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HomeMy WebLinkAbout304 Viewcrest Ave - Building CTIYOF PORT ANGELES PERMIT APPLICATION RECEIVED �lluo T)i-*,slon/Electrkaltuspeaions W O� ao 21113 ` 321 fast)115fth Street—P.O.Box 1150/Pont Angeles Watsbdu9ton,98362 Ph:(360.)417-4735 Fax; (360)417-4711 H:EGNICA, Date. -3 _Mo ki-Fa rnily or Commercial's Plan Review May Be Required,Please Comply a Electrical Plan Review Information Sheet aobAddross: 4 114 1 Building Oars Footage: Dan ption of above La r pwner I Fo[mrva'o r Contractor l rmaiton Name: ra 1, _�__.��,.,(`•F J Ii n �� New, 1�t r-S c— tMANAdd s _ _ �te�rngA4d�s: City, State:M Zip: CRY" date; 21p: Frlarle: Fax:--__ Phone: FW i,icease#)Exp ticam 41 EXR Item UnK charge Total Mufti l'ed by Unit C11381 a ServlcelFeeder 200 Arrp. $132.00 Sarvicelfeadar 201400 Amp, $160.0& M Servicokeedor40t ZOO Amp $225.00 SeneicolFooder 60f-f 000 Amp. $288,0011 3 — 5erwiceA aedar over 1000 Anp. $410.00!1 --- $ Branch Ciircult W1 Service Feeder 0rsneb ClM0 W10 Salloo Feeder $ TUGp $ BranAQrmAstBranchCirauak $ 5.00' S � Brunch C�re�its 1-4 Temp.Service(Feeder 200 Au p. $102.00 Temp.Service/Feeder201400Amp. $12t.00 Temp.Ser*elFeedee 401$00 Amp, $164.00 — Temp.Ser*elFeeder 60 t-1000 Amp. $185.00 Portal to Portal Hourly $ 96,00 — — 8gnlOutlineLighting - Sign2iCircurtfLirrsitodf.ncrgy-BNutti-Fatuity Signal Circttitl Limited Energy P First 16M st—Commercial $ 96.00 — � • Note; $5.00 for each edditionati500sf Renewable Uectacal Energy-5KVA System or teas $113.(]0 $_ Thermostat $ 56.00 _ S Note;$6,00 for each additional T-SW �Total Owner as defined by RCW.19.28181;(1)O r will occupy N structure for taro years after this electrical permit is finalized_(2)Owner is requ Fed to hire an atectrical cantraalprit above said property is for sale,rent or lease.Permit expires after six mgnths of last inapeciion. After reading the above statement,t hereby certify that I am the 0%nar of the above named property ar a lii enssd elechica€contractor.I am mm'mg the electrical installation or alterakri in comnpijance with{he electrical laws,N_E_C.,RCW.Chapter 19.28,WAC.Chapter 285-468;The Ciiyof F sort AngeW(bl.micipal Code,and UlafttySpecifieati ons and PANIC 14.05.050 regarding Electrical Perrrdt App:licat cma, Sig r3at re of owner,et ddoal eontraotor oreWAdaa0 administrator: ❑ caah ❑ Cho& ❑ Credif�ardlm ' X z�� O'1f09I= ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 13-00001294 Date 11/08/13 Application pin number . . . 100760 Property Address 1 . . , . . 304 VIEWCREST AVE REPORT SALES TALC ASSESSOR PARCEL NUMBER; 06-30-15-2-3-9175-0000- Applicati form type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning (Location Code 0502) Application valuation . . . . 0 Application desc feeder for ductless heat pump Owner Contractor LIGHT HOUSE CHRISTIAN CENTER KIRSCH ELECTRIC INC, C/O COZI HOMES CONSTRUCTION P.. O. 30X 3396 324 E, 9TH ST. SEQUIN WA 98382 PORT ANGELES WA 963627916 (360) 683-6519 --- (360) 452-8909 Permit . . . , ELECTRICAL ALTER COMMERCIAL T - Additional desc . . Permit Fee 152,00 Plan Check Fee 00 Iasue pate 11/08/13 Valaation . . . . o Expiration Date 5/07/14 Qty Unit Charge Per Extension 4.00 5.0000 BCH EL=BRANCH CIRCUIT W/FEEDER 20,00 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132`00 .______ ___ --_ - Fee summary Charged. Paid Credited Due Permit Fee Total 152.00 152,00 0o ,00 l]°� Plan Cheek Total DO .00 .00 .00 Grand Total 152.00 152.00 00 DO INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN " FINAL z )J COMMENTS: PBRMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEI 3UJLDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION m=xj 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000213 Date 3/10/11 Application pin number 970839 Property Address 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER: 06-30-15-2-3- 0000 -0000- Tenant nbr, name LIGHT HOUSE CHRISTIAN CTR REPORT SALES TAX Application type description RES REMODEL Subdivision Name on your state excise tax form Property Use to the City of Port Angeles Property Zoning Application valuation 16000 (Location Code 0502) Application desc REMOVE OLD INSTALL NEW RAISED FLOOR Owner Contractor LIGHT HOUSE CHRISTIAN CENTER COZI HOMES CONSTRUCTION INC C/O COZI HOMES CONSTRUCTION 324 E 9TH ST 324 E. 9TH ST. PORT ANGELES WA 98362 PORT ANGELES WA 983627916 (360) 452 -9906 (360) 452 -8909 Permit BUILDING PERMIT RESIDENTIAL Additional desc REMOVE INSTALL FALSE FLOOR Permit pin number 182311 Permit Fee 291.75 Plan Check Fee 189.64 Issue Date 3/10/11 Valuation 16000 Expiration Date 9/06/11 Qty Unit Charge Per Extension BASE FEE 95.75 14.00 14.0000 THOU BL- 2001 -25K (14 PER K) 196.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 291.75 291.75 .00 .00 fe.)b‘ Plan Check Total 189.64 189.64 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 485.89 485.89 .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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwali Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling r A 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 V Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 V� Construction R.W. PW Engineering 417 -4831 7 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit H CO H W W (DE 0 0 a ra r 0O O O 01 01 01 m N 0 0 0 H O O O a 0 W 0 H H H W W E (a z m w 0 pa o x o u 0 m OP, 40 0 H Q H 01 E h o r 0 0 0 0 HO CO X E H CO 0 0 I.� z E H E as ,C 4 Od'Z w ([40 1 1 Z 0 0 d H 40 H a 0 a 0 uW H ED0 u zE gam a H z H H E w (O Z E W C[4 0 Hi .14 q a U z u I a 1 0 0 0 4 01 0 0 OCocn 1 0 4+ZHE 01 0Z00 W W 1 a 0 0 D a E o o 0 1 w a a w a HUH 0 4 E 0 0 4 0 H 0000040 H H E H r m x z x 0 CO a s E-000�0 0010 ZCO 10 cv a co cnC 4 i z h U 0 W (v H m 0 0 0 0 0 0 5 CO 030300 I] w x 0 H00 l a E H o o 010 H H W x H x rO o W E E 1 H 10 0 40 0 0 0 4) 0 1 Z O H O H ID H 0 W I co cog 01a01400 0001 I H H O o E W o 011 0 a a x a u 0 zo W a a z o w W w W m U H O0 (4)E-4) C .7 Z O' I o GIP Q 0 0) r a U Q E u o a o a E W vOli r 4 Ce BUILDING PERMIT APPLIC TION Print in ink G`� ear CITY OF PORT ANGELES t For City Use O ly: Attn: Building Permit Technician v.■„,ingisw 321 E. Fifth.St., Port Angeles, WA 98362 Date Received 3 �4h- Permit n-2l i (360) 417-4815 fax (360) 417 -4711 Date Approved gr Applicant Ke t) 6 --e 7,3 P e15._ l 1() Property Owne,r 1M j 'ne Property Owner's Ad ress 0 Y view (Tres* Contractor Phone Contractor's Address License Expires E -mail PROJECT ADDRESS .30 1j U- 46 C(- Parcel Number Lot Zoning Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply New Construction i e- c rs <4ruN 1 A a. t ..e.f Addition Remodel .p e. Cam. r :rte_ �,n a R r/� epair Demolition bb 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 Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport 1 Covered Porch Deck Shed Other TOTAL VALUATION LYE 0, (-zo Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. l Date- t Print Name t �,L) C 1, Signature T: Forms /Building Division /Bldg Permit.doc r 1 _,-111 a (1$ 4 •-.6J .2 i ,e 7 s. f 7 ,•.%''''S -N. A ''.i .-..i i 1 I -p t p ,(1 1 t r• .i -f•..,/ti... ,,r■ rs ra i it A 1 1 r V. I. (1 rk fl. 1 v. v ti -I t I __...,.....r ...ti .vA `1\ i I r -A Ge•:..,..., A-I ,94 i i ;41-•)/•., :c----i 4tr, v—•,,, ..s i s 4 I (IS' 4:2 y -,1 of/441- --hi WA v 1.-1.1,_ ..ciyacpboif 24)74;;;;.- t c>•_c 0& 54--- ce 1 I 20 Dob9 Ll 67 10 7. '2„„, Akue. 44-id— IC ee,„ ‘0 t o 6), k i 1 I Allq.1 1 j ic i ''`k- 41: 3> 9 L,,., t t.....,--i U� 4 1 i t F4 o a� N N N N 0 O w m y 0,-2 yI N K. n 4 a «ma,m A 1 v i Co o a 2. c l•(� O Im y a R N �1 fl n a+ ,ti a a O ML 7 I 0 'Nor ck,\d' ip %A -1 #9.i."7"‘" v 3- 1 14 I �1 t e xist. r f-- ficzy- ll, "4.'0' If. *ekiS. CM e. VO v i3V Information N Center V s i 1 '5( o .,„r 4 r MN C rA m C M o1 /y C r e I N ,c0,4; v N --L.: lb C o Vt VI II O is r T CS p N p til `Iv 9' I .x Vi i* a 1 1011 -MF 8 N V Irs o 111111111.111M t xr s.-. F=ir /Ue' I so tit !H 2 I§C 2 l I i v 11-s I 13 N �m S O I l0 1.-- NMI Mil 3 CR 1 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 PLUMB SNACK BAR SINK ESPRESSO Owner LIGHT HOUSE CHRISTIAN CENTER C/O COZI HOMES CONSTRUCTION 324 E 9TH ST PORT ANGELES (360) 452 8909 Permit Additional desc Permit pin number 168708 Permit Fee 64 00 Issue Date 7/16/10 Expiration Date 1/12/11 Qty Unit Charge 1 00 1 00 Permit Fee Total Plan Check Total Grand Total 7 0000 EA 7 0000 EA T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627916 PLUMBING PERMIT Per Fee summary Charged 64 00 00 64 00 10 00000689 Date 7/16/10 399326 304 VIEWCREST AVE 06 30 15 2 3 0000 0000 LIGHTHOUSE CHRISTIAN CTR PLUMBING REPAIR 500 Contractor OWNER BASE FEE PL- PLUMBING TRAP PL -WATER LINE Plan Check Fee 00 Valuation 0 Paid Credited 64 00 00 00 00 64 00 00 Extension 50 00 7 00 7 00 Due 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 fora 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 ofco nstruction. A la 7 /i 1) Chirt i(,L Date Print Name J Signature of ijontractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit FINAL Date Q 1 U5— 1 1 ccepted by P :J FINAL Date Accepted by Date Accepted By C PREPARED 1/18/11 9 31 15 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/18/11 ADDRESS 304 VIEWCREST AVE SUBDIV TENANT NBR LIGHTHOUSE CHRISTIAN CTR CONTRACTOR PHONE OWNER LIGHT HOUSE CHRISTIAN CENTER PHONE (360) 452 8909 PARCEL 06 30 15 2 3 0000 0000 APPL NUMBER 10 00000689 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 1/18/11 JLL PLUMBING FINAL TIME 01 00 January 13 2011 11 41 42 AM 1pangrle I CALLED DEREK BAKER AT THE CHURCH 452 8909 TO FINAL THIS PL99 01 PERMIT PLUMBING FINAL PLUMBED SNACK BAR SINK ESPRESSO AFTERNOON PLEASE CALL DEREK 10- MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE MMENTS AND NOTES fA/A e)o- zDA' 0 (\ol\-a ).e/ n Applicant Property Olntner Property Owne Contractor Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System ()ether Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician e`x 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 e `1•� L .aAlA...se 4,. Address _30 <4-u' s sl�•a.., G Q f avc y (1 eiesfidve t Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Expires E -mail For City Use Only Date Received "7 Permit 63 Date Approved Phone 160- Ys 1Phone 36,0- ys)-- 1(9 o7 c 750 Phone 30Y va e, /rve 1j, 3 62- 0,h•4- k nuSP, Chvi's-4, CPx►'�� in ot e in Residential f House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sg. ft.) Multi family A-1A 1 TOTAL VALUATION ommercial Industrial per sq ft. Sao,oc Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects t( Date 7- Print Name 4a &)e c2 r Signature C- T Forms /Building Division /Building permit application PREPARED 2/24/10 8 24 37 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/24/10 ADDRESS 304 VIEWCREST AVE TENANT NBR LIGHT HOUSE CHRISTIAN CTR CONTRACTOR COZI HOMES CONSTRUCTION INC OWNER LIGHT HOUSE CHRISTIAN CENTER PARCEL 06 30 15 2 3 0000 0000 APPL NUMBER 10 00000171 COMM REPAIR SUBDIV PHONE (360) 452 9906 PHONE (360) 452 8909 PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 2/24/10 BLDG FINAL Fe 24 2010 8 14 40 AM 1pangrle KEN 460 0036 BLDG FINAL MENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000171 Date 2/23/10 Application pin number 202143 Property Address 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER 06 30 15 2 3 0000 0000 Tenant nbr name LIGHT HOUSE CHRISTIAN CTR Application type description COMM REPAIR Subdivision Name Property Use Property Zoning Application valuation 4020 Application desc REPLACE ENTRYWAY BEAMS HIT BY A FEDEX TRUCK Owner Contractor LIGHT HOUSE CHRISTIAN CENTER COZI HOMES CONSTRUCTION INC C/O COZI HOMES CONSTRUCTION 324 E 9TH ST 324 E 9TH ST PORT ANGELES WA 98362 PORT ANGELES WA 983627916 (360) 452 9906 (360) 452 8909 Structure Information 000 000 REPAIR BEAMS HIT BY FED EX TRUCK Permit BUILDING PERMIT COMMERCIAL Additional desc REPLACE BEAMS HIT BY TRUCK Permit pin number 161190 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 2/23/10 Valuation 4020 Expiration Date 8/22/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 231 79 231 79 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. t Date Print Name Signature of Contractor or Authorized Atent T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs v T PLUMBING Under Floor Slab w Rough -In Water Line (Meter to Bldg) v J 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 I Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting i ESA. Landscaping i SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 1 Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 FINAL Date Accepted by FINAL Date Accepted by Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I 0 2-21-1 tO Fpj Applicant Project Tvoe Brief Descriatio Check-all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other 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 f S Property Ownef 7k-/ lieuSc_ r-, .-rrs-A j Ceilr Property Owner's Address ©tj j/,../ r r -e --1- Contractor (o2 i. ,_,rv, --e <L> Phone Contractor's Address -.\----„A 1 J License v xolres E -mail PROJECT ADDRESS ..:3611 j 1 c,i (it vQ Parcel Number 0630 1523 0000 n. Residential Multi- family Lot House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1st Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type For City Use Only Date Received 0_--11 Permit Date Approved `a1 0' Phone Lf 71) 4 Phone r /5;) U TOTAL VALUATION Zoning Commercial Industrial Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and under nd that it is my responsibility to deterrr 'ie what permits are required, and to obtain permits prior to working,.o projects Date ,>1- t 1 Print Name kz F Signature T Forms /Building U /Bldg Permit doc Clallam County Assessor Treasurer Property Details 67721 COZI HOMES CONST Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 67721 COZI HOMES CONSTRUCTION INC for Year 2010 2011 Property Account Property ID Geographic ID Type. Tax Area. Open Space. Historic Property* Multi Family Redevelopment: N Location Address: Neighborhood Neighborhood CD Owner Name Mailing Address. 67721 Taxes and Assessments Due Property Tax Information as of 02/19/2010 Amount Due if Paid on E. 063015230000 Real 0010 PA 121 PORT ST CNTY H2 L N N 2010 6 FP Fee FIRE PATROL COUNTY FEE 2010 6 TOTAL._ 12009 677212008 ST SCH STATE SCHOOL 12009 677212008 CC -GEN COUNTY [2009 677212008 PORT PORT 2009 677212008 PORT ANG PORT ANGELES 2009 677212008 SD #121 SCHOOL DISTRICT #121 2009 677212008 NTH OLY LIB NORTH OLYMPIC LIBRARY Legal Description Agent Code Land Use Code DFL Remodel Property 9999 AHLVERS RD PORT ANGELES WA 98362 Cycle 4 Res 10952130 Lt -.g l{ouse Chhha-v% Cen4ek' COZI HOMES CONSTRUCTION INC Owner ID 324 E 9TH ST Ownership PORT ANGELES WA 98362 7916 Map ID Exemptions. 91 N N I First Second Statement Year ID Taxing Jurisdiction 2010 6 ST SCH STATE SCHOOL 2010 6 CC -GEN COUNTY t 2010 6 PORT PORT 2010 6 PORT ANG PORT ANGELES 2010 6 SD #121 SCHOOL DISTRICT #121 2010 6 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 6 HOSP #2 HOSPITAL #2 2010 6 WSMET PK DIST WILLIAM SHORE MET PARK DIST $4 88 20106 CITY_STOR_MWATER CITY STORMWATER $360 00 12010 6 FIRE_PATROL FIRE PATROL 1 2010 6 WEED CONTROL WEED CONTROL PARCEL A SURVEY V66 P88 BLA 5 c I Lo rare -c=4� �f �d 309 V i evi Ores Ave 19722 100 0000000000% Half Half i Base ,Base http. /vpn. clallam.net. 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =67 6K- 6k keAZtef3ler Base Amour I Due 'Due Penalty Interest Paid I Due $70 34 $70 35 $0 00 $0 00 $0 00 $140 $37 43 $37 44 $0 00 $0 00 $0 00 $74 $5.26 $5.26 $0 00 $0 00 $0 00 $10 $86 66 $86 68 $0 00 $0_00 $0 00 $173 $91 12 $91 11 $0 00 $0 00 $0 00 $182. $10 88 $10 88 $0 00 $0 00 $0 00 $21 $15 36 $15 35 $0 00 $0 00 $0 00 $4 89 $0 00 $0 00 $0 00 $360 00 $0 00 $0 00 $8 70 $870 $000 $000 $0 88 $0 88 $0 00 $0 00 $0.25 $0.25 $0 00 $0 00 $691 76 $691 79 $0.00 $112.64 $112.63 $0 00 $57 00 $57 01 $0 00 $8 07 $8 08 $0 00 $125 04 $125 02 $0 00 $139.29 $139.29 $0 00 $16 56 $16 57 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0.00 $1383. $0 00 $225.27 $0 $0 00 $114 01 $0 $0 00 $16 15 $0 $0 00 $250 06 $0 $0 00 $278 58 $0 $0 00 $33 13 $0 $30 $9 $720 $17 $1 $0 2/19/2010 1 LA L 2( 1 i I I r 1 -4 I 1 I H- J A c 1 —4 I „co nOlr" r ,66 ,A \\\e' 1 kv,o 1fic: 0,11'w6.17_1`res, 3\s 'VP el r■11■1P1'-'"1(t 1:)\ z1/4"6" \z 0 1W ■0. 0 4 .21r e 1 I 7-fr j/r/C/Sif 1 I f 7 I 1 1 1 I- I" 11 1 X o■ I 1-‘ 1 :1 ■1 1 1 1-4 1 11 1( 1 1 7(1 17tvisi .1 I 1,11 I Al '47/ 1 oite- N 4 I I 1 i 1 1 i.'_':. :1 .'1: n L '2 rl(r.V.1;:. :i47j•-•: 4 .1... I 4 21:»V.'.':". 1 '0 4 'Fft','Vr,'" i.4 ti`, is ''''•1,,, .104 N 1, .0 A•v. .,,1-• e .1...*,.: n a ,t4 A. 7 0 ..5 ...th 'X,..'" 4...:-. `.......4 zo "t ..j..":".. 4 4,..,.. 4., 7 "ttel 4 4'... 34 T. .t.ki 4 er; ?6,,,,,k, I a,...., x, .,i. I 0,4 1.....“ 4 4.?•• .t` N. J by Weyerh TJ -Beam® 6.35 Serial Number 7005106903 User2 1/14/201011:57.13AM THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Pagel 'Engine Version: 6.35.0 CONTROLS FOR THE APPLICATION AND LOADS LISTED Member Slope: 0/12 Roof Slope0M2 0 t All dimensions are horizontal. SUPPORTS: Input Bearing Width Length 1 Stud wall 3.50' 1.50' 2 Stud wall 3.50' 1.50' DESIGN CONTROLS: Maximum Shear (Ibs) 3161 Moment (Ft -Lbs) 34526 LOADS: Analysis is for a Drop Beam Member Tributary Load 1 Primary Load Group Roof (psf): 25.0 Live at 125 duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Point(Ibs) Roof(1.25) 3047 1828 12' 6' PROJECT INFORMATION: LIGHTHOUSE CHRISTIAN CHURCH C 2009 by iLevel F al Way W] i a egiste ed tradema of iLe Vertical Reactions (Ibs) Live /Dead /Uplift/Total 1836/1335 /0 /3171 1836 /1335/0./31.71 Live Load Defl (in) 0.715 0.822 Total Load Defl (in) 1.204 1.233 Deflection Criteria: STANDARD(LL:U360,TL:U240). N \A.. roj cts\ J009 -COZI HOMES \ENGH' °tructu HE/d sms ROOF SUPPORT BEAM 5 1/8" x 15" Glulam (24F V4 DF) Passed (20 Passed (75%) Passed (L/414) Passed (L/246) .25' Detail Other By Others None By Others None Design Control Result Location -3081 15375 34526 46237 Rt. end Span 1 under Roof loading MID Span 1 under Roof loading MID Span 1 under Roof loading MID Span 1 under Roof loading I ®�S Product Diagram is Coneptual. Bracing(Lu): All compression edges (top and bottom) must be braced at 25' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel iLevel® warrants the sizing of its products; by this software will be accomplished in accordance with current code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Custom product listed above. The analysis presented is appropriate for Glulam beams. OPERATOR INFORMATION: Tracy Gudgel Zenovic and Associates, Inc. 301 East 6th Street, #1 Port Angeles, WA 98362 Phone 360 -417 -0501 Fax 360 -417 -0514 tracy @zenovic.net 41".1-Beam® 6.35 Serial Number 7005106903• Paget Engine Version: 6.35.0 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group Primary Load Group User 2 1/14/2010 11:5713 AM 24 8 00 Max Vertical Reaction Total (lbs) 3171 3171 Max Vertical Reaction Live (lbs) 1836 1836 Required Bearing Length in 1 50(W) 1 50(W) Max Unbraced Length (in) 300 Loading on all spans LDF 0 90 1 0 Dead Shear at Support (lbs) 1283 -1283 Max Shear at Support (lbs) 1329 -1329 Shear Within Span (lbs) 914 Member Reaction (lbs) 1329 1329 Support Reaction (lbs) 1335 1335 Moment (Ft -Lbs.) 13835 Loading on all spans LDF 1 25 1 0 Dead 1 0 Floor 1 0 Roof Shear at Support (lbs) 3081 -3081 Max Shear at Support (lbs) 3161 -3161 Shear Within Span (lbs) 2438 Member Reaction (lbs) 3161 3161 Support Reaction (lbs) 3171 3171 Moment (Ft -Lbs) 34526 Live Deflection (in) 0 715 Total Deflection (in) 1 204 PROJECT INFORMATION: LIGHTHOUSE CHRISTIAN CHURCH Copyrigh 0 2009 by LLevel Federal Way WA. TJ -Beama a regisl :c ademark of iLerel® N \Active Project., \10009 -CC7 0 MES \ENGR \..iuctual \BEfd;1 sms ROOF SUPPORT BEAM 5 1/8" x 15" Glulam (24F V4 DF) OPERATOR INFORMATION: Tracy Gudgel Zenovic and Associates, Inc. 301 East 6th Street, #1 Port Angeles, WA 98362 Phone 360- 417 -0501 Fax 360 -417 -0514 tracy @zenovic.net by Weyerha `i i -Beam® 6.35 Serial Number 7005106903 User 2 1/14/2010 11:58:32 AM Page 1 Engine Version: 6.35.0 Member Slope: M2 Roof Slope0M2 SUPPORTS: 1 Stud wall 2 Stud wall DESIGN CONTROLS: Shear (Ibs) Moment (Ft -Lbs) Live Load Defl (in) Total Load Defl (in) Input Width 3.50' 3.50' 0 All dimensions are horizontal. Point(Ibs) Roof(1.25) 3047 Bearing Length 1.50' 1.50' Maximum 3204 34789 PROJECT INFORMATION: LIGHTHOUSE CHRISTIAN CHURCH 1828 12' 6' .,op right m 2009 by iLevel®, F al Way :F am= a registered tradema of iLe N ^t rejects \i u09 -COZI HOMES \ENGR \Structu eM? sms ROOF SUPPORT BEAM 6 3/4" x 13 1/2" Glulam (24F V4 DF) MEMBER IS rIE -W1_ ,IED Vertical Reactions (Ibs) Detail Live /Dead /Uplift/Total 1836/1378/0/3214 1836/1378/0/3214 By Others By Others 25' LOADS: Analysis is for a Drop Beam Member Tributary Load Width: 1 Primary Load Group Roof (psf): 25.0 Live at 125 duration, 15.0 Dead Vertical Loads: Type Class Live Dead Location Application Comment Other None None OPERATOR INFORMATION: Tracy Gudgel Zenovic and Associates, Inc. 301 East 6th Street, #1 Port Angeles, WA 98362 Phone 360 -417 -0501 Fax 360 -417 -0514 tracy@zenovic.net Product Diagram is Conceptual. Design Control Result Location -3126 18225 Passed (17 Rt. end Span 1 under Roof loading 34789 48495 Passed (72 MID Span 1 under Roof loading 0.744 0.822 Passed (U398) MID Span 1 under Roof loading 1.265 1.233 File (U234) MID Span 1 under Roof loading Deflection Criteria: STANDARD(LL:U360,TL:U240). k try/ .00 ‘c-d6 Bracing(Lu): All compression edges (top and bottom) must be braced at 25' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel iLevel® warrants the sizing of its products by this software will be accomplished in accordance with current code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Building Code IBC analyzing the !Level® Custom product listed above. The analysis presented is appropriate for Glulam beams. by Weyerh 1 7J -Beam® 6.35 Serial Number 7005106903 User 2 1/14/2010 11:58:32 AM Page 2 Engine Version: 6.35.0 Load Group Primary Load Group 24 8 00 Max Vertical Reaction Total (lbs) 3214 3214 Max Vertical Reaction Live (lbs) 1836 1836 Required Bearing Length in 1 50(W) 1 50(W) Max Unbraced Length (in) 300 Loading on all spans LDF 0 90 1 0 Dead Shear at Support (lbs) 1326 -1326 Max Shear at Support (lbs) 1372 -1372 Shear Within Span (lbs) 914 Member Reaction (lbs) 1372 1372 Support Reaction (ibs) 1378 1378 Moment (Ft -Lbs) 14098 Loading on all spans LDF 1 25 1 0 Dead 1 0 Floor 1 0 Roof Shear at Support (lbs) 3126 -3126 Max Shear at Support (lbs) 3204 -3204 Shear Within Span (lbs) 2438 Member Reaction (ibs) 3204 3204 Support Reaction (ibs) 3214 3214 Moment (Ft -Lbs) 34789 Live Deflection (in) 0 744 Total Deflection (in) 1 265 PROJECT INFORMATION: LIGHTHOUSE CHRISTIAN CHURCH Copyright 0 2009 by vel®, Federal Way WA. TJ- Beamf' i., egist trademark of iLevel© W \Active_Frojects\ 0009 -COZ_ 4OUES \ENGR \Sr ctual \BEAM1 sms ROOF SUPPORT BEAM 6 3/4" x 13 1/2" Glulam (24F V4 DF) MEMBER IS INSUFFICIENT DUE TO LOAD OPERATOR INFORMATION: Tracy Gudgel Zenovic and Associates, Inc. 301 East 6th Street, #1 Port Angeles, WA 98362 Phone 360 -417 -0501 Fax 360 -417 -0514 tracy @zenovic.net DATE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT U IN ECT Zlo. OWNfiR/CCATRAETOR ADDRESS D U ti 3 APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED VE V,P.17 L 14 TZEC1 Cr 4T u N Z Sr ra L Qt_(- L5r1.0 S ol 046,4 t 1S `W.N.»L- t c. t)() t°z A- GaiDo ktD ALL. rTAt_�4 136 2;0 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application desc Parking lot lights and Coffee room Owner Contractor ASSEMBLY OF GOD OF P A 304 VIEWCREST ST PORT ANGELES WA 983626955 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 09 00000645 Application pin number 383030 Property Address 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER 06 30 15 2 3 0000 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 6/30/09 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 149393 Permit Fee 67 50 Plan Check Fee 00 Issue Date 6/30/09 Valuation 0 Expiration Date 12/27/09 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50 5 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 10 00 Fee summary Charged Paid Credited Due Permit Fee Total 67 50 67 50 00 00 Plan Check Total 00 00 00 00 Grand Total 67 50 67 50 00 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS DATE. RESULTS INSPECTOR. 1111rfi *kV' —Tsp 7h3 fey -10,47 a/5 /ts. 417 NfRic> Signature of owner or Electrical Contractor X Date 06/29/2009 07 03 4579270 Owner Informa Name: L,!r a t/1 r S �r /t Lefrkt Mailing A 0 City State.1„ i Zip: Phone; x+ z, dI Fax: License Exp. Unit Chard 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86,25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 $43.75 Owner as defined by ROE W2B 291: (1) a electrical contractor if aboke sai f ompetty After reading the above stacenua t I hereby Installation or Marsden In conic lance watt Utility Specifications. ftiN i to n r wig occupy the st rota ae for fs For sale, rent or lane. mortify that I am the owner of the RN: electrical laws, N.E.C. RCW. Signature ofowner, electrical cc it ractor or m antric:A administrator /2 o� RECEIVE D JUN 3 0 2009 ELECTRICAL INSPECTIONS City of Port Angeles Pm t' Appliiculllon Building DlvlsionlEleetl1 I Pn ;pectins 321 East Fifth Shard— P.O. BC It 1150 Port Angeles Washington,* St Ph: (380) 411.735 Fax: PPM 17 -4711 Date: /,3 D O 1 2 Single Family Dine ling Multi-Family or Cornme Y:ial' Commercial Addition 1,;I;eration Remodel Repair' Plan Review May Be Reg, B Pleil Complete glectrical Plan Review Informs tion Sheet Job Address; a ,l 1142--- Building Square Footage: _14.1 of above _�.1 ar tirti ,/o i 6:54 C 4424 1.1 t. P"'nu f o Fri p. Contra Information Name; s Mailing Addre ,2Y 4 1 2 City' State: Phone: NS 7 Fax; License Exp. .5 3 Total ult plied b ly,�Ql n Charge) Service/Feed r 200 Amp. Service/Feeds 201 -400 Amp. Service/Feed x 401-600 Amp. Service/Feed sr 601 -1000 Amp. Service/Feed' 1 ,r over 1000 Amp. Branch Circui W/ Service Feeder Branch Circui W/O Service Feeder Each Additional Branch Circuit Temp. Servla/ Feeder 200 Amp. Temp. Servla'Feeder 201 400 Amp, Temp, Servict /Feeder 401 -600 Amp. Temp. Service /Feeder 601 -1000 Amp. Portal to Por I Hourly Sign /Outline L ghting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi -Family Owelhng Manufactured 4ome Connection Renewable Eh !ctrical Energy 5KVA System or Less First 1300 Sot are FL. Each Addition; 1500 Square Ft. or Portion of Each Outbuhdl ig or Detached Garage Each Swimmlr g Pool or Hot Tub Thermostat Total Casl Chect f' CredtCard r PAGE 01 /C7 Z✓ Zip: illa' two years arts this electrical paw is finali zed, t2) Owner is required to him an above named I iroperty or a licensed electrical contractor. I am mal4ing the electrical Chapter 19.28, WAG. Chapter 2984813. The City of Port Angeles Municipal Code, and Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Grading for parking lot expansion C &G #06 07 Owner ASSEMBLY OF GOD OF P A 304 VIEWCREST ST PORT ANGELES Structure Information 000 000 PARKING LOT EXPANSION Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Fee summary Charged Permit Fee Total 75 00 Plan Check Total 00 Grand Total 75 00 T \1102.15R P105] WA 983626955 07 00001342 594164 304 VIEWCREST.AVE 06 30 15 2 3 0000 0000 CLEARING GRADING CLEAR GRADE GRADING PARKING LOT EXPANSION 115501 75 00 1/09/08 Valuation 7/07/08 BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 0 Contractor OWNER Plan Check Fee Paid Credited 75 00 00 00 00 75 00 00 Date 9/09/08 Due 00 00 00 00 0 Extension 75 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 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 IN A CONSPICUOUS LOCATION DRIVEWAY APPROACH BACK -FLOW DEVICE PW UTILITIES (Engineering Division) WATERLINE /.METER SEWER CONNECTION SANITARY STORM SITE. DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER INSPECTION TYPE DATE ACCEPTED COMMENTS CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 'PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T•\Policies \1102.15R [1/05]; PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES I I I I I I .I I I I I I I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE 4-- YES NO: COMMERCIAL DATE ACCEPTED YES I NO I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001154 Date 10/30/07 Application pin number 788866 Property Address 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER 06 30 15 2 3 0000 0000 Tenant nbr name LIGHTHOUSE CHRISTIAN CTR Application type description COMM REMODEL Subdivision Name Property Use Property Zoning Application valuation 300 Owner Contractor ASSEMBLY OF GOD OF P A OWNER 304 VIEWCREST ST PORT ANGELES WA 983626955 (360) 452 8909 Structure Information 000 000 14 INT NON LOAD BEARING WALL &DOOR Construction Type TYPE V NON RATED Occupancy Type ASSEMBLY <300 W/O STAGE Permit BUILDING PERMIT COMMERCIAL Additional desc 14 INT WALL DOOR Permit pin number 112524 Permit Fee 50 00 Plan Check Fee 32 50 Issue Date 10/30/07 Valuation 300 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 50 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments Other Fees Fee summary T.Forms /Building Division/Building Permit (I 0/01/07).wpd STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 32 50 32 50 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 87 00 87 00 00 00 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 ether spec led herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of an state or loc ,/aw regulating construction or the performance of construction. 7 l0/./Al C f D to Print Name Signature o5ontractor or Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED. KEEP PERMIT CARD INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT k's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 417 -4807 417 -4653 417 -4750 417 -4815 T Forms /Building Division/Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD TIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION. AND APPROVED PLANS AT JOB SITE. ACCEPTED COMMENTS YES I NO FINAL FINAL DATE ACCEPTED BY. SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES I NO I 1 I I /I /I 111 I d!I DI l Applicant or Agent T/ Owner Owner's Address Contractor /Engineer /7//.4,7 Contractor /Engineer's Address License PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition )(Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? lo'Z3�v (Acbo rnoM. l LISZ- gg01 e etretcal BUILDING PERMIT APPLICATION Print in ink P CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 l Lot Zoning Residential Commercial Existing (sq. ft.) Pposed (g. ft.) sq ft. T Lot size ft. 5; 4"- C Occupancy group Occupant load Construction type Pho ie Phone Phone Expires For City Use Only {Or Date Received i0 0❑I -07 5 s,00 rmit# 7 —ttt L o h ate Approved 7 Multi- family Industrial 4/ i wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove gas fireplace pellet stove other per sq ft. TOTAL VALUATION 3 OO, sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what germits are required, and to o t� in permits prior to workLpg on projects. Date d7Print Name L%TT a Signature_,' TForms /Building Division /Bldg Permit Appl. -2006 Code.doc 01 nisi LIcrra. Lewe. J-as 4 J 24 To 1S.L Co t-4m.L.. 15a -51.e.P6.12 low h.a.c+. 1,12.14.1 1,1 5' Pree- e:a9mr' 1 e.— t„ 0 i ii, I Lo v. 1-(1-1 ,i ,,,1 ,-,1 -14, ,i ,c. 'T C-8 1 -4, 1. d7 .;----.151. :a oe■ id '51 17.. ts1 ci "I c-1 (E .511T tr..- i 3 4/ VI i iz/ cr OF PORT ANGELES Construction Plans <V' The)ssuance of this pefmit based upon these plans, specifi- N.---1. cations and other data shall not prevent the building official i 1 thereafter requiring the correction of errors in said 1 1' plans, specifications and other data, or from preventing c,,g- f 'a building operations being carried on thereunder when in 15 fIll. violation of ailVs and ordinances of this Toe C I c Lik.S-0 Z.00 KA fa* W Approval Date cip ll.R.24--- T ILIA l'elot1(....: i.' 15-26 i .t? 112 H 4r z c.- i c-la /1 r 1 r.: 1 13 t -0 il'i 1244,12. I 344 ShiSZAI 1 a. l.P i !!7-l8 /1 0 A 'I, ;9 CLA5 1 If F-0 ta Paari 112."e4- J .a.13cA/Es 4" 9 0-rolL Co 141 1 I it r2. c re.csintyl C 15 4 JA.,4 LJ cl-e C ill) 0 JS \Yi BO.VED BY P GI,L,Es FIRE DEPT DATE to. (2) o 1- E5- es Soiez3 &r..-f 100 01:91(14141- .c 5.4 ik.fT ic voota- A1011111111. •524: tnrrs.$1..-5 0 +4 1-1b A 14 1,..A.SASTACS 1.01 15 5 FILE g.'s,5112414.rnm- 4Jd 14eco Abetrilt. irrova -0112vai 14.1 r x y 40eP (6'0 'CCP) e ZC At; Cd 7 F a .‘eve n 9 fi I ka7 /A;7e,7 r Owner Qty Unit Charge Per COMMENTS /ACTION NEEDED BASE FEE CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 07 00000261 Application pin number 250881 Property Address 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER 06 30 15 2 3 0000 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Contractor ASSEMBLY OF GOD OF P A OWNER 304 VIEWCREST ST PORT ANGELES WA 983626955 Fee summary Charged Paid Credited Due Date 3/14/07 Permit ELECTRICAL ALTER COMMERCIAL Additional desc OWNER/ 60A TO 100A PNL CIR Permit pin number 97170 Permit Fee 78 70 Plan Check Fee 00 Issue Date 3/14/07 Valuation 0 Expiration Date 9/10/07 Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Grand Total 78 70 78 70 00 00 Extension 78 70 4P 0 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO Dl I'(;H I I t &4 Tv t oD fort LT ROUGH -IN COVER I I SERVICE I I FINAL V'ig"ctiatlirek71 I I I I I I I I I I t I COMMENTS PWl 102.15 t4/961 Job wired by Electrical Contractor Owner Electrical contractor name Purchaser's mailing address City Telephone number State ZIP FAX number License number �P mises ow er's name r 4 9 e- �hr�s�ia CeP, e Address of in �ection 30 P cr es�' Phone number to schedule inspection 4 6'2 41s'/- 018 4 Sf�i 11) Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner electrical contractor or electrical administrator X Date Electrical Load Additions aad-o). subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW 983 Date Expires Expiration Date of card Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735 ROUGH -IN 7 THERMOSTAT Inspection Date Date MAR 1 4 ZOtii/ liaRrDEPI ApproNed By FINAL 3-j-7 4O Date Appr ed By Date Appr ad By DITCH Date Appr ed By Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION N description Commercial Residential New j$ Altered /Addition 24 cJ 7`O 4/e14/ 7 �e4J1 4 Cash J Check /0 73 Credit Card Visa Mastercard Discover Card Data Date Voltage Phase 1'0 3 Service Size: Feeder Size: SERVICE Action Taken 7 Inspection fee 78' 70 Service Information Appr ed By FEEDER Appr ed By Electrical Inspector 1 PREPARED 8/22/06 8 19 49 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/22/06 ADDRESS 304 VIEWCREST AVE SUBDIV TENANT NBR LIGHTHOUSE CHRISTIAN CENT CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452 9906 OWNER ASSEMBLY OF GOD OF P A PHONE PARCEL 06 30 15 2 3 0000 0000 APPL NUMBER 06- 00000330 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 8/22/06 J L BUILDING FRAMING TIME 13 00 La GARY 457 5939 Im■ 08/21/2006 03 54 PM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ASSEMBLY OF GOD OF P A 304 VIEWCREST ST PORT ANGELES Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983626955 Charged 10/23/06 Per 50 00 32 50 4 50 87 00 BASE FEE T\Policies \1102 l5 building permit inspection record05 wpd [1/4/2005] 06 00000330 327630 304 VIEWCREST AVE 06 30 15 2 3 0000 0000 LIGHTHOUSE CHRISTIAN CENT COMM REMODEL 500 Contractor COZI HOMES CONSTRUCTION INC 324 E 9TH ST PORT ANGELES (360) 452 9906 Structure Information 000 000 TYPE V NON RATED ASSEMBLY 1K W /STAGE BUILDING PERMIT COMMERCIAL NEW 7 FOOT OPENING IN WALL 74419 50 00 STATE SURCHARGE 50 00 32 50 4 50 87 00 min e- l��l c Signature of Contractor or orized Agent Date Valuation Paid Credited.. 00 00 00 00 Date 4/26/06 WA 98362 Plan Check Fee 32 50 D1.te 00 00 00 00 500 Extension 50 00 4 50 h ha G(- 10 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 Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORE BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO V� FOUNDATION: FOOTINGS I I I SHEAR WALLS WALLS I I FOUNDATION DRAINAGE DOWN SPOUTS I I I PIERS I I I POST HOLES (POLE BLDG`) I I I PLUMBING UNDER FLOOR SLAB I I I ROUGH -IN I I I WATER LINE (METER TO BLDG) I I I GAS LINE I I I FINAL DATE ACCEPTED BY. BACK FLOW WATER I 1 I AIR SEAL WALLS I I CEILING I FRAMING fV� A 1 3 i JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I WALLS ROOF /CEILING IW24 e l I V I DRYWALL (INTERIOR BRACED PANEL ONLY) I I I T -BAR I I I INSULATION SLAB I I I WALL FLOOR CEILING I I I MECHANICAL HEAT PUMP FURNACE DUCTS I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I FINAL DATE ACCEPTED BY. COMMERCIAL HOOD DUCTS I I 1 MANUFACTURED HOMES FOOTING SLAB I I I BLOCKING HOLD DOWNS I I I SKIRTING I I I I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I I I BUILDING T \Policies \1 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT APPLICATION Fill out COMPLETELY and in LNK. our application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 FOR OFFICIAL USE ONLY Date Rec. H t t— 0 6 Permit 3 0 Date Approv el. 7oL Date Issued- a /c& Y I Applicant or Agent: Ke A 7 ici 1 -E-- Ph 3- 6(D) 1 PP Owner f 1- c... L i A U 0 (�'1( G L Phone. G Address. 3d 4 r/t) CU City g Zip S te,_. Architect/Engineer 92- ele -iJJ 5 Phone. Contractor 0 2:7_-- State License Exp. Phone Address q .i 1 Zip l PROJECT. ADDRESS 1. (9 di .42-8. T ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name Billing Address: City Credit Card Type VISA MC Exp. Date: TYPE OF WORK. ST77 /VALUATION Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF D Commercial Remodel Demolition Deck SF /SF /O. Repair Sign Other TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT C 460 7 r ny a 3,�.d i A.) f LJ)1 L b COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. APPROVALS. PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CAFCK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. E)'IRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Ri 05.3 2 of the International Building/Residential Code, 2003) No application can be extended _more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to deferral I permits are required the City's, and that I must obbt permits prior to work. T �Polic� e i \BL 102 13 wp Applicant: A licant: Date: I 1 v 1V s WALL IS 22 w, 1 o 3 1/ e p qe 7 fg 21 ov corAreirr i t p ei 1 ofziv 7 a 7 c( biv s? S 1 BS c 1 k w_ei•Je.tAL )•c/ "V -ri- 2 2Ls tv A/ to4.4) kA) 18..1/3.5 Lo L.%) ed--- L4 71,1 pzg, 2.7 EXPIRAS r Itc-ut CRAIG R. OWEN Consulting Structural Engineer 220 E. 1st St. Port Angeles, WA 98362 (360) 452-8574 FAX (360) 457-8020 .2 1 0 0 e 3og V4a.if Z2 4- t. k4e...r,- of tyy Lb cort.iu TO Flit- C-4LS )8 773 rz WALL ope .tTh 1)5E' _c4.4 itos Tr kV e_E rz Pr A Iv c ELS.' 06307 T ExPtRas 4/2yp2. 2o EXPIRES- 9/21/0 e e Jr Vw \-1 00 ze, D ba ti.C.14`komir W QA00 ye. Z-57 1 20 4- 3 /4,7/ M)0Zi)c e7 3 4N4 4,0 13 7 .2,112) 0 zeir ,40 2100 5 I, 3 T CRAIG R. OWEN Consulting Structural Engineer !20 E. 1st St. Port Angeles, WA 98362 360) 452-8574 FAX (360) 457-8020 7 )2So coNir), 2 2( T I 6: i y 91 )2,1004) 0A,1-1— opEryoitoc, LIGH7 ej4g c- 1",04 iktiGsLvz WA 15 wto, 7; y 1 c /4' 1 8 3i 1 57 X 2 1: i f 49 EX'r.sh 2 x) Z 2 0) 4 -7 i (:12) )1-2, fik (zy3).61) s 9. 1k> C>> AL 0 l -7 (-Ai f t L 00 0)(1 q$) tA TO 740o 11 CRAIG R. OWEN Consulting Structural Engineer 220 E. 1st St. Port Angeles, WA 98362 (360) 452-8574 FAX (360) 457 -8020 C fa-1 r 'R rtiR le 6)31 kJ- 2MZ" t_ �1 Pq PS) A t S Lt Of 1 N C t.& t'G.O CS 11 o WALL OPC1dIn1G i-i H o‘VE �HR4T1A cEtfl 1k-r A MGELts WA r .S a o x z Z 14 4 Oo 220 E. First Street Port Angeles, WA 98362 Pastor Eldon Officer Lighthouse Christian Center 304 Viewcrest Ave. Port Angeles, WA 98362 Dear Pastor Officer Craig R. Owen, P.E. Consulting Structural Engineer March 10, 2006 Phone: (360) 452 -8574 Fax: (360) 457 -8020 RE. Wall Removal for a New Opening into Room 206A of the Lighthouse Christian Center A 7-foot-long section of wall may be removed as indicated in the partial plan view The east boundary of the opening should be adjacent to the support column for the roof beams noted as C10 on the plan as a 3 -inch standard pipe column. The header should be a 31/8 x 1016 24f V4 glu- laminated beam and be supported by (2) 2 x 4 studs at each end. If the clear span between the face of the double support studs exceeds 7 feet a 3 1/8 x 12 glu -lam or 316 x 10 PSL (2800f) should be used A full height 2 x 4 stud should be placed at each end of the new header The sheetrodc should be removed from the interior face of the remaining wall to the east (approximately 11 feet) and covered with 7/16 -inch OSB sheathing (or 15/32 -inch plywood). This OSB should be blocked at all edges and nailed at these edges with 10d common at 2 inches oc. Existing studs are drier, more brittle, and often prone to splitting. Drilling lead holes may be required to prevent splitting. The interior supports of this OSB should be nailed with 10d at 12 inches oc. The common boundaries of any two plywood joints require 4 x 4 studs or 4 x 4 blocking. Double studs at the boundaries of this shear wall should be anchored with a Simpson HDQ8 with (20) -inch x 3 -inch SDS screws. The HDQ8 should be connected to the steel beam below with a 7/8 -inch round threaded rod. This rod could be welded to the center of the existing W18x96 steel beam (over the web) or bolted which can be detailed to avoid field welding after the specific existing condition is revealed This would require holes drilled into the flange of the existing steel beam below Solid timber plate material should be installed over the steel beam below, if not already existing, particularly at the double studs supporting the header at each end and the boundaries of the OSB shear wall. This plate material is neither called out nor shown on existing detail A/S1 This timber plate material also requires anchorage to the existing steel beams, which may need to be increased for the shear wall forces. If the wall is off center (it appears to be centered per Section D /A9), some modification may be needed at 06307 Letter to Lighthouse Chnstian Center March 10, 2006 Page 2 of 3 the new header support studs to avoid torsional overstress of the steel beams Wide flange steel beams are very weak in torsional capacity The existing pipe column C10 for the roof beams and the existing multiple stud column C1 at the east end of the shear wall may already have sufficient anchorage as boundary members of the new shear wall but the connection details were not noticed on the plans. If the existing base anchorage is adequate or easily modified to make it so, the west boundary studs of the new shear wall would then need to be connected to the 3 -inch pipe column. This could be accomplished by bolting the edge stud to the column with 318 -inch round machine bolts at 10 inches on center or 1 12 inch round weld studs at 16 inches on center Shot-in anchors could also be used into the steel column. Careful installation would be required in accordance with the manufacturer's instructions (e.g., Hilti Co.) as installing these anchors off center on the round pipe column could cause damage and be dangerous. These same anchors could be used through the bottom wall plate, floor plywood and timber plate member on the steel beam. The anchor spacing could be 8 ga at 3 inches oc, 6 ga. at 4 inches oc, 5 ga. at 5 inches oc or 4 ga. at 6 inches oc. The OSB sheathing may be placed on all portions of the wall without detriment to provide a uniform sheathing depth to re- install sheetrock or other acceptable wall covering. During construction for this wall opening, prior to placing the header, the floor above needs to be supported temporarily by the floor below This would be best accomplished by placing a temporary wall from the floor joists above to those below inside of Room 206A. However, floor trusses may have been used above, as 24 foot long 2 x 12 floor joists would typically be a special order item and if the temporary wall is installed outside the room, floor trusses are specified on the floor below To avoid overstress of the floor trusses, the temporary wall should support the upper trusses at a lower chord web intersection and be supported by the lower trusses at a top chord web intersection even though this may cause the temporary wall not to be vertical. It may be possible to temporarily reinforce existing truss chords if they exist at the temporary support wall to allow support placement other than at a web intersection. The temporary "wall" may be best comprised of individual 4 x 4 posts that go from an upper level floor truss or floor joist to the one below A series of 2 x 4s or 2 x 6s would require narrow axis bracing to prevent buckling. Considering the variability of the possible existing construction, I should perform structural observation for the existing joist or truss construction and layout prior to installation of the temporary wall after the framing above and below is made visible. Also the best choice for anchorage of the shear wall may be determined after observing the existing construction at the top of the existing W18x96 steel beam 06307 Letter to Lighthouse Christian Center March 10, 2006 Page 3 of 3 The new header redistributes the upper level floor load from a uniform load near one end of the steel beam to a concentrated load farther into the span and another near the support. The resulting steel beam stress is virtually unchanged with the revised loading from installation of the new header The addition of the OSB shear wall compensates for the removal of a portion of the sheetrodc sheathed wall as to not reduce the lateral force resistance of the existing structure. The code at the time of construction (1976 UBC) allowed sheetrodc walls to resist or transfer lateral loads due to earthquake while the current 2003 IBC does not allow such use. Therefore the original capacity of the sheetrock on both sides of this wall line has been incorporated into the new OSB- sheathed shear wall. The new construction with the OSB may provide a slight benefit to the existing structure in that regard. Neither analysis nor review was made to determine capacities of the existing lateral force resisting system or any portion of the existing gravity system as no detrimental change is being made. CRO /cs EXPIRES 9/21/ 67 CC Jeff Young, P E. City of Port Angeles Building Department Respectfully submitted, Craig R. Owen, P E. 06307 CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 3 jig Approval Date By ELECTRICAL PERMIT A!\rD INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000261 Date 10/16/07 250881 304 VIEWCREST AVE 06-30-15-2-3-0000-0000- ELECTRICAL ONLY o Owner Contractor ASSEMBLY OF GOD OF P A 304 VIEWCREST ST PORT ANGELES WA 983626955 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL OWNER/ 1-5 113332 58.00 10/16/07 4/13/08 ALTER COMMERCIAL CIR Plan Check Fee Valuation .00 o '& " Qty 1. 00 Unit Charge Per 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 Permit Fee Total Plan Check Total Grand Total Charged Paid Credited Due ---------- ---------- ---------- ---------- 58.00 58.00 .00 .00 .00 .00 .00 .00 58.00 58.00 .00 .00 ~ t S '\ Fee summary ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: L ~ o Electrical Contractor 0 Owner o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. ELECTRICAL WORK PERMIT APPLICATION (' -t o Request Inspection Job wired by o Electrical Contractor )5( Owner Installation description /-5 ~cH "'- /' ~--"r:< Electrical contractor name License number Purchaser's mailing address City J?tJK4 ~6~A.F.<; Telephone number '5- Stale ZIP t-JA- FAX number '18362.. Premises owner's name 6/1/ /fPvtS Address of inspection '</ -- 3'0 J//~~A.J!(I /'1' I'C r r6.-- 6e.a-.5 ~.5r~ City IJA- o Cash 0 Check # I hereby certify that I am the owner of the above named properly or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Credit Card Card # Visa Mastercard Discover 1/'--/- I \ Signatur Expiration Date of card x WALLS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE Dale Approved By Dale Approved By Date Approved By Date Approved By DITCH FEEDER Cover Cover Dale Approved By Dale Approved By Dale Approved By Dale Approve<.! By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 03 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector - fl."" ~~ ~~~.. "--- ~~ ~\~'i ~'t-~.$''' -.. "", ELECTRICAL WORK PERMIT APPLICATIO,.,J.<;; Job wired by o Electrical Contractor .12i~o";ncr Installation description j1J." Commercial D Residential Electrical contractor name License number Date Expires D New o Altered/Addition 01 . . /( k, j/ CJ~a-~~ 1.//"/ /;~" /J -J.~(~,,,:/-" . -/d. / J/ .z:: .-:. K / ?;?7 /C:,P ;.-7 r;. ,;7~;/ / ,r ,M /? /"~,c;~ / J ('?,/ /' '" i /1 " Purchaser's mailing ad~rc~ . -L- .i 07'" 1/ / ~'.t:"/ c Fe"~ t.. C;tY.;:) /I State :mJ /'. t"'"L. ?-of/'''''' T~lephonc number FAX number /.{.ii - 1? CJ' 0/ "7' Premises owncr:s name, / L/'",,/;IA y,re f: /'.<. 7'-,./..-7. AddreSS or iinipcction . /. / .:;;'17-7" ///P/.../c-.res/ City&' ,J /f ./? ') )'-P.r/ ~ec: V/#f ~ -,/ ...... Phone number to scheduJe inspection:c' ...Po. j(f);? ~O '70'/ qF.3/~z- . /1// Owner as defined by RCWJ9.28.26J:(I) Owner will occupy the structure for. 11110 years after Ihis electrical permit is finalized. (2) Owner is required 10 hire an electripal contractor if above said propert)' is for sale. ren! or lease. , . After reading the above statement, I hereby certify that i am the owner of the'-ab~ve named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municip!ll Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator X ~An ~Af";;./ Date:/t'- -~ 7 Electrical Load AdditiOil'( and or subtractions D NO LOAD CHANGES/ o Baseboard KW o Furnace KW o Heat Pump Ton D Fan-Wall KW Service Information LAR o Overhead Service 1:1 Temp Service 1:1 Underground Service Voltage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417.4735 , ROUGH-IN / THERMOSTAT / SERVICE Dale Approved By "- Dale Approvetl By "- Dale Approved By ,,- / FEEDER FINAL Ae/; DITCH "J~5 /07 Dale Aflrroved BY Dale Approvetl By "- Dale Approved By / Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ~ECEI VE~ \ "nT 1 ~ ,<'in,., . ~ '~ w CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 91\162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use Property Zoning . . . Application valuation 04-00001157 Date .923852 304 VIEWCREST AVE 06-30-15-2-3-0000-0000- ELECTRICAL ONLY 12/15/04 o Owner Contractor ASSEMBLY OF GOD OF P A 304 VIEWCREST ST PORT ANGELES WA 983626955 OWNER Permit Additional permi t Fee Issue Date Expiration ELECTRICAL ALTER COMMERCIAL desc 1-5 CIR./ OWNER WIRED 61.30 Plan Check 12/15/04 valuation Date 6/14/05 Fee .00 o ~ '\ Qty 1.00 Unit Charge Per 61.3000 ECH EL-COMM ALT <5 CIRCUITS Extension 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 t ~ t ~ "\ t COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO ~)c GENERAL COMMENTS: PW-II02.1S [4196] . . . u ..-' ....~-- CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles. WA 98362 (206) 457-0411 PERMIT NO. S 3' / 7 1I/~/9.s- DATE ELECTRICAL PERMIT ) Sq. Ft. Site Address: I In'stalled By: I Owner/Business: I Owner/Business Address: I I ELECTRIC HEAT 0, BASEBOARD KW _ o FURNACE KW o HEAT PUMP KW_ o FAN/WALL KW _ o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: ';;ol( D. Phone: o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D1111 D3111 SERVICE SIZE FEEDER SIZE AMPS AMPS , o TEMPORARY SERVICE ~f~ ~ (lJA/'n:.')1~ DetailslDescription: I tvA.A.f ''10 .2./J I I I W.S. No. SERVICE SIZE I CAPACITY: I 0 O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER I 0 INSTALL SERVICE POLE I I o [Ditch Inspection O.K. I o ~ough-in/cover O.K. o 0.K. to connect service I o linal O.K. Sit~ Address: , \ I .;]6J' DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER Permit/Receipt No. s: , Installer: New Meters I _ , I Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report. or on the B~ild~ Permit. PHONE 457-0411, EXT. 224. I 7~. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ -# ...3 iJ I EleClricallnsp~r Permit Fee WHIT~ - File by address PINK - Top: Eng, Bollom, Customer GREEN _ Top: Meter Dept, Bottom: City Hall OLYMP't PRINTERS INC /5...04 0~"\ /r., L1G"" ELECTRICAL INSPECTION . WIRING REPORT 457.0411 Ext. 158 DATE PERMIT II , ADORES APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER ...... .. .. .... 0 o .................. SERViCE.................. 0 ~.................... FINAL............. .......0 CORRECTIONS NEEDED: (n R~~i,'9~/ 4r#-ks /J1u.rJ- 6n R~ (1flAh(JE~.{''' $Jl&!Jkcl)/A/ -<~~ / ' ,. ,,",,- ' ZtArrc.6'~rCUI.e{1 ~/ ~'/- (~) ~Jcz,et9a~fJ -s::eVtCf ~ftl wrY! F ukc6c/ ~ 4aJ,c-~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OL YMPJC PRINTERS, INC. (206) 452-1381 De!ailslDescription: !J'i0 jA) {/ j (L , I , , I .1 I 1 1 I I I W.S. No. Service Capacity: D O.K. D Not O.K. , D pitch inspection O.K. >(.r~ fOUgh.in/cover O.K. " D O.K. to connect service I ~ Final O.K. ~\I I Site Address: I , Installer: , I , . \ \ I I I I , . CITY OF PORT ANGELES U&HT DfPARTMENT PERMIT NO. /1/0$ DATE 11/!?/17 ELECTRICAL PERMIT Sit~ Address: I Installed By: I Owner/Business: L' Ii I Owner/Business Address: I' I ~:~itd~~ia'-7 y..vJ t;J..Baseboa~ace/Boiler []. Heatpump D Other b Commercialllndustrialload I Total Connected load I (attach breakdown) Total Motor load (attach breakdown) o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: C l-wu ,T'\ AN Phone: Sq. Ft. ~New Construction D Remodel D Service update/alter/repair D Overhead D Underground Voltage D 10 D 30 Service size :;;2()...O Amps D Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) 7 KuJ k lrw~. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Permit/Receipt No. IC-- New Meters / 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 in Writing on the Wiring Report or the Building Permit. PHONE 45!i'411, EXT.158 or EXT. 224. J. / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .,...3 0 ~ I j Inspector Amount paid WHl'rE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: 1nspector, Bottom: City Hall ! 11/04/2014 10:04AM FAX CITY OF PORT AvGELF,S PERMIT APPLXCauo 11sifidiug Dia'isjoBJElectrical Inspections NOV 0 5 2014 321 East Fifth Street — P.O. Box 11,50 / Port Angeles Washington, 98362 ELECTRICAL Ph: (361 1. 0) 417- 4735.'aa: (360) 417 -4711 INSPECTIONS Dale _ - 1 -Ii._• . 1 & 2 Single Family Dwelling " Plan Review May Be Required, Pleas Complete Job Address: Building Square Footage _ Description of above ► 11'S,A-^cre. Owner Inf relation Name• t ► . p e, �c�fr1 Electrical flan Review Information Sheet Mailing ddress "_ G �¢. c�t1 a Zip' Phone. _Fax- �---�- Item Unit Charge SeruicO -coder Z0U Amp. S 120.00 ServicaiFoodar 201.400 Amp, $ 146.00 Semce?Feeder 401 -500 Amp $205,00 Servicelf ceder 601 -1000 Amp. $26200 ServicelFeoder over 1000 Amp, S373.00 Branch Circuit W/ Service Feeder S 5,00 Branch Circuit WIO Service Fooder $ 663.00 Each Additional Branch Circuit $ 5 -00 Branch Circuits 14 5 7500 Temp Servicai Foedar 200 Arnp S 9300 Temp, 5arvicelFeeder 201400 Amp. 5110.00 Temp Srarviceil,eed©r,101 -600 Amp $111,100 Temp. Service/Feeder 601 -1000 Amp $168.00 Portal to Portal Hourly S 96,00 Signal Circuit/ Limited Energy- 1 & 2 Family ,)welling $ 6400 Manufactured Home Gonneclion $120.00 Ronowable Electrical Energy, 5KVA Systom or Les9 $ 102.00 Thermostat $ 56.00 Note $$5.00 for each additional T -Slat NEW CONSTRUCTION ONLY; First 1300 Square Ft. S 120 00 Each Additional 500 Square Ft or Portion of S 40.00 Each Wbuilding or Detached Garage S 74.00 Lach Swimming Pool or H.al i'ub $110.00 IA0002/0002 Contractor, Jnformation Name. `tJ a1f -e.�5 e��� Mailing ddress City ��- PhOrlEs. License # r Exp. QU Total ultf llsd W Unlit Char e S S g S .. s S S 5 Total Owner as defined by RGW 19 28,261: (1) Owner will occupy the structure for hero years after this electrical permit is finalized- (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lest inspection_ After reading the above statement, I hereby certify lhal I rim the owner of the above named properly or a licensed el(30ncal conlractor. 1 am making the electrical installation or alteration in compliance wilh the electri (,•al laws, N.E -C„ ROW. Chapter 19.28, WAG, Chapter 206 -468, The City of Porl Angeles Municipal Code, and Ulihly Specificalians and PAMC 14.05.050 regarding Clectrrcaf Permit Applications Signature of owner, electrical contractor or etactrlcal administrator: ❑ Cash ❑ Check X� redlt Card �. __ x Dated: 1 QiNS12012 .i' �VnVI Contractor, Jnformation Name. `tJ a1f -e.�5 e��� Mailing ddress City ��- PhOrlEs. License # r Exp. QU Total ultf llsd W Unlit Char e S S g S .. s S S 5 Total Owner as defined by RGW 19 28,261: (1) Owner will occupy the structure for hero years after this electrical permit is finalized- (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of lest inspection_ After reading the above statement, I hereby certify lhal I rim the owner of the above named properly or a licensed el(30ncal conlractor. 1 am making the electrical installation or alteration in compliance wilh the electri (,•al laws, N.E -C„ ROW. Chapter 19.28, WAG, Chapter 206 -468, The City of Porl Angeles Municipal Code, and Ulihly Specificalians and PAMC 14.05.050 regarding Clectrrcaf Permit Applications Signature of owner, electrical contractor or etactrlcal administrator: ❑ Cash ❑ Check X� redlt Card �. __ x Dated: 1 QiNS12012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number , • , , , 14- 00901345 Date 11/D5/14 Application pin number , , , 027665 Property Address , . , . . , 304 VIEWCREST AVE ASSESSOR PARCEL NUMBER: 06 -30 15 2-3- 9175 -DDDO- Application type description ELECTRICAL ONLY Subdivision Name , . . . Property Use Property Zoning . . . , , . , Application valuation . . , 0 --- - - - - -- Application desc Replace existing 6 ton heating system Owner Contractor RESULTS: LIGHT HCUSE CHRISTIAN CENTER DAVE'S HTG & COOLING SRVC INC C/0 COZI HOMES CONSTRUCTION PO BOX 413 SERVICE 324 E. 9TH ST, PORT ANCEDES WA 98362 PORT ANGELES WA 983627916 (360) 452 -0939 (36)} 452 -8909 ------- ---------- - - - - -- ---- - - - - -- ---- _-- _ - - -q ?'_ �t37 -C - - - -- Permit . . . , ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee 56,00 Plan Check Fee .00 Issue Date 11/05/14 Valuation . . , . 0 Expiration Date 5/04/15 Qty Unit Charge Per • Extension 1,00 56.0000 ECH EL- LVT--THERMOSTAT 56,00 Fee summary Charged Paid .Credited Due Permit Fee Total 56.00 56,00 .00 .00 Plan Check Total .00 00 .00 00 Grand Total 56.00 56.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL 2 j 14 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:ILXCHANGM3UILDING ..L 0 W