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HomeMy WebLinkAbout2603 S Francis St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES r I a 360-417-4735 .S Application Number 11- 00000747 Date 7/21/11 J Application pin number 461762 REPORT SALES TAX Property Address 2603 S FRANCIS ST your excise tax form ASSESSOR PARCEL NUMBER: 06-30-10-5-1-0900-0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Fire alarm Owner Contractor HOUSING AUTHORITY OF CLALLAM HI TECH SECURITY INC 1 \1 eM 2603 S FRANCIS ST 723 E FRONT ST v PORT ANGELES WA 983626710 PORT ANGELES WA 98362 (360) 452 -2727 "i &5 126 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 189449 Permit Fee 95.90 Plan Check Fee .00 Issue Date 7/21/11 Valuation 0 Expiration Date 1/17/12 Qty Unit Charge Per Extension 1.00 95.9000 ECH EL- LIMITED 1ST 1500 SQ FT 95.90 Fee summary Charged Paid Credited Due 7 Permit Fee Total 95.90 95.90 .00 .00 7: i Plan Check Total .00 .00 .00 .00 Grand Total 95.90 95.90 .00 .00 l V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN O "gin _._,1 FINAL (B16 ii r COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING FROM HI -TECH ELECTRONICS FAX NO. 360 452 8560 Jul. 20 2011 02:09PM P1 RECavEik ilk. t�tlM��.ii.. CITY OF PORT ANGELES.PERfvtIT APPLIC�a.TION t f JUL 2 0 2011 ti„ 13 dine, llfei5iutrlLleCUicul [ttsltutitiots v e �:w: 1 Of 321 Eust Filth Street P.O..13oN. 1150 Port :stweird Washington, :)1tif� ELECTRICAL --1 Pit: 3 INSPECTIONS (560 417-055 Fax: (360) �r7 -37:f \.:„..-...4.L.,...: r 120/ "\i 1 2 Single Family Dwelling Multi- Family or Commercial' rcial' Commercial Addition Alteration Remodel Repair` Plan ReVisw May Be Requital. Please Complete Electrical Plan Review Information Shwat :S:': e .l'vt; al scan: U ?(.r4.1pt)L FQdLws 3�l J 5 T lam Owrtr tnTOrmat CC11tractcr Information i•ii,rt. cwombs.. Coos -rtt $ao‘,i. V Na Ili Tech Security, Inc. %i ;lie..; -,.il;as' ,pngAddress 723 East Front St Cay. Port Angeles S tout Port An a e Flu.:c. 1 S" 2- 71' 1 F. u?' City. _o— 452- 27 l Statd WTI 'jo: .4 8' 62 L,:&u&L: E<p Wail HITECTS955BS2 -8560 Licame d E.xp. Item Unit Charge nR Total (Qty Multiplied by Unit Charnel Seri,celFeedrr 200 Amp, 11.8 "90 3urvice/Feeder 201 -400 Armp 145.50 ServicE/i•aadcr 401.60ii Aunp 204.50 Service )FaedarS01- 1000;.rrlp. 3262.20 y Struiceu•eader over 1000 Amp. S 371.50 .ranch Clrouit W/ Srriice Feeder 2,60 Branch Circuit WO Sre•ica Feeder 73.5D Ea tMd nen:if B arch Circuit 2.60 g,.. Temp, Service/ Feeder 200 Amp. 02.70 5 Temp. Service/Feeder 201 -400 Amp. 5 110.30 m 5 'Tamp. Seri:ceiFeeder 401.600.Arnp. 5 143.70 Temp. Service/Ferule-001-1000 Amp 5167.00 �onei to Portal Hourly 5 05.90 5,.__ SiyrvOuttine Ughtin}1 5 &120 g Signs) Cireull/ Limited Energy Fast 1500 sf Commercial S 95.90 1 4 S-? 0 Ncw: 55.00 icr each additional 1 sl Si3nal Circuit/ Lunitod Energy -18 2 Family Dwelling S 63.90 g Signal Circuit/ Limited Energy -MutiW amily Dwelling S 6390' Manufactured Horne Connection $119.90 .g iLln6rrable Elecvical Energy 5KVA System or Less 5.102_30 T hemostat 50.00 N> 1N CONSTRUCTION ONLY First 1300 Square Ft. 5110.30 aon Additional 500 Squab FLor Portion of 3 35.20 'Each Oinhuilding or Defai:hed Ger 73.50 S w_ 5.s.-...ii &inuring Fbct orivtTub 5110,30 5 9 5.9Q Total Owner as defined by RCW.1928.251: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent to lease_ Permit expires after sir months of last inspection. triter reacting the ai;ove statement, I hereby certify that 1 am the owner of the above named property or a licensed elecGical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, td_E.C_, RCW Chapter 192e, WAC. Chapter 296-46S, The City of Port MS&(es Municipal Coda, and Utility Specifications and PALIC 14.05.050 regarding Electrical Pernik Applications. Signatures of owner, electrical contractor or electrical administrator: case, 0 ch.c I L. crsdii Card s_ X pare -x12411 ]tro iii I0 Application Number 06 00001113 Application pin number 842534 Property Address 2603 S FRANCIS ST ASSESSOR PARCEL NUMBER 06 30 10 5 1 0900 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626710 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 ELECTRICAL ALTER RESIDENTIAL EXTRA MILE/ 1 4 CIRCUITS 88625 EXTRA MILE TECH ELECT LLC 48 10 Plan Check Fee 10/11/06 Valuation 4/09/07 Qty Unit Charge Per 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS Charged Paid Credited 48 10 48 10 00 00 48 10 48 10 rte 00 00 00 Date 10/11/06 Due Extension 48 10 00 00 00 00 0 CA 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 INSPECTION TYPE DATE ACCEPTED YES I NO DITCI4 ROUGH -IN COVEk D SERVICE FINAL M /16f3o OA I iltifQ I GENERAL COMMENTS: 1 I I COMMENTS 102. OCT -08 -2006 08 50 PM E JANSSEN 360 452 2982 0 Request Inspection m Ele trical Contractor Owner tee .0 0 Amine) Permit Alarm 0 Carnival *Commercial L'1 Residential Residential Malnt. 0 Signs Thermostat 0 Telecom. I I (Insmllation description Ju wired by Electrical Contractor L7 Owner 444./1 Ai eL4, a,,_ 1-"If Electr L al contractor name KAIL Purcht tea's mailing address "A oriet Sr City i State ZIP ___monk 4-Ada-c, lea 0 A 1 t4 C L 'I'elepionc number f FAX number 3 (e10 4t'7- 501P 'Preen .ee owner's name LA Adds ee of Inspection (pO S 'FRAI.) CA CIt 1 betty certify that I am the owner of the above named property or a licensed elects cal contractor (or the firm N authorized agent) and am makinE the electrical instal ation or alteration in compliance with the electrical law Chapter 19.28 RCW "Signature of owner, electrical X Uale WALLS Insulation Only Utspcctton Date rover Apprnvdn By UI uptown By I//v./1L A +-k arc. irq sr (0. Wv contract r or electrical dminlstrator I), EdsltokeIi&ad Additions amt or 6UbtraotiO l4 O NO LOAD CHANGES Bat aboard KW Fur lace KW O Het tPump Ton LAR Fer KW License number CEILING Insulation Only Approve BY J TIIERMOSTAT Paw APpIvud By Orr .a nw DITCH Di it Li Overhead Service Temp Service U Underground Service Area. Building or Equipment Inspected Expiration Date of card 1 1 1 i i' 1 1 let0 /0/0.6 Cash Check CRAM. Card Visa Mastercard Discover Card Action Taken C Inspecea r Out Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Service Information P 01 t ELECTRICAL WORK PERMIT APPLICATION Applovud By 1 FEEDER App wed By w Dore Appti ed ny Electrical Inspector CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000750 Date 275500 2603 S FRANCIS ST 06-30-10-5-1-0900-0000- TRUCK PORT COMM ADDITION 9/01/05 ~ ~ ....., RESIDENTIAL MEDIUM DENSTY 27000 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Other struct info . NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1. 00 89832.00 1128204.00 960.00 90792.00 1. 00 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 58917 434.95 9/01/05 2/28/06 Plan Check Fee Valuation 282.72 27000 Qty Unit Charge Per Extension 414.75 20.20 2.00 BASE FEE 10.1000 THOU BL-25,OOl-50K (10.10 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/29/2005 11:51 AM SROBERDS ---- proposal is a storage building in the RMD. Site may not take up required parking spaces. No land use issues are noted. Electrical load calculations and elctrical permits are required. $0 Connect Fee. 08/16/2005 07:50 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 434.95 434.95 .00 .00 Plan Check Total 282.72 282.72 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 722.17 722.17 .00 .00 ~ ~~ J> '\1 Nil " )> P3 ~\)\J> .::brn7 ., \ II ___ <::;} <:j\ 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. ./ a -oS Date Signature of Owner (if owner is builder) T;\PoliciesII102..15 buildingpennit inspection record05.wpd [1/4/2005] Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS I ..r-\ POST HOLES (POLE BLDGS.) qjqjr::{ f/f"f ) - PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE / PELLET 1 CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA; LANDSCAPING SHORELINE; FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING Ff- ?Oo_ c;- u/...J- T:\PolicieslI102_15 building pennit inspectIon record05.wpd [1/412005] , tJj tJj >-J 'd ::;~~8;;jE; n'O , t' t' 0< ~ H~ \D ", '0 'O~ZZZO >-J", \D '- t'[HJ;J~[:l 0<'0 , (fJ H O~ , 0 0 10 >-:l Zt' ;I>>-J(fJ , H H ~. n- (fJ OJ"' , >-J 0 !ti III tJj OZ '0 'd OJ. ~ tJj. 0 n~n ~ ~ ~\D \D\D 0", >-J'- '-'- 3:10 W , W 00 'OCO 00:>: >-J'" ~;:: , \D\D 1:"",0 111",0 ~", , '- '-'- "'''' , , C Co G)o , > 0 00 >-J>-J1ll OW(fJ nw ",111 , 111 111111 "'"'e:: OOH "' t'- , 00,... 0 Z (fJ "' , 8 OHG) '0 (fJH l' 00 OOJ H ,... 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INSPECTION REPORT. . . . REQUEST; / Date 1] 'i? {/(---- I t Time 1; .-{J/ Received by IV (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): sewer~Framing Chimney - f~~{U) ~ ;JIPO 3 ,<) PIte1JUs ~o~ Phone No. ~~- ~&7r Permit No. CJ ':) I )V Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED . . . . .. YES NO 1f);6 ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE BUILDING PERMIT - APPLICATION //1 Fill out COMPLETELY and in INK. Your applicatior: and site plan MUSfr BE! /. COMPLETE to be accepted for review. If you have any questions, cd I " PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAl USE ONLY: Dale Rec. ~ ~ I!-o~ Pom'" 09~ Date Approved' .' b Date Issued: Applicant or Agent V.,cRAM;J S:;:-/1 A LISE.If' G Phone: '56 () - -152- 7t'j" / E.x-r II Owner: Ht') // s: /AJ G /jf./T/I j) I? / / Y nr C L /l( c.A m Phone: Address: 2 r; Gl ~ ~ou -, H FhJNCI ~. City: I~ R r ,4;(,1/-;.E: Lrf S Zip: 7'8"? (( ;;: Architect/El1gineer: Contractor Phone: State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: '2 b 0 S S;r'5uT'H FR,:f/IJC IS ZONING:R/h D LEGAL DESCRIPTION: Lotbav'EI?N1'1t:qBloclcS".€C. T 10 ~Bdiyi[Jion: T?CJ ^', I?~ W CLALLAM COUNTY PARCEL NUMBER: #- (}.b:? 0 I 0 4- S () $ I- f1 Credit Card Bolder Name: Billing Address: 2.~ 11 5 c;-. F R,(JflJ <: is Credit Card Type VISA Me # TYPE OF WORK: o Residential X New Constr. D Re-roof o Multi-family 0 Addition D Move o Commercial 0 Remodel D Demolition o Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: City: ,PblPr AA/,,(ELE.s Exp. Date: o Stove o Garage o Deck o Other '10 X ;2 4- SIZEN ALUATION: Cft,. () SF. @$ ISF. = $ SF. @ $ ISF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $. 27 t:J ~ t? I -;- /';:I,.J c. J< Pi') 12 r . COMM:ERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: POL. E 8A f: U No. of Stories: -.L Lot Size: 2'5;'7 f\C R't~sting Sq. Ft. ~<t 832.. & Proposed Sq. Ft. qbo = TOTAL Sq. Ft. 90.77 Z I I Total lot coverage R % 2 S ','1 /Ie R E..s:: " i 2 b i .9 '1 t. s,,c. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): DYes 0 No SEPA Checklist required? 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 mustbesubmitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tinle of pemrit 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 BuildinglResidential Code, 2003). No application can be extended IDore 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 :::Jt:t:J!!the City's, and that I.must obtain such permits prior to work. npoh""IBL"11 02_13.wpd Applioont %__ /' ~~ Date 0 11-' (- 0 " {HE:. Ilo..l'S'//V 6' '#tJr/.,/c/?,T'7 {.:r (;:x ,CXCvt-~1 cPJOUSING AlJ'THORrrY OF CLALLAM COUNTY 2603 SOUTH FRANC\S STREET -_~T ANGELES. WA 98362 -- .......... - - ,.,. ~- :.s 60- 4" 5'2 - '?r::>. ............. 'VI I r - ' C>(T II ~ OJ . A: PRoPoseD "IRl!Ck ~Rr (Jf& t.r:;~-ri1JG type JC;13i .; ..' C ;:. Ex 1'S'TilJG OR'! W&L.J- . . I . . I I c=J B". ..... . . . ' . .':':: . , .:.,. " ,!_' ~ " . " ; ~ ,::', ;,:,: · . . ....J<, ,i ~ s........... ...............:................. ...... .'- .'- .. '. ,.;-' '..' . . _.~. .'~.:'..:.~~ '. ", ~ : ' ~~. - . - '. ': ~,::::, '-~ - " - ,'- ',',' ,.C"," , .... e~ is ~. -" .-" ' 4SEASONS ENGINEERING, INC (360) 452-3023 . Fax (360) 452-3047 619 S. Chase Street. Port Angeles, WA 98362 August 30, 2005 Jim Lierly City of Port Angeles Building Official PO Box 1150 Port Angeles, W A 98362 Subject: New Pole Building for Clallam County Housing Authority, 2603 S. Francis St., Port Angeles 4 Seasons Engineering, Inc. has been contacted to provide an alternate truss connection, girt framing, and purl in attachment for this project. ~ ~ \rJ Approved alternate design may be constructed per the attached truss connection detail. Ifthere are any questions, please give me a call at (360) 452-3023. Sincerely, \P ~~ ~ V . ,......--~ 1 n -\- n--;:- -- y61-t-t--- . \' ..QA_P_j\_.illLY~ \~\;:- Donna J. Pet sen P.E. . cc. John Helgeson Clallam County Housing Authority ~ . "7:> 0 . 05' ~~ I ~PlRW'i: . 3" NOTCH IN POST FOR DBL TRUSS (2) 5/8" BO/. TS W/ WASHER 2X12 CLEA T (2) 9(,"_ BO/.TS 1HRU fMrn WASHER 7l-11 SIDING 2X6 GIRTS 024" OC Mf7H 2X6 FREEZE BLOCKING 29 GAGE METAL ROOF CONDENSA 710N BLANKET 2X6 PURUNS PER PLAN W/7H HANGAR TEE-BRACE OR CROSS BRACE PRE -ENGINEERED TRUSS o TR~ l~?~~:.CTlON ~. ~. os- CxpWV' =1. 0'( . _~ ~ DA TE: AUGUST 2005 SCALE: NONE DRAWN BY: DJP CHECKED: SHEET: OF 4SEASONS ENGINEERING, INC. (360) 452-3023 619 S. Chase Sf. Port Angeles, WA 98362 POLE BOG ~ pORT ~ ....:-l..O~~ (;r:ca~ '!" -- 't9l~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000841 Date 433366 2603 S FRANCIS ST 06-30-10-5-1-0900-0000- RE-ROOF 9/07/05 RESIDENTIAL MEDIUM DENSTY 48129 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 L & K SMITH CONSTRUCTION INC. 817 THOMAS ST. ABERDEEN WA 985200040 (360) 532-3900 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE OVERLAY CaMP, ONE LAYER 59485 657.15 Plan Check Fee 9/07/05 Valuation 3/06/06 .00 48129 Qty unit Charge Per Extension 414.75 242.40 BASE FEE 24.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Other Fees STATE SURCHARGE 4.50 'P ~ \J CJl Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 657.15 657.15 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 661.65 661.65 .00 .00 fL/ r 1t ~.'. !\ J1 'cr.. ~ ~ ~\ (b 4- \ N " ~\\ ~ . l/' ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 CO~~fJl# Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent 9--7~~3-- Date T;IPo1icies\11 02_15 building pennit 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 WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR . " INSULA nON SLAB WALL I FLOOR 1 CEILING I MECHANICAL HEAT PUNW 1 FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #"s SEPA: PARKINGILIGHTlNG ESA; LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION. R.W. ENGINEERING 417.4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 q -/5- (!)S' ~r)/ BUILDING T;\Policies\1102_15 budding pennlt inspectIon record05.wpd [1/412005] --------- Re-Roofing Project W A4003-39 001 FORM OF CONTRACT THIS AGREEMENT made this 24 T #.j day of IV) IJ Y , in the year Two Thousand 2005 by and between L.R. Smith Construction a corporation organized and existing under the laws ofthe State of Washington or individual trading as L.R. Smith Construction Hereinafter called the "Contractor", and the Housing Authority of the County of Clallam hereinafter called "H.A.C.C.". WITNESSETH, that the Contractor and the RA.C.C. for the consideration stated herein mutually agree as follows: ARTICLE 1. STATEMENT OF WORK Project No. WA4003-39 The Contractor shall furnish all labor, material. equipment and services, and perform and complete all work required for the completion ofthe said project. With the specifications for and Addenda thereto numbered One and Two dated 04/07/05 and 04/14/05, all as prepared by the H.A.C.C. which said specifications and addenda are incorporated herein by reference and made a part hereof. ARTICLE 2. THE CONTRACT PRICE The RA.C.C. will pay the Contractor for the performance of the Contract, in the current funds, subject to additions and deductions as provided in the Specifications, the sum of ($52.525.00). Cost per foot to remove & replace soffit material and cut plastic away from soffit vent. $4.00 ARTICLE 3. CONTRACT DOCUMENTS The Contract shall consist of the following component paits: Advertisement and Forms. (Advertisement for Bids, Instructions to Bidders, Form of Bid, Form of Bid Bond, Form of Non-Collusive Affidavit, Form of Performance and payment Bond or Bonds, and other assurances of Performance and payment, and this instrument ). General Conditions Certified Payroll Requirements Addendum to the General Conditions Supplement to the General Conditions Special Conditions Technical Specifications Drawings The following Exhibits, each of which has been initialed by the parties or otherwise appropriately identified. This instrument, together with the other documents enumerated in this AlticIe 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, from the Contract. In the event that any provision in any component pmt Page] of2 002 FORM OF CONTRACT Of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this Al1icle 3 shall govern, except as otherwise specifically stated. The various provisions in Addenda shall be construed in order of preference of the component part ofthe Contract which each modifies. IN WITNESS WHEREOF, the parties hereto have caused This Instrument to be executed in Two original counterparts as ofthe day and year first above written. Attest: X Contractor LX. Smith By Title Business Address: 817 Thomas Street Street Aberdeen, W A. 98520 By Pamela J. Tietz Title: Executive Director PHM Business Address: '2603 South Francis St. Street Port Angeles, W A. 98362 City, State, Zip Code CERTIFICATIONS I, , Certify that I am the of the corporation named as the Contractor herein, who signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. Federal LD. # UBI# Page 20f 2 Look Up a Contractor, Electrician or Plumber Search Result Page 1 of 1 Topic Index Contact Info Safety Claims tt fnsurance Workplace Rights Trades ft Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Your search for UBI #: '601641467' found 1 records. Click on License # in the License column to view details. Page 1 of 0 License Name UBI City Type Status LKSMICI055PN L & K SMITH CONSTRUCTION INC 601641467 ABERDEEN CONSTRUCTION ACTIVE Start a new Sean:h About Uti I Find a job at Uti I Informacion en espanol I Site Feedback I 1-800-547-8367 \Vashington 5trJtc< Cie'pL of L.aboi' and lndustric~" Use of n~"i:;. L subject to the law::; of (he ~:;t.atP of \Ndshingtoi1, /\CCf',)S /qJ(~('ment Privdcv and \ccuritv ~Jate(ncnt l u\c/e>d.erna! c:)nl".e.nt. !)olic/ l\lj\1t 2CCcss,\--va,pov Staff onty link https://fortress.wa.gov/lnilbbip/search.aspx 9/7/2005 to >-l '<l ::;;:;~8~ n'O I;' >< ~ H:U '" '0 'O:UZZO >-It>J '" ...... I;'nt>J>-l:U ><'0 Ul H tI:l::tl::OtIJ ;I> 0 0 >-l ZI;' ;l>Ul O:U H !ii. nUl '<It>J >-l 0 ~ to 0 '0 t>J. :U. 0 n:uo :u :u'" ot>J'<l >-l...... :;;:0 H 'OC::o oo~lit0 ~~ l;'t>Jo Ul"'O '" ~ Ul , , C::l?'0 Glo >-llll OWUl W t>JUl t>Jt>Jq OOH?:: 1;'- ~: 08 0 , Z Ul t>J Ol--'GJCJ) UlH 00 :;;:'<1 W tt" ro , ;l>H:U ':u Z e~~~~ 0 It::r1HC':I '" 'UlZ H:r: n IC:Cf)"d :u onH '" :~tQ; tI:! 0:;0 OCJ:l W , "'HZ :Uot--3(f}CI) H OO~1-31-3 >-l 0' :u trjooc: oto :UO, O'<ln "'c:: t>Jt>J 0 >-l ...... H UlUlZ OnH HI;' c::no 1;'0 UlO I;':U ;l>Z ...... H >-lH'<l I;' "'Z Ul'Oi<l I;'H n oGl ......>-l ;l>Z 0 0 nH,<! :;;:n HH :;;: Ul'<l OOt':l ZZ :;;: H 3:Zt>J UlUl t>J Z 3: '0'0 Z 0;1> t>J t>Jt>J >-l HI;' Z nn Ul >-l >-l>-l 0 Ul OH ~ H :UO .. Z 0 '0 y>-l Z 3: ~~ 0 'O'OUl >-l aa[iJ t>J;>< t>J y Ult>J Ul I;' ZZO >-l H t>Jt>JH I;' t>J < :u I;' I;' H >< t>J W :u '" I;' 0 >< tJ1 W '" , W '" 0 0 0'0 ;1>;1> >-lGl t>Jt>J '" ...... H Ul ...... 0 Ul-J 4SEASONS ENGINEERING, INC (360) 452-3023 · Fax (360) 452-3047 619 S. Chase Street. Port Angeles, WA 98362 August 30, 2005 .I im LierIy City of Port Angeles Building Official PO Box 1150 Port Angeles, W A 98362 Subject: New Pole Building for ClalIam County Housing Authority, 2603 S. Francis St., Port Angeles 4 Seasons Engineering, Inc. has been contacted to provide an alternate truss connection, girt framing, and purIin attachment for this project. Approved alternate design may be constructed per the attached truss connection detail. If there are any questions, please give me a call at (360) 452-3023. Sincerely, ~';)~t__Q, y~~~y~0~- Donna 1. pebsen P .E. cc. John Helgeson Clallam County Housing Authority ~':p'oS- f.l:XJIIRI9:'.~ :1 ~ ~ \:) \;Jl \j) ~ t ~- J" NOTCH IN POST FOR DBL TRUSS (2) 518" BOL TS WI WASHER 2X12 CLEAT (2) *"" BOL TS THRU Iwrn WASHER Tl-l1 SIDING 2X6 GIRTS 0 24" OC WITH 2X6 FREEZE BLOCKING 29 GAGE METAL ROOF CONDENSA nON BLANKET 2X6 PURLlNS PER PLAN WITH HANGAR PRE -ENGINEERED TRUSS o TR~~: 24~~~:.CTlON ~ ~ ,oS"- If' <~)~)C" 4SEASONS ENGINEERING, INC. (360) 452-3023 619 S. Chase Sf. Port Angeles, WA 98362 POLE BOG DA TE: AUGUST 2005 SCALE: NONE DRAWN BY: DJP CHECKED: SHEET: OF SEP 07 2005 2:50PM CALLAM CNTY HOUSING AUTHO 13604577001 p. 1 2603 South Francis Street Port Angeles. WA 98362 Phone: (360) 452-7631 Fax: (360) 457-7001 Housing Authority of the County of Clallam Fax To: Steve - Building Depl From: Sonya - Maintenance Fax: (360) 417-4711 Phone: (360) 417-4815 Date: September 7, 2005 Pages: 5 Re: Roofing Project cc: Urgent o For Review 0 Pi.... Comment 0 Pi.... Reply 0 Pie... Recycle Steve - Thank you for the heads up. I am hoping this will provide you with the information that you need. There are 9 buildings being worked on. If you have any questions please contact me at (360) 452-7632 Ext. 37 &'1 Sonya Elwood ............ Admin. Asst. - HACC SEP 07 2005 2:50PM CALLAM CNTY HOUSING AUTHO 13604577001 p.2 ROOFING PROJECT: NO. WA400339 HOUSING AUTHORITY of CLALLAM COUNTY PORT ANGELES, WASHINGTON SECTION 01010 SUMMARY A. The Owner is: HOUSING AUTHORITY OF CLALLAM COUNTY 2603 SOUTH FRANCIS STREET Port Angeles, W A. 98362 B. Section Includes: Project description. Access to site Contractor's use of the premises C. Related Sections: Coordinate related requirements specified in other parts of the Project Manual, Including but not limited to the following: Section 01030 - Alternates PROJECT DESCRIPTION A. REROOFING OF 9 (NINE) BUILDINGS: The Project includes the removal and disposal off-site of the existing roofing materials and substrate materials, and the Installation of new ridge and sheathing, removal and reinstallation of all vented Soffit after removing vapor barrier material covering opening of soffit, and the Removal of existing roof jacks and the installation of new roofing materials, drip And vent flashing, the cleaning of all existing gutters and downspouts, and the fmal Cleaning of the site including the removal of all nails, fastners, and waste generated By the work of this project. Project Location: The Project is located in Port Angeles, Washington B. Work of separate Contracts: Contractor shall verify with Owner the existence of any Separate contracts with the Owner that may require coordination with this contract Prior to executing the work of this contract. IDENTIFICATIONS: Owner: Whenever the term "Owner" is used in these documents it means: The Housing Authority of Clallam County 2603 South Francis Street, Port Angeles Washington, 98362 Owner's on-site field representative: Where documents require.' coordinate with Owner" Or similar language, such activity shall be referred to: Vern Sohlberg . OlOlO~l SEP 07 2005 2:50PM CALLAM CNTY HOUSING AUTHO 13604577001 p.3 4. ACCESS TO THE SITE AND USE OF THE PREMISES A. The space available to the contractor for the performance of the work, either exclusively or in conjunction with others performing other constluction as part of the proJect, conslsts of the entire site. B. Access to site will be limited to entry from Lauridsen Court and Whidby Circle. C. Storage areas will be available on site. D. Signs; Provide signs adequate to direct visitors. 1. Do not allow posting of unauthorized signs. 2. Do not install signs other than specified sign(s) and signs identifying the principal Contractors or Subcontractors. 5. APPLICABLE CODES A. All references to codes, specifications, and standards referred 10 in the Specification Sections shall mean, and are intended to be, the latest edition, amendment, and/or revision of such reference standard in effect as off the date of these Contract Documents. 6. SECURITY PROCEDURES A. Limit access to the site to persons involved in (he work. 1. Contractor is to take all necessary and requinng precautions to ensure the safety of the Tenants and his own forces while occupying the job site, at all times. B. Provide secure storage for materials for which the Owner has made payment and which are stored on site. END OF SECTION 01010 01010-2 SEP 07 2005 2:50PM CALLAM CNTY HOUSING AUTHO 13604577001 p.4 "",-:; RECEIVED .JlIN 1.. "7 2005 Re-Roofing Project W A4003-39 001 FORM OF CONTRACT THIS AGREEMENT made this "2:6# TJi day of M", Y , in the year Two Thousand 2005 by and between L.K. SmithConstructioD a corporation organized and existing under the laws of the State of Washington or individual trading as L.K. Smith Construction Hereinafter called the "Contractor", and the Housing Authority ofthe County of Clallam hereinafter called "H.A.C.C.". WITNESSETH, that the Contractor and the H.A.C.C. for the consideration stated herein mutually agree as follows: ARTICLE 1. STATEMENT OF WORK Project No. W A4003-39 The Contractor shall furnish all labor, material, equipment and services, and perform and complete aU work required for the completion of the said project. With the specifications for and Addenda thereto numbered One and Two dated 04/07/05 and 04/14/05, all as prepared by the H.A.C.C. which said specifications and addenda are incorporated herein by reference and made a part hereof. ARTICLE 2. THE CONTRACT PRICE The H.A.C.C. will pay the Contractor for the perfonlJance of the Contract, in the current funds, subject to additions and deductions as provided in the Specifications, the sum of ($52,525.00 ). Cost per foot to remove & replace soffit material and cut plastic away from soffit vent. $4.00 ARTICLE 3. CONTRACT DOCUMENTS The Contract shall consist of the following component pal1s: Advertisement and Forms. (Advertisement for Bids, Instructions to Bidders, Form of Bid, Form of Bid Bond, Form of Non-Collusive Aftidavit, Form of Performance and payment Bond or Bonds, and other assurances of Performance and payment, and this instrument), General Conditions Certified PayroU Requirements Addendum to the General Conditions Supplement to the General Conditions Special Conditions Technical Specifications Drawings The following Exhibits, each of which has been initialed by the parties or otherwise appropriately identified. This instrume11t, together with the other documents enumerated in this Article 3, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated, from the Contract. In the event that any provision in any component part Page lof2 SEP 07 2005 2:50PM CALLAM CNTY HOUSING AUTHO 13604577001 p.5 FORM OF CONTRACT 002 Of this Contract conflicts with any provision of any other component part, the provi sion of the component part first enumerated in this Article 3 shall govern, except as otherwise specifically stated. The various provisions in Addenda shall be construed in order of preference of the component part of the Contract which each modities. IN WITNESS WHEREOF, the parties hereto have caused This Instmment to be executed in Two original counterparts as of the day and year first above written. Attest: x<i'~ Contractor L. . Smith By Title C (0 Business Address: 817 Thomas Street Street Aberdeen, W A. 98520 By Pamela 1. Tietz Title: Executive Director PHM Business Address; 2603 South Francis St. Street Port Anaeles. W A. 98362 City, State, Zip Code CERTIFICATIONS I, <-&FA;72 f ~)..r, Certify that I am the E [. D of the corPoration named as the Contractor herein, who signed for and in behalf of said corporation by authority of its governing body, and is within the scope of its corporate powers. FederaII.D. ## jIlt 310..5~BI # 6o! tllll t ~7 Page 20f 2 d'OlIl'~ (i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98:l62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000175 Date .348850 2603 S FRANCIS ST 06-30-10-5-1-0900-0000- ELECTRICAL ONLY 3/14/05 RESIDENTIAL MEDIUM DENSTY o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL HI-TECH/ SMOKE-HEAT DET. HI TECH SECURITY INC 53.60 Plan Check Fee 3/14/05 Valuation 9/10/05 .00 o Qty 1. 00 1. 00 Unit Charge Per 42.2000 EL-LOW VOLT SYS <=2500 SQFT 11.4000 EL-LOW VOLT SYS >2500 SQFT Extension 42.20 11.40 ~ ~ <0' f \A Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53.60 53.60 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 53.60 53.60 .00 .00 G. ~ ~ \\ '. lJ\ \A ~\ COMMENTS/ ACTION NEEDED ELECTRICAL PERMIT INSPEc:rJON 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 INSPEC110N TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.1S (4/96] '&J "I.4i;.....~ CITY OF PORT ANGELES PUBUC WORKS - ELECTRICAL DNISION 121 EAST 5TH STREET. PORT ANGELES. WA 9R]('2 ELECTRICAL PERMIT Issued: 8/04/99 Permit No: 6710 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HUD 2603 FRANCIS S 2603 S FRANCIS Lot: GOVERNMENT Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: SEC 10, T30N, R6W T: S: Pare No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TlfMWATER PORT ANGELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT I:NFO---------------~---------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS7 Electri.cal Heat Service Type Baseboard KW: 0 Riser voltage: 120,240 X Furnace KW: 0 X Overhead Service Diameter: X-I -3 X Heat Pump KW: 0 Underground Service Service Size: 320 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES-------------------------------------------------------------______ REMOVE ALL EXISTING ELECTRIC HEAT. ADD HEAT. 3 HEAT PUMPS- 5KW, 5KW, 10KW 3 FURNACES- 10KW, 10KW, 20KW PROJECT FEES ASSESSMENT------------------------------------------_______________ Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $54.00 Temp Service: $0.00 $0.00 Mise:; TOTAL FEE: Amount Paid: $54.00 $54.00 --------------------------------- ----~.~--------------------------- -------------------------- TOTAL FEE: $54.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ~ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO VnLH , / lUJUGH-IN I Lv y ~ft !IJ{C"{'ff: rz--, l;:P1H717'Y:C r / "INd. I/O/Z4Yyr;-1 /P'- I . GENERAL COMMENTS, P'W.IJ02.1~(4'961 ~ , ~ .~'~ .~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICi\.L PERMIT Issued: 3/06/98 Permit No: 6252 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ HUD 2603 S FRANCIS Port Angeles, WA 98362 360/000-0000 T: S: 2603 Lot: Block: ., \Sub: Parc No: FRANCIS S GOVERNMENT Long Legal:' SEC 10, T30N, R6W CONTRACTOR-----------------------------DESIGNER--------------------------------- ELECTRIC SERVICE 924 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: RS 7 Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- ADD ON TO SHOP BUILDING, WIRE CIRCUITS wiR.~ S~l.. U/'^'~ PROJECT .FEES ASSESSMENT-------------------------------------------------'-------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COlIER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPJtC110N TYPE DATE ACCEP'l1W YES NO COMMENTS GENERAL COMMENTS: PW.II02.U(06] .,. o~. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, pORT,AN~ WA 98362 ",.;;po ~ \ ELECTRICAL PERMIT ISSrC / V.- Permit No: 6053 oWNER/APPLICANT-----------------------~PROEERTY LOCATION------------------------ HUD 2603 FRANCIS S 2603 S FRANCIS Lot: GOVERNMENT Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: SEC 10, T30N, R6W T: SHOP S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT M~GELES, WA 98362 360/45'1-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE CHANGE Occ Grp: Occ Load: Land Use: RS7 Electrical Heat BaSeboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type Riser X Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-I -3 200 AMPS o AMPS PROJECT I~OTES------------------------------------------------------------------- CHANGE SERVICE AT CLALLAM CO. HOUSING AUTH. SHOP PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $67.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $67.00 $67.00 --------------------------------- --------------------------------- TOTAL FEE: $67.00 Balance Due: $0.00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE T ACCEPTED COMMENTS I YES T NO DITCH ROUGH-IN / COVER . . ~ QIZdfl{') -r IhM- ~AT I T T GENERAL COMMENTS: PW.II02.ljl4'96] . . -h . .J o , . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. S z-S Co '9' ,1t1;'?-.r DATE ELECTRICAL PERMIT Site Address: Sq. Ft. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW ~ RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION ;g REMODEL ~. ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1lZ\ D3~ SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: ~ ~ ::'7- 2iJ ~ ~Z;) W.S. No. SERVICE SIZE CAPACITY: o OK 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE ENGR. DATE o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. :7 O.K. to c~nnect service ifX Final OK SiteAddr:;2603 ~ (9L Permit/Receipt No. 5.;;2S'L New Meters Installer: s- Notify Port Angel City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ..(,. 4,,'-1? ~ ~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT $ ~ o/1fV - Elect callnspector Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC -. ('1fl'" ,IIJ o' /?-' / I ".?/Q ty' ,. 6' ~ ,p Ij) <<' , ( '~ 0 l()f / < f\ -1 jJ.""'~V';' / /, t: Af) \\j~:0 ,(II"v'O l- ![}' :? / \\J IV 0<:" ~"" . ... . ---.. - . UNIT NO. . . . . o - D .. Wl--lIPB''[' AvE. 801.~ "- 1\ D Wl-lIDP,Y AVE. 802. ',Jj D . Wl-l!DBy'AVE. 803' "~..JJ D Wl-liDB1-- AVE: 804 ,.:-J) C 'W~!P6Y AvE. 80S" =~ C UJJ-lIDBY AVE, 80b . ,,,.;.J C WHID61' AVE. 801 . 'J C Wl-lIDBY AVE.___ 808 -i'l~v () B-2 Wf-.lIDBY .AVE. 810~. . .. 6-2 Wl-IIDBY AVE. 811 .. iJ0rj) 6-2 Wl-IIC'B'( AvE. 812 ~ ( B-2 Wf-JIP!3'f AVE. 813.17 .'AI ,13-2 Wl-lIDBY AVE. S.!.1---.j~ 5-2 Wl-11Dt31' AVE. BI!:;> I'~ 8-2 Wl-IID6'!" AvE. 816 ~ - 0 6-2 WHIDS'!" .AvE. B11' ")l C LAURIC'SEN 6L YD. 802, i/~ LAURIQ5EN f2LVD. 804 ,~ (J LAURiDSEN BLVD 80b' yp.....x .. . . .. "- LAURIDSEN BLVD. 808- LAURIDSEN BL YD. BiO rlk~ LAURIJ:)SEN !3L YD. 812'1' ~ LAURIDSEN"SLVD. /814 -;.~ LAURlr.)SFN F3L-vD T8ib ;.~ LAURIDSEN BLVD. '818 ;~:~ LAURiDSEN 6LvD. 820 li.,-..... LAURIDSEN BLvD. 822 ...~L'.~ .L-AURiDSENB..h\iD. 824't~~ LAURIDSEN BLvD. 826 ;11-;J LAURiDSEN BLVD. 828 -~~ -I 0' 01 I . . . . - o - . C - . C n... .- .-- [- e . r '-' , . C - .A I . t\ I . A I . A I 0 A , . A , . 13-1 I . B-1 ....., .. -- .. ~ f-- . J-- I _.,...1 -, I , --L --.JU 0: 2~ If) I "', 0, <'l, r ~ j lU .;{ r; .., 6 .J~~ :z .J"o.. ...fOf- w'l,~z I .J ,<\ :q <t u''''lY ~lL~~ o it - }- ~ ~ ~ Q.... U 1 -ll ' , U <" ~f- , W ~ i -t ( 13()\ t-OJuj! ~ ~ ~ ~ "" z' '. <1 . >-1l~; t: ~ 'C> : W IV IJ. .....l LL t.. 7 I ::l () ill <.( , o . IV l\ \ III .t l= }! I ..J.: t- 0) 0) I O:JO):>( ~ <t~-~i Q ,II l1; 1- V I <1' Z'.I: ( ~-l _ 1-- . & ~ ~ ) III () "' <1 . Cl o(L\ ('j 1 ,~!!II }. '. ;~ Q \ r Joe NO. . - _.....' ... . . Site Address: Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW _ Details/Description: CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. .s~V3 (/ btyhr ~ P' DATE ELECTRICAL PERMIT - r r~ T~ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR 7TEMPORARY SERVICE ~ISER /,'2'?VERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1!15 D3!15 SERVICE SIZE FEEDER SIZE AMPS AMPS W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. 1.... == Rough-in/cover O.K. /()r'tf-O.K. to connect service tJ Final O. K. F~.. 0 Ealle'.4'1. . New Mete'(i Notify Port Ang City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or 6n the BUildi~it. PHONE 457-0411, EXT. 224. r ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ I" ..:?O Electfical Inspector Permit Fee \ WHITE - File by address OLYMPIC PRINTERS INC. .5"'.;2 PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall 1:.. ~c;c, .~~~~~ '><- t.~~~ -t~\-l~t, '\ ,~~ . \)t-7 '~;; -, ., ; ,'.. ~ , ....~... \..t.. \':), ~~ ~~""\ '0.. ' '\ ,,' \\ " .\~,.n ;)...1 \~'~~,"3.~\.~...", ..Y" '- '~\'~~~ \~" '\ s \ , ...... ., --,--'. 'q'" " ~t,~\k, ~~\~ I -. . '.~~0J.~;:~ V,)~<;;.. t>. :>' ..-' \.\. ,. '"' '0. ~. \ \ ." . ~ ?j\ '--.>> ~. ";. " ~~J~1), '>~ ;';;-'<)..1<\ \~<\ \."- fJ\l'~~'" . . , , I~ '---" . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 'fE.3 s-....( - /() PO /?-J , I DATE Site Address: d o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: ~ Sq. Ft. o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ~ REMODEL ADD/ALTER CIRCUITS SERVICE UPGRADE/REPAIR )::SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Details/Description: / OJ.. (p ~ ~r M~; ~OXn~ (11 ~) . ~ / (/d& W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Site Address: d-fo o' SD.. . Notify Port An les ity Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~4'1. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ JL ....0 ~/SOt ~ Electrical Inspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPICPRINTERSINC Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT '. ELECTRICAL PERMIT PERMIT NO. di2cf'tf't ///.<9/710 DATE Site Address: D READY FOR )i:'WILL CALL FOR INSPECTION INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D New Construction ,g Remodel J8 Service update/alter/repair ~ Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) ;&1 Overhead D UndergrOUnd~$IV Voltage /.:2~:.2- ~ 113 D 3.([. Service size dc:l.O Amps D Temporary o Residential ,r- Heat KW /':;' D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Totai Motor load (attach breakdown) . ~cn C. ~C-~ ~ dt?tJ .F S- .r /0 /tu k:u~c9med 4~/ , //l/ W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. ~ Rough-in/cover O.K. rl O.K. to connect service D Final O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending . ~ite Ad:;~ 03 Installer: New Meters ~ ; - 0 Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work 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 Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / oD ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ciJ Permit/Receipt No. ;;288C,. OLYM"lC PRINTERS, INC, ~,:~:. 10...'<::....... ~ - =::: ~ 'i' . ):::J Electrical Contractor 0 Owner ..."'"iii.....:J:" o Annual Permit b Alarm 0 Carnival la"CommerciaI t::J Reltidentia.l 0 Rc~idcntial !\1aint. 0 Siglls Q Thermostat 0 Telecom. ELECTRICAL WORKPERMlT APPLICATION o Request Inspection Job wired by o Electrical Contractor 0 Owner Installation description Electrical conlr.1ctor 'name Is~"...,T1' ~rrz.c... TS Uccnsc number C/SS-BS :r~-.-,c.\\ ~l)\ 'nO..... "'- L.- H \ -1'=.C"- Purcha.1;cr's Rl\liling address -::r 23 'Z.J:>,ST i="Ro..;). C I ~OfO.T ~~E.\.Q.~ Telephone number I 31;0 - '-+5":2. - '2o:f 2. "'1- s... S !'<"Oil.€:- ~ ~T" ~'"'-~- State ZIP l.0A- 98'3~2.... Too.c;.. Tn ~\.S.~u6 Premises oWDcr'~ name , L \"'\ "'"__ CO,,'" ,'0( Addl'"C:5~ of Inspection , :zt.o3 So. FAX number ~O- 452-8500 I-+M'~ i="Ri"oJ~\<:" (s;..~ AA<eA.) i ~b~l e.> I I fl." "~Ot. \ ... Y ~S\'Q.f<"\ - S~O~ ~R8\- Ci[)'~, r hereby certify that r am the owner of the above named property or a licensed electric::!l contrJ.dOT Cdr the tirm's authorized agent) and ,un making the elc=ctrical in~bllatjon or alleratiuh in compliance with the electrical law, Chapter 19.28 RCW. I SigrUIUfc 0 ownu,1 electrtc:.l contrnclOr or du:lrical :admlnlstrntor 1 o Cash 0 Check # o Credit Card VIsa Clt.-J 1="\ \"Z:.- Ma.;;tercard Discover C~#________________ x Expiration Date of card Inspection fc=c $ S3. ~O W-\LLS Insulation ()nly I I D:d~ IAflProv~d Ay Cover I D~l~ 'ADPl(lvtd B~ I CElUNG Insulation Only D~l~ AM'rov~H)' Cover D~I~ AWrov~ By TIlERMOSTAT D"lo.:: ^fIIlmv~d 1'1)' DITCll Dale Apurov~~ Dr /' SERVICE "- Du, ^JlP(1)vr.<l Elr /' UEDER "- Illlle Autll'Ovtd fiy ._.'~ I ~c..al Load Addi1ions and or subtractio.O,s.. (J NO LOAO CHANGES a Baseboard _ KW; l:l Furnace KW, - I l:l Heat Fump __._ Ton _ LAA (J Fan-Wall _ Kwl , ~ervlce Information Cl Overhead Service o Temp Service o Underground Service Voltage: Phase 0 , Cl 3 Service SizQ: Feeder Size: In:>pcctioo Arco.. Building or Equipment Inspected Action Taken Electricill D3tC Inspector Cf!; In':1" /II--/n-t.- 4/ .Ar-// / ' -- -- - .". -~... . - - /It({J jf, /~S- .- . .... -- .- -- -- .- -. . td Wd0S:'10 IS00<: 0, I "_rew 09S8 <:Slo' 09>: 'ON Xt!.:J SJINOolJ3l3 HJ31-IH WOo.:J