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120 N Oak St - Building
PqAPORTNGELES WASH I N GTO N, U.S.A. Community & Economic Development Department September4, 2014 Mr. Michael Peterson Dba Northern Lights 120 North Oak Street Port Angeles, WA 98362 RE: 120 North Oak Street Dear Mr. Peterson: The City understands you may be engaged in an operation you believe is authorized by the provisions of Chapter 69.51A RCW, Medical Cannabis (formerly medical marijuana). If so, this letter is to inform you the City is currently analyzing whether any such operations are consistent with the City's existing zoning code and state law. If it is determined such operations are not in compliance with the Citys zoning code, we will contact you at a later date to describe what action you must take. At this time you are not required to take any particular action. Again, this letter is simply to inform you the City is conducting an analysis. Due to on-going projects and staff shortages, we do not expect to have an answer in the near future. If you have any information or documents that you believe may assist in our analysis, please provide them to us. Sincerely, 1 Nathan A. West, Director Community & Economic Development William Bloor City Attorney Phone: 360-417-4750/Fax: 360-417-4711 Website: www.cityofpa.us / Email: smartgrowth@cityofpa.us 321 East Fifth Street - P.O. Box 1150 / Port Angeles, WA 98362-0217 CITY OF PORT ANGELES 1" DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 1 \�t- o� Application Number . . . . . 10-00001385 Date 12/01/10 Application pin number . . . 713980 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Tenant nbr, name . . . . . . RICHARD MOON " ���� � REPORT SALES TAX Application type description_e Fh4Q& :` Subdivision Name /9 LGYIIi�'fi l+rZ�i'dldh�(:IfU'—_ Re5i1 on your state excise tax form Property Use to the City of Port Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 4000 (Location Code 0502) ---------------------------------------------------------------------------- Application desc _[_�_ REMODEL 2 BATHROOMS/3 BEDROOMS/KITCHEN/DINING 6PF-�JI UifS% ------------------------------------------------------- Owner Contractor ------------------------ MICHAEL T BREEN OWNER 1664 E OCEAN BREEZE LN EXPIRED PORT ANGELES WA 983622725 (360) 460-6755 --- Structure Information 000 000 REMODEL BATHS/BEDROOMS/KITCHEN/DNG --- Construction Type . . . . . UNKNOWN Occupancy Type . . . . . . RESIDENTIAL ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . REMODEL BEDS/BATHS/KTCHN ETC Permit pin number . 178004 Permit Fee . . . . 123.75 Plan Check Fee 80.44 Issue Date . . . . 12/01/10 Valuation . . . . 4000 Expiration Date . . 5/30/11 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL -2001-25K (14 PER K) 28.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 178012 Permit Fee . . . . 72.05 Plan Check Fee .00 Issue Date . . . . 12/01/10 Valuation . . . . 0 Expiration Date 5/30/11 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25 1.00 14.8000 EA ME-HEATER(SUSP/WALL/FLOOR-MTD) 14.80 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 178020 Permit Fee . . . . 107.00 Plan Check Fee .00 Issue Date . . . . 12/01/10 Valuation . . . . 0 Expiration Date . . 5/30/11 Qty Unit Charge Per Extension 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 ons of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit Y BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 PLANNING DEPT. Separate Permit #s Parking / Lighting Landscaping Date Accepted By I I I I I FINAL Date I I I I (FINAL Date I I I SEPA: ESA: SHORELINE: Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 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 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent T.Forms/Building Division/Building Permit Signature of Owner (if owner is builder) Page 2 Application Number . . . . . 10-00001385 Date 12/01/10 Application pin number . . . 713980 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 7.0000 EA PL -PLUMBING TRAP 28.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 ---------------------------------------------------------------------------- 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. A KNOX locking keybox will be required. Contact the Fire Department at 360-417-4653 for KNOX keybox ordering information and mounting location. A full acceptance test will be required for the fire alarm system. November 29, 2010 3:35:33 PM kdubuc. Fully opening windows are required in the two bedrooms on the east side. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----------------------------------------------- Due ---------- Permit Fee Total 302.80 302.80 .00 .00 Plan Check Total 80.44 80.44 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 387.74 387.74 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Date Print Name Signature of Contractor or Authorized Agent T.Forms/Building Division/Building Permit Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD o - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- Building Inspections 417-4815 Electrical Inspections 417-4735 00 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 J\ IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By I Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor/ Slab Rough -In Water Line (Meter to Bldg) Gas Line ' r Back Flow / Water FINAL Date I� Accepted by �L AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Z Slab Wall / Floor/ Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove /Pellet /Chimney � ��� �^ I I V Commercial Hood / Ducts FINAL Date 1 Accepted by :YLL-- MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting IPLANNING DEPT. Separate Permit#s SEPA: !Parking / Lighting ESA. Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Cate Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 a F p� 5 Fire 417-4653 i Planning 417-4750 Building 417-4815 I T:Forms/Building Division/Building Permit June 7, 2012 PORTANGELES WASH I N G T O N, U. S. A COMMUNITY & ECONOMIC DEVELOPMENT Michael Breen 1664 E Ocean Breeze Lane Port Angeles, WA 98362 RE: Expired Building Permit #10-1385 120 N Oak Street Dear Mr. Breen: I am writing this letter to inform you of the status of the above permit. The permit expired on November 30, 2012. We attempted to perform a final inspection on the building June 14, 2011, but the electrical work needed to be finished. If the electrical work is done, please call us so that we can inspect the building. If we haven't heard from you by June 29, 2012, we will cancel the permit. A final inspection may be possible after that time with a $50.00 final inspection fee. If you have any questions, do not hesitate to contact us. Sincerely, Heather Catuzo Building Permit Technician 321 E 5`h Street Port Angeles, WA 98362 hcatuzoncitvofi)a.us 360-417-4817 4 - PREPARED 6/14/11, 9:12:13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/14/11 -- ------------------ ADDRESS . : 120 N OAK ST SUBDIV: TENANT, NBR: RICHARD MOON CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 10-00001385 CONVERT COMMERCIAL TO RESIDENTIAL ---------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL99 01 5/31/11 JLL BLDG FINAL TIME: 01:00 5/31/11 DA May 26, 2011 3:52:58 PM 1pangrle. RICK 461-1161 BUILDING FINAL - REMODELED 2BATHROOMS/3BEDROOMS/ KITCHEN/DINING AFTERNOON May 31, 2011 4:24:10 PM jlierly. finish guard rail on north side of buliding,2nd floor/jll BL99 02 6/14/11 J L BLDG FINAL J June 14, 2011 9:03:12 AM 1pangrle. RICK 461-1161 BUILDING FINAL -------------------------------------- COMMENTS AND NOTES ---------- w14 PREPARED 5/3.1/11, 8:25:47 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 120 N OAK ST SUBDIV: TENANT, NBR: RICHARD MOON CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 10-00001385 CONVERT COMMERCIAL TO RESIDENTIAL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESUL RESULTS/COMMENTS ----------------- -- -- ----- BL99 01 5/31/11BLDG FINAL TIME: 01:00 May 26, 2011 3:52:58 PM 1pangrle. RICK 461-1161 BUILDING FINAL - REMODELED 2BATHROOMS/3BEDROOMS/ KITCHEN/DINING AFTERNOON — ----------- — ------ --------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/31/11, 8:28:44 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 120 N OAK ST SUBDIV: TENANT, NBR: RICHARD MOON CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 10-00001385 CONVERT COMMERCIAL TO RESIDENTIAL --------------------------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------- -- -------------- -----—----—-----------—--- ME99 01 5/31/11 J MECHANICAL FINAL TIME: 01:00 May 31, 2011 8:27:03 AM 1pangrle. RICK 461-1161 MECHANICAL FINAL - REMODELED 2BATHROOMS/3BEDROOMS/ KITCHEN/DINING AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS' -------------------------------------------- PL99 01 5/31/11 LL PLUMBING FINAL TIME: 01:00 May 31, 2011 8:27:31 AM 1pangrle. RICK 461-1161 PLUMBING FINAL - REMODELED 23ATHROOMS/3BEDROOMS/ KITCHEN/DINING AFTERNOON -------------------------------------- COMMENTS AND NOTES ------------------------ BUILDING PERMIT CITY OF PORT ANGELES �mmm Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant Property 0 erg /-"7" /Ce Property Owner's Address Contractor lI,;Ee_ ;�xr=ter Contractor's Address r�l� License # PROJECT ADDRESS Parcel Number APPLICATION Print in ink For City Use Only: Date Received flat( -!0 Permit # Date Approved- ir, %k ( ��"�uu Phon'' Zg (6., % Phon `t 60 (0-7 5 S Phone Expires E-mail Lot Zoning C.lbb Proiect Type & Brief Description: )(Residential ❑ Multi -family Xcommercial ❑'Industrial Check all that apply ❑ New Construction , e7k jj m(7 Z) +t) -6 e- S �� a-`? ( ►^Zs d.�1r�i. ❑ Addition �Lp go-Ml9d e- % 7 -vv 5�����^ S, 3 6ed 1,k1" t5 oL�(� t -Remodel /-00",q , /tCA��'I- f . o o�r/�%Ya 4W1W44V_1T i*Repair ?'o ycsl�oor� /�-2 -�� �';�e. Aid /Yca�e� fv br�X/'ao^,t�/. ❑ Demolition o5 -e- *- re^,n/e/ 71✓•K5r'�g k•fr- � ,� 30 8ti �+5 ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ OtherC��vtc, c�tn@ Pi C r,� waif- ha^ �h i�� Ike Fes. Floor Areas Basement 15' Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Existinq LLq. ft. Proposed (sq. ft.) @ $ per sq. ft. = $ TOTAL VALUATION $ '/7�6• 00 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 % 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 / have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permi ts are required, and to obtain permits pn. ng on projects. Date//'/ -/7- Zulu Print Name / rc��ly� ���1r Signature T:Forms/Building Division/Building permit application C., PLANT SAPPROVF M BY PORTA NGPI.,E-S FIRE DEPT. DA-IIE: ME -&LAOlAA 615'CtW "ST ?>E e;VUe"lDeo -M ZK�O F -LOOP - #,s els a, a t1 m1o. U -f )- C1 ),7 p�RTA'r The, Y Sua46 of ) this per cations ,afid other da is re- ing spedficati, and 'jit-ling operafiA n rat'i II �'C C, iviolation of e an U 111. 'I Date Lnnrova U 0/ NO, tLcio tl Fall' EL official.., he' bull I I t t s , n i .:' ul all, nOt"Prevel'! :0 1 In said the, correctIOn' oti�ei 'data; Of rom v itin 9 rtiedi on 4hereunder'w 'pn', I n man of: this' juriAictioii By :j -w ,w 4� PLANT SAPPROVF M BY PORTA NGPI.,E-S FIRE DEPT. DA-IIE: ME -&LAOlAA 615'CtW "ST ?>E e;VUe"lDeo -M ZK�O F -LOOP - #,s els a, a t1 m1o. U -f )- C1 ),7 p�RTA'r The, Y Sua46 of ) this per cations ,afid other da is re- ing spedficati, and 'jit-ling operafiA n rat'i II �'C C, iviolation of e an U 111. 'I Date Lnnrova U 0/ NO, tLcio tl Fall' EL official.., he' bull I I t t s , n i .:' ul all, nOt"Prevel'! :0 1 In said the, correctIOn' oti�ei 'data; Of rom v itin 9 rtiedi on 4hereunder'w 'pn', I n man of: this' juriAictioii By :j too# 1-1 "�T�t �'7 r 1 �-'�—w4•tt' 1�` f tris ,.�% ---- / ez S, 7 3t6aM v 0(e 6 tti-; r,5 0'r ' )G PORT ANGELES — Const-urlh-m Mans lssua ce of this permit base, v��rtsevifi- catio ar,' other data shall n revent the ilding gffi,,;.i rom tho, affier requiring the of / 14.4 {Fr said aas, specifications and other data, or from preventing bui ohs operations n carried o then Under when in violation or it cod t�ordifl U I urist Approval Date—,,Le,Are.c.+. --ter—• —_ 4 7 113 ` r x 20 A ZIP Yvc-o j)e"t- I PROJECT STATUS UPDATE Permit # 10 - (?> Date: I phoned th Applicant�+✓%lU-f' U�� at Property Owner at Contractor at I (left a phone message, r discussed)-- -36—IJ iscussed):-36—iJ The permit (has expired, o will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. 14�\z C6 04K , -a ii�,(r Le -ort, `-ire . MCI 20 11 . J TTorms%Building Division/Project Status Update CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 12-00000187 Date 2/24/12 Application pin number . . . 189157 Property Address . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Application type description COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . . 400 -------------------- Application desc REMOVE EXISTING/INSTALL NEW DOOR TO STORAGE AREA ---------------------------------------------------------------------------- Owner Contractor RICK MOON & JANICE MOON OWNER 120 N OAK ST PORT ANGELES WA 98362 (360) 461-1161 --------------------- Structure Information 000 000 --- ---------- Construction Type . . . . UNKNOWN Occupancy Type . . . . . . UNKNOWN Permit . . . . . . BUILDING PERMIT - COMMERCIAL ---------- Additional desc . . NEW DOOR TO STORAGE AREA Permit Fee . . . . 50.00 Plan Check Fee 32.50 Issue Date . . . . . 2/24/12 Valuation . . . . 400 Expiration Date . . 8/22/12 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 32.50 32.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 87.00 87.00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 com lied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pr to f any state or local law regulating construction or the performance of construction. �j Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE F'R0VIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — 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 I Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts I Piers i Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab I Rough-In j I Water Line (Meter to Bldg) I I Gas Line Back Flow / Water i ] FINAL Date Accepted by AIR SEAL: Walls I I Ceiling FRAMING: Joists / Girders / Under Floor I Shear Wall / Hold Downs I Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) I T-Bar INSULATION: Slab I Wall / Floor / Ceiling I I MECHANICAL: Heat Pump / Furnace / FAU / Ducts j Rough-In Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab j Blocking & Hold Downs I Skirting PLANNING DEPT. Separate Perrnit. #s SEPA: Parking / Lighting ESA: I Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By r Electrical 417-4735 I Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 I ,J Building 417-4815 (.0' la T:Forms/Building Division/Building Permit PREPARED 6/12/12, 9:31:16 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/12/12 --- --------------- ADDRESS . : 120 N OAK ST SUBDIV: CONTRACTOR : PHONE : OWNER RICK MOON & JANICE MOON PHONE : (360) 461-1161 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 12-00000187 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---` ` ------- BL3 01 6/12/12 JIaL� BLDG FRAMING BL99 01 6/12/12 J/L�,� BLDG FINAL I/ Ili COMMENTS AND NOTES rORfAtrY BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 93362 0) 417-4815 fax (360) 417-4711 Applicant Property Ownef /Zv n/, ©A�_- 7G} Property Owner's Address Contractorl� Contractor's Address,�� License # Expires �l For City Use Only: ate Received '2_--2_-2_- CZ_ ,,,/Pate # i.Z- ve)-) ll Date Approved R. Phone 4Z/ Phone Phone E-mail PROJECT ADDRESS 36 -'z -- Parcel Number Lot Zoning Proiect Tvpe &, Brief Description: ❑ Residential ❑ Multi -family ❑ Commercial ❑ industrial Check all that apply// ❑ New Construction i�e�� ce 0i-' G��-� Fin�d`c✓<c% o Addition C .�/o�� s�ip� o b��/��, yti �e�to mac- /��.�kS ���✓'_ �-Remodel s �cp/<<� �.•t! w6a�c��// �„io( /�i�e� els ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage mother ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace o pellet stove ❑ other o Other Floor Areas Basement 1$' Floor 2"d Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Existinq (so. ft.) 'Proposed (so. ft.) C $ per sq, ft. = $ TOTAL VALUATION $ 2C)e-9, D U 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 % 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 /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determinewhat permits are required, and to obtain permits pri wor r on projects. Date Z Z- Print Name / S (c �c��Ar Signature /i/e T:Fonmsi6uilding Division/Building permit application C/ �,) � %�� 0� " � P I N� � 0� ry�J�lv" ��� N` � J'� � � � � � �` a ,�� i�� �, -�. I � rl ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00001449 Date 6/12/12 Application pin number . . . 271988 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit install heater on existing ---------------------------------------------------------------------------- circuit Owner Contractor RICK MOON & JANICE MOON OWNER 120 N OAK ST PORT ANGELES WA 98362 (360) 461-1161 ---------------------------------------------- Permit . . . . . . ELECTRICAL ----------------------------- ALTER COMMERCIAL Additional desc . . ADD BRANCH CIRCUIT Permit Fee . . . . 83.50 Plan Check Fee .00 Issue Date . . . . 12/29/11 Valuation . . . . 0 Expiration Date . . 8/19/12 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 10.00 1.00 73.5000 ECH EL -COMM BRANCH CIR WO/ SIF 73.50 ---------------------------------------------------------------------------- Fee summary Charged --------------------------- Paid Credited ------------------------------ Due Permit Fee Total 83.50 83.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 83.50 83.50 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Z /,7 t `1 _Z - FINAL F> -NAI. - COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING N ELECTRICAL PERMIT ' CITY OF PORT ANGELES 360-417-4735 an Application Number . . . . . 11-00000986 Date 9/09/11 Application pin number . . . 759120 REPORT SALES TAX Property Address . . . . . . 120 N OAK ST onjour excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1400-0000- y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . Property Use . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ----------------------------------------------------------------------------- Application desc 1 circuit.sign permit ---------------------------------------------------------------------------- Owner Contractor RICK AND JANICE MOON OWNER 120 N OAK ST \ PORT ANGELES WA 98362 Q p (360) 461-1161 (N - ---------- --- -- -- ---- ----------------------------------------------------- \J Permit ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit pin number . 192377 Permit Fee . . . . 88.20 Plan Check Fee .00 Issue Date . . . . 9/09/11 Valuation . . . . 0 Expiration Date . . 3/07/12 Qty Unit Charge Per Extension 1.00 88.2000 ECH EL -COMM -SIGN 88.20 ------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 88.20 88.20 .00 .00 \ Plan Check Total .00 .00 .00 .00 Grand Total 88.20 88.20 .00 .00 V\ �l INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 SERVICE I ROUGH -IN .Kj - - - ......� FINAL / 12JI COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCI-IANGE\BUILDING i� _ oFpoRrgN ELECTRICAL EOTI U CN ��c�7 ®� IRI i:i7 REPORT 417-4735 RKS &� DAT /^ PERM�/IT k �R 4 INSP O OWNPkCON RArOR ADDRESS /c,) D /1/, 0.45� APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ............... ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CnRRECTIONS NEEDED: / 2A1'9 1.'A' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 �•� � � ..,n 3 � i13 � f�' CITY OF PORT ANGELES PERMIT APPLICATION ��1� Building Division/Electrical Inspections SEP 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washing tnL,f5 ki Ph: (360) 417-4735 Fax: (360) 417-4711 INSPECTIONS Date: �. -' // 1 & 2 Single Family Dwelling _ Multi -Family or Commercial* 'Commercial Addition / Alteration / Remodel / Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: /-Z v 4/. O "5/r- Building cBuilding Square Footage: tUC_)c> Description of above Owner Information Contractor Information Name: %2,,'r &_ Name: 54 F14 6 - Mailing Address: i ZX> a.er. o << Mailing Address: City:�JL 4¢ 1, j�J State: w J4- Zip: �if�3G'Z- City: State: Zip: Phone: 4ti"7- -'7 7_S Fax: Phone: Fax: License # I Exp. License # I Exp. Item Unit Charge QtV Total (Qtv Multiplied by Unit Charqe) Service/Feeder 200 Amp. $119.90 $ Service/Feeder 201-400 Amp. $ 145.50 $ Service/Feeder 401-600 Amp $ 204.60 $ Service/Feeder 601-1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2.60 $ Branch Circuit W/O Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp. Service/Feeder 201-400 Amp. $110.30 $ Temp. Service/Feeder 401-600 Amp. $ 148.70 $ Temp. Service/Feeder 601-1000 Amp . $ 167.90 $ Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 l $� 2v Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy - Multi -Family Dwelling $ 63.90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy - 5KVA System or Less $102.30- $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: Firsf 1300 Square Ft. $ 110.30 $ Each Additional 500 Square Ft.: or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $ 110.30 $ $ ?-K rc;l 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 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatur ner, a ctrical contractor or electrical administrator: ❑ Cash ❑ Check ❑ Credit Card # x r/VI Dated: / 01101/2010 L .. BUILDING PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant Property Owner A 'o"'10 -y - Property Owner's Address i Zv __V /C Contractor Contractor's Address 5, APPL�CA TION Print in ink i, For City Use Only: I Date Received 8— 5-1 Permit # 11- St4 Date Approved Phon Phone Phone License # Expires rn V PROJECT ADDRESS Parcel Number ` 1 Lot Zoning u . Proiect Tvpe & Brief Description: ❑ Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction A)Z�S' ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re -roof ❑ House ❑ garage jeother ;;fie -(L ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other V_Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement @ $ per sq. ft. _ 151 Floor �\ 2" d Floor ✓ _ �� �'`�- Garage Nv , n Carport( Covered Porch ` (� c1� Deck X- �� J l.0 Shed (r�RK Other _Xjj 1 !J fJJ� y 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 % 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. / am authorized to a ..s permit and understand that it is my responsibility to determin ermits are required, and to obtain permit o working on ects. Date�� Print Name Ice �G�� Signature T:Forms/Building Division/Building permit application `//'/ 8/5/2011 Amendment to previous permit I will be adding sixteen 2x2" pickets to the picket fence previously installed on the upper southwest corner deck. These new pickets are to satisfy the current electrical inspectors interpretation of the safety codes. They will range in height from 4' to 8' in a diagonal direction cut to a point on top to make it non -climbable and will be installed within the next 48 hours. Richard Moon 120 N. Oak St. Port Angeles, WA. 98362 360-461-1161 CITY OF PORT AhIt3UE,S — Construction I' lanc, The issuance of this permit based upon these plans, speclfl- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said pla ,s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. („ %C5 (SGCT10IV ?u3(a)alVit—By fuilding Code.) 'Z009 Approval Date'�.0 ELECTRICAL PERMIT ti CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00001449 Date 2/21/12 Application pin number . . . 271988 Property Address . . . . 120 N OAK ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1400-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 circuit install heater on existing circuit ---------------------------------------------- f 7�w1T— Owner Contractor ROUGH -IN ------------------------ RICK MOON & JANICE MOON FINAL. ------------------------ OWNER COMMENTS: 120 N OAK ST PORT ANGELES WA 98362 (360) 461-1161 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . ADD BRANCH CIRCUIT Permit Fee . . . . 83.50 Plan Check Fee .00 Issue Date . . . . 12/29/11 Valuation . . . . 0 Expiration Date 6%26/12 Qty Unit Charge Per Extension 2.00 5.0000 ECH EL -BRANCH CIRCUIT W/FEEDER 10.00 1.00 73.5000 ECH EL -COMM BRANCH CIR WO/ S/F 73.50 -----------------------------------------------7---------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 83.50 83.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 83.50 83.50 .00 .00 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: G:\EXCI-IANGE\BUILDING z G e1 V - ------- -ECENED CITY OF PORT ANGELES PERMIT,APPLICATION�� 2 �o�t Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / PortAngeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date:.( -Z / ELECTRICAL INSPECTIONS 1 & 2 Single Family Dwelling _ Multi -Family or Commercial* _ Commercial Addition / Alteration / Remodel / Repair* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: / ZD 1,4 0i4lc i��.._.._.. -_— . ....._.... _ - Building Square Footage: "ioo0 Description of above > _/,risr c//%c% �i wst� �°%� fry 7`a%s_r''^'h �✓iic /��olcc Owner In�f mation Contractor Information Name: / 5 'c 44 oo Name: s�Ai s Mailing Address: i)o /3ox / Mailing Address: City: % /� State: w R Zip: 7— City: State: Zip: Phone: 49 Fax: Phone: Fax: License # 1 Exp. F License # I Exp. Item -Unit-Charae QtV Total (Qtv Multiplied by Unit Charae) Service/Feeder 200 Amp. $119.90 $ . - . Service/Feeder 201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $ 204.60 $ Service/Feeder 601-1000 Amp. $.262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ Branch Circuit W/ Service Feeder $ 2,60 $5" $ 73 Branch Circuit W/O Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.60 $ Temp. Service/ Feeder 200 Amp. $ 92.70 $ Temp. Service/Feeder 201-400 Amp. $110.30 $ Temp. Service/Feeder 401-600 Amp. $148.70 $ Temp. Service/Feeder 601=1000 Amp . $ 167.90 $ Portal to Portal,Hourly $ 95.90 $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/ Limited Energy / First 1500 sf — Commercial $ 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ Limited Energy - Multi -Family Dwelling $ .63.90 $ Manufactured Home Connection $ 119.90 $ Renewable Electrical Energy - 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First.1300 Square Ft. $ 110.30 $ Each Additional 500 Square Ft. or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $ 110.30 $ $ —27, 5V 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, l 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 Specifcations:and PAMC 14.05.050 regarding Electrical Permit Applications. Signatu a-6 o ner, electrical contractor or electrical administrator: ❑ cash ❑ Check ❑ Credit Card # x / / �� Dated: '01/01/2010 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: /._ Z3 --i 2. 1 & 2 Single Family Dwelling D L 1�L-IfED) < 3 2n E(ECtR/R 1NSPECr;03 * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: / ^L o .,/• ofa tC- Building Square Footage: 5�D06) Description of above Owner Inflation Contractor Information Name: Name: Mailing Address: Mailing Address: City: 1203– State: �1%Zip: City: State: Zip: Phone: Fax: Phone: Fax: License # / Exp. License # I Exp. Item Unit Charqe Qtv Total (Qtv Multiplied by Unit Charqe) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 .5f"43 !?�- $ S �� Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110,00 $ $S_ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature lectrical contractor or electrical administrator: ❑ Cash ❑ Check / ❑ Credit Card # Xtil / Dated: �— 0110112012 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 PIr� ii7n, ti 1t/ Date: 2' lS 2 _ 1 & 2 Single Family.Dwelling ELECiRiCRr INSPECT10p3 s * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 17— C> o^ (e— Building LBuilding Square Footage: foov Description ofabove ✓ Or17%T, ,e�k�:v V r'i Owner Inf�agtation Contractor Information Name: rC"c&_ 12�70a^l Name: S,o4-rie Mailing Address: i ry Mailing Address: City: .1 State: Arof Zip: 9$.36z City: State: Zip: Phone: 1/577--7-7916" Fax: Phone: Fax: License # / Exp. License # / Exp. Item Unit Charge QtV Total (Qtv Multiplied by Unit Charqe) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit W/ Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $—'x"'� Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 93,00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $ 120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ 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 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ Cash ,k Check e� Credit Card # X 6�1� �� Dated: / �J❑ rr G- 0110112012 /l l -^ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001460 Date 12/29/11 Application pin number . . . 389860 Property Address . . . . . . 120 N OAK ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1400-0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form SubProperty Name . . . . . . to the City of Port Angeles Pro ert Use s ,,I Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 700 ---------------------------------------------------------------------------- Application desc PELLET STOVE ---------------------------------------------------------------------------- Owner Contractor RICK MOON & JANICE MOON OWNER 120 N OAK ST PORT ANGELES WA 98362 (360) 461-1161 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . PELLET STOVE Permit Fee . . . . 60.65 Plan Check Fee .00 Issue Date . . . . 12/29/11 Valuation . . . . 0 Expiration Date . . 6/26/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 60.65_ 60._65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 ft V1 ae,1 V�7- t,"3l- 12 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 isnot 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 provis' of any state or local law regulating construction or the performance of construction, Z- ZG/-/ �7" ' // l ` Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- 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 I Date I Accepted By 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) I T -Bar I, INSULATION: Slab I Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace I FAU / Ducts Rough -In 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 Comments I I I I FINAL Date Accepted by I 1 I I I Ila— FINAL Date t+ Accepted b,I-F� i I SEP& ESA: SHORELINE: J PJ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Buildino Division/Buildinq Permit PREPARED 1/31/12, 9:01:08 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/31/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 120 N OAK ST SUBDIV: CONTRACTOR : PHONE : OWNER RICK MOON & JANICE MOON PHONE : (360) 461-1161 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 11-00001460 MECHANICAL APPL. PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------- — ------ — ----- — ---- —-------------------- — ---------------------- ME99 01 1/31/12 MECHANICAL FINAL January 31, 2012 8:39:00 AM pbarthol. Rick 461-1161 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT APPLICATION 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 Applicant Property Owner f}.✓t L Property Owner's Address / Z� Contractor Sc. /P Contractor's Address 5-f of- License # PROJECT ADDRESS / 2 o Parcel Number ,,/. 0A K Expires /\/ • o /-r (C - Project C Project Type & Brief Description: ❑ Residential ❑ Multi -family Check all that apply ❑ New Construction�37C ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition For City Use Only: Date Received Permit # // % �Ce d Date Approved /d— t" ;W Phone 111,/-//6 / v/ Phone Phone E-mail /A ,!.✓14 Lot Zoning ❑ Commercial ❑ Industrial /U /`DU 1-14'G ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace pellet stove ❑ other ❑ Other Floor Areas Basement 1 s' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existin.q (sq. ft.) Proposed (sq. ft.) per sq. ft. = $ TOTAL VALUATION ( -�700, 06 u ' Total footprint of structures sq. ft. _ 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 % 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. 1 am authorized to apply for this permit and understand that it is my responsibility to determine ermits are required, and to obtain permits prior to n projects. Date /Z - Print. Name �C� 66onSignature T:Forms/Building Division/Building permit application / FIGURE., 7 (UL LABEL) THE UL LABEL IS LOCATED ON THE RIGHT REAR SIDE OF THE HOPPER. ON THE UPPER RIGHT CORNER OF THE LABEL IS THE CONTROL #. THIS NUMBER MUST BE RECORDED ON THE WARRANTY REGISTRATION CARD. - 00111110 VW L06A1 BU MI6 OR Rli QFW S ABOU► c. _..,+s RID BfSR!lLATt(!N NiSp€CTip! M AtiEA Relief No. Report Data Model: Control No. 2191 r �Msy 26, 1960 TURBO • FIRE "2001" �CONTOL # NORTHWEST TESTING LASS, INC. Manufactured by: Portland, Oregon ALTERNATIVE ENERGY NORTHWEST, INC. I.C.S.O. TL -120, AA691 ARLINGTON, WA 98223 NVLAP LAS CODE 02" e�,'ws►r ♦ Listed Install wish Type L -Vend or equivalent, 3" Room Heaters, dm lastsr with listed and approved parts. Solid Fuel Type insert Installed with flue closure plate only. Inspect discharge pipe monthly, clean as Masonf�,►.reese«® Clearance � e Fireplaces firebox hea a forced drag ystemOperate unit with door .Clear sed s Acceccoryline". anoos above firebox must be o minimum TESTED TO: UL 907, UL 1482.63 of 28" to a combustible telling, protruding Mobile Nems (UM)84-HUD no further than beyond the front plane of MOTOR: 115 VAC, 60 HE d10 ueiL Firebox to sides 6". Stomps bin may touch. "PREVENT HOUSE FIRES" CAUTION: (MOBILE HOME) Do not Install wsTALI AND U41 Om.V w ACCORDANCE WITH appliance in a *Moping -room. An outside "NUFACTURIU * INSTALLATION AND OPERATING Dir Intel must be provided for combustion IM*TRIICVMW AND YOUR LOCAL *MOWN CODES. P and be unrestricted while unit is In use. I~ WI 00F a e- INA MND eTdeusg Nu eo" or Zwo-ChanMe limpio"s. Use r dhmnwr pips Into extoting ChM My Pipe. Own WAIM d In a ISO N home. OMy Tim oonam for End chimney pee eppro sd by N.U.D. Minimum Clearances to Combustible Materials (in inches) NACKwALL } FLOOR PROTECTOR ADJACENT + WALL g' O a T J J T S I t o r Lo *-4-► STOVE 4.0 t M -♦ 6 �- P i Floor protector must be 318" minimum thickness non-combustible material Or aghllvalanl, extending 6" In front of loading door, 4" to each side. ALCOVE SPECS. Maximum depth of Alcovo shall be no more then 88", and a minimum of 70" high. Minimum distance from stove to headerforth is 27". Minimum distance from Stove Is 10" to sidowell, 33 1/2" to telling. Mantle clearance IS". "CAUTION: ION. NOT WHILE IN OPERATION. DO NOT TOUCH. CONTACT MAY CAUSE SERIN BURNS. j KEEP FURNASMNN;S & COMBUSTIBLE MATERIALS A CONSIDERABLE DISTANCE AWAIT. SEE NAMEPLATE & INSTRUCTIONS. TYPE OF FUEL- BIOMASS PELLETIZED FUELS ONLY. NO COAL OR ARTIFICIAL FUELS. MAGE IN 0. S. A. WWT REMOVE THIS LABEL (15) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00000811 Date 9/09/11 Application pin number . . . 519688 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1400-0000- REPORT SALES TAX Tenant nbr, name . . . . . . PENINSULA PAWNBROKERS on your state excise tax form Application type description SIGNS Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 250 ---------------------------------------------------------------------------- Application desc 61 SF, 20" DEEP, ILLUMINATED SIGN ON WALL ---------------------------------------------------------------------------- Owner Contractor RICK AND JANICE MOON OWNER 120 N OAK ST PORT ANGELES WA 98362 (360) 461-1161 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . 61 SF ILLUM. SIGN Permit pin number . 190256 Permit Fee . . . . 115.00 Plan Check Fee .00 Issue Date . . . . 9/09/11 Valuation . . . . 250 Expiration Date . . 3/07/12 Qty Unit Charge Per Extension 00 85.0000 PER S -WALL SIGN OR MARQUEE > 25 SF .00 1.00 115.0000 PER S -FIS ----------------------------------------------- OR PROJ SIGN > 25 SF 115.00 Special Notes and Comments ----------------------------- August 3, 2011 11:56:39 AM sroberds. The proposal will result in total bldg mounted signage of 130 sq.ft. for a property in the CBD that is permitted to have up to 200 sq.ft. of bldg mtd signage. The sign is shown as being 8.5" above ground level. No flashing, rotating, or blinking lights are ---------------------------------------------------------------------------- permitted. Fee summary Charged ----------------- Paid Credited Due -------------------- Permit Fee Total 115.00 -------------------- 115.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 115.00 115.00 .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 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 th of any state or local law regulating construction or the performance of construction. G /J Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — 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 I Date I Accepted By I Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers I I Post Holes (Pole Bldgs.) PLUMBING: Under Floor/ Slab Rough -In I Water Line (Meter to Bldg) Gas Line . Back Flow / Water I FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor I Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling I MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs jl Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking I Lighting I ESA'. Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type I Date Accepted By Electrical Construction - R.W. PW / Engineering Fire Planning Building T:Forms/Buildinq Division/Building Permit 417-4735 417-4831 417-4653 417-4750 417-4815 I /z. /% / 4W PREPARED 12/30/11, 9:49:54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/30/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 120 N OAK ST SUBDIV: TENANT, NBR: PENINSULA PAWNBROKERS CONTRACTOR : PHONE OWNER RICK AND JANICE MOON PHONE (360) 461-1161 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 11-00000811 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ —------------------ — - ---- BL99 01 12/30/11 JLL BLDG FINAL December 30, 2011 9:07:01 AM pbarthol. –77 Rick 461-1161 -------------------------------------- COMMENTS AND NOTES -------------------------------------- 19u ld., h9 �t ,5 Sj f p o ion, —E h;s w GN PERMIT APPLICATION 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 Applicant or Agent c(C /Vao""( *Property Owner . /� &k -Y00^e Property Owner's Address / zo Contractor se- !-P Contractor's Address License # Project Address - 9 -z-- Business Name /�e,,,,�.s✓l4 �a�,..�.b.okr-rs Parcel Number Lot For City Use Only: Date Received 2- I --Li �,�Permit# Il- &I 1 Date Approved Phone r��/- lie/ Phone Phone Expires Zoning Submit an 8 % "x 11 "site plan & three sets of plans that include: • Type of sign (wall -mounted, projecting, freestanding, illuminated, other... ) • Placement and sq. ft. area • How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■ Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Sign Type & Brief Description: (Type, location, sq. ft.) Sign #1 /41)" Sign #2 (o) se Sign #3 0�0" okeT Sigh Sign #4 I Unit Charqe Quantity $47.00 x $85.00 x '>< $115.00 x Totals (Unit charges multiplied by quantities) GRAND TOTAL $ 115, ao Iffe of SicLnn /Uminlc?�EG� Si�i�1 Sign(s) Valuation $ Z so' c" All All signs less than or equal to 25 sq. ft. Wall sign or marquees, over 25 -sq. ft. Freestanding sign or projecting sign, over 25 sq. ft. Make Checks Payable to: City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area p G% sq. ft. + Proposed sign(s) area i� sq. ft. = Total sign(s) area / 3 sq. ft. ®dd s,�tipe sc� p1� Building fagade area (height 23 ft. X width 74•5 --ft.) = 1136 sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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 A d t bt i ; it t k' t requi/re�-, an o o an perm) s r /o' wor Ing on pro�ec s. Date l I ( Print Name :�i.[ /'G�Gbi✓ Signature T:Forms/Building Division/Sign Permit Application.doc rl i_ Permit # , _gip P con s % JAj�.aA MOTES R cK I klQo ire a w rl or06 A4 V 01�- rA3Q.(r-VYUJ UVAeJ, ►-zQ r>u--tk a4 12RA� " 0 g5, 00 Se,- S� ) r , oz0 � 14.3 � .SUE t2 inn)+- oc,uP, -moi s opX-mkA- u�\ he nAs an elec`1ricaA Perm t+ wi+-I\ eh Q i e c ri co rho ii e,, w -o -k T:Forms/Building Division/Notes r-cer Sr �rS i -x 15fin aev 5 � 11 1 11 L4 111 1 a Sk, Lv x 14i"13olt5 ' - toill 0 ��t d C, 0 �6u,) Vd � r, Qr",O� AevpO , 2011-12697.14 - Page 1 of 2 Warranty.Deed _ Olympic Peninsula Title Company Clallam County Washington 09/01/2011 12.34:01 PM • ■iii �i� ��,��i�i�� ��'��N1��11+>ri���l4!'�ll1�1�� n��t �i,< �i ii OLYMPIC PENINSULA THI a C o m p a n y Escrow Number: 97190 -DS Statutory Warranty Deed No. g3097 Cc CLALLAM COUNTY TRANSACTION EXCISE TAX PAID SEP -1 '12011 11 AMOUNT #o23 I t : V'- COq1hr THEA U ER 1 BY THE GRANTOR Michael T. Breen, as his separate estate for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, conveys and warrants to Rick Moon and Janice Moon, husband and wife the following described real estate, situated in the County of Clallam, State of Washington Abbreviated Legal: LT 1 BLK 14 TPA For Full Legal See Attached Exhibit "A" Tax Parcel Number(s): 06-30-00-001400/55905 Dated Augu t 24, 2011 Michael T. Breen "'— STATE OF WASHINGTON } COUNTY OF CLALLAM } SS: I certify that I know or have satisfactory evidence that Michael T. Breen is the person who appeared before me, and said person acknowledged that he signed this instrument and acknowledge it to be his free and voluntary act for the uses and purposes mentioned in this instrument. Dated: August �� 44,h Q 9 Dawn L. ideler l 0� x zo blic in and for the State of Washington Residing at Port Angeles �_ ?_ My appointment expires: 4/9/2015 hthV. h.- ATE- LPB 10-05(i-1) Page 1 ot'2 V LOT 1 IN BLOCK 14 OF THE TOWNSITE OF PORT ANGELES, AS PER PLAT THEREOF RECORDED IN VOLUME 1 OF PLATS, PAGE 27, RECORDS OF CLALLAM COUNTY, WASHINGTON. SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. SUBJECT TO: 1. EASEMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO.: 2007-1211374 LPB 10-05(i-1) Page 2 oft Clallam County Assessor & Treasurer - Property Details - 55905 MICHAEL T BREEN f... Page 1 of 1 11 Clallarn County Assessor & Treasurer Property Search Results > 55905 MICHAEL T BREEN for Year 2011 - 2012 Property Account First Half Property ID: 55905 Legal Description: LOT 1 BL 14 TPA Geographic ID: 0630000014000000 Agent Code: Type: Real $1295.69 Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 63 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Taxing Jurisdiction Township: Section: Range: Sketch Location Property Image Address: 120 N OAK ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: x ref Cycle 5 Comm Map ID: Neighborhood CD: 20953140 Owner Name: MICHAEL T BREEN Owner ID: Mailing Address: 1664 E OCEAN BREEZE LN % Ownership PORT ANGELES, WA 98362-2725 Exemptions: 15308 100.0000000000% Taxes and Assessment Details Property Tax Information as of 09/06/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty i Interest Base Paid Amount Due Statement Details 2011 150677 $1295.69 $1295.63 $0.00 $0.00 $1295.69 $1295.63 Statement Details 2010 38978 $1284.88 $1284.86 $0.00 $0.00 $2569.74 $0.00 Values Taxing Jurisdiction Improvement I Building Sketch Property Image - Land Roll Value History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version: 9.0.32.2200 Database last updated on: 9/6/2011 3:50 AM © 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=55905 9/6/2011 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000600 Date 8/31/11 Application pin number 077400 REPORT SALES TAX Property Address . . . . . . 120 N OAK ST Oil our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1400-0000- y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name . . . . . . (Location Code 0502) Property Use . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . .'. 0 ---------------------------------------------------------------------------- Application desc 3 circuit remodel ---------------------------------------------------------------------------- Owner Contractor ------------------------ MICHAEL T BREEN ------------------------ OWNER 1664 E OCEAN BREEZE LN PORT ANGELES WA 983622725 (360) 460-6755 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit pin number . 187575 Permit Fee . . . . 189.00 Plan Check Fee .00 Issue Date . . . . 6/14/11 Valuation . . . . 0 Expiration Date . . 12/14/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73.50 2.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.20 1.00 110.3000 ECH EL -SWIMMING POOL/HOT TUB 110.30 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 189.00 189.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 189.00 189.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL /011 P 1) COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING I ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000600 Date 6/14/11 Application pin number . . . 077400 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ------------------------------------------------------------------------------ Application desc 3 circuit remodel ----------------------------------------------------,------------------------ Owner Contractor MICHAEL T BREEN OWNER 1664 E OCEAN BREEZE LN PORT ANGELES VIA 983622725 (360) 460-6755 -------------------------------------------------------------------------- /-< Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit pin number 167575 Permit Fee . . . . 78.70 Plan Check Fee 00 Issue Date . . . . 6/14/11 Valuation 0 Expiration Date . . : 12/11/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73.50 2.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUCT 5.20 ---------------------------------------------------------------------------- Fee summary Charged Paid edited Due - ------ ---- ---------------- - ----- Permit Fee Total 78.70 78.794p/ .00 --------00 Plan Check Total .00 ` .00 .00 Grand Total 78.700 .00 .00 N REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MON'T'HS PROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCHANGE\BUILDING oFPoargH EL�ECTMCl�11�- Ol1VSCf'LSO�� H c � a N wMHO REPOR7 ®.�`~ 417-4735 ) 1( 1b I P� jMIT� oO I PECTO O W TIER/CONTRACTOR 9 t G v, v-Loov'j ADDRESS APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ ❑................ ROUGH IN/COVER ...............*)g-, ❑ ....................SERVICE................... ❑ ❑ .....................FINAL.................... ❑ CORRECTIONS NEEDED: �f'��' ��OLq'TC--1 -�-- Cokl1JarC,8oRS l.J IAC. 35g , 4-j Z 1311 1 S— K--w-,A 1 S �) raid Ngc— 6,gb 4 2-... t 15 c�? Ti GC4ev Rt7%-rP CV t-L'D O C_-rn?-S Tznh 6►2��rLD ► nl� rar[ I��c1`� +hl rw-x-rv,,- r7 IJ rf. c- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 95 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 Op pOR7A"�'P ELECTRICAL INSPECTION V �`NN r_� WIRING RKS 417-4735 DATE• PERMIT # II -f INSPECTOR TAP OWNER m L c►-{ A C-- ► ( CONTRACTOR 42, %-a vL iz- WD ADDRESS 1-2-6 ,kl( APPROVED NOT APPROVED ❑ ....................DITCH...,................. ❑ D ................ ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ 0.....................FINAL.................... ❑ { CORRECTIONS NEEDED: %S�ON ►.lam l t L. tArr- 'p S t o% R, &- I -o c.rv-T ?LP no fL C I -K CN ` a=rzo k-\ t -V LIT 23 4:: )4'0-T -T-0 g • Ij EL ksO . rz s 1►,C9TA LL ON) rte. (�P-C 1 PQoTrr- c -'G W.D Rrze-wFr-'kX Np-r Moi7,g TkW-W '261 KLb cdnoe�urz-a Z>F Ka7zu?> nlrzc 6JRa.-.2s �.t D P,," _ t -A g- A L -r F� C,'I-iZ i G SAI_ �zQ U I t tiEJ ! i ► ni �u K-- RD -7 i ecus-. iZt-�X '% 1h L �t Se�uc�►`- JZ" i=rzb►-.- F2 D V - t l Fc D ,OA NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE O'*PORT 4& ELECT i ICAL NS CTIO SJ � � N WOGS, ONO REPORT KS �yF 417-4735 DATE:q PERMITr� # (INSPECTOR b015/ 1 Id -Oc.) (}. OWER • tl CH Af- rv-, 6-;; K CONTRACTOR � ADDRESS �T�"G. 120 tlA OAu APPROVED NOT APPROVED ❑ ....................DITCH.................... ❑ a ............... ROUGH IN/COVER ............... ❑ ❑ ....................SERVICE................... ❑ ❑,....................FINAL.................... ❑ CORRECTIONS NEEDED: LJ AT CL Q t r�FL 1:1Yf 1 1-4.1 s ALD- J-P 2 ��¢ ► f`1 t�>Lc i 1 21 til 6 >,t>� tl0.3 A-LL W L R, 1 K.1„L I_ Al i N 6-. DaW 4 % W,,-( F 2g- VAMC (11-058 12b -A b foO-r t40fl1 GL-tkT Ai3LJC- F"Lim f�t'EQotRl�p `f W w• r-r— ACCPCC 5,51 —1 54f2 ✓C`� Co?l DuG` 0 P-S_ tjjksCr , wcTl4) NOT@FV ONSPECTOR WHEN CORRECTIONS uL)AG ARE COMPLETED WITHON 95 DAYS 00 NOT REMOVE CITY OF PORT ANGELES PERMIT APPLICATION Building Division/ElectricalInspections R Et"RI V E D 321 East Fifth Street — P.O. Box 110 / Port Angeles Washington, 98362 Ph: (360) 417-473 Fax: (360) 417-4711 JUN 14 2011 Date: 4_ y 3 r // ELECTRICAL ` 1 & 2 Single Family Dwelling Multi -Family or Commercial* _ Commercl%il,W/ Alteration / Remodel / Repair` * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: / 2-0 A/ air/e Building Square Footage: Cf�oo Description of above Owner Inforon Contractor Information Name: _ ick Name: Mailing Address: �7o Al :94-& Mailing Address: City:. . S State: Zip: fs34,; Z City: State Phone: 461—/ t 6 Fax: Phone: Fax: License # / Exp. License # 1 Exp. Item Unit Charge Qty Service/Feeder 200 Amp. $ 119,90 Service/Feeder 201-400 Amp. $ 145.50 Service/Feeder 401-600 Amp $ 204.60 Service/Feeder 601-1000 Amp. $ 262.20 Service/Feeder over 1000 Amp. $ 372.50 Branch Circuit W/ Service Feeder $ 2.60 Branch Circuit W/0 Service Feeder $ 73.50 Each Additional Branch Circuit $ 2.60 2' Temp, Service/ Feeder 200 Amp. $ 92.70 Temp, Service/Feeder 201-400 Amp. $110.30 Temp. Service/Feeder 401-600 Amp. $ 148.70 Temp, Service/Feeder 601-1000 Amp . $ 167.90 Portal to Portal Hourly $ 95.90 Sign/Outline Lighting $ 88.20 Signal Circuit/ Limited Energy / First 1500 sf - Commercial $ 95.90 Rol Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 63.90 Signal Circuit/ Limited Energy - Multi -Family Dwelling $ 63.90 / Manufactured Home Connection $ 119.90 Renewable Electrical Energy - 5KVA System or Less Thermostat $ 102.30 $ 56.00 b �� / (� NEW CONSTRUCTION ONLY: First 1300 Square Ft. $ 110.30 Each Additional 500 Square Ft. or Portion of $ 35.20 Each Outbuilding or Detached Garage $ 73.50 Each Swimming Pool or Hot Tub $ 110.30 Zip: Total (Qty Multiplied by Unit Charge) 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 296-466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature electrical contractor or electrical administrator: ❑ Cash ❑ check ❑ Credit Card # x /" Dated: ` ��— (/ 01/0112010 BUILDING PERMIT APPLICATION 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 -7 ,, Applicant " ,-'/, � Property Owher' /Ce Property Owner's Address Contractor ltj le Contractor's Address i�f1 License # PROJECT ADDRESS Parcel Number e - Expires / Zv n/ 0,4 x 136 For City Use Only: Date Received { 1,ZL(-10 'NPermit# lU- iID f Date Approved Phon Phont '160 G -j 6 S Phone E-mail Lot Zoning C-P_)b Prosect Type & Brief Description: residential ❑' (Multi -family Commercial ❑ Industrial Check all that apply r(lU Z� 6e. V S +Gt5 C1 ❑ New Constructiont7 ❑ Addition �LP TReml9e % 'TwoS��ruu:-°3 3 6rrf rao,.s �r�o� I���je.I i.,r YLRemodei p Go. q . c oC."� w /ls r- rL /e61 Repair 7-o 14-2- -O'; IC . "V /�rw�e� �v S�Xi'aa�, t� I. ❑ Demolition Ae_^,v(e,( ?/a nb,':f� 13w�fMr ,-S ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one, layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other N.d. nj)ol (-)ha VIC- c, tL;a-If_ kptiA4P_A^ �n -1hQ in vie tom. Floor Areas Basement 1 St Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existinq (sq. ft.) Proposed (sq. ft.) @ $ per sq. ft. = $ TOTAL VALUATION $ 40�6. QO - Total footprint of structures sq. ft. - . 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 % 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 / have read and completed this application and know it to be true and correct. tam authorized to apply for this permit and understand that it is my responsibility to determine what ermits are required, and to obtain permits pri 7g on projects. Date/t/-/7- Zviu Print Name / �,c���� '�� r Signature _ i/'%� T:Forms/Building Division/Building permit application C/ „? , "R I CJTYsOFITORT ANGEL tOMP� _-DEVELOPM-kNT— BUIL fN O (GWISION -DEPARTMEN,,T�*OFCOMMUN-1,TY,�'&�,EC�'ON D :32] aEAST'5TH -,STREET ,,",PORT ANGELES AWA 983.62, Application..;Number 10-.00001385ate ,12/-01/,1?0, :Application -n,-number 7. Ij:g 8 o: Property' ,Address' �, '120 N `,OAK ST ASSESSOR PARCELNUMBER: `0-'O�1'01_�140,0-.0000_'- .Tenant',Tnbrname -RICHARD"MOON 'RE. TAX OR tJ on' :Application 'type Idescr-ipti: _�2�i on. �yo uns le.lexcisela or :Subaivision;�Name. 'Y1 0%&C, At ;Propertyzcz BUSINESS -DISTRICT "Tropert Zonj_4g,.,.I -NESS 'Y 7. 09), L acatiowcod6i3O,5 AP 00,0 -ion's y:bfP*rLfA,n 0�e�,.M lV46?th 6 rCi( p1licAt vAluati:on 'pi”, Cation .,des _c nt REMODEL-2BATHR OOMS/3 BEDROOMS /KITCHEN/-DINILG Cv�S 4t f ----- - - - - - - - - - - - - - - - - - - -- 7 Owner?" Contract MICHAEL T7 'tBREEN 16 -,-BREEZE` LN-- 1 t ;PORT ANGELESt`," i'MA-98362;2=7,25 ----:'Structure Information 0" -REMODEL 7 -BATHS' MEDROOMS7oKITCHEN/DNG- ti on '.Type UNKNOWN' Occupanqy,Type- RESIDENTIAL Permit` BUILDING BUMDING Additional,desc'REMODELlBEDS/BATHS/:KTCHN.7-ET 'Permlnumber 2:38,0,04 .Permit xFee 1'-75' �... 80 .44' '12 0,1 - : ' "- Valuation- 40 0."0 1 ��6ty UnitargeerExtension' BASE 95,75- 14 .0000 THOU -,2 010,1 -,25K - (,1',4 P E R. K) . ... .. 8 0'0. t,:. '. BL Permlt' io' _ e Addft'. na.. sc, 2Z, PermitPermit -Fee 72 " �; �P±ah_';Check '-.,Fee 00'` Valuation .`-'�'� Vt - e Qty, Unit Charge Per Extension, a n FLOOR-MTD `-1 71, 7- M 4 -'T ,F,t ,Vt z, tiliti6s�.,,Orivate;,ghd�-public�improvements�,F :Separate .,Perm it's �are_, Thispermit null and v6idtifwork 6r'c'om' `,a6thdrk�&i�`n6f66mr commenced Within I 80.'days-,J 'coh u dtibnor work issuspended ora andoned for a p"enod of ,180 days affer,theaworkgas,commenced orj !required ns been within,180aysirorn-lne�' "last on�4`h`e'reby certify ifythbtIhave-tbad-'6nd,bxarinedthis•applcatioh-andknow 4the samejobe-true .and correct All 6r6viiG6 S ;7 -of laws:aridh- -speci ied_,hb'rein or"ncit.,,,,T�,�k,e�,�grant:ihg�bf,a,.permitdoes 11 b� :fi . 7. ,d�'dihance��,,governing.�t�.is�,typecif,Work�,wi,-, be ether O-rrn�; -,construction;c 'notpresdin tancef'the,-, "ons '-of,,einy�,state ,ior5local'�,IdVv,reguiaTing ir ncebfi -W - L;Ul 15 Ll UU [Ul I 't�"s h , ?,t,777, 'e. wd A3 'n ��, as -- r - - - i r - x / dk { is i , t 5 - r i 4, -i, " ignqture�o-0 Signaturewner�(ifown ]§:bOilder)Print M . �or 6A R. EXPERT T ELECTRICAL SERVICE., April 12, 2011 Trent Peppard Electrical Inspector City Of Port Angeles, WA Olympia 360-705-4225 Yelm 360-458-4002 Shelton 360-426-7600 Tacoma 253.203-0104 Fax 360-705-0130 After reviewing the information and explanation you sent regarding WAC 296.46B.010 and RCW 19.28.261.5.(x) I agree with your opinion quoted below. "General. 296.46B.010 Adopted standards. Inspections - general. (2) Electrical inspectors will give information as to the interpretation or application of the standards in this chapter, but will not lay out work or act as consultants for contractors, owners, or users. RCW 19.28.261.5.a (5) The licensing provisions of RCW 19.28.161 through 19.25.271 shall not apply to: (a) Persons making electrical installations on their own property or to regularly employed (Full time maintenance employee trained and qualified in the equipment that he or she is working on) employees working on the premises of their employer, (owners that are using the facility for their own use and is occupied by themselves or their employees not the public) unless the electrical work is on the construction of a new building intended for rent, sale, or lease; " The WAC 296.46B.010 clearly gives you the right (as the AHJ) to interpret and explain the RCW (Washington State laws) and WAC (Washington Administrative Code). It also gives you the final say on NEC interpretation. The intent of the license exemptions is clearly for full time employees (or it would not say "regularly employed"). It was put in the law to allow companies like Boeing or other large companies to use their (qualified) staff to do electrical installation and repair (with proper permitting and inspection). Sincerely Jim P. Simmons Owner/President Washington State Master Electrician Board Member - Washington State Electrical Board, Vice Chair Board Member — Puget Sound Chapter, International Association of Electrical Inspectors Board Member — Olympia Master Builders (1000 company organization) *This is my opinion and is not intended as a legal or sanctioned code interpretation. 1320 Dayton St. SE, Olympia, WA 98501-2737 License MRELEO*013JG SNOII33dSNI 1VOI810313 Conic o,, -I- O-PdcScaiC,e,&JL- 4-11H 7-k-ce- g4a 3 ej, xi /( a)7'*�- �y 14-7L JeU,� //Oc/ 5e ire To T PIZ'- ice•* AM 1 . um mm 111111, ;.1111 ���� � ` •J I i 111 ` 11111111 '1 lIIIIIIIIII�Pi111t. �i�u�i 11�fill r L-� CITY OF PORT ANGELES � DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION / 321 EAST 5TH STREET, PORT ANGELES, WA \/ 98362 -Pv1 aL1u11 1VUIIWe1 11-000UUUb4 llate 1/28/11 Application pin number . . . 208124 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Tenant nbr, name . . . . . . PENINSULA PAWNBROKERS REPORT SALES TAX Application type description SIGNS Subdivision Name . . . . . . on your state excise tax form Property Use . . . . to the Cit of Port Angeles Y g Property Zoning CENTRAL BUSINESS DISTRICT Application valuation . . . . 250 (Location Code 0502) ---------------------------------------------------------------------------- Application desc TWO WALL -MOUNTED SIGNS: 19 SF & 17.5 SF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICHAEL T BREEN OWNER 1664 E OCEAN BREEZE IN PORT ANGELES WA 983622725 (360) 460-6755 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . TWO SIGNS: 19 SF & 17.5 SF Permit pin number . 180802 Permit Fee . . . . 94.00 Plan Check Fee .00 Issue Date . . . . 1/28/11 Valuation . . . . 250 Expiration Date . . 7/27/11 Qty Unit Charge Per Extension 2.00 47.0000 PER S -ALL SIGNS < OR = TO 25 SF 94.00 ---------------------------------------------------------------------------- Special Notes and Comments January 27, 2011 9:15:49 AM sroberds. The proposal will result in 3 new bldg mounted signs totaling 43 sq.ft. in the CBD for total facade signage of 73 1 sq.ft. No land use issues anticipated. V , Fee summary Charged Paid Credited Due ----------------- ---------------------------------------- Permit Fee Total 94.00 94.00 .00 .00 Plan Check Total .00 .00 .00.00 Grand Total 94.00 94.00 .00 .00 J Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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. / /,Zc-- /l / !Gv[c r fQOAI d' Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — 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 I Date 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 (PLANNING DEPT. Separate Permit#s (Parking / Lighting (Landscaping Accepted By I I FINAL Date I FINAL Date SEP& ESA: SHORELINE: Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 1 Q Electrical 417-4735 ,f, Construction - R.W. PW / Engineering 417-4831 v Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit PREPARED 5/31/11, 8:25:47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/11 ------------------------------------------------------------------------------------------------ ADDRESS 120 N OAK ST SUBDIV: TENANT, NBR: PENINSULA PAWNBROKERS CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 11-00000084 SIGNS . ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------- —-------------- — - --------------- BL99 01 5/31/11 BLDG FINAL TIME: 01:00 May 26, 2011 3:42:08 PM 1pangrle. RICK 461-1161 BUILDING FINAL - TWO WALL-MOUNTED SIGNS: 19 SF & 17.5 SF PENINSULA PAWNBROKERS AFTERNOON --------------------------------- ---- COMMENTS AND NOTES-------------------------------------- r i> SIGN PERMIT APPLICATION Print in ink ,�'•''�- CITY OF PORT ANGELES -�4-� For City Use Only: -Attn: Building Permit Technician j Date Received 61- Z� - 321 E. Fifth St., Port Angeles, WA 98362 Permit# it-S�t 1 (360) 417-4815 fax (360) 417-4711 Date Approved i � Applicant or AgentPho e Property Owner 144e Phone 4"6-z - 2 63 Property Owner's Address /GGqc�- Contractor Phone Contractor's Address License # Expires Project Address /Z0 o � Business Name Parcel Number Lot Zoning G ll Submit an 8 2 "x 11 "site plan & three sets of plans that include: ■ Type of sign (wall -mounted, projecting, freestanding, illuminated, other... ) • Placement and sq. ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■. Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. Siqn Type & Brief Description: (Type, location, sq. ft.) 17. S sy. �t 7 -.Z c.,ca�r1S Sign #1 ,1 .���r �,du4/ /7', 6-17 % /e Sign #2 Z%V "'lso ,`.ter ?SOA, 1?_ S 4;t f4 Sign #3 Sign #4 Totals (Unit charaes Sign(s) _ Unit Charge Quantitv multiplied by quantities) lype of SicLn_ Valuation $ $47.00 x Z- _ $7`^ `f • a v $85.00 x Ir _ $115.00 x = $ All signs less than or equal to 25 sq. ft. Wall sign or marquees, over 25 sq. ft. Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s) area '0`{3sq. ft.= Total sign(s) area -73 sq. ft. Building fagade area (height Z-1 ft. X width ft.) = 13 l ? sq. ft. (if a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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 or to working on projects. Date �" Zy-)� Print Name / �`�� Poo aSignature T:Forms/Building Division/Sign Permit Application.doc 144^.1 e_vc, ( T�iCe„G(e , �� � �nSeoC � tiv C o 6�vws �p SC 7 '' Lc tk�s Plex;5 /4"s Lc Acl 04, l /I S�tice 7 73 =y41 001.JPG CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 10-00001293 Date 11/08/10 Application pin number . . . 290686 Property Address . . . . . . 120 N OAK ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1400 -0000 - Tenant nbr, name . . . . . . PENINSULA PAWNBROKERS Application type description COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . Property Zoning . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 610 ---------------------------------------------------------------------------- Application desc ADD TWO EXTERIOR DOORS ON THE SECOND FLOOR, ETC. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MICHAEL T BREEN OWNER 1664 E OCEAN BREEZE LN PORT ANGELES WA 983622725 (360) 460-6755 --- Structure Information 000 000 ADD TWO EXT. DOORS ON 2ND FLOOR Construction Type . . . . . UNKNOWN Occupancy Type . . . . . . MERCANTILE ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . 2 EXT DOORS, INT. WALLS ETC. Permit pin number . 176859 Permit Fee . . . . 56.10 Plan Check Fee 36.47 Issue Date . . . . 11/08/10 Valuation . . . . 610 Expiration Date . . 5/07/11 :Qty Unit Charge Per Extension BASE FEE 50.00 2.00 3.0500 HND BL -501-2K (3.05 PER C) 6.10 Special Notes and Comments -------------------------- November 8, 2010 11:56:59 AM JLIERLY NEED A CONTRACTOR LICENSE FOR THIS PROJECT, OR OWNER MAY DO WORK. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------- Fee summary Charged Paid Credited Due --------------------------- ------------------------------ Permit Fee Total 56.10 56.10 .00 .00 Plan Check Total 36.47 36.47 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 97.07 97.07 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 v' late or cancel the provisions of any state or local law regulating construction or the performance of construction. V Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- 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 I Accepted By Comments FOUNDATION: Footings I Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab I Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date Accepted by 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 I Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts (FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting I ESA: ISHORELINE: Landscaping I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date I Accepted By Electrical 417-4735 I Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 5 -31-11 C J Civ T:Forms/Building Division/Building Permit PREPARED 5/31/11, 8:25:47 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/31/11 ------------------------------------------------------------------------------------------------ ADDRESS 120 N OAK ST SUBDIV: TENANT, NBR: PENINSULA PAWNBROKERS CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0=0-1400-0000- APPL NUMBER: 10-00001293 COMM REMODEL ----------------------------------------------------- ------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------ ------------ --- ---- ----- ------— - --- —--- ------ ------- ----------- ----- — - - - - - - - - - - - - BL3 01 11/10/10 JLL BLDG FRAMING 11/10/10 CA November 9, 2010 3:35:46 PM 1pangrle. RICK 461-1161 FRAMING November 10, 2010 4:36:07 PM jlierly. Smoke detectors / egress windows / provide engineering for saw cuts in wall/jll BL99 01 5/31/11 BLDG FINAL TIME: 01:00 May 26, 2011 3:43:42 PM 1pangrle. RICK 461-1161 BUILDING FINAL - ADDED TWO EXTERIOR DOORS ON THE SECOND FLOOR,ETC. AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/10/10, 8:08:44 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/10/10 '---- — -- --------- ------ ADDRESS . : 120 N OAK ST SUBDIV: TENANT, NBR: PENINSULA PAWNBROKERS CONTRACTOR : PHONE OWNER MICHAEL T BREEN PHONE (360) 460-6755 PARCEL 06-30-00-0-0-1400-0000- APPL NUMBER: 10-00001293 COMM REMODEL --------- ------ --------- — ------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------- — --------------- --- ---------- ------ BL3 01 11/10/10 JLL BLDG FRAMING November 9, 2010 3:35:46 PM 1pangrle. 1 RICK 461-1161 FRAMING -------------------------------------- COMMENTS AND NOTES ---------- — ----------------------- -- �t`�S c,,oc -a ?eY-?h�n� co11-b (hiKe., giveo i1 -3 -to 1�e, Will be- r P t y -he coin}-�ra�.cAor$ gaV� -his - eK +v ��54� `�►s �O j,0R1 �,'r BUILDING PERMIT APPLICATION Print in ink 'IN �' ^a.ro 4 �!�•-.00— CITY OF PORT ANGELES .For City Use Only: Attn: Building Permit Technician Date Received I1 -x,-10 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Permit # ib�— 17 q� �, ate Approved 4#-i Applicant Pho4 _ q I�f Property Owner Phone Uo —6-155 Property Owner's Address ,�cj OCCICn✓ L^f Contractor mi` e_ 6 e A Phone �,l�/ - I /6 / Contractor's Address / z.4-1 v o,4 k-_ License # 1%f e- Expires N/i�- E-mail PROJECT ADDRESS l Zo N ;P,09 `1 F3W Z_ Parcel Number V045,u1a. Pownbtv*,ks Lot Zoning C. H) Prosect Type & Brief Description: Xf?esidential ❑ Multi -family ❑Commercial ❑ Industrial Check all that apply �< ❑ New Construction ❑ Addition /'ep%ce eno,u ,f'ov`-,k ,.Remodel �7Js� ��,%f ,.,�a.�.- �.�e s�w�,`..� ws/ls �Go✓rbo�J ❑ Repair /lav �leC/ t4/So /��/tccrc� G/Sss ..K w.�r�tows 1����s oaK sF. ❑ Demolition /+?,Y� aite-4 4.4s aged /Liesc eG,4.�gcf ❑ Re -roof ❑ House ❑ garage ❑ other o tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other f-IeA. ers �Ir�a��, 2wsr- Nth PL nr f`�1P�ahi°cu l Floor Areas Existinq (so. ft.) Proposed (sq. ft.) Basement , @ $ per sq. ft. _ $ 15' Floor 2nd Floor% / (`()(A, jono, 3rd Floor 1 / ��Ia�CLr 3.00 Garage j Carport Covered Porch Deck Shed Other c TOTAL VALUATION $ �P �P- Total footprint of structur I sq. ft. T L t size Kdriv o Site Coverage the amou of im ervious surface on a pare I, incl ding structures, pavys, sidewalks, patios, and other impervious surfa s. see PAMC 17.94.135 for ex m tions) coverage % Max. height of proposed stru u s ft. Occ an y group edrooms Will a lawn sprinkler syste a in alled? O upant ad /ull baths Will a fire sprinkler syste e insta,led? onstruction 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 t n projects. Date //-�— /v Print Name / (C -/C_ f Signature T:Forms/Building Division/Building permit application Ci i NOTES Permit # 10- i Z9 3� f ; ly,T L)h4 pY-,;) C -- 1.0 A 01 d i s 411 i c:1< tip (n i vv► w, s c o tm irYl M T:Forms/Building Division/Notes n P`10 r4 � F � De 6 (C- ITY C I3Y OF PORT ANGELES — Construction Plans T e Issuance of this permit based upon these plans, specifi- tions and other data s all notp#Qbr khe building official .em thereafter r id i Wrrection of errors in said alar~, specific to other data, or from preventing )uiiding operation ng carried on thereunder when in violation of all codes and ordinances of this l�tio �( . Iy "VS(cJ - 11TQ buitU1118'uu$.} rt Approval Date Mi5a- Wot- Pal &jr-ss f/teaAll— / ZT� ►b" a tai"---� , J7so�' e�r' 5 e— ,� 66J I ting V r PIZ���`iar" L„J4II 14 b p10o r f te'l1 �g 9'' �ovr��-- c��rGrc t� k° ,elk( 2 il & ASSOCIATES +� INCORPORATED ,7 191 / November 29, 2010 Mr. Jim Lierly, Building Inspector City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, WA 98362 CML ENGINEERING LAND SURVEYING 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovic@olympus.net SUBJECT: STRUCTURE LOCATED AT 120 N. OAK STREET, PORT ANGELES, WA Dear Mr. Lierly: Upon the request of Rick Moon this office has provided an analysis of two new openings cut into the 6" thick concrete walls of the building referenced above. The two openings are approximately 3' wide and 6' 10" tall and 6' wide and 6'10" tall. It appears that there were 3' wide windows at these locations prior to enlarging the openings for doorways. From inspection the existing concrete walls appear to have steel reinforcement embedded both vertically and horizontally spaced approximately 12" on center. Structurally speaking the reinforced concrete above the new openings will be sufficient to support the vertical loads imposed upon it. Please see the attached calculations and assumptions. No other aspects of the building have been reviewed by this office. If you have any questions, please feel free to contact me. Sincer ly, % Scott Headric , E. Cc: Rick Moon Fc: JN 10281 Enclosure: Structural Calculations RECEIVED DEC 01 2010 CITY OF PORT ANGELES BUILDING DIVISION i1 111111 /d I� 6woc(-,)e s ojP;5avl fj4S tf a, AT 0\,). �ojc- cu, Lav -s h -t7- 4-to pw- "--- � ry� " L si- (PI limp O'k VL. S Arl, S, ...... ...... Loads: LC 6, ACI 9-3 (b) Results for LC 6, ACI 9-3 (b) Reaction units are Ib and Ib -ft ZENOVIC & ASSOCIATE... SRH 10281 CONCRETE LINTEL LOADING ON 6' LINTEL 2190 Nov 29, 2010 at 7:08 AM 10281 CONC LINTEL.r2d Beam: M1 Shape: CRECT19X6 Material: Conc3000NW Length: 6 ft 1 Joint: N1 J Joint: N2 Code Check: 0.208 (bending) Report Based On 100 Sections A Concrete Stress Block: Rectangular Cracked Sections Used: Yes Cracked 'I' Factor: .35 Ib D in 8626.6 at 0 ft V r r -� Ib -2190at6ft 10528.7 at 6 ft MIb-ft k 0 at 3°ft 4: _"k8bb- Design does not consider any weak axis 'M' Moments, lii�aRla fl 'V' Forces. AC/ 318-02 Code Check Top Bending Check 0.208 Bot Bending Check 0.104 Shear Check 0.131 (y) Location E ft Location 3 ft Location 1.5 ft Gov Mu Top 2190 lb -ft Gov Mu Bot -1094.7 Ib -ft Gov Vu 1128.2 Ib phi*Mn Top 10528.7 Ib -ft phi*Mn Bot 10528.7 Ib -ft phi*Vn 8626.6 lb Tension Bar Fy 40 ksi Concrete Weight 145 Ib/ft^3 Top Cover 1.5 in Shear Bar Fy 40 ksi Concrete Type Normal WT Bottom Cover 1.5 in F'c 3 ksi E Concrete 3156 ksi Side Cover 1.5 in Flex. Rebar Set ASTM A615 Min 1 Bar Dia Spac. Yes Legs/Stirrup 1 Shear Rebar Set ASTM A615 Span Information Span Span Length (ft) I -Face Dist. (in) J -Face Dist. (in) 1 0-6 0 0 Rebar Detailing, center to center of each span(Units: in) RISA -2D Version 8.0.3 [C:\RISA\10281 CONC LINTEL.r2d] Page 1 #4 0 0 Shear Layout 0 K) 0 Top View 1 #4 114 (-&i Elevation (72) 72 (72) I 72 6 in rn LO _ �Aiddle End- - Span 1 CER This certificate is issu( certifying that at the ti, regulating building CSJ` Business nt ime, I Business address: 0 ; Property owner: Property owner's adi Automatic fire sprik Use & occupancy An Building permit numi Occupant load. - Type of construction: %v' A TE-'V0C'C7 U PAN CY D, rt Angigi�"-' 4B!ifilf, -j'6j"--'-,'0Niisiion �� 11%� requirements of Section III of the 2009,International Building Code structure was in q� liong the various ordinances of the City 01 Michael T. ss 1664 E. 0 ::system: Not 'i� -�'e fie tion: Mer Post on the premises in a conspicuous place. , VVA 98362-2725 04-14-11 ifflg M&iager Date 0� ' - not be removed except by the Building Official. MW m-i4-il G, 6' H soar. CERTIFICATE OF OCCUPANCY APPLI CA TION Permit # 10- 10G 1 �\� pS A•1:CflF� FEES CITY OF PORT ANGELES ; $50 Certificate /Inspection ,�. Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK �11—LJ Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? Zoning BUSINESS NAME X, Business address i CO nr o ^ic Mailing address ?o 130x I 091 I,vA "793(o2 Phone number 4/S'2 - 7Z94' Opening date vJvv l Days & hours of operation //**I''' — Business owner's name '/�..-A C r•aC 1*1041-1 Contact phone Business owner's address X#41".f Brief description of business �tiw.vsC-,o Property owner's name /714 3r'�eM Property owner's address/contact Contact phone -/go — G7✓�'S� lr,r BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on d II A Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No 9 �¢%��\�`r 2q3 Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on 4—(0-11 Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Wr Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? 3600 PBIA notified RK on 4'2 9_ 1 0 Is business moving within the PBIA? Yes �No ❑ CITY CLERK phone 417-4634 City Clerk approval by -7 N on 16— 1- 10 Second-hand dealer/pawnbroker business? Yes ® No ❑ Will there be dancing at this business? Yes ❑ No _r A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by Number of off-street parking spaces available for employees and customers? 16— (A S(A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: l'uNt re-GK;h rAV-) exisi�'r1� S��h PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by r�v PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site'drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No L� Work planned: on 6t.-3ol'lp PUBLIC WORKS WASTEWATER phone 417-4845 I PWWapproval by on C Will waste, other than domestic household waste, be discharged into the sewer system? .Yes ❑ No J' If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply fora ,Certificate of Occupancy. I "acknowledge- that I have read this application and state that the information I. have supplied is correct to the best of my.knowledge. Incorrect information may result in. revocation of permit. Date --/"Z Z - /v Print,Name <-;7 �_ ,/ Signature T:\Fonns\Building DivisionlCertricate of Occupancy Application (2010).doc Page 2 of 2 CERTIFICATE OF OCCUPANCY APPLICATION Permit # io- loI FEES CITY OF PORT ANGELES Certificate Inspection Attn: Permit Technician .321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PRIA) (360) 417-4915 fax (360) 417-4711 fee charged for Downtown. locations PLEASE PRINT IA/ 11VV Check one: Now business in P.A.?❑ Change of ownership only? D Moving location from within P.A.4 Zoning BUSINESS NAME Business address I< Mailing address redo 3 c, K .0793(o2 Phone number 4/r2 — 7t9- operation Business owner's name *140V Contact phone 4/(; Business owner's address sxlrr Brief description of business Property owner's name /W 4-e IR Property owner's address/contact BUILDING DEPARTMENT phone 417-481.5 Contact phone Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes 7 No R. Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Changes to a fire sprinkler system or fire alarm system? Yes D No Wr Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business?, Oc>ov Is business moving within the P BIA? Yes �No D CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes R No D Will there be dancing at this business? Yes [I No A City of Port -Angeles Business License is required for: Taxi, Peddlers, Second -Hand De"aler, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 Fire approval by PBJA notified WE on City Clerk approval by on If)h I (D vDi&" A w AUA�� r� COMMUNITY& ECONOMIC DEVELOPMENT, phone 417-4750 CED approval by Number of off-street parking spaces available for employees and customers? /6— (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning-, A -frame, etc?) Signs planned: -(Ai, (AY) PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT— FAJGflVFEW1VG phene 417=4812 F- Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes El No Work planned. PUBLIC WORKS WASTEWATER phone 417-4845 FiWE'approval by on PWW approval by on on Will waste, other than domestic household waste,. be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE openinq business. Building Department Inspection 417-4815 Fire Department Inspection 417-465.3 Please sign up for utility services at the cashiers' counter. I hereby apply for. a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date'% -12.* -10 Print Name Signature T:TormskBuilcling DivisionkCerliffcate of Occupancy Application (2010).doc Page 2 of 2 0 Clallarn County Assessor & Treasurer - Property Details - 55905 MICHAEL T BREEN f.. Page I of 5 Clallarn County Assessor & Treasurer Property Search Results > 55905 MICHAEL T BREEN for Year 2010 - 2011 Property Account ......... .. .... First Half Second Half Property ID: 55905 Legal Description: Geographic ID: 0630000014000000 Agent Code: Type: Real ST SCH - STATE SCHOOL Tax Area: 0010 - PA 121 PORT ST CNTY H2 L Land Use Code Open Space: N DFL Historic Property: N Remodel Property: Multi -Family Redevelopment: N $0.00 Township: 2010 38978 Section: Range: $20.39 $0.00 Location Address: Neighborhood: Neighborhood CID: Owner Name: Mailing Address: 120 N OAK ST PORT ANGELES, WA 98362 Cycle 5 Comm 20953140 MICHAEL T BREEN 1664 E OCEAN BREEZE LN PORT ANGELES, WA 98362-2725 Mapsco: Map ID: Owner ID: % Ownership: Exemptions: Taxes and Assessment Due Property Tax Information as of 09/22/2010 Amount Due if Paid on: 90 , LOT 1 BL 14 TPA 63 N N 15308 100.0000000000% http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=O&year=201 O&prop_id=55... 9/22/2010 ......... .. .... First Half Second Half Year Statement ID Taxing Jurisdiction 'Base Due Base Due Penalty Interest; Base i2010 38978 ST SCH - STATE SCHOOL $272.70 $272.69 $0.00 $0.00 $27 12010 38978 CC -GEN - COUNTY $145.13 $145.11 $0.00 $0.00 $14 2010 38978 PORT - PORT $20.40 $20.39 $0.00 $0.00 $2 j2010 38978 PORT ANG - PORT ANGELES $335.98 $336.01 $0.00 $0.00 $3: ,2010 38978 SID #121 -SCHOOL DISTRICT #121 $353.21 $353.21 $0.00 $0.00 $3E 12010 38978 NTH OLY LIB - NORTH OLYMPIC LIBRARY $42.17 $42.17 $0.00 $0.00 $4 �2010 38978 HOSP #2 - HOSPITAL #2 $59.53 $59.53 $0.00 $0.00 $E 12010 38978 WSMET PK DIST -WILLIAM SHORE MET PARK DIST $18.94 $18.94 $0.00 $0.00 $1 2010 38978 CITY STORMWATER -CITY STORMWATER $36.00 $36.00 $0.00 $0.00 2010 38978 WEEDCONTROL- WEED CONTROL $0.82 $0.81 $0.00 $0.00 2010 - 38978 TOTAL: $1284.88 $1284.86 $0.00 $0.00 $12E 12009 559052008 ST SCH - STATE SCHOOL $318.24 $318.24 $0.00 $0.00 $6": 12009 559052008 CC -GEN - COUNTY $161.06 $161.06 $0.00 $0.00 $32 2009 559052008 PORT - PORT $22.81 $22.82 $0.00 $0.00 $4 2009 559052008 PORT ANG - PORT ANGELES $353.28 $353.25 $0.00 $0.00 $7C 2009 559052008 SID #121 - SCHOOL DISTRICT #121 $393.55 $393.57 $0.00 $0.00 $7E 2009 559052008 NTH OLY LIB - NORTH OLYMPIC LIBRARY $46.80 $46.80 $0.00 $0.00 $E i2009 559052008 HOSP #2 - HOSPITAL #2 $66.05 $66.05 $0.00 $0.00 $12 12009 559052008 CITY-STORMWATER - CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $_/ http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=O&year=201 O&prop_id=55... 9/22/2010 N CITY OF PORT ANGELES �DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 7 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001498 Date 1/06/11 Application pin number 938172 Property Address 120 N OAK ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 0 1400 0000 Tenant nbr name PENINSULA PAWNBROKERS on your state excise tax form Application type description SIGNS Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 50 Application desc 32 SF FREESTANDING WOODEN SIGN Owner Contractor MICHAEL T BREEN OWNER 1664 E OCEAN BREEZE LN PORT ANGELES WA 983622725 (360) 460 6755 Permit SIGN Additional desc 32 SF FREESTANDING SIGN Permit pin number 179515 Permit Fee 115 00 Plan Check Fee 00 Issue Date 1/06/11 Valuation 50 Expiration Date 7/05/11 Qty Unit Charge Per Extension 1 00 115 0000 PER S FIS OR PROJ SIGN > 25 SF 115 00 Special Notes and Comments January 4 2011 4 48 07 PM sroberds The proposal is to install a 4 x 8 free standing plywood sign in the CBD Sign area is permitted given the size of �\ the lot The sign must be secured as directed to the steel pole support structure Vey) Fee summary Charged Paid Credited Due Permit Fee Total 115 00 115 00 00 00 Plan Check Total 00 00 00 00 Grand Total 115 00 115 00 00 00 p\,ZK 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. �. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I C> BUILDING PERMIT INSPECTION RECORD Accepted By — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — —� 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date ( Accepted By I Comments FOUNDATION: Footings Stemwall I Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING. Under Floor/ Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling --- FRAMING. (�J Joists / Girders / Under Floor C> Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) Z T -Bar INSULATION: Slab I 1 Wall / Floor / Ceiling I MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES. V Footing / Slab 1 Blocking &Hold Downs I I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. ISHORELINE. Landscaping I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 \I Construction R.W PW / Engineering 417-4831 0� 0"\V Fire 417-4653 111 N Planning 417-4750 Building 417-4815 0 t T:Forms/Building Division/Building Permit PREPARED 1/25/11 '10 31 31 t Application number Correction option Correction description Corrected by Fee Structure Permit Insp PERMIT FEES 000 000 SIGN 00 Totals CORRECTION RECEIPT CITY OF PORT ANGELES 321 E 5TH STREET P O BOX 1150 Receipt 10 00001498 Date 1/06/11 Adjust with G/L Time permit withdrawn 1 24 11 Number 0002276 KEMERY Cashier PERMITS Before After Amount Credit Reduced Amount Credit Paid Remaining By Paid Remaining 115 00 00 115 00 00 00 115 00 00 115 00 00 00 'Cash Adjustment I Application # to- I H 12; Receipt # 000 Z 2--7 Fee Type b I Amount Paid- I bQ Adjustment Posted Fee Cashier info �P Payment Type Check # Refund Amount .I 15' Qo New :Fee Signature .�O -0 aLa_� SEND TO Clio -1 j moo r P0v-1- A�5 eI.P---c> ) w A Rsov�-eAVerYYI, w i,,k& � n o 9g3GZ �.1 nsua PawhkvzKer-5 (3V\ �aVA ce�u A A D M"h � `--� Pean ;►� s � 1� P�w�,b� I�e�-� s NOTES Permit # Nom = Pe*- 5u -e- P <=in;S YNecA �- 4n moi 0drnph(j.)i'4 1l41 le, -F+ R cV- M o � o� m e, ss � ` Per Sve.- (Z 4k�'s l5 Cfjw;s Je.VpA av\A vve e s. -- n k Cave- � a)Gf- h+ bp.1 in c, k�U 11At�/1(� s 0.s" W m � I e -' f 1 S ��.��1.� ��Q/� V) e- �-r) ri M , T Forms/Building Division/Notes Ale Edif -Commands_- SUlIOAND-PUBLICSECMR' wMaime p; Application 10-000016(- Property Information Application Information. ® Bonds contractor escrow; Address �� 120 N OAK ST Application-desc 32 SF FREESTANDING WOODEN ST "- ® Fees 'PORT 'ANGELES, WA .98362 Application status: PER•QT"ISSUED '1/06/2011 © Global balanceduJ� 'Location -ID: -89392 Status'Date IM inspectionhlstodner ry Dname! MICHAEL.'T GREEN' - Application type SIGNS 90 Miscellaneous info'' ASSESSOR PARCEL MkBER: ,06=3(8=00-.0=0-1?00.0000- _ Application=date 12/28/2010 ® Names ALTERNATE 1): -063000001400 Tenant name/number 'PENINSULA'PAWNBROKERS -® Permits... ....... .Y.....,.r..-,�,,.... ; I'1� _..., ,. �.tl ._.....:.. ...... . ,...._III.._....:. _.•,.,.., - d :LII^ Plan tracking ✓ _R0.G )Rts� ; Contreator Information ' � ,, Outetending Inepeotione � .I ziquars footage cal r- ® Structures contractor "Name *'OWNER-' Insp Schedule Confirmation I' -� Valuationcalcuta6e .Contractor Number. Type. ID Date Number I I I TYP.e: .e Status, No 'outstanding.inspections.exist Contractor *direments. Doc. Number a 1... ..._..-......:.. III .._ „...._..... ;: .:I 111 141 ,. a .:. .. ........ I 1/06/31 I: 0002276 BHAMITS OP 1-15-OO7V L ~- OD - - - .Print' �, �„Cancel ... - �.• . �t..x EziD:....__.... �� E Refresh :Lend Inpuiry i Doc umente- . . ,_ .. .. MWI k 0,PC) RTSIGN PERMIT APPLICATI Print in ink CITY OF PORT ANGELES For .City Use Only- �, Attn Building Permit Technician Date Received V3- 10 321 E. Fifth St. Port Angeles WA 98362 Permit# to - (360) 417-4815 fax (360) 417-4711 Date Approved 9.1.� rf Applicant or Agent � f VC/0�-� Y� Pp 9 / r� i�'`l Phon 4f�/ ;iGi 661 �K) Property Owner � ke �ir�o./ Phon� Property Owner's Address qs(.4 -F _ Cc_cov, Rvve7Q_ Lnl Ph1wN 983(92-.1"7V Contractor 14'11 1�,-_ Contractor's Address License # Project Address Business Name Parcel Number Lot Submit an 8 % "x 11 "site plan & three ■ Type of sign (wall -mounted projecting freestanding, ilium' ■ Placement and sq ft. area Phone -11(,o -Z75s sIM,'���� Expires e Zoning s of plans that include. other ) ■ How the sign will be securely attached (Engineering ecs may be required for freestanding signs) Separation distance between the bottom of proje i g and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City Port Angeles Municipal Code for sign requirements. Siqn Tvpe & Brief Description. (Type, locati , sq ft.) Sign #1;PX ',`/4 0_/ �J iuJ�11f Co�nle/' .1/O�i �P fff�tictirr,� (� G�,.�sCup Sign #2 Sign #3 V Sign #4 /-e.T4 Exs¢;N� /414 Totals (Unit charaes Sign(s) Unit Charge Qua itv multir)lied by auantities) Iffe of Siqn Valuation $ $47 00 x = $ All signs less than or equal to 25 sq ft. $85 00 x . � I Wall sign or marquees, over 25 sq ft. $115 00 x j _ $ ! /6 , or.) Freestanding sign or projecting sign, over 25 sq ft. sv� GRAND TOTAL Make Checks Payable to City of Port Angeles tanA� $ I1 S ®[) Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s) area Z sq ft. = Total sign(s) area r2 sq ft. Building fagade area (height 14 44 ft. X width 7 L ft.) = /ZiS _ sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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 or to working on projects Date /Z-2�"w Print Name / c�C/G'CGvc/ Signature T.Forms/Building Division/Sign Permit Application.doc /Z P5 C% L-� ,It . ci Pt-11'IfOuLit g,0. PUNYROKER 19 #1- - s (9 CL C:) Atv"�-� \,,o A-*sec� -tT U--a� - NA /V/tl 005 J PG tiff+ 4x� .._� r •,� - ��. � .r5.. is � f.�� AM 004 J PG ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000784 Date 7/28/10 Application pin number 139040 Property Address 120 N OAK ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1400 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Inspection upgrades and repairs existing Owner Contractor TONY E/MICHAEL T BREEN BOB S ELECTRIC INC 402 E 8TH ST 2293 DEER PARK RD PORT ANGELES WA 983626220 PORT ANGELES WA 98362 (360) 457 6887 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 170191 Permit Fee 95 90 Plan Check Fee 00 Issue Date 7/28/10 Valuation 0 Expiration Date 1/24/11 Qty Unit Charge Per Extension 1 00 95 9000 ECH EL TRIP FEE INSPECT EX INSTAL 95 90 Fee summary Charged Paid Credited Due Permit Fee Total 95 90 95 90 00 00 Plan Check Total 00 00 00 00 Grand Total 95 90 95 90 00 00 i REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH I SERVICE ROUGH IN 2q I h FINAL -i 1;—P l L v 1 COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 0 o,*9ORT4/,, ELECTRICAL INSPECTION -y WIRING REPORT �,s" 417-4735 DATE PERMIT # INSPECTOR /2'R l rn OvRNER/CONTRACTOR ADDRESS ZU fel 6A K APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED- Grp ij it fL @-a 56 -ri-i oofz_ -) - R*a Q,f N.o((E Lo Ile re- 5 DTA g V7 2- 7 Dir- F_StTv.TZ IQr_ ic-AA-i LO cAi'T+ou NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 JUL-28-2010 07 13 FROM BOBS ELECTRIC City of Pon Angeles Permit Application Building 0►vleledE1eefriaal Inepocaone 721 E 611 FIM Sued - PA. 6= 11150 Pad AngeleeWasMnpton, 90112 Ph: (3u) 417 -an PLC Poll 4I%711 Date; "7-45 — /Q _ 1 a z t3btgle Family Dwelling _ MtuW&* or Corm andel• _&C ntneldel Addition I Alteration 1 Remodel I Regale 3604529943 TO 4174711 JUL 2u, 2009 • plan Review May Be Required. Please Complete Elo_ctrka tan Review Information Sheet Job A; Building Square Footage; �..� Description of above Oe I_ CUJV A ELECTRICAL INSPECTIONS t>vrrtef Infonftauort Name: - Maili Ad se: City Iete:��ZIP: 4R. � y Fax Llcense>YI txp. P 1/1 a 2ta$� �. Name: Mailing AddrM=ci==3.020 � z?•- Phom — Uoense ill I Exp Unit Chame Toa (Ont Multiplied by Unit ghemel S 119.90 S ServlselFeWw 700 Amp. S 145.50 S WvWFaw 2M 400 Amp. 5204-M i Smvicolfaodor401.6WMP, $202.20 S ServloelFeeder 601-1000 Amp. 137250 S SarvaalFeeder over 1000 Amp. S 2.60 I BrM ank W1 Service Feeder S 73.50 S Bunch Chao W/O Servloo Fonder $ 2.60 S Each Additional Branch 0=11 S 92,7o I Tamp, Service) FoWer 20D Amp, $11030 S Temp. 6ervIrBlFoador 201100 Amp. 11/8.70 S Two. Wvft*ooda40`14WAmp, S 161.90I Temp. SarvlowFoodor 601.1000 Amp. S 95.90 S1Ptxla! to Portal Mollify ` S 09.20 I SpNouulne uohdno S 95.90 S Signal Caculy Urnlind Energy — Cormardal. Addl S 69.90 S Signal Circuit/ LbWwd Energy 1 b 2 Family Wetihp S 5190 S Signal ChWu Umhec Energy • Mulffamily Or'rtk9 S 119.90 S 161:1401 (flod Mama Conrrecborr 1102-30 S Ronoweble Elaclraal Energy. SWVA System or Lau 1110.30 S Fast 1300 Square R. 5 85.20 S Each Additional SW Squwo FL or P011100 Of S 79,50 S W 0ulhu0ding or Ootached 0911108 $110.30 S Kath Swlmndna Pool or hot Tub it X s 9 1600 $5.0o a. . S 56.00 S Tharmoslet S r Told' ` Owner as dented byRCW 1428.261: rq Owner wig occupy the structure for two years ahor this elac6lcal parrntt Is WIN& RJ Owner h1 regufnd to hln an macefcal condatdo►M above said preperblt farsale, ant orlesse. Permil expires after six months of lost Impaction. AM►reading IM above outement 1 hereby colo, that I am the owner of tha above named property or a licensed electrical oonlreQtw. I em making the elactriat Inetautflon or assredon In cpmpllarloe BAN Iho electrical terra, N.E C. RCW. Chapter 19.28, WAC. Chapter 798•d6B. The City of Port.Angeles Munidpei Cade, and umny Speclikation► Signature of owner, deistical eonusew or electrical administrator 0 Cash 0 Check _ E of Posr 4Nc CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 c.T1 (206) 457-0411 SltI Address: I n ^ Installed By !~ WAea,�e Owner/Business:�A-M� I Owner/Business Address: ❑ RESIDENTIAL ❑ COMMERCIAL ❑ 1BASEBOARD KW -b4 ❑ FURNACE KW ❑ FAN/WALL KW ❑ HEAT PUMP KW PERMIT NO. —_+ 0) 7 DATE 7 - �9 ELECTRICAL PERMIT ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: ❑ TEMPORARY SERVICE ❑ PERMANENT SERVICE ❑ NEW CONSTRUCTION ❑ REMODEL X ADD/ALTER CIRCUITS ❑ SERVICE UPGRADE/REPAIR Sq. Ft. ❑ OVERHEAD SERVICE ❑ UNDERGROUND SERVICE VOLTAGE: ❑ SINGLE PHASE ❑ THREE PHASE SERVICE SIZE AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) J Details/Description:-Acl2cLmT5 /— Z?,D pole- D*660AP-1>5 I (L-3oA-e,)zeujr 1 4 4�!��a uv�ulri f —S—rAI.0 tvG &— G'cx f3,a sl✓1 rz ++barr S- I SWI K.l n16 n+2.o o V �.Hr✓FFD Ll(a trl� ® I I W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑I Ditch Inspection O.K. ❑I Rough-in/cover O.K. 010. K. to connect service Final OX Site Address: Permit/Receipt No. 1 /Zo N' +0)7 li stalllleyr:� New Meters Date: 2 -7 -to U Notify PortAngeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the ilding Permit. PHONE 457-0411, EXT. 224. I NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -76� Electrical Inspector Permit Fee ITE — File by address YELLOW — file by number PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom: City Hall OLTN.PIC PRINTERS INC I /to 0* ,ORT qNC ti's TF! m gTet Site i ddress: Instlied By: 1/ Y Own lr/Business: Ow Ior/Business Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO c� ELECTRICAL PERMITZ1DATF ^ ^ r ❑ READY FOR ❑ WILL CALL FOR ��Grl INSPECTION INSPECTION ^ / I License Number' Phone: Residential Heat KW Baseboard ❑ Furnace/Boiler Heatpump ❑ Other Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Is/Description: �) i. Nn Service iacity: ❑ O.K. ❑ Not O.K. Ditch inspection O.K. Rough-in/cover O.K. O.K. to connect service Final O.K. i t ❑ New Construction ❑ Remodel ❑ Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) Size Commentq nato Phone: Sq. Ft. ❑ Overhead ❑ Underground Voltage ❑ 10 ❑ 30 Service size Amps ❑ Temporary Hold for: ❑ Easement ❑ Letter ❑ Signed up for servicelmeter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Address: , � !-' I Permit/Receipt No. Staller. !] New Meters Date: 2ify the Department of City Light by Street Address and Permit Number when ready for inspection. Work 'st not be covered or electrically energized before inspection and O.K. for covering or service has been given he Inspe In (ting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. 1 /// /J NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ' / I peci/ori'IV/M-_Y//I Amount paid t—flleby ddress YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN—Top: Inspector, Bottom: City Hall CITY OF PORT ANGELES N° 1 7 5 1 8 UGaT DEPARTMENT ELECTRICAL PERMIT Port Angeles, Washington ...... ._3-? -� ----•....................... 19� In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is here y granted to do elee rival work as listed below. Address ... ±-00--- Owner _...i �r 2a --------- Tenant ----....----•......... .......... -....... ----------------------...__. �----- - Z7 Contractor-- ... =------------------------ .... By.....-----------------....-- ......... ---'•-------- ------------- Light Outlets-.-_...-----. _ Service, volts .... ---_--------- ._.......... --- - Type of Wiring: Receptacle Outlets_ _5- .......... ...... No. wires _ ....... ._........................... Armored Cable ............................. Dryer, KW..... ........... .................. ........ Size wires.... ....... ......... . Non -Metallic .... ............................. Ht nge, KW ......... ...--------------------- . -... Main Fuse ... ....... .................... ......... Knob & Tube ........ .......... ..._.......... Rigid Conduit ............................... Water Heater: Enclosure .................... .......... ......... Metallic Tubing KW. --- .--------- _.--------------- ------ ----- Type of wiring: Raceway .. H at: KW ................ Entrance Cable .. ........................... .............. Circuits, Light ........... .................. .......... Motors: size, volts and phase: Rigid Conduit ...................._......... Utility ...... ............ ------ ,................... ........................ ......... ..-------- ............... Metallic Tubing ........................... Heat . ----- ........................... --......... ........._...._..'---__......._...._ Current transformers: Range ............. .........................._ ................ .... No. & Size.— ......................... ........ Water Heater ............................... ...............................- ......... ...........-.... Ser. No. ------..............................._._. Motor ..._.._....'--------""------------ --- - Ser, No ................ .......... ......-_..... ..... Dryer-.-.. ......... ......... ...... ..------ ....... Ser. 'Vo.. ---- ....................... __.... -...... Furnace ..... ......... - ........ ,................... TotalLoad ................. ......... Ser. No. ------- ........... .......... .......... ....... Total ................... ................... . Remarks:f ff -- f - --? r?...r:-•-------------------------------------------•-----------*-------------- - --------------- ........ ---------- - - - ............ ...------- ------- ------ ....... -••----- Permit Fee Tress. Receipt $ - - No.... ............ _ By '--- --- ---------- ---f..P9' :----- -- NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con - waled due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address N° 17518 Owner........ .................. ......... _.......... ....... _...... _.._...................................................... _.. Tenant ............ .------ .......... ...------ ................... .......... WiringContractor...... .................. _....... __................. .......... _........ ........ __ ------ ............ _------ __..... By --- .--------- ......... ......... .._................. ........ . NOTICF—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. ' IM Olympic Printers, Inc. CITY OF PORT ANGELES 1 V Q 17 510 LINT DEPARTMENP ELECTRICAL PERMIT Port Angeles, Washington ....... ..... .............................................. , 19_CJ/ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure in the City of Port Angeles, per- mission is heAby granted too do electrical work as Iisted below. Address.� ----------------- * -------------- * ------------------- Occupancy--- .�f1 r�'- :.------------ Owner .......... ...... '�-r` ---- . ..... ..�J Z ......-a-- Tenant, ---.------- ----------------- ------------ Wiring Contractor. ---- By_ ..------------------ Light Outlets ..... ..... . . ....... ....... .......... Service. volts ........ ____ _....... ...-.-..- Type of Wiring: Receptacle Outlets.... .. .... ......... ...---- No. wires __ ................. ................. Armored Cable Dryer, KW-.,, ........................... __........._. .----..._. Size wires ............ Non -Metallic _... Range, KW_ .......... ....__.................._ Main fuse... Knob & Tube_- .. Rigid Conduit ... Wt ter Heater: Enclosure.._ ........................._....... - Metallic Tubing KW --------------------------------- .._-_..----- Type of wiring: Raceway KW.... _........... :------- -------- ...... ........ Entrance Cable ... .------- _............... Circuits, Light .......... Motors: size, volts and phase: Rigid Conduit ............................... Utility ------. ......... Metallic Tubing ......... ........ ---- -. Heat _................. ................................. Current transformers: Range ................, No. & Size .............. ......................_. Water Heater ... ..._._---........._-___........--._......... . _. .. Ser. No ........ -........................... Motor ................. .._........................................ ....... ..._.. Ser. No.'----._ ................_..........._..._. Dryer .......... .......................................... __ ...... Furnace ................ , Tota Remarks: Permit Fee Treas. Receipt �--------- ----------------• ...... No .... -....................... By 1.' Qe ---- - ----------- _1---- - 0 NOTICE—Current moat not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY*THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N° 17510 ELECTRICAL PERMIT Address.............. .................... ................. .......... _.......... .......... ------- -........ r......... ...... ___ ........ Date..._. ......... _._............. _...... ....... _......... Owner----- __ ....... .-------- -------- _......... ......... ...... _.......... -......... ................. ._....... -------- ..... Tenant... ................. ....... __.... ...................... _------ • Wiring Contractor ............... ......... ............. .......... ------ .......... ...-------- ......... _.......... .------- _.......... .----- By --- ..--------- ------ .................... __....... ......... NOTICFI Current must not be turned on until Certificate of Inspection has been issued. If work is tobe con- etaled due notice must b`(given the Inspector so that may be inspected before concealment. � t IM OIYarPic Printer., Inc. ;^' CITY OF PORT ANGELES LIG i DEPARTbOM ELECTRICAL PERMIT 'NV 17312 Port Angeles, Washington........ = G -------------- 19?-..G� accordance with the City Ordinance to regulate the installation, extension, or repair of elec- quipment in, on, or about any building or other structure in the City of Port Angeles, per- t is hereby granted to do electrical work as listed below. 0 - - p y---�'--• ----- - o P - WiringContractor.- ........... By ------------------------------------------------- -------------------- Light lOutlets............................... �... ...... Service, volts ... ,.:�,..�........ '.cJ Type of Wiring: Receptacle Outlets-----------_-----...._---- No. wires—.....fT./........ ......... Armor d Cable ............................. Ibo/fC)lY�c^?j0 tatuc ................................. Dryer. KW .......................................... 3 Size wires.........o......................_.. ���� Knob & Tube ................................. Range, KW -------------------------------------- Main fuse......] hQ. :.......... Water .... .......... Rigid Conduit .......................... ) Heater: Enclosure ......''._�Metallic Tubing KW -------- -------- ------- -- . --- Type of wiring: Raceway ance Cable ............................. Heat: Kw..... ......... r Circuits. Light ................................. I Motors: size, volts and ph se: Rigid Conduit ............................... Utility ............... —... ..................... ---I-- -------- ------- .------- ------ ------------------- Metallic Tubing ........................... Beat ....................................... _...... Current transformers: Range ............................._.............. ............................... _ .......................... No. & Size ....................................... Water Heater .... _........................ ........................................... _.............. , Ser. No .............................................. Motor ..._....-------- .......................... Ser. No .............................................. Dryer..............-.- ................__ ....i ................................................... — Furnace .........--.-....... ....... Ser. No .............................................. TotalLoad ............................. Ser. No..... .............. .......................... Total ......-......-----------------........ Ole Remarks: 1' -' I --------------------------------------------------------------------------------------------- ----------------------------- ----'/ ---------- ---------------- Permit Fee Treas. Receipt 1 $ -------- .I---------_----------------- No ----------------------------- By - r`rt°irC.^✓'- NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Owner Wiring N° 17312 NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 11.1 `Olympic Printers, Inc. TF 2007-1211374 Page 1 of 2 Easement Ctfi Of Port Angeles Olallam County Washington 10/29/2007 01 21 37 PM RETURN ADDRESS: City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 DOCUMENT TITLE: Temporary Construction Easement GRANTOR(S): Tony E. and Michael T. Breen GRANTEE(S): City of Port Angeles STREET ADDRESS: 120 N. Oak Street ASSESSOR'S PROPERTY TAX PARCEL: 0630000014000000 City of Port Angeles Public Works Engineering Division PO 13ox 1150 Port Angeles, WA 98362-0217 TEMPORARY CONSTRUCTION EASEMENT The Grantor(s), nliP{&.1/1 for and in consideration of mutual benefits, grant(s) to the City of Port AngelW a municipal corporation (hereinafter referred to as the "City"), a temporary construction easement over and along the full width and length of the premises situated in Clallam County, Washington, and described as follows: Tax Parcel Number 0630000014000000 120 North Oak Street, City of Port Angeles, WA The temporary construction easement hereby granted shall Include the right, privilege and authority, to said City and its contractor(s), of Ingress and egress to and over said described premises during the construction of water main, sidewalk, fire sprinkler piping, and related facilities as part of the Downtown Water Main Project, Phase III. The City or its contractor shall, upon completion of said facilities, restore the premises of the Grantor(s), which are disturbed by the City or Its contractor, to as good condition as they were in prior to any such construction of facilities. The City and its contractor shall indemnify the Grantor(s) against, and hold the Grantor(s) harmless from, all claims, damages, and lawsuits related to the construction of said facilities. In consideration of the City's construction of fire sprinkler piping for the benefit of the Grantor(s), which the City is undertaking in the interest of public safety and to take advantage of the cost effective opportunity made available by the Downtown Water Main Project, the Grantor(s) hereby agree that the City shall have no legal responsibility or liability for the fire sprinkler piping constructed pursuant to this easement. Grantor(s) further agree to indemnify the City against, and hold the City harmless from, all claims, damages, and lawsuits related to the operation of the fire sprinkler piping following completion of construction. 0 t Grant mporary Grantor construction easement STATE OF WASHINGTON) Date shall expire one year from the date of signature of the 2 ran{or Date ) ss. County of Clallam ) % On this date, before me the undersigned Notary Public in and for the State of rJ personally appeared to me known to be the individuals) who exec ted the foregoing Temporary Construction Easement and acknowledged to me that they signed t ame for he uses and contents therein mentioned. DATED this z7� day of (( i7 lei, e 200 � NI N T PU L i n qr e teW6 2009: r Washington, r siding at �y Z; My commission expires: °° ` C PL I C N IPROIECTSW-19 DOWVTM\ WATER.SIAN PHASE 3109 RIGHT OF WAriEASE%I ENTSI20NORTH OAK DOG 2vr,"� \`� ✓/ !�