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Home My WebLink About2505 S Washington St - Building May 09 2013 10:46AM Olympic Electric Co., Inc 3604523498 page 2 &V E Y k f�0it r q Q' CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical.Inspections E� C��9CA 321 East Fifth Street—P.Q. Box 11501 Port Angeles Washington,98362 $�SP�CT44i�� Ph: (360)417.4735.Fax: (360) 417.4711 Date r ` I/ " Q Multl•Family or Commercial' Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; Building Square Footage: Descnplion of above Owner lnformati Contractor Information Name: h f T' Ntailln Addtess: s Name: OLYMPIC ELECTRIC g l, Mailing Address: 4880 TWWA7oa City: a?",'� &fate; ,Ai=Zip: _ aty; PoR TANaeLes Slate: WA Zip; ae- Phone:,V Phone:8e045743a3 Fax: aea462•3490 License p!Ex p.p License;tlExp.o:,vMnecaaeo, KOlcela seder 200 Amp. n ha a 9k T I Multiplied b Unit C a a p $132.00 $ ServicelFeeder'201400 Amp. $1800 $ ServicelFeeder A01-600 Amp $225,00 $ ServicelFeeder 601.1000 Amp, $:288.00 Service/Feeder over 1000 Amp, $410.00 g Branch Circuit WI Service Feeder Branch.Clrcuit W10 Service Feeder $ 74,00 �` $ 7y �G Each Additional Brand Circult $ 5,00 $ _•--- Branch Circuits 1A $ 86.00 $ Temp.Servicel Feeder 200 Amp. $102.00 $ Temp Servica Feeder 201A00 Amp. $121.00 $ Temp,ServloelFeeder 401-600 Amp. $164,00 $ Ternp.SaMcelFesder601-1000 Amp. $185,00 $ Portal'.o P60al Hourly $ Sign/Oulline Lighting $ 88.00 Signal Circuit/Limited Energy-Multi-Family $ 64.00 Signal Circuill limited Energy I First 1500 sf-Commercial $ 96.00 $ Note; $5,00 for each additional 1600 sf Renewable Electrical Energy-6KVA System or Less $113.00 $�^ Thermostat $ 56.00 $ Idole:$5.00 for each additional T-Stet $ '"f Total Owner as defined by RCW,19.28.261;(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor I above said property is for sale, nernt or lease.Permit expires after six months of last Inspection, After reading the above statement,I hereby certify that I am the owner of the abeve named property or aiicensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N E.C„ RCW,Chapter 19.28,WAC,Chapter 296.466, The City of Part Angeles Municipal Code, and Utility Specifications and PANIC 14,05,050 regarding Electrical Permit Applications, Signature of owner,electrical contractoror electrical administrator: ❑ Cmh ❑ check X. 4,r!J�. � CredBCrlydO CBEodr 1 OM1l2012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 r' Application Number 13-00000496 Date 5/10/13 Application pin number 114064 Property Address 2505 S WASHINGTON ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-JJ 5-2-0000-0000- Application type deSCriptign ELECTRICAL ONLY on your excise tax form Subdivision Name , . , . , . to the City of Port Angeles Property Zoning (Location Code 0502) Property Zoning . Application valuation , . . . 0 Application desc I CIRCUIT FIRE ALARM ANTENNA Owner Contractor SCHOOL DISTRICT 9121 OLYMPIC ELECTRIC CO INC \ 216 E 4TH ST 4230 TUMWATER PORT ANGELES WA 983623200 PORT ANGELES WA 98363 i {360} 457-5303 Permit ELECTRICAL ALTER COMMERCIAL Additional desc . 1 Permit Fee 74,00 Plan Check Fee ,00 [ �I Issue Date 5/10/13 Valuation . , . . 0 Expiration Date 11/06/13 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----- --- V Permit Fee Total 74,00 74,00 ,00 00 Plan Check Total .00 .00 ,00 .00 Grand Total 74,00 74.00 .00 ,00 V INSPECTION TYPE DATE, RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ctor X Date: G:IEXCIIANGEIBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000061 Date 1/24/12 Application pin number 181598 Property Address 2505 S WASHINGTON ST ASSESSOR PARCEL NUMBER: 06- 30- 11- 5- 2- 0000 -0000- REPORT SALES TAX Application type description PLUMBING PERMIT on your state excise tax form Subdivision i Us Name Property to the City of Port Angeles Property Zoning (Location Code 0502) Application valuation 5500 Application desc REPLACE 4" WATER SUPPLY WITH 2" Owner Contractor SCHOOL DISTRICT #121 R J SERVICES INC. 216 E 4TH ST 514 ERVING JACOBS RD. PORT ANGELES WA 983623200 PORT ANGELES WA 98362 (360) 457 -1420 Permit PLUMBING PERMIT Additional desc REPLACE WATER SUPPLY WITH 2" L Permit Fee 57.00 Plan Check Fee .00 Issue Date 1/24/12 Valuation 0 Expiration Date 7/22/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL -WATER LINE 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 1 '97' 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. (ih Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 v 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 f) 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 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping _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 -4815 43// 4;1 T:Forms /Building Division /Building Permit BUILDING PERMIT APPLICATION Print in ink ►s® CITY OF -PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received Z3- l z 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417-4815 fax (360) 417-4711 Date Approved 3 Applicant Fact r SC-44 k5 'Z I Phone 477 2 -889 Property Owner Phone Property Owner's Address z( t e r A,��sirS !,c )4. Contractor Phone Contractor's Address License Expires E -mail PROJECT ADDRESS 2sos k ,./A.sM,(& rb,y 13 P Parcel Number Lot Zoning Protect Type Brief Description: Residential Multi family Commercial Industrial Check all that apply New Construction Addition Remodel Repair FPL RL� 3dPPLr 7 c4 -001_ t )72- -11 55CO Y_05 Demolition Re -roof House garage other o tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 55vc Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths I have read and completed this application and know it to be true and correct. 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. Date J Z3 Z Print Name 0 (2 (S I Signature %A.A., AZr T:Forms /Buildin Division /Building permit application ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10- 00000885 Date 8/20/10 Application pin number 665710 Property Address 2505 S WASHINGTON ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 11 -5 -2 -0000 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning Application valuation 0 Application desc 1 circuit for data Owner Contractor SCHOOL DISTRICT #121 ANGELES ELECTRIC 216 E 4TH ST 524 E. 1ST ST. PORT ANGELES WA 983623200 PORT ANGELES WA 98362 (360) 452 -9264 Permit ELECTRICAL ALTER COMMERCIAL desc Permit pin number 171728 Permit Fee 73.50 Plan Check Fee .00 Issue Date 8/20/10 Valuation 0 Expiration Date 2/16/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 c Fee summary Charged Paid Credited Due U a Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 A".k. INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: "90.4 ELE(,,T [CAL INSPECTION r G E ST Fi WV' et, 417-4735 'fronks DATE PERMIT INSPECTOR /z14 /0 ON% OWNER/CONTRACTOR A )4,Lreties ADDRESS APPROVED NOT APPROVED o DITCH o ROUGH IN/COVER o SERVICE FINAL CORRECTIONS NEEDED: rAl> 1: SC.,o_rrttl 'Eer 11-0 L•ri J rz_a_ &apt./ rW Gtacur,75 C, 2/,b r3 NOTIFY INSPECTOR WHEN CO P RECTOS ARE COMPLETED WITHIN 15 DAYS DO NOT REMS)VE 08/19/2010 12:16 FAX 360 452 9265 Angeles Electric a 0001/0004 CY City of PortAngslts Pink Application ECElv ED :BUildliisOlyislontElimbiral Inspe;Uons 321:Ent 1150 AUG 1 9 2009 P2?11.A91040418.11b101.1•VAl2 Ph 0 9 4 417 Far.. M7-4711 ELECTRICAL J .z...-L.-#.. .1 Cate: ..fr 4 INSPECTIONS 1 Single Fantly Dwailirg M*Fernlly or Commetolar ..,Zeio Marcia! Addition Alteration /Remodel Repair Plan Rai*/ &fay Be Required, Maass ConftElecticel Plan R011iffN Intommion Sheet JOb Address: 2621.5" --S' Gibek.oltaa-OA/ fieefivkliAl ge,1/401-- Bolldbig Squwe.Footica: ,el, svir Desixiption d ab3ve ../-1SO■ ad/OJAI/4e— ii■Pre; Name: r-) I' Name: 'LA. :1_.... ..—_—•_,.,•:l..— Moiling A4 9.., e-- Melling Address: i 1 CRY: SW* x City: State: DX Phone: mc Phone:, Fax: License II 1 Exp License 9 Exp. link Chem@ gbf Total ION Munk& ed by Unit Chancel i. —...4.—... 1 Service/Feder 20D Arne. i 0 ServicRader 201400 knp. '1 20410 1 ServIcoffeeder 401400 Amp. 126220 Saivicar-seciw 601-1000 Amp. i SosimFooder over 1020 Amp. 1 250 i Barb* CircaNW/ Santo Feeder 1 7330 S -77 375- &inch quit W/0 Semi= Felder 8 Emil Addilitnal &arch Ciro* 'S.. 02.70 Tamp. Santa! Feder 200M". 4.110.30. i Toms. Sonia/Few* 201400 An*. 11411.70 Temp, Senkeffemier 401400 Amp. Trap. SankolFeeder 6014000 Arm. 95.90 $ Portsi lo Portt Mau* 1 88.20 Sign/WIN tigitilng 1 95.00 Slimed WIN United Energy CornineidaL Addirmaal 1600 WO 8 Signal Char, MIMS Energy -1 II 2 Family Dueling S 5310 Signal OrcuM United. Energy 11110-Fsmay Dwahig .111910 Menufacturml Nome Conn.:am Ranevatia amtical Energy 5KVA System or Less .1140.30 1 First 1300 &piers Ft. 3520 Each Addlbool 500 Squoro FL at PorOon ot S 7310 Eadi Outbullloa cc Deleted Garage r!;-•.* Each Satmnio1P0flortiorrab 1 Themuste S Total "1 73 -4€°- Ownetardand hi RCM 1 Miff (f) 01171ff Win occupy MO atructurs for too pots allot et• oloetrfool portal f 1 a &groat 42) Mortor fo miliffrid to kin an Of:Wad cent/actor N ibovossIdOopa41i tarsals, motor/ass& Ormitaphes 'dim dr month. of Int fospodon. -Altar reading ths &Leif ststannint. I hereby a:Stylist I am Nis owner of Ma above named properly ors M le ood electrical contractsr. I am Making tim oisciricalinaMilabon or 'altaitiontitainpiimm w ths sisciricid laws, N.E.C. RCW. Chapter lin WAC. Chgtor 2964013, The Clly Of Port Angelo Municipal Olds. slid U11161 flpoclikodcFs• .-110 oo sturo of mr; **foal contractor or eisdrIcal administrator 0 Cash .1 4444 2--e f. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Ethernet Fiber update Owner SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983623200 10 00000578 473114 2505 S WASHINGTON ST 06 30 11 5 2 0000 0000 ELECTRICAL ONLY 0 Contractor ELECTRICAL ALTER COMMERCIAL EACH ADDITIONAL 500 SQFT $5 00 167163 160 90 6/08/10 Valuation 12/05/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Qty Unit Charge Per BASE FEE 1 00 95 9000 ECH EL LIMITED 1ST 1500 SQ FT Charged Paid 160 90 00 160 90 Signature of owner or Electrical Contractor X 160 90 00 160 90 SYSTEM TECH INC 9514 EAST MONTGOMERY #22 SPOKANE WA 99206 (509) 590 1137 DATE Plan Check Fee Credited 10/ gh9 00 00 00 Date 6/08/10 00 0 Extension 65 00 95 90 Due 00 00 00 RESULTS Date oµ 5.4 461 oT -0 1-112 2 25 (1 3 INSPECTOR. DATE OW R/CO RACTOR S 'ST. ADDRESS 2504 APPROVED 0 0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTOR /0 0Si C A CORRECTIONS NEEDED: 1 i.l56RL,L NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL lea:11 M ion t,SS ►.1G r"1 tit Li 87244 r be hs "b[ItMtP.- u, ,S f AP te.E.QII 1 is z hl 110 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections S 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax. (360) 417 -4711 Date 49 X 1 2 Single Family Dwelling Plan Review May Be Required, Please Complete Electrical Plan Review Infomlation Sheet Job Address: Building Square Footage: �b� Description of above�� 8� G Owner Informatio Contracto formation Name: i f Cl.� rd Name: ng A Mailid GVID t 5 k."*. Mailing Addres City State "g. Zip: City: State: Phone: 417— t3Y7Fax: Phone:2 .3‘.2 v 2 6 1/13. License a Ecp. License ti/ Exp. Charm f Item Unit Char Total Mulliolied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service/Feeder 201-400 Amp. 145.50 Service/Feeder 401 -600 Amp 204 60 Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2,60 Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201400 Amp. 110.30 Temp. Service/Feeder 401 -600 Amp. 148.70 Temp. Service/Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 ti TO Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 X Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square FI. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Not Tub 110.30 1.? o �l 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 it above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator x d qz ECEIVE. A'-o 2009f LISEP CTIN 0 ogo Zip: Multi- Family or Commercial' 9C Commercial Addition Alteratialr 1 Remodel I Repair Cash Check 'credit card a Dated: //•P 01101/2010 11E1,-298 -802 3W1 H331 W31SAS WU6S 11 0102 LO unr CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT AN(}ELES, WA 98362 ELECTRICAL PERMIT ISSUED: 9/10/2002 PERMIT NO 7817 OWNER/APPLICANT PROPERTY LOCATION SCHOOL DIST 2505 WASHINGTON S 2505 S WASHINGTON Lot: BL1&2ptBL7&8exc#1793,E30' Port Angeles, WA 98362 Block: ~ Long Legal 360/000-0000 Subdivision: CAMPBELLS (of w 175.5') T: S: Parcel No: 06301151050000 CONTRACTOR ARCHITECT BOB'S ELECTRIC INC. N/A 2293 DEER PARK PORT ANGELES, WA 98362-0000 , 98360-0000 360/457-6887 360/000-0000 PROJECT INFO Project Type: PROPANE TANK Project Value: $0.00 Occupancy Type: Construction Type: LOW VOLT SYST. ~. Occupancy Group: Zoning Use: PBP Electrical Heat: [ Baseboard 0 KW [ [ Riser [i] Underground Service ~ Furnace 0 KW I Overhead Service Voltage: 0 ~J Heat Pump 0 KW TempService Phase: Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES PROPANE LEAK ALARM AND PROPANE SHUT-OFF. SOLENOID VALVE AT TANK. ,¢ SENSOR AT BASE OF PROPANE HOT WATER TANK. REC# 9650 C FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: 2 TRIPS 35.30X2 $70.60 TOTAL FEE: $70.60 AMOUNT PAID: $70.60 BALANCE DUE $0.00 COMMI;-NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 41%4735 FOR ELECTRICAL IixlSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA IVFUL TO COVEP~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PI~dqS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE FINA~ I ~'//~/o~-I ~(r'.~ I GENERAL COMMENTS: CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST STH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 812812001 PERMIT NO: 12904 OWNER/APPLICANT PROPERTY LOCATION SCHOOL DIST 2505 WASHINGTON S 2505 S WASHINGTON Lot: BL1&2ptBL7&8exc~1793,E30' Port Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: CAMPBELLS (ofw 175.5') T: S: Parcel No: 06301151050000 CONTRACTOR ARCHITECT PLUMBING CONNECTION N/A 175 S. Bayview Port Angeles, WA 98362 , 98360-0000 360/457-1690 360/000-0000 PROJECT INFO Project Value: $14,000.00 SFD Units: 0 Commercial: 0 Project Type: WATER HTR-LP SFD SQ FT: 0 Industrial: 0 Occupancy Type: EDUCATIONAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PBP PROJECT NOTES INSTALL 120 GAL DOMESTIC HOT WATER HEATER ( LP ) FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $41.70 Plumbing: $41.70 AMOUNT PAID: $41.70 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 pedod 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 prov sons of laws and ordinances governing this type of work w 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 lsi~re o or or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-48! 5 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. IT IS UNL,4 WFUL TO COVER, INSUL/iTE OR CONCE/iL /iNY WORK BEFORE INSPECTED/IND/ICCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB S1TE INSPECTION TYPE I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL ILIG~IT DEPT) SEPARATE PERMIT: # PLUMRING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Enginecrin g Division ) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING 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 - KW. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. FOR OFFICIAL USE ONLy: BUILDING PERMIT- APPLICATION The Bufl~g P~mit - Pr~plication ~t be~ out co~lete~. D~ ~ Appli~t m~or Agent: ~ ~ ~ I ~; I ~, Phone: ~t 3 ~ I Con~cmr~u~t~5 ~'~ License ~:~ Exp: ~/o~ Phone: ~$~-1 LEGAL D~E~ION: ~t: Block: Suh~v~smn: C~LL~ COU~ P~CEL ~ER:~-~-ll-ff~O Cr~lt Card HoiSt Name: Cr~it Ca~ g:. Exp. Da~: ~A ~E OF WO~ S~UATION: ~ Resi~ m New Com~. ~ Re-mol fl W~tovo 8F. ~ $ /SF. ~ $. ~ Mu~-f~ ~ AddiSon ~ Move m O~e SF. ~ $ /SF. = $ ~ Co~ ~model fl Demolition ~ Deck ..... SF. ~ $. ~F. ~ $ CO~R~S~E~: Occup~cy ~oup:, ~ Occup~t Load: ~cti~ ~e: No. of Smd~;,~ Lot S~: % Lot Corec: * * % E~t~g Lot ~ve~ge: /sq. fi. + ~o~sed ~t Cov~ge: /sq. fl. ~ TOT~ LOT COn'GE: /sq.fl PLUG ~SE ONLY: ~PROVA~: PL~ Not~: B~. ESteems): ~ Yes ~ No SEPA Checkl~t ~ked? ~ Yes D No ~: ~R BU~G ~P~CA~ON S~: Four ~p8c~n ~ds~ep~ ~t ~ out ~ to ~ ~tedfor t~lew. BuHd~ Divhion ~ provide you wi~ more d~ailed ~mation on ~e applic~on ~d pl~ subtotal requkem~. B~G ~E~ ~PLICAIION SUBMiTI'AL: Yo~ compl~ed application, si~ pl~ (f~ ad~fions) ~d bu~d~g pl~s ~e to ~ s~miRed to ~o Bu~g Div~ion. may be r~is~ ~ ~e Bulldog Div. to comply w~ ~t fe* schedule. Contact ~0 P~i~ Co~d~a~t at 4174815 PL~ ~ ~E: Yo~ pl~ ch~k f~ ~ due at ~e ~ ~o ~ild~g p~it ~cafi~ ~d c~cfion pl~ ~ su~iR,d. All o~er pemit fees m~ due at ~e t~e of pe~it issu~ce. gXP~IION OF PL~ RE--W: If no pe~it is issued wi~in 180 days of~e ~te of applicafi~, &is app~cation will ~pire by limitations. ~e Bulldog Official m extend ~e t~e for action by ~e a~lic~t up to 180 days, ~ ~6en requ~t ~ ~e applic~t (see Section 107.4 ~f ~e Un;fern Bulldog Code, e~t edition). No a~lication c~ be axl~d~ mor~ &m I h~eby cert~ that I h~e ~ad and ~amined this application and ~ow the same to be ~e and correct, ~d I am ~thor~ed to apply for this permit, l ~nderst~d it is not the City's I~gal respo~ibili~ to detemine what p~mits are required; it remai~ the applicant'~ respo~ibili~ ~ determine what pe~its are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ ~'~C~--~) I Time Received by ~ ~rson) Location of Work to be inspected Name of person requesting inspection ~J ('/,-~ ~;::>[~c-( Address of person requesting inspection Phone No. z/,(~ Type of Inspection (circle appropriate one): ~ Permit No. Sewer Excav. Other Sewer Foundation Framing Chimney ~ Final INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I-]Asphalt [~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee L~ COMPLETE [] No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 8/24/2001 PERMIT NO 7380 OWNER/APPLICANT PROPERTY LOCATION SCHOOL DIST 2505 WASHINGTON S 2505 S WASHINGTON Lot: BLl&2ptBL7&8exc~1793,E30' Port Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: CAMPBELLS (ofw 175.5') T: S: Parcel No: 06301151050000 CONTRACTOR ARCHITECT STRAITS ELECTRIC N/A P.O. BOX 2914 PORT ANGELES, WA 98362 , 98360-0000 360/452-9104 360/000-0000 PROJECT INFO Project Type: EDUCATIONAL Project Value: $0.00 Occupancy Type: Construction Type: SERVICE, FEEDER Occupancy Group: Zoning Use: PBP Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 10 KW Service Size: 100 Feeder Size: 0 PROJECT NOTES 100 amp service and feeder, forportable storage unit FEES ASSESSMENT Service: $74.30 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED FOR OFFICIAL USE ONLY G Sao: ELECTRICAL PERMIT APPLICATION Im j w Few.: 7 s wu nvw The Electrical Permit Application meet be fllled out comDletely s Mae ICJ' ao Please type or reprint In Ink. If you have any questions, please call (360. 4174735 Fax number: (360) 4174711 REQUEST INSPECTION Owner or Elec. Contractor Agent Straits Electri Phone 452 9104 Far 457 4698 Property Owner. OI A'AC(s if S dab s% tl.;C"h Phone if R5 -5 Address: a r (0 g• I a r7 City Poe* gm (AA Zp Electrical Convector: Straits Electric License STBAIE *0 U,OS 9/ 03 p hone 452-9104 address: P.O. Box 2914 City- Port Angles, W gyp: 98362 I INSTALLATION WIRED BY: in OWNER 1 ELECTRICAL CONTRACTOR Credit Card Holder Name Straits Electric Billing Address: P 0 ''lox 291 4 City. Por Angeles, W A Zip: 98362 Credit Card Number: Exp, VISA X MC; r alnY41 h ZICAND 1 PROJECT ADDRESS: a6p6 S W u�.? U .p- 9 g3 6Z V ��Cr TYPE OF WORK: Check all that apply,_ I'Vew 0 Alteration/Addition Resident& Multi family XCommercial I< Mobile Home Sq. Ft. 30 0 0 Remote Meter Detached garage Hot Tub 0 Swim Pool Septic Pump Low Voltage 0 Telecom. 0 Sig' 1 Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: IOW- 1 CA A Pxdi G� L O l LJ MILK (..pa al Electrical Heat Load Additions Service Information 7 3 b Baseboard _KW Voltage: e,_ Fumace KW erhead Service Phase: 1 3 J Heat Pump KW emp Service Service Size: 100 Wan-Wall �ICW 1 Underground Service Feeder Size: I PAMC 14.05.060(B): For industrial, commercial, residential projects larger than a duplex, a one line drawing of the Electrical Service Feeders, building size (sq_ ft), load calculations, and the type of conductors and/or raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit 1 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 Holder's Signature: Jt. ,ucker /C r stie Tucker Date: `j D Owner or Elec. Cont. Signature: l b. Date: PW9019 ELECTRICAL PERMIT INSPECTION RECORD CALL 4 ! 7..~735 FOR ELECTRICAL I~SPECTIONS. PLEASE PROVIDE A MINIMUM 94 HOUR NOTICE. IT IS UNLA tVFUL TO CO FER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE g/e2Y/O ! 7/~ GENERAL COMMENTS: °"~' CITY OF PORT ANGELES £~? PUBLIC WORKS - BUILDING DIVISION 321EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 2/11/2002 PERMIT NO: 13228 OWNER/APPLICANT PROPERTY LOCATION 2505 WASHINGTON $ SCHOOL DIST '2505 S WASHINGTON Lot: BL1&2ptBL7&8exc#1793,E30' Port Angeles, WA 98362 Block: [] Long Legal 360/000-0000 Subdivision: CAMPBELLS (ofw 175.5') T: S: Parcel No: 06301151050000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,200.00 SFD Units: 0 Commercial: 0 Project Type: CLIMBING WALL SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PBP PROJECT NOTES CLIMBING WALL IN GYM RECEIPT g8757 FEES ASSESSMENT Building Permit: $44.85 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $49.35 Plumbing: $0.00 AMOUNT PAID: $49.35 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 I Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if constrection 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 certi~ that I have read and examined this application and know the same to be tree 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 cProenSsUmtruc~ive auth,~ty..~ violate or cancel the provisions of any state or local law regulating construction or the performance of Si6 atueo ContractororAuthodzed~gent Date SignatureofOwner(ifowneri~~ ~ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CO~ER, INSUI~4TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENT~ FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LRIHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR ! SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW ! WATER AIR SEAL CWEIA~I~SG FRAMING JOISTS / GIRDERS SHEAR WALL DRYWALL T-BAR INSULATION WALL ! FLOOR ! CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOODfDUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERaMiT #'s SEPA: PARKING/UIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 ] 74735 ELECTRICAL LIGHT DEPT CONS'I~,UCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 4174750 // / ...~ y/, PLANNING DEPT. BUILDING 4174815 ~/G/6 X r ~/(~ BUILDING C:~,APPL.WPD FOROFFI ALUS ONL~ BUILDING PERMIT- PREAPPLICATION ~ The Building Pe~it - P~appl~cation mu~ beard out compl~y. ~ ~: Ple~e type or p~t ~ ~ ~you have any qu~tion~, ple~e cad 4174815 Applic~t ~qr Agent: ~. ~ ~ ) ~ .~ Phone: ~- Contractor ~ ~ License ~: , ~xp: Phone:. - - - ,~,-TU~ty.__ r ~ /,.~ Zip: ~GAL DES~N~ ~t: , Bl~k: S~i~ion: ~E OF WO~: S;Zg~ALUA~ON: D Resid~tial D New Con~. D R~f s W~tove SF. ~ $ /SF. = $. ~ Mulo-f~ly ~ Addition o Move ~ G~age SF. ~ $ /SF. = $ ~ Co~cid ~ R~el ~ ~olidon ~ D~k SF. ~ $ /SF. = $. : R~a~ : Si~ ~ TOX~ V~UATiON S COMMERC~S~E~L: O~up~cy ~oup: O~upmt ~ad: Cons~c~on T~e:. No. of Stones: / Lot S~e: 7d~ d~ % ~t Coverage: ] ~ Existing ~t Coveragc:~q~ /sq ~. + Propo~ Lot Coverage: O ~sq. ~ = TOT~ LOT CO~GE: q 2, hq7 /sq.~ P~'~'G USE O~Y: ~PROVA~: P~ Pe~its Require: Notes: B~G Max HeiSt: Setback: ~g: DPW. Site PI~ and U~ Approv~ by: Date: F~ ES~ctl~d(s): ~ Yes ~ No SEPA Ch~klist reqmr~? ~ Yes ~ No O~er: O~R PRE~P~CA~ONSUBMirlAD Your~pl;~n~d~p~be~do~co~tobeacceptedforr~. ~eBuildmg Dtv~s;on c~ provide you wi~ more detail~ ~o~auon on ~e application ~d pl~ submittal requ~. BULLDOG PE~ APPLICATION SUBM~AL: Yo~ ~mplel~ application, site pl~ (for additions) ~d building ~ns~ction p~s ~c to ~ submitted to ~e Building Division Any addition la~er than 500 sq. ft. will n~d a P~application Review. VALUA~ON OF CONS~UL-I ION: ~ ~ ~, a valuation ~o~t m~ be ~ter~ by ~e applic~t ~is fi~e ~11 be re~ ~d may ~ reu~ by ~e Building Div. to ~mply ~ c~t f~ ~h~ules Contact ~e Pe~it C~rdinator at 417-a815 for ~sist~. P~ ~CK ~E: Y~ plm ~ f~ is due at ~e t~e ~e building ~t application ~d ~ns~caon pl~s ~e sub~H~. All o~ pc~fl f~s ~e due at ~c time o~it i~u~ EXPIATION OF P~N REVIEW: ~no ~it ~s issued wi~in 180 days of~e date o[ application, ~s appliea6on will exp~e by [~u~ ~e B~l~g O~ci~ ~ e~ ~e ~e for acu~ by ~e applier up to 180 days, on ~tten request by ~e applic~t (~ S~tion 30~(d) of ~e Unifo~ Building C~e, c~ent ~/tion) No applicauon c~ ~ extended more ~ on~ I he~b), cen~ that I h~ ~ad and examined this appltcatiot~ and b~ow the saute to be t~e and co~ect, and I am authorized to apply for tlt~s permtt, ~ understand ~t ts not the Ci~ s legal responstbthG, to dete~ttne~what pe~v~tt~ are requtred; it rentains the applicant~ Applic . : CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-- ~/--O '~__ Time /~'O d_O Received by ~-~ L~ (phone, person) Location of Work to be inspected ~--~'~ ~"-'~ -~'~, L~-~ ~ ~-~ r~'c~'t ~ Name of person requesting inspection ~ ~ % /J~ ti ~ , Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation ~-~m~Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ':~ ~ ~'-' '~ ~' Time By Remarks: RESTORATION REQUIRED ...... YES_ NO ~ ..... Iii[ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--]Gravel []Asphalt I--~PCC []Other [] Repaired by City Work Order # ~-I Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date '~'- ~''- ~'~ Time Received by ~) [~ (phone, person) Location of Work to be inspected ~,_~ ~_ ~-~ ~_~ L/'~ Name of person requesting inspection Address of person requesting inspection Phone No, Type of Inspection (circle appropriate one): Permit No. / ~ ~ ~ ~ Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: ~/~ ~ Inspected: Date ~ ~.~' ~'~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I--]Asphalt []PCC []Other [] Repaired by City Work Order # I--I Repaired by Permittee [] COMPLETE ~--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Ii-ORT ~ $~O~~~ r-&ii ~ -- "t9i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 04-00000586 Date 658600 2505 S WASHINGTON ST 06-30-11-5-1-0500-0000- FRANKLIN SCHOOL RE-ROOF 8/25/05 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 38500 Owner Contractor SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES WA 983623200 SCHMITTS ROOFING 3310 EDGEWOOD DRIVE PORT ANGELES WA 98362 (360) 457-6419 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE EP MEMBRANE OVER EXISTING 30049 556.15 Plan Check Fee 8/25/05 Valuation 2/21/06 .00 38500 Qty Unit Charge Per Extension 414.75 141.40 BASE FEE 14.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 556.15 556.15 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 560.65 560.65 .00 .00 ~ ~f~ ~7'"~ ~~.~ 3- ~ ,/ ~ :< ~ :s .~ ~. - . 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 presumeto give authority tQ violate or cancel the provisions of any state or local law regulating construction or the performance of construc:tion'. ~'--' A.~ 'i ,,/1- itn. n Signature of Contractor or Authorized Agent ." \ o' . ..-' ') (~. ,:/,) .... Co' . Date Signature of Owner (if owner is builder) Date T:IPoliciesllI02_15 building permit inspection record05.wpd [1/4/2005] 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 WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ... " INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ,ItOUGH-IN . Wp,.TER LtNE (METER TO BLDG) QAS LINlt . BM:K H.O>>I 1 WATER ... 1-IR $AL" WALLS " CEILING 'FRAMING JOISTS 1 GIRDERS ~ \-HEAR WALL/HOLD DOWNS . W ~LS 1 ROOF 1 CEILING DR, YW ALL (INTERIOR BRACED PANEL ONLY) "f -BAR INSULATION tLAB , WALL 1 FLOOR 1 CEILING I ,. M~CHANICAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~~Zt,FOI ..J LA_~ T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005J oJ. ~ ... . .... .fO . '" . . 07/06/2004 15:00 FAX 360 452 2675 SCHMITTS ROOFING 4 etIJ .' i/J G;&VG F/j'f' -f(1 -r 71/ ~-'''-''''Y BUILDING PERMIT. PREAPPLICA liON ,/1 ,.... . / TIH Building Permit - P1Yapplicotlon IIIIUt be JllW"'" completely. PIe~ type or print Ia Jail. If you have aDY quatloDl, pleue caD 417..atl~ 141 0011001 ~"';::-' Q w .' '1;' Address:2505 SOUTH WASHINGTON Architect/Engineer: N / A Contractor SCHMITT'S ROOFING City: PORT ANGELES Phone: 6.')7 I f..!J.l q Phone: 457 .0949 WA. ZiP:CJ8362 Phone: . N/A .~. ? Qjt~: Applicant and/or Agent: SCHMITT'S ROO'PTNl: TNr. Owner: PORT ANGELES SCHOOL DIST. INC License #: SCHMIR 111 OJR EXPD 5 la '1 106 Address: ~ 310 TmcFVnOD 1)R. city: PORT <\NCli:l.il!l LolA PROJECl ADDRESS: F'RANKT,TN PT.RM 'RR' Rnnl<' NTJ ~l?r.'T'TnN /~O - t\^fl M~f{lX\..p . .. I LEGAL DESCRIPTION: Lot: Block: Subdivisioo: 2110') ~nllt-n tJ",,,,},iTlgt-;"',... TYPE OFWORK: x SIZErV A..U~.~TJ()N: o Residential c New Ccastr. ::g Reroof 0 Woodstove SF. @ S /SF. = S o Multi-faniily c Additioo IJ Move 0 'OarascSF. @ S /SF. = S o Commercial C Remodel 0 Demolition 0 Deck SF. @ S /SF. = S o Repair 0 Sign 0 TOTAL VALUATION S "8 (.ffi() ,en BRIEF DESCRJP110N OF no: PROn:er: Re-Roof over exis ting . COMMERCLUJRESmENTIAI.: OccupllDC)' Group: Occupant Load: Construction Type: No. 'otStOrles: _ Lot Size: % Lot Coverage; % Bxisting LQt Covenge: Isq. ft. + Proposed Lot Coverage: Isq. ft. = TOTALLO! COVERAGE: Isq.ft PLANNING USE ONLY: INotes:' - ~ APPROVALS: PLAN BLDG DPW FIRE O'l1IER , ! "BSAlWetland(s): 0 Yes 0 No SEPA CheckJist,required? C Yes 0 No .' Other: PREAPPUCA110N SUBMl'ITAL: YDfU"~ tIIIil8itepiJln 1ItIUtNfl1/d0llt~ fq bellCCq1tdfor I'""lew" The Building Division can provide you with more detailed information 011 the application and plan submittal requirements. BUILDING PERMIT APPUCA 110N SUBMl'JTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. V ALUAll0N OF CONSTRUCI1ON: In an cases, a valuation 81110Wlt must be entered by the applicant This figure will be reviewed and may be ~sed by the Building Div. to comply with current fee schedules. Contact the Pennit C~ at 411-4815 for assistance. PLAN CHICK FEE: Y OW" plan cbeck fee is due at the lime the building permit application and construction plans arc Submitted. All other permit fees are due at the time ofpennit issuance. EXPIRA nON OF PLAN UvUW: If no permit is issued widun J 80 days of the dale of appJicatim. this application will expire by limitations. The Buikting 0fJicial can mdcnd the time fir actim by the applicant up to ISO days, on wriUen request by the applicant (see ScctiOll 304(d) of the Uniform BulldinS Code, CWTeIlt edition). No applicatiOn can be.extended more thlD once. I heref1y certifY that I have read and emmined Ihis applicalion and know tM same 10 be lrIIe and cornel, and I am authorized to apply for Ihi8 permit. I rmdenland Ills not the City's legal responsibility to determine what permll4 an required: il nmai1U 1M applicant', nspolUlbility 10 determine whal permits an nquired and to obtain luck /'2 ./L APPlican(~ ~~ 'If' Date: tJl-tJk-(j 1- PW-II02_13Irt1v.2I96J ttl ,., 'd 1 )> "'0 rJ,.,)> rJ'" t" ><: ~ 1 'O)>::S0010 H:O '" '" 1 "':OZZZO ,.,01 '" -.... 1 ~Q~~~~ ><:'" Ul H 1 )> 0 10 >i 1 Zt" )>,.,Ul 0:0 f-' .. 1 ~. rJ- Ul '"01 1 ,., 0 i 1 ttl OZ '0 tJ 1 01, :0 ttl . 0 rJ:OO 1 :0 :0 :0 CD 001'd 1 ,.,-.... :3:10 1 '" ",co 1 OO(IJ({)I'Ijt\J ~~ t"01o 1 ,t>.O\on::.'dl11 O1Ul 1 ~~5~~~ Qo ,.,,.,tl:l 1 01'" O101C 1 eaOH?;; t"- OOH 1 0' t"l~~(J) 01 El 1 Of-' ,.,H Ulf-' 1 OI-'t::lcnZ::E: w * H lJ1 I H )::>I :0 Z CDLn{l)~(J)Cf) f-' O1HCi"J "" >iOrJ:X: -.J UlZ I-'::tlO::r:H CW'd :0 1 HI'1:!OZ 0 ~~~ tI:lOnHOQ '" , LnI-3Zt-il-3 :00 Q 0 H 00# Z >i 0' f-' ,"0'-' W :Oottl :00 1 Of-' ,., O1CDC 0101 0 , -....H Wwz 0 '""'t" CrJO , 0"'0 , t":o O-""H , ,.,H'd ,""'Z , WOO:'; rJ oQ , -....,., 0 ,"0 , rJH'<I ZZ :3: H"'," , 000;1 :3: Z Z , :3:ZO;I WUl 01 )> , :3: "'''' Z t"0)> , 01 0101 ,., CDt" , Z rJrJ Ul ,., ,.,,., w , Ul OH ~ f-' :00 ,., , .. Z 0 H , ~~ ,-<,., Z , ~8 0 .. , "'''' Ul ,., , :x::x: ~ 01~ 01 "'f-' 00 UlO1 Ul ttl-.J , ZZ 0 ,., ;J> .. , 0101 H t" :00 < "'0 t" :>: H 0 01 t" w :0 , '" t" , 0 ><: , .<> , '" , -.J , , '" , .<> , f-' , '" , , , , , , , 0'" , ;J>;J> , ,.,Q , 0101 CD -.... '" '" -.... 0 "'f-' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 05-00000421 Date 966951 2505 S WASHINGTON ST 06-30-11-5-1-0500-0000- FRANKLIN SCHOOL COMM ADDITION 6/02/05 200 Owner Contractor SCHOOL DISTRICT #121 216 E 4TH ST PORT ANGELES WA 983623200 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 1.00 1. 00 1. 00 1. 00 1. 00 1. 00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL ANCHOR EXISTING SHED 50294 47.00 Plan Check Fee 6/02/05 Valuation 11/29/05 .00 200 ~ c.,.,\ ~ () Cti ~ f r -~ (: \(oJ ." \., ~ .........., V' ~'", ~ ...... .. ) 't J Qty Unit Charge Per BASE FEE Extension 47.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 4.50 4.50 .00 Grand Total 51.50 51. 50 .00 Due .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws an ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presu to give au ori 'f} to violate or cancel the provisions of any state or local law regulating construction or the performance of con [ction. / /. 6-2-oS:- Signature of Contractor or Authorized gent Date Signature of Owner (if owner is builder) Date T:\Policiesl 11 02_ J 5 building permit inspection record05. wpd [1/4/2005] tJ:J tJ:J >-3 'Cl ::;~~8t;J1; n'O t< t< >< ~ H:O '" H '0 'O:OZZZt:l >-3 OJ '" "- t<f;] f;J;aliJ ><'0 Ul H ;.. 0 0 0 >-3 Zt< ;">-3Ul 0:0 H H ~. n- Ul '0 OJ >-3 t:l ~ tIl tJ:J OZ '0 'Cl OJ. :0 tJ:J . 0 n:O(l :0 :0 :0 co "'''' OOJ >-3"- "-"- :3:0 w , W NN 'OGO OOUl 'ON ~~ 0 .... t<OJO Ul"'n :OUl "-"- OJUl , , :r: ~~ Qo , '0 00 >-3>-3t1l owo OJUl , Ul Ulln OJOJd 000 ~ t<- , " t:lt:lH 0 , t< t<Ul OJ , e; OH H UlH , OHt:l Z:>: N 16 H .. , H ;.. ;..'-< :0 z: NlnUl UlUl W 'Ot< OJHQ H , >-3 n:r: co t< (JJZ H:O :r:H G(JJ'Cl n , H OZ W ~~~ Oon OQ H ~~>-3 t<>-3 0 H 0# Z >-3 1; , H , ON Ul ::dttlo:;Oottl :otJ I t:lOH >-3 OC:::O'IomC OJ OJ HO (J) H.........(f.).........H gj~8 >-30 {J)t"itv(f)t\Jt"'l H , t:l.. ..t:l , t<:01 0 H"- "-H , >-3H Z ZN NZ I (JJ'O n Qo oQ , "->-3 0 .. 0 0 , nH(l ZZ :3: Ul'Oln Ul'O , OOH :3: -.JH 0 , ~Z~ (JJ(JJ OJ , Z H~ , '0'0 Z 0;"0 I OJ OJ OJ >-3 \Dt"l~~I-'t:l , Z nn (JJ .. 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"-<>-3 Z ~8 0 0 "'''' Ul >-3 0 ::r:::r: c:: OJ~ OJ t:l>-3 00 tJj UlOJ Ul ><H ZZ t:l >-3 J:' :PZ OJ OJ :;:: t< UlG) @ t< ~ H c:: OJ ;0>-3 :u H t< 3: >< OJ H \fl -..I 0 L 0 t:l'" :P:P >-3G:l OJ OJ '" '- tv ". '- 0 Ul-..l BUILDING PERMIT - APPLICATION I I Fill out COMPLETELY and in INK. Your application and site plan MUST ~E .i COMPLETE to be accepted for review. If you have any questions, call G, PERMITS (360) 417-4815 FAX(360)417-4711 Phone: L{ S7- OQ4Q Phone: L{ 5 7 - 8 '5 75 i~~ wt4 Zip: 48 3(/;2 Architect/Engineer: Contractor lJo tAIL Phone: State License #: Exp: Phone: Zip: ZONING: 1>B P Ca~hells (of- W 175. ~) Address: City: ~ PROJECT ADmss: 2-~ 05 S. UJt1S~ I ~ III BL (I Z. f 'BL e fl'f..C. ~ lIq31 r; 3.0 LEGAL DESC TI6N: Lot7 4- Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0& '3D if 510.5 0000 Fy-~ \1\ J:/, ~ Sclw<.O I Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof 0 Stove SF. @ $ /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Otper 'fOTAL VALUATION $ 2-00 <<00 BRIEF DESCRIPTION OF THE PROJECT: T II\. ~ t7\ k f-vu. ~ 176\11 t.{ "lc l-w \1";>1 ~tj pS.lA \A.1 c.va. II -boa~ D.~ S+-ep 10 s-h>~ s. d COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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 CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans aTe submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days ofthe 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 RI05.3.2 of the International BuildinglResidential 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 determine what permits are requir ot the City's (Zd t I must obtain such permits prior to work. 5-/3-05 T:\RVESS\BLDG-forms-brochures\2004-Buildingpermit.wpd - ate: Feet reltlcal Datum ~ NA VD 88 Norizontal Datum = NAD 83/91 Area Map N l.aurid Sen BII/d. Pr~ S~ This map is not intended to be used as a legal description. This map/drawing is produced by the City qf Port Angelesfor its own use and purposes. Any other use of this map/drawing shall not be the responsibility of the Ci(l'. ~ "~ '-'\\ \~ ~ \ '- \~ \ co \ \ \ \ '\ r I 11 r-------~ rj\ -l \) "XJ ~ G\ 1/1 \3' .... I ~rl '~ l ; - - - - - - - - - -- --I I! ; ~ : I \J \ \ IV \!' I, ~ ~ -t I G\ <: \ m -G\ I I ^ \ -----(LI--___- _I I --- i I 11 7\l )> j '-:> I I .::::.~. 1";- I \- \ ."". -:;,.. ( '\ '_ 'I r.....) ~ C,'J r- CAl C I- (7 ...... > ,~ .r;)... ~. ~ It II I; II I! ~ I! ~ .... d 11 ()\~ -rY LA..;U;;'Z .J:. l r- \7 ('. TT)~~ r- iT)~<:jQ; --l fIJ III "-. d \ ~ V\ -......:. 'V ..t.. (\ (\ ~ ~.:z: -Iv I <"'. ',,J , \ , I t ! \ j j i , I I, I.' I i I r \ ~ I , I I I ill ~~.~ \S' 1 II i I I 11 !\ 1\ 11 II i \ L1 ! I -t) 17 IT\ - C7 \1 ,N I\. -.c:. 1 -- <::::::>- ,.... \1") \0 a\ >- ........... ...... +1 "'< I , . ~ '),. "'- ~ \:) \' N ~ .... "' ...... \- \r . ~ , i ! \ Ii I. \ i ! 1. ; ~ W .;: \. I ! '- '- \ I ; ~ C~TY OF T-lOPT ANGELES -- Construction r!:cr.s Th::, 1~',s;'~;rJ[~f' uf f,ois D(;i"lni~_ hJseej upon thpse p!ans, SDflCifi- r,:'T~~'r:~, ,~rc; nth.:;; d~t3~hJH :',.jt Drevent th2 hL~dding ;'Jgjci:d t' :'2QU1f!ih (~0;j~~ct'ion OJ error$ in ~'-:id ::n:J '~\U:L; {j,Jl;:;;, or frDm p~e\'':;nL!rH; on thel~:I,;ndcr ~':::-;en in of thi'.: ji.rbtc~_t':';fL tl J:a E W" " i n II i , , . .... "1"" "'" ) 'c'Gfir;;r~~~"':',JLl 2: c/~ (\ (j\ :=P -r-\'- -111 III m \\ --; '"'- {\J--z. -::: II r~ .. ( I':: c\ o ~- '-- --\ I. ~~ , I I I r i I 1 t \i - - N T'\ -- ~ 1;\ rn \' rn C > -1 ,.-..." ',J [}j V\ C () r- -,... t7 C) C) ~ (' C'\ -\),) r--.. U\ \-i ~\~< \ ~ V\~\ Ct1~-f \\\ \J ~ \ fiJ ~ \ '" \ \ -D ___ . ~.~ J \ t'\U\Til 7":i~ 1.71 ~.' \.,-" N-f l) ~'- G\~ :!l !]\ "" ~ I '\ '"l -1< rn \;f' '! ~ v~ r- )-- e lnH 11l:Z \/' \11 -i ~ ,..... \i~ r- - IT) v\ \TJ __ --; ~ t) v.l (1 \) ~ -<< .v \JJ l~ \i' fi' vA -t <:::) ]V IT~ f/'vG')'l em r\> 1] ~- V\f'--V'(/\~ J: fi1 :I:> 1: f\": h-) -I rr, I II - D \'- fTJ \J - ~ -> ~ '".::--... --. ...c.. ~ AI l,1) ..1 II tV \]V !." (\ -01 _r-.....r-'Z: ,1 C a 1 ');> r~ '0 .-i:.\J<::)>r- I ~ -i --- ~ ?' CJ' V1 z.. i~ -- '\ \j OJ LA \S- ~ I I 10\ ,,- -( \ 0; I \ \ I \ 0 I ---'~ '\. -~ o tv C) ..e, x"", _(V tv II) ...-1 " )< rn '- ~S: ... z ~ \ \ \ 13 \ ~-o~ I - - -' G' \ \ \ \) I ~ ... ~ ,- --, r~~ 6"- \.... ~ ::: I-~ -, r--O. . i - -' 0' 1 ~ .... .. \ '--, -Li r -- 0, \ J II N 'P >- r\ r ?- --- C.') '\ ''- \:) (:; r- OJ r-, c' '/' ....... -..1\ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . REQUEST: Date ~ - 5'. C> Z Time Received by ~) (phone, person) Location of Work to be inspected ,c2 ~C) $'" ((. )~/_~;"I/~/)(?~72'A,./ ,l Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ,,~, ~,' Permit No. / ..~r () -:: 7 , "- Sewer Foundation Framing Chimney Plumbing FI at-. Sewer Excav. Other ,/ /' ) INSPECTION NOTES: Inspected: Date (;. ~: . 6, "2 Remarks: Time By 1'''''''''''' "," I (" / !/ / RESTORATION REQUIRED . . . . .. YES NO :' )i'lA) JA(h"~ '::~J('/7Z y SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee CI No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) cft.""r~ ~tw \II CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT OWNER/APPLICANT SCHOOL DIST 2505 S WASHINGTON Port Angeles, W A 98362 360/000-0000 T: S: ISSUED: 11/07/2001 PERMIT NO: 13077 PROPERTY LOCATION 2505 WASHINGTON S Lot: BL 1&2ptBL7&8exc#1793,E30' Block: ~ Long Legal Subdivision: CAMPBELLS (ofw 175.5') Parcel No: 06301151050000 CONTRACTOR PLUMBING CONNECTION 175 S. Bayview Port Angeles, WA 98362 360/457-1690 PROJECT INFO Project Value: $15,000.00 Project Type: BOILER-LP Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: PBP ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD sa FT: 0 MFD Units: 0 MFD sa FT: 0 Commercial: Industrial: Garage: o o o \'V v'" c;' I o PROJECT NOTES INSTALL (2) LP GAS BOILERS AND ASSOCIATED PIPING RECEIPT # 8229 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $52.90 $0.00 Mise Fee 1: Mise Fee 2: Mise Fee 3: '" C ~ V- ~ -- C ~ " ~) ~ $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $52.90 $52.90 $0.00 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 goveming 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 constru ion. Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEA T PUMP WOODSTOVE 1 PELLET/CHIMNEY 1 INSERT HOOD/DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #"s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING 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. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1&)"-02- 1~/7 BUILDING C:IAPPL.WPD ti ~~~ ohlil ~-- ~~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE O~ Y: DateRec.: /1-7-0 Permit II: Date Approved: Date Issued: (SPf!-13>o77 Applicant and/or Agent: Rv~~~k ~t~ J jL.(2.\ - ~""~LII\. ~.I Phone: 451-d1AR Owner: CSCt. ~ Phone: The Building Permit - Pre-application must be fdled out completely. Please type or print in ink. Hyou bave any questions, please caD 417-4815 Address: 2~S ~ -< WQ..~k."A$.,b ~. City: 'A._"'- ~Jl~..... ~ Zip: 'dS~2. ArchitectJEngineer: ~~L..t ~oc.. .lw.... Phone: 4.l"7-bSt)\ . ' PLu""'6C-~ I e>i ~'- ContractorJ'\.vW\."-4 ~~I.+-1_ License#: Exp: '/f"'j"l.. Phone:~1-I<<A.o Address:_l-zs-c;. ~~LJI~~ City:t:>~ ~.n.~, wA Zip:'t.b~t42.. PROJECI' ADDRESS: 2.J;::;J-..,~ S. . WilU..lA I":'; +w.... <zj\.. ZONING: P.6P LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ~~l.l). If-~'~redit Card Holder Name: Billing Address: City: Credit Card II: Exp. Date: VISAJIi MC TYPE OF WORK: SIZElVALUATION: i S-6OD - o Residential 0 New Constr. 0 Re-roof 0 Woodstove SF. @ $ ISF. $ . 2 ~ ::::;-c) o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ ISF. = $ } t 170 o Commercial ~Remodel 0 Demolition 0 Deck SF. @ $ ISF. = $ I If . 7P o Repair 0 Sign 0 TOTAL VALUATION $ BRIEF DESCRIPTION OF mE PROJEer: '" COMMERClAURESIDENTIAL: Occupancy Group: e::. Occupant L08d: No. of Stories: Lot Size: % Lot Coverage: Existing Lot Coverage:: " Isq. ft. + Proposed Lot Coverage: .. '. Construction Type: % /sq. ft;:".'; tOTAL LOT COVERAGE: Isq.ft PLANNING USE ONLY: Notes: APPROVALS: PLAN BLDG. DPW FIRE ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes [J No Other: OTHER BUILDING APPUCATION SUBMITTAL: Yo"r IIJIpUcIltio"""d site pltm must beflJled 0111 completeJ:Y to be acceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPUCATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. V ALUA nON OF CONSTRUcnON: In all cases, a valuation aniount must be entered by the applicant This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are'submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Unifonn Building Code, current edition). 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. and I am authorized to apply for this permit. J understand it is not the City's legal responsibility to determine what permits are required; it remains the app/icant's responsibility to determine what permits are required and to obtain such. PW-II02_I3[rev5JOI} Applicant: Date: ill "/01 0 > '" rg] . 0 . . . . I rg] I (J ~ GJ ~ i= <( ::::!E w ::r: r;gJ (J Vl '\ 0 ~i z Ili~ IE a.. >' a.. "0 fil ::::!E r;gJ !.. 0 ... 0 I I .... ::; C::: ~ ~ 0 ~ C::: w (.....1) ItA:> ! -.J ~ 0 CD ~ i5~ ~ ~~ /!:. ~~ ,L u~ ~~ Oct lZ> " II rr~l' r---=:I \ __ __-:::::l ....-' .....-----r--- ---......-r "..--..- u . 'L- . ! - !I I 'I I II 3u 't~ i~ ...!i! u~ -.... ~~ ~~ :z:~ 0>- ~~ 't~ i~ ...!I! I ~ I ~ rg] ~ o rg] I ~ I ~ u ~ ~>- ~! . . . . . . . . . . · !l!;? . F'~ . 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I, ,. l.--.. ;: ._~~.~ I, (__----:,w. !I i1 Ii Ii II' I " I i Ii II Ii Ij r----- rgJ u~ ~~ ~2 :I:~ 0= l:l! ~" ...z ,I" ~~ ...!I! I I .. "0 i 0 C! ~ ~ i - .!. i I t 5 lS " j .:::. <: ! 8 ~ ~ .... ,. ~ Q: e: t w Q ~ Q) ~ I (:) ::I .., w 0 ~ z z i~ ... z u :i Q. ~ <r:: <( ~5 ~bl ~Vl .. If ....J Cl:: llC 0 0 il ~ 0.. .. <: " 't cr:: N . ~ Is -. ~;- ". ~ ~:! 'S ... .. u ~c'!'8 It: ~::; >0--1 ,,""- I";:~ i Vl~"" !:l~. is :sl r~:-i VlCO g>-CIl "'r i ~8c ~~ ~ i ~~ if) Vl~vi u.J w w o<lE- 3 ..J i: ...J U ~ ~ I t5at5 z z - ~ <: ~ CVlC bif)i .......... .. ~c;;~ ~ ~~ ,; ~ l- Q..NQ, N z " ~ ~ ~ rgJ o rgJ ~ ~ " ...., \~:~2s~. > <' 0 [ZJ ~ 0 ~ Lg] '\ ~; /liS it >' Ii il " Lg] ~~ ~ ~ ~ d 0 l!J Z :s: l- V) <( UJ .....J o o :r:: u V) Z .....J ~ Z <( cr. u.. ~.) :: ~~,~ ~c",~ ~6 .'~b;_ '~~, % ~ %--~~~ II ~ '...... ~ '0. ~ or- ---- or- ! I I I II I ,! Ii II Ii il ~.s ~ ....-Ix ~~~ "I"~ ~~ . ~g;g w(,).::. : ~~~I Q. , O..Jllt ~;;;> , 2;ai:! o~~ 'l' L.J~S ~ ~~~ BE ,.- !:; ~I"" ZVl lit. o~~:clt: . , (II ~~a g~ >: , I uO::l ,'" "i. 1'1 L bc;' =VI rrdU~~ W~ ~ ' ~ Fr Co ~ It: It: ~ l5 '" kg] \_---.'-'-'-j~ -, !i 'i /1 ! I u I ~ I :~.. I I :1:- I o~ ,~ I ~~ I ~ I 8: !I! r--~ !~ - '11 I ! ~llf T '1\r I 9: l!? J I ~- I :I:! I "I,? I ~t: I VI~ I Slw ~ il" I I' I ~OOc ~o :~~ :9~ 90 ADN anl -4A/~ ('~~ eLf IV ~. r . ~c~ . !1 . Site Address: c;GS'""& s /.., Installed By: ownrrfBuSi neBS: Owner/Business Address: o Residential . Heat KW d Baseboard 0 Furnace/Boiler d Heatpump 0 Other 9' Commercial/Industrial load . Total Connected load , (attach breakdown) Total Motor load I; (attach breakdown) DetailslDescription: II , tUM..f I; . ----l! * ., -11 CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ~.;2..s $" 8-.:z0 -~/ ELECTRICAL PERMIT DATE o READY FOR IV INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: ~.W~,. c4. Ki~ Phone: Sq. Ft. 'lsl-New Construction (0 -Remodel o Service update/alter/repair o Overhead o UndergrOu~,4 _/FJ Voltage ! (! 'Z~ - '1610 03.0 (Service size ~ Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) .c-f)MA.. .e , ( ~, Ii W,Sf No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. I o Rough-in/cover O.K. H O.K. to connect service o ~inal O.K. , Sit~ Address: Insfaller: II! Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instailation o Fire Department notified of Inspection o Plan Review approved/pending New Meters Date: ~ - :JI? - Notify the Dep m t 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 457.0"JJ; EXT.15~ EXT. 224. II "'-/~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0t;-~- , Inspector f"~paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM~IC PRINTERS. INC. . Inst lied By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ;;2/0'/ DATE "3 ~9/J'f Site ,Address: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Owner/Business: ! Owner/Business Address: Phone: Sq. Ft. d Residential Heat KW q Baseboard 0 Furnace/Boiler C Heatpump 0 Other q Commercial/Industrial load I' Total Connected load (attach breakdown) Total Motor load Ii (attach breakdown) , Detai Is/Description: Ii. I J I' I.A..I / {(f o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary o Add/alter circuits o Auxiiiary power (list below) o Special equipment (list below) Amps K E.C~M hk KuJ () ~;J 1/ frC-- . r W.S~ No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Flough-in/cover O.K. . , . 0 O.K. to connect service ~O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Permit/Receipt No. d/O . New Meters o Notify t D partment of City ht by Street Address and Permit Number when ready for inspection. Work must not be covered or electrica Iy energized before inspection and O.K. for covering or service has been given by t~e Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. I ..-r- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I' / /' ,?CI J~,,^ LIP - " Inspector Amount paid II WHI)'E - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OlYM"IC PRINTERS, INC. I /~Z,I FEE R~CEIPT NUMBER -il Ii CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A J z >1- PERMIT NUMBER . 11' -.. !j/11~ . 1o~ TOTAL-FEE [I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY , .1 Site Address Ot.ner I!: Owner'stFddress Day Phone - . J APPliC~;r;;;p'de;~Z";toR~~:Elec~:::ql;;en:sL:o::s~ 7l/W t=JM ~(AA ~ -Z-u-kHoM i'rh/.L / );,?ILr A.vd r'J'J.. .;:h{).v~ /(01 e)c/Jf,~;'~v7d,"1s. Wiring~ethod._ I' USEloF CIRCUIT NUMBER CIRCUITS ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 5'G~G. 2Si)S t/tA,df:- () Ai . r - . Installation By Installers Address' :5 \JJ~ 1fJ(c/M/IL Installers Phone AMP PER CIR 120V 10 240V 100R 30 FEE USE' OF CIRCUIT NUMBER CIRCUITS AMP PER CIR 120V 10 240V 100R 30 FEE ., LIGHT LIGHT GONV NIENCE - CONV NlENCE , APPL1~NCE DISH'<I ASHER - DISPO AL RANG OVEN WATE HEATER LAUN RY c. /l ,lief; ~(~- '-'I()'~ SIGN 50 VOLTS OR LESS MOTOR MOTOR MOTOR . FIRE ALARMS I BURGLAR ALARM . MISC. DRYE ~ FURN CE GAS-, )IL FURN ,CE ELEC ;lIC ELEC :1IC HEAT ElEC ;1IC HEAT A.C. U ~IT FEED8R SEA~E . REINSTALLATION LIGHT FIXTURE. # ' SUB TOTA~.FEE ENERGY FEE BASIC FEE , TOTAL FEE . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. . II, - -. I SUB-TOTAL size OF GROUND SIZE OF ENTRANCE SWITCH Icertif* that the work to be performed. under this permit wili be done by the installe~ and in conform-ance with the N.E.C. Electrical Code. Dat~ AJplication made ,19 By .,..~ . 'j. . CONTRACTOR OR OWNER (OF! AUTHORIZED AGENT) Permission is ~ereby given to dO: the abov~ descriped yv'qrk, accor.ding to t1"1e conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City, of Port Angele . . . -J. . -1./ '2 zlJ7 . ,'_ . 'dDI~O CITY LIGHT .' . Date P~rmit Issued (( . I I , W~RNING II I I .. . Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.\(. for covering qr service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext: 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OL YMPI~ PRINTERS, INC. REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , , .~'> . .:~ ,"'. , , ..':(. .- - .. ..... . . , . . . " .. I . -. .. . . , O.K. FOR COVERING .RI d.~ Hl 1'"t O.K. TO CONNECT SERVICE ~ I..... 111 'fir FINAL O.K. ' , . . z CI II: <t ~ !a :I: I- Z W I- ~. l- e z e c .. EE R CEIPT NUMBER . CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 7 ";RtT NUMBER . .. .. /!t;rt#1 JAL FEE /b~ - i CONT. LlC. NO. TIME TO COMPLETE NO. STORIES LEGALOCCUPANCY , ELECTRICAL PERMIT ONLY NO OCCU7NCY OR USE ESTABLISHED UNDER THIS PERMIT '5'0'!: y. N~A II'-';".J. . '. . CORRECT ADDRESS IS RESPONSIBILITY OF A LlCANT PERMITS WITH W~ONG ADDRESSES ARE C~CELLED Cl!N Cf: l.- Installation By O[<!;nt!Lc f( Owner's ddress Installers Address Day Phoe - Installers Phone APPlication is hereby made for pe(i~:install Electrical Equipment as follows: ~ .f('il A<L ~L-h'1 IN hiM j!.flS (I r-' {~ufr + ~ c1YCt c. Owner (6 ((5.f ( A--c[ (fJ Wir~ng Method USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA .120V '0 240V 100R 30 FEE - USE OF CIRCUIT NUMBER CIRCUITS AMP PEA CIA 120V. '0 240V 100R 30 FEE LIGHT ( LIGHT . SIGN 50 VOLTS OR LESS MOTOR '... , CONvENIENCE CONV~NtENCE APPlI4NCE DISH~ ASHEA DISPO~AL AANG~ OVEN MOTOR . MOTOR FIRE ALARMS BURGLAR ALARM MISC. . WATE~ HEATER LAUNqRY DAYE~ FURNACE GAS - blL FURNACE ELEC RIC ELEC RIC HEAT REINSTALLATION LIGHT FIXTURE # SUB ~OT AL FEE ENERGY FEE BASIC FEE TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER . ELEC lAIC HEAT A.C. U~IT FEEDElA , SEAVI,fE I I AMP SIZE OF SERVICE ENTRANCE CONDUCTORS PHASE AW.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH r. I . . . .... I certif~ that the work to be performed lnder this permit will be done by the installer and in conformance with the N.E.C. Electrical Code, Date ~~Plication made D / I "I r (p ,19 By )( 'Jit~ . , I I I - . , . CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described. work, according to the conditions h~reon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances t City 9f Port Angeles. 'I 01 TO F CI Dat~ ptrmit Issued B //7/ f ~ , I I WARNING I I I OL YMPI(; PRINTERS, INC. " <: Notify Department of City Light by Street Address and Permit Number when ready for insp ction. Work m.ust not' be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER- WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS , . . O,M: I=nD"'''''''''''''''G . cr.k. 19 SOWJ.,.d"Ct:.RVICE ~I '\,~~ ~(\: ,.,aL O.K. I, \ .. Z <:J a: < ::!: !!! :J: I- :!!: '" w ~. I- o Z o C . 52-I EE R GEIPT NUMBER CITY OF PORT ANGELES . DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 1 ~E1NuMBEA . TOrAl FEE 32~ ~!tM , . CONT. Lie. NO. TIMETOCOMPLETE NO. STORIES LEGAL OCCUPANCY Site Add,ess ~C;:o ~ ELECTRICAL PERMIT ONLY NO OCCUPAN W~ s:. Y OR USE ESTABLISHED UNO"ER THIS PERMIT ,.J CORRECT ADDRESS IS RESPONSIBILITY OF APPLI NT Owner Owner's Address f/(A-vICC{u- Sc~/- ( Day PhO?e . .. . ' . - . Installers Phone . Application is hereby made for Permit to install Electrical Eql!ipment as follo'!"s: i1A (' 5 Y f'Tf;VI I tJ Ftc ~ Ie (pJ ;; c /1'> (J L Lt.'t l" 1111 a",,-h...o l ( Mou L C( fl, ~"" f-AI"f (, PERMIT~ WITH WRONG A(j'E)SE~ ~'3t o/1j9~LED 7'( 7lfl Installation By C c;f'YtI/Ie- [L. Ie. Installers Address rffM<>-k. {; t/i a.1-~- <{ Wiring Method . NUMBER AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 120V l00R FEE USE OF CIRCUIT PER l00R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 L1GHTi h 1-1 ":../: () . - SIGN 1/ /\7. , LIGHT ;{i ( (>),/Io-~t '1o,e 50 VOLTS / 1-0 - OR LESS CONVENIENCE ~ OA-A tJ f L ....i,A MOTOR .. M'-"--1) - CONV~NIENCE ? 0'/-- ~l C A-- - MOTOR ' ,- APPLIANCE 1 Cl fL 'tf_n d LIJ- MOTOR - 'J ~ 7" DISH.WASHER FIBE ALARMS ./ --- . DISPO~AL BURGLAR ALARM .-S v-::::. - .J RANGe: tKA. 4 77 MISC. 1/<rT OVEN I {'1ft WATER HEATER f . LAUNDAY /, ,d~ G /'" 1/ DRYE~ A .J \} ;/ Cr^ REINSTALLATION LIGHT FIXTURE # FURNACE I. A Y f/ , //11 SUB TOTAL FEE . GAS. OIL FURN~CE ~I '~/ f),/V ENERGY FEE ELECTRIC BASIC FEE ELEC~RIC HEAT ./ /' /. o V ll(" TOTAL FEE .. ELEdRIC HEAT Y Y/ t- . I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT , 'I AMP PHASE FEED~R SIZE OF SERVICE ENTRANCE CONDUCTORS , . . SERVICE A.W.G. I SUB-TOTAL . SIZE OF GROUND SIZE OF ENTRANCE SWITCH . I certify that the work to be performed under this permit will be done by the Installer and in co~formance with the N.E.C. Electrical Code Oate Application made 8/1'1/ f /. ,19 By ~ 1D W .. I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) P~rmission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinance~ of the CIty of Port Angeles. \ a '/ '0/ By' ~', D?TJbo~1 L1::, .' Date Permit Issued v~{J ./, h - _ II ' PLANS f'p ED .' , . .' .: ' otify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covereq or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457.0411 Ext. 158. , W1RNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD . Inspector's Report nl YMPlf-: PI'lINTFR~ INr: REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . , . , " O.K. FOR COVERING , .1 ~ / O.K. TO CONNECT SERVICE q 1.:U ~ ~ I'^.,6, """"O.K. , " . z Cl II: c( :=; ~ :I: I- Z W I- [e I- o Z o C . CH"Y 01F.Poilu"ANGXLES PERNWrAPPLIVATION BUIldi[Ig DiViSIOWEICCU'l[CHI JUSINCHOUS 321 East Filltti Street I',(), Box 11511 / Port Angeles Was[tingtott,9836.2 111u: (360) x#1747,351 .F (360) 4174711 Date: 7. 1,2015 . � Mufti- Family or Commercial" Page 1 of 2 RECEIVED JUL 2015 ELECTRICAL 'Plan Review May Be Rquired, Please Complete Electrical Plan Review Information Sheet SuAd-�,q Square Footage: De.,Cqptol of 4frva --ODD _...-_. .- _.....__....__-w._.._....._.- Owner Information Narw_Pq.q,AnUqtqA School Districl, - ranklin Ctty: F q�j_Ap State: Zip: Contractor Information Name: MalvQ Address: _M Easi Front St UY: 7�p: Pkione: ___ - _ _UH�_ -27Z7 Fax: UceTme R !ExD.,____HJ1E_U R5 Item Unit - .q "Eir L 2Y ToaLQ!y —MuLtiolled by Unit Charok) So MoelFeadsaf 200 Amp. $132.00 $ .. . . .................. SefvimfFeedef 231.400 Amp. $160.00 5 Sarvi fFvadar 401-600 Amp $225.00 Servib-.117asclor 61.31-1000 .Amp, $286.00 SeMWFaedw over 1000 Amp.. $410.00 brand Qrouil WlSarvios Fasdor $ 5.00 Brancii Circuit WID.SeMoa Feadet S 74.00. Each Additiotial Rmwfi Circuil. $ 5,00 Bravch Qxu Its 1-4 $ 86.00 Temp, Sevical Feader.203 Amp. $102.00 TajT. Siervk*1178Waf 201-4-00 Amp, $121,00 Tom p. Servicaffi8ede r 401-600 Amp. $%4.00 Temp. Amp . $ 1854O Portal 13 portal Fbtff y $ 96.00 4rYGjj&8 Lighting $ 88.00 -- S Lhq IeJ Ermigy - NlijJti-Farn6/ $ 6440 S S+ nal:GfrcuW UnOed Ensfgyl Ral 1500sl-CammetcAl $ 9640 JS, 00 We: $&00 [of eadl addi bovj 1.500 sr FLan�klaW E&Lkal Energy- 5KVA Systam of Lm $113.00 S_ The nnoslal $ 56.00 NoW: $540 ror oadi add itbnal T-Stal 6- H-00 Total Owner as defined try RM19.26.2681 ; (1) Owner will occupy the structure for tveD years after this electrical pertrilliaftnalLed.(2)0,o/norisreqLired to Kira an alettrical ntractor if zbmesaid prop9dyj8 for sale, rent or lease. Permit expires after six moaffia of last IRspection, hereby oerlifij that I am the over of the above named property or a liceris t etc�trkal q=trarctof; I am making ft electrical inslallafiora or alteration in compliance %vilth the ebrtricallaws, N.E,C., RGW, Chapter 19.28, WAC, Ch apte r 296-4613, Tice City of Port AnoiK5 Munidipalr_odb, and Wilily SpecificaWns and PAMC K05.050 regarding Elettfical Rumil Applications. Signature of owner, electrical contractor or electrical administrator 177l Cash 0 Clwck tnQUatd9_.. _nrifile... y Mike Shirley D&W, 7-1-2015 4tP UM2 https://www.pdfescape.com/openJRadPdf.axd?rt= c&dl-,--048127A8Z2xKTP-4K9wPLrHj68UBe... 7/1/2015 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . 15- 00000773 Date 7/02/15 Application pin number . . . 556034 Property Address . . . . . . 2505 S WASHINGTON ST ASSESSOR PARCEL NUMEER; 06-30-17.-5-2- 0000 -0000- Application type description R1,ECTRICAL ONLY Subdivision Name Property Use , , , , , . , Property zQning . . . . . . . A- lication valuation . , . . - - 0 Application Application desc Fire alram .replace Owner Contractor SCHOOL DISTRICT 4121 HI TECH SECURITY INC 216 E 4TH ST 723 E FRONT ST PORT ANGELES WA 983623200 PORT ANGELES WA 98362 (360) 452 -2727 Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . 96.00 Plan Check Fee 00 Issue Date 7/02/15 Valuation . . . , 0 Expiration Date 12/29/15 Qty Unit Charge Per 1.00 96.0000 ECH E Fee summary Charged Permit. Fee Total. 96.Q0 Plan Check Total .00 Grand Total 96,00 Extension L- LIMITED 1ST 1500 SQ FT 96,00 Paid Credited Due 9 6., 0 0 .00.. O. D. .. .00 00 Op 96.00 .00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DITCH DATE: RESULTS: INSPECTOR: SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPaE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G ;\FXCHANGE\BUILDFNG - - - A" i �l