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Home My WebLink About112 Del Guzzi Dr #5B - Building S...,,~ ~.,- ~t~.:"':~.'.""-~"t j.:;.' ;;"~~,i.,::: ~. ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001477 Date 12/14/07 540924 112 DEL GUZZI DR 5B 06-30-12-3-4-9000-QOOO- ANYTIME FITNESS FIRE ALARM SYSTEM UNKNOWN 3000 Owner Contractor THE FRANKLIN CORPORATION 702 KENTUCKY ST. #381 BELLINGHAM WA 98225 (360) 733-7200 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452-9104 WA 98362 Permit FIRE ALARM SYSTEM Additional desc INSTALL FIRE ALARM SYSTEM Permit pin number 117531 Permit Fee 150.00 Plan Check Fee .00 Issue Date 12/14/07 Valuation 3000 Expiration Date 6/11/08 Qty Unit Charge Per Extension 1. 00 100.0000 ECH FIRE INSPECTION & TESTING 100.00 1. 00 50.0000 ECH FIRE ALARM PLAN REVIEW 50.00 Special Notes and Comments Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 72. . . Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 hh Ci h I") (eel c.......) <--0/ This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examine:! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whet er specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the prov' i~ns 1 any state or local law regulating the work specified in the perm it. / :.>1 4. Signature of Owner (if Owner is builder) Date _"._,._.,,::"'_.:~ ""_. ;-.._. .M'-';' FIRE PERMIT INSPECTION RECORD D ,..j I - Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate S. or conceal any work before inspected and accepted. Post permit in a conspicuous location. -J -J KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final \2-l1-o'l Kl) \) LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) perm it final Inspection Type I Date Passed I Comments -' - ~ t7 e. GJ c t'J ~ Q <) cf) ~ Lfl ~ ~. OJ OJ GENERAL COMMENTS: 2/15/00 I ~ l__ From: To: Date: Subject: Ken Dubuc Linda Pangrle 12/13/2007 5: 12 PM final Hi Linda - I hate to do this to you again, but... I have done the plan review and final for 07-1477, but I can't get the final into HTE. I did the actual inspection on 12.12.2007, but I didn't get to the plans unti/12.13.2007. (The installation matched the plans, so it was not a problem.) Thanks, Ken ~ Dl-\l-\11 PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Project Name: Anytime Fitness FA TI Address: 112 Del Guzzi - Olympic Plaza Ste SA and SB Plan # 07-13 I Installer: Straits Electric/Siemens I Date: 12.13.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: This system was installed by the time the plans were reviewed. The installation was tested and accepted on 12.12.2007. The following comments apply to all systems: 1. All systems shall be installed per NFP A 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. 3. Owner is responsible for all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ^~.Q:.!4a ~ BUild\ng Department Copy D Contractor/ Owner Copy D Fire Department Copy D Light Department Date: \Z. 1~,o7 BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City U~e: On,'f ^" Date Received~7 Permit# 01- t4i1 Date Approved Phone Phone ParceJ Number PROJECT ADDRESS Proiect Tvpe & Brief Description: Check all that apply o New Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign o Heat System o Other eS5 o Residential ~ommercial ft{Qr~ ( o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sa. ft.) Proposed (sa. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 8000~ 00 Total footprint of structures sq. ft. . 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 a a t 0 ized to apply for this permit and understand that it is my responsibi 'ty to determine what permits are required, a d t in permits prior to working on b":.{:~ Print Name s7te ri.ElceK.. Signature T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001300 Date 11/08/07 500000 112 DEL GUZZI DR 5B 06-30-12-3-4-9000-0000- ELECTRICAL ONLY UNKNOWN o Owner Contractor KT DEVELOPMENT, LLC. 510 LAKEWAY DR. BELLINGHAM WA 98225 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477-1764 Permit ELECTRICAL ALTER COMMERCIAL Additional desc NP EL 6 CIRCUTS Permit pin number 114900 Permit Fee 63.00 Plan Check Fee Issue Date 11/08/07 Valuation Expiration Date 5/06/08 .00 o Qty 1. 00 1. 00 Unit Charge Per 58.0000 ECH 5.0000 ECH Extension 58.00 5.00 EL-COMM ALT <5 CIRCUITS EL-COMM ALT-ADDTNL CIRCUITS Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 \ -- ....- ~ -0 \.) ,.;-- o c ~ _." o ~ ~ 0"'\ Q:5 SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: IL f1/?J/Ol ~V w of pORT ~ Ii ~~~ ~ ~-- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001247 Date 11/13/07 572900 112 DEL GUZZI DR 5B 06-30-12-3-4-9000-0000- ANYTIME FITNESS SIGNS UNKNOWN 4800 Owner Contractor KT DEVELOPMENT, LLC. 510 LAKEWAY DR. BELLINGHAM WA 98225 SIGNS PLUS INC 1330 N. FOREST ST BELLINGHAM (360) 671-7165 WA 98225 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN 20 SF BLDG-MNTD ILLUM SIGN 114140 47.00 Plan Check Fee 11/13/07 Valuation 5/11/08 .00 4800 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LESS THAN 25 SF Extension 47.00 Special Notes and Comments November 6, 2007 3:52:30 PM sroberds. The proposal will result in a new building mounted sign multi tenant center. No land use issues anticipated. in a Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 ~ / / /-;cel.:, ./1 'hC7 (....0 ;> 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 constr ction. r-: J} .J 1 '- ~r. "1 "- Print Name r or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (I 0/0 I I07).wpd BUILDING PERMIT INSPECTION RECORD o ,.J CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ -J INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / 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. 4 17-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING il- -.z::.:i\1 I :1u... - - f'J o ~ G> c \'J ('J - (7 ") # ~ T: Forms/Building Division/Building Permit (I % 1/07). wpd .~ <.....s: V):t -.J ~(U .5 1:' ~ tf> \~ ....e- ....0 , \D .... , .... .... f>lf>l ClE-< ..;..; ll.Cl lil \D .... e- , .... '" e- .... \D ~ rn <l Ul 0 f1l Ul \D 0. f>l >< , M .... Z ..:1 , E-< ~ , H f>l , .. ~ r.. H , :> ..:1 , H f>lf>l f>l E-< , Cl ZZ .,. ;:;: Ul f>lUl , gJ 00 .... H f>l :':f>l , :I::I: E-o E-o ~~ , CJl "'''' en >< 0 , lil 3 Z E-<'"J , , co ~ Z , O~ , e- Z HO , Ul 0 Cl E-oE-o , E-o 0 H Ul UU , Z NOUl E-o f>lf>l , f>l 0 Z ll.ll. , z~ -N , f>l UlUl , \DM ;:;: ~~ , 00 ..:1.... 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E-< III Designed exclusively for: ANYTIME FITNESS - OLYMPIC PLAZA The colors shown in this design are only a representation of the actual colors to be used. 117 V:e' 1"; ;1' [,1 ld 0 8'-5" ~~J e 0. 0. -..: One (1) 2'-41/4" x 8'-5" Single sided internally illuminated sign box Routed out face and backed by White acrylic w/ 3M Translucent Plum Purple (3630-128) vinyl graphics Sign cabinet painted Black @ 2007 SignsPlus This artwork is '''e pr-operty of SignsPlus and is profected under state and federcl copyright lows. Any uses of this crtwork other than dired business with SignsPIus witf10ut written permission sholl constitute )'Our ogreemen1 to purchase 1his orfwof'k, and the design proposed. Shored/Projects/Anytime Fitness/CDR/Anytime l.cdr ~. 3 It L "&L{ jJr-J ~Z> ~ 0 (;) S &.... Applicant or Agent -J11 y Ke y ~ Owner If Owner's Address :J:l-"( -r "1'-,",- Contractor/Engineer s;:~. Vl (C/S, - -S,' Contractor/Engineer's Address I ~ ) 0 License # !S::r: Q, A.J (P:C7S:,;).. LtJ BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 I {~ For City Use Only: Date Received IO-7~cO-O-' rmit# ~~ ate Approved ~d7 8-08 OoS'~ ') (6 \ j;)e..( c. cJ 7'7 ; ~ ('v-L Parcel Number PROJECT ADDRESS Zoning Proiect Tvpe & Brief Description: Check all that apply ~New Construction o Addition o Remodel o Repair oRe-roof o Demolition XS~fkjf-, o Heat System o Other Lot o Residential o Multi-family o Industrial o projecting 0 freestanding 0 awning T tal si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas S~ '1,.) Existinq (sq. ft.) Proposed (Sq. ft.) Basement ;)-0 5'" R ~J ( '? @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ ~ ~o 0 Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? sq. ft. Lot size sq. ft. = Lot coverage % ft. Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. ...,-- G.> ~ Date / vi') ,;1 07 Print Name J M\ 1)(l~ Jrt-i Signatur T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc tI i)' - ~~ ,. w..~ ~ 'l.tii:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001033 Date 313516 112 DEL GUZZI DR 5B 06-30-12-3-4-9000-0000- ANYTIME FITNESS COMM MECHANICAL PERMIT 9/19/07 UNKNOWN 19400 Owner Contractor KT DEVELOPMENT, LLC. 510 LAKEWAY DR. BELLINGHAM WA 98225 (360) 752-4299 ANDGAR CORPORATION PO BOX 2708 FERNDALE WA 98248 (360) 366-9900 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT DUCT DISTRIBUTION-TENANT IMPVT 110551 68.20 plan Check Fee 9/19/07 Valuation 3/17/08 .00 o Qty Unit Charge Per Extension 50.00 18.20 .00 BASE FEE 1.00 18.2000 ECH ME-INSTALL 100+ FAU .00 13.7000 ECH ME-REPAIR/ALTER/ADD APPL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.20 68.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.20 68.20 .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. /?j'~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPoliciesIII02_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD o ,...j , CALL 4] 7-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 17-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANJ' WOFJ( BEFORE -0 INSPECTED AIVIJ ACCEPTED. POST PERMIT IN A CONSPJCUOUSLOCATlON. vJ KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. \N INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS I WALLS FOUNDA TJON DRAINAGE I DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-rN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILrNG FRAMING - - JOISTS I GIRDERS ~ SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING ~ DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION C SLAB N WALL I FLOOR I CEILING ~ MECHANICAL ROUGH-rN ;\ HEATPUMY/FURJNACE/DUCTS '-' GAS LINE FrNAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CHlMNEY C ~ MANUFACTURED HOMES FOOTING / SLAB BLOCYJNG & HOLD DOWNS SKJRTING /'LANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: oh FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 1 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED 'J;> YES NO C ~ ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL r.. LIGHT DEPT ~'c CONSTRUCTION R.W. I PW/ CONSTRUCTION - R.W. 'eo\" ENGINEERJNG 417-4807 PW I ENGINEERJNG fiRE 417-4653 I FIRE DEPT. J}E PLANNING DEPT. 417-4750 , PLANNING DEPT. ~o :1- BU1LDING 417-4815 Ir.JJ '11 . If' J BUILDING ~"" T:\Po1icies\ll02 15 building permit inspection record05.wp [1/41005J IV I J - - - ---- Cl -- GJ 'C7 \J) cr- V\ v ,.. '- ~ ANDGARTM ~c 0 r par a t ion COMMERCIAL MECHANICAL Heating & Air-Conditioning design, sales & installation preventative maintenance service & repair REFRIGERATION FOOD SERVICE EQUIPMENT ARCHITECTURAL METALS flashing metal roofing METAL FABRICATION structural specialty fabrication stainless steel 6920 Salashan Pkwy, A-102 P.O. Box 2708 Ferndale WA 98248 Office: 360.366.9900 Fax: 360.366.5800 corporate@andgar.com www.andgar.com Transmittal Date: 9/4/2007 From: To: Linda Pangrle Phone: 360-366-9900 Company: City of Port Angeles Fax: Re: Anytime Fitness Mechanical Permit Message: Linda, Krista VanMersbergen 360-366-5800 Here is the building permit application for the Anytime Fitness TI in Space 5 of the Olympic Plaza (112 Del Guzzi Drive) jobsite. We are installing TI ductwork. Give me a call at (360) 366-9900 ext 169 to discuss payment when you get a chance. Thanks for all your help! ~ lo cc>1-6 Krista VanMersbergen Project Coordinator Assistant (360) 366-9900 ext 169 / kristav@andgar.com H:\Comrnencal Mechanical\Correspondence Forms\General Fax Cover - Krista.doc f\~ ~eJ\'(Y'v\~ -, jOb ~ l\'(\'i~\ffie ~ \ tf)e~ fOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION \. ~~ ~:::.:o~~ - \O~~Ol Fill out COMPLETELY aod in INK. Y oor appli<alion and Ii'" plan MUST J" i" n, A"""""", <J C zj;, COMPLETE to be accepted for review. If you have any questions, caU~1 . I PERMITS (360) 417-4815 FAX(360)417-4711 /. ate Issued: Fo.)C. '. (bLeo lP - I;S~(x:) ~S~ ~ i Applicant or Agent:j\~6bo., CD<- \)()\o.~D(\ Phone: (t:ud ~~ ~ o..<\(:jJ Owner: ~\ be-'\! e.. 'CYI?\<"\e.f\\ Phone: (~ ,'::>1- - 1..\1.<1<1 Address:~\O LO.~'NO-,\ ~'(\\}e.. City: ~e..\\\i\~OCY'\ Zip: <4~1...L~ ArchitectJEngineer: \"\o.v c..,lAS ~ ~O\\f\~ 1\\(\ (\n.~~C(:tcs Phone: (~ \~-L\LP~L.o Contractor \\r\6~\(\r (JJv ~O( U1 \CY\State License #: P\~~\C\ \01.. Exp;1-\ \ '6<1 PhoneM~ Address: \>0 ~BJ.. L\O<6 City: fev-nOo'\e. Zip: C\~LY~ PROJECT ADDRESS: \ \ L be..,\ GULL.., t>v \\.Ie. Su..,,(:. s:s ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: aLP'.~' \'2 - ~-l..\- C\DC:O . CXXJO TYPE OF WORK: (\e.~" '(n~~D-.tCMe.i\~ SIZEN ALUATION: D Residential )f New Constr. D Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ ..,. Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign D Other TOTAL V ALUAT,lON $ \C\ .~ <e BRIEF DESCRIPTION OF THE PROJECT: ~u.c....~ C\'S.'Ho, "Ou~\a~ ~ l\'<"\'lh\\'\t>. ~\~\('\es~ . \1. COMMERCIAURESIDENTIAL: Occupancy Group:_ _ Occupant Load: _ _ Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Totti lot coverage 010 PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): DYes D No SEP A Checklist required? DYes D No Other: 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 application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno 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 Rl05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. f hereby cerlify that I have read and examined this application and know the same to be troe 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. APPlicant~~~~ Date: <; -l\ -0\ T:\FORMS\BldgPermitAppI.. wpd w o .-J 1 oQ ~ ~ ~ion th~ requirements of Section 110 of the 200@(nternational Building Code lSistructure was in com /iance with the various ordinances of the City ~?\"~~~?:;"'~%:t~"'1,',\l>,'!\'~~\". '., e: . . owm: 11-06-07 Date a I not be removed except by the Building Official. ,.~. -- - (Y\C\\\~ \Z,'\l-01 \"> o ~ ,.-- GJ c ~ -- \:7 ,,1 * ... \' \.\1 V? "OJ~ ~ ~ORr ~ a~O~~~ r'St lL ~ ~ 'l.iii:<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ... Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner KT DEVELOPMENT, LLC. 510 LAKEWAY DR. BELLINGHAM Structure Information Construction Type Occupancy Type Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000892 Date 8/22/07 805320 112 DEL GUZZI DR 5B 06-30-12-3-4-9000-0000- 360-808-0052 / JAY BRYAN COMM REMODEL UNKNOWN 90000 Contractor 000 FRANKLIN CORPORATION, THE 177 TELEGRAPH RD #381 BELLINGHAM, WA BELLINGHAM (360) 733-7200 000 TENANT IMPRVMNT - ANYTIME FITNESS TYPE V NON-RATED ASSEMBLY <300 W/O STAGE NUMBER OF UNITS WA 98225 WA 98226 1. 00 BUILDING PERMIT - COMMERCIAL TENANT IMPROVEMENT 108076 950.25 Plan Check Fee 8/22/07 Valuation 2/18/08 617.66 90000 Qty Unit Charge Per Extension 670.25 280.00 BASE FEE 40.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date CHANGE OF OCCUP/USE C OF 0 - ANYTIME FTNSS 108209 25.00 Plan Check Fee 8/22/07 Valuation 2/18/08 .00 o Qty Unit Charge Per permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 25.00 MECHANICAL PERMIT DOESN'T INCLUDE HVAC 108670 71.75 Plan Check Fee 8/22/07 Valuation 2/18/08 .00 o /i1 /7.. /. C(~~~ 1'6" -q ....... 0> Qty Unit Charge Per Extension 50.00 21.75 BASE FEE 3.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee PLUMBING PERMIT 108662 156.00 Plan Check Fee . . .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 const~on. ontractor or Authorized Agent r - d). '0 '7 Date Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building penni! inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. t CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' l.fOrtE BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. *' KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TJON DRAINAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.\ PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING 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 ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL . LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4] 7-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102 15 building pennit inspection record05.wpd [1/4/2005] ~ ~ORr ~ 8.J.o~~~ ~,. .-..- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Issue Date Expiration Date 07-00000892 805320 8/22/07 Valuation 2/18/08 Page Date 2 8/22/07 o Qty Unit Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER 2.00 7.0000 ECH PL- EA.WATER HEATER Extension 50.00 70.00 7.00 15.00 14.00 Special Notes and Comments A minimum 2A-10BC fire exinguisher is required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent to an exit. Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 72. 08/07/2007 06:24 PM SROBERDS --Parking for the fitness center is calculated at 12 spaces: 2 for each station and 2 employees. Site parking for the center is 43 spaces. Current development leves 21 spaces available. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1203.00 1203.00 .00 .00 Plan Check Total 617.66 617.66 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1825.16 1825.16 .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:\PoliciesIlI02_15 building permit inspection record05.wpd [114/2005] 3 CALL 41'7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. · \ CALL 417-4807 FOR PUBLIC WORKS UTILITIES c:IJ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE ,sJ IlVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA T10N. · ~ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDA T10N DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB 9 Db 01 :rLL- ~ ROUGH-TN 'qr /q' (0, :fL.-v ~ ,,- {,-O'[ J"LL WATER LINE (METER TO BLDG) GAS LINE FINAL J It -2f>-01DATE JiA.. ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING 911({ IOl ~u...-- JOISTS / GIRDERS T I SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (rNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING . MECHANICAL ROUGH-IN HEATPUMY I FURNACE I DUCTS GAS LINE FINAL 1\- CO -07 DATE -;rLL- ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTING ~ PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - RW. ENGINEERlNG 417-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. ~ \I-t.,-o1. :TL.l.- co BUILDING 417-4815 BUILDING ...--. f:i rcJ ~ - G") C ~ ('l v """) ~ 0\ (}) ~ ;;;J <->.- ~~ '~ ~ $ T:\Policies\1102 15 building penn it mspectlOn record05.wpd [1/4/2005] 7?0 o ::; 90-' ~ ,,- MI' o ...... \D o ...... .... .... ~~ ClE-< .0:.0: "-0 o o N I' , M M I' >< ..:l 0: ~ H ..:l E-< ~en :><:~ 8~ E-<.., Z .. 00: HO E-<E-< UU ~~ "-"- enen ZZ H H o \D M ~ H o gJ ,en ~~ ZZ 00 :c:c "-"- \D "' "' o .... ....en ~ -..:l I'~ oCl ~~ o ......E-< ....0: ....0 "- P ~'" ~O "->< ~E-< O:H "-U ~ ~ ~ ,t;j >< Op 0: 00 III Z .0 lE: III OUO~ ll'I)-I H t-l . ~ .o:E-<..:lO gj"'~ .g~ ........OE-4mQ H 0., Z I U NN~Woqt Nl.IlO:EIN :Jouo"Mm 00010) IZ~NO ...:lcoHMr-to ~~~~~~ '~OMO NO I I .-i\O f-i\Dl""- .-iM~;::'::oa 0: . III 0: ZO E-< .~ en - u enE-<~ ..:l g]~E-<gJtJ..:l 01J~?i~g; ~E-<UO"-.o: 0: .~ III l>l ..:l 0: Cl ~ "- ..:l >< ..:l 0: ~ H ..:l .., ~ lE: "- CD 0\ M M I' ,. U'l 0 LO woo ~ oeo om 0 NO'\ Cl.... .... Z I .. 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PLAN REVIEW Project Name: Anytime Fitness Address: 112 del Guzzi, Suite 5B Plan # 07-18 I Com ~ Residential D I Date:8.2.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) Place fire extinguishers adjacent to exits. 2) Fire alarm notification devices (strobes) must be placed in restrooms, massage room and tanning rooms. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ~~ Date: e.2.07 ~ D D Building Department Copy Contractor/ Owner Copy Fire Department Copy , t Addendum to Building Permit Application - Anytime Fitness RE: Parking TO: Linda Pangrle Per your request and guidelines at 2 spots per usage area, I am submitting explanation below for the purpose of parking determination specifications. Cardiovascular Equipment: Strength training circuit Tanning Aqua Massage Free weights and Personal Training 2 spots 2 spots 2 spots 2 spots 2 spots Toh\ 10 fttl-\<.l Ylj S faCes THANK yOU. Jay Bryan 360.808.0052 i I: i' t ~ta.:fIr..ll:l':&:ft~__~} -~ -~ , -~-~--~~01~_~_ I ~ -~ -~- ~ -~- ~-I---- E 1 --____. I / t I 1/ f, r Iff ---1 . ,7 ---I--- ,I I .~. "- j j g L.. ~ <D Q / 1 / 1 ( \ \ \ \ \ \ i ) I - ~ " i ---~!._- ------ I , -----~ t ~ " , f r ~ , Ii t ! ~ cfJ .... ............ .... ............ .... ............ - --.... - - ... , . .~ FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION Date Rec.: 01-27,06 Permit #: FiU out COMPLETELY and in INK. Your application and site plan MUST BE '. \Oate APP~V . 1'/ COMPLETE to be accepted for review. If you have any questions, call I , - I PERMITS(360)417-4815 FAX(360)417-4711 elssued: ., -, '- ,/1"0 L ,r Applicant o.r- Agent: ...[fA 7 ee y.+J ~1::),I9- A~'1 +iItu 1i kRsI Phone: '] (;, D R g '. () D f: :J... Owner: 013, Lf ~v AN Phone: t (fi.. D Address: d~' W. .\ City: l 0 (L/- ~)~J~ Zip:' f 3 {;; ~ ArchitectlEngineer: fVt A-fL c. u i. J 0 J-I-N ( () ~ Phone: ~ 6 D 7 ~ ~ 4 b l{ 6 Contractor ~~k..l~),) CD. StateLicense#:t(Q\l\kc.1f.O~"&~Exp:"Sl>-&'8' Phone: 360 7j~1 Address: 7 0 ~ y.: w-tvcka S L tt"3 ~ I City: Be ( (; 11 ~ Zip: , X- ). "d-S PROJECT ADDRESS: V"Z-""t. ~ b ~ . s: ./ ; +-<'- R LEGAL DESCRIPTION: Lot: \ t"Z- Block: l/ 02> CLALLAM COUNTY PARCEL NUMBER: C~~.f rru{,op ; s. l$rel-t &"'#{f..-f 123'; ctooo TYPE OF WORK: SIZEN ALUA TIO D Residential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ )' Commercial D Remodel D Demolition D Deck 4 '16;). SF. @ $ iff).O /SF. = $ 7" . e ~ i) D Repair D Sign D Other TOTAL VALUATION $ '7C> . 00'0 BRIEF DESCRIPTION OF THE PROJECT: /.)""'7 -1-,,,., It... H'; 4e...r J< ( ~ i)- Cf ~:....., L .4.. Ut" c.r f:f7erc;- ~. ~/,-{y- Iv':"'? f~.) ~ l C~ZD r ~~"'~'Ol Y"1'+-.Ir-~1 r('1 cP / ~'1 ruN+1 ~(...,.i~' COMM CIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: IV ~ Existing Sq. Ft. IV /~ Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: '11)49- = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): DYes D No SEPA Checklist required? DYes D No Other: V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure wilI be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: 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 I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is m:,yesponsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. .('::- Date: 7- J 7-l)1 Applican T:\FORMS\BldgPermitAppl.. wpd J Sep 04 07 09:45a . ANDGAR CORP 360 366 5800 p.2 . . ,. Qi'-' l--';<fh.' ~'!-.~~ft 't.....~! """~, ELECTRICAL WORK PERMIT APPLICATION Electrical contractor name Dllle EKpircs 1-1-c.,,,\ Imtllllation description )it Commercial 0 Residential 'RNew 0 Altered/Addition J Job wired by ltl Electrical Contracror CJ Owner License number hOOoor (o<Qc:>r-o'<'\on 1\~\~.Jf\(fal\L.'::> ~c;"o.>&:~n. ,t~~ ANt> ,~ f> " '- ~ FAX number (~Rd.-a - '5'&00 \'f\'S~O \\ 0."'(\ U)r,'I,c::,\ \f'l ',Ct:. (\1\'\1IMe.- r Itl'\~",."TI (-b -ttvc..Y' rr\D'i:> 'ta.'\ OS '0' City l=c,.."c\o"e Telephone number (~ ~Ci"lDD Slate ZIP \'-1'" o.'b2 LIS, Premises owner's name I(.T l:::"e-.J e.\O\=,,""'-eP.'t Addrl'liS of inspection llL. be\ GL><_:z..\ br,,,c. 'SU\'tc..~;::' C;"i'Dd "'f\~e.\eb . \i~ "". a,'t~Lo~ Pbo e number to scl~~ule IRspcc:tllJn: .~, ("\ 0. 'S'te.elt. - lSl/JOl ~~.-.,C;, O",,,C,. as defined by RCW.JY.28.26f:(I) Owner will occupy Ihe Slrllctur~fQr two years after ,his electric.al permir is finalized. (1) Ow'ler is ri!qrlirl'd 10 hire on electrical confractor if abo,,€: said proper'.,' is for .sa/f', relll or least:. Afler re:!.ding !he ahove s.tatement, I hereby certify lhat 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical Jaws, I\.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Pon Angeles Municipal Code, and Utility Specifications. Signature of owner, eleetrical contractor or e1ectric.lII1 administrator o Cash 0 Check # :tl. Credit Card VISa Card Discover -, Date: a..4 -Di Expiration Date of card . Electrical Load Additions nd or sub ctions o NO LOAD CHANGES a Baseboard KW o Fumace KW a Heat Pomp Ton LAR o Fan.Wall KW o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size' SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH~ I D,~ERM~:~."., DrrCH SERVICE Dale "'p"rt,..~,lll)' FEEDER Dale IIppro"~d fly Dale "PPfOVW By Inspection D31e Area. Building or Equipment Inspected Action Taken Electrical Inspector UGHTDEPT. ., " Sep 04 07 OS:45a '. 'or" ANDGAR CORP 360 366 5800 p.l ~ ANDGAR'" ~c 0 r p 0 rat ion COMMERCIAL MECHANICAL Heating & Air-Conditioning design, sales & installation preventative maintenance service & repair REFRIGERATION FOOD SERVICE EaUIPMENT Fax Transmittal Date: 9/4/2007 From: Krista VanMersbergen To: AI Oman Phone: 360-366-9900 Company: City of Port Angeles Fax: 360-366-5800 Fax Number: (360) 417-4711 Re: Anytime Fitness Electrical Permit Number or pages (including cover sheet): 2 ARCHITECTURAL METALS flashing Message: metal roofing METAL FABRICATION structural specialty fabrication stainless steel 6920 Safashan Pkwy. A-1 02 P.O. Box 2708 Femdale WA 98248 Office: 360.366.9900 F~~~!J corpcfr!lt~andgar.com w~f<lficlh;\i-.c2M AI, Here is another electrical permit application. This one is for the Anytime Fitness TI in Space 5 of the Olympic Plaza (112 Del Guzzi Drive) jobsite. We are installing (2) thermostats. If you could call me with a total price or send a receipt to Andgar Corporation c/o Krista VanMersbergen PO Box 2708 Ferndale, W A 98248 So I can turn in some paperwork for the credit card charge. Thanks! Krista VanMersbergen Project Coordinator Assistant (360) 366-9900 ext 169 / kristav@andQar.com D H:\CommcricaQ!JaMiJicfi)I!~rS{mndence Fonns\Gencrnl Fax Cover. Krista_doc --- --.- <1..".,~~ ~~/~(.. ~" .- "-~"-~; "'t-~,{" ""'.' Job wired by o Electrical Contractor 0 Owner Electrical contractor name License number Date Expires fC LDf;r,<J 1':;8 Ic(~ "1 . (..-r;. urchaser's mailing a Cf4t'!- City ~,;J k 7 P( 95~.1. Telephone number K 3tl/1 State ZIP <9-0 d ;),f(,- 0 7 y:J FAX number Premises owner's name 'W.'/U-; ji;2"ro H~i'/rr Address of inspect on ...... 11.1- 0<-( (bun; Q<,'ve... '- / e-Li,> /- -:!J 1- '1 - I. r .l.,,''"C.- ...),4 l..e y/f-J , ; JIi? 1 City II pprl- .q"'jUCJ Phone number to schedule inspection: -3.t>'~c:J" lei!'r Owner as dej7ncd by RCWJ9.28.26J:(J) Olvner will occupy the structure/or two years afier this electrical permit is finalized. (2) Ovmer is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, r hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance wilh the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signa~Of owner, electrical contractor or electrical administrator Date: It) -17-<.>( Ele al ad Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW ELECTRICAL WORK PERMIT APPLICATION Installation description ~ommercial 0 Residential i3:New o Altered/Addition / 0 iN Vb jf/f)e- S,Qc.u;€t'/.~ >,vsk.-., /}-u..(L"?/ S. '7' fk..r-- , (1.<j,/1t!r<:j k_~ /h&1' r t-- ..s1-4~'" .e I o Cash 0 Check # o Credit Card Card # Mastercard Discover Visa Expiration Date of card Voltage PhaseD 1 D 3 Service Size: Feeder Size: o Overhead Service o Temp Service o Underground Service ROUGH-IN THERMOSTAT SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417.4735 SERVICE Dale Approvcd By Dale FlNAL 7 d:fJ DITCH Approved By Dale Approved By FEEDER Dalc Approved By Inspection Date Area, Building or Equipment Inspected Dale Approved By Action Taken Electrical Inspector 09/18/2007 13:24 ~~ 3604574698 -.- STR~ITS ELECTRIC ~01 s ...... ELECTRICAL WORKPERMlT APPLICATION Job wired by o Electrical Contractor 0 Owner InnaJlstioD description ~ Comcnerdal (J Rcsidendal Electrical contractor n3mc License number DaLe Expires STRAITS ELECTRIC STRAIE*0110S purch3.scr's mailing address P.O. Box 2914 DNew o A1teredlAdd;lIoa Port Angeles Telepbone number 360-452-9104 State ZIP WA 98362 QAriuL-ts ca ~ ~G 9\- t~ City Pr l5C5 ow~V,et )'M~ q4 ~EL ~;~ Pbone numb.:=r 10 schedule iD5pec:tlOD:2ito .... ....l q ~ Owrr.er as defined by IlCW./9.28.26/:(J) O..,.,'lIer will oCCWpj liu! struc,ure/or two Yf!QrJ" Q.ftt~,. thi.~ electrical pef'fIlit is' finalizf:J. (2) Owner iJ required to hire an electrical COfltrac:mr if above sdjd property iJ,' for sale, rent or lease, After reading the above statement. I bereby cC'rtiry mat I am Ole 01liTlcr of the above I':uned propc:rty or a liCen5Cd elcc;IriC11 contnctor. I am making the electricaJ il1stal- lauo1J. or 1l1terntioD in comp}j3TlCe with the eltctric3.1 IBWS, N_E.C.. RCW_ Chllptcr 19.28. WAC. Chaptcr 296-46B. The City of PO" A.ngeles Municipal Code. and Uf I peci.ficatioDS. ic. t re of OWDC,.. eleet"iul C=ODttactor 0" ell!:drical .dmln'stnrDr X DateFtr1-D7 Q Cash Q Cheek # XJ CreditCard VISa Mastercard Discover Card# _ONJI'LE___"____-____ Expiration DB' of card / Eleetrical Load Additions and or subb'actions o NO LOAD CHANGES I:) Baseboard K!N D Furnace KW o Hear Pump _ Ton _ LAR D Fan-Wall _ t<YI Service InformatiDn C Overl'\ead Service D Tsmp Service D UndGfground Service Voltago PhaseD 1 03 Service Size: _ Feeder Size; SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 THERMOSIAT SERVICE 1 07 D~ D... Ar~wd By FINAL /1r. DITCH 7 ^~~ DIIU Awto"CllKy Dale Approv...J By FEEDER Dall!. ~ed8)' Inspection Date Area, Building or Equipment In=,cd Action "taken Eleclrical IJlSlle~lOr ~ Job wired by ~.O~T.... ~~~.~!.t. ~~ ..- ~.='.. \:+ '$':1 _~O ELECTRICAL WORK PERMIT APPLICA T,ION DOwner Insta~ description ~ommercial 0 Residential Electrical contractor name o New o Altered! Addition e '("\ Purchaser's mailing address 'lQO ~>Z.-.s\--\-~ City State ZIP '{'O<,\ ~c:'clE:-~ \>JC\ Telephone number FAX number '-\ \,'ls, Lx 'f\ \\eJe- d C-' r C_\_~ -\ ~ l:\ '6 31o '3 Premises owner's name ~'::::::::,.,,~'0'\('> B \;- ",e-~S Address of i~ctJon \\'-... DclGUL:L-\ ~\*--' UA\-\ s: ~ CHy fOM ~""GGe- ( Phone number to schedule inspection: '-'\ \\_ \'\\...0 '-\ Owner us defined by RCW/9.28.26/:(I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if ahove said property is for sale, rent or lease. 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- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-4.68, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # ~t Card Visa 00 ~~G- --0 Discover Mastercard Card # X/['o ""t ~ \J ~ Date: I \~ lrOl Expiration Date of card Electrical Loa dditions and or subtractions CI NO LOAD CHANGES o Baseboard KW CJ Furnace KW CJ Heat Pump Ton LAR CI Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase D 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~ ROUGH-IN THERMOSTAT SERVICE Dille Approved By "- Date Approved By Date Approved By /' ANAL DITCH FEEDER Date Approved By "- Date Approved By " Date Approved By../ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector If}"/"I ~ - d\> rJ7A-- 0- . . -' -- .//' /' ELECTRICAL INSPECTION WIRING REPORT 417-4735 If PEO;#~I~ IN~ ow ERlCONTRACTOR N{)l:Z:TH t'lZ.NIM$()LA q1Z1 <- ADDRESS l2. 1)0- 6>- Z:z. J =f#. APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . .. . . . ROUGH IN/COVER. . . . . ... . . . . . . . 0 D. . . . . . .. . . .. . . . . . . .. SERVICE. . . . . . . . .... . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . .".1it-". CORRECTIONS NEEDED: l N ~"TPtLL C> ob"L1E.."""tS J-lo~ \ z?:>JJTR:L 012.. L,/STE-'P rL(J()TZ &:>>z, C^-\7 If.. ~Jl2...-V:E.R.~ r-Lc... ~ [~~t I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. {360) 452-1381 ~ Or-It-\B c/""RT... .~'4: <r~.. ..- ~ =.J.: 't\~'l "'t-~'" ......~O ELECTRICAL WORK PERMIT APPLICATION E Purchaser's mailing address ~ L S \-\ \i..JA \e-- CIty State ZIP '(l::>-.-"- 0.. r{",e\ e- S \tJC\ C) ~ '6 \..9 j Telephone number FAX number . '\. '- - \\ \..sJ 't '07 ... z..J~>t;;' Premises owner's name '{\."'J \:. '0-><... ~ ~ ~.s O~',0'-' s.\J..\..~ s:. . \-fe.."t 30~ 1- D New D Altered! Addition 8 \ Job wired by p1';eetrical Contractor 0 Owner Installation description ~ D Commercial )3'"""Residential Electrical contractor name License number Date Expires '\\00 \"'f\\-"L ~-'\-br<<.. '~Jo-, \ C\8 ~ Address of inspection \\1- '0e...' CitY'fQ ~ ('J'-' LL\ ~If'\l--.,Q\.c.. S \.vA ,- n.G'-\ Phone llumber to schedule inspection: Owner I1S defined hyRCWJ9.28.261:(1) Owner \vill occupy the structUlcfor 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. After reading the above statement, r hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal. 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 Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # x ~ Date: \ 1..-\ L..-O\ redit Card Card# ----O~--t-~----- Expiration Date of card Visa Mastercard Discover Inspection fee~ $35- Service Information Electrical Loa Additions and or subtractions D NO LOAD CHANGES Q Baseboard KW Q Furnace KW Q Heat Pump Ton D Fan-Wall KW LAR o Overhead Service o Temp Service Q Underground Service Voltage PhaseD 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ;"' ROUGH.IN /' THERMOSTA~ / SERVICE " Dale Appruvcd By Dale Approved By / " Date Approved By / FINAL / FEEDER D1TaI Dale Approved By / '-. Dale Approved By/ Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector