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HomeMy WebLinkAbout115 N Eunice St - Building ,- -------- ;- " rJ l"ORT ""'-'Q: 4...J..~t( "'f'tt:a""' ...~ --=- ~IC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000483 Date .847049 115 N EUNICE ST 06-30-00-5-1-2230-0000- SIGNS 6/08/04 COMMERCIAL ARTERIAL 200 Owner Contractor HOWARD PRIEST PO BOX 844 PORT ANGELES, WA. PORT ANGELES ( 36) 457-8834 WA 98362 ADVERTISING SALES & MORE 1327 E. 1ST STREET PORT ANGELES PORT ANGELES WA 98362 (360) 452-7785 "- " ~ Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS 2 SIGNS ON SAME BUILDING SIMPSON ELECTRIC 52.10 Plan Check Fee 6/08/04 Valuation 12/05/04 .00 200 ~ Qty 1. 00 1. 00 Unit Charge Per 35.3000 ECH EL-COMM-1ST SIGN 16.8000 ECH EL-COMM-ADD SIGN Extension 35.30 16.80 ~ ~ S ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 52.10 52.10 .00 .00 Plan Check Totar .00 .00 .00 .00 Grand Total 52.10 52.10 .00 .00 fA .'} 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 Owner (if owner is builder) Date T:\PLANNING\FORMS\I 102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGElDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION , SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY I HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 7'fJ-B-o<l At:;O ELECTRICAL I . LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. \ ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] :f ~ORT ~ $4.0~~~ ,. ... -=-- ---- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property Zoning . . . Application valuation 04-00000108 Date .097672 115 N EUNICE ST 06-30-00-5-1-2230-0000- MECHANICAL PERMIT 2/11/04 COMMERCIAL ARTERIAL 4420 Owner Contractor HOWARD PRIEST PO BOX 844 PORT ANGELES, WA. PORT ANGELES ( 36) 457-8834 WA 98362 DAVE'S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL 35.30 2/11/04 8/09/04 Plan Check Fee Valuation .00 o "'- "- ~ Qty Unit Charge Per 1.00 35.3000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.30 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.30 35.30 .00 .00 .Plan-Check Total .00 .00 .00 .00 Grand Total 35.30 35.30 .00 .00 z r ....... R ~ -:- -.-.,..., :::- -.:~:.:-,-:-:~: Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) ToBAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL ~h /In/. J4N LIGHT DEPT CONSTRUCTiON R.W.I PWI CONSTRUCTION - R.W. , / ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/1412003] ~ POAT~. l"O~ ~ "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001156 Date 12/07/03 115 N EUNICE ST 06-30-00-5-1-2230-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Owner Contractor HOWARD PRIEST PO BOX 844 PORT ANGELES, WA. PORT ANGELES (360) 457-8834 OWNER WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL CONVERT RES. TO COM. 59.40 Plan Check Fee 12/07/03 Valuation 6/05/04 .00 o ll'\ Qty Unit Charge Per 1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS Extension 59.40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59.40 59.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 59.40 59.40 .00 .00 Z- fS\ ~ - ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\I 102.15 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CO!,/CEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATiON DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I 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 #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 b'lo.04 ..k.Q ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTiON - R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNG\FORMS\1102.15 [11/14/2003] --..- JJ f~ :i. M {. f b \s""- eLl 'I ~3oJi ~ ~e~ b( ~~0:~Q., e. - ROUTING SLIP ':Pee-M ;+ *-05.- ttbfS\ Certificate of Occupancy ..~ L -==.J ]iiJ.i Certificate/Inspection Fee =- ~ ~llCWcf#~ DATE /;(,- :2.- 03 New Business ........................... . ( J ) Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) //5 N. 6.l.1nir.e- S-treet Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant .Ilowa r d Pr/psf: New Building ............................ . ( ) Address BO.13oX ~Lf'f Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) fbrt:;M~ ~. 'lB~~ Temporary Business ...................... . ( ) Phone: business - g home 'f&);). - ~ ~ ~1 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: m. 0 r-/;J ()., j e. 13roke,,11v.3 ~ legal Description: lot q Block ~.;t. Subdivision Norman R. Sm I'th Current Use of Property: f<.. fJ_"'l; det)*-i 6.-l C.onverrti nj -to Gom m e;-.c...i 6l L Zoning Classification of Property: C()Jr1MP.r~; aJL A rt.e,.1 0.. L Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . ~.- PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . , , . . . . . , . . . . . , . . . . . . . . V_ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . , , , . . . . . . V_ 2) Plumbing 2) Peddlers Plumbing changes ............................. ~- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . ~- 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ V 5) Sewer 5) Dance New sewer service ............................. -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . . . . . . . . . . . . . . . . -~ 7) Driveway installation 7) Fireworks Is this a home occupation? ..................... . -~ 8) Curb installation 8) Ambulance Excavation of filling of lots ..... . . . . . . . . . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -~ 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . ~- 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . -~ 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -~ 13) Sign (parking lots, downspouts, etc.) ................. . -~ 14) Shoreline Are the existing streets paved? ................... -L_ 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~- 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . ~- 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- ~.z ~ 03 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: m~ 71ip4b ~~~JECTED Comments / Conditions Building Section Public Works Department Planning Department ~QO Fire Department -1.9 -Il-ol! .-2;,u City Clerk P.B.I.A. CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 9/12/2001 PERMIT NO: 12949 OWNER/APPLICANT PROPERTY LOCATION TOM GAULT 115 EUNICE N P.O. BOX 1033 Lot: 9 SEQUIM, WA 98382 Block: 22 [] Long Legal 360/683-4562 Subdivision: N R SMITH T: S: Parcel No: 063000512230000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $550.00 SFD Units: 0 Commercial: 0 Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 ~..f~ Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAROFF, FELT, COMP RECEIPT # 8011 FEES ASSESSMENT Building Permit: $26.55 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $31.05 Plumbing: $0.00 AMOUNT PAID: $31.05 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits am 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 Eom 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 'g f-Owner (if owne is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ~ INSPECTION TYPE DATE ACCEPTED COMMEN~S YES ] NO FOUNDATION: BUILDING 4174815 /O-/~ ~( ,~C'& BUILDING 4.0fi:\'ORT~ t~~ ,. "- -=..or ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001165 Date 115 N EUNICE ST 06-30-00-5-1-2230-0000- COMM REMODEL 1/13/04 COMMERCIAL ARTERIAL 10000 Owner Contractor HOWARD PRIEST PO BOX 844 PORT ANGELES, WA. PORT ANGELES ( 36) 457-8834 Structure Information Construction Type . . . . Occupancy Type . . . . . OWNER WA 98362 CONVERT RES TO COMM ADD ADA RESTROOM TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit Fee 204.75 Plan Check Fee 133.09 Issue Date 1/13/04 Valuation 10000 Expiration Date 7/11/04 Qty Unit Charge Per Extension BASE FEE 92.75 8.00 14.0000 THOU BL-2001-25K (14 PER K) 112.00 ~l z. Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 1/13/04 7/11/04 Plan Check Fee Valuation .00 o rTI ~ 5 Qty Unit Charge Per Extension 47.00 7.25 ..., BASE FEE 1.00 7.2500 ECH ME-VENT FAN 68.00 1/13/04 7/11/04 Plan Check Fee Valuation .00 o () (0 Permit Additional desc permi t Fee Issue Date Expiration Date PLUMBING PERMIT Qty Unit Charge Per Extension 47.00 21.00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 327.00 327.00 .00 .00 Plan Check Total 133.09 133.09 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 464.59 464.59 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authOrized IS not commenced Within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All proVISions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the prOVIsions of any state or local law regulatln nstruction or the performance of construction. --t I 13 () Date Signature of Contractor or Authorized Agent Date Si T \PLANNING\FORMS\1102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN !.- J.J -0 4 JLL WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS ., Ad ~ d r ~ CEILING V.....f ..... I 'l ,r' I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING '4 -0#-04 J ,)., DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING '5 .f} ("'{-OJ/ IJ _l , MECHANICAL n1ec.-h f; Y\o.--J f./ - :x:; - 01 .1., 1., HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LlGHTlNG 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. 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT I f BUILDING 417-4815 BUILDING r::- k. h ~J J.J...) , T T.\PLANNING\FORMS\1102 15 [11/14/2003] . -tJ ~i-\.\,I._Le~~+ fv\D ,~ t-go:~Q.... , ~ feb \SoT eLf '"1 v-JcP ( ROU ~Nd SLIP , ..- ':PerM ;t t t 6,'::>" ,0" .'0 :;#::-- 0'7 - ~ ~,,_ ~ {; "'~~t '" CerlifiCale~~Upancy " t.....~~'. L -=..Jr ==- ~t Certiflc ell 'spectlon Fee ~ '7J8L1C wo~;+..<:; DATE I~- 2- 03 New BUSiness .. . . . , . . . .. .. .. .. ( .j ) Address of Proposed Business Transfer of BUSiness location, . , , , , , , , . . . . . . . ( ) //5 N. E..11 f) i ('. ~ S-tr eet Change of Ownership . . . . . . . . .. . . . . ( ) Appllcan~ j!ow4,rdp,..,/t'sT: New BUilding . . . .. . .. . .. ... . . .. . . ( ) Address B O. BoX !3 'f'f Remodel. .. ....... .. .. . . . ( ) Pori::./+!}JeJt?JS., WA. 98~2- Temporary BUSiness . .... ... . . ( ) Phone: bUSiness 1/:<"7-8g34- home7'6~ -b~ ~1 Change of Use. . . . . . . . . . . . . ... . .. . . . . ( ) Brief deSCription of proposed bUSiness: Irl 0 r-tv (J., j e- 13ro kepo..::J eJ legal DeSCription: lot q Block .;l.;l.. SubdiVIsion Norm4.n R. Smith Current Use of Property: R e_C?; del)*-i 6...L C.onver-/:in!1 --to Gomm e.;-.c./a.{ Zoning Classification of Property. COWlrYlp.rcitLL Arter-t'o..L WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes V"_ PERMITS BUSINESS LICENSE Electncal changes V_ 1) BUilding 1) TaXI Mechanical (heating, cooling, stoves) ...... . V_ 2) Plumbing 2) Peddlers Plumbing changes ~- 3) Electncal 3) 2nd Hand Dealer New or relocated signs ~- 4) Mechanical 4) Pawn Broker New septic tanks _ V 5) Sewer 5) Dance New sewer service -~ 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons -~ 7) Dnveway Installation 7) Fireworks Is this a home occupation? -~ 8) Curb Installation 8) Ambulance Excavation of filling of lots -~ 9) Sidewalk obstruction 9) Tattoo shop Work done In City nght-of-way -~ 10) Water meter Installation 10) Other Is there sufficient off-street parking? ~- 11 ) Fire New dnveway openings _ V 12) Occupancy A grading plan for site drainage -~ 13) Sign (parking lots, downspouts, etc ) -~ 14) Shoreline Are the eXisting streets paved? . ~- 15) Home occupation Are there eXisting sidewalks? --L_ 16) Conditional use Is there curb and gutter? ~- 17) Other Other -- I hereby apply for a Certificate of Occupancy and acknowl- ~;;.. ~ 03 edge that I have read this application and state that the Date. information I have supplied IS correct to the best of my knowledge Signed: m~~b ~~~JECTED Comments / Conditions BUilding Section PubliC Works Department Planning Department Fire Department City Clerk P.B.I.A. CERTI FICAT'E~"\O'P'~(lCCU P ANCY J.P "<~F_ City of Port Angeles"" t Building Division This Ce,rtific~tion issued pursuant to the requirements of Secti 301 of the Internatio!!tl Building Code'certifying that at the time of issuance this:structure was in cdinpliance with the various ordinances of the City regulating 'Building ;' construction or use. For the following: \~ Use ClassificatIOn OffiC\:~ Bmldm, p,~" No 03-1165 B",i~" N,""" NOrlhieSI Morl~a~e Group B 'Type of Construction, V -N Use Zone ~.CA I 1 'JfJ Owner of Busmess Howa~d Priest Address ':P. O. Box 844. Port An2eles. W A 98382 \ ,9 BUlldmg Address 115 North Eunice Street. ~ : Port Angeles. vilA 98362 \~~ 'f\J1?1 --.rT_!_~__~.~:.s:~~"~1~!ij(I;~~"",P~~lFPi:';(l"(T.i~"~~rfe;:fl~. ~j1J1~r,~;;r1i1tlp~01 ,'if" ". ~ __, -"':';1",' ,'_. ,; '. ,~!;r1i J~t.~" ,:~;~:: ;:/"",::/.:Ji'( ';,,:J' 1 JIi .'< ,,' '..;- ",:,,'I,~,;,_ ~.;11\- "::,,,,:1, IN'\,:' ':\'r:l"A,"; :,:!..~'" ",' \\~ September 23.2004 /B~': l~ ,&~ ,m~~~C",;::;,"'\-;;:c" _ _"":":::~: :';:;;:,;,:'; :';.:>:::.:~';~;;,yDate p ~t II;, 'h~~'~~~~':'\ 1 rl~~:~l@S~~,,:;%t6d6us lace. . '''h p~" u 1'~1" - ,.,,^' ,11,." ....,'. . J ~J;-" P Sh not be 'remQ;)j~cP'exc~Qt6y;;Building Official. .~"'j)1-~~"",~~~ T---- -------.------' . PREPARED 5/10/04, 12 35.00 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 5/10/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 115 N EUNICE ST SUBDIV PHONE PHONE ( 36) 457-8834 HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 3/04/04 3/04/04 3/04/04 3/04/04 JLL AP JLL AP BUILDING AIR SEAL BAIR 01 BUILDING FRAMING HOWARD 457-8834 CALL AHEAD FOR KEY alr seal approved wlth thlS lnspectlon/)ll BUILDING INSULATION WALL/FLOOR HOWARD 457-8834 CALL AHEAD FOR KEY BUILDING FINAL flnlsh ada ramp and hand rall on steps front and rear/)ll also strap water heater to S€lZmlC requlrements ~~~~_::__~_!::~______::~~~~N:o::::::7~:1:0TES ______________________________________ 3/09/04 3/09/04 4/30/04 4/30/04 JLL AP JLL DA BLWS 01 BL99 01 PREPARED 4/30/04, 13.32.45 CITY OF PORT ANGELES 115 N EUNICE ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE \.. ------------------------------------------------------------------------------------------------ 1 4/30/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL SUBDIV PHONE PHONE ( 36) 457-8834 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------~--------------------------------------------------------------------------------------- BAIR 01 3/04/04 3/04/04 3/04/04 3/04/04 BUILDING AIR SEAL BL3 01 JLL AP JLL AP BLWS 01 BUILDING FRAMING HOWARD 457-8834 CALL AHEAD FOR KEY alr seal approved wlth thlS lnspectlon/)ll BUILDING INSULATION WALL/FLOOR HOWARD 457-8834 CALL AHEAD FOR KEY BUILDING FINAL 3/09/04 JLL 3/09/04 AP BL99 01 4t.30/04 $A- ------------~--------------- CONTINUED ONTO NEXT PAGE ----------------------_____________ ~!)..e- U!6->--tO S+~?~/~\ ql ~~ ) ~ z J..o C-.. t) C- ~ PREPARED 4/30/04, 13 32 45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 4/30/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 115 N EUNICE ST SUBDIV' PHONE PHONE (36) 457-8834 HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ M"'~O'~~~~f;"~~~~~"":::::~::.::'" .", 'AO, ~~~~~~~~~~~~~~~~~~~___~_~_____~~__~ PREPARED 4/30/04, 13 32 45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 4/30/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 115 N EUNICE ST SUBDIV: PHONE PHONE: ( 36) 457-8834 HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 2/04/04 2/04/04 4/30/04 JLL AP JLL ~ PLUMBING ROUGH-IN TIME 17 00 Howard 457-8834 Call ahead PLUMBING FINAL TIME 17 00 PL99 01 -------------------------------------- COMMENTS AND NOTES ----------------______________________ ~u{Q n-~ ~ J.1~J U-.ls sf- ~,gf W / I-f ~ (~o~ PREPARED 3/04/04, 12 59 42 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 3/04/04 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER ( 36) 457-8834 ------------------------------------------------------------------------------------------------ 115 N EUNICE ST SUBDIV PHONE PHONE HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/04/04 JLL BUILDING FRAMING ____________________~___~~~~:~ :::~:::: :::LN:::~-:~:-~:~------------------------------ i\\~ s'? ~ ) r It r) c01 .J-Vt I 5 b~~e ~_ OL PREPARED 3/09/04, 12 49 21 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 3/09/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER- 115 N EUNICE ST SUBDIV PHONE PHONE ( 36) 457-8834 HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL --------------------------------~--------------------------------------------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 3/04/04 3/04/04 3/04/04 3/04/04 JLL AP JLL AP BUILDING AIR SEAL BAIR 01 BUILDING FRAMING HOWARD 457-8834 CALL AHEAD FOR KEY alr seal approved wlth thlS lnspectlon/]ll BLWS 01 ~09/04 l' JLL BUILDING INSULATION WALL/FLOOR ~ HOWARD 457-8834 CALL AHEAD FOR KEY ------------ ------- -'~-~------------ COMMENTS AND NOTES -------------------------------_______ BUILDING PERMIT - APPLICATION ate Issued 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 ,?-\ ApplIcant or Agent: Owner: !fowo.:rd Pr les-c Address: P.O. Box ~Lfl/- Phone: Phone: 1/5z-fo;{ 9'1 CIty: PortItnJe/es/ WA.. ZIp: 78362- Phone: ArChI tect/Engmeer. Contractor State LIcense #. Exp: Phone: Address: CIty: ZIp: Co/furl e.r t: I,\L. PROJECT ADDRESS: / /S N. E un/CJJ J si:; ZONING: jirt::.e,.[4[, LEGAL DESCRIPTION: Lot: '1 Block: JJ.;" SubdIvlSlon: lYot'lJ1~n ft Smit.h CLALLAM COUNTY PARCEL NUMBER: 06- 30 - DO - S.1 :;":l ~C Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: o ReSIdential 0 New Constr 0 Re-roof 0 Stove o MultI-fanuly 0 AddItion 0 Move 0 Garage o CommercIal ~Remodel 0 DemohtlOn 0 Deck o Reparr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: l?8S/cJi!.-YlfJA.L AD A ~-l- .,-OOIMv ~ ~o..~r COMMERCIAL/RESIDENTIAL: Occupancy Group: City: MC # Exp. Date: SIZEN ALUATION: SF. @ $ /SF = $ SF @ $ /SF = $ SF. @ $ /SF = $ TOTAL VALUATION $ /O,.OOC) &JIJ /A.1'te.J, i:D (!.,DM/YIe.N'.J4.1 t:;f' of /I'J~' Occupant Load' Construction Type' No. of Stones Lot SIze' EXlstmg Sq. Ft & Proposed Sq. Ft. Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetiand(s)' 0 Yes 0 No SEPA Checkhst reqmred? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DlVlslon can provIde you Wlth mformahon on the apphcatlOn and plan subnuttal requuernents If you have questlOns. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThIS figure WIll be revIewed and may be reVIsed by the Buildmg DiVIsion to comply WIth current fee schedules. Contact the Perrmt Coordinator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due It must be subnutted at the hrne the bmlding permit apphcatIon and construction plans are subrmtted. All other perrmt fees are due at the time of perrmt Issuance EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued Wlthm 180 days of the date ofappltcatlOn, tlte application will expire. The BUlldmg OffiCIal can extend the time for action by the appltcant up to 180 days upon wntten request by the appltcant (see Sechon 107.4 of the Uruform Bmldmg Code, current edItion). No apphcation can be extended more than once. I hereby certify that I have read and examined this applicatIOn and know the same to be true and correct I am authorized to apply for thiS permit and understand that it is my responsibility to determine what permits are reqUire , t the C 's, d hat lust obtam such permits pnor to work T \FORMS\APPS\BUlldmgpermlt wpd Appltcant. Date' / ), - 2 - 0.3 QJ )J .;. 1 j. / ..1J "Z v I l1) 1 ..- o o y7 \ \....) ~ "'-- -----.. k..~ --,----r ~. /V~/J -1- J ~ '() I 7 ~ 7~ ;.., ~ -_._-_._'~ \ \ , \ \ ~ .--------- . .- ~ 1: \.L :;" 00 _____.~-l--.--- t).. r '-- - - - ~ p ~ --tJ t '- '- ~~ ~ "< ~ . ~. ~ 0} ~ (\ ~ D-- __ . '--./ () ~ C/) '" r- () e:r- t1" ls: () ~ ~ ~ ~ ("') ::3"" (b :J y;r. -.. f"> ~ f?~ j..sf-olha.. ~ f'\.t ~Q -I- w,,~ L., . a.- 0 ~ :r-....t.. I., 0, ~ ) J.l.... f-t J / f:" tJ .,.~ rL+; ction Plans ConstrU 'Ii RT ANGELES - ese plans. speClI- CITY OF PO . rmit based upon t~he budding OffiCIal The Issuance of th~ar: shall not prevet n of errors in said cations and other uiring the correc 10 r from preventing thereafter reQ d other data, 0 der when m ~~;s, specifications b:~ng carned on th~r~u~s I IsdlctlOn. bUlldmg oper~:IOc:~es and ordman~~~eo violation 01 ;( ) . Umform Ildmg (SECTION 30 c B Approval Date t s:: "" (/.) ~ "") (/') '~ .. oJ ~ 7' ~ (b ~ \ . " ..... - ..... P'rI \ , " SJ{-g(., t!tt,f1.4~B~ ~&IIc,,~ r lICit t ';j~ IL "~ ~'Y TJ. __ ~ ; (j) c+- O ..., ~ fb 0] ~ ~ :r 0r S-6~ ...~~ -~ -r.~4- o \, ) f () f' () .L. c: \j ~ <0 ~ 1- ~ .... \U '-W ~ ~ .c... C ~ { Q) .~ ...c: ~ V -.. +J ~ .- )C.. --iJ ~ q.) ~ -- -p -L. - .:::s .._..-~- ~ '. /'~ -4J Vl) .J <U - ~ E ~ E ~ Q ~ () ~ s... -d .- ql ~ to -l \n -- ~ -- -fJ ~ () \f: ~----_. 1-- . fl , I I : ~ I I : I i I ---. ,,' -.. - I I I ! I I i .50' ! I , t ! f i ~ i I i I I I I I I I I , I ~ I ..L- L- r-?/Y.~~i~:_t54F1K r-ra perr-.:; -"--1- -- ^ -. -------- 7' j. - ~ -'--'" _'-_"___h i 1 32.' II' I J Reo..r "2.,-' .. I 1 I , l I //5 Ilf, cWJi~(;; st, off/c~ r I"ont: I i I r 7/ . --.-..-- ---~~_._"--,..- ELAN I c.. IE. .sr: 701 - _. 2Z b" - --- 13'!." ... Prt?pose-d 0$ A\ I + ..... I f --. -------.-, ..... _.-~".--- ..~ _ 'h_ ..~ ..... ~.~ I J -_.~~.._.._--_.- 15"'~. ste;/'-A,& 8'{/~.. --.- . g' '" >1- :, }. I I ~S' ! i I I I I i I ! I t ! ; ! I II I ~!I I 11 I : 1 ! } /71 ; I , , ! I 11 , I !I ~ [ II ! II ! ..J I -- ....<~-_. -..- -_...:..._-"..~..__.__.___ t. ee.-c pGt rJ.u'l1j SfQC.e5 I I I. )... \ij ~ '-J 't p~- 'L--' C~.~ l/ ~~~ r ^ tvx.I-i- ~tI-f> - v fY7~ ~ /'llruFJ M/~~ tvJ~- ~/~ ~&U~ . ~~~ PREPARED 2/04/04, 13:15:07 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 115 N EUNICE ST HOWARD PRIEST 06-30-00-5-1-2230-0000- 03-00001165 COMM REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL2 01 2/04t4 ;;21 ~ <>t-I JLL Af INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE ( 36) 457-8834 DESCRIPTION RESULTS/COMMENTS PAGE DATE 4 2/04/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PLUMBING ROUGH-IN TIME 17 00 Howard 457-8834 Call ahead ~..:~_....,~:-_:._: ~_.:~ =::=_= __-=-:.._.:-~ :: .:~ ~-::,_-::":~~-=4~~:::?-:-_~=--:,_~ =:.':....;::::----::.~::;:..:;;_=_~:;..::.:::--.~ ""'-. ' " ~ ~' ~ ~I ...... f\~ ~ ~ Ils ~ I~~r ~ 1m ,~"U ~ ~. ,c: 0......, , !~-~ I t:>~ m, ,?~, r-.J =1 :~~I ~ IES1 I-~~ . mI. l~~gl: S"dew..,/ ~ - -..;--- _':.~:---- ~---:t::--_:::- .: ~ i"r I .' r , Jr-r U) ~ S ""----- - ~ ::::s ~ .~ ') -tJ ..... r- t r- o tr tf o ~ ~ -.. .., (\ ~ .... r'- ("\ ::r- (b :J f ~ CITY OF PORT ANGELES - Con$tfuctlon Plans The Issuance of this permit based upon these plans. speclfl. cations and other data shall not prevent the building official frllm thereafter reQuiring the correction of errors In said plans, specifications and other dala, or from preventing buihJlng operations bemg carried on thereu er when in vhl~';'Jr of all clldes and nrdmsl1ces 01 i Isdlction. I~~ ~_. ('\" ~~:3ICl,__UJ';:'Tl/I\I!thnfl, Colle. ,,' "~ ''ffft,$.- By - rV~/1~~~ ~ ~~ !7.'v.( ..0 Vd ~. I ~~ \ _,,\.~""'\ e, t ~ o '-b t.y.) -.. (') (l) ~~ C ~ <:;;- ~ ("b "':J P-- P ~~ . ----. -- ~ L ~ -- .--~---- j' --- I ~v .......~ f \'> ~ Sb 0i .8 ()t ~ ::r J1L q:i-1 'fO~ IO".8r~ ~ Lf x 0 /3 'fA.m I J I I ! I I I I i I ! I ! I I -l -' . '.", , 1.,'~I\'l> I' . ,.. I ., , . /) . '- '... ...." '. t> . "~ ~ \ ~~ ~ h- __A ~ , t~ .:J../fll 1 t- ... I> /Sll -L. >\ , I , f 73e4.P1 /S ~u:t "! ' --- -.-- - --------- - I ~ /"tp Bur IJI"j I I I I j rr{)Yli- of . 1/ 73",)1111 J , ')., '-~ . ~ ~ r.. I -.-' -" ~ .'\ _ ~ '. . ...... f' r 1:> - ", ", l' _,./. r- 'A' ~ [E (C; [E~~W [E ~ r MAR 2 6 2IlIJIt 1 CITY OF PORT ANGELES Dep!. of COJT1munity Development '- .....- liS- ;I. EU!l;e~ (PrIest) COMMERCIAL ARTERIAL . 4420 Ft(JA~, Efiolo/f '".,;i "- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEV,ELOPMENT -Btm.DING DMSION 321 EAST STH STREET, PORT ANGELES,WA 98362 Applic~tion Number . . Pin nurilber .." <. . . . property Address .. . ASSESSOR, PARCEL NUMBER: Application description SubdivisionName . . . Propj!rtyUse PrOperty, Zoning . . . Appli9ation valuation 04-00000108 .097672 115 N EUNICE ST 06-30-00-5-1-2230-0000- ~CHANICAL PERMIT Date 2/11/04 Owner, COntractor - -- ~--!' ~ ~ - -, ..-- -:-------~ -.. ---------~----~--~------ HOWARD" PRIEST POBOX, 844 " p<)RTANGELBS, WA. PORT ANGBLBS " WA 98362 (36)457-8834 DAVE I S HEATING & COOLING PO BOX 413 PORT ANGELES WA 98363 (360) 452-0939 Permit .... Additionaldesc permit Fee . . . Issue Date Exp1rat::LonDate MECHANICAL PERMIT FURNACE & HEAT PUMP 61.70 Plan Check Fee 2/11/04 Valuation . . 8/09/04 .00 o unit Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid credited Due ----------------- ----_._---- ---------- ---------- ---------- ;,Per:zni~ Fee Total 61.70 61.70 .00 " .00 Plan Check Total .00 .00 .00 .00 ," Grand Total 61.10 61.70 .00 .00 ..: ~~i'l.. :; ";'It-;';":: _. " ?;~o.9': .. :-~::6'o~ ":t::" ;~:P't):~.f, ;a:~'. . ::tt SlitparalePermltsare required for electrical work, SEPA, Shoreline;ESA, utilities, private and public improvements. This Perrllltb8comes m.dlilncivoi,difworkor construction authorized is, not commenced within 180 days, if construction or work Issuspendecfor aba:lldoned for:a period of.180 days after the work as commenced, or if required Inspections have not been requested within180da~fr():m:~he:lasf IJlfS~c;tion:lherebycertlfythatl have read and examined this application and know the same to be trueahd correcLAllprO~isionsof laWS ana~rdiri~nces,goveming,this type of work will be complied with whether specified herein or not Thegrantirlgof,.~'.P~~~,~9~s,not presunie tog~ve authority to violate or cancel the provisions of any state or local law regulating construction or the perfonnsrice of construction.;.~, . tlL&- Date Signature of Owner (if owner is builder) BUILDING PERMIT INSPECI10N RECORD CALL 417-4815. FOR BUILDING INSPECTIONS. CALL 4174735 FOR ELECTRICAL INSPECI10NS. '.' .;, c....... ". .... ........ . '., .. . . :! PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFlfL TO COVER,rINSULATEOR CONCEAL ANYW()RI(BEFORE INSPECTED.4NDoACgJPTED' POST.PERMIT IN A CONSPICU()USLoeATlON. . KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE~ , ~ INSPESti,ON TYPE/ '. \ DATE ACCEPTED .'; " ., COMMENTS' , ,. "'1 I I ; .... .' YES NO ". <" "'--j FOUNDA110~:. '. ,. 0 '. . , .. .., '. , fOOuNQS " WALLS FOUNDATION! DRAINAGEIDOWN SPOUTS .' . c:-c ELECl'R.lCAL .(LIGHT DEPT) SEPARATE PERMIT: II ,'. '" ROtiGH~,iN; .. I . , ~> """-. '. .. . r , PL.U~G . UNDE~FLOOR! SLAB RQUGH:IN W A~LINE (METER TO BLDG) . . GAS.LINE BACKELOW ! WATER .' AIRSI!;AL " ., i WALLS cim.rnG I I " FRAMING .... JOISTS /9IRDERS SimAIt:WAWHOLD DOWNS W AI+S! ROOF! CEILING DRYWALL (iNTERIOR BRACED PANEL ONLY) . I T-BAR -c;- INSULA:;nON SLAB . . WALL! FLOOR! CEILING I . MECHAilPCAL , HEAT PUMP GAS LINE . WOOD STOVE/ PELLET! CHIMNEY . HOOD/DUCTS . PW UTILITIES/.SITE WORK (Engineering Division) . , SEPARATE PERMIT II's: WATERLINE! METER SEWER CONNECTION " SANITARY '. .. STORM . . PLANNING DEPT. SEPARATE PERMIT II's SEPA: . " PARJqNGlLIC!~NG ESA: LANDSCAPING ' ~ SllpRE4NE= c. FI1\lAlilNSPIWQONS REQUIRIID, PIUOR TO QCXUP~q""SJ!: .! . .'. . ,-. RESIDENTIAL DATE ." YES NO COMMERCIAL DATE o ACCEPTED , yEs....' '. . I, ". ". . -- " .. NO ;"" wcrlUEk ~ UGHTDEPTo .. ., 417-4735 ELECTRICAL UGHT DEPT . . CONSTRUCTION R. W.! PW/ CONSTRUCTION _ R. W. ENGINEERING 417-4807 PW! ENGINJmRIN5.;, .\. . .\ . ..... , FIRE 417-4653 'FIRE DEPT. '-. -' If ... PLANloUNG DEPT. 417-4750 I / /j PLANNING DEPT. '. lS'h"h,;.( .. BUILDING 417-4815 rj;~ BUILDING T:\P~G\FORMS\1102.15 [1111412003] r---- - FROM" : Dave' s Heating & Cooling Srvc FAX NO. : 13604520939 Feb. 04 2004 08:41AM Pi (I. P<JlI.!,\;.c "...~. .~~.& " '&: BUILDING PERMIT. APPLICATION FOR OFFICIAL USE ONLY: T.>atcRec,:~ Permit#: 04- 768 bate Apptovllll: Date Issued: 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 .ba.v-e.. O\d.-enkamp Applicant or Agent:.J)a.\Ie.'-o tt-eo..hh.c:r~\\hl Sev-lIj'~z;,c::Phone: L./S;;J~OCf31 Owner: HbW~V-~ '*' 5a..n<., P~l'est Phone: tlSI-'1'i3'1 Address: City: f61.,.....I-.An~t CA..JA Zip: qro~~ Architect/Engineer: Phone: . 'TL' . . :DA"GSHGq~IKc.. Con1ractor~Ve~ H~-f1Y1.~ ~CooI Ir\(J)tate License #: Exp: ()5/~!S Phone: t.(6~37 ~e.vvl c:e( ~ c:.... ' Address: fJ. D. &'X 'Y/3 City: . I'ot'"'+ A,,~, w.,+ Zip: ~ g-a~d- PROJECT ADDRESS: 115 IV.. Gu.n,' c..e i for"'..f- A,.~~ ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLAL~AM COUNTY P AReEL NUMBER: Credit Card Bolder Name: J)AIIIO L. Old<'I\ Ka."" Billing Address: P.O. a 0)( '1.-' '3 Credit C~~Type VISA .......-: MC # TYPE OF WORK: SIZEIV ALUATION: o Residential [J NewConstr. 0 Re.roof 0 Stove <l00 .. SF. @$ ISF. = $ o Multi-family 0 Addition 0 Move 0 Garage .SF. @ $ /SF. = $ El Commercia" :~Remodel C Demolition 0 Deck SF. @$ ISF. = $. . . [J Repair'.. . .0 Sign 0 Other TOTAL VALUATION $ #ji.fZt:; 00 BR~'..ll~S~ON:O.~TH.EPROJECT: ."H.,.e,rrn6~..f W,"r-.e' q.. he.~+ flA.mp in~+a.\r~-\1ol ...u' ~ 'RGAnV 70 rtV.sf~c-r-;k COMMERCIALIRESIDENTIAL:. Occupancy Group: Occupant Load: No. of Stories: .....:.... Lot Size: Existing Sq. Ft. &. Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage: _% = Total lot coverage Construction TyPe: = TOTAL Sq.Ft. % APPROV Al's: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required'? [:J Yes D No Other: BUILDING PERMIT APPLICA nON SUBMITTAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you have questions. V ALVA nON 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 PeIIDit 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 pennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date ofapplication, the application will e;xpire. The Building Official can extend the time for action by the applicant up to 1 RO days upon written request by the applicant (see Section 107.4 of the Unifonn Building Code, current edition). No application ean be extended more than once. I hereby certify that I have read and examined this applicatio.n and kno~ the same to .b~ true and correct. I e~ authorized ~o ap~/y for this permit and lHIde1s1and ttJsI N Is my responsibility '" _ what pen1lJ1S are U'.1he CUrs, and ttJsIl must obIam """ penn'" _ to worlc. T:\FORMS\APPS\Buildingp~il.wpd Applicant: w11... Ol,;4.1~ Date: :2./ 'f IOf ~~ .\1 CITY OF P.ORT ANGELES .... DEPARTMENT oFcdMMUNrrYDEVELOPMENT - BUtij)~G DMSION 321 EAST 5TH STREET,PORTANGELES, WA98362 Application Number Pin number . . . . Property Address ASSESSOR PARCE~ NUMBER: Application description Subdivision Name Property Use. Property Zoning . . . Application valuation 04-00000483 Date' .847049 115 N EUNICE ST 06-30-00~5-1-2230-0000- SIGNS 6/04/04 OWner Contractor r'~-~'--~'J .~-~~- \ rIN".'-D~j, 1. ~~~~ COMMERCIAL ARTERIAL 200 HOWARD PRIEST PO BOX 844 PORT ANGELES, WA. PORT ANGELES ( 36) 457-8834 WA 98362 ,ADVERTISING SALES & MORE 1327 E. 1ST STREET PORT 'ANGELES PORT ANGELES , WA 98362 (360) 452-7785 ----------------------------------------------~----------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date SIGN 115.00 6/04/04 12/01/04 Plan Check Fee Valuation .00 200 Qty 1.00 1.00 Unit Charge Per 85.0000 PER S- SIGN WALL 25 SF+ 30.0000PER S- SIGN ALL 25- Extepsion 85.00 30.00 - - bt Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 115.00 115.00 .00 .00 Plan Check' Total .00 .00 .00 .00 Grand Total 115.00 115.00 .00 .00 ~ ~ c. ~ - , (\ ~ Separate Permits are, required fclrelectrical work, SEPA,Shoreline, ESA, utilities, private and public improverTlents. Tbis pel111lt ~omes null and void ifWOrko..-constroction-authorizedis-notcomm~rrcedwithirr180lfags;itconstmction-or wo.1c-ls-suspendeCt:Orabandoned -. for a period of.180 days after the work as commenced, or if required Insp9.ctions have not been request~dwithin 180 days fromthe last inspection. l,herebycertifythat I ha'{e read and examined this application and know the same to be true and correct. All prpvisions of laws and,,9rcJiriarices governing this type of work will be complied with whether specified herein or not. The granting ~fa permit does not presum~ to . or cancel the. provisions of any state or local law regulating construction or e performance of construct" n. \ (; \L O~ Date Signature of Owner (if owner is builder) Date Signature of Contract9r or Authorized Agent T:\PLANNING\FORMS\1l02.1S (1111412003] CALL 417-4815 FOR BcilI"DING\~SPECFIONS.~ALL 417-4735' FOR -ELECnUCAL INSPECTIONS. .r;'.' ~ " \ ' !f\~ <:~;;t\:~?~:::'~~'~1t:.~'-r ,~":~t:~'~'.~<' :- ,t~t~f:~:~;'~,_,i: ~-~~.<, ~ ~-~. ,:,~<<-?-;' ?_~~";:i_'_ ~~~:~'~~~?~~;~':~~~'~.'.- ~"':~<" 'BUlLDJ;NG"PERMITINSPECTIONRECORD . ! . , '~" _: " \ ," < - ,'_ .' - .' , - . - ;, ' ' ,_, I . ' " ~" PLEASEP}{OVIDE AMINIMU~'Z4'HOU~NqTI€E:IT ISUNM WFUL'TO COVER, INS.U1!J4TEOR qqNCEAL ANY WORKBEFQ!lE . . INSPECTE>>.Alfp;tq,@)';TW>. POST PERMIT IN A CONSPICUOJJS LOCATION. .' . . KEEP;l)ER.Mtt:e~ANDAPPR.QVED PLANS AT JeB$lTE~ '. DATE . .~CCEPTED ..;,~:; CQ!\fMENTS .... "'..:4. YESt NO' . ' '. . i .'. . ...... INSPECTION TYPE". . .. '. . . , .. .' '. " . .. ,. FOUNI!4>l'ION: _. -. -",.,' . . FOOTINGS' .... ..... m ."'.. -~. ..:..;..... . .', ,- ':,' .' .'I!:~~~""1mFIji.T~~~..~: ROOOK;IN"i.:" .... "T,.:, '. 'PI.U~'G~) '"",i', . UJiIDER~OOR,/SLAB '.' '., ..../. ROUGH~IN .' '., "., ..... <"" .. W A~ LINE (METER TO BLOO))' .,.. GASLINE ". ..' .".': ',,> BACK FLOW I WATER '",,:Y' ". "c' f' '. " ," .' . - :'. . '. . A-- . , . ,,,' / .1 .... . . >,'. .," ; '. ;. . AIR SEAL WALLS CEILING ." ". . "'." .... ". '. :. >.>;J". .' .. ;) .,;;."":.-.,:", "',' .~": ,.. .... ,,' I . , . , , f. " .' >; .. " FRAMING . . , , ]OIS!:~ IGIRDBRS . s~wAWH6i.DDOWNS WALLSI!\OOF1CElLlNG.. '" .' ',\ .... D!tYWAt~IiNTEIuOR ~RACEQ PANEeO~"ir . I ;T"BAA"'" ,'.' i'.i. i'," '. ;;,:,.<', .' ;.- ., INSULATION...;..... S~.... .."....1 WALL/FLOOR/CEILING .- -: .;, --':.' 1,'.";<" . MECIlANI,~ '. '.' .........> ...2',. ',: " . .. .' . .-~ .,." '.' . . .' .J, ' .,.,L, . ,. ., :'.: 'dR, . . '.' . I I ..' ., i . .... .-.... . I . " .:' HEAT PUMP, GAS LiNE--- '" . .. .;' "".. .'- . '. ' '.1 WOODSTOVE1PBLLET/CHIMNEY . ." ....: HOOD/,DUCTS ' '. ,;;; ",.{ . '.. ,~1~ ." I. ; .'" .' I .' ", PW UT'ILITIES-I-sITE WORK.'." ':'(Engin~~'rili'PiviSi~n) SE~AilATE P.E~T ##IS: . ,",.' i'_ . ~. ^ , ' ,- .',' - "!~" , WAiERLtNE~~R ...' . ' ."'. ..' . . .' SEWER coNNECTION ,..... . ..}' '.' SAmTARV: '. ,-- ..... ". ,." : '. '--.;, : , . ',"., ." . .' ..' . ,.-~ . .. ~RM;.-",.:\' -:.,,:--. " ,.',' ",- P~ING'DEPT: SEP~TE PERMiT /#'S i.,. ..... .'. SBPk PARKIN~"~IlTIJIlG --S ,...'i' c-.' . .... ESA: , LAN,..... DSC.c_.,.".w,.,..N,.G...:.:.:...i,'....:.;........-.' ;~~.;:~~',., '.' "';,:,;~ . ,'sHdRErilNE:':'" "., .,' .....' .' .". ,:;;;,.. ,"'i.,....... ''''.......,,~.,,"3;.;<i(.. .. "~I,: , I' ,,,:.:,-t<:/.'~:!f,<' '~"".' ",.:<',;~AJ:;lN~~OJ1~}q:QUI,RED.PRIO~TOQCc:t!'!"J\N..srr!ll~E:<f~S;,:ii ":"0 '.' .;:>~ .::,. .. r--"'h'"fr,. ~IDENTIAt'" ~:\~~;(:f:",;:,(ir:>;~ .?r YES, NO,i;:t(~M~.~~\ti';:.nh~A:~;;::}~C~:~,~ '. .ELECTRlCAbj,L1GHTDEPT,';' 41:Hrn, ,<{,; ,,<', ~ '\ ..~~;'::..'::':.:;;';:;' ',;,: i 'B;t": 'i,'" '" . .." .'m~H'l)iI:l~':' :,>X;y" ..... ....... 'i'!:'C. th" '.' CONSTRuCTIoNR.W./PW/ ...., . .,~..I.'.snwcn"ENO",'C:INEE.. ...O..'RlNN.' -G~~~..""." '. .'. ........... I .. ENGINEERlNI3::" . :.: i417-4807. ~, ....., ..i.... I' FIRE;~;::...;;:"':''':4p46S.3 ..~:..: I. ,.:FiREnEpt. . .... 7:"'-,' '.:;:~"; ":'" h / PLANNINI31?~'; : . .i.' 4P-4750,', . PLANNING DEn: ". "''':'-c' '" -': BUD.:DING'i.j",::',/:' . 417-4ins'J...!J..f{:,u'", OK Vr. .' " 'BlJiLDlNG"?"~c,"'.'.;"'P",,' T:\I>LANNlNG\FORMS\lI02ilS [1l/1.4I2OO3t ".' --.' ..... PREPARED 7/28/04, 12:59:26 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 115 N EUNICE ST ADVERTISING SALES & MORE HOWARD PRIEST 06-30-00-5-1-2230-0000c 04-00000483 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 7/28/04 t7K RV -Rv- --------------------- COMMENTS AND NOTES -------------------------------------- INSPECTION TICKET INSPECTOR ROGER VESS SUBDIV: PHONE : (360) 452-7785 PHONE : ( 36) 457-8834 DESCRIPTION RESULTS/COMMENTS BUILDING FINAL I - ::; ;'3"'- 0 "'- I. ~ PAGE DATE c~ 2 7/28/04 reCLV-(?C-\:S+ ~~d~) 1 , . BUILDING PERMIT ;. APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: b f'? .I I:J t., Pemlit#:O"l./- tf'B:5- Date Approved: Date Issued: ~ 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 PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: A$~ s\.~~ Phone: Phone: 4-~a.-1"l8~ Address: City: Zip: Architect/Engineer: Phone: r Contractor ~ S l--"'\. ~ \G.Ns.. State License #G:f,s +-, c...€ Exp: Phone: Address: \ ~ l 6- ;:;~{ City: t::::>{l..rz. ~(}.6~ Zip: ~ c91 '" 2- PROJECT ADDRESS: i l~ ~ G..J N \. ~ .s.-r:~ (7bc'Z.J1 ~(:U'~ ZONING: (!.A LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA Me # TYPE OF WORK: o Residential 0 New Constr. 0 Re-TOof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair $ Sign 0 Othrr BRIEF DESCRIPTION OF THE PROJECT: :L q C' ~-2~ o-f .gD..J,M. ~ CO:MMERClAL/RESIDENTlAL: Occupancy Group: City: EAll. Date: ~ \ C:.c-.l ~ SIZEN ALUATION: ;'0.6/ SF. @ $ /SF. = $ ~ 00. 0.0 aG). ~ SF.@$ /SF. =$ SF. @ $ /SF. = $ TOTAL VALUATION $ ONe '{-Eo '0 "q~ " o~ '10" ~ .~1.06;S ~?~ ~~c..CL .,~t, Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % ESAfWetland(s): 0 Yes ?<No SEPA Checklist required? 0 yesj( No Other: APPROV PLAN: BL DPWU: FIRE: OTHER:~ BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with :i11forrnation on the application and plan submittal requ:i1'ements 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 Pennit Coordinator at 41 7-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tin1e the building permit application and construction plans are submitted. All other peIIl1it fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If 110 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 t0180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. I hereby ceriify that I have read and examined this application and know the sam rect. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required) the City's, and that I m st obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit. wpd 5 - /'ll .. O'f Applicant: 1 -~ ~ \GN 1- ~\~ 2... -:. :1o~b'1 ~.P7 z. ;;t o. 00 .so .t=-r N 6(L-r;Af vJ~S7 ,vi .:::R- -r G-~ Q. ~ /' s;;. -.-. .. t::; <.J N \. e..&- n ANGG~~t ~A- . Yo rv-z.. C\ ~'1 ~ "2- "G." 12~.-J'~ J4b" (?(GCI \l c }r ;- 6' 4-s ., SlD~ FILE 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 plans, Specifications and other data, or from preventing bUilding operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. (SECTION 303(c) . Uniform Building Code.) R,' / Approval Date b -Z - ~ '-/ By V "'-I ~,-'l . ~~ \ SI.c.rS "2.- /. 2D~~"7 ~o _ ~ (' ,~ So~ e~ ~. 7>N . "' , -, I! i ~ ~ 'II'" ~ 0 ~ 1\:: o t ~ l? ti'- t l? 5 t ~' ~ ~ ~ ~ '\\ r 0 r~ ~ ~ i j r \' ~~ ~\ \;l ~'b ~ ~ Z-r ~ 0 rh f f t l- 6) r ~ '" ~ r\ ~ 3 ~ (%) v':\ ~ . ~ ~ r-P (" q) I? (j' ~ 1-------- , . II I( . 7/ __..<_._.__<__.___~_~6__L9..~ . ::~L"lb : i 1...'1_=-___ 3D _.$J;r~t:C-~ ._.______~__..___.,.__,_____~___ _._.__ _ _. _._.'_, ._.__ ---.----------It '1(---' .. ________________~ __'L1l'L ~ 2_e<bf:!__-:::-1!Lq - -W ~ ,.-------- 6~_rr ______.________________ 6D ~R_g;___.._' .~ ~.,- 010% i7i-~--' --€1g",_~~~_.___~tJ ~lX-- \/-AnQtJ. '~L'-bt.I./~ 'l:;. ~ Id_,_G:_~-{""C P3 s:- .:$-* x ~ Z. :/2L. ~ .~.fL_ _~4-___.__tLl_!.___SJ=_________ ,.~..-_""'...-~--~-~~'----<-~--.-~~-----'-,....,-~..-"""-.~.---..'"......c-."'...__~<'_;_"_ ... ~..~'___.__._~;,..__..;,~..,_....."..........~""'_~____..______.~~___,_,~_____,____.~_____"__.._,'__,~.>_ ._""-..;.-..~.......:-----~_..-----~---_.:.-.-...._--~---..;.-_.~ .--_.,'~~-,.--..---..__...""-----._---.--""'._- r.'"."_~.__.___.__._,,_..,.''"__..........,~~_<._'.........__._..........,.._~------'"'''''.~-...._.__.~._____~~._'....."'._.~~__...,.._.._:.__".,~.,.........,;~-r:'":''''''-.___~~...."."__"'.________._......,..,_~~___".~_".,~_~_____""~~~;,.__'"_'"___~..,;,~.--....-,.,..,,. --~."".-.'""-..-."'._.......----------~-."._--.---~~'''''--~...-.~--~;~--"'--,.~~--->~~._;....--~-----"..~~- .-,------.__..._._-----~.-=--,-~;..-..,...---------,.---""'",-""_......--~-~.,._-----;....~-----_..........__.,~"_.........~-""'~-~--.~.;..;..;,;.,;---..-....~......_,;;,...-'..;.-...-.---....,,-~-,,_.~-,-~,---_...-' ___________.....---..c.-----.....-_,_~_-"'_________......___,_~._..."~_""',......~__....,.."""'---',~-....;._...,..~'"_..;,.""_~~,~..,__....~.__,.~...,,....._"'__~_~'^~___u._r_".~.w.--..._...~.-....-__._,.",._~.~'d_.. _._----"....------...,._--..-..-,---..;..__.--...,,,..-----.,,...--...,-----~-----_.~,"~-,,._~.----~.._- ._~,..-,-I"_----..-.~......~~"".'~--~--.~.~~~.<-,.._.~_......,.~'.-----=-....-'--"-,...""'"'~_ ~_.~~___--_...._,..--<-_-.._-.r~--'"--;.._.--~__-'---.........-.......,.---~.----,...__.__.~~_"'~.;... ___,~~..._,_"',..~,...._-.--."__..,.,.,.;._....,,..~.~i_."'.;"___~~._~__'^___.."'.,.~_~._.____"_~~...."_~_.__,,<._...,..'.__.__".'__.,..~~~__~_.'..____..""__ ~~..._-~-_P.---_..._.-------_.-.---------~-----;->_....~.~,-~._.......,.:~~,-----_-"'---"-....._......-..-~<.___._____ .,.,...--'~_"__:__~..__..--_ _.-_~~~,____._..__~...__...,.""'.,.._."~~.....____...;..,-.",,_~~~__"""_....,____,..,~..,~_"_,<_.._~...,~_,~,,~..._-",_._.,_'._____________i_;....;,.;.,._,__,,_.;..........'.-,~.__.--'--..,_~_ Site Address: I Installed By: I OwnerfBusiness: I O\vnerfBusiness Address: I I o RESIDENTIAL o 'COMMERCIAL o IBASEBOARD KW _ o 'FURNACE KW o FAN/WALL KW o IHEAT PUMP KW_ o SIGN DeJaiIS/DescriPtion: =1 I ~ I t W.S. No. I CAPACITY: I 0 O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I I o Ditch Inspection O.K. I o rough-in/cover O.K. ~!)ZI p-K. to connect service o Final O.K. I Site Address: I In~taller: I Nolily Port Angel City Light by Street Address and Permit Number when ready for inspection. Work must not be covered befbre inspectio and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the BujJ01ng Permi!. PHONE 457-0411, EXT. 224. , --<I IJ "A NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . JI'IA $ I I ElectricallnspeClor WHITE - File by address YELLOW - file by number I OLYMf'IC PAINTERS INC 1 . . . -- CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. .s 'Ie. 0 DATE ~,6 ;;/9-3 o READY FOR INSPECTION License Number: o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ~ OVERHEAD SERVICE b UNDERGROUND SERVICE VOLTAGE: /?P-,zfO o SINGLE PHASE o THREE PHASE SERVICE SIZE ~ AMPS f' ]t/ J'kP ~~ SERVICE SIZE DATE ENGR. o CHANGE SERVICE WIRE o OTHER New Meters PINK - Top: Eng, Bottom, Customer .:::s / f.~;t~ GREEN - Top: Meier Dept., Bottom: City Hall Ii 0&/03/2004 22:05 4579270 "/Vlt /l~ ..fin- .Jht;~r><-f,'Dn I!lLEOTFtlOAL PSAMlT APPLICATION SIMPSON ELECTRIC iJ'Ie WI'II ~ PAGE 01 . ~~.,.... -... ThftillDllltlCllll'ermllAPJIIIllJIIIin~ ..-,..,-. PIlaU..' lIllplIlnt In IlIll. II PII ftlWUnV ""lIlll AItMm tllIll(llll. m'41'1l13 0 '1- <./8.3' ,. nlltldllll" (1IaII) 4,7-4rl, ClWlletIll'IlIoI.~A8n ~'li.J..p:i-f"n _ E~l!..t;nonm, ::&.~~d-7"-.rWf.~__,_ ~apII\IQ_: ,I\/t?~+h ~~_.~~ . __.I"MrI4:_~2 , J:..td.::t.. AlIIl_, '-:1. L~ l~' ~r.t:"€.f.;. n, ' 0IIJt,: &i~. ~$._,_._,.._.,~,.....ud.f 1.. .... l!llIIllrIaa\ 011_ s.,. ~ SiJ.~}r,if1C/r::.<_ _IJlIQRIUlI/;__.._...ibII: ___" I'hnM:_ .. ___ l\illlI'll8l:" r9- '1 ~Q ~ f;>,__~.LP.I...JJJ._.._ ~.....e.i!:...--.__""..,,_..._._Zl~: _fi::il, ~ .. INBTAU.ATIOH W1MD lIY,o;;'){", JlllllJlOTflIOAl. OCINTAAO'fOfl ~1l0alll".",.,~ --qr ~4 .--......-,...."..____..._......_ .p ___ OT I1IIInt A,dirB.r.. " ___.._ , .__1_ .. -- ClIl'iII Num.tIM ,_._~__ ,.. QoIIMl /15" IY E.fc"'/~ l'IlIIoIIlIIT".,. :J ,'4-1:~C. /Jrr ~~~" 'I'VIl.J qe .... ' Ohell! Jlli'lllt 1Illplv: I:::J IIlaw CJ AI\tlrIIlIlI!n/AcIdJllon Cl AtIelclltlllll 0 Mulllolam1ly , Oommllrol8l 0 Mn/lllt HOlM $1.1, A._,_... r.J PlsmOIl MiIIcIr i:l D.IlllI~iMl gMlglll 0 Hili TMI1 Cl SWIm Ilnol I:l tePtlll /lllllllp 0 l.ow VoJl1IlfIlll CJ 'l'1I11101117, "8Wr~'~ N~~o, OIl'lly/t3l1Glltd Qr llilllnlCl: ____.__ DlICAIPTI&>>.I ClII THlII.IOTIIlQAI. PtlfQ.l8CT~_ I{ ~ ~ ~9'" JlOU'PIIn~.\II II/lI.V ~;--~.__.. Pm:ll\a~__..__ I.1!bIlAfltlhrmh_.. ____ I.'lftl~'ll'I"",'._.. . _.._.._ ~ .... - , _.'f........ .l'lPI ...""... '" 11 _. ~~, . - .",.. ......... tlllB4t_. '" .MDt__ -...-. J ...._...._ ........1... - -....-... ( Ldf-'L(~)___ ____""P'"~ .."~ , ,....~I "P 11IJ1l1l9lM111I11~__-,"",~-''''''-'''''''''._''-''-__ ....__ ___-r 17 T"'" ........... ~I_-_I___". "'''rl.IlI.l,~ i-II A.,.,ue 1t1,ldll~ ~ 5", j,g. c:lGl'~1\ItI i:ll"lIl111lh i:lHMtflllll!1P o PM-Watl -1tW -.... taIV -t<W -KW C OvClrhllM IIIIl1YIlI8 r;:l rlllmp "MIl /:l UlIall'lll'O\lntl8iWYlM VotuDg,.: --..............,'I<fI,.. "!mIlO: CI 'I 1.:.1 a IlIllM'liIilllIIl:...._......_ ~OUClSr_:_,_ ;~~~flllO(B): I"tr InIlllDtrlGll, CItltIlm/llf.lI.~ e /ll.I~MnllJl jI.mttl ~r N1I'llllll_, . ~nm .1JIltl drMlS 0111" '11acll1oa1 & .If 'Il1i11 '" .-10-.'-'" ~1d'f'lII_llIIl, It), Iomll_ulJitlonl. Mil InllVllill ~ ill OOni:lllll!lll'll mnd,rol ~ 141 rel.'l~lrtrj QI14:I.r.1II/J lIaoomf,'la1lY lIV ... ""IIIlI' ilplIII/llltlCln, , h:.'!t~ "", I haVII I'IIItYt Ind ItItItnItIffI tfIIIappl/tllllM /RflQ know _ tWIlf tl) /JIII """ and OQf'ft<<J~ ,I.:" am 1lU........~ fll_ for th/IJ! plllmIIJ. I uiWIlttlli11t /I f/DI NIlS Olty'l"", /'OlJpgnet,!IIfJt II'; dllllrrTIlM WI/M pit n lit IIlII flItl/J/ftr1: II frNIHIInI the _1tItJ"ta iYIIIpDIJa/bHhy to ~ what fl(Pfm1tt " mqtJlrorl end fQ DblSln tJl an w.enl. , -.-.- ~i::.! 1.:!!.Y b-OLf-tjJ-f "'".,-_",... tJste,,,,,,_ ",. ,.......Ift />r- 5/~N $3.5.30 ~nd .f/hlY $/17, Be> /lee t~~r 1-J-B-D'f "'::J n... /n . FOR OFt'!CIAL USE ONL V' DaldRec: Pennitll DaleApp~oved: Date Issued ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completelv. Please type or reprint in ink. If you have any questions, please call {360} 4174735 j-/~ 11j/5"0 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: Property Owner !If) It } a Y'd PI" i p <: t: Address P I). 'BOx Bif~ /'7?Jnt I Phone: Fax: City: b A-i4t-r-.. Fb,.t AnJe/e<;. WA. License #: Exp: Phone: ';6/- '2B'3<f Zip 983~2. Electrical Contractor: Phone: Address: City: Zip: iNSTALLATION WIRED BY: )(OWNER D ELECTRiCAL CONTRACTOR Credit Card Holder Name: Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA.~ MC: PROJECT ADDRESS: //5 N. ElAn; c- e. S t: r e e.--/:; TYPE OF WORK: Check all that apply: ONew )l( Alteration/Addition o Residential 0 Multi-family jl( Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: 5 DESCRIPTION OF THE ELECTRICAL PROJECT: (!Pl1l1ei>s iDn -f rDm r 1"5 i d e/JI.;/../A L -60 o Low Voltage 0 Telecom. 0 Sig Ommert./o.. L of-F-h.e- Electrical Heat Load Additions and or Subtractions )/0 Lo/fo C4fmvb6 Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON KW LRA o Overhead Service D Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. C:lELECTRI CALPERMIT APPLICATION ~ r:~ l'LJ3/f>3 Credit Card Holder's Signature: ~ Owner or Elec. Cont. Signature: -!M4: ' ~ PERMIT FEE: $~r 5. lO. 0-4 Date: Date: /2-.2 -03 <to ~ - r-l \-\ Jo<L