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HomeMy WebLinkAbout200 N Laurel St - Building Electrical Permit 200 N Laurel St 12 -480 ELECTRICAL PERMIT N CITY OF PORT ANGELES c 4 I 0' 360-417-4735 Application Number . . . . . 12-00000480 Date 4/26/12 Application pin number . . . 823360 Property Address . . . . . . 200 N LAUREL ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: R6-30-00-0-0-0000-0000- on your excise tax form Application type description ELECTRICAL ONLY t Subdivision Name . . . . . . o the City of Port Angeles Property use (Location Code 0502) Property Zoning . . . . . . UNKNOWN Application valuation . . . . 0 --------------------------------------------------------------------------- Application desc WDMS Wireless service 6 Z ---------------------------------------------------------------------------- Owner Contractor CITY OF PORT ANGELES OLYMPIC ELECTRIC CO INC -PO BOX 1150 4230 TUMWATER PORT ANGELES WA 983620217 PORT ANGELES WA 98363 (� \ (360) 457-5303 ----------------------------------- Permit . . . . . . ELECTRICAL NEW COMMERICAL ^I Additional desc v Permit Fee . . . . 132.00 Plan Check Fee .00 Issue Date . . . . 4/26/12 Valuation . . . . 0 Expiration Date 10/23/12 Qty Unit Charge Per Extension 1.00 132.0000 ECH EL-COM 0-200 SRV FEEDER 132.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 132.00 132.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 132.00 132.00 .00 .00 l INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN ZG� `Z_ FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING A._, � . Iv CITY OF PORT ANGELES PERMIT APPLICATION C Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 Ph: (360)417-4735 Fax: (360)417-4711 Date: 02122 12012 a Multi-Family or Commercial* *Plan Review May Be Required, Please Complete Electrical Plan Review Information�ShgetIng .Job Address: LAUREL ST.8,RAILROAD AVE SOOK f5'T Jim Building Square Footage: Description of above WIRELESS ACCESS POINT-062 Owner Information Contractor Information Name: CITY OF PORT ANGELES Name: OLYMPIC ELECTRIC Mailing Address: 321 EAST 5TH STREET Mailing Address: 4230 TUMWATER City. PORTANGELES State: WA Zip: 98363 City. PORTANGELES State: wA Zip: 98363 Phone:457-0411 Fax: Phone:360-457-5303 Fax: 360-452-3498 License#/Exp. License#I Exp.OLYMPEC285DI Item Unit Charge Qtv Total(Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 1 $132.00 Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 74.00 $ Each Additional Branch Circuit '$ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/Feeder 401-600 Amp. $164.00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/Limited Energy—Multi-Family $ 64.00 $ Signal Circuit/Limited Energy/First 1500 sf—Commercial $ 96.00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $ 132.00 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 if 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 I 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: ❑ Cash ❑ Check 11 Credit Card#1,ce—x "51-7l8 s9"510.aoi�ct cLosn.m k oma 13010+ x MICHAEL L RUTTEN Dated: 02/22!2012 0110112012 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000856 Date 8/16/10 Application pin number 134048 Property Address 200 N LAUREL ST REPORT SALES TAX ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 our state excise tax form Tenant nbr name PA DOWNTOWN ASSOC onY Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc RUP #10 22 Owner Contractor BJP 47 �-zZ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc RUP # 10 22 HERITAGE CAR SHOW Permit pin number 171389 Permit Fee 00 Plan Check Fee 00 Issue Date 8/16/10 Valuation 0 Expiration Date 2/12/11 Q Qty Unit Charge Per Extension 1 00 0000 ECH RIGHT OF WAY PERMIT 00 Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 (�- Plan Check Total 00 00 00 00 il7a Grand Total 00 00 00 00 CS v\ 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 T\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECT[ONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO i PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W 1PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 41 -4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102 15[10/08] OF pONi,N,OF CITY OF PORT ANGELES " PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000770 Date 7/22/10 Application pin number 445120 Property Address N LAUREL ST REPORT SALES TAX ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name DOWNTOWN ASSOC on your state excise tax form Application type description PUBLIC WORKS UTILITES to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Sidewalk sales RUP#10 21 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc RUP #10 21 Permit pin number 170001 Permit Fee 00 Plan Check Fee 00 Issue Date 7/22/10 valuation 0 Expiration Date 1/18/11 Special Notes and Comments Maintain minimum 4 feet clear space for pedestrian travel 7 Fee summary Charged Paid Credited Due !� Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 p Grand Total 00 00 00 00 (C Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as-commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. JA 2 'gnature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102 15[10/08] CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000757 Date 7/30/09 Application pin number 030683 Property Address 200 N LAUREL ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name HERITAGE TOURS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Heritage Days RUP#09 33 Owner Contractor CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 Permit RIGHT OF WAY Additional desc RUP #09 33 Permit pin number 150912 Permit Fee 00 Plan Check Fee 00 Issue Date 7/30/09 Valuation 0 Expiration Date 1/26/10 C a Special Notes and Comments Follow attached permit conditions and traffic control plan Fee summary Charged Paid Credited Due l Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 c--� Grand Total 00 00 00 00 \ V t 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 applicatibn acid 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 o t. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local la. regulating onstruction or the performance of construction. Signature of Contractor or Authorized Agent Date ature of 0 r(if ow r is builder) Date T-\Policies\110215[10/081 PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYlUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W !PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T�Policies11102 15[10/08] a? y rvp 77 cy Qj- C-0 Fv(g 5;44( vc Lrj �V /1 -7 ryl 9-J, IYLIVWI� jI 0-7 YZ4 b d6 IIA06 "OkaAl A 14)�D-� ACORD CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 07/21/2009 PRODUCER (360)452-2388 FAX (360)452-1448 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Gel l or Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 214 East 1st ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Por5 Port AngelesWA 98362 NSURERS AFFORDING COVERAGE NAIC# INSURED Don PerryNSURERA Western World Ins Co DBA Heritage Tours JUL 2 3 2009 NSURERB: P O BOX 3116 INSURER C: Port Angeles WA 98362 City of Port' Angeles INSURER D Public Works and Utilities Dept INSURER E. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR DATE MM/DD/YYYY DATE MM/DD/YYYY I LIMITS GENERAL LIABILITY NPP1154627 06/16/2009 06/16/2010 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Ea oNcurrrence $ 50,000 CLAIMS MADE 1K OCCUR MED EXP(Any one person) $ 5,000 A PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS COMP/OP AGG $ 2,000,000 X POLICY PRO LOC JECT AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY EA ACCIDENT $NY AUTO A OTHER THAN EA ACC $ AUTO ONLY- AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMSMADE AGGREGATE $ DEDUCTIBLE $ .RETENTION $ $ WORKERS COMPENSATION TATU AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE[--I OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT i SPECIAL PROVISIONS Cert ificate Holder is included as Additional Insured as respects General Liability Coverage as heir interests may appear Event Heritage Days August 8-9 2009 -. q CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,iTS AGENTS OR City of Port Angeles REPRESENTATIVES. P O BOX 1150 AUTHORIZED REPRESENT VE Port Angeles WA 98362 Ineta Forbush "r , ACORD 25(2009/01) ©1988-2009 ACORD COR ORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD asub::xn-.,•mrc..•ua,>n..•�yw.r...e>..a...�•..u��.:.a�a.�..., - OF•pORTA 41 - ., RIGHT OF WAY USE PERMIT APPLICATION �R1q ANO ��6kJ NAME OF APPLICANT ��/`r�� /©1/25 D TEn elegy/ �C// MAILING ADDRESS t;Ayo1 isDi83�Z PHONE NUMBER 00 STREET ADDRESS OF PROPOSED STREET USE DESCRIPTION OF REQUEST (include drawings required for clarity)- [If street closure is requested please state the/name of the street and limits of closure together with the duration of closure] Ery-j i /U 1' S/ C IS THE USE TEMPORARY OR PERMANENT? HOW LONG WILL THE OBSTRUCTION BE IN PLACE? .x,44542 I'tcs 4R .a�, WHAT ARE THE HOURS OF OPERATION? �9- 7 SATy,27� HOW IT WILL BE LIGHTED?� EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the v undersigned for himself and for his successors in interest,hereby-agrees-to Indemnify hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal Ojuir-y­or property d- a arising out of or in any way connected with,the placement of the use or obstruction on the City street,sidewalk, planting rip or right f way DATED this-d y of y ,20 C3 9 r-- biv , apTAgr '� pplicant Seal EXP•w2two NOTARY PUBLIC for Washington N� residing at � My commission expires Q� ` �� his permit,if approved,may be terminated by the City of Port Angeles without cause and at any time) (OFFICE USE ONLY) Date application received '11%L. 109 Fee paid $ PlL Receipt# Date Certificate of Insurance per PAMC 11 12 140(B) receivedo_71Za Agreement to Remove Encroachment signed and on it N/A and recorded on N/A Application revie and recommendation by City Engineer 'Date -71;-81o9 is to appro a cJ.,with the followinj conditions er-a e :ti C Applicatio approved r d by the Director of Public WorkDate -3Z, 0 :�C(Approved copies to: Applicant O Fire O Police O Street O Other O Address rile O RUP# 0-33 N:\Urban Services Standards\Ch1\2009 ROW Use Perrnit.doc, last updated March 12,2009 ROW Use Permit 09-33 Conditions for Heritage Days 1. Temporary Traffic Control—City to provide necessary signs and barricades. Signs and barricades to be picked up set up, and returned by applicant. Placement of signs and barricades shall be per attached traffic control plan. 2. Adjacent Sidewalks—Sidewalks to remain open to pedestrian travel .A N\PWKS\ENGINEER\ROW Use Permits\2009 ROW Permits\09-33\ROW Conditions for Heritage Days.doc IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED subject to the terms and conditions of the policy certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s) authorized representative or producer and the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon. r , ACORD 25(2009/01) ,I HERITAGE DAYS f CAR SHOW Location:THAT SECTION OF LAUREL STREET BETWEEN FRONTAND FIRST STREETS NORMAL TRAFFIC PATTERNS WILL BE MAINTAINED,EXCEPTAS NOTED BELOW PER TEMPORARY TRAFFIC CONTROL PLAN. NOTE. Appliances are to be picked up at The C1tk:Corp2Yard LD.I703 S.'B'street and returned td same`ti�t6e;speciSl e5ent.staff- — FRONT ST 07Yd a2 g I g STREET Tu ° C' OSED Z NO PARKING BARRICADES WILL.SE g 6L'ACE0 BY CITY TAFF W.Friday PM 'r y ,Pr rto,Hic• at - SUNSAM-B-PM P PM STREET Ov 1 i CL69ED it � Alley 411111111111Alley �It it T O NO > K U i OTY 1 S z STREET I T x CLOSED N I 0 OTY 1 N STREET — FIRST STREET S OTY 3 T NWELLS07I2-V20t79 PLASTIC NOTES/COMMENTS; QTY 5 o� OTY 1 PARKING FRONT FIRST ST OTY 7 ���. .?Cdr;:.a°3`fi::�., .:.'•,`�..'.S'�.`�.>`;>$2"i't."'r;L i6rYv two=;�.�1; �=".3".?zn.'a::s�r.3f'k'�:'s'�,�4.' L'. x City of Port Angeles ; v Public Works J Street Division ,YM " 1703 South 'B' Street ' Phone: 360-417-4825 or 360-417-4822 ,�.. �-:=� .��:�.,A�.. . x"4��-�2:. :.-�.� , �w •;gin. -:��_ •..�:•.. ,�_ :��-�� TRAFFIC APPLIANCE LEND J LEASE INVENTORY RELEASE FORM ITEM SIZE QTY ■ Horse Barricades (wood) N/A ■ Horse Barricades (plastic) N/A ■ Type II Barricades (plastic) N/A ■ 'No Parking' A-Frame Signs N/A ■ Traffic Cones 28" ■ Traffic Signs (Fabric Roll-up) Message#1 ---------- Message#2---------- Message#3---------- Message#4---------- Message#5---------- Other(s) ---------- --------- Other(s) -_-----_-_ h5Z5AS5L7 eo L7610 01Rall-ase �7cn &k-3F on- 1�1i�rnher �17rrn �ifr memos: -5, f ._. .... KySx*aatiY;"acvca,.e-:t++&3:siv`.n';T,MS'sSK.•.:•Fc'asca,rcscacsw- - ^'� PERMIT No L7t��e �o,heRe�tfrr�ocl Date Returned Recd By FORM#71504 , tt 0" pOR""0 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000465 Date 5/19/09 Application pin number 802960 Property Address 200 N LAUREL ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name JACKSON S SIGNS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Waterfront interpretive signs RUP#09 19 Owner Contractor CITY OF PORT ANGELES JACKSON S SIGNS & GRAPHICS PO BOX 1150 472 MT PLEASANT RD PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 457 3703 Permit RIGHT OF WAY Additional desc WATERFRONT INTERPRETIVE SIGNS Permit pin number 146407 Permit Fee 00 Plan Check Fee 00 Issue Date 5/19/09 Valuation 0 Expiration Date 11/15/09 Special Notes and Comments Follow attached conditions of ROW Use permit 09 19 Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of const ru Signature Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102 15[10/081 aF CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000463 Date 5/19/09 Application pin number 778890 Property Address 200 N LAUREL ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name JACKSON S SIGNS Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Interpretive sign Railroad Ave&Laurel St RUP#09 20 Owner Contractor CITY OF PORT ANGELES JACKSON S SIGNS & GRAPHICS PO BOX 1150 472 MT PLEASANT RD PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 457 3703 Permit CONCRETE CURB & GUTTER Additional desc INTERPRETIVE SIGN RUP#09 20 Permit pin number 146365 Permit Fee 00 Plan Check Fee 00 Issue Date 5/19/09 Valuation 0 Expiration Date 11/15/09 Special Notes and Comments G Follow attached ROW Use permit 09 20 conditions Fee summary Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 V ' 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. Signatu/"Of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) W 4TERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION RW /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102 15[10/08] nston' ROW 08-23 Page 1 h om: Sue Roberds o: Won Date: C8/4/20 03 PM Subject: 08-23 Trenia, I spoke with Barb Fredericks and with Don Perry Don said that the 'event' is Heritage Days which is an event supported by many Downtown businesses,Heritage Tours, 1st Fed, KONP The Landing,and others. Barb said the two events are separate but that they will be working together between 6 p.m. and 9 p.m.for the unveiling. Don said that the 9 a.m.to 9 p.m.time frame includes the unveiling along the south portion of Laurel Street. It sounds like two different but equal(?) groups are working sort of together Dort spoke to businesses along Laure! and pith the exception of the barber shop,that, was.not open when he did his rounds, no one is concerned with the closure. I don't think the question of whether there were other options was raised,but it's a little late to stop the train at this time. I told Don that this cannot be precedent setting and that in the future,application information should include specifically why the street needs to be closed;i.e. why some other location will not serve. So, based on the above, DCED does not have any issues that have not been addressed for the one time,one day event. Sue Roberds Planning Manager c i _4 Of PORi,N,O t��^ CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00000238 Date 3/06/08 Application pin number 092836 Property Address 200 N LAUREL ST ASSESSOR PARCEL NUMBER R6 30 00 0 0 0000 0000 Tenant nbr name CAPACITY PROVISIONING Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Condiut in existing trench Owner Contractor CITY OF PORT ANGELES EXCEL UTILITIES CONSTRUCTION PO BOX 1150 54 MISTY LN PORT ANGELES WA 983620217 PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc CONDUIT IN EXISTING TRENCH Permit pin number 121632 Permit Fee 70 00 Plan Check Fee 00 Issue Date 3/06/08 Valuation 0 Expiration Date 9/02/08 ► ^, Qty Unit Charge Per Extension N BASE FEE 70 00 Fee summary Charged Paid Credited Due 0 Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 00 00 I 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 T-\Po1icies\1102.15R[1/05) PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCA T ION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION'CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE r FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE' RESIDENTIAL DATE YES NO` COMMERCIAL-- DATE— ACCEPTED YES NO' CONSTRUCTION R.W/PW/' CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING – T•\Policies\l 102.15R[1105] e Of pORi,k,O qty�wF�N CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . 08-00000949 Date 8/05/08 Application pin number . . 350776 Property Address . . . . . . 200 N LAUREL ST ASSESSOR PARCEL NUMBER. R6-30-00-0-0-0000-0000- Application type description PUBLIC WORKS UTILITES Subdivision Name . . Property Use . . . . . Property Zoning . . . UNKNOWN Application valuation . . . 0 ---------------------------------------------------------------------------- Application desc Unveiling Art RUP#08-24 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CITY OF PORT ANGELES OWNER PO BOX 1150 PORT ANGELES WA 983620217 ---------------------------------------------------------------------------- Permit . . . RIGHT OF WAY Additional desc Permit pin number 131623 Permit Fee .00 Plan Check Fee .00 Issue Date 8/05/08 Valuation 0 Expiration Date 2/01/09 ---------------------------------------------------------------------------- Special Notes and Comments All street street closure signage & appliances are to be set in place by Applicant, sign's & appliances to be picked up @ the Corp yard at 17th & B Street prior to 2:30pm on Friday 8-8-08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total .00 .00 00 .00 Plan Check Total 00 .00 .00 .00 Grand Total .00 .00 00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\Policies\1102 15R(1/05) PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL-__ - DATE-: -ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-RW. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T.\Polimes\I102.15R[1/05]