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Home My WebLink About720 S Peabody St - Building9.QA 9 rgort Angeles',;.='&1110)141'Diatision This certificate is issued ursuant to the requirements- of Section 174;Ofilie 2009 International Building NN Code certifying that at _)the4ttme0filSsuance this structure was in compliance wall the various ordinances of the City regulatingibuildi,, C'OnStittWinoruse the J t a t ,,,,_Iiici Business name rt =8traiPileaithz-atichHeaiing'i ,,n.er Sperry) Business address::: 720WPeabc 't Property owner Diane Markley Property owner ielcire4V.1 PO Box 284$ r i C Automatic fire spitinkle4thtem Perdrit Use occupancy ClassWation. Bu4ine ir Occupant load. Per 2009JB0.TableiD Building permit num Type of construction. PANCY Post on the premises in a conspicuous place. s clitligatsihall.riot be removed except by the Building Official. 77, 5ert'j n-�e fi Dm trir my Owa �cer� A/5' 01 ty CG�a s JUS 0.1 ifti i h-e,oulty C-eJ\A" 0; /A^J 0 d )5A dame wa s eve 0,e)m.-as So-0 Log,. �y Arc6d-eS UJF� 9ga(og T3osioes zo, e_-EJJ 49/s -a RECEIVED DEC 15 2010 CITY OF PORT ANGELES BUILDING DIVISION t 2_ [5_ t0 NO T ha K o,. s ir roc-mi1 ci' f It c_Okioh A A-1 e- Si' y n GaAs 4 saic� she` l( Set a sign Pev'mr+' LP wiant Negis iveeaea rees,uue No•Fee Tax Registration (State Dept. of Revenue) Do you want a separate tax return .,business? Yes No .for-each Industrial Insurance (Workers' Compensation) Required if you will have employees. No Fee Unemployment Insurance Required if you will have employees. No=kFee Minor Work Permit Required if you will have employees under age 18. No Fee New Trade Name (Doing Business As) Strai f cU -H aid 1 -e/ti X10 C.eritir 5 00 List Additional Trade Names ($5 each name) or Other Licenses (such as Lottery Retailer) _..mr-ir ill f D DEC 15 201 1 C ITY OF PORT ANGELES p►VISION Master License Service Department of Licensing PO Box 9034 Olympia WA 98507 -9034 Telephone: (360) 664 -1400 www.ptactgov Inforvti✓ ri Yn Ftttfact to disclosure unde t e public disclosure law (RCW 42.56) Or 1 'f1) Master Business Application For faster service Apply online www dol. wa.gov or print in dark ink and mail to Master License Service 1 Purpose of Application Please check all boxes that apply. 2 Licenses and Fees Use the License Fee Sheet for the information needed to complete this list. Enclose check for total amount due including the Processing Fee, which MUST be submitted with this form. Make check payable to the STATE TREASURER BLS 700 -028 (R107110) Page 1 of 4 Legal Entity /Owner Name 60oa Yq/ 2 2- Unified Business Identifier (UBI) Federal Employer Identification Number (FEIN) For,:.Validatipn Office. Use Only 01P- 400 925 -0003 v •'MP tEi Open /Reopen Business complete sections 2, 3, 4 (5 if hiring employees) and 6 Open Additional Location complete sections 2, 3, 4 (5 if hiring employees) and 6 Change Ownership complete sections 2, 3, 4, (5 if you have employees) and 6 Register Trade Name complete sections 2, 3, 4 and 6 Change Trade Name complete sections 2, 3, 4 and 6 Name(s) to be cancelled: Pure, 6l em1°rr Change Location complete sections 2, 3, 4 and 6 Add License /Registration to Existing Location complete sections 2, 3, 4 and 6 Business Has or Will Have Employees complete all sections Business'Has or Will Have Employees Under Age 18 complete all sections Hire Persons to Work In or Around Your Home complete all sections Other complete all sections Old address'to be closed Processing Fee 15 00 Total Amount Due 47i2 The Department of Licensing has a policy of providing equal access to its services. If you need special accommodation, call (360) 664 -1400 or TTY (360) 664 -0116. Post on the premises in a conspicuous place. CERTIF Cit of Port Angeles Building Division This certificate is issuedppucsuant to the requiremena bf Section 174 2009 International Building °14.fmr, Code certifying that arthe,;tintegafissuance this structure was in compliance with the various ordinance of the City regulatin iniilditi con ;12010 for the folla'Wing: V. ,07-14,,t Business name rettremen,s A ailtS-per Business address:, Peabody St. Property owner Diane M fr an4ey- Property owner s rgss 4 PO Box 2$5';'`iPort7Artgeyesi, T 836.,..0 33 Automatic fire sp n rasystem. Perir36"-- --;YA- Use occupancy lasiVieation. Busjpess! v-- Occupant load. VCL.HL, Per '20.09 1B 111,,.. Building permit num Type of construction. ificat„eAhaltrig be removed except by the Building Official. 0 PREPARED 12/02/10 8 18 51 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/02/10 ADDRESS 720 S PEABODY ST HOUSE SUBDIV TENANT NBR PURE ELEMENTS SPA CONTRACTOR PHONE OWNER DIANE MARKLEY PHONE (360) 504 1496 PARCEL 06 30 00 0 2 2990 0000 APPL NUMBER 10 00001109 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 10/27/10 JLL BLDG C/O FINAL TIME 01 00 10/28/10 DA OVERRIDE TAKEN BY LPANGRLE DATE 10/26/10 TIME 14 14 52 October 26 2010 2 13 29 PM 1pangrle TINA 417 1000 (I CALLED HER TO FINAL THIS PERMIT C OF 0 FINAL PURE ELEMENTS SPA AFTERNOON PLEASE CALL HER 10- MINUTES BEFORE YOU GET THERE October 28 2010 8 17 09 AM jlierly Verify hand rail requirements and possibly an ADA ramp contact owner and disscuss occupancy further /j11 C099 02 12/02/10 BLDG C/O FINAL TIME 01 00 r OVERRIDE TAKEN BY LPANGRLE DATE 12/01/10 TIME 11 35 51 1. December 1 2010 11 34 59 AM 1pangrle TINA 017 1000 C OF F 0 FINAL PURE ELEMENTS SPA AFTERNOON COMMENTS AND NOTES PREPARED 10/27/10 8 13 46 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER 720 S PEABODY ST HOUSE SUBDIV PURE ELEMENTS SPA DIANE MARKLEY 06 30 00 0 2 2990 0000 10 00001109 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 10/27/10 �e- INSPECTION TICKET INSPECTOR JAMES LIERLY BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 10/26/10 TIME 14 14 52 October 26 2010 2 13 29 PM 1pangrle TINA 417 1000 (I CALLED HER TO FINAL THIS PERMIT C OF 0 FINAL PURE ELEMENTS SPA AFTERNOON PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES "p_ -1444/1 m y o t k„\\\s' PHONE PHONE (360) 504 1496 PAGE 7 DATE 10/27/10 4.cc, ek Jobe ��ec�se Gai L AO \.b ■r\LA-t) O i. I OR RoG0 CERTIFICATE OF OCCUPANCY APPLICATION '.r CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one. New business in P.A. Change of ownership only? Moving location from within P.A.? t Zoning CS!) D BUSINESS NAME Fuez valeivrs aeR Business address 7L0. Sot t41 E€ 2 i .bD v S'i Mailing address S cx vv' --e, Phone number L-( 1000 Opening date I C- 10 Days hours of operation M S>vr 10 (o Business owner's name KV OJIQ- -L�f �ti 40 C Contact phone 4 1 1 000 Business owner's address (03Z UJESk .-.\--r, (4 V---)1 S 3(r) '3 Brief description of business Sp (V KiASSic', E-- Property owner's name GLr1P KIVA_ P, iL L,PY Property owner's address /contact Contact phone 5 0 `"1 `19lp BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No 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 No' Work planned i PBIA (Parking Business Improvement Ares Downtown) phone 417 4623 x'" 111.'�L��l 1tn' y�jV\ Square footage of business? Q e• -00 Is business moving within the PBIA? Yes No g CITY CLERK phone 417 4634 Second -hand dealer /pawnbroker business? Yes No- Will there be dancing at this business? Yes 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 FEES $50 Certificate Inspection Permit j $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by on Fire approval by on PBIA notified on City Clerk approval by on COMMUNITY ECONOM DEVELOPMENT phone 417-4750 *Iwo w q-f Gli s 0' 11 SQL 0. Number of off -s a parking spaces available for employees and customers? s +o be sin ctv ed 6 (A parking plan may be required.) businesses' (VivL. Satan the Bcurbe shoe 4 We sew) Signs? (wall- mounted freestanding projecting awning A- frame, etc Signs planned' k,,3 tkk 1 9Lt o. ea^mt. i fo+r 0. vimommist. O�-u (1 l c'/ 121,0 pear- p hon e_ ecLl w t+h -1 h et- the .7 ja -1-here I s 0.. bear r- erp- r, P cut -r eiri` i y e the-Ss na.me a *01d her t+ needs farm PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLCI. WORKS UCr ARTAII Iv I 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 91 'Work planned PUBLIC WORKS WASTEWATER phone 417 4845 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 opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter .1 hereby apply for a Certificate of Occupancy 1 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 (C Print Name I N► T Worms \Building Division \Certificate of Occupancy Application (2010).doc Page 2of 2 s✓ CED approval by on PWE approval by g V on /D Q a U7 C604 /A4 v1� c PWW approval by on cyfi Check one: PORT CERTIFICATE OF OCCUPANCY APPLICATION PLEASE PRINT IN INK New business in P.A.? Change of ownership only? Moving location from within P.A.? Zoning C S 1> CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUSINESS NAME e__E, ti -1",S Business address 720. Soc In tees;t b0 C_ St Mailing address cX Phone number 41 1000 Opening date (0- I _Days hours of operation M. Shr C)- (p Business owner's name_ f l 2-33 r1Q� �S p err QC phone I 000 Business owner's address S I''� ��7 1- S (PI\ "/galPZ- Brief description of business Sept kirk-SSn`E Property owner's name L one fKktx P. IC.LE`( Property owner's address /contact BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No N' 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 No( Work planned l((111 PBIA (Parking Business Improvement Area- Dow phone 417 -4623 EC �Y nom' Square footage of business? CITY CLERK phone 417 -4634 Is business moving within the PBIA? Yes No X Second -hand dealer /pawnbroker business? Yes No Will there be dancing at this business? Yes No� 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 Contact phone C) PBIA notified Y on Permit #./0 it o 9 FEES Certificate Inspection $100 Parking. Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by SU_- on (2-Z Fire approval by _Kt) on City Clerk approval by N on 16 1 I 0 o COMMUNITY ECONOM DEVELOPMENT phone 417 -4750 4 S1w W Gl�et�t5 41k1 SQc °"1' 41tln Number of off -s a parking spaces available for employees and 4 customers? sP4.ces +o be sinaired 6e-i-G eet three. businesses (Vivo. Salon, (A parking plan may be required.) `Yhe On -be shop 4 sPa) Signs? (wall- mounted, freestanding projecting awning A- frame, etc Signs planned uj Set a ?Qn^mti o_ iiiimemons wa1/4-kA mOV ZLc t d/ iaJio p-er- phone eat( w1+h na There ■s ct` be,.hme*- cp cut- reirtily w9 +he (nusthe.ss name on -Fold her.+ rweeds trmi+ PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. 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 91 Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 e- CED approval by 5)P on 10 PWE approval by RV on 10 PWW approval by 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 opening business. Building Department Inspection 417 -4815 ,Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter .1 hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information l have supplied is correct to the best of-my knowledge Incorrect information may result in revocation of permit. Datel `5 -(0 Print Name NI 41 SCUP-kV Signature T\Forms\Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 Clallam County Assessor Treasurer Property Details 58003 DIANE MARKLEY for Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 58003 DIANE MARKLEY for Year 2010 2011 Property Account Property ID Taxes and Assessment Details Property Tax Information as of 09/30/2010 Amount Due if Paid on. M. 58003 Legal Description. LOT 18 BL 229 TPA SURVEY V12 P102 Geographic ID 0630000229900000 Agent Code Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 62 Open Space N DFL N Historic Property' N Remodel Property N Multi Family Redevelopment: N Township Section. Range Location Address: 720 S PEABODY ST Mapsco PORT ANGELES WA Neighborhood Cycle 5 Comm Map ID 2 Neighborhood CD 20953140 Owner Name DIANE MARKLEY Owner ID 38864 Mailing Address. PO BOX 2835 Ownership 100 0000000000% PORT ANGELES WA 98362 -0333 Exemptions. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid 2010 40979 ST SCH STATE SCHOOL $200 09 $200 09 $0 00 $0 00 $200 09 2010 40979 CC -GEN COUNTY $106 49 $106 47 $0 00 $0 00 $106 49 2010 40979 PORT PORT $14 96 $14 97 $0 00 $0 00 $14 96 2010 40979 PORT ANG PORT ANGELES $246.53 $246 54 $0 00 $0 00 $246 53 2010 40979 SD #121 SCHOOL DISTRICT #121 $259 17 $259 17 $0 00 $0.00 $259 17 2010 40979 NTH OLY LIB NORTH OLYMPIC LIBRARY $30 94 $30 94 $0 00 $0 00 $30 94 2010 40979 HOSP #2 HOSPITAL #2 $43 68 $43 68 $0 00 $0 00 $43 68 2010 40979 WSMET PK DIST WILLIAM SHORE MET PARK DIST $13 90 $13 90 $0 00 $0 00 $13 90 2010 40979 CITY_STORMWATER CITY STORMWATER $57 42 $57 41 $0 00 $0 00 $57 42 2010 40979 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 40979 TOTAL. $974.00 $973.98 $0.00 $0.00 $974.00 2009 580032008 ST SCH STATE SCHOOL $233 51 $233 51 $0 00 $0 00 $467 02 2009 580032008 CC -GEN COUNTY $118 17 $118 18 $0 00 $0 00 $236 35 2009 580032008 PORT PORT $16 74 $16 74 $0 00 $0 00 $33 48 2009 580032008 PORT ANG PORT ANGELES $259.21 $259.21 $0 00 $0 00 $518 42 2009 580032008 SD #121 SCHOOL DISTRICT #121 $288 78 $288 77 $0 00 $0 00 $577 55 http. /vpn.clallam. net• 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =58 9/30/2010 Owner Permit Additional Permit pin Permit Fee Issue Date Expiration ELECTRICAL PERIYIT AM) INSPECTION RECORD CITY OF PORT ANGELES 360 -417- -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation MARKLEY TTE DIANE L PO BOX 2835 PORT ANGELES desc number Date WA 983620333 Qty Unit Charge Per 5 00 46 0000 ECH EL -COM 1 00 58 0000 ECH EL COM Fee summary Permit Fee Total Plan Check Total Grand Total Charged 288 00 00 288 00 08 00000472 627224 720 S PEABODY ST 06 30 00 0 2 2990 0000 ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 288 00 00 288 00 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL NEW COMMERICAL SIMPSON/ 6FEEDERS 125054 28'8 00 Plan Check Fee 4/28/08 Valuation 10/25/08 0 100 NEW ADD SRV FDR 101 200 NEW ADD SRV FDR Paid Credited 00 00 00 Date 4/28/08 WA 98363 00 0 Extension 230 00 58 00 Due 00 00 00 SPECTION TYPE DATE RESULTS ELECTRICAL INSPECTOR DITCH SERVICE 'OUGH IN FINAL OMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MARKLEY TTE DIANE L PO BOX 2835 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total WA 983620333 08 00000472 627224 720 S PEABODY ST 06 30 00 0 2 2990 0000 ELECTRICAL ONLY COMMERCIAL NEIGHBORHOOD 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER COMMERCIAL SIMPSON/ 600A ALTER 5 100A 1 2 125047 175 00 4/28/08 Valuation 10/25/08 Plan Check Fee Qty Unit Charge Per 1 00 175 0000 ECH EL COM ALT 201 600 SRV FDR Fee summary Charged Paid Credited Due 175 00 175 00 00 00 00 00 175 00 175 00 00 Date 4/28/08 WA 98363 00 00 00 0 0 0 Extension 175 00 I SPECTION TYPE DATE RESULTS ELECTRICAL INSPECTOR DITCH SERVICE q Itii OUGH IN FINAL )l i1/ -14 b� OMMENTS: PREPARED 5/22/08 8 50 43 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/22/08 ADDRESS 720 S PEABODY ST SUBDIV TENANT NBR DIANE MARKLEY CONTRACTOR DAVES HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER DIANE L MARKLEY PHONE (360) 457 5678 PARCEL 06 30 00 0 2 2990 0000 APPL NUMBER 08 00000612 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 5/22/08 JLL MECHANICAL FINAL May 21 2008 5 04 12 PM 1pangrle JEANNIE 452 0939 MECHANICAL FINAL FURNACE PLEASE CALL DIANE MARKLEY (THE OWNER) ON HER CELL PHONE AT 460 5639 AND SHE LL MEET YOU THERE AND OPEN UP THE BUILDING COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL ELECTRIC FURNACE TO EXISTING DUCTWORK Owner DIANE L MARKLEY PO BOX 2835 PORT ANGELES (360) 457 5678 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983620333 T.Forms /Building Division/Building Permit (I0 /01 /07).wpd 08 00000612 953896 720 S PEABODY ST 06 30 00 0 2 2990 0000 DIANE MARKLEY MECHANICAL APPL PERMIT COMMERCIAL NEIGHBORHOOD 2675 Contractor MECHANICAL PERMIT INSTALL ELECTRIC FURNACE 127050 64 80 5/21/08 11/17/08 DAVES HTG COOLING SRVC INC PO BOX 413 PORT ANGELES (360) 452 0939 Plan Check Fee Valuation Date 5/21/08 WA 98362 Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 00 00 00 2675 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 Charged Paid Credited Due T5i Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities, private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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. c amel 201 eif,,,Vr Date Print Name Signature of Contractor or Auttlorized Agent Signature of Owner Of owner is builder) INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL FINAL DATE ACCEPTED BY. HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY q a COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE. PLANNING DEPT SEPARATE PERMIT 8 s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT, BUILDING 417 -4815 BUILDING 5 -Z2 TtL- BUILDING PERMIT INSPECTION RECORD O CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS Qc CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION h— KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T Forms /Building Division /Building Permit (10 /01 /07).wpd .4 0 V'J 0 May 20 08 04:32p Daves Heating Cooling 1 VIRE A PROJECT ADDRESS Parcel Number Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type 360 -452 -0939 p 1 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 For City Use Only Date Received 5- 2-1 OS Permit# OR' -(p Date Approved Applicant or Agent •.a vim` s (--(.42_0,-4--t v.....1 Phone 'Ks a -o9 3 Y Property Owner ID% utr■ M0.k Phone '57 A Property Owner's Address P O. igok g3S t Y 3657 om -i-. lsz c JA Contractor /Engineer 31ave .14-e ct-i-, Phone .V-oi3 Contractor/Engineer's Address Q. o �Dk -0 3 ?or-I- CL?.s License DA v ES G R a (k c xpires /o9 7a o so -s-k e-a-12 5 =h�e,e Zoning Lot Project Type Brief Description. o Residential si Commercial o Multi- family o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Re -roof o Demolition o Sign o wall mounted Total sign area o projecting o freestanding o awning o other sq ft. Maximum allowed sign area sq. ft. o Heat System o Heat pump o wood- buming stove o gas fireplace o pellet stove o other rs.Other i v�sfia�llo. -l o-c eXks+r ALA t-uov-K Basement per sq. ft. 1 Floor 2 Floor 3"' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq. ft. Lot size sq ft. Lot coverage of bedrooms of full baths 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 what permits are required, and to obtain permits prior to working on projects. Date d 0 Print Name 1. 0 (cCP-h Kamp p Signature T:FormslBuilding Division/Bldg Permit Appl -2006 Code.doc Jab Wing by S Gleeerleak Coatraetar 0 Owner 0 Teal contractor name L.Ianlao number Da Eapiren u I e. C S Ai 'S1= 4 ,j22Q /2-0/ pint e mailing address ,-D 0,3 to 14 W 101 1 1 City Sale ZIP Po lie Ane4 s lop, 963 /03 Telophoae anther FAX number 45'7-927o Pramlline owner's name 1 /t GAlf rizup.1-1. Address of IMpnetlo a o S 7 ett e 54- .19,.. Clty Ott 17 ge /es Plisse amber (O r4 .senders 1 secs; 0ia.pro Cell C/ Owner ne deAlned by RCW..19.M.261: (l) Owoar will nerr9y the srrwetom for two warn gfler this eiectncal peradl N fmaaavl, (2) (Aster It rnnMenl to Mme as deeMml canonises rf chow soil props?" Ix for sok rem or hens Alter reading dln above gatcment, I hereby wall, Mot I am the owner of Ibe above wood property or n licensed electrical emaaemr. I me mOra the action Instal. am or alteration in cnmplience with the electrical Inwn, N.R,C., RCW. Chapter 19.26, WAC. Chapter 296160, The City of Ton Angeles MaaiNpel Coda, and Utllll Spear cabana. SlesaI ea owner, electric* tweeter or electrical administrator >g■ JAY, -.5_ 1 ..a_. ,t h n- 04/21/2008 23:22 4579270 Inipectlml Dare 0 NO LOAD CHANGES 0 anaaboord KW t Furies ,jj KW Front Pump Ton LAR Fan.Wa9 KW SAME DAY INSPECTION, RO[M:HaIN na.n FINAL p S A Overflew' Sendoe O Temp Se.vtce 0 Underground SeMCs CALL BEFORE 7:00 AIM 360-417-4735 An im as Area, Building nr Equipment Inspected SIMPSON ELECTRIC 1 �v- K'J£XRt 0 7g cc 7b 5r.CF mgsrmoor c'v f /vet beF/nJrn Qr h»S r CLEge9„lcs, A10iltrc FEE, CtMa Tn C/T7 Mc/t /77C-3 7a�E z'zt a1 sr Ptalb /aG N' oV610 Dal err.) i S779ru4 Sther Tliar AuIL BE bise6 oN Lo46 b4P4 Ta SE s.,4006S By b2n7.rc/an). (PV✓-1303 3.1) 105- 10`131 ELECTRICAA. W ORI( PERMIT AFPLICATIOIatt r q Ilan Coonoercl Iaeelttegttal 0 New Altareid)Addthmr /fer San rce, /.ADD q?D I 75- eo S oo d t r —oz,7o J SIZIMICE Action Takes wV ateniver 4 e5.5..045-■ a3 dare Inepeclinapc 00 n a fiYntia9J!)IGIff aBan PAGE 01 4 Cash O Cbrck# O Credit Card p r m MR d, Discover Card f# en Kam ErgeirationDate of Paid valoge Phone 0 1 0 3 Santa Slue: COQ_ Feeder SEte: Ar* son Rlnawiaa) Inipoolor pOR �t_vW ��i w ORK5 t DATE S- d9 OWNER/CONTRACTOR ADDRESS 7 APPROVED ELECTRICAL INSPECTION WIRING REPORT 417 -4735 CORRECTIONS NEEDED: PERMIT NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS. INC. (360) 452 -1381 NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL ew�essga'rs.,- /9r+�c 3 J LArg ih ,gu, tea, SSC N.&N amen 2S <g6 <s Street add, ess lot number: Nearest cross street: Desired connection date: in Single family residence Commercial Overhead service Undereround service Daytime Phone: Name: ❑Multi `amity residence; cf unit; ❑Subdivision; of lots ❑General service ❑Other: Please c ?ahem service: Name and address of party responsibLe for permanent service billing? S te Contact: EiectriCIan: Y Excavator: Fetal square footage: Voltage: Check all that apply: Works Engineerin 'Street: !City State I ZI L Eiaytime Prone: Da Lire Phone: Name: Da time Phone: Electrkc Service information Form r; w Pub!le Works Eca:nei ;r:cs De>ari::ren (359) 4 7 -4700 lrCornpanT w 5 ornpany: Company: Main disconnect size: _.e �'amps 20;240 1ph 0120/208.. 3ph 0277/ Snh 0120/240 3ph 0480 3W 3ph 0 Other 0 Standard residential loads (Lighting, refrigerator, dishwasher. washer) 0 A/C FLA) 0 Range /Oven 0 Hot Tub Clothes Dryer ZHeating, 0 Pumps Hp) Water er Heater 0 Elevator Hp) 0 Other Please provide a copy of the following: Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). "Electrical one -line drawing showing the service entrance panel and location. 'Connected load data. 'Size and locked rotor amps of all motors over 50hp. Applicant's Signature: Date MAIL. OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET: PORT ANGELES, WA 98362 FAX TO' 350 -417 -4709 EMAIL: gmciain@cityofpa.us (west hail city) Information iorm.xls rlarson @cityofpa.us (east half of city) WS APR/24/2006/TH 06:35 AM DEPT OF COMM DEV COMMERCIAL SINGLE VOLTAGE vorr SUB-TOTAL SI) N-(1015TINVO HEAT AIR CONDITIONING COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISHWASHER LARGEST MOTOR X 25% 0 V lit S.F. INTERIOR, LIGH PER 220-S OR WA, ENKRGT CODR EXTERIOR LIGHTING; CONNECTED LOAD SIGN UltR. 600•60»Mc»; 1500 W YEINII01 SHOW WINDOW (22042) 200W X FAX No, 360417471: SUI3-TOTAL CONDUCTOR sra CONTINtOUS NON-CONTINUOUS OVERCUREENT zw (CONTINUOUS X 126%) NON corsrruccous I 302 t751 e.5 APR/24/2008/TH 08:36 AM DEPT OF COMM DEV FAX NU, 3604174711 COMMERCIAL SINGLE VOLTAGE VOLT CONTINUOUS-, 3 i INTEraoR LIGHTING W X S.F. PER 220$ Olt WA ENERGY cons EXTERIOR LIGHTING; CONNECTED LOAD SIGN (FRatt 600-Gbi&(0); 1500 W MINIMUM SHOW WINDOW (220.12) 200W X LJ SUB-TOTAL kina-Cph HEAT AIR CONDITIONLKG COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISHWASHER LARGEST MOTOR X 25% SUB-TOTAL CONDUCTOR 5= CONTINUOUS NON•CONTINUOUS OVERCURRENT (CONTINUOUS X 125%) NON COr•TTINUOUS P. 002 .3 3 6 I 1. ,,,4k„ APR/24/2008/TE U8:35 AN DEPT OF COMM DEV FAX Io, 350417e:71i f l COMMERCIAL SINGLE VOLTAGE VOLT CONTINVOU INTERIOR DOMING PBX 2201 OR WA. ZNIARGY CODE SUB-TOTAL NaitCONTINUOTIO; HEAT Ant CONDITIONING COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISHWASHER .71 fe, v LARGEST MOTOR X 25% SUB-TOTAL EXTERIOR LIGHTING; CONNECTED LOAD SIGN (pit cootithut»; 1500 W MINEVILTM SHOW WINDOW (220-12) 200W X 12. W X S.F. CONDUCTOR SIM CONTINUOUS NON-COMNITOUS OvRECS (COMInvcrOUS X 125%) NON CONTINUOUS tc C APR/24/2008/TEU 08:36 AA DEPT OF COMM DEV FAX No. 3604174711 H Yw 2. 002 HEAT COMMERCIAL SINGLE VOLTAGE VOLT C212NTINUOUS: INTERIOR LIGHTING W X S.F. PER 2204 on WA. mmtar cora EXTERIOR LIGHTING; CONNECTED LOAD SIGN (nate00403)1(c)); 1500 W MiNIMMVI SHOW TEND (220-12) 200W X SUB-TOTAL Ailt CoNDrrionsu COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISHWASHER LARGEST MOTOR X 25% k k i st k 410,1■••• SUB-TOTAL CONDUCTOR Sreg OONTENVOLTS+ NON•CONTINUOUS OVERCURREN'T (00mINuous X 126%) NON CONnNuOus Oc) APE/24/2008/THU 08:36 AM_ DEPT OF COMM DEV 3' FAX No, 3604!7471i E. 002 (A 1-. belb COMMERCIAL SINGLE VOLTAGE SUB-TOTAL lipisSi HEAT AIR CONDITIOING COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISHWASHER LARGEST MOTOR X 25% SUB-TOTAL VOLT 'X S.F. I4TER101 MING- PFIt 2201 Q WA. 7.,NSIIGT CODE EXTERIOR LIM-1MM; CONNECTED LOAD SIGN (Pnilit 6I)04(13)1(c)) 1500 W MTNTh�CTM SHOW 'WINDOW" (220-12) 200W X CONDUCTOR S1ZE CONTINUOUS +NON-CONTiNUOUS OVERCUMINT a (CONTINUOUS X 12594) NON CONTINUOUS 0 br, 'TOTAL FEE If o d 4 I A et,R 774 e .v rs CO NO.', t TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY 6478 FE RECEIPT NUMBER Site Address ELECTRICAL ERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 72o S, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT ''PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ELM 0 R ro Installation By 4 ..S o*F Al GoTT Owner s Address 72 5, Pe -Agapy Installers Address Installers Phone Day Phone T- r7 2 6 A 000311 OLYMPIC I RRINTERS, INC. CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT PERMIT NUMBER Application is hereby made for Permit to install Electrical Equipment as follows CP R 141 MereR E ms e WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report Wiring Method P 7 `-e USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 240V 1 0OR 3 FEE LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN, p BO NJc2 eat q O. WATER HEATER LAUN RY DRYEF# REINSTALLATION LIGHT FIXTURE k FURNACE GAS OIL SUB TOTAL FEE ENERGY FEE FURNACE ELECTRIC BASIC FEE ELEC IC HEAT p TOTAL FEE 1 00 ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE A.C. UNIT FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I certify Date Ap Per'rlission specifications Date Perfnit SUB TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. El: trical lication made By J ,l9 CONTRACTOR OR OWNER (OR AUTHORIZED AGEN is hereby given to do the above described work, according to the conditions hereon and according to the approved.• ans and pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT Issued B y PLANS ROVED i Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not 7 !J be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in WARNING Writing on Permit Placard. A. Permits Phone: 457 -0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK SEE OVER 6478 FE RECEIPT NUMBER Site Address ELECTRICAL ERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 72o S, CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT ''PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner ELM 0 R ro Installation By 4 ..S o*F Al GoTT Owner s Address 72 5, Pe -Agapy Installers Address Installers Phone Day Phone T- r7 2 6 A 000311 OLYMPIC I RRINTERS, INC. CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT PERMIT NUMBER Application is hereby made for Permit to install Electrical Equipment as follows CP R 141 MereR E ms e WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report DATE OF VISIT MADE BY REMARKS 4 k CP/ A... cc 7 T (s •7 /1 M 7 173 Al 6,-4. qs .k.., 1 4- IS E 2 e c-7 Gli ie ,9,p pg e-liti f< I co—:A C 3 I t V• 1 ,t• 3 A 13, 4 A A N 3 r: t r 1.-PA it '7 .1 1 i N.‘ 1. /1.. O.K. FOR COVERING i 2.7 rs ._ir 4 4 O.K. TOWN NECT SERVICE j- FINAL O.K. V REPORT OF INSPECTOR