Date 3/16/11 Expiration Date 9/12/11 Qty Unit Charge Per 11- 00000226 668878 1012 W 15TH ST 06-30-00-0-4- 3010 -0000- CHARLES J DEVONEY RES REMODEL 5000 Contractor OWNER 000 000 REMODEL THE BATHROOM RE -SIDE BUILDING PERMIT RESIDENTIAL REMODEL THE BATHROOM RE -SIDE 182519 137.75 Plan Check 3/16/11 Valuation 9/12/11 BASE FEE 3.00 14.0000 THOU BL- 2001 -25K (14 PER K) MECHANICAL PERMIT 182527 57.25 3/16/11 9/12/11 BASE FEE ME -VENT FAN PLUMBING PERMIT BASE FEE 3.00 7.0000 EA PL- PLUMBING TRAP Plan Check Valuation (SINGLE DUCT) Plan Check Valuation Fee Fee Fee Date 3/16/11 89.54 5000 Extension 95.75 42.00 .00 0 Extension 50.00 7.25 .00 0 Extension 50.00 21.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) (A/2 1\ Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date 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: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T:Forms /Building Division /Building Permit i e Application Number Application pin number Qty 1.00 1.00 Unit Charge Per 7.0000 EA 15.0000 EA Other Fees STATE SURCHARGE Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 288.00 89.54 4.50 382.04 11- 00000226 668878 PL -WATER LINE PL -SEWER LINE Paid Credited 288.00 89.54 4.50 382.04 .00 00 .00 .00 Page 2 Date 3/16/11 Extension 7.00 15.00 4.50 Due .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Inspection Type SEPA: ESA: _SHORELINE: Date Accepted By Date Comments Electrical FOUNDATION: 417 -4735 Construction R.W. PW Engineering Footings Fire Stemwall 417 -4653 Foundation Drainage Downspouts 417 -4750 Piers 417 -4815 1 1 1 •L l- Post Holes (Pole Bldgs.) PLUMBING: (vhf —Z2 Date I Accepted b Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL AIR SEAL: Walls Ceiling FRAMING: (40 (Q__ 1 u T(-/-- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: (6-11 73 Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted b 9 w Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: _SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 1 1 •L l- PLANNING DEPT. Separate Permit #s SEPA: ESA: _SHORELINE: Parking Lighting Landscaping 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. 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N 0 O O cn CD co o O a W 3 W W i o H Q Q H W N 0 a o o (0 00 H4 4 cn 41 o. 01 U U o .1 0 0 a oa a a 0 (0 0 0 P, 0 z0 m rg Q H W W 0) U [x0 ot4 az F cn (0o Q ro q o3�P a i a U 4 H U 0 a 4 a F O z a 0 Q o z w �d ul CO ..o0 [n 0o i-+0 u c0 z Z 0 0 00 W 0 01 0 Z CD N o 0. H O x 1 C9 amwzw 4H co aa� wh o' a w o cn CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 /l (360) 417 -4815 fax (360) 417 -4711 N Applicant ,c.h y(,/ tict/o/v-e) Property Owner Ch, Ar k Property Owner' Address 3 jo 6 a,Nd Contractor Se. Contractor's Address License Parcel Number Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date 3/� Print Name T: Forms /Building Division /Building permit application BUILDING PERMIT APPLICATION Print in ink Expires Total footprint of structures no-Foo}ei-inf i sq ft Lot size ft. Occupancy group Occupant load Construction type obi 1/0 Aje' Signature P u Phon la-s Phone E -mail PROJECT ADDRESS /0 /a- A) l 5 /7A, Lot TOTAL VALUATION For City Use Only: Date Received Permit Pate Approved iG e S6" 05 a-c 19U62 es( z,0,7 Zoning Project Type Brief Description: Check all that apply New Construction Residential Multi family Commercial Industrial Addition Remodel 84 -Mid &fi// AkiJ sip \I Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System o Heat pump wood burning stove gas fireplace pellet stove other Other NO 'culog,S Existing (sq. ft.) Proposed (sq. ft.) f, persq.ft. Labor 2 /e?c- 5oo sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 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 too working .n pr t/-" fk4xe, bugt 01.4 1�a 5 f v ed ID 12- Am t %3 1 177 1 1-14 R IOu O -n /I Vre ro j fo 5 dam 4� 'f.., L I e 11" i A.,t.0 F� r (w ke,,A4 /A 7 7 1//_ 1)16_7 72E 0/ octztO 4 t fAD V E mail k �✓L ?kc4e c s tigi 40), 4e4 e i p-ossfpaci rc iL CITY OF PORT ANIG,=LES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this 'urisdictcn. I it t i' i „lc;roval Date 3 1 1 4 Lk. By In \i's) Ste,) ,r7,0 FILE (tiCo t eo f Lo�J o A/LAI w.¢ oz. (2104_, _I_ PREPARED 5/16/11 10 09 12 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/16/11 ADDRESS 1012 W 15TH ST TENANT NBR CHARLES J DEVONEY CONTRACTOR SPIRES ROOFING OWNER CHARLES J DEVONEY TTE PARCEL 06 30 00 0 4 3010 0000 APPL NUMBER 11 00000397 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/16/11 J BLDG FINAL TIME 01 00 May 16 2011 10 07 05 AM 1pangrle TYLER 477 3095 BUILDING FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES SUBDIV PHONE (360) 477 3095 PHONE (360) 808 0525 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application desc TEAR OFF RE ROOF THE HOUSE Owner CHARLES J DEVONEY TTE 310 W 2ND ST PORT ANGELES WA 98362 (360) 808 0525 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 9 00 14 0000 THOU Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T Forms /Building Division /Building Permit 221 75 00 4 50 226 25 11 00000397 712747 1012 W 15TH ST 06 30 00 0 4 3010 0000 CHARLES J DEVONEY RE ROOF 10483 Contractor SPIRES ROOFING PO BOX 2673 PORT ANGELES (360) 477 3095 RE ROOF THE HOUSE BUILDING PERMIT NO PR FEE RE ROOF THE HOUSE 184770 221 75 Plan Check Fee 00 4/29/11 Valuation 10483 10/26/11 BASE FEE BL 2001 25K (14 PER K) STATE SURCHARGE Paid Credited 221 75 00 4 50 226 25 00 00 00 00 Date 4/29/11 WA 98362 Due Extension 95 75 126 00 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 000,\A 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 5P747-5 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Accepted By Footings Stemwall Foundation Drainage Downspouts R W PW Engineering Piers Fire Post Holes (Pole Bldgs 417 -4653 PLUMBING Planning Accepted by Under Floor Slab 417 -4750 Rough -In Building Water Line (Meter to Bldg) 417 -4815 5.--I-II Gas Line Back Flow Water FINAL Date 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. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 5.--I-II S LL PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping 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. T Forms /Building Division /Building Permit Applicant 5 p /2S Property Owner cue,ArGY Property Owner's Address Contractor Spf2E.5 /Zn ©/cf -k Contractor's Address ,2(c/ r.,f 5 License 602. -.g"9 737 Expires /2 3 -oii E -mail PROJECT ADDRESS /0/ Parcel Number Project Type Brief Description. Check all that apply New Construction Residential Multi- family Commercial Industrial Addition Remodel Repair Demolition Re -roof XHouse garage other cktear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other 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 Existing (sq. ft.) Proposed (sq. ft.) per sq ft. TOTAL VALUATION /es 1 `ir$ 3 6 Total footprint of structures sq ft. T Lot size sq ft. Lot coverage i Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type For City Use Only Date Received 1 4- 2— Permit i 1,391 Date Approved Phone 360 /77- 309 S Phone Phone Lot Zoning of bedrooms of full baths of half baths 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 4j2 t-J S p( Signatur T.Forms /Building Division /Building permit application r Item Permit Tearoff 04/27/11 DeVoney Project New Roof at 1012 W 15th st P.A Install Sheathing Roofing Materials Spires Roofing Tyler Spires (owner) Cell (360) 477 -3095 PO Box 2673 Port Angeles Wa 98362 Permit Fees Description contract 261 Total 200 OOT Remove existing roofing, hauling disposal 2,500 OOT of debris Install 7/16" OSB roof sheathing 1,300 OOT Apply 30Ib felt, 30yr architectural roof shingles, new metal flashing against all walls chimney, metal drip edge to cover ends of plywood on gables only, new roof vents and plumbing vent boots, use caulking where needed Total $10,483 36 Payment at begining of Job $5000 00 Balance due at end ofjob $5483 36 5,671 OOT Sales Tax (8 4 $812 36 0 ozAl L O CERTY FICA TE. 4`F bC uPANCY City4f.T ;Port Angel B:uildingivision t t om This certificate is issued pursuant to the requirements of Section 111` t 20,09 International Building Code certifying that athe::imeof issuancethis structure was in compliance with the various ordinances of the City regulatingtbuilding- const for the folio wing- t or s} 4 �g Gin e'r.'and G 1 L Business name g ng 4 C (.Qv►tner•,Micliael Business address tH'.� Property owner Charles J:� Deyon,ey Property owner s addn'es 310 W 2 $t:., Angeles, WA `98362 nr in7�ler.sy Use occupancy classtf ation. Busiriesss Building permit nu' Automatic fire spr stem. Not :Required- 10 -8:3f4 Occupant load. Type of construction. 02/01/11 Date Post on the premises in a conspicuous place. h certificateshallnot be removed except by the Building Official. 0 1 1 G u -0A ,c- t ri'V V 1 1 1 1 I I�� ffs J` I f -)s k: 1 1 1 1 F Al --.--A-2;ct- 1 r 0 w+A^~t rill Cla r rr i K� k� JAN 2 �rvn 7 TY OF PORT ANGELES j '^z°.°~^ (1/28/2011) Linda Pangrle DeVoney Page 1 From Sue Roberds To Linda Pangrle Date: 1/27/2011 5 41 PM Subject: DeVoney Good Morning Linda For DeVoney I wrote an acknowledgment on the parking plan for him to sign. Let him know that we do need to ensure the impact of his home business does not impact the neighborhood negatively The two customer space plan is adequate for appointment only business with one customer at a time. The area must be accessible and gravelled. If additional activity is desired, he needs to provide additional off street parking. He has the area, t he might as well gravel to begin with, but that's his choice. lust make sure he acknowledges the constraints of two parking spaces, then issue when ready Thanks, Sue er saRrq CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1b g39 CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360), 417 -4711 FEES $50 Certificate Inspection 100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK 1 g5-1 4 CN Check one New business in P.A. Change of ownership only? Moving location from within P.A.? Zo n i g I U I+I BUSINESS NAME ('iii A 64 6',,nr7÷e 1--GC— Business address 0 -rZ t j t Mailing address 9e SPONAE Phone number 766 god K6t5" Opening d -te Days hours of operation At 7 54+ 8=5 Business owner's-name /K apF,l N2,t4)ovay Contact phone 366 f'aFf ��r.A" Business owner's address /4,a IA} 1 S- Pt 4w �s am qi g 3 Brief description of business /fir,, p,) �.,z, e C. <Q d fl7 -c,r0, -e_ Property owner's name AejP. 6.2L/v -Y Contact phone $06" 0,50.S Property owner's address /contact 3 /a. (,(J ,-.V`-d 7 Ai- El-0 1, 9c4 Z BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No ,or Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways, ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned* FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 'O 5, ie Is business moving within the PBIA? Yes No4, CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No4 Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Bldg approval by on Fire approval by on PBIA notified on City Clerk approval by on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off -st ettarking spaces available for err iployees and customers? (A parking plan ma be required.) Signs Signs planned. Work planned PUBLIC WORKS 00 PLEASE NOTE T:1FormslBuilding Division1Certlrcate of Occupancy Application (2010).dac OarKn9 r (ah subrni 1- 7�Io route 8- z'7- t© freestanding projecting, awning A -frame etc irrigation system backflow devices, etc.) Yes No,4 WASTEWATER phone 417 -4845 I hereby apply fo, .information I have permit. Date Print Name0 4f &2M1 We ct Sc u s se.L Sigh 'e.�r ry rf 5 NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 4812 Is site work planned (new or re- located sewer or water service excavation, grading or filling work in City right -of -way new driveway openings, site drainage, parking lots, downspouts, Page 2 of 2 CED approval by on PWE approval by RI/ on eh -2 1- /0 �.v rlS�ruC ∎V*.Woy +4t1 of -21- I PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes If yes what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter a Certificate of Occupancy acknowledge that I have read this application and state that the supplied is correct to the best of my knowledge Incorrect information may 'result in revocation of S.Applicatton Tracking Action Log Maintenance CITY OF PORT'ANGElF§: File Edit. List' Commands Help 81N10i0.in'Pup Jc SECTOR Nevilene OK Exit Cancel' Add stendar. Application Tracking Action Log Maintenance Application number 10 00000834 Address: 1012 W 15TH ST Application type: CO- CHANGE OF OCCP/USE Revision/Path/Step/Seq/Agency A 01 00 PUBLIC WORKS ENGINERING Action date: 83110 Action. by ROGER VESS Action code: Li APPROVED Time spent (hours): Convents j Print 1 000'^All construction work within the City right of way requires a separate Right of Way Construction application to be Q4S3(!completed by the contractor and approved by Public. Works 4 Engineeri:ng ,prior to the start of work, A pedestrian or Z Q traffic control plan is tp •be submitted for approval with the application as necessary 2 000J Any and, all contractor(_) and sub'contractor(s) doing'work Oi.•i, [under `this permit in the City•Right of 'Way .]_-,required "to c 1provide written documentation that the City has been named QOj ias an additional insured' H ighlighted 'Sequence' indicates fine is not available for List selection. g/3(i 0 ca11e,A e. OWheX O Via) 6)0__v0ne j about `i'heSe Pu"( �s d Ine k short worKs co mr� M� sal otA move. d w11 c get *e. P W ROW an'-'' -cuiv (rye 5 ".App1icatiop.Track1ng Action LogM, di OF PORT ANGftFS File 'Edit List Commands Help 8Al/b4At7D' PUBLIC SECTOR,. Nadiline V OK Exit Cancel' Add standar. Application Tracking Action Log Maintenance Application number Address: Application type: Rev i si onlP at h /Ste p/Se q/A gen cy Action date: Action by Action code: Ti (hours): Sequence Coxu ents J Print. 3 000:Construct drivewaytand Sidewalks to City Standards :C with exposed aggregate or other non- standard ifinishes(including colors or dyes)are not allowed in the UOLi road right of way Broath finish only' An inspection.by t L3 ,1?uhlic W En orks' gineering is required,prior to pouring concrete 00k. 4 000' 5'000 6 000P 7 000 1 10 00000834 1012W 15TH ST CO- CHANGE OF OCCP/USE A 01 00 PUBLIC WORKS ENGINERING 83110 ROGER VESS APPROVED p Highlighted Sequence' indicates line is not available for List selection. r r r r r r r Mike We were asked to deliver this request to you by Mr DeVoney this afternoon You have authority under Section 14 40 120 (C) to delay improvements to parking areas where Tess than 6 spaces are required for one year Mr DeVoney is asking for that in this attachment. His congratulations are because I told him we had someone new in the position. So, this is for you Sue OCT 2 7 200 /O /d 7 c; off IRet Pattie 'risks anti UMW 1140. Business Name: JAI U Business Address: OCT 252010 Property Line RECEIVED ITY OF PORT ANGEL BUILDING DIVISION T Forms/Building Division /off street parking Off-Street Parking Plan e IAi re s S Cie co Roc-e_ J/ d fi� e e. a 4AeSsl A 16 A a �i RECEIVED AUG27 2010 CITY OF PORT ANGELES BUILDING DIVISION .6-1,4J/0 Y Show the dimensions of all pfking stalls (widths& lengths), arrangement of spaces, aisle width, bumper stops (where required the means of ingress and egress, label streets and alleys, etc. If you have any questions, please contact Roger Vess in the Public Works Department at (360) 41.7 -4812 *Bumper stops are required when a parking stall meets a walking area. 3 6,D -61g 25 October 2010 To the City of Port Angeles Engineer Dear sir or ma am I am requesting a wavier pursuant to Section 14 120 B andifS, to postpone the requirement to have paved parking at my home /business for one year Please accept this letter as my formal request and find the attached drawing of the parking area and my application for a home occupation to conduct business from this location. Thank you for your time and consideration in this matter and congratulations on your new position Michael J DeVoney 1012 West 15 Street Port Angeles, WA. 98363 360 808 -5605 f RECEIVED OCT 2 6 2010 I CITY OF PORT ANGELES BUILDING DIVISION OCT 0ECEIIWIErr z 7 2010 lij) City of Port Angeles Public Works and Utilities Dept. Engineering Services Division Jo am October 25, 2010 RE 1012 W 15 Street Linda C61 lo-g39- 6(n j G'ilseitni Mr DeVoney will be conducting tai chi lessons with 1— 4 students at the residence /office located in the CSD /RS -7 zone He isn't actively doing acupuncture at this time but it is part of his plan to ultimately incorporate the acupuncture with the tai chi He will provide 4 off street parking spaces at the rear of the site with 2 residential spaces accessing off of 15 Street for the combination of residential /office uses. He has a curb cut for the residential use off 15 Street. Because his business plan intends a use that requires 6 or fewer parking spaces, a delay in parking lot improvements can be requested per Section 14 40 120(C) PAMC by the City Engineer Mr DeVoney will bring a request letter in this week asking for that delay Please route the letter and the parking plan to Eric /Roger for review if I am not here If I am here, I will route it with explanation as to the request if it isn't obvious in the document. Thank you for bringing this matter to my attention e Roberds Business Name: Business Address: Property Line RECEIVED OCT 2 5 2010 CITY OF PORT ANGELES BUILDING DIVISION T Forms /Building Division /off street parking c0O Off- Street Parking Plan *Bumper stops are required when a parking stall meets a walking area. 0 RECEIVED AUG27 2010 CITY O F PORT ANGELES BUILDING DIVISION R2 Of QAI rOs S �'ec -Otte bstk, (44 A T4lley 4-/ Show the dimensions of all pfking stalls (Widths lengths), arrangement of spaces, aisle width, bumper stops (where required the means of ingress and egress, label streets and alleys, etc. If you have any questions, please contact Roger Vess in the Public Works Department at (360) 417 -4812 36p, eog 0-0/ 9)Qj Ug 5(��5 l o 1.26113 c4Q2 -ka�Q. I�Vo� 4-6 c,Aaz.4.. -fie A �9 n, tc fie. ,A.aid ,.Ka- ✓rial iNanpe, fie. nu J -*b Ja 66Q.e2A4 )JACA;Li A°A. Aftveubt 4u,oirnv3A,2/L lAeiJ) z&r5 JjAa Cownc-ce )vme\ S\a- w\A-PA4Ity (L;4.1CIRQ C)() J\IAJJzLnundo, oLAL ,,A,bQ Iped JAAtAt rAzAn pafik,(1 „eif-6.,6Q/Z )\9_ af2-6L_ 4,L ji(ifithtu j6to 5e 64 JO_ rui2eLa._°4 .PAwe, ,CAIY\V4L-Aet rYA-42e- 6.A- J3.6-T_A Ur ka.i. JAL, ti )2Q,HroA -644Th fi, V n j -012ttart 4oOu? m CUJ y.k Com -ha C 0 iteyt, -Ocka ®1994, 1995, DAY TIMER In ALLENTO PA SR DESK L /FOLIO go.r4 Pr nted USA Su $130/10 4 st-P uguk _S -.lasses offered; tPORTANGEL eginn i g'LL. ursda acu= u•iicturist!M:icliael; eVoneywilT: offer taikchr and girg ong?classes 'eatuhis. ter, priva ractice, .Ginger °and: Ginseng 1015 W "lath St. Classes,ar x$12 per?ses- siorio pa yi n ve,claes ss:.in_ad Classes ll beheld out oo Wig rs as;weatl eriandrs ace_ pe mits P �,enzry eseuclasses vvilri e evelnat 4 ei t o Y 467e e eVoneyl as :been:prac 1 ici 'n4:46 ncture:f 5 g i p i ears: pry ,4 L ing is appr and DeVoney ;a attend t refrain rom we :p fumelor cologne additi li eginni De1oney wi fr FY accep Uniform H ealth, insur ancehfor k his ac upunc iture ap it riiep ts at „Gat way Th er a P Y $1 118 1 1 P l one 360= 4 5'7 "7 $�w sched anpouitmerit. j�.• Forr mgrejiiformatign, x ep Devon y:ate36U 80$= .56::x PREPARED 8/12/10 8 41 36 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/10 ADDRESS 1012 W 15TH ST SUBDIV TENANT NBR GINGER AND GINSENG LLC CONTRACTOR PHONE OWNER DEVONEY REV TRUST PHONE (360) 808 0525 PARCEL 06 30 00 0 4 3010 0000 APPL NUMBER 10 00000834 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 8/12/10 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 08 /11 /10 TIME 16 43 22 August 11 2010 4 42 39 PM 1pangrle MICHAEL 808 5605 C OF 0 FINAL GINGER GINSENG AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES gORTl CERTIFICATE OF OCCUPANCY APPLICATION Check one New business in P.A.. CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 FEES $50 Certificate Inspection 100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK R5-1 4 CN Change of ownership only? Moving location from within P.A.? El Zo n i g In u t +1 BUSINESS NAME G^)/V Ae'd 6')rvre LL Mailing address 9 e 363 SAVIE Business address 0 fit f 1 Phone number ?6C. goC 6'C-OS Opening d -te Days hours of operation At T- 544 8-5 Business owner s•name /14, c hpe, 2(4.)AR I Contact phone (e> flak CC Business owner's address /o,a IA-) i- it 6 Ptj' if.v 61.4 Q& 3 Brief description of business A r, n�r,.,c, -rte t-,. ,i17 so_ a e-e_ j A C 4 (2 61 Property owner's name A -f'e O- 1A1,,e -Y Contact phone $06'— 0Sa:c Property owner's address /contact 3/6 CO Itiv7J2-l.0 S 1, BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways, ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No [I4 Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? Is business moving within the PBIA? Yes No/' CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes Nor A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Yes No PBIA notified on Permit .r 0 834 Bldg approval by v w on 12- I 0 Fire approval by V on g I p City Clerk approval by K on s -30- Cj COMMUNITY Number of off -st par be kjng spaces available for employees and customers? (p a (A parking plan required.) Signs? Signs planned' PLEASE NOTE PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service, excavation grading or filling work in City right -of -way new driveway openings site drainage parking lots, downspouts, irrigation system backflow devices, etc.) Yes No /Ri Work planned PUBLIC WORKS Will waste other than domestic household waste, be discharged into the sewer system? Yes If yes, what will be discharged. Please sign up for utility services at the ,cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that have read this application and state that the information 1 have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date 1 21) Print NameA 4- f 16617 Signature ECONOMIC DEVELOPMENT phone 417 4750 NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. WASTEWATER phone 417 -4845 Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 TForms\Building Division \Certificate of Occupancy Application (2010).doc Far Kinn Pao" 5ubrrni i- 7 -10 Y'ou+ed 8- Z7 -10 freestanding, projecting, awning A- frame, etc We a.■scussek 3 r Q�rrnr S Page 2 of 2 CED approval by SR. 0 n 1a71 PIMA/approval by on 4 Business Address Business Name: Property Line Off Street Parking Plan T Forms /Building Division /off street parking *Bumper stops are required when a parking stall meets a walking area. 4lle 41,44 IVz l��L Sh the dimensions of all parking stalls (widths lengths), arrangement of spaces, aisle width, bumper ops (where required the means of ingress and egress, label streets and alleys, etc. If you have any questions, please contact Roger Vess in the Public Works Department at (360) 417 -4812 Application Number 06- 00000699 Application pin number 722252 Property Address 1012 W 15TH ST ASSESSOR PARCEL NUMBER 06-30-00-0-4- 3010 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner PETERSEN TIMOTHY J 1012 W 15TH ST PORT ANGELES Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 721 EAST STH STREET. PORT ANGELES. WA 98362 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 -5303 Date 7/05/06 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OLYMPIC/ 1800 SQ FT REMODEL Permit pin number 81554 Sub Contractor OLYMPIC ELECTRIC Permit Fee 96 40 Plan Check Fee 00 Issue Date 7/05/06 Valuation 0 Expiration Date 1/01/07 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL -R -SQFT FIRST 1300 73.00 1 00 23 4000 5C EL -R -SQFT ADDITIONAL 500 23 40 Charged Paid Credited 96 40 96 40 .00 00 00 00 96.40 96 40 .00 Due .00 .00 .00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.15 (496[ INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO DITCH ROUGH -IN COVER i Ae -p(, ei SERVICE FINAL I/0-0/ 0 1.4(1Z I ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.15 (496[ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation •Owner PETERSEN TIMOTHY J 1012 W 15TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 98363 Qty Unit Charge Per BUILDING PERMIT RESIDENTIAL 46581 148.75 5/13/05 11/09/05 BASE FEE 4.00 14.0000 THOU BL- 2001 -25K Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 148.75 59.50 4.50 212.75 T: \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 05- 00000223 047836 1012 W 15TH ST 06-30-00-0-4- 3010 -0000- RES FOUNDATION REPAIR 5500 Contractor OWNER (14 PER K) STATE SURCHARGE Charged Paid Credited Due 148.75 59.50 4.50 212.75 Plan Check Fee Valuation .00 .00 .00 .00 Date 5/13/05 Extension 92.75 56.00 4.50 .00 .00 .00 .00 59.50 5500 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 Signature of OiWner Of owner is builder) n s ate INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS r- WALLS PI. 7116 jw 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 SEPA: ESA: SHORELINE: PLANNING DEPT. SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING 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. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 63 10j01:1_21.11./ BUILDING T:\Policies \1102_15 building permit inspection record05.wpd [1/4/2 05] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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. H 10 0 GI En 0 N 4 F as Q a H a W a 0 H 1 El 0 Q 0 0 hi0 O o E. En 0 m E rn x H c F F o N N H z O 0 W O 3 CO 1 0 o 0 N W m H o W 10 H a o 0 En H w z I,O 0 G. cn H H F En a DI CP W W F L 0 Z a M P W W CPFF N 0 GI a o p a 0. W O a au w 4 a P7 to a G. F W w a a x E. H z x E. za M GI a 4 g H a“.3 m a 'a. a (0 CP (1) (I) E. 0 o o h .1 0 h a 0. 08 a a PC H H 0. W KC W W Z w Z CO .1 M H 01 C H r N10 a01 Cl I) 40 E+H a 0n E. Tr On 4 o 0n b ut 0 Q 10.--1.4.1x CO �n a 08 01 H ut .+100.400800 0 I 0. 51 V. W N 0 W N W m( n 0n W 08 0n m 0n 10 0n Q( 0 (0 W o 0 0 o r o a o. 0 00[4)N(00((40 0000no000N 0 `f. N H N W N 08 N N Z N 40 N x Zi N In W C x\ 1-1 H\ H\ d r 0 080. 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N H H 6 c I A a aaa a z5 En W N RI E o W a o p a W o Qd au PI H a F 0 m 0 a w w o M CO W o to WI 0 0 Of d W Z O c H O 0 F Ln zr a o a W w 0 Z E Ln H\w q m a F a 0 al o F a4 in 0 0 0 0 a CO z z ti k CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said puns, specifications and other data, or from preventing building operctions being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. (SECTION 303(c) for B uilding Code Approval Date 5 3o�a s By L.L, Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 es-i- 6 tnc Applicant or Agent: i NA 11.4 e SWti Owner: ,S a A,1 i -A-- Phone: Address: n c z k) 1.5 1.-1-- Contractor Address: PROJECT ADDRESS: O Z City: Phone/ 7 5 7 Zip: 9 3 6 Z— Architect/Engineer: Phone: State License Exp: Phone: City: Zip: (iV J ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: tit Residential New Constr. 61 Multi-family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE City: Exp. SIZE/VALUATION: Re -roof Stove SF. /SF. Move Garage SF. /SF. Demolition Deck SF. /SF. Sign Other TOTAL VALUATION PROJECT: f �dVrIQ a rlo''1 RQea_f MC COMMERCIAL/RESIDENTIAL: Occupancy Group: Total lot coverage BUILDING PERMIT APPLICATION T:\RVESS\BLDG- forms- brochures\2004- Buildingpermit.wpd Applicant: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. 1 hereby certify that 1 have read and examined this application and know the same to b a true an understand that if is my responsibility to determine what permits are required ,not the Cj FOR OFFICIAL. USE ONLY: OS ate: 5 Construction Type: TOTAL Sq. Ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. orrect. I am authorized to apply for this permit and must obtain such permits prior to work. Date: Q 3 5- PLANNING USE ONLY: a A ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 es-i- 6 tnc Applicant or Agent: i NA 11.4 e SWti Owner: ,S a A,1 i -A-- Phone: Address: n c z k) 1.5 1.-1-- Contractor Address: PROJECT ADDRESS: O Z City: Phone/ 7 5 7 Zip: 9 3 6 Z— Architect/Engineer: Phone: State License Exp: Phone: City: Zip: (iV J ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: tit Residential New Constr. 61 Multi-family Addition Commercial Remodel Repair BRIEF DESCRIPTION OF THE City: Exp. SIZE/VALUATION: Re -roof Stove SF. /SF. Move Garage SF. /SF. Demolition Deck SF. /SF. Sign Other TOTAL VALUATION PROJECT: f �dVrIQ a rlo''1 RQea_f MC COMMERCIAL/RESIDENTIAL: Occupancy Group: Total lot coverage BUILDING PERMIT APPLICATION T:\RVESS\BLDG- forms- brochures\2004- Buildingpermit.wpd Applicant: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. Proposed Sq. Ft. 1 hereby certify that 1 have read and examined this application and know the same to b a true an understand that if is my responsibility to determine what permits are required ,not the Cj FOR OFFICIAL. USE ONLY: OS ate: 5 Construction Type: TOTAL Sq. Ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. orrect. I am authorized to apply for this permit and must obtain such permits prior to work. Date: Q 3 5- CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15117 Port Angeles, Washington 19 )5v In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address U 1c) 5 Owner Tenant Wiring Contractor ,4? wt -e. Light Outlets Receptacle Outlets Dryer, KW Range, KW Water Heater: KW Heat: RW Motors: size, volts and phase: Remarks: Total Load C 1M 3 -72 Olympic Printers, Inc. By Service, volts No. wires Size wires f Main fuse �n 0,4 Enclosure Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing Current transformers: No. Size Ser. No Ser. No Ser. No Ser. No Occupancy Type of Wiring: Armored Cable Non Metallic Knob Tube Rigid Conduit Metallic Tubing Raceway Circuits, Light Utility Heat Range Water Heater Motor Dryer Furnace Total Permit Fee Treas Receipt No By i Gf f-"Ott. a n t NOTICE Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15117 Date called for inspection Preliminary inspection dates Inspection completed Total Load 06/22/2006 14:21 3604523498 Inspection Date 7h/04 4co OLYMPIC ELECTRIC. ELECTRICAL WORK PERMIT APPLICATION r Job wired by alectrical Contractor O Owner Electrical contractor name License number Date Expires rice,/ a,, J Purchpe6es ailing address q_2 7- 9.4"1f 4 Ci Z1P State 2Z y,3G1 Telephone numbe FAX number %77- 53c 3 v _z Jrzr Pre e owner's j name Address of In !D/2 ray- Phone number s d' action I %i+f,/rr to schedule Inspection: owner as defined by RCw.19.28.261:(t) Owner will perm) the structure for two years after this electrical permit is finalized. (2) Owner a required to him an electrical contractor if above said property is for .tale. rent or lease. After reading the above statement. I hereby certify that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C.. RCW, Chapter 19.28. WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications. of owner. electrical contractor or electrical administrator X Date: Installation description Commercial ailesidential 0 New /100 s 79 /�emtol /Tirel.;-r Cash O Check teditCard Visa Card Altered/Additinn Mastercard Discover Inspection ICC y id Expiration Date of card EI c :c1 Additions and or subtractIona NO LOAD CHANGES Baseboard KW Furnace KW O Overhead Service Heat Pump Ton LAP Temp Service 0 Fan -Wall _KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735 Area, Building or Equipment Inspected Dote SERVICE FEEDER Appmvrd Approved Action Taken THERMOSTAT Date Appm+.d ay D1TCR DAIC Approved ay PAGE 01 Service Information Voltage 2 Phase V'1 O 3 Service Size•, Feeder Size: Electrical Inspector