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HomeMy WebLinkAbout1105 S Eunice St - Building RECEIVED Cm or PORT ANGFLEs PERmu ArrulcAIION Building DivisfonAEIectrical 10sipectiOns MAY 10 2013 321 East F �1 Fifth Street-p.o.Box 1150/Port Angeles Washington,9836 Ph: (360)417-4735 Fax:(360)417-4711 FLECTRICAL MPECTIONS Dale: —Multi-Family or Commercial X Coma erdal Addilion/Alteration/Remodel I Repair* Plan Review May Be Required,P ase -0M Plan Review Information Sheet 0 0z"'C81 job Address -1,0 801ding Gqtmm Foomp: Dasadp6on of above Owner Info Mon r -- 40 Name,- - � --" Name', ;Z54.mb"Sc" MrAling Addrem.- 41,f-5 5 1V�9-0- M9111irtgod � r City: Sbft U-).A zip: X car. slaw k'26L zp,..Y- Phona4-'L'7--::/re9'7 Fax._ pwpw. ry., pl- L aat5�:e License 9 1 Exp. ��rf�7-51 &on Holt-CN510- -Q-bt 1 (Q!M KU!W-!1W N Unit Chia a Servimfwder=Amp. $132.00 $—._ ServlcelFeeder201400 Amp. $160.00 $ SaroicefFeeder 401-600 Amp $225.00 ServTceffibeder 6011000 Amp. $2EI8-00 SeMcdFaeder aver 1000 Amp. $410.00 $ — Branch Circuits 1-4 $ 86.00 01) Branch Circuit W/Service Feeder $ 5.00 Branch Circuit W10 Service Feeder 74-00 Each AdMimal Branch Orcult 5-00 Tamp.Servicel Feeder 200 Amp. $102.00 Temp.Service/Feeder 20144 Amp. $12140 Temp.SeMoWeedet 401-600 Amp. $164.00 Tamp.SarvfcOFeeder 601-1000 Amp, $185.00 Portal to Portal Howly $ 98.00 VgrdOugno Lighting $ 88.00 SIgnal CIrculY UmIted Energy-Mnlfi-FyWy $ 64.00 Signal CIMN UMM Energy/Prot 1500 sf-Commercial $ 96.00 Note: $5.00 for each additional 1600 st Renewable Electrical Energy-5KVA Syslem or LM $--113'00 Thermostat 50,00 Total Owner as ddned by RCW,1 9.2&261-(1)Owner A awUpy the stniclure for two years aft this electrical permit Is finalized. Owner is required to hfro an ef"cal contractor if ebm said property is for sale,rent or lease,Permit expires after six months of lad inspeclion, After reading the above statement I hereby cm*that I am The owner of the above narned.property or a licensed electrical co ilmatoT.I am making the electrical installa0ion or alteration in Dompill;mce Wdh the electrical laws,N.E.C.,RCK Chapter 19,28,WAC,Chapter 296- iGB,The City of Port Angeles Municipal Code,and Wily Specificatons and PANIC 14.05.050 regarding Elecbic*l Permit ApplIcatons- Signat d owner,electrica co r or el,ectaiical administrator. Q Cash 0 Check I`• r\ cmditcar4q orknl I ua"" - -5-1c'-13 M(9112012 If 61, ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000503 Date 5/13/13 Application pin number 393523 Property Address , . 1103 S EUNICE ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0--3-3750-0000- on your excise tax form Application type description ELECTRICAL ONLY to the City Of Port Angeles Subdivision Name . . . . . , Property Use (Location Code 0502) Property Zoning . . . . R97 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Application desc extend outlet circuits Owner Contractor ------------------------ ------ ------------------- MADDOX, TIMOTHY/SHARON SIMPSON ELECTRIC 918 TAMARACK LN 243036 W HWY 101 PORT ANGELES WA 96362 PORT ANGELES WA 98363 ( 36) 452-5139 (360) 457-9270 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee 86,00 Plan Check Fee 00 Issue Date S/13/13 valuation . . . . 0 Expiration Date 11/09/13 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due ------ --------- -- ---- - ---------- Permit Fee Total 86.00 86.00 .00 00 Plan Check Total .00 00 '00 .00 Grand Total 86,00 86.00 .00 .00 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL IVA COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: Q:EXCHANGEIBUILDING INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN kb FINAL 6b/b', Ai? Q9-147 COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for kitchen Owner MADDOX TIMOTHY /SHARON 918 TAMARACK LN PORT ANGELES WA 98362 36) 452 5139 ELECTRICAL ALTER COMMERCIAL Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 Fee summary Unit Charge 57 5000 2 0000 148015 59 50 6/09/09 12/06/09 Charged Permit Fee Total 59 50 Plan Check Total 00 Grand Total 59 50 Signature of owner or ElectrIcai Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000558 986016 1105 S EUNICE ST 06 30 00 0 3 3750 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Per ECH EL BRANCH CIRCUIT WO /FEEDER ECH EL ECH ADDNT BRANCH CIRCUIT 59 50 00 59 50 Plan Check Fee Valuation 00 00 00 Date 6/09/09 Paid Credited Due WA 98363 00 00 00 00 0 Extension 57 50 2 00 Date 06/07/2009 07 55 4579270 City of Port Angeles Pe niit Appel lotion BuldingDlvlabnlEleaciral *variant 321 East Fifth Street P,0. I icx 1133 Port Angeles Washing en, 9 1:62 Ph: (360) 417 -4735 Fax: OM Date: Unit Charge 3 93.75 5113,75 5160.00 5205.00 5291.25 3 2.00 57.50 2.00 1 12.50 86,25 5116.25 5131.25 3 75.00 69.00 75.00 50.00 3 50.00 3 93,75 80.00 86.25 3 27.50 57.50 3 86.25 5 43.75 (h' .5 of owner, electriem K. r it electrical administrator ,�7 z. J Izili^,/ oats: _4174/ SIMPSON ELECTRIC RECEIVED JUN t) 2009 LIGHT DEPT 1 2 Single Fanity welling Multi- Family or Camr real' �i Commercial Addition 4Iteration Remodel Repair Plan Review May a Re Tired, PI�� 9sI: Complete Electric n view Ir formao eet Job Address: f�-1: z 4 3 lira O5 r Building Square Footage' Description of above 41 46L r 2 (a r/? as 45 for' AI 74 6 p 7 Each 5wimminc Pool or Hot Tub 3 Thermostat S_Totel Owner Information Contract I-Inftmna s n Name: /"14 f t -J E ra 04n Name'¢, A r/ Mailing dress: _IL 2 C 5 4 Mailing 1 ddress. 0. gaigl �jrjri City: A _II, State: Zip: to City: H State: Er Zip: Phone: 4152 -jigs Fax: I Phone:,, License Exp. License I Exp Q Cash D Checli Credll Card it Total (Qty Multylied by Unit ;barge) Serelce/Feedei 200 Amp, ServicelFeede 201.400 Amp. ServicelFeedel 401.600 Amp. 3 Service/Feedel 601 1000 Amp. 3 ServicelFeedei over 1000 Amp, I 3 Branch Circuit V/ Service Feeder .3 0 Branch arcuii.'NIO Service Feeder 3 ,,C2. Each Additions Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service/ •seder 201.400 Amp. Temp. Service/ -eeder 401.600 Amp. I Terry. Service/ -eeder 601 -1000 Amp. '5 Portal to Portal Hourly 3 SignfOuane Lk hting Signal Circuit/ t Imited Energy Commercial Signal Circuit/ l milted Energy 1 2 Family Dwelling -5 Signal Circuit/ 1 Imited Energy Multi- Family Dwelling Manufactured f ome Connection Renewable Eke Ideal Energy 5KVA System or Less I First 1300 SquE re Ft. Each Additional 500 Square Ft. or Portion of I 3 Each Outbuildn g or Detached Garage PAGE., 01 Owner as dewed by CW T9. d UP; (1) thew will occupy the soucture far two pars alter his elecrical pan* Is finalized f21 Owner Lc required to him an elect ical contractor if some a id poperlN M for sa a. Mnt orleft After reading the above ratter icnt, I here 9y certify that I am the meter of the above named property or a licensed electrical contractor. I em making the electrical installation or alteration In coi rl>IIanca weir the electrical lava, N.E.C., RCW. Chapter 19.28, II fAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utilty Specifications. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation, Application desc CLASS 2 HOOD INSTALLATION PROPANE TANK LINES Owner JEED LLC 1105 S EUNICE ST PORT ANGELES (360) 809 0809 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T:FormsBuilding Division/Building Permit it Qty Unit Charge 1 00 10 6500 EA 2 00 10 6500'EA 1 00 10 65001EA 1 00 50 0000',HR 1 00 50 0000 HR Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 98362 MECHANICAL PERMIT CLASS 2 HOOD /PROPANE LINES 143354 192 60 Plan Check Fee 4/10/09 Valuation 10/07/09 09 00000261 911099 1105 S EUNICE ST 06 30 00 0 3 3750 0000 GOOD TO GO GROCERY MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 1400 Contractor OWNER Date 4/10/09 Per Extension BASE FEE 50 00 ME HOOD /DUCT MECH EXHAUST 10 65 ME STOVE /FIREPLACE /MISC APP 21 30 ME FUEL GAS PIPING 1 5 OUTLETS 10 65 ME INSPECTION MIN 1 HR 50 00 ME ADDITIONAL PLAN REVIEW 50 00 Special Notes and Comments A minimum 2A 10BC fire exinguisher is required Extinguishers must be' mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Charged Paid Credited Permit Fee Total 192 60 192 60 00 Plan Check Total 00 00 00 Grand Total 192 60 192 60 00 Due 00 00 00 00 0 'DT 11 -ma 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. A- t B Date Print Name Signature of Contractor or Authorized Agent ature of Owner (if owner is builder) Inspection Type Date Accepted By Parking Lighting Comments FOUNDATION Date Landscaping Footings Electrical Stemwall 417 -4735 Foundation Drainage Downspouts Construction Piers PW Engineering 417 -4831 Post Holes (Pole Bldgs Fire PLUMBING 417 -4653 Accepted by Under Floor Slab Planning Rough -In 417 -4750 Water Line (Meter to Bldg) R v Building Gas Line 417 -4815 Back Flow Water FINAL Date AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA. ESA. SHORELINE. Parking Lighting Inspection Type Date Landscaping Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 1) t 1 R v Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. ESA. SHORELINE. Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Floor Areas Basement 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant tie) 7t6 ii'o fm—re te ,-4 Pho Property Owner Z F A j Property Owners Address pia y 1. Eil AiLe Si pi- �4n� J4_ Contractor r r, c 11 9 �C(.r (owr�elr-) Phone Contractors Address License Parcel Number tr 6 3 pp 0 11 3 1 e ta rs Expires PROJECT ADDRESS 0 S s Ciro( 4.0 xistin_q (sq. ft.) Proposed (sq. ft.) c$ Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Pet 1s tr For City Use Only ate Received 1 ermit# 1 ate Approved Iii E -mail f Print in ink Phone S Co Se '2 o t, 9 Lot 5 to Zoning C V ke yt e#ii i) Residential Multi- family Commercial Industrial Project Tvne Brief Description: Check all that apply New Construction 5\,PI Addition Subml e■&nS r- Remodel o Repair o Demolition Re -roof o House garage o other o tear off re -roof o lay over one layer Heat System Heat pump wood buming stove o gas fireplace o pellet stove other (Other old it k per sq. ft. a-0 4 ta0 I 3 S TOTAL VALUATION 1.1 0 A A b a Total footprint of structures I sq. ft T Lot size sq. ft Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 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 toyygrldng on projects. Date fiia f tl0'1Print Name Frr t,(1, t ff Signatur T:Forms/Building Division /Bldg Permitdoc r 626 886 'C.L 54- f r NW 8 701 f?' Bollard L Ids ZxIZ 5 Outside South lacing Waif 19' 'T 0 VI- FILE CITY OF PORT ANGELES Construct!on Plena The Issuance of this permit .ased upon these plans, specifi cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plar specifications and other data, or from preventing building operations being carried on thereunder when in violation of ail codes and ordinances of this jurisdiction. E'PProval Date By 1 2e2__CoCe Mc_ Pa( c 4‘ 1 p r„,„ rh•, d, a dd �3 a L c✓c-C tO Smk PLA p p r l\ r) cif P01t 1 AV 1 LE6 1.111E DEPT P Mehl u,Jaasa arta7 pug WW2 2 aUI dOJd 574?r a ?AU"7 1' 4 u'o? -z 0 J v O V 7 1'"4/ 4 a l S i 104 U-i WOO' Dial Stiff Sill ofd poor, msnar,xa „09 0 iolonol llattt r,ano; Ceiling Cooking Down 54" 0 7s" roc s f 4/ A. 1 l t i f-- ,601 -1 0 M 01 1� VG y roof fine to a /4' 1 curb 1sin" 10' draeting ceirtm• Mae US C L CODC m- S 'dvt'�` Y ailed. 02 -2_6 -09 CERTIFI 4TE OF O tCUPANCY Cit Port Angeles Build D i v .,is i on This certificate is issue p ursuant to the requirements of Section 110 of t 2006 International Building Code certifying that athe time of issuance this structure was in compliance wits the various ordinances of the City regulating7$uilding construction or use for the following A Business name Good To Go Grocery (Owner The Oven LLC) Business address. 1105 S Eunice Erich Seifert, Liz Seifert Julie Grattan Property owner Sharon H Maddox Property owner s` address 918 Tamarack Ln Port Angeles WA 9832 Automatic fire sprinkler system Per IBC Use occupancy klassifacation Mercantile Building permit nu/ ber 09 162 Type of construction VJB }=Y Occupant load. Per Ntk 02/25/09 Post on the premises in a conspicuous place: This ert f e,sbalr of be removed except by the Building Official. J -0 c1 F PREPARED 2/23/09 8 32 24 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/23/09 ADDRESS 1105 S EUNICE ST SUBDIV TENANT NBR GOOD TO GO GROCERY CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215 OWNER MADDOX TIMOTHY /SHARON PHONE 36) 452 5139 PARCEL 06 30 00 0 3 3750 0000 APPL NUMBER 07 00000818 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 2/23/09 JL BLDG FINAL GL/ February 23 2009 8 29 54 AM 1pangrle ELIZABETH 457 1857 BLDG FINAL RE ROOF COMMENTS AND NOTES WILL THERE BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT Electrical changes Transfer of business location from a Electrical Dept. at 417 -4735 New or relocated signs v Transfer of business location from a non -PBIA location Building Div at 417 -4815 Construction changes SR 2 vi-A DU 0 l Mechanical changes (ventilation, heating, cooling, etc.) City Clerk Public V'Jork Plumbing changes J aq Fire sprinkler system changes v Fire alarm system changes New or relocated sewer or water service I/ Public Works at 417 -4807 Excavation or filling of lots 1 Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Water Dept. at 417 -4886 Is this a home occupation? d Planning Div at 417 -4750 Is this a second -hand dealer or pawnbroker business? City Clerk at 417 -4634 Is there off street parking for this business? How many spaces? g i Is the street in front of this business paved? v 1 Is there a sidewalk in front of this business? l Is there a curb gutter in front of this business? Departmen Approved In ials ate j Rejected date Comments Conditions Building v '1 l Transfer of business location from a Type of construction Occupant Load Fire 14W 2.—I9 -O9 Transfer of business location from a non -PBIA location Automatic fire sprinkler system required no yes PBIA SR 2 vi-A DU 0 l Temporary business Planning City Clerk Public V'Jork e 7 _2 aq BUSINESS NAME G ©on —7-0 Gb C Uekg HN61.ES BUSINESS ADDRESS ((0j 5. EUNI CF:: oRX WA Zoning (6 I Business mailing address 1 Phone &ob- �5 SS----/ r'11C O enin• date p o Da s hours of o•eration "3� U\?__ iJ S; Washington State Tax I D If known list he name of the previous 4 3 y is U3 5 business at this location Brief description of proposed business 0 ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Print in ink CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES Attn Builds I g Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 FEES Certificate Inspection 100.00 Parking Business Improvement Area (PBIA) fee charged for downtown locations Business owner's name Mkt WEN, LLC (E-RI SEIFERS,Llz SFIFraeT,J i eapailFhone ?UO 1 7 5 )10b Business owner's home address �3 A rZrv���� T n1Cs�L�S 1 hJQ Q1Sc3Ln� PLEASE NOTE. A Business License is also required for the following businesses. Taxi Peddlers, Second -hand dealer Pawnbroker Dance Hotel Motel, Fireworks Ambulance, Tattoo shop Contact the City Clerk at 417 -4634 for additional information. Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy 1 acknowledge that 1 have read this application and state that the information I have supplied is correct to the best of my knowledge Date) 111 sOcl Print Name C1l14.A{3r=`r' SE( FEILj' For City use only II T'Forms /Building Divisi nICem cate of Occupancy Application Signature Please sign up for utility services at the cashier counter Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MADDOX TIMOTHY /SHARON 918 TAMARACK LN PORT ANGELES WA 98362 36) 452 5139 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 14 0000 THOU BL 2001 25K (14 PER K) 3 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 BUILDING PERMIT NO PR FEE TEAR OFF /INSTALL TORCH DWN 106815 137 75 Plan Check Fee 00 7/11/07 Valuation 4800 1/07/08 Charged Paid 07 00000818 222956 1105 S EUNICE ST 06 30 00 0 3 3750 0000 RE ROOF RS7 RESDNTL SINGLE FAMILY 4800 Contractor LARRY S ROOFING 352 AVIS ST PORT ANGELES PORT ANGELES (360) 452 2215 STATE SURCHARGE 137 75 137 75 00 00 4 50 4 50 142 25 142 25 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Credited 0 0 00 00 00 Date 7/11/07 WA 98362 Extension 95 75 42 00 4 50 Due 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements This permit becomes null and void if work or construct on authorized is not commenced within 180 days if construction or work is suspended or abandoned fora period of 180 days inspection I hereby c laws and ord ances gov ve authorit presume to construction Signature of Contractor or Authorized Agent the work as commenced or if required inspections have not been requested within 180 days from the last at l have read and examined this application and know the same to be true and correct. All provisions of his type of work will be complied with whether specified herein or not. The granting of a permit does not late or cancel the provisions of any state or local law regulating construction or the performance of Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED B7'. UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (ITITERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY. ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SEPA. ESA. SHORELINE: SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417-4807 CONSTRUCTION R.W PW /ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4 PLANNING DEPT BUILDING 417-481 Z Z3 -Oct �U.-- BUILDING 0 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRI CAL INSPECTIONS 4 CALL 417 -4807 FOR PUBLIC WORKS UTILITIES 1 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN/' WORK BEFORE 04 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. BUILDING PERMIT INSPECTION RECORD T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] OQ rb 1 BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call P ITS (360) 417 -4815 FAX(360)417 -47 No of Stones: Lot Size: Total lot coverage Applicant or Agent: y�� Owner 1 m i f +"A City. Zip Address: 1 1 o) Phone: 45z,-nis Architect/Ef veer• Contractor bioni b State License Z l S C City Address: PROJECT ADDRESS II CS S nk— LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE Re -roof Stove Move Garage Demohtion Deck Other PROJECT COMMERCIAL/RESIDENTIAL: Occupancy Group /o Phone. Phone. `CJZ` 513q Existing Sq Ft. Phone. Exp SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Dater 11 `'C'1 FOR OFFICIAL USE ONLY Date Rec. 7 1(-0 1 Y Permit e)Eg Date Approved: o1— 1 'Cr) Date Issued: U O� Zip 9317 ZONING Subdivision. Occupant Load. Construction Type. Proposed Sq. Ft. TOTAL Sq. Ft. PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other APPROVALS PLAN BLDG DPWU FIRE. OTAFR. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assist PLAN CHECK FEE IF a plan ch fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that 1 have read and e amined t p to determine e what permits are aequi�ed not the City's, r and that 1 apply for this permit and understand f it is y must obtain such permits prior t i work. T•WORMS\BIdgPermitform.wpd Applicant: 4 L,21 1.13Qh Ls?) rzT 0 I 10 1/4 Gueni t's -ails al,: con f_ 0 ti 'F)oa3,. S 3:4" Mt:1W? "In U CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classification: Business Building Permit No.: 04 -1215 Business Name: Good to Go Group: B Owner of Business: Timmy Maddox Building Address: 1105 Eunice Street Buil. ng Official Use Zone: ReS. Address: 918 Tamarack Lane Port Angeles, WA. 98382 Port Angeles, WA. 98362 August 24, 2005 Date Type of Construction: V -N Post on the premises in a conspicuous place. Shall not be removed except by Building Official. 4 -O ♦O Application Number 04- 00001216 Pin number 269760 Property Address 1105 S EUNICE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3750 -0000- Tenant nbr, name GOOD TO GO Application description COMM REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3000 Owner Contractor MADDOX, TIMOTHY /SHARON OWNER 918 TAMARACK LN PORT ANGELES WA 98362 36) 452 -5139 Structure Information ADD WINDOWS AND AWNING COVER Construction Type TYPE V NON -RATED Occupancy Type BUSINE'BS:OFF /PRO /MED /REST CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc HI -TECH/ SECURITY ALARM Sub Contractor HI TECH SECURITY INC Permit Fee 42.20 Plan Check Fee Issue Date 4/15/05 Valuation Expiration Date 10/12/05 Date 4/15/05 Qty Unit Charge Per Extension 1.00 42.2000 EL -LOW VOLT SYS =2500 SQFT 42.20 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 46.70 46.70 .00 .00 COMMIENTS /ACTION NEEDED .00 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL OR CONCEAL ANY WORK BEFORE IT IS N P UNLAWFUL TO COVER, INSULATE INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DITCH ROUGH-IN/COVER SERVICE FINAL, 12-A2-6SI A 2t DATE ACCEPTED YES I NO COMMENTS GENERAL COMMENTS: PW -I 102.13 (4/96) p0 Application Number 04- 00001216 Pin number 269760 Property Address 1105 S EUNICE ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 3750 -0000- Tenant nbr, name GOOD TO GO Application description COMM REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 3000 Owner Contractor MADDOX, TIMOTHY /SHARON OWNER 918 TAMARACK LN PORT ANGELES WA 98362 36) 452 -5139 Structure Information ADD WINDOWS AND AWNING COVER Construction Type TYPE V NON -RATED Occupancy Type BUSINESS:OFF /PRO /MED /REST Permit ELECTRICAL ALTER COMMERCIAL Additional desc SIMPSON/ ALTER CIR. +MAST Sub Contractor SIMPSON ELECTRIC Permit Fee 128.20 Plan Check Fee Issue Date 2/23/05 Valuation Expiration Date 8/22/05 Other Fees CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 Qty Unit Charge Per Extension 1.00 66.9000 ECH EL -COMM ALT- REPAIR METER /MAST 66.90 1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS 61.30 STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Date 2/23/05 Permit Fee Total 128.20 128.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 132.70 132.70 .00 .00 COMMENTS /ACTION NEEDED .00 0 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW -I 102.15 (4/961 DATE ACCEPTED COMM INSPECTION TYPE YES I NO DITCH ROUGH -IN COVER SERVICE Vg- z-A' Atref9 FINAL 1 212 Z/O i 4 1 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW -I 102.15 (4/961 ROUTING SLIP 1 4 Certificate of Occupancy $47.00 Certificate /Inspection Fee w F° DATE ,li New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Address of Proposed Business 'i Applicant 1. d Li V Address I/ 1 it L T i ,r) Phone: business 7 C �1/ home 4 I r 3 Brief description of proposed business Legal Description: Lot Block Subdivision Current Use of Property Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes ,N New or relocated signs New septic tanks New sewer service Admission charged to patrons A. Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? 7` 11) Fire New driveway openings 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other A grading plan for site drainage 1 (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? x Other I hereby apply fora Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Date. `f....) e Signed APPROVED REJECTED Building Section Comments Conditions Z. ,e-t.)(2—....,a_ A, Public Works Department _A _Oh' _a BAIL /4g Planning Department i Fire Department City Clerk P.B.I.A. 6a9e1 t6 ROUTING SLIP Certificate of Occupancy $47.00 Certificate /Inspection Fee '0a DATE 30--0 4 New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Jr,. Address of Proposed Business /1 O r S e_vn C Z- Por+ ��I'S Applicant Address —17 ill/ �.Idor gig 7 0%.M Gs/ c-K I 0°A Phone: business Y6 o -2r/ c/ home `/j d SI 3 61 Brief description of proposed business 47S 0 d _ct: 6-la -vy Legal Description: Current Zoning Lot Block Subdivision ke.91G414"t4 Use of Property Classification of Property WILL THERE Construction Electrical Mechanical Plumbing New or relocated New septic New sewer Admission Is this a home Excavation Work done Is there sufficient New driveway A grading (parking lots, Are the existing Are there Is there curb Other BE ANY OF THE FOLLOWING? YES NO changes k THE FOLLOWING WILL PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BE REQUIRED: BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other changes Y.. (heating, cooling, stoves) X changes X signs X tanks X service X charged to patrons X occupation? of filling of lots in City right -of -way off- street parking? 7` openings plan for site drainage 7` downspouts, etc.) streets paved? >s existing sidewalks? and gutter? I hereby apply fora Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. 2 o- o Date Signed APPROVED REJECTED Building Section Comments Conditions Public Works Department Planning Department ED Fire Department �4� City Clerk P.B.I.A. ELECTRICAL PERMIT OWNER /APPLICANT LINDA'S MARKET BASKET 1105 EUNICE Port Angeles, WA 98362 360/000 -0000 T: CONTRACTOR KIRSCH ELECTRIC 141 -H FALCON RD. SEQUIM, WA 98382 360/683 -6819 PROJECT INFO Prj Type: COML. MISC. Occ Type: Occ Grp: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan /Wall KW: PROJECT NOTES TOTAL FEE: Occ Load: INSTALL 200 AMP SERVICE PROJECT FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 S: $67.00 $0.00 $0.00 $0.00 $0.00 $67.00 Issued: 8/05/97 PROPERTY LOCATION 1105 EUNICE S Lot: Block: Sub: Parc No: DESIGNER 000 /000 -0000 Service Type O Riser O X Overhead Service O Underground Service O Temp Service Long Legal: Permit No: 6011 Prj Value: $0.00 Cnstr Type: SERVICE CHANGE Land Use: Voltage: 120,240 Diameter: X -1 -3 Service Size: 200 AMPS Feeder Size: 0 AMPS TOTAL FEE: Amount Paid: Balance Due: $67.00 $67.00 $0.00 INSPECTION TYPR DATE ACCEPTED COMMENTS YES NO DITCH ROUGH -IN COVER SERVICE 1/&797 Tom, FINAL ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE GENERAL COMMENTS: PW- 1102.1514%1 Site Address: GG'� READY FOR C -W ILL CALL FOR /0S SO, E4.44.4',c INSPECTION INSPECTION Installed By: t /1 License Number: Phone: Owner /Business: MA-R kit-- —g ics is Phone: Owner /Business Address: Sq. Ft. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercialllndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service —2 Final O.K. New Construction Overhead Remodel Underground Service update /alter /repair Voltage 10 3 Add /alter circuits Service size Auxiliary power Temporary (list below) Special equipment (list below) Detai Is /Description' cdict W.S. No Service Size Date Hold for: Easement Letter Capacity: O.K. Not O.K. Comments Site Address: """""ct AA /at" Installer: Permit/Receipt q NO� U New Meters Date: Notify the Department of City Light by Street Address and Permi Number when ready for inspection. Wo k must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. l OLYMPIC PRINTERS. INC. Inspector NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT PERMIT NO 137d DATE /a /O 7 Amount paid Amps Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top:Inspector, Bottom: City Hall Inspection Date Area, Building orEquipment ins ected g P Action Token Electrical Inspector 2 /n /O �j r/ n i AtO Lb/54C ilk c-6Vv ejt P AO FiNm.- 4 02/17/2005 20:43 4579270 a/ /or ("17\ y Q Electrical Contractor Owner O Annual Permit Alarm Carnival Job wired by ?Electrical Contractor 0 Owner Electrical contractor name License number r 6n cI -rr'e LCC Sim ?s L 973 e9 P I I add rtctas a mailing a `fa3 o,3Jz is. t I W t St to Ci F�or1- /issue. kM ZTP 95,34, 3 Telephone number FAX. number 'F57 -9a-7o ant_ e Premise.s owner's name 45 5(39 7' /in m ltd do x Address of inspection 110S S. ea/ v /cc sr, City Vold- AnteleE' &A- 98 T hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with e electrical law, Chapter 19.26 RCW. /Signet X WALLS Insulation Only Dnto Aepro+ed By Cover Dote Approved Dy et trical con elcctricnl administrator N N Deic Electrical Load Additions and or sgktts&Qtiena NO LOAD CHANGES Baseboard KW O Fumace KW Heat Pump Ton LAR Fan -Wall KW Commercial Residential Approved by Gover A ppMVbi a Overhead Service Temp Service O Underground Service SIMPSON ELECTRIC PAGE 01 ELECTRICAL WORK PERMIT APPLICATION t Request Inspection 0 Residential Malnt. 0 Signs 0 Thermostat Telecom. Installation description /E'Q(Sa mwi- 1 /06•1P eel e;xrI'C' L-S 6 Cash Cl Check titi Credit Card Mastercard Discover Card Expiration Date ,(f card r immed-ion fee /aS' ao Service Information Voltage Phase 1 3 Service Size: Feeder Size: e r O Electrical Contractor 0 Owner O Annual Permit 0 Alarm O Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat Telecom. .fob wired by Electrical contractor name License number yt =Tic.is S r;COR.\r`f i4iD C fc> ?SS C3 5 Purchaser's nailing addres '3 3 as-r Fizo�r State ZIP P- 983fo2 City p b Telephone number 36o-'{ 2 'i rcmiser owner's name C7oot1 TO 6 Address of inspection IIOS So r-2._ City P olar Ar...)oEIS I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19,28 RCW. /Signature of owner. electrical coact c�r electrical administrator J V h lR i(J r 1 WALLS Insul ation Only Dole Appro.aJ ay cover Dar Apprevcd my 0 Electrical Contractor O Owner Electrical Load Add tit ons and or sy¢tractign O NO LOAD CHANGES O Baseboard KW O Fumace KW 0 Heat Pump Ton LAP O Fan -Wall KW Y b'0 as' WN L 5002 7T FAX number 3Go 4 S 2- 8 CEILING Insulation Only Claw APPrered BY Cover Dac Approved By i res. rfle.o C ELECTRICAL WORK PERMIT APPLICATION Request Inspection O Overhead Service O Temp Service O Underground Service Expiration Date of card 0958 ZSV 092 'ON Xtid Vnstallation dcsedation 1"-ns5 O Cash O Check S S Ewe o Credit Card Msa Mastercard Discover Card Inspection fee y2.•za Service Informati2 Voltage Phase 0 1 0 3 Service Size: Feeder Size: SDINOdlD313 H091-IH woad r• Inspection Date Arca, Building or Equipment Inspected Action Taken Electrical inspector 1. -ZZ -a5 n Nat- r O Electrical Contractor 0 Owner O Annual Permit 0 Alarm O Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat Telecom. .fob wired by Electrical contractor name License number yt =Tic.is S r;COR.\r`f i4iD C fc> ?SS C3 5 Purchaser's nailing addres '3 3 as-r Fizo�r State ZIP P- 983fo2 City p b Telephone number 36o-'{ 2 'i rcmiser owner's name C7oot1 TO 6 Address of inspection IIOS So r-2._ City P olar Ar...)oEIS I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19,28 RCW. /Signature of owner. electrical coact c�r electrical administrator J V h lR i(J r 1 WALLS Insul ation Only Dole Appro.aJ ay cover Dar Apprevcd my 0 Electrical Contractor O Owner Electrical Load Add tit ons and or sy¢tractign O NO LOAD CHANGES O Baseboard KW O Fumace KW 0 Heat Pump Ton LAP O Fan -Wall KW Y b'0 as' WN L 5002 7T FAX number 3Go 4 S 2- 8 CEILING Insulation Only Claw APPrered BY Cover Dac Approved By i res. rfle.o C ELECTRICAL WORK PERMIT APPLICATION Request Inspection O Overhead Service O Temp Service O Underground Service Expiration Date of card 0958 ZSV 092 'ON Xtid Vnstallation dcsedation 1"-ns5 O Cash O Check S S Ewe o Credit Card Msa Mastercard Discover Card Inspection fee y2.•za Service Informati2 Voltage Phase 0 1 0 3 Service Size: Feeder Size: SDINOdlD313 H091-IH woad