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HomeMy WebLinkAbout121 E Railroad Ave - Building4y°°pOFN CITY OF PORT ANGELES �= DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 08 00001183 Date 9/22/08 491848 121 E RAILROAD AVE 06 30 00 5 0 0065 0000 PA CHAMBER OF COMMERCE SIGNS CENTRAL BUSINESS DISTRICT 15000 Application desc 28 SQ FT ELECTRONIC MESSAGE CENTER Owner Contractor PORT ANGELES LANDING LLC ASM SIGNS PO BOX 282 1327 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 4407 (360) 452 7785 Permit SIGN Additional desc 28 SF ELECT MESSAGE CTR Permit pin number 134791 Permit Fee 85 00 Plan Check Fee 00 Issue Date 9/22/08 Valuation 15000 Expiration Date 3/21/09 Qty Unit Charge Per Extension 1 00 85 0000 PER S SIGN WALL 25 SF+ 85 00 Special Notes and Comments September 19 2008 12 50 15 PM sroberds The proposal will result in the installation of a 28 sq ft electronic message board sign on a structure within the CBD Total building sign area is a max of 200 sq ft Fee summary Charged Paid Credited Due (\�\ Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 _ ^� lll'NNNNII] Grand Total 85 00 85 00 00 00 CoN W � W �-cle L m 41Nep 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 3lied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the(provisions Toff sta a al 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.rorms/Building Division/Building Permit (05/13/08).wpd BUILDING PERMIT INSPECTION RECORD Q CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS 1 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. OQ KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPEI DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS I` POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB l ROUGH -IN 1 WATER LINE (METER TO BLDG) I` GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW / WATER AIR SEAL N WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL/ FLOOR /CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS +I` I MANUFACTURED HOMES III FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT A's SEPA. PARKING/LIGHTING I I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ( /� ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT v BUILDING 417-4815 I BUILDING _ (Q (jl,o PREPARED 6/01/10 8 44 08 CITY OF PORT ANGELES ADDRESS 121 E RAILROAD AVE TENANT NBR PA CHAMBER OF COMMERCE CONTRACTOR ASM SIGNS OWNER PORT ANGELES LANDING LLC PARCEL 06 30 00 5 0 0065 0000 APPL NUMBER O8 00001183 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRI TYP/SQ COMPLETED RESULT RESULT BL99 01 6/01/10 L BLDG F May 28 I CALL INSPECTION TICKET PAGE 1 INSPECTOR JAMES LIERLY DATE 6/01/10 SUBDIV PHONE (360) 452 7785 PHONE (360) 457 4407 PTION S/COMMENTS INAL 2010 3 47 24 PM 1pangrle ED MIKE (AT ASM SIGNS 452 7785) TO FINAL THIS PERMIT BUILDING FINAL ELECTRONIC MESSAGE SIGN AT THE CHAMBER OF COMMERCE COMMENTS AND NOTES SIGN 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 Property Owner Property Owner's Address 2- Contractor/Engineer i'vC Contractor/Engineer's Address ft p, S For City Use Only - Date Received Q41—CR ermit # OR 15 .3 1 Date Approved A-uDa P ne 4r2 -1l -1 S- I Phone Phone License # Expires 2 Per 11\1 Ke, M (D1jmF'c E_1ec+t-("C_ is #wir- eJezA-ri-WGoy Ir Project Address Business Name �?,PrL, a re C, -z-x c.- e Parcel Number 0 6'3 c) o� So 4 5 Lot Zoning Submit two sets of plans & a site Wbn that includes Type of sign (wall -mounted projecting freestanding illu�min#d other n Placement and sq ft. area How the sign will be securely attached (Engineering sp s may be required for freestanding signs) Separation distance between the bottom of project/inand freestanding signs and the surface below rt I See "Chapter 14.36 Sign Code" of the City of P d Angeles Municipal Code for sign requirements. Siqn Type & Brief Description. (Type, location,,,Efq. ft.) Sign #1 a s n -t-4 a4 -4—a- 6? Sign #2 Sign #3 N X )c sk Sign #4 �w .totals (Unit charaes Sign(s) v\ Unit Charge Quantity Aultiolied by auantities) Iffe of Sign valuation 4P 011-t \7 $47 00 x = $ All signs less than 25 sq ft. Rll�' $8500 x i = $4.6'.6 0 0 Wall or marquees, over 25 sq ft. r7i�� $11500 X $ Freestanding and projecting, over 25 sq ft, V% . xl4l GRAND TOTAL Make Checks Payable to City of Port Angeles W;._ Credit Cards (Except American Express) are accepted Total area 20 sq ft. Maximum allowed sign area 11 sq. ft. lig RA' Itz"n ne, c&ll withPl;'ke- M 441e buijAflv�f;w ,q is 16 f�eFh�h it go f Ion& -= -760 5ff4- I have read anfco"mpleted this application and know if to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determ' ermits are required and to obtain permits prior to working on projects Date0k k6 08 Print Name T",, VN-\. OYZ- Signature T Forms/Building Division/Sign Permit Application.doc V; '>e / 5' ' = -7S• 04 yzlic,4 1!5' C> W � . *d -� � . �� . - w� y� .\, .� / » �\� �� v� A S;xCirlvs; 1327E FIRST ST PORTANGELES WA. 983e2 PENINSULAS FINEST PHONE (360) 452-7785 FAX (360) 452-8029 ; NEERING ,Sigh is 4`x.7' SIDE VIEW 2" X 50" BOLT AND NUTS 3.5* M j-'-.UIIL;IULe Waif, 4 3.5* sks, SIGN 3.5" o 3.5" Angle iron 1875 5a ¢ C ;x ems. ry M 0 co 9 2 a #a Lew" ".v 711 PORT ANGELES CHAMBER OF COMMERCE 121 EAST RAILROAD ,--_3 0011 X 511 LAG & SHIELD THRU ANGLE IRON INTO WALL liq ( ( sl cl, I'.- / AA-tq zc THREE BRACKETS TOP AND TWO BOTTOM #ter t � e et � � � -�Cv M .r �.r � ,.::!,amt 4 -z•. "�i ����'+� w. � �"'''� .,.,3 .:� ��' �� ', - .. ..' (�£���' �' � " ,'s'1.��� y c �-,,- :,..gym f s � � c ,z+y nr. x• c,_.. '�. $ s �.-}` _ _ t r_3 Ul Mow Fin 1 71, TI.w _f I�..,.� � .`I.µ'�. S` � •"�: *r i._ �.� ?�{ ij' - f .',�,' � S L� t ..'�?./� i. r " �.�;"t��. Win,. ; i _ """�Y-,.,,. r.s.--`- �. 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Y 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 A frame sign in R/W RUP#09 39 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000899 Date 9/03/09 250171 121 E RAILROAD AVE 06 30 00 5 0 0065 0000 HERITAGE TOURS PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT 0 Owner Contractor PORT ANGELES LANDING LLC OWNER PO BOX 282 PORT ANGELES WA 98362 (360) 457 4407 Permit RIGHT OF WAY Additional desc A FRAME SIGN RUP#09 39 Permit pin number 152801 Permit Fee 40 00 Plan Check Fee 00 Issue Date 9/03/09 Valuation 0 Expiration Date 3/02/10 Qty Unit Charge Per Extension BASE FEE 40 00 Special Notes and Comments Permit allows for the placement of 1(one) A frame sign meeting the requirements of PAMC 14 36 Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 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 as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws a�Qrdr antes ningthis type of work will be complied with whether specified herein or not. The granting of a permit does not presVme to give authority to iolate or cancel the provisions of any state or local law regulating construction or the performance of %-3 -os Sign�eontractor or A 4d Agent Date Signature of Owner (if owner is builder) Date T\Policies\1 102 15 [ 10/08) N 1 PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED I COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM I` SITE DRAINAGE SITE EROSION CONTROL PARKING J SIDEWALK 1 CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \Policies\1102.15 [10/08] DATE ACCEPTED YES NO a ACORD I DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE os/ 21/2009 PRODUCER (360)452-2388 Gellor Insurance Inc 214 East 1st P 0 Box 2045 Port Angeles WA 98362 INSURED Don Perry DBA Heritage Tours P 0 Box 3116 Port Angeles WA 98362 FAX (360)452-1448 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURERS AFFORDING COVERAGE NAIC # INSURER A Western World Ins Co INSURER B. INSURER C. INSURER D' I �, INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY RECOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR WDD'UPOLICY EFFECTIVE POLICY EXPIRATION LTR INSRO TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YYYY7 DATE (MM/DD/YYYY) I LIMITS GENERAL LIABILITY NPP115462 7 06/16/2009 06/16/2010 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ 50,000 CLAIMS MADE Fic] OCCUR MED EXP (Any one person) $ 5,000 A I PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICYPRO- I I JECT LOC AUTOMOBILE LIABILITY ANY AUTO —I ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS I GARAGE LIABILITY HANY AUTO EXCESS / UMBRELLA LIABILITY I OCCUR CLAIMS MADE a �I DEDUCTIBLE 1 I RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVED OFFICER/MEMBER EXCLUDED? (Mandatory NH) If y� , de ibe nde I SPECIAL PROVISIONS below OTHER E.L DISEASE EA EMPLOYEE $ El DISEASE POLICY LIMIT I $ DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate Holder is included as Additional Insured as respects General Liability Coverage as their interests may appear per Form WW180 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Port Angeles REPRESENTATIVES. P 0 Box 1150 AUTHORIZED REPRESENTATIV Port Angeles WA 98362 Ineta Forbush ACORD 25 (2009/01) © 1988-200T-ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD GENERAL AGGREGATE $ 2,000,000 PRODUCTS COMP/OP AGG $ 2,000,000 � I v COMBINED SINGLE LIMIT $ V (Ea accident) *)(� j"Q ED9j Ll BODILY INJURY�I.1 (Per person) $ City 0f f10` NflgeIPS BODILY INJURY (Per accident) $ 'L'f)Ilt WGr' 8 Iii ;tllltieS Dep( EIlglrl8eling S ry Division PROPERTY DAMAGE (Per accident) $ AUTO ONLY EA ACCIDENT $ OTHER THAN EAACC $ AUTO ONLY AGG $ EACH OCCURRENCE ' $ AGGREGATE $ $ I $ $ WC STATU- I OTH- I TORY LIMITS I ER E.L. EACH ACCIDENT $ E.L DISEASE EA EMPLOYEE $ El DISEASE POLICY LIMIT I $ DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Certificate Holder is included as Additional Insured as respects General Liability Coverage as their interests may appear per Form WW180 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR City of Port Angeles REPRESENTATIVES. P 0 Box 1150 AUTHORIZED REPRESENTATIV Port Angeles WA 98362 Ineta Forbush ACORD 25 (2009/01) © 1988-200T-ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009/01) p0RTgN (�'�� 9 -E C E d W E� HT OF WAY USE PERMIT ' f AUGp p� � APPLICATION �`/choRics A 1 U 2f`'J. NAME OF APPLI1t� J�, a y�•.n/�%�G C%l��S DATE j� v Pib Work and Uti6ti �t MAILING ADD .�iP semi,+? n orz s PHONE NUMBER STREET ADDRESS OF PROPOSED STREET USE DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state the name of the street and limits of closure together with the duration of closure.] L/ y %%ci-'i'. <4 L '�— "'L/, IS IS THE USE TEMPORARY OR PERMANENT? i5 f! iGN Ti�/T i5/i �0i 1/L ii HOW LONG WILL THE OBSTRUCTION BE IN PLACE?��� WHAT ARE THE HOURS OF OPERATION? /D e o ,, K' '7� C' HOW IT WILL BE LIGHTED? JUC)i > �r EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? a'T f j l%Ur c°y ✓ i_� � � • � v.c� L/� 7Z r� � tJ.K_- - r,,, S E /Z'L,) � j y 06✓J49 iter �,'9�J z T/f ��/r�✓ /�: i�L'%cam 4 A=tH N:) HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersigned for hihristgl� and for his successors in interest, hereby agrees -to iridbmnify-..hold harmless and defend the City of Port Angeles, agaimg ari}!/91aims or lawsuits for personal injury or.•property damage arising -out of or in any way connected with, the placement.pf* %e or obstruction on the City street., sidewalk, planting strip or rig t f way DATED this flay of - u� % 20 AR03101Y L Applicant OF W ASS ��q� .._NOTARY PUBLIC for Washington ,residing at--IDgT My commission expires '5- \ I'L - - - - - - - - - - - - - - (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) (OFFICE USE ONLY) Date application received e leloq Fee paid $ 40 Receipt # Date Certificate of Insurance per PAMC 11 12 140(B) received Sjz4[ V9 Agreement to Remove Encroachment signed and on N/A and recorded on N/A Application rev' and recommendation by City Engineer Date 61 3i'vg is to pp ove and with the following conditions Pe�,.,T1 e 1 lo, r Applicationpprove r de' by the Director of Public Wer Date � QS Approved cot •e- to Applicant O Fire r) Police O Stree i Other O Address rile :J RUP # 0 -9 WUrban Ser,:c.e, .iandards 1009 ROW Use Permit.doc, len ,dateo A,ar 20-,9 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 4th of July Parade RUP#09 26 Owner PORT ANGELES LANDING LLC PO BOX 282 PORT ANGELES WA 98362 (360) 457 4407 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000585 Date 450175 121 E RAILROAD AVE 06 30 00 5 0 0065 0000 PA CHAMBER OF COMMERCE PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT 0 Contractor OWNER Permit RIGHT OF WAY Additional desc 4TH OF JULY PARADE RUP#09 26 Permit pin number 148551 Permit Fee 00 Plan Check Fee Issue Date 6/16/09 Valuation Expiration Date 12/13/09 Special Notes and Comments WSDOT permit is required Comply with attached traffic control plan Fee summary Charged Paid Credited Permit Fee Total Plan Check Total Grand Total Due 6/16/09 00 00 00 00 00 00 00 00 00 00 00 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent T'\Policies\1102 15 [10/081 Date Signature of Owner (if owner is builder) Date N n PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPEI DATE I ACCEPTED COMMENTS I` YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW / ENGINEERING FIRE 417-4653 FIRE- DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T ,Policies\1102 15 [10/081 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000401 Date 5/06/09 350700 121 E RAILROAD AVE 06 30 00 5 0 0065 0000 CHAMBER OF COMMERCE PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT 0 Application desc Community cleaning & painting downtown RUP09 18 Owner PORT ANGELES LANDING PO BOX 282 PORT ANGELES (360) 457 4407 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Contractor LLC OWNER WA 98362 RIGHT OF WAY CLEAN&PAINT DOWNTOWN RUP09 18 145383 00 Plan Check Fee 00 5/06/09 Valuation 0 11/02/09 Special Notes and Comments Follow attached ROW Use permit 09 18 Conditions for Chamber of Commerce Our Community at Work Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of const ction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies\1102 15 [10/08) v— T, a PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO I PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION ff SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER I DRIVEWAY APPROACH +I BACK-FLOW DEVICE (I I I I +I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES I NO COMMERCIAL CONSTRUCTION R.W / PW/ i CONSTRUCTION R.W ENGINEERING 417-4831 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \Policies\1102 15 (10/081 DATE ACCEPTED YES NO C�J El C CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO /pp DATE /'Z r�O� Site 4ddress: ID READY FOR 17-1 �' "'� G�' `� A"V ' INSPECTION Instldled By: ^ A' ` `LES ELEG�I 1 / I License Number: Owq=rlBusiness; /7�./" C�1L � C n O � �l �L.�� Owe-r/Business Address: C Residential Heat KW C Baseboard ❑ Furnace/Boiler C Heatpump ❑ Other- Commercial/industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Det,.i I s/Description: REIACA45- ❑ New Construction Nverhead El Remodel Underground ❑ Service update/alter/repair VOI qn 'Add/alter circuits /❑ Auxiliary power (list below) ❑ Special equipment (list below) k 4 W.S, No Rervice S17P Cap,icity: ❑ OX ❑ Not O.K. Commentq — E' ?5�jF+neFO. K. Date ❑ Tem GL/LCvt+ ❑ WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft Amps Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approvedipending Site Address:I Permit/Receipt No. tt 4��� -o� AMM � t✓ 12,1 1 Rif IAAF 14-F Installer: New Meters Date: AN6wr(Fc`h_t L I Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector i,tn Waiting on the Wiring Report or the Building Permit. PHONE 457.041. XT.158 or EXT. 224. /�/ iA NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /t/f0 V thspector A ount paid WHI1E—filebyaddress YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN— Top: Inspector, Bottom: City Hall OLYMIIC iRIN�ERE. INC. CITY OF PORT ANGELES FEE RECEIPT NUMBER DEPARTMENT OF LIGHT - AP.PLICATION.AND ELECTRICAL PERMIT A 7.53PERMIT NUMBER - 'Y ! L. � JP TO FAL FEE � - - CONT LIC N0. I TIMETOCOMPLETE NO STORIES I LEGALOCCUPANCY ELECTRIC/AL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT site Adaless 1Z /� f. I� ,41 I to A -d Ali £ . �/%/�/�/�'� CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDR SES ARE /GANCELLEEDD 1 Owner _-F� f' /•fr' �A7&t OF �W—dJ £lCi Installation By /f i 1t �fG (}(,! Owner'sAddress - - Installers Addr-=� - Day Phot a Installers Phone - Applicatl on is hereby made for Permit to install Electrical Equipment as follows, AAA). W6- A£PSIIA1/ -91& 6A -rt � 1iuH ROTH 6nx 1001 P.A. 98S47-- Wiring 8362Wiring Method USE OF CIRCUIT I LIGHT LIGHT CONVENIENCE F NIENCE NCE DISHW>SHER DISPOIIAL Alk IRANGE IOVEN IWA7EF HEATER ILAUNCRY DRYER FURNACE GAS - OIL FURNACE ELECT 31C NUMBER AMP I 120V 240V CIRCUITS PER 1 B 1 ODOR i. Al . is _ T—/1 = . FEE USE OF CIRCUIT NUMBER AMPCIRCUITS PER CR SIGN 50VOLTS OR LES$ Ar 4IU FIRE ALARMS I I, IIBU RG LAR ALARM LIMISC IREINSTALLATION LIGHT FIXTURE # SUB TOTAL FEE ENERGYFEE IELECT iIC HEAT BASIC FEE _ I I l . I -TOTALFEE ELECT IIIc HEAT A.C. UIIIT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER I AMP PHASE FEEDS 1 I I SIZE OF SERVICE ENTRANCE CONDUCTORS SERVR :E I -- I - I - I I A W EI SUB -TOTAL I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date At plication made tg By 11 CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Pel mission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of th City of Port Angeles. ' � .1 i F C Y LIGHT Date Permit Issued By �)' - PLANS AFQ&ED C/ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector In ' Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY- Duplicate PINK Triplicate WHITE CARD Inspector's Report ..120V 240V 10 130 0R FEE 3 �I I OLYMPIC PRINTERS INC. DATE OF VISIT REPORT OF INSPECTOR MADE BY PItlAtO:K:--� REMARKS l `O 3 1 CITY OF PORT ANGELES FEE RE �EIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TO'rALFEE /6 Q I ( I i0 "AAA, C L44 CONT LIC. NO. TIMETOCOMPLETE NO. STORIES I LEGALOCCUPANCY ELECTRICAL PERMIT ONLY / NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site AddtlBss _Pj3-i 14. A- - A v E • ' CORRECT ADDRESS IS' RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AD RESSES AVE CANCE /° Owner x144 -M gEt 0A AMM SACC Installation By _�9�/tT `FGI�U�C— Owner's liddress Installers Address If Day Phol a Installers Phone Applicat n is hereby made for Permit to install Electrical Equipment as follows- /%C�c C rr C t'ii J7 A -y SF,c U / C 0, u • G . A00 AMa (I)K Wiring MethoH NUMBER AMP 120V 240V NUMBER AMP USE F CIRCUIT PER 1 0 OR FEE USE OF CIRCUIT PER CIRCUITS CIR 10 30 11 CIRCUITS CIR LIGHT I I SIGN LIGHT 50 VOLTS Duplicate PINK I I OR LESS ICONVENIENCE I CARD _ I I MOTOR I ICONVENIENCE ' PRINTERS MOTOR IAPPLI,JNCE IIMOTOR 1 DISHwI \5HER I I - I I I FIRE ALARMS I, I I DISPOj AL I I _;. I,I'BURGLAR ALARM I I '• RANGI I I I MIS C. OVEN I I I I I I I I WATE HEATER I I I I II I LAUNCIRY I I I I I I I I DRYERI I I I I I REINSTALLATION LIGHT FIXTURE N- I'FURNPP(JJ(ICIL SUB TOTAL FEE ENERGY FEE ELECT(10E C BASIC FEE ELECTIaIC HEAT I I I I f [ELECY, IC HEAT I I TOTAL FEE - 120V 240V 10 1008 30 SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UI IT I I I AMP FEEDER I I I I SIZE OF SERVICE ENTRANCE CONDUCTORS ISERVIgE I I I I I I SUB -TOTAL II SIZE OF GROUND SIZE OF ENTRANCE SWITCH AWG. FEE PHASE I certify' that the work to be performed underr this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date At plication made ���.b - , 19 By It CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Pe', mission is hereby given to do the above described work, according to the conditions hereon and -according to the approved plans and specifi{ ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles? ECTO OF IT LIGHT Date Permit Issued / /��(� By " AllilliV PLANS /PXbVED otify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WA�NING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — I WHITE -Original CANARY - Duplicate PINK - Triplicate WHITE CARD - Inspector's Report GIVMPI PRINTERS INC DATE OF VISIT REPORT OF INSPECTOR MADEBY REMARKS O.K. FOR COVERING O.K. TO CONNECT SERVICE I CITY OF PORT ANGELES FEE EIEIO UMBER DEPARTMENT OF LIGHT PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TO 'AL FEEI71+1GI ,ei yL< �9 - `"'!'✓ CONT. LIC. NO - . TIME TO COMPLETE I -NO. STORIES LEGALOCCUPANCY - ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Addr lss F�177- Q,7;/ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG'ADDRESSES ARE CANCELLED Owner •� �7L't� �ro+'�"7`"' /TSSo 4r-; 7 Installation By •%�ni ca-��' S F—�o w7�r:'✓r - Owner'el,ddress /-�/ -' �-�a-°�roa� Installers Address Day Phona 416-776/ Installers Phone /S2 9,26,/ 'Applicatihn is hereby made for Permit to installE rctrical•Equipment s'follo s: '— �; hemp n1,� rv, iii ��i,vt�A/Av ��r�-� 1 USE IF CIRCUIT LIGHT LIGHT CONVENIENCE ICONVE IENCE I'APPLIACE I DISHN; SHER I DISPO�IAL NUMBER AMP CIRCUITS PER CIR RANGE OVEN WATE"HEATER LAUNd�iY I DRYEFFURN61 I GAS -.L ELEC7{IC ELECT, IC HEAT ELECT,IIC HEAT I A.C. U! IT FEEDEI I SERV# I 20V 240V 10 10OR 30 I SUB -TOTAL FEE USE OF CIRCUIT I I SIGN II50VOLTS- OR LESS MOTOR II MOTOR II MOTOR I I FIRE ALARMS IIBURGLAR ALARM MISC. Wiring Method NUMBER AMP CIRCUITS PER CIR D, Oe - 120V 240V 10 100R FEE 30 II I I I I I II I _I I I I I I REINSTALLATION LIGHT FIXTURE N 1 SUB TOTAL FEE ENERGY FEE BASIC FEE II TOTALFEE //SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER I dO AMP q SIZE OF SERVICE ENTRANCE CONDUCTORS I PHASE L/ —% SO /✓f CM AL A W.G. I SIZE OF GROUND G/ SIZE OF ENTRANCE SWITCH G Q1SC I certif} that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. �X-n-SI 5/ - 19 By Date Application made / O J p ;-�- CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifi4ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OFyCIT,Y LIGHT Date Permit Issued I . BY ® _ PLANS APPROVED - - ,.7/�-/i. Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. I WA' 4NING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Onpinal CANARY- Duplicate PINK Triplicate WHITE CARD Inspector's Report (ll YMPIR PFINTFRC INr, REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS 'IZ-0 r6Z)O,CS 114 7I/4�R6 11 � Ik— I � I z Cc a I - x _ W O Z 0 I 11 r I • VO.K. FOR COVERING r O.K. TO CONNECT SERVICE i 21��G A1NAL°'4r t GFMf2/K 6u,IdIN� is ok e/�� g�rr�vtsr 4 fINtiL '�Ic2Mif. 4. City of Port Angeles... 4 1. tO r. M. OF X, N Ar" N N _0 v _NNt 1 1�; .a )j Y 40 CERTIFICATE OF OCCUPANCY',..,�- the PreM ises, in i'w,Conspicuou s,.Place Shall dot be Relln"o-Vi—d Except b' Building Official a­�'il N� e xc v N *& C *=I 5 City of Port Angeles... Building Section,, _Thls�._i��i ak'issued..'Pursuant;,to, t ij'l C h �quirethe 6: of- Se' t e x, n ction'-:30 7 of,`the ture time o this structure _`h -Lssuqni�e v,�Js rM atatthe' e !f C , in comp Jance:, with us:ordinahces'of the City h C- _regulating �buildink ruction or use. or the f6116,vving. P. Use Classification Bldg. Permit No. Group F -S T% pe Construction A / Use zone 5 r'N :; M;1i\\,'�• Owner of Business Address Building Address t Dale. Building (`ficial 4-0 the PreM ises, in i'w,Conspicuou s,.Place Shall dot be Relln"o-Vi—d Except b' Building Official a­�'il N� e xc v N *& C *=I 5