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Home My WebLink About1502 Bldg LH E Lauridsen Blvd - Longhouse Cultural Center - Building I CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 o --l \ 6' -J o Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000670 Date 6/12/07 952370 1502 BLDG LH E LAURIDSEN BLVD 06-30-14-1-2-0000-QOOO- PENINSULA COLLEGE FIRE SPRINKLER SYSTEM UNKNOWN 14600 Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 Structure Information 000 000 LONG KNIGHT FIRE PROTECTION INC 2509 WEST 19TH STREET PORT ANGELES WA 98363 (360) 417-0505 HOUSE - CULTURAL CTR permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER COMM LONGHOUSE CULTURAL CENTER 104158 277.75 Plan Check Fee 6/12/07 Valuation 12/09/07 180.54 14600 l)( o p Qty Unit Charge Per Extension 95.75 182.00 f'l BASE FEE 13.00 14.0000 THOU BL-2001-25K (14 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER COMM INSPECTION & TESTING 104166 100.00 Plan Check Fee 6/12/07 Valuation 12/09/07 .00 14600 r- p c 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 377.75 377.75 .00 .00 Plan Check Total 180.54 180.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 562.79 562.79 .00 .00 F;j7 qlec( / '-3, 0..... (J8 ,. 9- V) ~ .s r-(JJ o - "5 < lD9- -::r o c: vt (t Qty Unit Charge Per BASE FEE Extension 100.00 Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- tD r-- C7 ~ r- ...L This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied wit M'hether specified herein not. The granting of this permit does not presume to give authority to violate or cancel the o' sions of a . y or local law regulating the work specified in the perm it. ~\~ :II ~ \J) Date Signature of Owner (if Owner is builder) Date :J'. :s-. 7\. " ~~~ 1, --..-,.~_...A..~:'O".::,j;;;:.".a&:..a,;._DL .;.,~ .l;,. ._ ;';!':, .-.,__!, ....;;~.;,J4.. FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final 10 . 12... 2.cx:J7 ~. FIRE ALARM Rough-in inspection Alarm final ~. 12... too 7 ~~ ~\..~~ O~"". LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Pen College Longhouse Address: 1502 East Lauridsen Installer: Knight Fire Protection Installer Telephone: 417-0505 Type of System: Closed 13[g] 13RO 13 DO Date: 6.8.2007 PAFD Permit #: 07-21 We have checked this plan and find that it conforms to the requirements of the code. A KNOX box will be required for this building. Contact the Fire Department at 417-4653 for a KNOX application form. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. Contractor Reviewed by: ~L QQ .M-Q \ Date: C9'CO . 07 o [!] o Building Department Fire Department BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: Date Rec.: , -7 -(!:){ Permit #: () 1- (Q 10 Date Approved: ,,- g .07 Date lssued: ~ - ''2..-07 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caD PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: 1>i VlI h) i.I\.A" Address: I ~ \71'1-' '" Architect/Engineer: Phone: Contractor11V1l:ntl 'h1U" Pl"'t'l. State License #: tLrVliitf-Pt,'1 ~~EXP:-GOe. Phone:-Bn.o\""V)" Address: ~S-c>~ Wf::JT )4tt-. <;:, City: ~ flvo~~). (AJrr Zip: C\~~ PROJECT ADDRESS: ~m~ '15i1lL-\JINb- Ut- ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: // o Residential. ~New Constr. 0 Re-roof 0 Stove o )v.1ulti- family 0 Addition 0 Move 0 Garage 'ill' Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: Co /Y)rn.l;1 'Lv.. \ ~~~ ~pp.vrv't.-t.~> SIZENALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $~ (~OO ,~ I No. of Stories: Lot Size: Total lot coverage Construction Type: = TOTAL Sq. Ft. COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FillE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes oNo SEPAChecklistrequired? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential.code, 2003). No application can be extended more than once. I hereby certify that I have read and amined this application and know the same to be true and correct. I am authorized to apply for this permit and understand t tit /s my responsibility to determine what permits are required ,not the City's, and that J must obtain such permits prior to wo Date: T:\FORMS\BldgPermitform. wpd Applicant: ~.01-z..( o ()' \ o <J' -J) 6 International Building the various ordinances 05/13/08 Date .~. t be removed except by the Building Official. ,..~. \P ~ r .:r: (YL~ r:;!lh 1M ~~ !?ORT "-'\I I-;'O",,~~~ a,.~~ 'L -==-- ~ 'tii;-;;--;?" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00001065 Date 10/25/06 066685 1502 PCC EAST E LAURIDSEN BLVD BL'DC:. l- H 06-30-14-1-2-0000-0000- PENINSULA COLLEGE COMM NEW CONST Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner STATE OF WASHINGTON GEN ADMIN OLYMPIA Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC BUILDINGS & PARKS 550000 Contractor Alde.r'3ro\(~ Cons.trvc,'tion::the 33 f, ~ SOV\ R.4 for'\- j\n5e\es )WA q8363 TOTAL % LOT COVERAGE 7.90 NUMBER OF STORIES 1.00 3bO-4S1-zo67 EXISTING LOT COVERAGE 232058.00 LOT SIZE 3267000.00 PROPOSED LOT COVERAGE 2988.00 TOTAL LOT COVERAGE 235046.00 NUMBER OF UNITS 1.00 OWNER WA 985041000 BUILDING PERMIT - COMMERCIAL 87866 3497.75 10/25/06 4/23/07 Plan Check Fee Valuation 2273.54 550000 Qty Unit Charge Per Extension 3260.25 237.50 BASE FEE 50.00 4.7500 THOU BL-500,OOl-lM (4.75 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT ~ 89474 71.75 Plan Check Fee 10/25/06 Valuation 4/23/07 .00 o Qty Unit Charge Per Extension 50.00 21.75 A) /' ? 0>-, ~ ~~ :< ~ BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 89466 156.00 10/25/06 4/23/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER Extension 50.00 77.00 7.00 15.00 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, jf 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. (J \\.~ .~.~~_.~____. ~ / ,/ Date Signature of Contractor or Authorized Agent wner (if owner is builder) T:\PoJicies\J J02_15 building permit inspection record05,wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKSUTIUTIES 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 I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE SLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS 1 G1IillERS SHEAR WALUHOLD DOWNS WALLS 1 ROOF I CEILING DR YW ALL (fNTERIOR BRACED ~4I'JEL ONLY) T-BAR -""_ 1 ... -. . . . I . .,f.,.... '\ INSULATION','" ..,. ........ .~, ':ii. ...: .. ',r" . ," ,''''''.'' SLAB -! WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE I PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING &. HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102 _15 building perrmt inspectIOn record05.wpd [1/4/2005] r--- ~ ~ORT ~ ....C~~ 6,.~~ ...~ ~ ~-;--;d:P CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDD\lG DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00001065 066685 Page 2 Date 10/25/06 Qty Unit Charge Per 1.00 7.0000 ECH PL- EA.WATER HEATER Extension 7.00 Special Notes and Comments This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 10/03/2006 08:37 AM PERMITS --Mark building location in field. Planner inspection required relative to wetland location. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 2175.00 4.50 3000.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 3725.50 3725.50 .00 .00 Plan Check Total 2273.54 2273.54 .00 .00 Other Fee Total 5179.50 5179.50 .00 .00 Grand Total 11178.54 11178.54 .00 .00 - , . , " ~ ~ ," i' 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 jf 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:IPoliciesl] 102_] 5 building pennit inspection record05.wpd [] /4/2005] L BUILDING PERMIT INSPECTION RECORD .- CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKSUTILlTfES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING 04./ 0 ~/(J7 :r u- (J1cf2 G/fJ+ 3 L-1. Y/Il/Ifi "'J/.,L ~~i()X"\t- KwTlJbtnj ~ , ~ ~ \S1 I ~ l,.-/t). -7 .J k- 1311A../~7 I..J J,.v 1-;;f~'lrr7 ILL- T re bo., r O~ J '2-11 07 :fL...L. p..t,~2. 0'j/i,/d \l.L- ~ -r/r%? ~Q -12,-61 DATE ACCEPTED BY: 111l11/1t "TLL- <t 1//3/6- , ,I/o It"l ( :TU- o0/c1'/et-' TLL- 113/01 :Ju.... YES ~ ~~ ~ ,~ AccmED BY, ~ fll :~ ~ ~ ~~ ~~ \\ ~ . ~ ACCEPTED I FINAL 10-17. -() 7 DATE PLANNING DEPT. SEPARATE PERMJT#'s P ARKING/LIGHTING LANDSCAPING SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION - R. W. PW I ENGINEERJNG ~ ~ CONSTRUCTION R. W./ PW/ ENGINEERJNG FIRE 417-4807 417-4653 FIRE DEPT. PLANNING DEPT. BUILDING It1Lf ...Z(-(g -;:) Ll..- r- :c: PLANNfNG DEPT. BUILDING 417-4750 4]7-4815 T:\Policies\1102_15 bUlldmg pennit inspectlOll record05.wpd [1/4/2005] ~ .S r. ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST STIISTREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001065 Date 10/25/06 066685 1502 PCC EAST E LAURIDSEN BLVD B lc)~ L H 06-30-14-1-~-0000-0000- PENINSULA COLLEGE COMM NEW CONST PUBLIC BUILDINGS & PARKS 550000 Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 7.90 1. 00 232058.00 3267000.00 2988.00 235046.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS COMM WATER SERV 1" DROP IN WATER METER 88708 250.00 plan Check Fee 10/25/06 Valuation 4/23/07 .00 o Qty Unit Charge Per BASE FEE Ext'ension ,250.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 88690 110.00 10/25/06 4/23/07 Plan Check Fee Valuation .00 550000 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 10/03/2006 08:37 AM PERMITS --Mark building location in field. Planner inspection required relati~e' 'to wetland location. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 locay'aw regulating construction or the performance of construction. 'l... ' \ i\ t '---'.. , ~/, (oz~7b Signature of Contractor or Authorized Agent Date Signatur Owner (if owner is builder) , 0 te ~ T:\Policics\1102.ISR [I/OS) . J PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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.TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE . ACCEPTED YES NO 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:\Policies\1102.15R [1105] CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00001065 Application pin number 066685 Page 2 Date 10/25/06 Other Fees SEWER SYSTEM DELV CHARGE STATE SURC~GE PW WATER SYSTEM USE FEE 2175.00 4.50 3000.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- permi t Fee Total 360.00 360.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5179.50 5179.50 .00 .00 Grand Total 5539.50 5539.50 .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 regulating construction or the performance of construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). , Date T:\Policies\1102.1SR [1/0SJ PERMIT INSPECTION RECORD - CALL 417-4807 FOR UTILITY 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 YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SInEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL I DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [I/05J d'''.'~. ${i~~ DI .,..~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 91l:162 , , ~ Application Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001065 Date 4/27/07 066685 1502 BLDG LH E LAURIDSEN BLVD 06-30-14-1-2-0000-0000- PENINSULA COLLEGE COMM NEW CONST UNKNOWN 550000 Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 7.90 1. 00 232058.00 3267000.00 2988.00 235046.00 1. 00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL OLYMPIC ELECTR/ 100198 175.00 Plan Check Fee 4/27/07 Valuation 10/24/07 .00 o ............ ~, ~ \'\ Qty 1. 00 Uni t Charge Per 175.0000 ECH EL-COM 201-400 NEW SRV FEEDER Extension 175.00 Special Notes and Comments This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 10/03/2006 08:37 AM PERMITS --Mark building location in field. Planner inspection.required relative to wetland location. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 2175.00 4.50 3000.00 ~ ~ ~ ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175.00 175.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 5179.50 5179.50 .00 .00 <} :I ~ COMMENTSI ACTION NEEDED i . ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ~. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . I: I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO ulfCH IH II IC TI-I-IN / CUVER ~bK V IcE I I GENERAL COMMENTS: PW.II02.1' 14'96) I .o.,.~ C} 'qp Application Number . . . . . Application pin number . . . Grand Total 5354.50 COMMENTS/ACTION NEEDED ... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 06-00001065 066685 5354.50 .00 .. Page Date 2 4/27/07 .00 ~ ELECfRlCAL PERMIT INSPECfIONRECORD -- CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.l~ (~ I 'r; ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\2\ EAST 5TH STREET. PORT ANGELES. WA 98362 -, -> Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001065 Date 7/26/07 066685 1502 BLDG LH E LAURIDSEN BLVD 06-30-14-1-2-0000-0000- PENINSULA COLLEGE COMM NEW CONST UNKNOWN 550000 Owner Contractor STATE OF WASHINGTON GEN ADMIN OLYMPIA WA 985041000 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL OLYMPIC ELECTR/400A SVC 100198 OLYMPIC ELECTRIC 175.00 Plan Check Fee 4/27/07 Valuation 1/09/08 Qty 1. 00 Unit Charge Per 175,0000 ECH EL-COM 201-400 NEW SRV FEEDER Special Notes and Comments This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. 10/03/2006 08:37 AM PERMITS --Mark building location in field. Planner' inspection required relative to wetland location. Electrical load calculations and elctrical permits are required. Sanitary sewer 9onnection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 7.90 1. 00 232058.00 3267000.00 2988.00 235046.00 1. 00 '~ ~\J r ~ ~ ~ ~ ~ t ~ ~ f '" ~' ~ <J'.. .00 o Extension 175.00 2175.00 4.50 3000.00 ~ ~ \ } ~l G Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 175.00 175.00 .00 .00 Plan Check Total .00 .00 .00 .00 COMMENTS/ACTION NEEDED ~. :So ~ .' ELECfRICAL PERMIT INSPECfION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, '. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DAn: T ACCEPTED COMMENTS YES NO JI ""H _A........AA "R \II(';'~-LN / CUYbK SER V ICE F.I N A 1 I I GENERAL COMMENTS: PW-II02.1S (4'96) 1- 'O"~. $Q;d~~ Da '-'~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :'21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 . Application Number Application pin number Other Fee Total 5179.50 Grand Total 5354.50 COMMENTS/ACTION NEEDED 06-00001065 066685 5179.50 5354.50 Page Date 2 7/26/07 .00 .00 .00 .00 . ELECfRICAL PERMIT INSPECfIONRECORD .CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, .. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE COMMENTS NO GENERAL COMMENTS: PW-II02.1S (.u96J . NCD o ..... .... 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UJ -u ~ N ~ ~o UJf-<<I; ..:lZ !-< 0 0 0 0 <I; ~~~fHJ..:l H UJ p,>< ~ , OOf-< ClZZZ~P, P, ~ ~ N ~H ~WO~<I;P, >< ..:l ..:l ..:l p,u f-<UOP,<I; P, f-< ~ ~ ~ [(373-oi~o.-61.f~.a_rT}~..~...~!eEly:.$p.e~.i~[I~l)p~~ti.9r:t~:.P.!0jr:t~~.~~911~g~.:.eill=..... '--Page"3] SITE PHOTOGRAPHS Peninsula College Longhouse/Cultural Center Date: 8 Mar 2007 ~MOD HELLWIG, lie ~. .~ ". t. t:' ~,.,_. ~" . . .'.~ 1734 Lost Mountain Road Sequim, WA 98382 Phone: 360.582.1060 'Fax: 360.582.1094 ARCH'ITECT'S FIELD REPORT SPECIAL INSPECTION ~t PROJECT NO: 2005-071 G(1-1) TITLE: Longhouse/Cultural Center FIELD REPORT NO: 6 DATE: 13 Mar 2007 TIME: 9:30 PM WEATHER: Clear, 42 degrees F EST % OF COMPLETION: 14 % CONFORMANCE WITH SCHEDULE: on schedule PRESENT ON SITE: Bob Gale, Aldergrove Construction Bob O'Neil, Aldergrove Construction 2 Workmen, Aldergrove Construction Roy Hellwig, Tormod Hellwig, lie WORK IN PROGRESS: 1) Placement of final footing forms and reinforcing steel. OBSERVATIONS: 1) Concrete had been placed in the forms that had been inspected on March 8th. 2) The concrete delivery for the new formwork was scheduled for 10:00 AM today. 3) Continuous top and bottom bars were in place as detailed. Corner bars were placed correctly. 4) The footing step bar extensions into the adjacent walls missing from the previous inspection and been installed. 5) The vertical bar extensions into the concrete walls were placed as indicated. The optional bar stub outs to help position the wall vertical reinforcing was not installed at the time of the inspection. . 6) Concrete cylinder samples for compression tests are scheduled to be taken for the concrete pour today. . REPORT BY: Roy Hellwig ~ of "'" 0) Q 'P ~\ f ~ ... (L- ! ~. I __n -- -- --- --- I J[(373n67~(m7)~meslferly~@jli~j;;spectfQiiS:p~m~~~~~iE~dr -=:====:=n...~.._n_'_n=== .~~:.. ="n=.n'.=~g~J] ~MOD HELLWIG. lie 1734 Lost Mountain Road Sequim, WA 98382 Phone: 360.582.1060 Fax: 360.582.1094 ARCHiTECT'S FIELD REPORT SPECIAL INSPECTION PROJECT NO: 2005-071 G(1~1) TITLE: Longhouse/Cultural Center . FIELD REPORT NO: 5 DATE: 8 Mar 2007 TIME: 3:30 PM WEATHER: Rain, 46 degrees F EST % OF COMPLETION: 12 % CONFORMANCE WITH SCHEDULE: on schedule PRESENT ON SITE: Bill Dedrick, Aldergrove Construction Bob Gale, Aldergrove Construction Bob O'Neil, Aldergrove Construction David Wegener, Peninsula College Roy Hellwig, Tormod Hellwig, lie WORK IN PROGRESS: 1) Placement of footing reinforcing steel. OBSERVATIONS: 1) The concrete delivery was scheduled for the morning of Mar 9. 2) Continuous top and bottom bars were in place as detailed. Corner bars were placed correctly. 3) The footing step was missing the bar extensions into the adjacent walls. Bob indicated that the bars will be in place before the concrete pour. 4) The vertical bars and horizontal ties for the plinths were installed as detailed. 5) The vertical bar extensions into the concrete walls were placed as indicated. The optional bar stub outs to help position the wall vertical reinforcing was not installed at the time of the inspection. 6) Concrete cylinder samples for compression tests are scheduled to be taken for the concrete pour on the 9th. 7) The north side of the foundation will be formed and placed at a later date to allow vehicle access into the building site. REPORT BY: Roy Hellwig 1__ _u I [(~7~QZ?QQ:tQ~~'!1!:s n@E'1P~i~n~]j~s:P~in~~a.. @e~.eflI:..=-=.~ww....=:===_~===..........~.==..:==:~"..:.~==-~g~ "'~OD HELLWIG. lie SITE PHOTOGRAPHS Peninsula College Longhouse/Cultural Center Date: 8 Mar 2007 Typical Footing Forms and Reinforcing Plinth Reinforcing 1----------- [(~/3:c)?2007)JamesGerrr-Speci~!J!iJ~c-tions:Peninsuii3CCiiTeg~=: =_ --=". ~'''--~=~-~~B] .~OD HI!LLVlIG. lie 1734 Lost Mountain Road Sequim, WA 98382 Phone: 360.582.1060 'Fax: 360.582.1094 ARCH'ITECT'S FIELD REPORT SPECIAL INSPECTION PROJECT NO: 2005-071 G(1-1) TITLE: Longhouse/Cultural Center FIELD REPORT NO: 6 DATE: 13 Mar 2007 TIME: 9:30 PM ---~ [(~I~Q!~@)]~D)~~~I@ly~:~~~~~"E~E~g~g2lI~e?f::::=,.....:~.,.:..,,=====~----==,....:..._ .........<W:.==......_~g~~ ~MOO HELLWrG,lIc SITE PHOTOGRAPHS Peninsula College Longhouse/Cultural Center Date: 13 Mar 2007 -" Sequim, WA 98382 Phone: 360.582.1060 Fax: 360.582.1094 ARCH.TECT'S FIELD REPORT SPECIAL INSPECTION PROJECT NO: 2005-071 G(1-1) TITLE: Longhouse/Cultural Center FIELD REPORT NO: 7 DATE: 20 Mar 2007 TIME: 10:30 AM WEATHER: Clear, 41 degrees F EST % OF COMPLETION: 16 % CONFORMANCE WITH SCHEDULE: on schedule PRESENT ON SITE: Bob Gale, Aldergrove Construction 3 Workmen, Aldergrove Construction David Wegener, Peninsula College Roy Hellwig, Tormod Hellwig, lie WORK IN PROGRESS: 1) Placement of reinforcing steel in the walls and set up of the wall forms. OBSERVATIONS: 1) Concrete had been placed in the forms that had been inspected on March 13th. 2) Vertical and horizontal reinforcing in the short walls had been positioned as detailed. 3) Reinforcing in the tall walls was not complete at the time of inspection. The reinforcing that was in place was positioned correctly with the vertical and horizontal bars positioned in a curved shape with the bars near the inside face of the wall near the comers and near the outside face at the center of the wall. 4) Reinforcing bars at the transition from tall wall to mid height wall were requested to be repositioned with the sames curved formation as the tall walls. 5) Reinforcing at the comers had been plaCed as detailed with the 180 degree hooks and the 45degree comer bars. REPORT BY: Roy Hellwig [(~l~QQz[James LierJx.~:]pecial f~pectlOns:Peninsula-COqege.paf~"~~===~~=" .....=:.::==~~ww. ..::==:==m..._=~~g~ ..~Ot'1 Ht:LL'vIIG, lie 1734 Lost Mountain Road Sequim, WA 98382 Phone: 360.582.1060 Fax: 360.582.1094 ARCHITECT'S FIELD REPORT SPECIAL INSPECTION PROJECT NO: 2005-071 G{1-1) TITLE: Longhouse/Cultural Center FIELD REPORT NO: 7 DATE: 20 Mar 2007 TIME: 10:30 AM ~;~~:H:~~;I~~'~~=a;'center Date: 20 Mar 2007 Wall Forms and Reinforcing I . II I =- I I I ~MOI7 HI:.'LLWI6, lie SITE PHOTOGRAPHS Peninsula College Longhouse/Cultural Center Date: 20 Mar 2007 Wall Forms and Reinforcing O~/L~/~~UI 4~.~V Il'lC 7 1 S, PEABODY R',I' ANGELES, WA 98362 rOB CONSTRUCTION . REPORT DATB:3I11107 ctienr. Atdt'l'iIOvc C~t. superintendent wpeetor. TO Inspector AItived: 9:30A Inspedor Deplltted: IO:OOA - 1;""1 Pa!;je 7 t.l1~ . , I ~ I iii i!liI ~ I := -, [(3i3b72'b07)Jame~ IT@~ecial':@jJection-~J~~lli:Co~..2L-'-:~~~~:~__=~~,=__~._ ~g~ MAR-21-2007 WED 03:13 PM nLDERGROVE e3/21/2e07 15:20 36Q45264~e FAX NO. 360 457 6765 N1 I JlS GROUP P. 02 PAGE 1'J2 'I n~(; 7 1 S, PEABODY RJ' ANGELES, W A 98362 JOB CONSTRue'nON . REPORT DATE: ~121/07 PxJ~t: hnbeds for college: cohtractor: Lincl')1n Welding Infector Requested By: Bill 1~1:;P ,ldy, wId I Rctaarks: In~ectc:d fillet welds on a Gtlld type weld ofilia end of rcbar to plate (l'ebM perpetidicular to flat~), As I w.1S called to do the inspection after the weld WdS completed, I canMt C~H[lCIlt un surf lice p. reparation, weld fitup, wc:ld proceslt\weld procedur". octile c cntials of the: weldor who actually performed the weld. The weldol' revre~ented to In (Jack) ss having done the weld was current. with his W.ABBO certificatiQ1l. 1 visually e incd the \,(cld$ in question. They appeared to hav(l been dODe with the GMA W. Sp Y I\rc process.. They had no visible defects. ~ --'l'mlNU.l GmIl0 00 6,llll551 To 0"':0 CWI D" -lIP..... Client: AldcrsrQve COU$t. Superint.t:ndont: Inspector. TO Inspector Arrived: 9:30A Inspector Departed: 10:00A In3i301?:Q97fJ,a.~Ei~~i!Wy~pecial'lnspedions~riill~ula~C()i1ege~'rJdd_C~=~'" ", '_"',"" --~~...,...- '. - --- = ~ ~=~=~, " ,.~~ "'. "~=. ~",' '.',', "-"'" ...., ,', ..=P~911 ~MOD HELLWIG, lie 1734 Lost Mountain Road Sequim, WA 98382 Phone: 360.582.1060 Fax: 360.582.1094 ARCHiTECT'S FIELD REPORT SPECIAL INSPECTION PROJECT NO: 2005-071 G(1-1) TITLE: Longhouse/Cultural Center FIELD REPORT NO: 8 DATE: 22 Mar 2007 TIME: 5:00 PM WEATHER: Overcast, 46 degrees F EST % OF COMPLETION: 17 % CONFORMANCE WITH SCHEDULE: on schedule PRESENT ON SITE: Bob Gale, Aldergrove Construction 3 Workmen, Aldergrove Construction Roy Hellwig, Tormod Hellwig, lie WORK IN PROGRESS: 1) Placement of reinforcing steel and hold downs in the walls and set up of the wall forms. OBSERVATIONS: 1) Concrete is scheduled to be poured at 12:00 on the 23rd of March. 2) Not all of the hold down anchors were in place at the time of the inspection, but the ones in place were as detailed with double nuts on the embedded ends. 3) One of the plinths had multiple #4 bars rather than the #8 bars specified. The installation was approved. 4) Reinforcing bars in the walls were positioned as detailed. 5) Reinforcing at the corners had been placed as detailed with the 180 degree hooks and the 45 degree corner bars. 6) The column base plates were positioned near the plinths but had not been set into place. REPORT BY: Roy Hellwig [@L@Z!O-(7)..},.?mes LierIY~.21~~91~ Inspecti~~~e~[riSula College.pdf _,===,="='::: ~ = ~::=,=_~.~,~ p'~g![fQ] .MOD H~LL'vIIG, lie SITE PHOTOGRAPHS Peninsula College Longhouse/Cultural Center Date: 22 Mar 2007 Wall Reinforcing Hold Down Anchor ,---- lilr- , , 0 , , , , , N , , .... , , , , , M , , , < , , , , , , 0l0l , , t?E-< , , ,,;,,; , , 0..0 , , , , , , , , , , , , , , , , , , , , 0 0 , , 0 0 , , .. , , M '" , , .... 0 , , , , .. , , Ol Ol >< , lE: lE: ...:l , H H 0: , E-< ...:l E-< Ol < Ul 0 Ul H , E-< ;I: E-< ...:l , .. H E-< H E-< , :> t?lE: E-<O: t?lE: U ...:l , H 0l0l Zo: U,,; zo: Ol E-< , 0 ZZ HOl Ol<O HOl ..., OlUl , gJ 00 E-<o.. ""0.. 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III I>: .~ I>< ZO III III Q E-< .~ ~'" ul -u ri 1>:0 gjE-<~I>:r;]z E-< 0 0 ...; I>:~E-<~U..:l H ul 1><>< ~ ...... ~E-< QZZZI>:I>< ri I>:H ~~03:"';1>< >< ..:l I><"'; '" E-< III Applicant or Agent_R O"{ ij ELL 'Iv' (, Owner:JI:f'lIN5ULA . COt LeGe Address: 1502 e^57 LAflR.IP'!J~N PLYO City:--.fnt( Architect/Engineer:---.ROY H~U \vlr~ Phone: " Phone: 3 (, O. 4/":1 C. 2 Q 2 ANGeLE,? zip:-.J5", Phone: 3"0. '8, 10'6 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUS BE COMPLETE to be accepted for review. If you have any questions, ~ U PERMITS (360) 417-4815 FAX(360)417-4711 Contractor State License #: Exp: Phone: Zip: ZONING: Address: City: PROJECT ADDRESS: J.l502 t:A51 LAUFllD5cU LEGAL DESCRIPTION: Lot Block: CLALLAM COUNTY PARCEL NUMBER: &LVO ~'d.9 L J.t Subdivision: TYPE OF WORK: SIZEN ALUATION: o Residential ~ New Constr. 0 Re-roof 0 Stove 2, q '& 1S SF. @ $ I 't4 00 /SF. = $ !j 5 q 00 t) 00 o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ l( Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: -8eMIVt; Au W1"IOtAuS fROI'1 8UILDIUc, pp.eV/fJlI"L -( peRMI tret> COMMERCIAL/RESIDENTIAL: Occupancy Group: A- ~ Occupant Load: -U.!-- Construction Type: V- 5 No. of Stories: -L Lot Size:~1(' ~ OfJO Existing Sq. Ft.2~, 05~ & Proposed Sq. Ft.!, <fl(~ = TOTAL Sq. Ft.23~ 04J" T otallot coverage -=1) ~ 0 0 PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date ofapplication, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. . T:\FORMS\BldgPermitform.wpd Applicant: ~ ~ 7f.~" Date: I' D~C 200(. ---, ~.. IZ, .4 0'.' .On. ...vv.... (:' .J#...... "'<to' .!;L. .;.'. w.::'l'JtIiJF~, 'J . . ......'Y'. .,..~., ~~\ l~. iPm::::.::_Yl. ~~ .~- 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 PERMITS (360) 417-4815 FAX(360)417-4711 Address: City: PROJECT ADDRESS: 1.'502 E-A7/ t..A(j~'(}7eW LEGAL DESCRIPTION: Lot Block: CLALL1\M COUNTY PARCEL NUMBER: Bld.5 LH DLvO" Phone: ~ (:,0, 5 B f. 10 C, 0 Phone: 3CoO. 1/ i ~) 0 2 Zip: q~3~ 2 Phone: "3 (, {7. 5'62. 10(, () Exp: Phone: Zip: ZONING: ~ Applicant or Agent_RoY liEL1 W I C, Owner:_p t 1-1 IN 5\JL A CtiLLtmf,;c Address: /502 fA5T L-Avre.IOSEl-1 t!MLCity:Jt7~r Af.J'flXS iuchitectlEngineer:JOi tl(;/JL \.v I (, Contractor State License #: Subdivision: .,.,. TYPE OF WORK: SIZErv ALUATION: o Residential ~ New Co Re-roof 0 Stove 1 ( q n SF. @$ I '6 4-. liD /SF. = $ ~ :s 5 0'1 0 Q (j o Multi-family 0 Addition 0 0 0 Garage SF. @ $ /SF. = $ "f.. Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATIOl'! .; $ BRIEF DESCRIPTION OF THE PROJECT: \Arfltf) F/lAfIlti 1'M1" bHIf, ?Ir Rfo-t' tiC, at';M1~ F~1t f t-, r (..HI ftttllCe s I CL.ASSE0, Ttlf>.t C. Vl-TlItlt1l. EVl!ikJC, J l5 }CIfII>ITS COMMERClAL/RESIDEI\TTIAL: Occupancy Group: A'~ OccupantLoad~ 11"1 Construction Type:~ No. of Stories: ...L. Lot Size:' 2~1 CiOOExisting Sq. Ft. 2)2 05'6 & Proposed Sq. Ft. 7 q ~ = TOTAL Sq. Ft.:1~5' 04 ~ Total1~t coverage i I ~ I o/~ I I I i: ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: i~PPROV ALS: PLAN: BLDG: DP'WU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXP1RATION OF PLAN REVIEW: If no permit is issued within 180 days oftbe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\BldgPennitform.wpd Applicant: fj W ~~" Date: 11 jfr.P lag ~ . 07/23/2007 14:19 3504523498 OLYMPIC ELECTRIC PAGE 01 ""," . . ELECTRICAL WORK PERMIT APPLICATIGlN Job wired by ldEIectrleal CODrrse"'r CI DWDer Ins1ll1ltfon de.Dription lit' Commerdal 0 RelfdeDdal '.., . elemcal oont,.ctor n.mt License number Dille J!Kptrea . r.:?;':~n?f'-r-. 4~h", (7Lm,;?;:::'~2%'F"/?~ purcbZclfI ",8ilin. addJul . ij.2 1/":/ ////771../,:7 /c-..r- Ci.y 77 J{f; / Slal, ZIP r~C7, '''/''1 1./2 <J?6f 1cle,bone numbe . PAX number ON... Jl{AlloredlAddlDOO Pre~ul owner', aamZo Pen :n Su t:f A.ddr... 0' 1..po.II.. . ..J /50 do- c. L4UY'"1 S~YI CIl, Po r -(-- /In.!:J.e 1..R.5 . PbaDe D~n.ber Ui u:bedJ(!. Ia..-per:llob: '1 b 0 Cf Own., 41 d</1n.d by RCw'J9.18.161:{I) Ow." wtll oe..py ,he "",,,.,./., ,,.. . ".,. D/Iu ,hI: .1,,"1"'" pmnI,lI jl..1JRd. (1) Owotr II "9'1,.,) ID hi,. .. .1<<1ri...1 CGIllnJ&I,,; If aN.., 141(/ popwty U for IG/" 'lml or ItttlJl. Afll:t I<Odlna 1110 .bcm:naiem..~ I _by .",,11i' dial I ....Iho 0..... .r llle obo.. DIDIed pnJpel1)' or I, Ucen.ted elClctrical eotnrDc\or. I am making the eleatriclllutsl_ Illion or .110"'1100 Io....pli.... wlll1 tho .lcelrl.,llowl, N.E.C.. RCW. ChIp,., 1~,28, WAC. CIl.plcr 29M6B, Th. Clly of PorlA..,.I., MlIl1j,lpol C.de, .nd Ullll17 Sp..IR..ri.... SllDlture o1lrJl"r, etee.t~~1 ~'dor or elec:trtc:aJ admlnletl".tor X ~ ff'"w Date: 7. '1/07 Coil e. 9L !3U?fn Nt-VJ 4nfJ House.. ~Y"~ 1./00 141"1 /J .;J411~/. . P,. (YIf'ht'l1 9 . L.H ().nrl.L ~L~) />'~"T"'~ ~ [J Cash [J Chec1c# ~ditCord VlllII MasterCard Disc()ver Card # . . . ------------_.~--""""""":"'" &piration Date ofoard Servloe InformatIon VOIll\ge~ J~/~ p_CtlOih Serv\Qe Size: ~ """/Jar SIze: o NO LOAD CHANGES o a_board ICW C F"",o"" _ICW Q o..mead 5.,.,.,,,,, CI HeBl Pump _ TOII_ L.l\R 0 Tomp Sorvlco ~ Fan-Wall _ICW ~Undarground $oMce SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-411-4735 ROUCB-INlLJ.. THERMOSTAT ~ ~ D... _...., FINAL DlTOI Inspocl(oa . Dlte SERVI~ 7 he.d ()7 . I Pl*cL ",,"wiW y FEEDER 0... . Mlm'GdltJ DUI NlPmW8, Area, Building or EqulpmonllnspCOlod Aetion 1ikeu EI..lrical Ill.peCltDf IRl ~1I18/2005 \/ 'cb led 11: 53 3504523498 OLYMPIC ELECTRIC PAGE 01 . o Owner S ELEClRICAL WORK PERMIT APPLICATION " D RequestInspection 1:1 Electrjc:al Contractor Cl Aonu1Il Permit Cl Alarm (J CarDh'aJ 0 Cnmmertial [J Residential Q Residential MaioL 0 Slgn~ 0 Thennostat CJ Telecom. Elcc~l contract('lr name ,.,.-,. cLLIl MP/C ~-€c+~tr Purchaser's /nllilin.s: address 4:J 3D 11" MI..) M-G-A. Ii" r J,/ f2+. Ci~ State ZIP H?/H" A"s<..rzuZ.c, I AM q8 3t. :0; Telephone number FAX, number 3{,~- ~-S3Q 36,,0-" Job wired by ~ctrical Contractor 0 Owner I5LDe. " c.. 'r ln~t311a[ion description f< (.... Mot') r-,- License number ,prem~ owneJ"5 nAme .J I >l,c;rJl "'- Address cr In!lpectln'' /::>O~ ,9 Cltl'("') YOI(r CoIl F C'oJo~ ~.4~RIDC:"'J 7.5D 3-5?J A :<"fi-U I u;- ~ reWb/2 i3LlJ D. 9'!s" o Cash 0 Check # I hereby certify that r am the: OYlner of the above named property or a licensed electrical contractor (or the fmn's 3uthorized agent) and am making !be electricAl mstalIatjon-oT: alteration in coml'liancc with the clectriCQllaw. Ch....pter 19,28 RCW, Electrical Lo,,-d Additions and or subtractlon.~ Q NO LOAD CHANG ES [J Baseboard _ KIN [J F=umacEI KW o Heal Pump _ Ton _ LAA o Fan-Wall _ KW StgnMlIrt 0 x WAI_LS Insullttion Onty "~Ie n.110 ) ~ /-/$-a5' ~ Credit Card VISa Mastercard Discover Card # , ____0____-____-____ Expiration Date of card TIIERMOSTAT SERVICE ~ Dlte~ ^'P?I'1l~d Ay ";j- t' f.UJ,U( \() ".1(1 ^f'~IIB)' AprImve(l8y 1J.,c: ^rpm"C:1f 81 DITCH CO\'!:T Cover ^l"rl'\'l\o'C:l1 ily OM, ^rJ!l'(lyetl By Oale -'rt'n:wed By Dille ^ppI'1lYed~ Servlee Informatlo.Q o Overhead Service o Temp Service C1 Underground S9rv1c~ Voftage PhasaOtQ3 Service Size: Feeder Slze;~O A.t:ea.. Building Or Equipment Inspected Action Taken Elcctnc31 J.n-sp.c. to r (jb- bi40 /-//VI'! L- r/Ai~,- Gv$!- V ~ 'f .J?'J 1&1:5-r r l!- II-IN A-P A /if t-IN~ OATE ~;() {,:;" WNE~~AACTOA .. -- ...:..... fEl1EC11Rl~CAl ~INJSIP'IECl'~OINJ W~IRl~lNJrG IRlIEIPJOIRlT 417-4735 PERMIT. '~ ~r- //U :;)6 Z- o~., n?r>/ c.. f-VJ!3.c:..i'/UC- ADDRESS L-Jlu/UO 5~ e 8LI//J. APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.. ....... .. ... 0 o .................. SERVICE .................. 0 n ..... L.h!li5t.5-. . . . . . FINAL. . . . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDE~r'A';>y-t:L r .$b(!;77.!J,y / - /'~ec- r S:tf'.c7? DN 2.- h''YG~60 , ,(4d;t;L-S rcf>C. ~Ar.I ~ /'4?JL:-C @ .B~~ Ot!>r#Di- 1'7?~~ -5""'.c'~.t'?e~Ji ~ ~ (,'3) LJ-'7/S CL ,mhH ,?ex ~~tt!X__ r Slt.~/ol'>i /.... Z- ~ /Nf77"U- &/t:.Nr ,;-1?<!fZz.., L/ls;- ..f3Jv.o, r:J:2 ;:I;..n....~ "jn!!Jfs. ~"Y'/""'~ r.a>,-n ~ A..J/V' PI Je"7U,,"<-, '" J ,.<:A' /7) J,n'D'<__L. .Pc'-:- '~~/ ~ __ 19'" r .-.J. I t....\j"'""~ 'L '" ~3t.. V' <:... ~,......,~ r-&_ ~.'.'''''- .;:;:.n?11Ac...ft11.L..'<:; - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 CITY OF PORT ANGELES OFFICE OF THE ELECTRICAL INSPECTOR 321 EAST FIFTH ST., PO. BOX 1150 PORT ANGELES, WASHINGTON 98362 PHONE (206) 457-0411, EXT. 224 8 15B PROGRESSIVE INSPECTION REPORT DO NOT CONCEAL OR DESTROY .,. \ Job Name .6'.<.<.; L. CJ N Owner A :e/lf/ IV ~ .u v? Location '52 l\ ~ C",2/J- /. t?.".1 E ~-"'/..cobV Inspection Area I Building or Equipment Inspected Action Token Electrical Date .. If' h"7"" Inspector 1/2.7/05' tet:u:.t-li -iN 6~/J q,vE 3 1Z> ~JM> A .,kn e;,:;;' / /n i;~ /<J 7. /b "? //)9'~ ",,-.7 /-:;r A /1 . ;/z,;/H' /eZ: '.AI ' , , :/? >'////3,1. //5 ~/Z.ov<-o ~ u-cu ./ . . . '" LfA~/()5' 6 Nv91.- L)...t A. ~. /f/CV ~/;;;r A ,uA't..- H Ae<O I .1 I - .1,. . [' , i ; i ,.. , 1':,'" , I. /----..." 04/01/2007 08:37 3504523498 OLYMPIC ELECTRIC PAGE 01 .'... G -to'> . ELECTRICAL WORK PERMIT APPLICA116N Job WiNd by rileetrlcal CUD tractor 0 Owner IDstallation delriripl;on dlll Com",orc1oJ tJ Resldentl.' L.icense number tbUl expiros t7f//f' Ph';>>J-) PI Elccuic;al contrB=or name /?h.~,,- ~'?~rr,,,, Purc:tw6'spalllnllddrea t/2?V' 7//--#I,/4Ttf/?,' Chn . StAle ZIP /"c:?rr qr;{;f I.v':l'. 7/f~.7 Telephone number . FAX number 7' - it' -;?7'if premlS'/! owner's lime _U/5ulil CQ/I~ qe,- ~ Addrtu !I' IDspectl.. .J- ~ .. /50 '2 EtHL Lo.lJ!"::.11J S~n BLI/ C11rpO,-r j:JJ1.!?J' /~J lAd; 4~ ~i'-' Ph.. .~lDb" to "b.lt1:,. 'Dlpe.U..' '157 5 :1 0 3 Owner.. d(/lnld by RCW;J9,28,16/:(I) Owner ..Ill ."'"py 'hI SITllCI.../O' ,"'. )"ItPJ after lllb ./r.clrlcaJ ~"UJI U flnallztd. (1) Owfl~ Is f<</ufrt;J 10 hi" an ~fBtlrlaa' _tor If obo.. SDid property Is lor s.l~ nm. or lros~ After read!n, the .hove lltlilcment, l hereby cenlf)' that ( 1m Ihe owner or lhe lbove umed prapeny or I liectlM:d electrical contractor. I 1m mBkll\S tba electrica.l tnlt.l~ lalion or ,Iteration In compliance wiLh. lhe elcetricalllwl, N.E..C.. RCW. Chlptcr 19.2&, WAC, Chap,,, 296-46ll. The City or Pori Anpl.. Municipal Code, Bnd ULiUty Spo<:lfiCltioal. SlaDtlUre 0 .,f. electrlc.al clIRtraclOI' or elecrrlcal .dmlnlllrlltor ~ D(N.... tJ A1tered/Addltl.. .c $,) C l/I-i u Jet;l/ /. .. CeJ? Ttr New AtTS . .. o C~h (J Check # o Credit Card VISll Mastercard Discover Card /I . . - -------------"--- . . Expiration D.te of card x Date: Q NO L.OAD CHANGES Q Sueboard KW o Fumoce '-- I<W tJ Overhead Service o H..l Pump _ Ton _ tAR 0 Temp SeM.. o Fan.Wall _ KW . 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417.4735 ROU~~y ".~~:~~, FINAL DITOI Voltage l;)c I :P{ 6 Ph......, C 3 Service Size: ~ :100 Foeder SIz.: ,~S 0 d' ~VI~ FEEDER - 0.. "., AppIllMlll b)' Eler;trlcal J n'pcc~r rnpeclioa ", Dale Area, Building or llqulpmenll"'Pecled Ac.tion rakeD '-I- L(q -07 N~ '" uU /...1. E>-TN$'<>,J .52-0A 7 ~ f2X. APR 0 2 20 7 UGHT D ,;.: ELECTRICAL PERMIT APPLICATION FOR OfFICIAL USE ONLY ~JR.n:: . PmlliII: lhce ApPUvcd: Dare blued: The Electrical Permit Application must be filled out comDletelv. .$ f1'1zs Owner or Elec. Contractor Agent ~1'7J?'~ r/$( /Ale Property Owner: -:veNt\\ ~I fl 0//rA-ff Address: /Z)CJ'2 F L'.7::51Zt..I' 7?JJ/D City: Electrical Contractor: /U/P?7Z"/Z P'r,r7C /de Address: <V2"3 73/t'k/cI71ttLlC L- P Please type or reprint In Ink. If you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 '16/;'''1.57 Phone~?x? W7 / /.c;r Fax: ~:? Phone: Ucense Ii: Exp: Zip: 9<&3b ~ Phone: 0"7//"5 I Zip: 7'$I-"'Sb? f4- City: fli- INSTALLATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: 1./2"3 'l3MC!{f(.IJ1uI( & P City: ~f7- Zip: 7'''Z>~ ~ Credit Card Number: Exp. Date. VISA: MC:_ PROJECT ADDRESS: /2)02.. F /.F;ut1..rT-!.)$JT,rV! ~Zl/[J Check all that apply: 0 New \tl Alteration/Addition TYPE OF WORK: o Residental 0 Multi-family o 0 Commercial 0 Mobile Home , Sq. FI. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool Number of Circuits added or altered: "0 9 DESCRIPTIONOFTHEELECTRICAL~ROJECT: YJl'\ ?/H/et' 0 ?;;t1'" C<..J/';?,ffR).,NO! eRe .2: r7u'DJ77/JN,q.-{ OJrZ::OOP (:eX_P' U7:ifT' "rl.,zc ~O~ SF? pfi7!<.l zP( 0" '. o #/78.to-f45?LfDt' 5',~/))ciC:= '" Electrical Heat Load Additions 0 2. 3> g + z..o, ~-o ~ '25e~9, liervlce Information (2uul'r #r?r3 o ~p1icP,u.rnP'O Low Voltage 0 Telecom. os o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service o Temp Service o Underground Service Voltage: /2t!1I/Zd~V Phase: 0 1 ,81 3 Service Size: _ =0'" Feeder Size: ?-<;O'-CM C J PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service, Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and coffect, and II 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. Credit Card Holder's Signature: Ow"~ M ..... Coot. Si9"~" n PW-9019 ,-- -- $C~ //- 2/-0z- Date: ~ Date: I/z-;Ioz.... &,/(p < ELECTRICAL PERMIT APPLICATION FOR Ot'FICI....L USE ONLY """",,, htmit II: [hteAppnlVl:d: Oarel,"uC'II: The Electrical Permit Application must be filled out comDletelv. Please type or reprint In Ink. II you have any questions, please call (360. 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: ~-nr..L f'/~ /,J(j C Proper1yOwner: ~Nt\\~)/A CO.7/r4-?< Address: /Z)CJ'Z.. F /AI.{Pt'>;;lZill' 7?J J/D City: Electrical Contractor: /~ p,rl7C /dc Address: lf2 3 73ll1&c~C L- P City: Phone;,?1x? ((/7/ I-:;r Fax: '9J1-rv7;~ Phone: License 1/: Exp: Zip: 9<63b ~ Phone: W7//S) Zip: 7'~?b'Z- fA-- {(I- INSTALLATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name: Billing Address: tic"':> 731/KJ{j(~ t P City: ~t7- Zip: 7'''Z><;h L Credit Card Number: Exp. Date: VISA: MC:_ PROJECT ADDRESS: /L)Oz. 1? ./.,q<./IZr'/-f..)y7/\t1 n21/[) Check all that apply: 0 New 'tl. Alteration/Addition TYPE OF WORK: o Residental 0 Multi-family o Commercial 0 Mobile Home . Sq. Ft. o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 ~plic P,Uf:np 0 Low Voltage 0 Telecom. 0 S Number of Circuits added or altered: j, '.9 . ., , DESCRIPTION OF THE ELECTRICAL ~ROJECT: ')6..i75 I/rMiEt' ~c)::)t9' c.u / '7ffRAt-/CI-l C /2 C. ~ /JD'Dri7/JN4( O<./rlXJcJ{2. fbL~ U7R ,. C't/.i.c ~O;V1 -SF.p . pJ9-;J<./ ~~ Electrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service o Temp Service o Underground Service Voltage: /20 v /-z"crv Phase: 0 1 ,81 3 Service Size: ,=0;9 . Feeder Size: ?~"'O,? (' c./ PAMC 14.05.060(8): For industrial, commercial, & residential projects larger than a duplex, a one - line drawing 01 the Electrical Service; Feeders, building size (sq. It.), load calculations, and the type & 0' conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I. authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are repuired; it remains the applicants responsibility to determine what permits are required and to obtain such. I {'t c; r ~ 1('( - l5b- -?4''j 15 - '1\~ .-J"J~ Credit Card Holder's Signature: Date: Ow"~.' 8~C.",.s;,"~J n - ",..,I(/v'-2. PW-9019 dd:c~ 11- :21-02- FROM : R.P.S. ELECTRICAL CONTRACTOR FAX NO. : 360 452 6753 Feb. 20 2015 11:18RM P1 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East )F ilith Street — P.O. Box, 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417 -4711 Date: Q "rzd - I,9 - *Flan Review May Pe ReQu +red, Please Job Address 12,-n Building Square Footage; 1Jeserl*nofabove,3+ahin — Mufti-Family or Commercial* Electrical Plan Review I Owner forrrrakion Name; _- ..e,f1 % nSNk., 0�_ �C ,.�rQ 'Q" Malling Address', t .:D. C-. / 0,jr. a`. d4p ,(3. J� Clpr; State: - ZIP: _- Phone; Lkense #IEx ". bm Service/Feeder 200 Amp, SenriWFeWer 201 -400 Amp - SEnIce/Feeder 401 -600 Amp ServiwlFeeder 60M OW Amp. ServioolFeeder over 1000 Amp. Branch Clroirit WI Service Feeder Branch Circuit W/o Service Feeder Each Additional 9ranQh Circuit Branch Circuits 14 Temp, Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp, Service)Feeder 401.600 Amp. T,Smp- SentiMiFeWer 601 -1000 Amp . Portal to Porlai Hourly Sign/Outline Lighting Signal CircVW Limited Energy — Mu[9- Family Signal Cireuitl Um4ed Energy 1 First 1500 sf— Commercial Note: $5.00 for each additionat 1500 sf Renewable Electrical Energy -5KVA System or Less Thermostat Note: $5.00 for each additional T-Stat Und Cha e $132.00 $160.00 $ 225.00 $ 268.00 $ 410.00 $ 5.00 $ 74.00 $ 88.00 $102.00 $121.00 $164.00 $185.00 $ 96,00 $ 88.00 $ 64.00 $ 96.00 $113.00 $ 56.00 RECE1vEpy(110)N' FEB 0 Pnt )eet e i CorriraCtOr InforrM�ation Name: s l e:.crr�Got Mailing Address: l9'. city., stay Z p; Phone: Fax: License # 1 Exp._.�..� . Totals Mu W40 by Unit Charasl $ $ C _ _'&Q Total Owner as defined by RCW.1 9,23,261 : (1) Owner wilt occupy the structure for two year's after this electrical permit is fmalixed, (2) Owner is required to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six Monts of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor,- I am making the eie*ical installation or alteration in compliance with the electrical laws, N.E.C., ROW. Chapter 19.28, WAC, Chapter 296.468, The City of Port Angeles Monlcipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 1319natum of owner, electrical contradar or electrical adminictratat: © cosh 0 Chad ,� Craditcanitt. �l'i _ .. Otr61rE612 _1 �1 N ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 4174735 Application Number 15- 00000172 Date 2/23/15 Application pin number . . , 904136 Property Address . . . . 1502 BLDG LE E LAURIDSEN &LVD ASSESSOR PARCEL NUMBER: 06-30-14-1-2- 0000 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . , . Property zoning . . . , . . . PUBLIC BUILDINGS & PARKS Application valuation . , . , 0 ---------------------------------------------------------------------------- Application desc New lighting. Replace existing -------------------------------------------------- - - - - -- ------------- - - - - -- Owner Contractor WA PENINSULA COLLEGE APS ELECTRIC 1502 E LAURIDSEN BLVD 546 BENSON RD, PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417 -6553 (360} 452 -6753 Permit . , . , , . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 74.00 Plan Check Fee .00 Issue Date 2/23/13 Valuation 0 Expiration Date 6/22/15 Qty Unit Charge Per Extension 1.00 74,0000 ECH RL -COMM BRANCH CIR WO/ S/F 74,00 Fee Summary Charged Paid Credited Due Permit .Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 REPORT SALES TAX on your excise fax form to the City of Pori Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: IV V PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G:\FXCHANGF-IBUILDING N