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Home My WebLink About130 S Lincoln St - Building CITY OF PORT ANGELES PERMIT APPLICATION 1 , Building Division/Electrical Inspections El G°� R/C �{ 321 East Fifth Street—P.O.Box 11501 Port Angeles Washington, 98362 � w Ph: (360) 417-4735 Fax: (360) 417-4711 �NS �T9� Date; I' t p Multi-Family or Commercial* * Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet Job Address: Ij7# o-,,jL - L)nr e( , S�'=. Building Square Footage: Description of above Owner Information //�� Contract oG Information Name: :5 ,� � tC.i,°�,fy'A � :�4s >rv� Name; E,,0�h'-e ,t _ /V � Mailing Address: 130 S Lj C-�� Sri-. Mailing Ad rc�ess: i�lo City: 6 State: WA Zip: 7ej'G9 City: State;-v-,A Zip: Phone: Fax; Phone; _76V�� .. Fax; License#I Exp, License#I Exp 3' {" ( �_ . ( g Item Unit Charae tV Total(Qty Multiplied by Unit Charge) Service/Feeder 2C0 Amp $132.00 $ Service/Feeder 2C1-400 Amp, $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288,00 $ ServicelFeeder over 1000 Amp. $4100 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74,00 $ 4C7 Each Additional Branch Circuit $ 5,00 $ Branch Circuits 1-4 $ 86.00 $ Temp Service/Feeder 200 Amp. $102.00 $ Temp Service/Feeder 201-400 Amp, $121,00 $ Tomp,Service/Feeder 401-600 Amp, $ 164.00 $ Temp.Service/Feeder 601-1000 Amp $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88,00 $ Signal Circuit!Limited Energy—Multi-Family $ 64.00 $ Signal Circuit)Limited Energy I First 1500 sf—Commercial $ 96.00 $ Note; $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note;$5,00 for each additional T-Scat $ 77'o O Total Owner as defined by RCW.19.28.261:(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 or lease, Permit expires after six months of Last inspection, After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation 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 utility Specifications and PAMC 14,05,050 regarding E#ectrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ cash ❑ Check 5K Credit Card# " � 0 I�l`~/`/� i 12 X °' bated: a1tot ELECTRICAL PERMIT ` CITY OF PORT ANGELES 360-417-4735 «_ Application Number . . . . . 14-00000447 Date 4/14/14 Application pin number , . , 242963 Property Address , . . , , , 130 s LINCOLN ST REPORT SALES TAX ASSESSOR PARCEL, NUMBER; OS-30-00-5-1-3165-0000- Application type descriptign ELECTRICAL ONLY on your excise tax form Subdivisicn Name to the city of Port Angeles Property Use , , . , , . , . Property Zoning . . . , . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . , 0 ---------------------------------------------------------------------------- Application dose electrical repairs Owner Contractor G M LAURIDSEN CHARITY TRUST GENTECH NORTHWEST LLC C/O DOUG HOLST PO 80X. 2195 636 GEORGIANA SEQUIM WA 98382 PORT ANGELES WA 9$362 (360) 808-6188 ` (360) 452-2802 v� ---------------------------------------------------------------------------- Permit , , , ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee , . , . 79,00 Plan Check Fee 00 Issue Date 4/14/14 Valuation , . . . 0 Expiration Date 10/11/14 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL-COMM BRANCH CTR WO/ S/F 74,00 1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5:00 Fee summary Charged paid Credited Due ----------------- ----- --- _- ---------- ---------- ---------- Permit Fee Total 79,00 79.00 .00 .00 Plan Checic Total 00 .40 .00 Grand Total 79,40 79.00 .00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGRBUILDING PREPARED 8/25/10 8 25 43 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/25/10 ADDRESS 130 S LINCOLN ST SUBDIV TENANT NBR PEAKS PUB CONTRACTOR ANGELES HEATING INC PHONE (360) 457 0111 OWNER G M LAURIDSEN CHARITY TRUST PHONE (360) 452 2802 PARCEL 06 30 00 5 1 3185 0000 APPL NUMBER 10 00000864 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 JLL MECHANICAL FINAL TIME 01 00 August 24 2010 10 50 04 AM 1pangrle ROBERT 457 0111 MECHANICAL FINAL HEAT PUMP AT PEAKS PUB AFTERNOON TS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Feeder for heat pump Owner G M LAURIDSEN CHARITY TRUST C/O DOUG HOLST 636 GEORGIANA PORT ANGELES (360) 452 2802 WA 98362 Permit Additional desc Permit pin number 171876 Permit Fee 175 90 Issue Date 8/23/10 Expiration Date 2/19/11 10 00000898 085794 130 S LINCOLN ST 06 30 00 5 1 3185 0000 ELECTRICAL ONLY Contractor ELECTRICAL ALTER COMMERCIAL Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER 1 00 56 0000 ECH EL LVT THERMOSTAT Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Charged Paid Credited DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 8/23/10 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 q CitiOre) Plan Check Fee Valuation 175 90 175 90 00 00 00 00 175 90 175 90 00 .01741 o RESULTS 0 0 0 Extension 119 90 56 00 Due 00 00 00 INSPECTOR. Date: REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 2010 -08 -20 10:37 NORTH PENINSULA ELEC City of Port Angeles Permit Application Building DivisionlElectrtcal Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (380)417.47355� Fax: r (360) 4174711 Date: 1 2 Single Family Dwelling Multi•Family or Commercial' Commercial Addition Alteration I Remodel Repair' Plan Review May Be Requil Cowlete ectli al Plan Re Information Sheet Job Address 7) t C i Building Square Footage: Description of above Owner Information Name: Mailing Address: City Phone: License 1 Exp Unit Charoe 11990 145.50 204.60 f 262.20 372.50 2.60 73.50 2.60 92.70 S 110.30 148.70 $167.90 95.90 88.20 95 90 63.90 63.90 $119.90 $102.30 $110.30 35.20 73 50 $110 30 56.00 Slate: Zip: Fax: glY Check Date:i aL9xl.s ha Li S_ 3609289409 ter 51 1 2 2 9,t9 ELECTRICAL INSPECTIONS Contracto f rrnalion Name.r�) rtC..( r 1c--- Mailing A 5: -r -.4, 1.. lo K___. City r State: Zip L Phone 1 1 c"-1 Fax: GO 11 j q License Exp. 1 360 417 4711 f m IBS cuLb tL_ 1 /lI (Qty Multiplied by Unit Char:e1. i ervicelFeeder 200 Amp. Service/Feeder 201 -400 Amp. Service /Feeder 401.600 Amp Service/Feeder 601 -1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp Temp Service/Feeder 201 -400 Amp ,_-Temp Service/Feeder 401 -600 Amp. S___ Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal CircuiU Limited Energy Commercial. Additional 1500 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit! Limited Energy Multi-Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Detached Garage Each r Pool or Tub -TPr l Owner is defined by RCW.19.28.261: (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 or lease, Permit expires after six months or list Inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I em making the electrical installation or alteration In compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications, Signature of owner electrical contractor or electrical administrator fl Cash io IC Credlt Card 4 5 E- 1 P 1/1 Date Application Number 10 00000864 Application pin number 891200 Property Address 130 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3185 0000 Tenant nbr name PEAKS PUB Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 5000 Application desc REPLACE HEAT PUMP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor G M LAURIDSEN CHARITY TRUST C/O DOUG HOLST 636 GEORGIANA PORT ANGELES (360) 452 2802 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Print Name T:Forms /Building Division /Building Permit WA 98362 Qty Unit Charge Per 1 00 Fee summary Charged Permit Fee Total 64 80 Plan Check Total 00 Grand Total 64 80 ANGELES HEATING INC 2114 W 8TH ST PORT ANGELES (360) 457 0111 MECHANICAL PERMIT REPLACE HEAT PUMP 171462 64 80 Plan Check Fee 00 8/17/10 Valuation 0 2/13/11 BASE FEE 14 8000 EA ME FURN /HP /FAU OR 5 TON Paid Credited 64 80 00 64 80 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 00 00 00 Date 8/17/10 WA 98363 Signature of Contractor or Authorized Agent Extension 50 00 14 80 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit Accepted By Comments FINAL Date Accepted by 113. FINAL FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 6 1_00e,r ?ex Couvr webs Laur dLsek, Choo -I+cjl rus C/v Doug Hoist- 635 Geer i ar, 4. PA, m vPO" BUILDING PERMIT APPLICATION Print in ink y'836 2 CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 1Arc Phone Property Owner PEA.,e Rizek,J 224 Phone Property Owner's Address 3 .4 ,��r o Contractor Contractor's Addres License Expires E -mail PROJECT ADDRESS I.3 d s Parcel Number 0630 6051 3 I g5 Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof .Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other r c /-lea-d t- Phone 4 i 7 (1 /J/ G--19-''V S �P1M c T House garage other tear off re -roof lay over one layer )(Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Residential Multi- family mmercial Industrial b Lai a— mm.,,- -p LAAA p 4- n !P fn Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Lot For City Use Only Date Receiv_ed `B-17-`1. Permit# I sie j Date Approved 36o 4'6*() 3 f 1>eo-\S Pb v Zoning per sq ft. TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths 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 rk" on projects. Date g' 11' 1V Print Name le"- Pcfr Signature `[Z' T.Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 61578 G M LAURIDSEN CH Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 61578 G M LAURIDSEN CHARITY TRUST for Year 2010 2011 Property Account Property ID Geographic ID 0630005131850000 Type Real Tax Area: 0010 Open Space N Historic Property' N Multi Family Redevelopment: N Township Range Location Address: 120 S LINCOLN ST PORT ANGELES WA Neighborhood Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Property Tax Information as of 08/17/2010 Amount Due if Paid on. M. 61578 Legal Description SMITH, NORMAN R E32 LT 17 &ALL LT 18 BL 31 PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Cycle 5 Comm 20953140 G M LAURIDSEN CHARITY TRUST Owner ID C/O DOUG HOLST Ownership 635 GEORGIANA PORT ANGELES WA 98362 Year Statement ID Taxing Jurisdiction 2010 44281 ST SCH STATE SCHOOL 2010 44281 CC -GEN COUNTY 2010 44281 PORT PORT 2010 44281 PORT ANG PORT ANGELES 2010 44281 SD #121 SCHOOL DISTRICT #121 2010 44281 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 44281 HOSP #2 HOSPITAL #2 2010 44281 WSMET PK DIST WILLIAM SHORE MET PARK 2010 44281 CITY_STORMWATER CITY STORMWATER 2010 44281 WEED CONTROL WEED CONTROL 2010 44281 TOTAL. 2009 615782008 ST SCH STATE SCHOOL 2009 615782008 CC -GEN COUNTY 2009 615782008 PORT PORT 2009 615782008 PORT ANG PORT ANGELES 2009 615782008 SD #121 SCHOOL DISTRICT #121 2009 615782008 NTH OLY LIB NORTH OLYMPIC LIBRARY Agent Code. Section. Mapsco Map ID Exemptions: First Half Base Due $223 41 $118 89 $16 71 $275.27 $289 37 $34 54 $48.77 DIST $15 52 $75 00 $0 82 $1098.30 $260 73 $131 97 $18 69 $289 43 $322 43 $38 34 74 N N 2 25800 100 0000000000% Second Half Base Due $223 41 $118 88 $16 71 $275.27 $289 38 $34 55 $48 77 $15 52 $75 00 $0 81 $1098.30 $260 72 $131 94 $18 69 $289 40 $322.42 $38 34 Penalty Interest $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 Base $22 $11 $1 $27 $2E $c $4 $1 $7 $10f $52 $2E $57 $64 $7 http. /vpn.clallam.net• 8084 propertyaccess /Property.aspx"cid =0 &year= 2010 &prop_id =61 8/17/2010 DAT /0 OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT U INSPECTOR a C- 4- i* ADDRESS _5 S LIJ L Y)LLL APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: gic9 D Z 14 b or Au, I�TAr C PI n.1 2 n) �1 r n.14, I■ Yom. G 746 t6 L) 4Nel'f Pr L- i.[ 472 )<t-i613 (W tTh4i is i4itt) C�� frz 12 As U 1.1* r� fi CAT tog °'t o to w1RC_ 2 c qt,g 230 CGS 14124-A NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 2jSc vlgt,]) Application Number 10 00000548 Application pin number 851212 Property Address 130 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3185 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc OLY EL 200A MTR PACK +FEEDERS Owner G M LAURIDSEN CHARITY TRUST C/O KENNETH DOOLEY PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per 2 00 119 9000 ECH EL 0 Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Contractor OLYMPIC ELECTRIC CO INC 4230 TUMWATER PORT ANGELES (360) 45 5303 ELECTRICAL ALTER COMMERCIAL OLY EL 200A MTR PAC FEED 166785 OLYMPIC ELECTRIC CO INC 239 80 Plan Check Fee 6/02/10 Valuation 11/29/10 200 SRV FEEDER Charged Paid Credited 239 80 239 80 00 00 239 80 239 80 DATE 00 00 00 Date 6/02/10 WA 98363 Extension 239 80 Due 00 00 00 RESULTS Signature of owner or Electrical Contractor X Date 00 0 INSPECTOR. v I 211 0 414 4A7 9:/I1V 06/02/2010 07 58 FAX 360 452 3498 City of Port Angeles Permit Application Building Divlsion/Eleclrlcal Inspections 321 Ent Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph; (360) 417«4735 Fax; (380) 417.4711 Date: G /1 ✓/G Owner Inf rmelon r Name: i.!i Name: Olympic Electric Co PP CITY INSPECT 1 001 /001 1 2 Single Family Dwelling Multl•Fbmlly or Commercial' �Commerciai Addition I Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet 7 Job Address; 7/7 S t Building Square Footage; Description of above gr -,7 �r r��i�r e J,/ 2 2 77 2 y Contractor Informet Mailing Address: Malting d s /74,-re" City',A -fv State: Z/7 Zip: /7Z Clty; r9.4..... _State: Zip. drf.4 3' Phone: Y 7 tc i Fax: Phone :41,7' 4 i e Fax: License I Exp, License Unit Chem 5119.90 $146,50 204.60 S 262.20 372.50 S 2.60 73,50 2.60 92.70 $110.30 148.70 S 167.90 5 95,90 S 88.20 95.90 63,90 63.90 119.90 S 102.30 $110,30 35,20 73.50 110,30 S 56,00 4-a,3% 50 Owner as defined by RCW,19.28.261 (1) Owner will occupy the structure for two years alter this electrical permit Is finalized, (2) Owner Is required to hire an electrical contractor If above acid property is lot Sala, rent or lease. Permit expires after six months of last Inspection. After reading the ebovo statement, I hereby certify that I am the owner of Inc above named property or a licensed electrical contractor. I am making the electrical Inetallalfon or alteration In compliance with the electrical laws, N,E.C. RCW, Chapter 19.20, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature or owner, electrical contractor or electrical administrator Cash gLy Total (Ctv by Unit Chanel S e' ServIce/Feeder 200 Amp, Service/Feeder 201 -400 Amp. S Service/Feeder 401 -600 Amp Service /Feeder 601.1000 Amp, Service /Feeder over 1000 Amp, S Branch Circuit WI Service Feeder S Branch Circuit WI0 Service Feeder Each Additional Branch Circuit S Temp. Service/ Feeder 200 Amp. S Temp. Service/Feeder 201-400 Amp S Temp, Service /Feeder 401 -600 Amp, Temp, Service /Feeder 801.1000 Amp. Portal to Portal Hourly S Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial. Addldonai 1500 $5.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Clrcult/ Limited Energy Multi- Family Dwelling' E_ Manufactured Home Connection S Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage 5 Each Swimming Pool or Hot Tub Thermostat 7 Ffi r� Total Check 5 4 4 2 IIG Credh Card i'Ukr q DAT1 'f Zb /r a OWNER/CONTRACTOR Cr1"1 LOrRP SO ADDRESS I3 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT Rg-Q �,ZL7 T� 01)06 tko r4 (2Lp-4 APPROVED 8'2 z /r ra >J DITCH ROUGH IN /COVER SERVICE FINAL INSPECTOR NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 N OT APPROVED 7 CORRECTIONS NEEDED' V'? DKr AT E- S 1Z P-1 AKW.- Gt Qt2, wscfrLOKS iD L CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000546 Application pin number 035984 Property Address 130 S LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3185 0000 Tenant nbr name EDWARD SMITH Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 1000 Owner Contractor G M LAURIDSEN CHARITY TRUST FERRELLGAS LP C/O KENNETH DOOLEY ONE LIBERTY PLAZA PORT ANGELES WA 98362 LIBERTY (360) 683 9029 Structure Information 000 000 Construction Type TYPE II NON RATED Occupancy Type BUSINESS OFF /PRO /MED /REST Signature of Contractor or Authorized Agent T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Date 5/25/06 MO 64068 Permit MECHANICAL PERMIT Additional desc Permit pin number 78329 Permit Fee 71 30 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 11/21/06 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 71 30 71 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 75 80 75 80 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. Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 4174653 1 PLANNING DEPT 417 -4750 BUILDING 417 -4815 ono is h, ;irnno nermit incoection 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 YES 1 NO 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL DATE ACCEPTED BY: 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 417 -4735 ELECTRICAL LIGHT DEPT 0 --7)-100 FINAL SEPA. ESA. SHORELINE: CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT I PLANNING DEPT. 1 BUILDING DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 1 1 1 1 1 1 I 1 I Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have anv questions. call PERMITS (360) 417-4815 FAZ(360)417 -4711 Applicant or Agent. 6 u R tLoL 5 4n1 ft•I-N Owner PesXS P.6 Address: 3 5 LgAicoLA Arclaitect/En gmeer Contractor Fee u L 5 s Address 9 tA.6 City PROJECT ADDRESS 3 0 6 L4 AI Cold LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. State License TYPE OF WORK. Residential New Constr Re roof Stove Multi- family Addition Move❑ Garage "'Commercial Remodel Demolition Deck pRepair Sign Other BRIEF DESCRIPTION OF THE PROJECT BUILDING PERMIT APPLICATION No. of Stones Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone. 1 ISa 3 q3y nn Phone. L,lsa— as-0 Clt� �l"oeeT 44 4I LC S Zip 9,9 3 V Subdivision. Occupant Load. R. Proposed Sq Ft. Phone. Exp Date Issued: Phone: Zip ZONING ST7,F/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION FeFCd C ec WA-1w_ r X74 f O R ,12- f FozN K-., AN b r COMMERC Occupancy Group Construction Type TOTAL Sq Et. D ate: S c* S FOR OFFICIAL S ONLY Date 7 ec. Permit Dat., Appro 25 APPROVALS PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit apphcation and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building /Residential Code, 2003). No application can be extended more than once. l hereby certify that l have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work I y TAFORMS\BIdgPermitform.wpd Apphcant: X 'JS 1 [L1lli1GJJ IlVL VV aLGI rtuaLGI 11VJt.1 r1ljuciouaL 111J LGtlll lJll 1JG111CL11LL 11upGLL1G Ll VL 1VaLtua1 .Ja3 11. Tankless Water Heaters from HouseNeeds.com Gas Water Heaters Pio Aqua Star 250SX III AquaStar 250SXO 11 AquaStar 38B Aquastar Repair Parts IP Takagi Electric Water Heaters (M" Ariston Steibel Eltron IP PowerStream lw PowerStar PP What Size? IP' Bosch Features Warranty Info AquaStar FAQ's State Incentives! DOE's Study IP Energy Guide 0, Troubleshooting Bulletins pp National Listings/ Approvals Other Products from HouseNeeds.com I► Water Heaters Radiant Heat IP Gas Space Heaters Electric Heaters Boilers I► Heating Supplies Plumbing Supplies IM' Radiators PO Ventilation IP Bath Kitchen HouseNeeds com Bosch AquaStar Tankless Water Heaters Models 125FX, 125HX, 125BS (Solar), 125B, 125BL fueled by either Natural Gas or LP Aqua Star Model 125 HX Robert Bosch Inc. developed the 125HX patented hydro generated ignition system that requires no standing pilot, electricity or batteries. The Aquastar 125HX is the first tankless natural gas water heater to use this technology for pilot ignition Hydro generated ignition works much like the giant turbines in a hydroelectric dam using the flow of water to generate electricity When a hot water tap is opened, cold water flows through the 125HX's hydro generator The flowing water spins a tiny turbine which in turn, instantly produces electricity This electricity creates the spark required to light the burners and the water is then heated as it passes through a copper heat exchanger Choose the 125HX in either LP water heater or natural gas water heater This hydro generated technology produces multiple important benefits: Eliminates the need for any additional energy source. Only flowing water and gas are required Uses energy only when you call for hot water 82% efficiency Eliminates worries about dead batteries and the need to constantly change batteries Simplifies installation dramatically by eliminating the need for an electrical connection YOUR COST $599 00 Bosch AquaStar instantaneous gas tankless hot water heaters are the finest hot water heaters available Choose either an on demand propane water heater or natural gas water heater in five different models to fill almost any need or single use application For larger requirements click here Endless Hot Water for 1 major application at a time altar Bathtub Shower Washing Machine Fill times for larger tubs and Jacuzzi tubs may be longer 1 ag'G 1 t.31 -r http. /www.houseneeds.com/ shop HeatmgProducts /WaterHeatmg /AquaStarl /AquaStar 125.htm 05/24/2006 RE fi VUJ 1L1.1111.1VJJ 1LW L ♦t (LI.V1 1 1VUlVl LVJVl i jUGLY IGLI 111■LG11 Vl L V111(111U 1 WIJGLIIV L1 Vl 1 GLLLLL ELI VGLJ J. 1 Q6,1.. L 1)1 'I' IP Solar Misc Secure Server Encr)ssed MEM $300 Tax Credit for the 125HX NG and LP Click Here Specifications Technical Information about installing this product Install Manual Standard Application Multi Unit High Volume Application Power Venting a 125HX Tankless Water Heater Bosch AquaStar Model 125 FX Built by Bosch the Aqua Star 125 FX is the same great heater as the 125HX but with a built in power vent. This model uses a standard plug for the power vent and electronic ignition. If you need an AquaStar and want to vent out through a side wall then this is the heater for you! And just like the 125HX the 125FX uses no energy when idle the 125FX has an energy factor of 80 the average storage tank heater has an energy factor of just 59 This instantaneous hot water tank is available in both gas tankless hot water heater and propane water heater Please Note: The Bosch Aquastar 125FX can only be vented horizontally so it must be vented through an outside wall and requires an outside terminator (vent hood) Also the 125FX should have a back flow preventer for areas where temperatures fall below 32 degrees. See the link below for the optional FXHOOD ZVent venting products will work with the AquaStar 125FX too (click here for this use your back button to return to this page) YOUR COST $725.00 Pricin $300 Tax Credit for the 125FX LP Only Click Here Specifications Technical Information about installing this product Install Manual Standard Application Exterior Venting and BackFlow Preventer Kit FXHOOD Multi Unit High Volume Application 125FX Repair Parts Non Warranty Only Aqua Star Model 125 B AquaStar Reconditioned 125FX on sale for $599.50 Special! The 125B is the right size model for most homes and is the ideal household water heater It offers the same high performance of the 125HX, but has a standing pilot. This on demand instantaneous hot water tank is available in both natural gas and propane http. /www.houseneeds.com/ shop /HeatingProducts/ WaterHeating /AquaStarl /AquaStar125.htm 05/24/2006 l...raS iamuess nu L W MCI imat.y." Loyou." (LP) YOUR COST $499.00 l) ~;;;;oo CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH S1REET. PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 2/19/97 Permit No: 5841 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ PEAK'S PUB 130 LINCOLN S 130 SO. LINCOLN Lot: 18 Port Angeles, WA 98362 Block: 31 Long Legal: 206/000-0000 Sub: NR SMITH T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC 1805 TUMWATER PORT ANGELES, WA 98362 360/457-5303 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: SERVICE REPAIR Occ Grp: Occ Load: Land Use: CSD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: o o o o Service Type X Riser Overhead Service Underground Service Temp Service Voltage: Diameter: Service Size: Feeder Size: 120,240 X-1 -3 . / 0 (jl AMPS o AMPS PROJECT KOTES-----------------------------------------------------------------__ REPLACE SERVICE WIRE PROJECT FEES ASSESSMENT--------------------------------------------_____________ Service: $55.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $55.00 $55.00 ================================= TOTAL FEE: $55.00 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 ACCEPrED COMMENTS YES I NO , UnCH 'uu-lN I c;z.//9/97 7a-i,i;1 , F , I I I , GENERAL COMMENTS: PW-Il02.15(olI96J . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. :;-<; 3':5 2.. /2- z.-!Y"t, DATE ELECTRICAL PERMIT Site Address: /30 SiJ. L,'''' (). > o READY FOR o WILL CALL FOR INSPECTION INSPECTION Installed By: ~ ~ I license Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW o RESIDENTIAL 1;;;1: COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS I2'f SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER 113" OVERHEAD SERVICE o UNDERGROUN SERVICE VOLTAGE:! 2- ~1!11 03 SERVICE SIZE I G'O FEEDER SIZE AMPS AMPS DetailslDescription: ,Rrf4cL fJ~ . 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. o Rough-in/cover O.K. ~ j10 O.K. to connect service o Final O.K. . Site Address/SO Lr~ ~ ~ New Meters DZ~L qt Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and OX for covering has been given by the electrical inspector in writing on either the Wiring Report or on the BUildi~t. PHONE 457-0411, EXT. 224. ...41' . ,/tf!.441 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ )'f ~ 0 Electrical Inspector Permit Fee Permit/Receipt No. 5<133 Installer: WHITE - File by address PINK - Top: Eng, Bollom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLyuprc PAINTERS INC . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. :? 02.9;/ / ~ -..:2? -;7 / DATE Site Ac;jdress: Installed By: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Sq. Ft. o New Construction ~ Remodel o Service update/alter/repair )! Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ Overhead o Underground Voltage o 10 030 Service size o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps Details/Description: cJj- ~~ ~ . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service rr- Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection .0 Plan Review approved/pending Permit/Receipt No. JC).ty Installer: New Meters Date: . .u-f/ Notify the Dep ment 01 City Light by Street Address and Permit Number when ready for Inspection. Work must not be co ered or electrically energized before inspection and O.K. for covering or service has been given by the Inspec r in Writing on the Wiring Report or the Building Permit. PHONE 457.04#,11 EXT.158 or EXT. 224. . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . -, dJO ~()- Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall l \ OLY.!!!'1C: PRINTERS. INC.