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HomeMy WebLinkAbout1539 W Lauridsen Blvd - Building CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION t 321 FAST 5TH STREET PORT ANGELES.WA 98362 Application Number 04 00001022 Date 4/11/05 Pin number 104952 u Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 Tenant nbr name LINCOLN PARK Application description COMM NEW CONST Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 17000 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information RESTROOMS AT LOOMIS LOG BLDG Construction Type TYPE V NON RATED Occupancy Type GARAGES CARPORTS SHEDS w Other struct info TOTAL % LOT COVERAGE 1 00 ( w\ CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 1 00 PROPOSED LOT COVERAGE 1 00 �) TOTAL LOT COVERAGE 1 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW COMMERICAL Additional desc PARKS & REC /1 5 CIR Sub Contractor STRAITS ELECTRIC Permit Fee 61 30 Plan Check Fee 00 Issue Date 4/11/05 Valuation 0 A Expiration Date 10/08/05 \\ Qty Unit Charge Per Extension 1 00 61 3000 ECH EL COM 101 200 NEW ADD SRV FDR 61 30 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will allow for the reconstruction of public restrooms at Lincoln Park No land use issues are noted Q .. Electrical load calculations and elctrical permits are required Electrical load calculations and elctrical permits are required Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 61 30 61 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 65 80 65 80 00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL� OR CONCEAL ANY WORK BINSPECTIONS- PLEASE EFORE 17'IS N PECTED AND ACCEPTED.24 HOUR NOTICE- ITIS N�WFUL TO COVER, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE v INSPECTION TYPE DATE ACCEPTED COMMA" YES NO ROUGH- SERVICE FINAL GENERAL COMMENTS: PW-1102.1514%1 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION i 121 EAST STN STREET PORT ANGELES.WA 98362 Page 2 Application Number 04 00001022 Date 4/11/05 Pin number 104952 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD a A MNO"24 HOUR NOTICE- .y CALL 417735 FOR ELECTRICALS TE OR CONCEAL ANY WORK BEFORE!7'I INSPECTED AND ACCEPTEDUNLAWFUL TO COVER, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED comm NTS YES NO DITCH -ROUGH-IN COVEIF SERVICE FINAL GENERAL COMMENTS: Pw-1 102.15(090 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES,WA 98362 Application Number 04 00001022 Date 2/14/05 Pin number 104952 Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 Tenant nbr name LINCOLN PARK Application description COMM NEW CONST Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 17000 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information RESTROOMS AT LOOMIS LOG BLDG Construction Type TYPE V MN RATED Occupancy Type GARAGES CARPORTS SHEDS Other struct info TOTAL % LOT COVERAGE 1 00 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 1 00 PROPOSED LOT COVERAGE 1 00 TOTAL LOT COVERAGE 1 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW COMMERICAL Additional desc 1 5 CIR/ STRAITS Permit Fee 61 30 Plan Check Fee 00 Issue Date 2/14/05 Valuation 0 Expiration Date 8/13/05 Qty Unit Charge Per Extension 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS 61 30 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will allow for the reconstruction of public restrooms at Lincoln Park No land use issues are noted Electrical load calculations and elctrical permits are required Electrical load calculations and elctrical permits are required Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 61 30 61 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 65 80 65 80 00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECUON RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED ' INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO -ROUGH-IN C07M �J SERVICE GENERAL COMMENTS: PW-1102.1514" FROM STRAITS ELECTRIC FAX NO 3604574698 Feb. 10 2005 08 27AM P1 ' • - ELECTRICALWORK PERMIT APPLICATION r �rce0mT Electrical Contractor Q Owner❑ Annual Permit C3Alarm Q Carnivalmercinl ❑ Residential ❑ Residential Ninlnt. ❑ Signs ❑ Thermostat ❑ Telecom. a Job wired by Ell Electrical Contractor O Owner Installation description Electrical contractor name License number Straits Electric STRAZE*01105 ��AIQ G� �j�fy�irP Purchaser's mailing address _ P 0 Box 2 914 '— City State ZIP Port Angeles WA 90362 Telephone number FAX number 360--452-9104 360-457-4698 Premises owner's name , /0-4 Be47gr . r a Address or Inspection City ❑ Cash ❑ Check# I hereby certify that I am the owner of the above named property or a licensed ®CreditCard Visa Mastercard Discover electrical contractor(or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical low,Chapter 19.28 RCW Card d On File Slgnatu of Wnor, electric ntractor or electrical administrator pxpirat'ionDate X ofcard $spot �fee20 AILS CEIUNG THERMOSTAT SERVICE Insulation Only Insulation Only Date Approved By Date Approv d tey Data Approved By Date Approved By � � I Ul a Cover Cover DAIC Approved By Data Approved By Um A rove Ny Dale A roved By Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard ,KW Voltage ❑ Furnace __.KW O Overhead Service Phase ❑ 1 ❑3 ❑ Heat Pump Ton^LAR ❑ Temp Service Service Size: U Fan-Wall _KW CI Underground Service Feeder Slze: Inspection Area,Buildingor Equipment Itis Inspected Electrical Date p Action Taken Inspector j/ de— S a PREPARED 11/19/07 10 26 09 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/19/07 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LINCOLN PARK RESTROOM CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 04 00001022 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/28/05 JLL BLDG FOUNDATION FOOTING 3/28/05 AP Cory 461 5274 Lincoln Park restroom Call Cory when you are ready to go so he can meet you there BI2 01 4/12/05 JLL BUILDING FOUNDATION WALL 4/12/05 AP Leon 808 3500 Ladies restroom at Lincoln Park BL3 01 3/08/07 PB BLDG FRAMING 3/08/07 AP 03/08/2007 09 44 AM PERMITS MARTY 461 5465 03/08/2007 05 00 PM PBARTHOL BL99 01 11/ 9/07 JLL BLDG FINAL November 19 2007 8 38 09 AM 1pangrle MARTY 460 4126 BLDG FINAL LOOMIS RESTROOM PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 11/ /07 JLL MECHANICAL FINAL November 19 2007 8 39 31 AM 1pangrle MARTY 460 4126 MECHANICAL FINAL LOOMIS RESTROOM PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 5/26/05 JLL PLUMBING UNDER SLAB TIME 17 00 5/26/05 AP 05/26/2005 08 07 AM JLIERLY JOHN CALL FIRST 461 0455 05/26/2005 04 37 PM JLIERLY PL2 01 3/08/07 PB PLUMBING ROUGH IN 3/08/07 AP 03/06/2007 09 45 AM PERMITS 03/08/2007 05 00 PM PBARTHOL PL99 01 11/ 9/07 JLL PLUMBING FINAL November 19 2007 8 91 08 AM 1pangrle MARTY 460 4126 PLUMBING FINAL LOOMIS RESTROOM - COMMENTS AND NOTES PREPARED 11/06/07 11 05 56 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/06/07 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR CITY OF PORT ANGELES CONTRACTOR EXCEL UTILITIES CONSTRUCTION PHONE (360) 452 1110 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 07 00001270 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 0111/0 07 V—) BLDG FINAL November 6 2007 8 31 30 AM 1pangrle BILL 452 1110 BLDG FINAL ROOF REPAIR ON THE LOG CABIN COMMENTS AND NOTES OE FUH)A"r'F CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00001270 Date 11/01/07 Application pin number 911370 Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 Tenant nbr name CITY OF PORT ANGELES Application type description RE ROOF Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 50 Owner Contractor CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION PO BOX 1150 54 MISTY LN PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 452 1110 Structure Information 000 000 REPAIR ROOF LEAK ON THE LOG CABIN Permit BUILDING PERMIT NO PR FEE Additional desc REPAIR LOG CABIN ROOF LEAK Permit pin number 114470 Permit Fee 50 00 Plan Check Fee 00 Issue Date 11/01/07 Valuation 50 Expiration Date 4/29/08 Qty Unit Charge Per Extension BASE FEE 50 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 00 00 N 7 G� Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. -0-7 Date Date Print Name ignature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Building Permit(10/01/07).wpd 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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE 1 INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ,tel INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS V WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS p GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. C\ COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT ^^ (r CONSTRUCTION R.W /PW/ CONSTRUCTION R.W PENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT OD PLANNING DEPT 417-4750 PLANNING DEPT / BUILDING 417-4815 BUILDING G-0-7 �D T Forms/Building Division/Building Permit(10/01/07).wpd VORT4A, BUILDING PERMIT APPLICATION Print In ink Jf'*'�►-�- CITY OF PORT ANGELES For City Use Only- - Attn Building Permit Technician Date Received 11-01-0 321 E. Fifth St. Port Angeles WA 98362 Permit#_07- i 2-1D (360) 417-4815 fax (360)417-4711 Date Approved Applicant or Agent E xc(!�� Phone �fh o \of�i OwnerCz� A Phone Owner's Addres 32 S''` /a Rb`5Lz Contractor/Engineer &�,ceq__ Phone H j�-( ( (o Contractor/Engineer's Address S ( s-c 10(%:>L2__ License # Expires /y-© PROJECT ADDRESS L.,wcJiti Ps qk C)c�;, Parcel Number 15 �g W t-aun,AA ed\ BwAt Zoning Project TVpe & Brief Description. ❑ ResidentialCommercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel Repair , Lev,a k_ ❑ Re-roof ❑ Demolition ❑ Sign ❑ wall-mounted ❑ projecting ❑ freestanding ❑ awning ❑ other Total sin area sq ft. Maximum allowed sign area sq ft. ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. = $ 1" Floor 2nd Floor 3rd Floor LPa Lr Garage Carport t u p c-, Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date lil-cr7 Print Name /�� �� Signature T Forms/Building Division/Bldg Permit Appl.-2006 Code doc PREPARED 3/13/07 9 35 46 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/13/07 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LOOMIS RESTROOM CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 07 00000117 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLWS 01 3/13/07 /'� BUILDING INSULATION WALL/FLOOR jt LID 03/13/2007 09 13 AM PERMITS MARTY 417 4555 COMMENTS AND NOTES PREPARED 3/08/07 10 20 02 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/08/07 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LINCOLN PARK CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 04 00001022 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/28/05 JLL BUILDING FOUNDATION FOOTING 3/28/05 AP Cory 461 5274 Lincoln Park restroom Call Cory when you are ready to go so he can meet you there BI2 01 4/12/05 JLL BUILDING FOUNDATION WALL 4/12/05 AP Leon 808 3500 Ladies restroom at Lincoln Park BL3 O1 3/ 8/07 BUILDING FRAMING 03/08/2007 09 44 AM PERMITS MARTY 461 5465 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 5/26/05 JLL PLUMBING UNDER SLAB TIME 17 00 5/26/05 AP 05/26/2005 08 07 AM JLIERLY JOHN CALL FIRST 461 0455 05/26/2005 04 37 PM JLIERLY PL2 01 3/08/ 7PLUMBING ROUGH IN –W'-i�/- _�— 03/08/2007 09 45 AM PERMITS COMMENTS AND NOTES „+04 PO CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00000117 Date 2/09/07 Application pin number 042342 Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 Tenant nbrname LOOMIS RESTROOM Application type description COMM REMODEL Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 12030 Pe- W e Owner Contractor 7 CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information 000 000 Construction Type TYPE V NON RATED Occupancy Type GARAGES CARPORTS SHEDS Other struct info NUMBER OF UNITS 1 00 Permit BUILDING PERMIT COMMERCIAL Additional desc FINISH TO FINAL Permit pin number 94557 Permit Fee 249 75 Plan Check Fee 00 Issue Date 2/09/07 Valuation 12030 Expiration Date 8/08/07 Qty Unit Charge Per Extension C4- BASE FEE 95 75 d' 11 00 14 0000 THOU BL-2001 25K (14 PER K) 154 00 Permit MECHANICAL PERMIT Additional desc f ti Permit pin number 94680 q7 1 Permit Fee 00 Plan Check Fee 00 Issue Date 2/09/07 Valuation 0 1 Expiration Date 8/08/07 Qty Unit Charge Per Extension 2 00 0000 ECH ME VENT FAN 00 Permit PLUMBING PERMIT Additional desc S / Permit pin number 94672 g Permit Fee 00 Plan Check Fee 00 Q� Issue Date 2/09/07 Valuation 0 h Expiration Date 8/08/07 F U Qty Unit Charge Per Extension 10 00 0000 ECH PL CROSSCONNECT R/C WATER 00 1 00 0000 BCH PL EA INSTALL WATER PIPE 00 C 1 00 0000 ECH PL- EA WATER HEATER 00 Other Fees STATE SURCHARGE 4 50 ham/ Fee summary Charged Paid Credited Due 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. r,”"" ��� Q c�' XCb-7 Signature of ontractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\Policies\1102_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 WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO COVER,INSULATE OR CONCEAL ANY WORN BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4174735 LIGHT DEPT CONSTRUCTIONR-W /PW/ CONSTRUCTION R.W ENGINEERING 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 4174815 BUILDING T•\Policies\l 102 15 building permit inspection Tecord05.wpd(1/4/2005] °FPORrµ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 07 00000117 Date 2/09/07 Application pin number 042342 Permit Fee Total 249 75 249 75 00 00 Plan Check Total 00 00 00 00 other Fee Total 4 50 4 50 00 00 Grand Total 254 25 254 25 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_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 WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WAL11HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR/CEILING MECHANICAL ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4171735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 4174750 PLANNING DEPT BUILDING 4174815 BUILDING T-\Policies\1102 15 building permit inspection recard05.wpd[1/4/2005] PREPARED 2/05/07 11 05 14 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/05/07 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LOOMIS RESTROOM CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 07 00000117 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 2/05/07 JLL PLUMBING ROUGH IN OVERRIDE TAKEN BY PERMITS DATE 02/05/07 TIME 10 44 01 S� 2007 10 42 AM PERMITS JOHN JOHN 461 0455 v(/ CALL FIRST WATER ON FLOOR IS NOT LEAK BRING FLASH LIGHT DARK INSIDE COMMENTS AND NOTES LINDBER.I�SIVIITH A R C H I '�T C T S RECHWED APR 2 12006 April 21, 2006 CITY OF PORT ANGELES Dept.of Community Development Jim Lierly Building Inspector City of Port.Angeles Community & Economic Development RE Loomis Restrooms Dear Jim We.received a phone call from Sue Roberts informing us concrete was placed at the Loomis Restroom project without an inspection We have gone on site and reviewed the project with Dave Peterson from the Future-Builders The four post bases at the entry canopy were formed and concrete placed without the inspection as Sue said The enclosed photographs show the footings and plinths in place They are as we detailed them and have the post base brackets we wanted The Future Builders do have a photograph showing the steel prior to the concrete so if we need to get a copy we can Our office approves the footings as to meet our requirements and have no problem with the post footings If you have any additional questions please contact us Respectfully LINDBERG & SMITH ARCHITECTS,INC.,P.S: Charles D mith rchitect 319 south peabody suite b/port angeles wa 98362/360 452.6116 fax 360 452 7064 email contact@lindarch.com /www.lindarch.com r • 1 •� 4 r 11 r o EC� EH 4/20/2006 D APR 2D 2006 Corey Delikat CITY OF PORTANGELES Dept.of Community Development I am asking for an extention of the building permit for the public restroom at Lincoln Park. We have been unable to finish the project because of weather, coordination with the volunteers involved, and the retirement of a key city employee involved in the prod ect. rCyofor eration, Corey elikat Assistant Street Parks Superintendent i a CITY OF PORT ANGELESDEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION 321 EAST 5TH STREET PORT ANGELES,WA 98362 � O Application Number 04 00001022 Date 4/20/06 Application pin number 104952 Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 n Tenant nbr name LINCOLN PARK Application type description COMM NEW CONST Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 17000 Owner Contractor (( CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information 000 000 RESTROOMS AT LOOMIS LOG BLDG N Construction Type TYPE V NON RATED Occupancy Type GARAGES CARPORTS SHEDS Other struct info TOTAL % LOT COVERAGE 1 00 9 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 1 00 d PROPOSED LOT COVERAGE 1 00 Q TOTAL LOT COVERAGE 1 00 (��1 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT COMMERCIAL Additional desc 425 SF RESTROOM Permit pin number 38174 Permit Fee 302 75 Plan Check Fee 196 79 Issue Date 12/02/04 Valuation 17000 „[ Expiration Date 11/22/05 +- G Qty Unit Charge Per Extension C BASE FEE 92 75 { 15 00 14 0000 THOU BL 2001 25K (14 PER K) 210 00 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will allow for the reconstruction of public restrooms at Lincoln Park No land use issues are noted Electrical load calculations and elctrical permits are Y1 Q, required �{1 Electrical load calculations and elctrical permits are ro required rf+� Other Fees STATE SURCHARGE 4 50 G Fee summary Charged Paid Credited Due Permit Fee Total 302 75 302 75 00 00 Plan Check Total 196 79 196 79 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 504 04 504 04 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_15 building permit inspection record05.wpd[1/4/20051 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: ' N FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R-W /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 15 building permit inspection record05 wpd[1/4/20051 PREPARED 5/26/05 12 51 40 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/26/05 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LINCOLN PARK CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 04 00001022 COMM NEW CONST PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 5 26/ 5 - JL_ L _ PLUMBING UNDER SLAB TIME 17 00 05/26/2005 08 07 AM JLIERLY JOHN CALL FIRST 461 0455 COMMENTS AND NOTES PREPARED 4/12/05 13 29 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/05 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LINCOLN PARK CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 04 00001022 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/28/05 JLL BUILDING FOUNDATION FOOTING 3/28/05 AP Cory 461 5274 Lincoln Park restroom Call Cory when you are ,ready to go so he can meet you there BI2 0112/05 LL BUILDING FOUNDATION WALL Leon 808 3500 Ladies restroom at Lincoln Park COMMENTS AND NOTES PREPARED 3/28/05 13 03 07 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/28/05 ADDRESS 1539 W LAURIDSEN BLVD SUBDIV TENANT NBR LINCOLN PARK CONTRACTOR PHONE OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 1 1 0700 0000 APPL NUMBER 04 00001022 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 /2 JL� BUILDING FOUNDATION FOOTING Cory 461 5274 Lincoln Park restroom Call Cory when you are ready to go so he can meet you there COMMENTS AND NOTES CTTY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 04 00001022 Date 12/02/04 Pin number 104952 Property Address 1539 W LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 1 1 0700 0000 Tenant nbr name LINCOLN PARK Application description COMM NEW CONST Subdivision Name Property Use Property Zoning PUBLIC BUILDINGS & PARKS Application valuation 17000 �bO,A �p Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Structure Information RESTROOMS AT LOOMIS LOG BLDG Construction Type TYPE V NON RATED Occupancy Type GARAGES CARPORTS SHEDS Other struct info TOTAL t LOT COVERAGE 1 00 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 1 00 PROPOSED LOT COVERAGE 1 00 TOTAL LOT COVERAGE 1 00 NUMBER OF UNITS - 1 00 Permit MECHANICAL PERMIT Additional desc R Permit Fee 61 50 Plan Check Fee 00 / Vk Issue Date 12/02/04 Valuation 0 Expiration Date 6/01/05 r" Qty Unit Charge Per Extension BASE FEE 47 00 .r) 2 00 7 2500 ECH ME VENT FAN 14 50 Permit PLUMBING PERMIT Additional desc �e Permit Fee 131 00 Plan Check Fee 00 Issue Date 12/02/04 Valuation 0 �� p Expiration Date 6/01/05 f11 f T Qty Unit Charge Per Extension Ov r.. BASE FEE 47 00 A n 10 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 70 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1l/L07 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 \ Permit BUILDING PERMIT COMMERCIAL Additional desc 425 SF RESTROOM C Permit Fee 302 75 Plan Check Fee 196 79 Issue Date 12/02/04 Valuation 17000 9_ Expiration Date 6/01/05 / Qty Unit Charge Per Extension Q Separate Permits are required forelectrical 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. /Z-D Signature of Contractor or Authorized Agent Date Signature Owne (if owner' ilder) Date T•\PLANN1NG\F0RMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 4174807 PW/ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT 4174750 PLANNING DEPT BUILDING 417-4815 BUILDING T•\PLANNING\FORMS\1102.15[11/14/2003) r \ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 04 00001022 Date 12/02/04 Pin number 104952 Qty Unit Charge Per Extension BASE FEE 92 75 15 00 14 0000 THOU BL-2001 25K (14 PER K) 210 00 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will allow for the reconstruction of public restrooms at Lincoln Park No land use issues are noted Electrical load calculations and elctrical permits are required Electrical load calculations and elctrical permits are required Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 495 25 495 25 00 00 Plan Check Total 196 79 196 79 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 696 54 696 54 00 00 Separate Permits are required forelectrical 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•\PLANN1NG\F0RMS\1102.15(11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE Q INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS .� YES NO O FOUNDATION: FOOTINGS WALLS }L FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUBING DER FLOOR/SLAB 0 P 1U�ribiiin� `('►�� p a ROUGH-IN :Azf:/,*;zf✓ 1 o P F� WATER LINE(METER TO BLDG) GAS LINE BACK LOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS 1 SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING *7 V3 DRYWALL(INTERIOR BRACED PANEL ONLY) -� T-BAR INSULATION SLAB WALL/FLOOR/CEILING 1-3//34c)7 MECHANICAL O e Gi_ W I C&I R Oa f HEAT PUMP yl++ Q GAS LINE l l— p 1—©� j� Y WOOD STOVE I PELLET/CHIMNEY HOOD/ DUCTS ��J111JJ��v PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT#'s SEPA. I PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 417-4815 1 1 1 1 BUILDING C T•\PLANNING\FORMS\1102.15[11/14/20031 r City of Port Angeles ell am Community Developement (Building Division) 321 E 5th St Port Angeles Washington 98362 360-417-4815 Plan analysis based on the 2003 International Building Code Project Number 04-1022 Date November 5 2004 Project Name Public park restroom facility Address 1539 W Lauridsen blvd Contractor TBA Occupancy B Architect Linberg & Smith Construction V-B Engineer Report By JIM LIERLY NOTE The code items listed in this report are not intended to be a complete listing of all possible code requirements in the 2003 IBC It is a guide to selected sections of the code Report created using Plan Analyst software by IHS Global 800-854-7179 FL NAME OCC MAX FLR AREA ALLOWED RATIO STATUS ------------------------------------------------------------------- 1 Locker Room B ok 425 Interior check only Total for Floor 425 Interior check only 11066 � EXIT REQUIREMENTS FL NAME NUMB MIN MIN PANIC CORRIDOR DOOR NOTES OCC EXITS WIDTH HDWR RATING SWING ------------------------------------------------------------------------- 1 Locker Room 8 1 1 6 No N/A N/R TOTAL FOR FLOOR 8 1 1 6 No N/A N/R 5 FOOTNOTES 5 One exit is based on compliance with Section 1018 2 #3 6 One exit is based on compliance with Section 1018 2 and Table 1018 2 Page # 2 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd NOTES FOR EXIT TABLE Door swing is based on Section 1008 1 2 Occupant load is based on Section 1004 and Table 1004 1 2 Exit width is in inches and based on Section 1005 1 & Table 1005 1 Width shown for all areas is based on other egress components Width shown for 1st floor is based on other egress components Width shown for other floors & basements is based on stairways For the minimum width of doors see Section 1008 1 1 For the minimum width of corridors, see Section 1016 2 For the minimum width of stairways see Section 1009 1 Exits shall be continuous from the point of entry into the exit to the exit discharge -- Sec 1003 6 BOLT LOCKS Manually operated flush bolts and surface bolts are not permitted -- Sec 1008 1 8 4 Exception 2 Where a pair of doors serves a storage or equipment room manually operated edge- or surface-mounted bolts are permitted on the inactive leaf LOCKS AND LATCHES Egress doors shall be readily openable from the egress side without the use of a key or any special knowledge or effort -- Sec 1008 1 8 Locks and latches shall be permitted to prevent operation where any of the following exists Exception 2 The main door or doors in Group B F M and S areas are permitted to be equipped with key operating locking devices from the egress side provided 2 1 The locking device is readily distinguishable as locked 2 2 A readily visible durable sign is posted on the egress side stating THIS DOOR TO REMAIN UNLOCKED WHEN BUILDING IS OCCUPIED Exception 3 Where egress doors are used in pairs automatic flush bolts shall be permitted to be used provided the door leaf having the automatic flush bolts has no doorknob or surface-mounted hardware Page # 3 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd ADDITIONAL DOORS Where additional doors are provided for egress purposes they shall conform to the requirements in Section 1008 1 LANDINGS AT DOORS 1 There shall be a floor or landing on each side of a door -- Sec 1008 1 4 2 Such floor or landing shall be at the same elevation on each side of the door -- Sec 1008 1 4 3 The floor or landing shall not be more than 1/2 inch lower than the threshold -- Sec 1008 1 6 4 Landings shall have a width not less than the width of the stairway or width of the doorway, whichever is the greater Where a landing serves an occupant load of 50 or more doors in any position shall not reduce the landing dimension to less than one half it required width The minimum length in the direction of exit travel is 44 inches -- Sec 1008 1 5 5 The space between two doors in series shall be 48 inches plus the width of door swinging into the space -- Sec 1008 1 7 RAMP REQUIREMENTS 1 The minimum width is 44 inches If a ramp serves an occupant load of 50 or less, it may be 36 inches wide If the ramp is serving a high occupant load, check exit table above for required width -- Sec 1010 5 1 & 1016 2, Exception 2 2 If the ramp is part of the means of egress the maximum slope is 1 12 All other ramps may have a slope of 1 8 or less -- Sec 1010 2 3 The rise for any ramp shall be 30 inches maximum -- Sec 1010 4 4 Landings shall be provided at the top, bottom points of turning and at doors -- Sec 1010 6 Landings shall have a length of at least 5 feet in the direction of travel -- Sec 1010 6 3 Where changes in direction of travel occur at landings the landing shall be 60 inches by 60 inches minimum -- Sec 1010 6 4 5 The surface shall of slip-resistant materials that are securely attached -- Sec 1010 7 1 6 Handrails shall be per stair requirements -- Sec 1010 8 A rail shall be mounted below the handrail 17 to 19 inches above the ramp or landing surface -- Sec 1010 9 1 7 A curb or barrier shall be provided that prevents the passage of a 4-inch diameter sphere where any portion of the sphere is within 4 inches of the floor or ground surface -- Sec 1010 9 2 EXIT ACCESS TRAVEL DISTANCE The maximum travel distance in Group B is 200 feet -- Table 1015 1 Page # 4 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd BUILDING ACCESSIBILITY 1 In addition to accessible entrances required by Sections 1105 1 1 through 1105 1 6, at least 50 percent of all public entrances shall be accessible -- Sec 1105 1 2 At least one accessible entrance shall be provided to each tenant dwelling unit and sleeping unit in a facility -- Sec 1105 1 6 3 Where parking is provided accessible parking spaces hall be provided in compliance with Table 1106 1 -- Sec 1106 1 4 At least one accessible route shall connect each accessible level -- Sec 1104 4 See exceptions 5 Accessible routes shall coincide with or be located in the same area as a general circulation path Where the circulation path is interior the accessible route shall also be interior -- Sec 1104 5 6 On floors where drinking fountains are provided at least 50 percent but not less than one fountain shall V accessible -- Sec 1109 5 -k- Ste, pP 1►�s o A- �� �.3 sem_ ROOFING REQUIREMENTS 1 The roofing on this building is required to be Class C -- Table 1505 1 LIGHT AND VENTILATION 1 Every space intended for human occupancy shall be provided with natural light The minimum net glazed area shall not be less than 8% of the floor area -- Sec 1205 1 and 1205 2 Any room is permitted to be considered as a portion of an adjoining room where one half of the area of the common wall is open and unobstructed and provided not less than one tenth of the floor area or 25 square feet whichever is greater -- Sec 1205 2 1 Artificial light shall be provided that is adequate to provide an average illumination of 10 foot candles over the area of the room at a height of 30 inches above the floor -- Sec 1205 3 2 Natural ventilation of an occupied space shall be through windows doors louvers or other openings to the outdoors -- Sec 1203 4 The minimum openable area to the outdoors shall be 4 percent of the floor area -- Sec 1203 4 1 Any room is permitted to be considered as a portion of an adjoining room where unobstructed openings are provided that have an area not less than 8% of the floor area of the interior room but no less than 25 square feet -- Sec 1202 3 1 1 When openings are below grade, clear space measured perpendicular to the opening shall be one and one half times the depth of the opening -- Sec 1203 4 1 2 3 Rooms containing bathtubs showers spas and similar bathing fixtures shall be mechanically ventilated -- Sec 1203 4 2 1 Page # 5 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd CEILING HEIGHTS Occupiable spaces habitable spaces and corridors shall have a ceiling height of not less than 7 feet 6 inches Bathrooms toilet rooms kitchens storage rooms and laundry rooms shall be permitted to have a ceiling height of not less than 7 feet -- Sec 1208 2 WALL AND CEILING FINISH 1 Wall and ceiling finish materials are required to comply with Sec 803 5 and Table 803 5 2 Textile wall coverings shall have Class A flame spread index and shall be protected by automatic sprinklers or meet the criteria in Section 803 6 1 1 or 803 6 1 2 -- Sec 803 6 1 3 Carpet and similar textile materials used as a ceiling shall have a Class A flame spread index and be protected by automatic sprinklers -- Sec 803 6 2 4 Expanded vinyl wall coverings shall comply with the requirements for textile wall and ceiling materials -- Sec 803 7 5 Toilet room floors shall have a smooth hard nonabsorbent surface that extends upward onto the walls at least 6 inches -- Sec 1210 1 6 Walls within 2 feet of urinals and water closets shall have a smooth hard nonabsorbent surface to a height of 4 feet above the floor -- Sec 1210 2 INSULATION NOTES 1 Insulating materials shall have a flame-spread rating of no more than 25 and a smoke developed index of not more than 450 -- Sec 719 2 (concealed installation) and Sec 719 3 (exposed installation) 2 Where such materials are installed in concealed spaces, the flame spread and smoke developed limitations do not apply to facings coverings and layers of reflective foil that are installed behind and in substantial contact with the unexposed surface of the ceiling wall or floor finish -- Sec 719 2 1 Foam plastic insulations are required to be protected -- Sec 2603 Page # 6 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd ACCESSIBLE FACILITIES NOTE Except as noted section numbers listed below are from ICC/ANSI A117 1-1998 WATER FOUNTAINS AND WATER COOLERS Accessible units must comply with the following 1 Spout is to be within 36 inches of the floor -- Sec 602 4 2 Spout arranged for parallel approach shall be located 3 1/2 inches maximum from the front edge Units with a forward approach shall have the spout 15 inches minimum from the vertical support and 5 inches maximum from the front edge of the unit -- Sec 602 5 3 Spouts shall provide a flow of water 4 inches height minimum -- Sec 602 6 TOILET FACILITIES 1 A 60 inch diameter turning space or T-shaped space is required in the toilet room -- Sec 603 2 1 and 304 3 Doors shall not swing into the clear floor space for any fixture 603 2 3 See exception for rooms used for individual use 2 Water closet shall be mounted adjacent to a side wall or partition The distance from the side wall or partition to the centerline of the water closet shall be 16 to 18 in Sec 604 2 3 When the accessible water closet is not in a compartment Clearance around the water closet shall be 60 inches minimum measured perpendicular to the side wall and 56 inches minimum measured perpendicular to the rear wall -- Sec 604 3 1 4 When the accessible water closet is in a compartment Wheelchair accessible compartments shall be 60 inches wide minimum measured perpendicular to the side wall and 56 inches deep minimum for wall hung water closets and 59 inches deep for floor mounted water closets measured perpendicular to the rear wall -- Sec 604 8 1 1 Compartment doors shall not swing into the minimum required compartment area -- Sec 604 8 1 2 Page # 7 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd 5 Grab bars shall have a circular cross section with a diameter of 1 1/4 inch minimum and 2 inches maximum or shall provide equivalent graspability -- Sec 609 2 The space between the wall and the grab bar shall be 1 1/2 inches Sec 609 3 Grab bars shall be mounted in a horizontal position 33 inches minimum and 36 inches maximum above the floor -- Sec 609 4 a Side wall grab bars are required to start within 12 inches of the backwall and extend to 54 inches from the back wall (The minimum length of the bar is 42 in) -- Sec 604 5 1 b The rear bar shall be 24 in long minimum centered on the water closet Where space permits, the bar shall be 36 in long minimum with the additional length provided on the transfer side -- Sec 604 5 2 6 The top of the water closet seats shall be 17 to 19 inches above the floor -- Sec 604 4 7 Accessible urinals shall be of the stall type or wall hung with the rim at 17 inches maximum above the floor -- Sec 605 2 8 Accessible lavatories shall be mounted with the rim 34 inches maximum above the floor -- Sec 606 3 9 Sinks shall be 6 1/2 inches deep maximum -- Sec 606 5 10 Water supply and drain pipes under lavatories shall be insulated or otherwise treated to protect against contact -- Sec 606 6 11 Mirrors shall be mounted with the bottom edge of the reflecting surface 40 inches maximum above the floor -- Sec 603 3 FIXTURE COUNT TABLE NAME NUMBER RATIO WATER CLOSETS LAVS TUB DRINKING OCC M/F MALE FEMALE M F SHOWER FOUNTAIN --------------------------------------------------------------------- lst floor Locker Room 8 50/50 1 1 1 1 0 1 Ratio = 1 per 50 50 80 80 -- 100 TOTAL FOR FLOOR 1 1 1 1 0 1 BUILDING TOTAL 1 1 1 1 0 1 International Plumbing Code Section 403 and Table 403 1 In each bathroom or toilet room urinals shall not be substituted for more than 67 percent of the required water closets -- IPC Sec 419 2 Page # 8 Code review for Project Id Public park restroom facility Address 1539 W Lauridsen blvd NOTE The number of fixtures for a floor may not match total number of fixtures per area The number of fixtures for the building may not match the total for the floors The number of fixtures for each area and floor are rounded up to the next whole number Totals are not rounded up until the total is obtained If the fixtures only serve an area use number shown for each area If the fixtures serve an entire floor or building use number shown for totals PEDESTRIAN WALKWAY -- Sec 3104 1 The pedestrian walkway shall be of noncombustible construction -- Sec 3104 3 Exception Combustible construction is permitted when buildings are combustible construction 2 Walkway shall be separated from the interior of buildings by fire barrier walls with a fire-resistive rating of not less than 2 hours -- Sec 3104 5 Exceptions 1 The distance between buildings is greater than 10 feet and the walkway and both buildings have an automatic sprinkler system per NFPA 13 See exception for glass requirements 2 The distance between buildings is greater than 10 feet and the sidewalls of the walkway is at least 50% open 3 Walkway is not required to be separated when buildings are on the same lot are treated as one building per Section 503 1 3 3 The unobstructed width of pedestrian walkways shall not be less than 36 inches The total width shall not exceed 30 feet -- Sec 3104 8 4 The length of exit access travel shall not exceed 200 feet -- Sec 3104 9 Exceptions 1 If walkway has an automatic sprinkler system length shall not exceed 250 feet 2 If both sides are at least 50 percent open length shall not exceed 300 feet 3 If walkway has an automatic sprinkler system and both sides are open 50 percent or more length shall not exceed 400 feet 5 Smoke and heat venting shall be provided for enclosed walkways -- Sec 3104 11 nojtra ' FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION DateRec.. —22— Permit —Permit 4.C14 ` /D 2 ao=z_. Fill out COMPLETELY and in INK.Your application and site plan MUST Date Approved. COMPLETE to be accepted for review If you have any questions,call Nate Issued. PERMITS (360)417-4815 FAX(360)417-4711 Applicant or Agent: � ` �Mt T�a Ar.",w%vwrs Phone Owner- �i� o .0 P A.�y� Y'J' )Z� - Phone 4 ) Address 32 W S Y i `7-V Cl,,. 1:::: ,��� Zip el g 5&y Architect/Engineer- L 1 tJ� .C.l �M t T-F� �tiQbT.EI'5 Phone Contractor N0%W "s' 'dr- -n State License#• Exp Phone Address. City-- Zip PROJECT ADDRESS L 1 IVCGLO,_. PAO-K- ►s!" Vy Lay'r-'13SR'L allrrtZONING Flw;'f' LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. y 1-3 poo Credit Card Holder Name: Billing Address: City. Credit Card Type VISA MC # Exp.Date: TYPE OF WORK. SIZENALUATION ❑ Residenhal,><New Constr ❑ Re-roof ❑ Stove +S6 SF @$ !+Q SF =$ CJ U ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF @$ /SF =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT N$1N �Zl�T OM SAG 11. I'►"�l #�D L11VGl.UiV PJOt¢le.. O�,,t%n WOM15, 1>L,41 uD 1 V!;j COMAlERCIAL/RESIDENTL4,L. OccupancyGroup- A-2 Occupant Load. 4- Construction Type: �] No of Stories:I Lot Size: Existing Sq Ft. &Proposed Sq.Ft. ZS =TOTAL Sq.Ft. Total lot coverage % APPROVALS. PLANNING USE ONLY PLAN BLDG DPWU FIRE ESA/Wetland(s): ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the 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 tune of permit issuance. EXPIRATION OF PLAN REVIEW If no 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 1 have read and examined this application and know the same to be true and correct. 1 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•\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd Applicant: Date: Zjuor.O�- • ORT . NGE LES �►,-- W A S 'H 1 N G T'O. N U S A PUBLIC WORKS-.& UTILITIES DEPARTMENT , 4 Loomis Restroom Estimated Finishing Cost i For Permit I Plumbmg'Rough In $3',580 Tile $1,950 Sheetrock/Insulation. $1,500 Electrical $5,000 Total $12,030. r Thank you, i l i Corey.Delikat City of Port Angeles Assistant Street/Park Superintendent r r i i r I. 321 EAST FIFTH STREET •'P O BOX- 1 150 • PORT ANGELES WA 98362-0217 PHONE 360-417 4805 • FAX 360-417 4542,'• TTY 360-417 4645' E MAIL PUBWORKS@CI PORT ANGELES WA U-S �APPROXIMATE LOCATION OF EXISTING WATER LINE ' APPROXIMATE LOCATION NEW WATER LINE OF EXISTING LIGHT POLE VERIFY SIZE EXTEND POWER FROM POLE I TO BUILDING VERIFY LOCATION I 41,-51f APPROXIMATE LOCATION AND ARE ?5'-0►� OF NEW RESTROOM I ' BUILDING ES INCA. ' i I :)N i PROPOSED 7"flmw-LIIIas APPROXIMATE LOCATION OF EXISTING LOOMIS BUILDING I I � UJASWINGfON STATE , EMISSIONS OR CLARIFICATION )N OF ALL SND IN!THE DART OF THIS >N$1BLE FOR NEW SEWER LINE ALLATION VERIFY LOCATION AND SIZE BRIN6 ALL 1 SE) BY NOTIFICATION EXISTING GRAVEL 4 THE I ROADWAY ::ONTRAGTOR AT _ THE, OWNER. 1ECHAN I CAL I I URNISHED AND, i 1T ITEMS I ��j ACCEPTABLE TO ALL OPENINGSI AND CHANICAL SUB'-CONT z ALL ELECTRICAL AF;�EEA S f TE f'L AN S I, EI 11 , 3 Of PORT 4410, �•�`� CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ® C" (206) 457-0411 PERMIT NO. 563 LIG DATE— Site PERMIT Site Address: / /� 46 /� ❑ READY FOR INSPECTION ❑ INSPECTIOWILL CALL N Installed By: G` _ q��(�[,apti• C�(t/1y" License Number: Phone: T Owner/Business: Phone: Ir Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL RISER ❑ BASEBOARD KW ❑ COMMERCIAL OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUNDSERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: 2410 ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS 1 El 3 Ll SERVICE UPGRADE/REPAIR SERVICE SIZE 160 AMPS ❑ TEMPORARY SERVICE FEEDER SIZE AMPS Details/Description: �r �• W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. K. to connect service Final O.K. Site Address: Permit/Receipt No. S ;5w63 Installer: T New Meters Date: Notify Port Angeles City Light by Stree Address and Permit Number when ready for insp6ction.Work must not be covered ® before inspection and O. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building it. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ r Electrical nspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. s�; o i ELECTRICAL WORK PERM7TAPPLICATION s'O�® �0 ems° Installation description Job wired by ❑ Electrical Contractor Owner Commercial ❑ Residential Electrical contractor name License number Date Expires ❑ New ❑Altered/Addition Purchaser's mailing address n K65% �`JrfJ s f1T �/rV G6L.C/ City slate ZIP Pte_ �� /f Lr l ZM2L Telephone number FAX number ✓--��fi G!✓ram�-�S Prcan es owner's name / P T 1✓� —��QG2i�/S (Address o ' s ection \ "yPu � w `&62 Phone number In schedule in pectin n: 64" J Owner as defined by RC .19.28.261:0) 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 or lease. ❑ Cash ❑ Check 4 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 electrical instal- ❑Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card# - - Utility Specifications. Signature of owner, electrical contractor or electrical administrator Expiration Date Inspe � n fee X Date: of card $ l 90 Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES ❑ Baseboard , KW Voltage ❑ Furnace _KW ❑ Overhead Service Phaseyl ❑_ � A ❑ Heat Pump _Ton_LAR ❑ Temp Service Service Size: G� ❑ Fan-Wall _KW Underground Service Feeder Size: SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE 0 ie Ap Dme Approved PY to Approved FINAL DITCH FEEDER tI 3 D APProval ey D e pproveJ PY Dole Approved By Inspection Area,Buildingor Equipment Inspected Electrical Dale n Action Taken Inspector lr so& igi PvC' - �,�;ORT'�aF�N ELECTRICAL INSPECTION WIRING REPORT w- 417-4735 RKS b DATE PERMIT. SPECT OWN CONTRACTOR ADDRESS /5 L�Rj4U2 Cr1 �LI�� APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . 'r CORRECTIONS NEEDED: no cp NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.)3W)052-1381 OppORT,A,Q ELECTRICAL INSPECTION WIRING REPORT 417-4735 flK$� DATE PERMITM INSPECT i -r OWNER/CO RACTOR _ G q 8 b- I-alzr ADDRESS 25 L APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS,INC.(360)452-1381