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113 S Valley St - Building
PREPARED 11/12/10 9 03 10 CITY OF PORT ANGELES ADDRESS 113 S VALLEY ST TENANT NBR MORNINGSIDE CONTRACTOR JACKSON S SIGNS & GRAPHICS OWNER MORNINGSIDE PARCEL 06 30 00 0 0 3440 0000 APPL NUMBER 09 00001343 SIGNS PERMIT SIGN 00 SIGN INSPECTION TICKET PAGE 3 INSPECTOR JAMES LIERLY DATE 11/12/10 SUBDIV PHONE (360) 457 3703 PHONE (360) 596 3502 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/12/10 JLL BLDG FINAL November 12 2010 8 25 52 AM 1pangrle v I SCHEDULED THIS TO FINAL THIS PERMIT BUILDING FINAL TWO WALL -MOUNTED SIGNS FOR MORNINGSIDE SCO+MMENTS AND OTES Y { ,- aJ� O .M O CERTIFI3CA E OSF OCCUPANCY K City, of Port Angeles .- :Building Division This certificate is issued pursuant to the requiremenikof Section jl#,-of the 2'006 International Building Code certifving that at the ti�ine;;of.-.issuance this structure was in compliance with the -various ordinances , of the Ciiy regulating ui'lding construction�oruse f,& the following l �' ;`j'i' i3%�5yi`R' �' }M£-�.1hi1i`i.1,yy,gY'+�•h'�lr, "`'.`lf�` `{i.�.J�k f '#) Business name Morningside' (FOwner "-NA ng -'de ,Non=Profit Organization) Business address: 1`1=3`SValleySts ♦ e4�f Property owner Morningsid'� Property owner swddres 809 Legion�Way SE Olyrnxpi.atl WA 98507 t Automatic fire sprinklersystem, PeMY r=PB`C" Use & occupancy classifcation Business, Building permit nuth0t 09-1236," Type of construction ,, Fier- I.BC .-�,`,& 'S`: � �;.;�, ,T. +� y, $?rite• y.roe:..,..t��?.,'"'- 1'`h yy@',: 'E �Tc` ;ti. t}'rt '�: Occupant load Per°=.1B`:C f _.,.•..i, ::.." 12/24/09 Sue"MIOD,erd�s; Play. 'ri Mana er Date Post on the premises in a conspicuous;place." This<certli cateishali not be removed except by the -Building -Official. ..�.,„ IMA w V CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC 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 09 00001343 Date 12/23/09 658636 113 S VALLEY ST 06 30 00 0 0 3440 0000 MORNINGSIDE SIGNS COMMERCIAL ARTERIAL 1135 Application desc TWO WALL MOUNTED SIGNS EACH 17 5 SQ FT Owner Contractor MORNINGSIDE JACKSON S SIGNS & GRAPHICS 809 LEGION WAY SE 472 MT PLEASANT RD OLYMPIA WA 98507 PORT ANGELES WA 98362 (360) 596 3502 (360) 457 3703 Permit SIGN Additional desc 2 WALL -MOUNTED SIGNS Permit pin number 158634 Permit Fee 94 00 Plan Check Fee 00 Issue Date 12/23/09 Valuation 1135 Expiration Date 6/21/10 Qty Unit Charge Per Extension 2 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 94 00 Special Notes and Comments December 22 2009 3 23 32 PM sroberds The proposal will result in a 35 sq ft bldg mounted sign in the CA zone 132 sq ft is permitted No land use issues are anticipated Fee summary Charged Paid Credited Due Permit Fee Total 94 00 94 00 Plan Check Total 00 00 Grand Total 94 00 94 00 0000 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 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. JAc,"0-0 Situ Date t Print Name SignatiVe of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By 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 Back Flow / Water I FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING li 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 I FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Nl c� Ic W Electrical 417-4735 n ,� Construction R.W PW / Engineering 417-4831 V Fire 417-4653 �A Planning 417-4750 Building 417-4815 �\— 12--- to V6 0 L._ T:Forms/Building Division/Building Permit PREPARED 12/22/09 8 04 18 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/22/09 ADDRESS 113 S VALLEY ST SUBDIV TENANT NBR MORNINGSIDE CONTRACTOR NICK CULP CONSTRUCTION LLC PHONE (360) 507 4676 OWNER MORNINGSIDE PHONE (360) 943 0512 PARCEL 06 30 00 0 0 3440 0000 APPL NUMBER 09 00001236 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 12/03/09 JLL BLDG FRAMING 12/03/09 AP December 2 2009 2 34 20 PM 1pangrle SUSAN 360 507 4676 FRAMING December 3 2009 4 28 57 PM jlierly BL99 01 12/22/09 Jl BLDG FINAL TIME 01 00 =E December 21 2009 2 30 10 PM 1pangrle SUSAN 360 239 9342 BLDG FINAL MORNINGSIDE AFTERNOON COMMENTS AND NOTES oFpont gNQ� ELECTRICAL INSPECTION WIRING REPORT 'LI RKS & 417-4735 �RKS 6 DATE PERMIT p INSPECTOR r2-17-1 lag OWNER/CONTRAdTOR ADDRESS APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑. SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED: 1 cc?u14Cf- �R-b k f- K--1 fT KT ) Z5 )-L L t 6HT iNSrpru: JIF-X IT sl;� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — (12/21/2009) Linda Pangrle_ Re Morningside signs Page.1 From Linda Pangrle To Jackson Smart Subject: Re Morningside signs I received the pictures Thanks >>> Jackson Smart' <iacksona..olvpen.com> 12/21/2009 11 40 AM >>> Hi Linda. Here is the pictures of the sign placement for Morningside Thanks Jackson North Wall ni ifh %veil Pr nt in- ink 70N A,,' -,.IC CITY-OPPORTANGE-LES, V for City 'Ilse 'only: 77 Atth, BUildihc C fate. Recaived12- Fifth:$f, _Port-AnOles WA 98"x02° P 0Q):41-748;15 Ibx.,(38.0) 497-471`1 \d ermit, OLT 6 al .. Date APPrMv_ �� App -p -a -i Mprnjno)oW6 5crvirco Pho Property Owner Jim'Lar'ooli, 48 61 Le_,i Phone 1-360-596=3502 e(sAddre.�& 115 N Yalle PoFt Angeles 16o 2 ,Pr6pejt'y_ h C CdhtradioriEnginee n 0 t?lonoF?-hone: 457-5703. or/Ehgineer?I§,Addeeb$a 47 , Corlttapt 'M.t. .006 t Rd Port Angeles 985621- EXpre' s' 1-28-2010License# yq rkooro,3022W 1proje,pt.Address 113. .Valley -5t port A 'I .tusineta_Nam r inpi K40 h A c rvicc!5 .::P a rce ['N umber Lot Zoning Submit. two: sets. ofpliWs,A z.-site.,phin tf atch7diudos. Type of -sign (woll-mjhted_prpjppt.!n g� frpesW dI ng lluinated other r Placement and sq..ff. area How -the sign will. be specsm,!y, be; required fbt'frebstanding:$ign$I: 0 ;s,epara'tloh:distance,betw4Lh'the..b6ftdryi ri.pt.ojedting,andifr6as'Wndt'ng sigqsAhdAh6 Wfaci :belbw'- tee 'C)140ierl4.36$ig.n-,Cod-a',df.thac,*"dt.'Poi.tA-ngeles, unfelpal Codefor sign requirements. Sign 'Tvpe-&Rfief'Descfi2LdtL.,tt7' ft.).': ff�pe, loqatidn, . t Sign #1 1-5ihgleSided .wall.mounted .5/4'MDOpi*oodoignb4»x3O" North .side of,bldg. 17.5 5gft each Si n*2 1- .Single 'ided, 11 M 3/4" M POPM60 J 5i0M.&4.'x 30".506th*. id of Hda. 17.5 5a5aft; each 5 Wa mounted $47 b7 .x 2 -$:,94 00 �, $115 00: )t Fe6estandinq4nd.,Or6ject fn ic _aver ,25sq ft:.. PRANb TOTAL ftike-.'Ch6dksPayable t& Vty-of .Port Angeles :C -(�kcelpt.A S c 't- d 1.94.60 -redif CaMs ca lix is atea cep e men 3-5 & 25 ro tarjog#,: a -r q.,a:. ,!�q. 'MaXiM. Affbwed'!Sign': 4rea .0 sq.ff, VA O. CuC-urrv.** si5na'5e *r5'x10'-r560 20%=1525q.ft. 1 have- read, and -complOted: this° application and know, it to be. -true and ;correct. 1. am .authorized to 0001Y I for,. Ihl'. bemit and that:i � i.: n _y t S ry xdtponsibi it - to determine What permits are ,required- :ah&f6 6btaih:100m1ifq prior to-vorkinglon projects. G�ICr, JJ batelt.'+I�KP�I- phntName.,�&k�C*J '5MA�, tigp�itur crftwBuild;.Q.p."ionlftp Permit Ap011dadon: &m. s,� �i / � �, j f IFj t �. ti„, �' ,� j `� � �.� `,� �° ,� � ...,� �� ,, ,� � �/ �� �y � � �,.R , ..�� ���� �,, ,,., } ��.. � ,,.�� ,r o. / �, �� �. 3 M ,s -g K =_@omen eons hor People pit isdbilies 2- e5mele 01ded b499x 5o" x 14" MLO Plywood oleno W31-1 Mounted Moun-tine Drawinoo Extruded Metal wall MOrmr looide, 115 N Valley 5t I`ort �\-rigele5, WA 98562 300,-590- =_ sheet metal �crew� Sheet metal ocrewc, 509 CITY OF PORT ANGELES — Construction Pians The Issuance of this permit based upon these plans, spedfi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plr specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval pate y +-*..�►----- 472 Mt tri /11G1%�i�Ja U`I`'i✓ 117`7, PREPARED 12/03/09 8 19 20 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/03/09 \ ADDRESS 113 S VALLEY ST SUBDIV TENANT NSR MORNINGSIDE CONTRACTOR NICK CULP CONSTRUCTION LLC PHONE (360) 507 4676 OWNER MORNINGSIDE PHONE (360) 943 0512 PARCEL 06 30 00 0 0 3440 0000 APPL NUMBER 09 00001236 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 12/03/09 L BLDG FRAMING (-( December 2 2009 2 34 20 PM 1pangrle SUSAN 360 507 4676 FRAMING COMMENTS AND NOTES -- ELECTRICAL PERMIT CITY OF PORT ANGELES 3160-417-4735 Application Number 09 00001255 Date 12/03/09 Application pin number 061230 Property Address 113 S VALLEY ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3440 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Remodel 11 circuits Owner DATE Contractor INSPECTOR. DITCH Morningside EXTRA MILE TECH & ELECT LLC P 0 Box 7936 418 N RACE ST OLYMPIA WA 98507 PORT ANGELES WA 98362 COMMENTS (360) 457 0198 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 157560 Permit Fee 77 50 Plan Check Fee 00 Issue Date 12/03/09 Valuation 0 Expiration Date 6/01/10 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 10 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 20 00 Fee summary Charged Paid Credited Due Permit Fee Total 77 50 77 50 00 00 Plan Check Total 00 00 00 00 Grand Total 77 50 77 50 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN Y FINAL J 2P COMMENTS Signature of owner or Electrical Contractor X lei Date A- — DEC -02-2009 11 55 PM E JANSSEN City of Port Angeles Permit Application Bolidiag as isionieeedrical I tepec"ons 321 eat Fifth 3MM - P.C. Box 11011 Pat Angeles Weehinoon, 98362 Ph: (904) 4174735 Far (360) 417-4711 Date: ,�% �._ 2 -O f- 1 & 2 Single Family Dwelling Multi -Family or Commercial" 2CommewJal Addition I Alteration / Remodel / Repair"' 360 452 2982 DEC 3 2009 ELECTRICAL INSPECTIONS Plan Review May Be Required, Please Complete Electrical. Plan Review Information Sheet Job Address: Building Square Footage Description of above Owner Informatiart Name: N'1igV.N rve�� 10 E Malting Address: �'�_ C -W C» t o (ol v,/*Y_ Se City. C21 v 0% 10, rt State: _ tJ- Zip: _��. Phone: ? t:O -_ 111.3 - P 4"( 2- license # / Exp. - P 02 "If. 16. Contractor Information Name: ctCC're.4 rAta taro a ei-ec.ktctco.i Mailing Address: tl cg r 1, It2 W-ro 5T. City .i?` e�' �it� State::y1„ Zip: ag,yr, t Phone:. 60- qst .1 azo 4v_y�t �3;<S lis ense # /Exp. 9 er R+q !T3� .S.C► t .r1,�a a F�1x 4's`fi -8569- U ha -Ok Total Multiplied by Unit Charge1 ----•-"' $ 93.75 _ _ —, S, _. Seroka/Feeder 200 Amp. $113.75 _ S _ Servioe/Feeder 201400 Amp. $160.00 ___..__ S Serylee/Feeder401-600 Amp. $2pg,00 _ _ S ., ServicelFeeder 601-1000 Amp, $291.25 S_ Service/Feeder over 1000 Amp. $ 2.00_ $-.Branch Circuli W/ Service Feeder $ 67.50 L $ . 5 Branch Circuit W10 Service Feeder $ 2.00 _ _ $_ .e2 O . e o Each Addillonal Branca Cinxhit 3 Mo _ $ Temp. Servicel Feeder 200 Amp. $ 66.25 _ v $__ _Temp. Servicefteder201400Amp. 8116.25 _ _ $. Temp. Service/Feeder 01-11M Amp. $131.25 $ Temp. Service/Feeder 601-1000 Amp $ 75,00 __ __ $ _ ,_ Portes to Portal Hourly $ 68.00 _ $ SIgniOulline Ughttng $ 75.00 Commercial $ 50.00 _ S_ Signal Circuit/ limited Energy 1 & 2 FamilyDweUing $ 50.00 a. _ Sigrat Circuit/ Umited Energy Wifi-Femlly Dwelling $ 93.75— 5 _ Manubdured Homo Connection $ 80.00 $ Renewable Electrical Energy SKVA Syslem or less $ 865.25 _. _ $ _ _ First 1900 Square Ft. $ 27.51) S _ Each Additional 500 Square Fl_ or Portion of $ 57.50 _.. _ , _ S _ Each Outbuilding or Detached Garage $ 66.25 w._ $_ .. Each Swimming Pool or Hot Tub S 43.75 $ Thermostat _ $ 77 5 0 Tofel owner as ea6nett br RcW.19.20.201: (1) Owner will occupy the structure for two years alter this efecbicat permit is finalised. M Owner Is required to hire an 'ekeMgl contractor Nabove sold property Is Mt sale, rent or tease. After n adhhg tate above stale mA, i hereby cextiijt shat i aro the owner of the above named property or a licensed aiectdol'oontractor. t am making the electrical installation or atterelion to compliance wBh the electrical lam, N.E.G. RCW. Chapter 1920, WAC_ Chapter 296468; The City of PortAngeted Municipal Code, and trinity spedneadiona. Slgnatum or opmer oladmeal clor er e4 tel administrator CERTIFICATE OF OCCUPANCY APPLICATION Permit# 3 1 CITY OF PORT ANGELES i`4wrr�(��FEES Attn Building Permit Technician 321 E Fifth St. Port /Angeles WA 98362 X50 00 Certi icate /Inspection , (360) 4174815 fax (360) 417-4711 $10000 Parking'Busiriess Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS S, V ) �j-i' Zoning Business mailing address Voq _ 9$2(;,.x} Phone # :3/r -D, -4:!t , ::,�9 /.,`/ Opening date, ..ja /d. -g. p y . , Days. & hours, of operation .fl -_-r— S? � 5 Washington State `fax I D #.0) If known list the name of the previous business -at this location Brief description, of proposed business, EM-PLO,�//)1r ��J/ Business owner's name, tq(V-_A2D,crF �cs . 52i 1 CO 3 Phone.# Z&O 94a, Business owner's home addres,, y.l?f��g�1.s PLEASE NOTE. A Business License is also required forthe following businesses Taxi Peddlers Second-hand dealer Pawnbroker Dance .Hotel - Motel Fireworks Ambulance Tattoo -shop Contact the City Clerk at 417-4634 for additional information ACTION New business Transfer of business 'location from a PBIA location Transfer of business / location from a b non-PBIA location Change of ownership Remodel Temporary business Change of use WILL THERE BE ANY OF THE FOLLOWING? I; Electrical. changes. .New or relocated signs - IzLdV a J Construction changes n/Ip ;i 491.0i 0 W0I.9pmt4 Mechanical changes (ventilation,.heating oding, etc.)` Plumbing changes . I Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right-of-way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is. this a home occupation? Is this a second-hand dealer or pawnbroker business? I NO✓ YES,✓ v 1/ IF YES CONTACT Electrical Dept. at 417-4735 Building Div at 417-4815 Public Works at 417-4807 I Water Dept. at 417-4886 Planning Div at 417-4750 City Clerk at 417-4634 Is there off-street parking for this business? ✓ How many spaces? / Is the street in front of this business paved? V/ Is there- a sidewalk in front of this business? Is there a curb & gutter in front of this business? V✓ CaNffor Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653(::::: at. the cashier counter Please provide a minimum•24-hour notice for inspections I hereby apply for a Certificate of Occupancy l acknowledge that I have read th's applicatio and state that the information I have supplied is correct to the best of my knowledge � Date -3. I Print Na �.-��/Signatur .For,City use only Department I Approved Rejected Comm nts / conditions Initials & date Initials & date // Building I Type of construction Occupant Load Fire I IAutomatic fire sprinkler system required no yes PBIA �I/� i ��J�-�=4� �cv��s-'�1 `1�--�-� �--�J _�®—��_c•�_��_ Panning City Clerk Public V°Iorks I ' 'Puiidin^, Ci VCertifcale Occupant _p�6ca ONCERTIFICATE OF OCCUPANCY APPLICATION Permit# 09-IZ35 CITY OF PORT ANGELES to FEES FEESv'�O Attn Building Permit Technician 321'E Fifth St. Port Angeles WA 98362 _ A5O Certi ie /Inspection (360) 417-4815 fax (360) 417-4711 $Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS S v A. I l e S� Zoning c Business mailing address �® �_ / 4- PA �� q$ ) :Phone # Opening date Days & hours of operation ,rye - r V �fiv 5` Washington State'Fax I b #'0/ If known list the name of:the previous business at this location Brief description of proposed business ESI PL0y11J_::--t j7' CE,-, --)�V Rcd�.f{ � Idcn c .� 5b 1 ' Business owner's name (�(P�N-1�2pf/-T ��'C}3 Cc) 3 Phone #.��0 94?-, Business owner's home address Pog q3(o OL`)1^014 1101q qg507 61 , PLEASE NOTE. ey baur hi -fhis prbpt-r-fiy A Business License is also required for the following businesses. Taxi Peddlers Second-hand dealer Pawnbroker Dance, Hotel - Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional Information. Call for Certificate of Occupancv inspections before opening business. Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that / have read supplied is correct to the best of my knowledge � Date) (/.�� I Print Na1/Jnq-41WS,ignatur For City use only Department Approved Rejected Initials & date Initials & date Building [Z 099 Fire km lZ—I�,— /' J r �l PBIA WILL THERE BE ANY OF THE FOLLOWING? ACTION I ✓ SR Electrical changes Jam, ,QQ%V�i I City Clerk I New or relocated signs J New business ,tLL I Construction changes ., rvb Will q1Transfer iv I Mechanical changes (ventilation, heating, 60 ing, etc.) of business I Plumbing changes location from a PBIA location I Fire sprinkler system changes Fire alarm system changes Transfer of business I New or relocated sewer or water service location from a I Excavation or filling of lots / non-PBIA location I Work done in the. City right-of-way New driveway openings Change of ownership I Grading site drainage (parking lots, downspouts, etc.) I. Landscape irrigation system (backflow devices) Remodel I Is this a home occupation? Is this a second-hand dealer or pawnbroker business? Temporary business I I • Is there off-street parking for this business? I Is the street in front of this business paved? Change of use I I Is there a sidewalk in front of this business? Is there a curb & gutter in front of this business? I Call for Certificate of Occupancv inspections before opening business. Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that / have read supplied is correct to the best of my knowledge � Date) (/.�� I Print Na1/Jnq-41WS,ignatur For City use only Department Approved Rejected Initials & date Initials & date Building [Z 099 Fire km lZ—I�,— /' J r �l PBIA Planning SR 12,8'-nq City Clerk u hG Public Works iv 'Z� (y�L)q ,m.5/Building Division//Cer ificate of Occupanc/ Appitca Type of construction Automatic fire sprinkler system required Nov YES// IF YES CONTACT Electrical Dept. at 417-4735 V Building Div at 417-4815 � ✓ I I ✓ I I I ✓/ I I I Public Works at 417-4807 v I I I .✓. I I ✓ I Water Dept. at 417-4886 ✓ I I Planning Div at 417-4750 V I I City Clerk at 417-4634 How many spaces? I. ✓ I I I ✓ � I Please sign up for utility services at the cashier counter app/icatio and state that the information I have % r im(nts / conditions Occupant Load no yes V, Susan Cundy-Harris Vice President Human Resources/ CAO TEL 360.596.3507 �� Lii� �'G TTY 360 754.5368 FAx 360 596.3554 P 0 Box 7936 809 Legion Way SE Olympia, WA 98507 scundy-harris@mside.org 5 I 011 'W 11 4N M Nx 4k J. J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION r 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00001236 Date 11/30/09 Application pin number 836284 Property Address 113 S VALLEY ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3440 0000 Tenant nbr name MORNINGSIDE Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10000 Application desc THREE NEW CEILINGS Owner Contractor MORNINGSIDE NICK CULP CONSTRUCTION LLC PO BOX 7936 427 Z ST SE OLYMPIA WA 98507 TUMWATER WA 98501 (360) 943 0512 (360) 507 4676 Structure Information 000 000 THREE NEW CEILINGS Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc THREE NEW CEILINGS Permit pin number 157305 Permit Fee 207 75 Plan Check Fee 135 04 Issue Date 11/30/09 Valuation 10000 Expiration Date 5/29/10 Qty Unit Charge Per Extension BASE FEE 95 75 8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 207 75 207 75 00 00 r � n Plan Check Total 135 04 135 04 00 00 �( Other Fee Total 4 50 4 50 00 00 Grand Total 347 29 347 29 00 00 z- aq 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 presuric to give authority to violate or cancel the provisions of an), state or local law regulating construction or the performance of co uc ton. Date Print Name Signage of Co ractor or tho tzed Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type 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 8 Hold Downs Skirting (PLANNING DEPT Separate Permit#s Parking / Lighting 11-andscaping Accepted By Comments 1 1 I FINAL Date Accepted by 1 I 1 1 1 I FINAL Date Accepted by SEPA. ESA. SHORELINE. 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 417-4815t-z-Z2-i3� T.Forms/Building Division/Building Permit 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 Rlpvrit oI QE Property Owner 5;r— Property Owner's Address �pC)(P, qv (P bwMP14 Contractor N icl(_-_ ITO L.P 0-6015-17-9u0-1 c L_ Contractor's Address 4_11- .2-.,y" SE CL`/M,pj4 LI)14- License # I-LitK 4 -CG. Q.2 (vK-r" Expires5/,_?D I jC PROJECT ADDRESS ( 3 J �ff II Parcel Number V Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family Check all that apply ❑ New Construction, ❑ Addition ,o Repairpair Re3, JA) O.LL&9 For City Use Only - ate Received ermit # - ..I i ?on'e ate Approved d SAO Phone Phone 3(,,O S� �►, �t'o 1�% E-mail Lot Zoning <Commercial o Industrial ❑ Demolition .❑ 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 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existing (sp. ft.) Pposed (sc�f j $ per sq ft. = $ TOTAL VALUATION $ /D, DO p Total footprint of structu es sq ft. T Lot size sq ft. Lot coverage. Site Coverage= the am unt of'impe us surface on a parcel including-st ctures pave driveways -sidewalks patios and other impervious su aces. (s e.PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed str res. ft. Occupancy group ## of bedrooms Will a lawn sprinkler syst5plrb installed? Occupant load # of full baths Will a fire sprinkler systiLem bei talled? Construction type # of half baths /have read and completed this application and know it to be true and correct. /am authorized to apply thi permit and understand, that it is my responsibility to determine what permits are required and to obtain permits pri, to in nn proj, is Date 12010q Print Nam K) S' ature i T Forms/Building Div;sion/Bldg Permit.doc iQ oij If C E FtT :CA1TEiF $ R PA N CY 21-11 7 Y sof"Port Ange ,," , 'Builth n:g D 'sion This certificate is issue ur uant;to,the requirements of Section loo the 20 International Building Code . certifying that at the t e; 5'V -ue nee, t s, sti acture was in coni lidnee��w th the v Mous ordinances of the City way, ^ . regulating building c nstructio,�n�orjusey or�the fo-lowing t .4 `'kk F my 29 Business nameCa#Iva°ry7 apelFPorf An"teles �(t�wner Cal;airy apel)- Business address 1'13=SFVaIIey 'S tAk. Property owner Vw James / Kim�bYer<IyCiaciuch `b Pro er owners °d`a'res 387 Little Ioo p ty,.w,:.. P, -ort Angel.esWA};83 2 Automatic fire spri klersstem Per IBCR �_,,µ; x„o , , " Use & occupancy c I sifcation. Asserri:bly, .., 9; ; * , ;M1, c�44 10 ..,. Building permit num era. •Q98:6 t,"f Type of constructionBz," Occupant load. Ps IBCA 09-24-09 ue®,ba=ng ager Date all Post on the premises in a conspicuous place. This cnot be removed except by the Building Official. � 1 Q� -0 �® oij If PREPARED 8/28/09 8 56 33 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/28/09 ADDRESS 113 S VALLEY ST SUBDIV TENANT NBR CALVARY CHAPEL P A CONTRACTOR PHONE OWNER JAMES / KIMBERLY CIACTUCH PHONE PARCEL 06 30 00 0 0 3440 0000 APPL NUMBER 09 00000886 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 8/28/09 JLL BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LE DATE 08/27/09 TIME 16 58 27 18 PM August 27 2009 4 57 18 PM 1pangrle ANDREW 360 320 3999 C OF O FINAL CALVARY CHAPEL PORT ANGELES AFTERNOON COMMENTS AND NOTES 0 /6AIPt A4-- BUSINESS NAME fii C�er�e)i '-ebr� AAjelies BUSINESS ADDRESS I \'Z) I -S VALVY 'ST Zoning Cpr Business mailing address (D F,>o)c rog�-ArwtLc;, wA 4334o2 Phone# 5(00 Opening date 9 k - o Days & hours of operation Washington State Tax I D #og_ SIC If known list the name of the previous v6N business at this location Ce .11 Brief description of proposed business. C 1A V ?_ cr\ Business owner's name sFe Abovc Phone # Business owner's home address PLEASE NOTE. 3o rnevn6eA-5; A Business License.is also required for the following businesses. Taxi Peddlers Second-hand dealer Pawnbroker Dance Hotel - Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information. ACTION I v/ New business Transfer of business location from a PBIA location Transfer of business location from a .non-PBIA location Change of ownership Remodel Temporary business Change of use 'i I WILL THERE BE ANY OF THE FOLLOWING? J* NOv/ Electrical changes New or relocated signs w111 y* oL sign 1eA_rnr4- Construction changes CERTIFICATE OF OCCUPANCY APPLICA VON Permit # Mechanical changes (ventilation, heating, cooling, etcJ Plumbing -changes Fire sprinkler system changes CITY OF PORT ANGELES Attin Building Permit Technician Fire alarm system changes FEES New or relocated sewer or water service Excavation or filling of lots Certificate I Inspection Work done in the City right-of-way 321 E Fifth St, PortAngeles WA 98362 New driveway openings I Grading site drainage (parking lots, downspouts, etc.) (360) 417-4815 fax (860) 417-4711 $100.00 Parking Business'Improvement Area (PBIA) Print in ink Is this a second-hand dealer or pawnbroker busin6ss? fee charged for downtown locations BUSINESS NAME fii C�er�e)i '-ebr� AAjelies BUSINESS ADDRESS I \'Z) I -S VALVY 'ST Zoning Cpr Business mailing address (D F,>o)c rog�-ArwtLc;, wA 4334o2 Phone# 5(00 Opening date 9 k - o Days & hours of operation Washington State Tax I D #og_ SIC If known list the name of the previous v6N business at this location Ce .11 Brief description of proposed business. C 1A V ?_ cr\ Business owner's name sFe Abovc Phone # Business owner's home address PLEASE NOTE. 3o rnevn6eA-5; A Business License.is also required for the following businesses. Taxi Peddlers Second-hand dealer Pawnbroker Dance Hotel - Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information. ACTION I v/ New business Transfer of business location from a PBIA location Transfer of business location from a .non-PBIA location Change of ownership Remodel Temporary business Change of use 'i I WILL THERE BE ANY OF THE FOLLOWING? J* NOv/ Electrical changes New or relocated signs w111 y* oL sign 1eA_rnr4- Construction changes Mechanical changes (ventilation, heating, cooling, etcJ Plumbing -changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right-of-way New driveway openings I Grading site drainage (parking lots, downspouts, etc.) Landscape, irrigation system (backflow devices) is this a home occupation? Is this a second-hand dealer or pawnbroker busin6ss? Is there off-street parking for this business? YES,/ IF YES CONTACT Electrical Dept. at 417-4735 Building Div at 417-4815 Public Works at 417-4807 Water Dept. at 417-4886 Planning Div at 417-4750 City Clerk at 417-4634 ✓ How many spaces? -1 Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb & putter in front of this business? ✓ Call for Certificate of Occupancy insoections before opening business. Please sign up for utility service Building Department inspection 417-4815 & Fire Department Inspection 417-4653 please sign cashier counter Please provide a minimum 24-.h6ur notice for inspections / hereby apply for a Certificate of Occupandy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Date Print Name W-LAJ� Signature For City use only - Department Building Fire PBIA Approved Initials &date Planning 0_yow, P, City Clerk Jic V _ J-7 Rejected Comments I Conditions Initials & date I Type of construction Occupant Load ,Automatic fire sprinkler system required no yes ,Automatic Pff11'Cal,+ AdainJ a nove&_6�earfi�hcafl (y)!5%Ae _ -1 OL M01 I vil ?e -v, m 1+ y) eeAe4 e_ex- Sud P� 6V) 1CJ � v _S 0%pORI AA,,r CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES FEES '�-- Attn Building Permit Technician 321 E. Fifth St. Port=Angeles WA 98362 $50 00 Certificate /Inspection 321 E. Fifth t. fax (360) 417-498 $10000 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME Cal VAY., CIxa�e -1�or- 1 AAY les BUSINESS ADDRESS /S VALV y5 T -t Zoning C PIr Business mailing address �p (0 'Pzo)c S"�:7, f 00v�ft 0, WA 4$3402 Phone # 3(oo -5-0y-2104P Opening date 4 k - 01 Days & hours of operation A60 32,0. Washington State Tax I D # 60)_-,3;0 S30 If known list the name of the previous e -ll 39,gg U 13\ business at this location C Brief description of proposed business C NVR C TN / Business owner's name Sf_F 460VIC Phone # Business owner's home address PLEASE NOTE. 30 mern6er5 A Business License is also required for the following businesses Taxi Peddlers Second-hand dealer Pawnbroker Dance Hotel - Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information. ACTION I ✓ I WILL THERE BE ANY OF THE FOLLOWING? I NOV YES,/ IF YES CONTACT Electrical changes I Electrical Dept. at 417-4735 New business I J New or relocated signs w} tt 3ei- a Suri leA- n o-1 I ✓ I Building Div at 417-4815 1 I Construction changes { ✓ I I Transfer of business Mechanical changes (ventilation, heating, cooling, etc.) location from a 1 Plumbing changes 1 ✓ I PBIA location Fire sprinkler system changes I Fire alarm system changes I I Transfer of business 1 New or relocated sewer or water service / I Public Works at 417-4807 I location from a Excavation or filling of lots i 1 .non-PBIA location I Work done in the City right-of-way 1 I 1 1 New driveway openings / Change of ownership Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) 1 i 1 Water Dept. at 417-4886 Remodel I I Is this a home occupation? I l Planning Div at 417-4750 1 Is this a second-hand dealer or pawnbroker business? 1 1 City Clerk at 417-4634 1 Temporary business I Is there off-street parking for this business? ✓ How many spaces? t Z 1 I Is the street in front of this business paved? ✓ Change ofuse I 1 Is there a sidewalk in front of this business? I ✓ I Is there a curb & gutter in front of this business? I 1 ✓ 1 Call for Certificate of Occupancy inspections before opening business .(::Please s:hcashi p for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at er counter Please provide a minimum 24-hour notice for inspections 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 / Date 0 �2�"D� Print Name 4F&td ireW W LAA) Signature �-1d"D For City use only, v Department I ApprovedI Rejected I Comments / Conditions Initials & date Initials & date Building Ig 28-U9 P Type of construction Occupant Load 1 Fire $,o�l YD Automatic fire sprinkler system required no yes PBIA 1 -- t4rAffIicw+- AddiAy a move6le P0.r-h-i;oh tnSt�'N,e Planning Qr1gSR� MCUn 61Ji161,v)5 0.�, NO 6ut1ai -"4 f 17 A02 � pi V 0 Mck'k�e.A 12—VI —07 1 1 MMM"w" C E RTI s . A � y�E �AF��'��O lJ P14 N Cly .,_�, : City �of Port Angeles��= BU' JId;i - g'. Div cion v .;� This certificate is issuedpur<"suant,to_the requirements of Section 110 of the 2006,International Building Code certifying that at the time'y,' if issuance;thisstructure was in compliance with the various ordinances of the City regulating building c© str=iiction=oruse+ or thAAW e ollo:win-_p Su g g f.�4i g;. „,•. n .+. „f' `` MIR,�5 �k Oji p: . � Business name .Affnity.OV, lees, ;I!ric `s- Business address ' 113-S5Valley St f. ♦�.. Owner of busines 3Laur James Owner s address 'A'D -2-1 E. Front St.;rtAngeles;WA983"62Ski Automatic fire spriiikler,,,system. Not required, Use & occupancy classif cation. Business, Building 01,7661.0: permit number . ----.- ::- �r � h -:K4�. Type of construction-B° ` °` Occupant load. Per I Ay 12-14-07 Roberds; ,, . ianrnzng Manager Date Post on the premises in a conspicuous place. This ce s all not be removed except by the Building Official. 1 � Mck'k�e.A 12—VI —07 CERTIFICATE C dP—OCCUPANCY ;City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction.or,.use. For the following_ Use Classification: Office Building Permit-No. ',647,580.,, Business'ivan e: ';Residential Media Associates LLC Group:�7 CA B 'Type'of;Construction. V=1ryr_.. ,yy, :Use:Zone: T Owner of Business/Residence: James Clacluch Address: 825_.Carohne.. Port AnLyeles. WA 98362 Building Address: 1'13'South Vallev Street, Port Ari2eles, WA 98362 q, T' ke August 27, 2004 'Buiidingg"'T ictal .. Date #, .....:fir' �+'.� ,a..U, , .. ... ... . Post on the premiseSln.-- conspicuous place. Shall not be removed-e-k pt:by°Building Official v� dew" CITY'OF PORT,ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98302 y�� 1 Application Number 07 00000832 Date 7/30/07 Application pin number 281152 Property Address 113 S VALLEY ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3440 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor STAN GARLICK/W HENNESSEY ET UX ANGELES ELECTRIC 303 W 8TH ST 524 E 1ST ST PORT ANGELES WA 983625904 PORT ANGELES WA 98362 (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL. Additional desc ANG EL / 6 CIRCUITS Permit pin number 107011 ? Sub Contractor ANGELES ELECTRIC ` Permit Fee 63 00 Plan Check Fee 0011 ^ `. Issue Date 7/30/07 Valuation 0 �\1 Expiration Date 1,/,26,%08 Qty Unit Charge Per Extension 1 00 58 00;00 ECH' EL COMM''ALT <5 CIRCUITS 58 00 1 00 5 0000 ECH EL COMM ALT ADDTNL CIRCUITS 5 00 ~ Fee summary Charged Paid Credited Due QO Permit Fee Total 63 00 63 00 00 ,00 oC Plan Check Total 00 00 00 00 Grand Total 63 00 63 00 00 00 C ti V� ®v l 1 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CovEp, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE lNspFrnoN TYPE I DATE I Accm-rm commEms li Yls I NO DITCH ROUGH -IN / COVER SERVICE FINAL GENERAL COMMENTS: 446 - iO7 PW -1102.1514" dew CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST STN STREET PORT ANGELES. WA 98362 L-� Application Number 07 00000831 Date 7/30/07 Application pin number 157016 Property Address 113 S VALLEY ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3440 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor STAN GARLICK/W HENNESSEY ET UX ANGELES COMMUNICATIONS INC 303 W 8TH ST 102 ROSS LN PORT ANGELES WA 983625904 PORT ANGELES WA PORT ANGELES WA 98362 (360) 457 4375 ,Permit ELECTRICAL NEW COMMERICAL, Additional desc ANG COMM / VOICE DATA Permit pin number 106997 Sub Contractor ANGELES COMMUNICATIONS INC Permit Fee 40 00 Plan Check Fee 00 Issue Date 7/30/d7 Valuation 0 'Expiration Date '1/26/08 Qty Unit Charge. Per Extension 1 00. 40 0'000 EL LOW VOLT SYS <=2500 SQFT 40 00 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 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINM4UM 24 HOUR NOTICE. IT IS UNL4 WFUL TO COMER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE Accm-rm COMMENTS YES NO DITCH ROUGH -IN / COVER SERVICE I FINAL 117-:0-197 6 GENERAL COMMENTS: Pw-lloilsl4w GveSf Services ,mac. 0-7- f�0 THE FOLLOWING WILL BE REQUIRED - ROUTING SLIP of Occupancy a—L'm 'Certificate $5000 Certificate/Inspection Fee h, I Building 1) DATF 0 q New Business ( ) Address of Proposed Business Transfer of Business Location �3 S tlakk� ied P/A� AV Change Change of Ownership ( ) I Applicant L-o�A, New Building ( ) Address 'ZST; l&�- -\1_Prd-vYx1(lf1934emodel ( ) 5, Ld6 Temporary Business ( ) Phone business )C home Change of Use ( ) Brief description of proposed business Legal Description Lot Current Use of Property Zoning Classification of Property- LR WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right-of-way Is there sufficient off-street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other PisW�,-,�i,t I �i-`�ic (44muv-iCI r pfnie Block Subdivision YES NO THE FOLLOWING WILL BE REQUIRED - PERMITS BUSINESS LICENSE �± 1) Building 1) Taxi 2) Plumbing 2) Peddlers X 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker P 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance . ^ 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire —A� 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use X 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date 1 information I have supplied is correct to the best of my �� knowledge Signe8 'fin fJFnN►'!Ic-�'� (���r`I`NSilLi�c vl fT•i� rn (�i-�cv- , �'Y� C. APP OV D REJECTED CS9 4KDD 6-6-03 Bu Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Comments / Conditions CITY OF PORT ANGELES h1� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application description Subdivision Name Property Use Property Zoning Application valuation Owner 04 00000677 433863 113 S VALLEY ST 06 30 00 0 0 3440 0000 JIM CIACIUCH PUBLIC WORKS UTILITES COMMERCIAL ARTERIAL 0 Contractor STAN GARLICK/W HENNESSEY ET UX OWNER 303 W 8TH ST PORT ANGELES WA 983625904 Permit RIGHT OF WAY Additional desc Permit Fee 00 Plan Check Fee Issue Date 8/02/04 Valuation Expiration Date 1/30/05 Qty Unit Charge Per 1 00 0000'ECH RIGHT OF WAY PERMIT Date 8/02/04 00 0 Extension 00 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 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. o /U a4- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\PLANNING\FORMS\1102.15 [11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION - FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING IFRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL/ FLOOR/ CEILING MECHANICAL I` HEAT PUMP GAS LINE I` WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s I SEPA. PARKING/LIGH LANDSCAPING TING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T-\PLANNING\FORMS\1102.15 [11/14/2003] 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 417-4807 PW / ENGINEERING 417-4653 FIRE DEPT 417-4750 PLANNING DEPT 417-4815 BUILDING ACCEPTED YES NO CITY OF PORT ANGELES ��'� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 + 'a� Application Number 04 00000624 Date 7/20/04 Pin number 599120 Property Address 113 S VALLEY ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3440 0000 Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor STAN GARLICK/W HENNESSEY ET UX HI TECH ELECTRONICS 303 W 8TH ST 723 E FRONT STREET PORT ANGELES WA 983625904 PORT ANGELES PORT ANGELES WA 98362 (360) 452 2727 Permit ELECTRICAL NEW COMMERICAL Additional desc LV BURGLER ALARM Sub Contractor HI TECH ELECTRONICS Permit Fee 42 20 Plan Check Fee 00 Issue Date 7/20/04 Valuation 0 Expiration Date 1/17/05 Qty Unit Charge Per Extension 1 00 42 2000 EL -LOW VOLT SYS <=2500 SQFT 42 20 Fee summary Charged Paid Credited Due Permit Fee Total 42 20 42 20 00 00 Plan Check Total 00 00 00 00 Grand Total 42 20 42 20 00 00 c �- 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-\PLANNING\F0RMS\1102.15 (11/14/20031 Date Signature of Owner (if owner is builder) Date 4, BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I I YES I NO FOUNDATION: FOOTINGS I` WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT tt ROUGH -IN PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION IB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT ft's: `I WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT ft's SEPA. PARKING/LIGH LANDSCAPING TING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING TAPLANNING\FORMS\1102.15 [11/14/20031 DATE YES NO COMMERCIAL 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 417-4807 PW / ENGINEERING 417-4653 FIRE DEPT 417-4750 PLANNING DEPT 417-4815 BUILDING DATE ACCEPTED YES NO 8/g 44 kO F PORT q^, ti1O -r'd< a�d ✓ ELECTRICAL PERMIT APPLICATION FOR OrFIC.AL USE ONLY P.- .4 <.c, i,Jyi*,,. The Electrical Permit Application must be filled out completely. Dale APP cd Date Issucd Jc Ks ANS Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number- (360) 417-4711 ` Owner or Elec. Contractor Agent: 1 ` J QC� r'V A 1(Z_S Phone. 45c) —aW-7 Fax: Property Owner ]\e9 LJ P-01�/� 1 �4I R V1, Address \k 3 S c . `val `'2� `S� . City-�p Electrical Contractor t Tlec-ln 'M(\%CS License# Address -7 S Cit .9—" INSTALLATION WIRED BY O OWNER ❑ ELECTRICAL CONTRACTOR Credit Card Holder Name. Billing Address City - Credit Card Number, PROJECT ADDRESS. `13 SD V Q 1�Qy U TYPE OF WORK. Check all that apply, ❑ New ❑ Residential ❑ Multi -family Commercial Exp. Date. 5� ❑ Alteration/Addition ❑ Mobile Home Sq Ft Phone. Zip gX3b_ Exp Phone (j Zip- q0 - 6 Z zip VISA MC ❑ Remote Meter ❑ Detached garage ❑ Hot Tub ❑ Swim Pool ❑ Septic Pump ❑ Low Voltage ❑ Telecom ❑ Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT -13JCC�Q'r m gC- Vli Electrical Heat Load Additions and or Subtractions Baseboard D Furnace :1 Heat Pump Fan -W all KW KW TON LRA KW ❑ Overhead Service o Temp Service ❑ Underground Service Service Information Voltage, Phase O 1 ❑ 3 Service Size Feeder Size f hereby certify that l have read and examined this application and know that same to be true and correct, and l am guthorized to apply for this permit. l understand it is not the City's legal responsibility to determine what permits are required it remains the applicants responsibility to determine what permits are required and to obtain such Credit Card Holders Signature (\ Date Owner or Elec. Cont. Signature-: 1 a),, 'A�A Dates PERMIT FEE $ 1ELECTRICALPERMITAPPLICATION 1fV 7/0/y ELECTRICAL PERMIT SUBMITTAL REQUIREMENTS INSPECTOR OFFICE FLOURS 8 - 9am AND 1 - 2pm NO INSPECTIONS WILL BE MADE UNTIL PLANS HAVE BEEN APPROVED AND A PERMIT HAS BEEN ISSUED.' HIEN IS AN ELECTRICAL PERMIT REQUIRED? BEFORE ANY ELECTRICAL ADDITIONS OR ALTERATIONS HAVE BEEN STARTED X30 MAY APPLY FOR AN ELECTRICAL PERMIT? 1 ) ELECTRICAL CONTRACTORS OR THEIR REPRESENTATIVES 2.) OWNER OF A BUILDING; UNLESS THE BUILDING IS NEW AND FOR RENT OR SALE "EN ARE PLANS REQUIRED? 1) ALL NEW SINGLE AND MULTI -FAMILY RESIDENTIAL PROJECTS. 2.) ADDITIONS AND REMODELS WITH ANY NEW ELECTRICAL WIRING, REQUIRING MORE THAN FOUR BRANCH CIRCUITS 3 ) ALL COMMERCIAL AND INDUSTRIAL PROJECTS. 4) PROPERTY OWNERS PERFORMING THEIR OWN WIRING "IAT IS REQUIRED FOR A COMPLETE ELECTRICAL PERMIT SUBMITTAL? 1 ) AN APPLICATION FILLED OUT IN ITS ENTIRETY 2.) FEE PAYMENT IN FULL 3 ) PLANS MUST CONTAIN THE FOLLOWING - a.) WIRING PLAN (SHOWING THE LIGHTING, RECEPTACLES, PANEL & DISCONNECT LOCATIONS, SERVICE LOCATION & SIZE) b.) PHASE(S), VOLTAGE, & AMPERAGE c.) LOAD CALCULATIONS & PANEL SCHEDULES (COMMERCIAL, INDUSTRIAL & RESIDENTIAL REMODEL AND ADDITIONS) d.) DETAILED RISER DIAGRAM (COMMERCIAL & INDUSTRIAL) SHOWING BREAKER, CONDUIT & WIRE SIZE AND TYPE HIEN ARE PLANS REQUIRED TO BE PREPARED BY AN ELECTRICAL ENGINEER? 1 ) EDUCATIONAL, INSTITUTIONAL, OR HEALTH CARE FACILITIES AND OTHER BUILDINGS PER WAC 296-46A-140 2) COMPLEX INSTALLATIONS AND/OR LARGE FACILITIES, AS REQUIRED BY INSPECTOR UQW MUCH DOES AN ELECTRICAL PERMIT COST? REFER TO THE ELECTRICAL PERMIT FEE SCHEDULE FOR APPROPRIATE FEES FOR YOUR PROJECT COSTS FOR PERMITS' VARY DEPENDING ON THE SCOPE OF WORK. ffQW LONG DOES•IT TAKE TO: GET AN ELECTRICAL PERMIT? IF PLANS ARE REQUIRED, PERMIT,ISSUANCE FOR MOST RESIDENTIAL PROJECTS WILL NORMALLY TAKE LESS THAN THREE WORKING DAYS COMMERCIAL PROJECTS MAY TAKE LONGER DEPENDING ON THE COMPLEXITY OF THE PROPOSED INSTALLATION YHEN AND HOW ARE ELECTRICAL INSPECTION SCHEDULED? 1 ) BEFORE COVER AND AGAIN WHEN ALL DEVICES AND EQUIPMENT ARE INSTALLED y 2) INSPECTIONS ARE SCHEDULED BY CALLING 360 417 4735 BY 7.00am a -4—F li UTING SLIP �� cj. ertificate of Occupancy 1147 00 Certificate/Inspection Fee DATE (�' �� ` ®SV Address of Proposed Business //7 f Applicant Address eg1— C4'tO6_f r tf Phone business home Brief description of proposed business o�7 C "-5 Legal Description Lot Block Current Use of Property - Zoning Classification of Property - New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use 'rAr eF F�-� 4m�) j,% A - Subdivision RF111i WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes X_ PERMITS BUSINESS LICENSE Electrical changes ;) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes X_ 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way 10) Water meter installation 10) Other Is there sufficient off-street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my -knowledge APP OVED ECTED /lrin� S� ff,pf -4 11111, Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Date v y Signed /sJ Cote ents / Conditions qNG �e i Job wired by Electrical Contractor 0 Owner EPuleta�htcut contractor ammm. 4iccnse number Dale Expires"at mailing address � L t�� ,a ���� f I �IDZ 6 � t m�/I r P77L1 •!"' Citpi�{ State ZIP J Telephone numberFAX number Y5-1 (1375- Premises owner's name Address offInspectiioo+n %/�1 /j/'%�,[/ :5 City I 4 I ELECTRICAL WORK PERMTTAPPLICAMN Itnstsllattan deaeriptiop _N(� o/nmereial 13 Residential a New 06 U AlteredlAdtlitlon 1e ,!e SI t,4700 6t lot Phone somber to schedule inspection: t'7 Owner as defined by RCW /P.18.161:(i) Owner will occupy rhe srraarart for two - years after this alecfrtcal permit s flnahzed. (1) Owner is required to hire an electrical contractor (f afiovc said praperry is for sate, rent or lease. ❑ Cash ❑ Check # After reading the above statement, I busby certify that I am the owner of the above Is�r named property or a licensed electrical contractor. I am making the electrical instal -Credit Card utast Mastercard Discover latiOn or alteration in compliance with the electrical laws, N.E.C, RCW, Chapter 1928, WAG Chapter 296.466, 1 he City of Port Angeles Municipal Code, and Card # _ Utility Specifications. O)h 1j, — — — — — — — -------- ate ""ca' t�5t f o electrical caafCattpr Or electrical administrator �-Expiration w x Date: 7" /-6-7 ��° d (� � 7 fes, —4 I VII fiwndi6intormetlan D NO LOAD CHANGES I7 Baseboard —KW Voltage O Furnace _KW ❑ Overhead Service Phase O 1 ❑ 3 ❑ Hoal Pump _ Ton _ LAR Cl Tamp Service SON" Sze: ❑ Fan -watt _KW Q UndergrouM Service Feeder Size: 1 i SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUG&IN THERMOSTAT 1 SERVICE Da,e Appmsd ey— A pus Aarm•M @y a D FINAL� DITCH n s Appy ror`d gy Aprn>ved Y Cam Appovad @v J Inspection - - - --- -- f I -- t Date Area, Building or Equipment Inspected ]I Action Taken Electrical Inspector RECEIVED JUL 12 �iit�l ({( 7-12-207 10:47AM FROM ANGELES ELECTRIC INC 360 452 9265 P.1 a\ I* ''- e ELECTRICAL WORK PERMITAPPLICATIONV �/ /\/Insta on description \ Job wired by Electrical Contractor Cl Owner Commercial 0 Residential Electrical contractor name Licence number Date Expires ❑ New Purchdeer't, mailing address :NU LZS ELEEUi E, 524 EAST FIRST City ._ W -A 98962 ,... Telephone number FAX number 'Preme �e Address of inuspe�9q� city a01 li JKl_C.9` (hone number to schedule N (honer as defined by RCW 19,18.161; ) Owner well aecupy the srmcture for two years tour this electrical pernnt is finahzud (1) Owner a required to hire an electrical contractor if above said properly is Jur sole, rent car lease. After reading the above statement. I hereby certify that I am the owner of the above named properly or a licensed Ncctrical contractor I am making the electrical instal- lation or alteration in compliance with the electrical IawS, N.E.C., RCW. Chapter 19,28, WAC Chapter 296-40, The Cay of Port Angeles Municipal Code. and Utility $pecificatiunn. 0 Altered/Addition a. Cl C�asb�- l7 Check # Eft`redit Card Visa Mastercard Discover Card # "Signature of ownev electrical c rltractor or electrical administrator Expiration Date X d Date: `%ofcar rd Electrical Load AdditiQps a d or au%aciions 0 NO LOAD CHANGES O Baseboard _KW 0 Furnace _KW erhead Service U Heat Pump _ Ton _ LAR 0 Tomp Service 0 Fan -Wall _KW 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 CROIIGII-IN r THERMOSTAT 1 // bla AlMroveC GY Il\ Dalc Aryx Jved ny �I FINAL��pJ DITCH /'�e1D"'�//O -7_ AppAvea tly Daa nrnmeen ny Inspection Area, Building or Equipment inspected Date Inspect ionecrC� X c) r� SveISr.I.GP Information Voltage, 037hService � Phase ❑ 3 �7 Size: Fgeder ` Feeder Size: CSERVICE DLIC An1)I,1vtl1 Hy C\ FEEDER Dalf ApprOVM aY Action TakenI F.lootrieal Inspector Cmner or Elea Contractor Agent:_��[ P)(,4 O CAI I P.AL` P /J!, r,l/c. Phone: 't}LJ?-- �Lr 9 Fax�.,���At1� Prnpeny Owner: C I a 0_1 l xak Phone: TJ 1 CL 9 __ Address: l 13 .S' . 1 f :a I I r.l 1 City: i�tSl^� t 12 S zip qr" OL �yrm Eeo23n3 Electriml Conhactor:,�Tt1� t=�°lil(-F���[11�T1��_llt�i� 1F.1�`�,� License Exp:_ �' UiI Phanc: Address: W(` ('[";X 31; 3 City: PAT AlN LoJA- ZiP: `193k: rA INSTALLATION WIRED BY: ❑ OWNER O ELECTRICAL CONTRACTOR Credit Card Holder NamP' M K W �llr4rtl4 1 {t} Ci �n^.¢T dt1EC1l InIA zip: �g��✓ Billing Address: x110 W, Il 7ti ___ City,- P=- --' Credit Card Number $( VASA: X MC.- PROJECT C:PROJECT ADDRESS: I I c� . V tAI I PAA TYPE OF WORK: Check all that apply: O New OAlteration/Addition ❑ Residential ❑ Multi -family 0 Commercial ❑ Mobile Home Sq, Ft U Remote Motor ❑ Dotachcd gorage ❑ Hot Tub O Swim Pool ❑ Saptic Pump 0 Low Voltage ❑ Telecom. Li S Number of Circuits added or altered: ___l� _ DESCRIPTION OF THE ELECTRICAL PROJECT: M e j ouisl PSC, l r� --ons 1 " C_ J I hereby certify that I have read and examined this application and know that same to be true and correct, and I authorized to apply for this permit. / understand if is not the City's legal responsibility to determine what permits arc required; it remains the applicants responsibility to datermine what jocrrmits arc rcquirod and to obtain such. Credit Card Holder's Signature: Owner or Elec. Cont. Signature:✓�. /—�� Date: L � �y PERMIT FEE: $ , 3Q C:IELECTRICA ERMITAPPLICATION Electrical Heat Load Additions and or Subtractions b Service Information rJ Baseboard -T KW Voltage: CJ FurnaceKW ❑ Overhead Service Phase: F31 r7 3 C) Heat Pump —TON LRA n Temp Service Service Size - 0 Farr Wall _KW L') Underground Service Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I authorized to apply for this permit. / understand if is not the City's legal responsibility to determine what permits arc required; it remains the applicants responsibility to datermine what jocrrmits arc rcquirod and to obtain such. Credit Card Holder's Signature: Owner or Elec. Cont. Signature:✓�. /—�� Date: L � �y PERMIT FEE: $ , 3Q C:IELECTRICA ERMITAPPLICATION } ELECTRICAL PERMIT APPLICATION Trs F.WMen' Pam* Appl CQD must W DUN Drat 22MW & u•• �•.•` PW"N type m 1OWnt M Ink B You A!w arty qugtfooe, plop call oft e174M Fax numb.; (960) 41T4711 OwererEtec.canncuw m• Olympic Electric Co., Inc. rho"; 457-5303 Frac Prapwtyons �—!UTA1 4,,14 4 r f1V�, Phurtr: Ad*vu; 7?'/! --5,1 144-11&tf City: IPA— Elem cai Comw*c : Olympic Electric Co., Inc. umse c OLYMPEC28-'Q: 3/31/03 Adam": 4230 Tumwater cfty,, Port Angeles, WA M ULLATIONWIREDBY: C)OWNER 139ELECTFOCALCONTRACTOR CredMCndHoldwlfxme. Charles T. Burkhardt, Olympic Electric Co., Inc. ONHng Across- Same City: C hKft Card Number aw. Date - PROJECT AUOFOM: TYPE Qr WORIQ Check gjl that apply. O New XMleratiordAddMon O FwsiderrtW ❑ Muttl-1amlly IX Commerdal O Mobile Home Sq. Ft C) Remote Meter L7 Detached gerags NumOor of Clrcufts atldetl 0r aleNed: DESCRIPTION OF THE ELECTAWAL PRC 452-349$ ZIP: Prone: 457-5303"' Zip, 98363 ZA% NBA: X AfC:— O Hot Tub O Swim Pool O Saptfc Pump O Low VoRape O Telecam. ❑ Stgr 17�d! �p -Frjl) Gid / t Gie1 Rtes ix a aaaruottl-e `.�� ��fr) 0 Baseboard _KW C)Fumas —...KW Neat Pump KW or -wall KW l5'2,Gp -45r�rtraed Servloe 0 Tamp Service O Un0erpround Sarvlce xj6;t'I/ veitape: Pttaes: Q 1 3 Servkv Size: Fender Si:e: PAMC 14.Ob.060(6): For indutttW. ComrnweW. 6 foaldenHal pmjocb i&rW Uaan a dupiaz, a *MO. ltne drawing of the EW=lCa1 Servlca 6 Feeders, bWWhV obzs (eq. iL), lova calollalioM Wo Mro type a of condwtms andrw raceway Is required and MW acwrnperry we Elaomoal Pwmlt applka6on. I hereby oerti`fy that t hates read and examined M aPPNCatlan and know Mar dame to be true and GWINCt and J an auM Wind ro ADPty for #* PeMW- I understand itis not" Cry's tegat reaportslbi6ry to data Mew whatpwMita are required; it remains Ih6 &Wicants retsponsibilky to determine what pemrita are requmw and to obtaA7 such. �j , WK Gerd Hotda's Stgnr6Wre: �b Owtwr or Moe, Corti. $19rotttto: PW -9019 A ( V yn M OIUI0313 0TaxA'l0 KA 71'� - DEW VML9609C YY3 9T:LT COOZfOTfZ0 4230 TumwaQr Port Angeles WA 98363 WA LiQme # OLYMPEU85D I (360) 457.5303 phone (360) 4523498 fru Fax Cover This is a privileged and confidential message, intended solely for the person to whom it is addressed. The attached document(s) remains the sole property of Olympic Electric Co. Inc undt transferred by contract Any copying distribution, foxing dectrvnk scanning or any other method of dissemination, including verbal, without the written permission of Vie Olympic Electric Co. Inc is strictly prohibited. if you receive this message in error, please notify us by phone immediately and mail it back to us Thank you. To Al Oman, Sr. Electrical Inspector/ Traffic Signal Techician Fax No. 417-4711 From Richard French Q Olympic Electric Date 02/10/03 Subject Peninsula Bottling (Peps) Remodel @ 311 So. Valley Pages 3, including this one The remodel will result in a 20 amp 3 phase net increase (125 amp 3 pole circuit breaker replaced by.175 amp 3 pole circuit breaker and turning off a 30 amp 3 pole circuit breaker). Old loads were removed from the 125 amp circuit breaker before we added the new remodel load. Attached is the proposed 175 amp 3 phase 1201240 volt wild le� subpanel schedule. The added heat load is approx. 12 kW (12 picawatts at 1,000 waft each, ave.). We propose to use a Main Lug Only panel for this (NEC 403-18 (A) exception 41, formerly NEC 384) lmnce the panel buss is rated 225 amps and the circult breaker feeding it in the maiio panel is 175 amp. Please advise. Electrical permit attached. Thanks, QUALITY WORK BY A RELIABLE ELECTRICAL CONTRACTOR, SINCE 1416 10[n OI111337I3 3I<1KA10 COCS!2t09C 1F'd 9I:LT COOZ/OT/ZO f� ( 7,e-7 /v IN c -;;,w 1,4 J PANEL .F7 MAINS: I VOLTS:AMPS: dZ�j f4 71tt1 I7rj.h/r�p%�iJ W/411>i 1 # LOAD j 0 0 0 LOAD # I A B ° .t 21 3 � I w41 s �o f 7 10 a' j 9 1 sit-�,-Ts 12 I 11 Ib 1 141 131 Kete 7_` 161 15 3 ? A 1wIL i 17 1 B 1 201 19 /a 21 O (_ _ 221 j 23 10 fit' tit e7ic1 TlA)t7 241 251 2_19 G'(1&pUtOL�� 1 261 W2il — r IW I o 29 I ! !G� ,o I 301 321 31 34 ' w 331 1w -- -I- 35 4f- 70 36i 38 37 rN( PJC I- I tip IfC(�aTl,� w39 �1l + ( o I w401 4'10 421 --I , J �x1�� 42� 141 /.;5 *vel go [A DiulD8"i3 3IdA310 COCSZSt09C JYa 9T:'T COOZ/OT�ZO OF pORi,k,O� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000624 Date 8/03/04 Pin number . . . . . . .599120 Property Address . . . . . . 113 S VALLEY ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -3440 -0000 - Application description . . . ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 0 Owner Contractor STAN GARLICK/W HENNESSEY ET UX HI TECH ELECTRONICS 303 W 8TH ST 723 E. FRONT STREET PORT ANGELES WA 983625904 PORT ANGELES PORT ANGELES WA 98362 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW COMMERICAL Additional desc OUTSIDE LTS/ PADDLE FANS SHAMP Sub Contractor SHAMP ELECTRICAL CONTRACTING Permit Fee . . . . 61.30 Plan Check Fee .00 Issue Date . . . . 8/03/04 Valuation . . . . 0 Expiration Date 1/31/05 Qty Unit Charge Per Extension 1.00 61.3000 ECH EL -COMM ALT <5 CIRCUITS 61.30 Fee summary Charged Paid Credited Due Permit Fee Total 61.30 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 Lasered CEO 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 as commenced, or if required inspections have not been requested within 180 da s from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. rovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a per ' does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the perfor ance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102 15 [11/14/20031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL 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 YES I NO FOUNDATION: I FOOTINGS I` WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH -IN PLUMBING UNDER FLOOR / SLAB I` 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 I SLAB WALL/ FLOOR/ CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engmeenng Division) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY I` STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKINGtLTING ESA LANDSCAPING ' I I 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 BUILDING 417-4815 BUILDING T \PLANNING\FORMS\ 1102 15 [11/14/2003] city OF PORT ANGELES LIGHT DEPARTMENT K ELECTRICAL PERMIT N° 156'1.8 11 PortAngeles, Washington ------- --- ------------------------ 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 hereby granted to do electrical work as listed below. Address ---1/- -1-----1 -- - ------------------ Occupancy.---- ------------------ Owner s�----= - ....... Tenant ---------------_-------------- Wiring Contractor ----t✓- --- - ----- By ... ----------------------- -•-----------•----------- -------- l� �y� Light Outlets ................................ ... ..... Service, volts ...-.�.ry. � ... ....... Type of Wiring: Receptacle Outlets _._....._------------------ No. wires ..._`?.-.................' Non -Metallic _ Armored Cable _.....-_.......-......... Dryer. KW ..........................----------.. Size wires.._ � .......--------.............._. n Knob & Tube----........ ........_--...... Range, hW..------------------------------ ------ Mafn fuse ....r�..'�.A.............. Rigid Conduit -------.-----_-.._......... Prater Heater: KW---------------------------....------------ H tat: KW ..... �/,l�y�.b.i.�.r.Cy: �.�... 1\: otors: size, oi� lts and phase: ------------------------------------- Total R marks: Enclosure Type of wiring: Entrance Cable Rigid Conduit ....... Metallic Tubing ._ Current transformers: No. & Size ....................................... Ser. No ---------------------------------------------- Set. No.-_-------------------- .......... :------ --- Ser. No .............................................. Ser. No. Metallic Tubing Raceway ............. Circuits, Light.........., Utility ................. Heat................... Range ---------- Water Heater .. Motor.......... ............... ............ :...... Dryer ...... ....... :......................... I ......... � Furnace ............ Total ---------------------------------------------------------------- ------------------ --------------------------------- -----------/----------------- P;rmit Fee Treas. Receipt NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con - celled 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 `r Ortner N° 15618 Date................ .......................... ............ WaringContractor. ....................... .............. ................... . ............................................................. By.............................................................. 2 NOTICE --Current must not be turped on until Certificate of Inspection has been issued. IP work is to be con - 1 ce,tled due notice must be given the Inspector so that work may be inspected before concealment. e 1M Olvmnic Printers. Inc.