Loading...
HomeMy WebLinkAbout113 Del Guzzi Dr - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION k e� 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,e Application Number 12- 00000732 Date 6/07/12 Application pin number 453944 Property Address an DEL GUZZI DR ASSESSOR PARCEL NUMBER: 06- 30- 12 -3 -4- 9010 -0000- REPORT SALES TAX i Application type description PLUMBING PERMIT on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning COMMERCIAL ARTERIAL (Location Code 0502) Application valuation 1000 Application desc s 2 NEW BACKFLOW PREVENTION DEVICES o- Owner Contractor RONALD GARDNER INDEPENDENT PLUMBING 1t, la 113 DEL GUZZI DRIVE 84 PIERSON RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 452 -6545 (360) 681 -4499 Permit PLUMBING PERMIT Additional desc 2 NEW BF PREVENTION DEVICES Permit Fee 64.00 Plan Check Fee .00 Issue Date 6/07/12 Valuation 0 Expiration Date 12/04/12 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 7.0000 EA PL- BACKFLOW PROTECTION <OR =2" 14.00 Fee summary Charged Paid Credited Due Permit Fee Total 64.00 64.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.00 64.00 .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. ..7- i 7 1 'L po jV' I I ,q 6. J Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) P T:Forms /Building Division /Building Permit V' BUILDING PERMIT INSPECTION RECORD (1 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 FOUNDATION: Footings �J Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line b t BIow3Water Q`� FINAL Date Accepted by 1 5 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 FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs f Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 1 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 v p� T•Fnrmc /Rnilrlinn nivisinn /Riiildino Permit o* Pottrgk Official Use Only 01. s Assem.# S Backflow Assembly Test Report Rcxeived 4 City of Port Angeles kp AN V Public Works and Utilities Department Water/Wastewater Collection Division 1� ,9 NAME OF PREMISES: s✓ H /O f I S' T Al SERVICE ADDRESS: 1 3 Pc- 6 tr 4! 1J 2 2' 19 r o ►1 e' LOCATION OF DEVICE: 11/ 6A 7'UDA /'1C/'c/Yri'X UAl01 C riliA The fJi` /CI AT.r1r/ //'e ASSEMBLY: /1 7 r /2 4 f v4� 9 3 a /r Manufacturer Model Size S erial No. IS THIS AN APPROVED ASSEMBLY? YES OeNtIO IS ASSEMBLY INSTALLED CORRECTLY'? YES ©ENO DATE OF INSTALLATION] /'A C 2v6). UNKNOWN REDUCED PRESSURE PRINCIPLE ASSEMBLY RP E1 RPDA DC DCDA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #I CHECK VALVE #2 RELIEF VALVE PVB /SVB Initial Leaked Leaked Did Not Open AIR INLET 9 Closed Tight ®r a f Did Not Open Test Held at r2- psi Opened at L psi Held at psi Opened at psi Repairs Cleaned Cleaned Cleaned CHECK VALVE Leaked Held at psi Replaced Replaced Replaced REPAIRS Cleaned Details Replaced 3 psi Buffer YES NO Final Closed Tight AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at psi Held at psi Opened at psi BACK PRESSURE NO YES AIR GAP INSPECTION: 9 r� REQUIRED MINIMUM SEPARATION: YES NO TYPE OF HAZARD ,d'` is J e e49 COMMENTS Line Pressuref psi P re Te ,L �A)7P Backpressure 3 t� e Held Back ressure YES 0 /NO #2 Shutoff Held YES 0 Relief Valve Exercised YES Er NO Date /Time Tester Signature Cert. Test Kit Passed 'Failed Initial g ,9 f Test 7- /U S X A/ ii e C K (,e AT- A� ,1 f` 4,, /I'7/./ kr Repairs Final 1 Test 7- "1 Al idA/ ,4 eCKC 1 r t A C r i 1) /7W6St CI WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY +o PORT g ye F Official Use Only in............ Asscm.# Backflow Assembly Test Report Received CO 1 4 City of Port Angeles glows A O Public Works and Utilities Department Water/Wastewater Collection Division NAME OF PREMISES: td 0 5 hi U g 6 5 1 I N/ SERVICE ADDRESS: p L 0 is 7 7 i 0.1 V k LOCATION OF DEVICE: .5 4/ 77-( _f i d 1 /9!f if Y �f ,e I C ASSEMBLY: WA T 7 I/ f f r 3 9-3 /5,2 Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY'? YES o 0 IS ASSEMBLY INSTALLED CORRECTLY? YES C "NO DATE OF INSTALLATION (14 )Ul UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 RPDA DC DCDA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #I CHECK VALVE #2 RELIEF VALVE PVB /SVB Initial Leaked Leaked Did Not Open AIR INLET Closed Tight 1410 Did Not Open Test Held at 5 psi Opened at 3,S4 psi Held at /1 N 4j psi Opened at psi Repairs Cleaned Cleaned Cleaned CHECK VALVE Leaked Held at psi Replaced Replaced Replaced REPAIRS Cleaned Details Replaced 3 psi Buffer YES NO Final Closed "Tight AIR INLET Opened at psi CHECK VALVE Held at psi Test Held at psi Held at psi Opened at psi BACK PRESSURE NO YES AIR GAP INSPECTION: 5.”4 j REQUIRED MINIMUM SEPARATION: YES NO TYPE OF HAZARD 1f d ,iYE 11 COMMENTS Line Pressure 5 psi (A Pt c CP. r e 5 N 01 14. 5"s' d? Held Backpressure YES CE' NO i #2 Shutoff Held YES.0 NO Relief Valve Exercised YES NO Date /Time Tester Signature Cert. Test Kit Passed Failed Initial y /ION �ry _J i� Test f'Iiv -/2' !`UN 1ftC/(t/s All Wi" �7 Or M 0 VVto Repairs Final �j Test 710 !r ,A/ ,B L" f lc l` le K I, e.r.if„ n/ s AI f 0 r WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY THr RT A NGELES For City Use y��n l J Permit V� W o W A S H I N G T O N, U.S. N a� Date Received: Cp• l"' 12 c 5`b Street Port Angeles, Z 321 East eles WA 98362 S g Date Approved: C9'�'� I m P: 360 417 -4817 F: 360 417 -4711 -0 hcatuzo @cityofpa.us s Building Permit Application Project Address: Main Contact: Phone /l �((li C/,- y Property Name Phone /DA( A( /7 6-e '4W 4. 6(6 Mailing Address Email (/3 7/ L- i c,re1c-. City State Zip r0 A /G Contractor Name ndependav) -1 P l a b i Phone Mailing Address Email City A State Zip License Expiration: 1 otel E5t Project Value: Zoning: Tax Parcel Lot 1000 Type of Residential Commercial Industrial Public Permit Demolition Fire Repair Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Maximum height of structure Proposed Bedrooms Proposed Bathrooms Yes No Project Z roAl toacAcP I t9 W pr-eveintl on d e vi cers Description I have read and completed the 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. I understand the plan review fee is not refundable after review has occurred. I understand that I will forfeit 20% of the review fee if I cancel or withdraw the application before plan review has occurred. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned, and the fees forfeit. Date Print Name Signa re Uvn(G Residential Structures Area Description (SQ FT) Existing Proposed Minimum For Office Use value Basement First Floor Second Floor Covered Deck /Porch /Entry Deck Garage Carport Other (describe) Area Totals Commercial Structures Area Description (SQ FT) Existing Proposed Minimum For Office Use value Structure (s) Addition Tenant Improvement Other (describe) Area Totals Lot /Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious Site Coverage structures) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not Pellet Stove /Wood- burning /Gas portable) Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Size: Ventilation System Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor /?Other (describe): �>p �v Contractors or Tradespeople Printer Friendly Page Page 1 of 1 General /Specialty Contractor A business registered as a construction contractor with Led to perform construction work within the scope of its specialty. A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance. Business and Licensing Information Name INDEPENDENT PLUMBING UBI No. 602677340 Phone 3606814499 Status Active Address 84 Pierson Ln License No. INDEPP*931BD Suite /Apt. License Type Construction Contractor City Sequim Effective Date 1/4/2007 State WA Expiration Date 1/4/2013 Zip 98382 Suspend Date County Ctallam Specialty 1 Plumbing Business Type Corporation Specialty 2 Unused Parent Company PAUL A TUCKER INC Business Owner Information Name Role Effective Date Expiration Date TUCKER, PAUL A President 01/04/2007 TUCKER, SHARON LEE Secretary 12/13/2010 Bond Information Bond Bond Account Effective Expiration Cancel Impaired Bond Received Bond Company Number Date Date Date Date Amount Date Name 1 CBIC SH0773 01/03/2007 Until Cancelled $6,000.00 01/04/2007 Assignment of Savings Information No records found for the previous 6 year period Insurance Information Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date 3 CBIC C11SH0773 01/03/2009 Until Cancelled $1,000,000.00 12/12/2008 2 CBIC C11SH0773 01/03/2008 01/03/2009 $1,000,000.0011 /21/2007 1 CBIC C11SH0773 01/03/2007 01/03/2008 $1,000,000.0001 /04/2007 Summons /Complaint Information No unsatisfied complaints on file within prior 6 year period Warrant Information No unsatisfied warrants on file within prior 6 year period https: fortress .wa.gov /lni/bbip /Print.aspx 6/7/2012 CITY OF PORT ANGELES DEPARTMET T OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000172 Date 2/23/10 Application pin number 839576 Property Address 113 DEL GUZZI DR ASSESSOR PARCEL NUMBER 06 30 12 3 4 9010 0000 Tenant nbr name JOSHUA S RESTAURANT Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 32000 Application desc REPLACE FIVE ROOFTOP HEAT PUMP UNITS (<5 TON EACH) Owner Contractor RONALD GARDNER PENINSULA HEAT INC 113 DEL GUZZI DRIVE 782 KITCHEN DICK RD PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 452 6545 (360) 681 3333 Permit MECHANICAL PERMIT Additional desc REPLACE 5 HEAT PUMPS Permit pin number 161208 Permit Fee 124 00 Plan Check Fee 00 Issue Date 2/23/10 Valuation 0 Expiration Date 8/22/10 I Qty Unit Charge Per Extension BASE FEE 50 00 5 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 74 00 Fee summary Charged Paid Credited Due Permit Fee Total 124 00 124 00 00 00 Plan Check Total 00 00 00 00 Grand Total 124 00 124 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. 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 local law regulating construction or the performance o c struction. Date Print Name T:Forms/Building Division/Building Pennit I IAD' Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 FOUNDATION. Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted 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 I Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. CD \7) C FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 1 C Planning 417 -4750 Building 417 -4815 q -Y 11 H9I' 1 d T:Forms /Building Division /Building Permit 02/19/10 13 58 FAX 3606812086 Applicant Property Owner Property Owner's Address Contractor P e A, n s H /Gi Pelt Qa r Contractor's Addre s �Ss ,fC -i cA /Z d License /JN /p /01190 //1/ Expires o Re I o R r o D lition a e- kHeat System o Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Pordt 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 0,. PROJECT ADDRESS G z z Parcel Number Lot Project Twee a BriefDescno6on: o Residential o Muhl family p f j r Chock all metap., s o New Con ction /v 4' l a n D I 'on Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? l >P r o House o garage o other o tear off re -roof o lay over one layer )s Heat pump a wood burning stove o gas fireplace o pellet stove o other q (ta. f1) Proaosed (sir R) ft. Occupancy group Occupant load Construction type i have read and completed this application and know it to be true and correct I am euthorit that it is my rospons llity to determine what permits are required, and to obtain permits prior Date rint Nama ll 1 Signature T :Forrns/Building Division/Bldg Pem iit.doa Peninsula Heat el 02 For City Use On Date Received 2-1 Permit j Date Approved Phone Phone 6 5y� Phone J-33 i!/i r✓I Gam. E- mail,, A f4 0 Ii/P 1 /G}'7 r `Se siewa's 2onin 1 vront' moist o Mdustrlal 5 per sq_ ft_ TOTAL VALUATION 32, Q Q Total footprint of structures sq. ft. T Lot size sq_ ft. Lot coverage 96 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.84.135 for exemptions) Site coverage 96 it of bedrooms #of full baths of half baths ply for thi ::u it and understand ler A 4 Clallam County Assessor Treasurer Property Details 65613 RONALD GARDNER f. Page 1 of 4 Clallam County Asse ;sor Treasurer Property Search Result 65613 RONALD GARDNER for Year 2010 2011 Property Account Property ID Taxes and Assessments Due Property Tax Information as of 02/19/2010 Amount Due if Paid on IS, 65613 Legal Description ENNIS CRK EST SP# 85 -11 7 V16 P58 LOT 2 EXC R/W 1 02A Geographic ID 0630123490100000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 58 Open Space N DFL N Historic Property' N Remodel Property N Multi Family Redevelopment: N Location Address: 113 DELGUZZI DR PORT ANGELES Neighborhood: Cycle 4 Comm Neighborhood CD 20950140 Owner Name. RONALD GARDNER Mailing Address: 113 DEL GUZZI DRIVE PORT ANGELES WA 98362 Mapsco Map ID Owner ID Ownership Exemptions: Statement Year ID Taxing Jurisdiction 2010 47798 ST SCH STATE SCHOOL 1 2010 47798 CC -GEN COUNTY 2010 47798 PORT PORT 2010 47798 PORT ANG PORT ANGELES 2010 47798 SD #121 SCHOOL DISTRICT #121 2010 47798 NTH OL LIB NORTH OLYMPIC LIBRARY 2010 47798 HOSP #2 HOSPITAL #2 2010 47798 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 47798 CITY STORMWATER CITY STORMWATER 2010 47798 WEED CONTROL WEED CONTROL 1- 2010 47798 TOTAL. 12009 656132008 ST SCH STATE SCHOOL 2009 656132008 CC -GEN COUNTY 2009 656132008 PORT PORT 1 2009 656132008 PORT AIIG PORT ANGELES 2009 656132008 SD #121 SCHOOL DISTRICT #121 2009 656132008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 656132008 HOSP #2 HOSPITAL #2 26121 100 0000000000% First Second Half Half Base Base Base A Due Due Penalty Interest Paid D $1053.24 $1053.23 $0 00 $0 00 $0 00 $560 50 $560 49 $0 00 $0 00 $0 00 $78 78 $78 77 $0 00 $0 00 $0 00 $1297 73 $1297 73 $0 00 $0 00 $0 00 $1364.22 $1364.23 $0 00 $0 00 $0 00 $162 87 $162.87 $0 00 $0 00 $0 00 $229 93 $229 93 $0 00 $0 00 $0 00 $73 16 $73 16 $0 00 $0 00 $0 00 $245 74 $245 73 $0 00 $0 00 $0 00 $0 88 $0 88 $0 00 $0 00 $0 00 $5067.05 $5067.02 $0.00 $0.00 $0.00 $1 $1229 16 $1229 15 $0 00 $0 00 $2458 31 $622.07 $622.05 $0 00 $0 00 $1244 12 $88 11 $88 12 $0 00 $000 $176.23 $1364 44 $1364 44 $0 00 $0 00 $2728 88 $1520 04 $1520 07 $0 00 $0 00 $3040 11 $180 75 $180 75 $0 00 $0 00 $361 50 $255 12 $255 11 $0 00 $0 00 $510.23 http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id -65 2/19/2010 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description .Subdivision Name Property Use Property Zoning Application valuation Application desc Replace 6 rooftop HVAC units Owner RONALD GARDNER 113 DEL GUZZI DRIVE PORT ANGELES WA 98362 (360) 452 6545 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL HEATPUMP 161380 86 50 2/26/10 8/25/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000186 074288 113 DEL GUZZI DR 06 30 12 3 4 9010 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES WA 98363 (360) 457 5303 'tq2 3L `z$ Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 5 00 2 6000 ECH EL -ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee Total 86 50 86 50 00 Plan Check Total 00 00 00 Grand Total 86 50 86 50 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Charged Paid Credited ti2G A Date 2/26/10 Due DATE RESULTS 00 00 00 00 0 Extension 73 50 13 00 Signature of owner or Electrical Contractor X Date INSPECTOR. 02/26/2010 08 07 FAX 360 452 3498 FEB /26/2010/FRI 11 17 AM Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application typo description Subdivision Name Property Use Property Zoning Application valuation Application dee0• Replace 6 rooftop HVAC units) Owner 'WEALD GARDNER 113 DEL OUSE I DRIVE PORT ANGELES 1360) 452 6545 Permit Additional desc Permit pin number Permit Pee Issue Date Expiration Date INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS WA 96362 ELECTRICAL M!ATPUblP 161380 86 50 2/26/10• 6 /25/10 Signature of owner or Electrical Contractor X COMMERCIAL ARTERIAL 0 Olympic Electric Co FAX No ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417 -4735 10 00000196 074288 2.13 .DEL ODZZI DR 06 30 -12 3 -4 9010 -0000- ELECTRICAL ONLY MMMMMM M.. Contra0t0r V -r- OLYMPIC ELECTRIC 4230 TOMWATER PORT ANO ®LEE (360) 457 5303 Plan Check Pee Valuation Oty Unit Charge Per 1 00 'l3 5000 ECU EL- BRANCH CIRCUIT WO /PERDER 5 00 2 6000 NCH HL-ECH ADM BRANCH CSRCDZT Pee summery Charged Paid Credited Permit Pee Total 86 90 86 50 00 Plan Check Total 00 00 00 Grand Total 86 60• 96 60 00 Dote 2/26/10 Due I RESULTS. 1 WA 99363 00 0 Extone 73 50 13 00 00 00 00 PA CITY INSPECT Z 01/001 P 0010001 I INSPECTOR. 02/23/2010 08 49 FAX 360 452 3498 City of Port Angeles Permit Application Building DIvlalonlElectrlcal Mepectlona 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: 380) 417.4735 Fax: (380) 417.4711 Date: 12--/ )3 1 2 Single Family Dwelling Multi- Family or Commercial' -g Commercial Addition Alteration Remodel Repair' Plan Review May Be Required, P eas Complete Electrical Plan Re le Information Sheet Job Address: I Required, j U 4 Building Square Footage: r e Description of above le A D 4. GOB i L/4c Owner Information Name: ,I) e e 4 ojt 6 yor Mailin Address: _l/ la/ 6 v E' i City: PA State: w Zip: Phone iSa ESY Fax: License Exp, Unit. Ci1or 110.90 145,50 204.60 S 262.20 372.50 2.60 73.50 2.60 92.70 110.30 S 148.70 5167.90 95.00 88.20 S 95.90 S 63.90 5 63.90 S119.90 102.30 110,30 S 35,20 S 7150 S 110.30 S 56,00 Olympic Electric Co d PA CITY INSPECT 001/001 Contractor lnform ry Name: /N Oi� k /Go 4 Mailln d s: w14.14/? City: J A State: 4 Zip: V*J-J Phone Z, .2" 4'#' Fax: --Pype- License Exp. C:x ce..1/v< F.p4�., Total (O MultIolled by Unit Cherge, .5 Service/Feeder 200 Amp. Service/Feeder 201.400 Amp. Service/Feeder 401.600 Amp. Service/Feeder 601.1000 Amp, SeMce/Feeder over 1000 Amp. j6 Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder 2. Each Additional Branch Circuit Temp, Service/ Feeder 200 Amp. Temp. Service /Feeder 201400 Amp. Temp. SeMce/Feeder 401.600 Amp. S Temp, Service /Feeder 601 -1000 Amp, Portal to Portal Hourly S Sign/Outline Lighting Signal Circuit/ Limited Energy Commercial. Additional 1500 35.00 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling Signal Circuit/ Limited Energy MuIU•Famlly Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft, Each Additional 500 Square FL or Portion or Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total $6 5 b Owner as defined by RCW.18,28.2S1• (1) Owner will occupy the structure for two years after this electrical permit Is finalized (2) Owner is required to hire an electrical contractor N above said property Is for sale, rent or lease. Permit explms after six months of last lnapocllon. After reading the above statement, I hereby certify that 1 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 Specification, Signature of owner, electrical contractor or electrical administrator Check 9�� Gem. 02 -1 e 411 Ca rd FEB REDEIVED 2 3 2009 ELECTRICAL INSPECTIONS 0 Cash d'~'~ .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET,.I'ORT ANGELES. WA 98~62 ELECTRICAL PERMIT Issued: 12/16/97 Permit No: 6158 OWNER/AP~LICANT------------------------PROPERTY LOCATION------------------------ JOSHUAS RESTAURANT 113 DEL GUZZI DR 113 DEL GUZZI Lot: sp-85 (11) 7 Port Angeles, WA 98362 Block: Long Legal: 360/457-7473 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- RAINBOW NEON INC I 2251 PAGE RD. PORT A~.'GELES, WA 98362 I ' 360/45~-3224 000/000-0000 I PROJECT INFO-------~------------------------------------------------------------ prj Type: SIGN prj Value: $0.00 Occ Type: Cnstr Type: Occ Crp: Occ Load: Land Use: ACD Electrical Heat Ba~,eboard KW: Furnace KW: He\3.t Pump KW: Fa11/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service voltage: Diameter: Service size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT ~OTES------------------------------------------------------------------- 2-29 s4!/ft wall mounted electric signs PROJECT FEES ASSESSMENT------------------------------------------------~-------- . Service: $0.00 Additional Feeders: $0.00 Circuit wiring: $46.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $46.00 $46.00 ----.----------------------------- ----~----------------------------- TOTAL FEE: $46.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED / " ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED Pu.NS AT lOB SITE INSPECTION TYPE DATI< ACCEP'I'ED COMMIlNTS YES I NO -IN I 'u.;.,... SERVICE ~ l~ I I -, . GENERAL COMMENTS: PW.lt02.1514'96l . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. 'Yt 17 '/.3~r DATE Installed By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: O,^!ner/Business: Owner/Business Address: ELECTRIC HEAT o I3ASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW_ o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE DetailslDescription: Phone: Sq. Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1~ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS JN5~// ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service AJ'r"Finalo.K. I Installer: permit/Re9PJN~ 7 New Meters Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. #' ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ IT ~C Eleclricallnspeclor Permit Fee . WHI1E - File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC. GREEN - Top: Meter Dept., BoUom: City Hall (; . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. {/JS"? DATE /C;/..?'? /?.5 ELECTRICAL PERMIT Insjalled By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: O~ner/Business Address: Sq. Ft. o RESIDENTIAL ~ COMMERCIAL o BASEBOARD KW o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE ~ NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE ~' UNDER~QU~SE~CE VOLTAGE: ciZO, 20- D. SINGLE PHAS ~. THREE PHASE . SERVICE SIZE -C;;Jl-O AMPS Details/Description: .sf) ~r- , RR~tt<tt4J- - "SO e d:t:iz/~ ~ / _f~~r. . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Finai O.K. \ Permit/Receipt No. LJj.s-9 / . Notify Port A geles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the BU~it. PHONE 457-0411, EXT. 224. ,.,{t: , I ~0 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r)P' /t"o Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top; Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall OLYM~lC PRINTERS INC -- . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: DATE ~~"[) 'is'-11-9.3 PERMIT NO. READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: . Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW o FAN/WALL KW o HEAT PUMP KW_ o SIGN /fit( TEMPORARY SERVICE Jf3 PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE ~~~ AMPS . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. .~O.K. to connect service o Final O.K. Siie Address: Permit/Receipt No. New Meters I 'tIt:,t> Date: 'if-/J-<(3 . Notify Port Angeles City Light by Street Ad ess and Permit Number when ready for inspection. Work must not be covered before inspection and OX for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin Per. it. PHONE 457-0411, EXT. 224. ~$ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHrrE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYw,PIC PRINTEAS INC X. t90 Permit Fee GREEN - Top: MeIer Dept., Bollom: City Hall