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HomeMy WebLinkAbout1006 W 11th St #A - BuildingELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 12- 00000617 Date 5/22/12 Application pin number 782174 Property Address 1006 W 11TH ST #A ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5305 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc 1 -4 circuits for shed Owner Contractor JAMES P JEANI G HILL ELECTRIC SERVICE 316 W 14TH ST 82 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 775 -5292 (360) 452 -6424 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 75.00 Plan Check Fee .00 Issue Date 5/18/12 valuation 0 Expiration Date 11/14/12 Qty Unit Charge Per Extension BASE FEE 75.00 Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL v COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION t 6' 1 s Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING MAY -17 -2012 08:30P FROM:ELECTRIC SERVICE 4526424 TO:4174711 P-1/1 1, CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321. East Fifth Street P.O. Box 1150 Port Angeles Washington, 9 ;j 62 Ph: (360) 417 -4735 Fax: (360) 417 -4711 plpr Date: S' 1 !�i 2 Single Family Dw el�ing After reading the above statement, I hereby certify that I am the owner of the above f led property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., I I V. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding trical Permit Applications. Signature of owner, electrical contractor or electrical administrator: i cam 0 Cho* /j I 1t7 Crean c.,d 0 X [2�x_ Plan Review �W Bq equi�Pljs mplete Electrical Plan Review Infor ip Sheet `l Building Square Footage: 1 czo h Description of above p P*- a'-OL II Y`° -C-V /J it Owner Infopation r_1 C,4ractor Informett la�'� Name: .Qv' .JL Mslll d av p Cih' No�T�Sb� Slate: i''a 2i 6Z II �g AdLtr95s' rd Z V�` V 1s'd L/o li P C' .1111 State: Zip: k s e� Phone: Fax: P 4 6 Z-16 1'1Y Fax: S vt't 3e license Exp. U r Exp. izz Qrc e I R hem Unit C Total Qtv Multiplied by Unit Chamal ServicelFeeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feadar 401.600 Amp 205.00 Service/Feeder 601 -1000 Amp. 262.00 I Service/Feeder over 1000 Amp. 373.00 I Branch Circuit W/ Service Feeder 5.110 Branch Circuit WIO Service Feeder S 63.00 I Each Additional Branch Circuit 5.00 I Branch Circults 14 75.00 1 S Temp. Service/ Feeder 200 Amp. 93.00 II Temp. Service/Feeder 201 400 Amp. $110.00 41 Temp. ServicelFeeder 401 -600 Amp. $149.00 I Temp. Service/Feeder 601 -1000 Amp $168.00 I Portal to Portal Hourly 96.00 41 Signal Circuit! Umited Energy 13 2 Family Dwelling S 64.00 1 Manufactured Home Connection $120.00 i Renewable Electrical Energy 5KVA System or Less $102.00 Thermostat 56.00 I Note: $5.00 for each additional TStat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of 40.00 1 Each Outbuilding or Detached Garage 74.00 1 Each Swimming Pool or Hot Tub $110.00 1 S 7'; .Dc Total Owner as defined by 11=19.28.261: (1) Owner will occupy The structure for two y s�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 Mires after six months of last Inspection. After reading the above statement, I hereby certify that I am the owner of the above f led property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., I I V. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding trical Permit Applications. Signature of owner, electrical contractor or electrical administrator: i cam 0 Cho* /j I 1t7 Crean c.,d 0 X [2�x_ ELECTRICAL PERMIT t CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001094 Date 10/04/11 Application pin number 858046 Property Address 1006 W 11TH ST #A FINAL I 6 A/ ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5305 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc 1 circuit for smoke detectors Owner Contractor JAMES P JEANI G HILL ELECTRIC SERVICE 316 W 14TH ST 82 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 775 -5292 (360) 452 -6424 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 193797 Permit Fee 73.50 Plan Check Fee .00 Issue Date 10/04/11 Valuation 0 Expiration Date 4/01/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN LD Ilb�r' FINAL I 6 A/ COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCI U I LDING OCT -4 -2011 06:28A FROM:ELECTRIC SERVICE 4526424 HO 0:41T 711 LV 1V(IVV r/ 1! /rrVU !l.;T !uu va v� a •uu„„p r.vp v, i OC 1 4 2011 i CITY OP PORT ANGELES ftRWT APPLICATION ELECTRICAL Building DivisionWeetvical Inspections INSPECTIONS 321 Fast Fifth Street— P.O. Boa 1150 1 Part Angeles Wasbingtr 4 t, 98362 I Ph: (360) 417 -4735 ]Fact: (360) 4174711 f J Date: `b�... P. 1/1 �Of pOR7 tnllr _v'r& 2.Single.Farnlly Dwelling.. Multi.Family or Commercial* Commercial Addition 1 Alteration Remodel I Repair= Plan Revlew May Be Re IrEd, Please mplfte Electrical Plan Review Jr farrnaUon Sheet l r. L f �.6. JphAddrBSS: Building Square Footagp• L4 iV I Description of above 0916W CA.] ii owni0rinfotmatlo r Contractor Info W on Nerve: &--"-'Lt s� i Name: Madini;Lkldrms: Mail ddr�sc J�. state: 21p: city: i�4 state: eL Zip: 4 6 Ph" Fax Phom Fax: tJCens l Exo, Uceme d 1 Exp• (A-k-17 e--t-S t r 32-Ob" Item U i chame gty Total gy Multiolied by unit ChamAl Senvlce/Feeder 200 Amp. $119.90 SerylcelFeeder 201400 Amp. $145.50 ServicelFeeder 401 -600 Amp 704.60 $ervicelFeeder 601 -1000 Amp. 262.20 $ervice/Feeder over 1000 Amp. 372.60 8ren& Circuit W1 Service Feeder 2.60 6rai ch Cireuff WID Sea4m Feeder S 73.50 -7 3. Each Additional Branch Olmuil 2.60 Temp. Service! Feeder 200 Amp. 92.70 S Temp, Service/Feeder 201 Amp. $110.30 Temp. ServicdFaeder 0-W Amp. $148.70 Temp. ServicelFeeder6014000 Amp $167.90 Portal to Portal Hourly 95.91 I si gniculfine Lighting 882D i Signal Circuit! Limited Energy I First 1500 0 Commercial 95.90 Note: $5.0D for each additional 1500 sf' Signal Circuill UmRed Energy -1 A 2 Family Dwelling 63.9D I S Signal CircuiV United Energy Multi- Family Mling 63.90 i S Manufactured Home Connection $119.90 Renewable Efecbtra) Energy 6KVA System or Less $102.30 Themtostat 66.00 S �FVIi CQ NSTRUCt'IO ONLY: First 1300 Square FL $110.30 Each Additional 500 Square FL or Portion of 5 36.20 i Each Outbuilding or Detached Garage S 73.50 I Each Swimming Pod or Hot Tub $111130 j s 9 Total Owner as defined by RCW.19.28261; (1) Owner Will occupy the structure for M rears after this Oecbic el permit is finalized. (2) Owner is required to fire an elecxrmal DDntrac6or K above sold property Is for sale, rent or lease. r nit expires after six months of last inspection. After reading the above statement, I hereby certlty that t am the owner of the E I e named property or a licensed electrical contractor. I am making the etectirical im WllaWn or alteration In compliance with the electrical laws, N.� RCW. Chapter 19.28, WAC. Chapter 29&468, The City of Port Angeles Municipal Code, and Wily Specifications and PANIC 14.06.050 regardlp' I Electrical Permlt.Appliications. Signature of owner eta I contractor or eleetrlCmI sadministrabor: 13 cash charac n, Credit CaM t) �D 6110 0110 d 9 X DafeO: CERTIFICATE OF Gc`� Citybf Port Angeles Building Division This certificate is issuedipursuant to the requirements of Section 111 of the 2009 International Building Code certifying that aC the °Zime of issuance this structure was in compliance with the various ordinances of the City regulating building corisiruetion;or use for the followang: Business name: Serenity House of Clallarn',Co.unty Business address 1N. 11 th St:. Property owner James P.'/ Jean'i G Hill Property owner saddress: 316 W. 14th St., Fort Angeles, -WA 983624"' Automatic fire sprtnklersystem: Per .113C x y Use occupancy classification: R -3 Occupant load.- it Per 2009 IBC, Table 1004 1 1 Y4 Building permit number: 11 1237' Type of construction \/Bx n v 12 -19 -11 r, °Si Roberds;Plannang >1�Ianager Date Post on the premises in a conspicuous place This certifica,Wshall riot be removed except by the Building Official. bob W 1 CERTIFICATE OF OCCUPANCY APPLICATION Permit# r �d s .1 tjv�IU%r\J 1 N t '4 �I lJ� FEES l 12.'3,p CITY OF PORT ANGELES V` Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 0 Parking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations �-part hovsp Gvo V P h(7 1 P EASE PRINT IN INK Check one: New business in P.A. Change of ownership only? Moving locatior(from within RA N/ZOning SIN SS NAME S In_: kt�t t.2 6 LI trsiie�c"�dress lv�W SrC: Inr Mailing address �0 gtlX yby7 PA Phone number 46— "7 Openin�N&�,r 2f,11 gays hours of operation 2 Business owner's name ��2.r'�. 44& 9T (f ��11 on c phone K 1 -4 Business owner's address y Brief description of business t� ti. `S -eleSS 5 'e "Flyi`:�; Property owner's name Je/w>ti, A- J",v, Contact phone Property owner's address /contact ;4i In til. )Lf `K'" Imo? BUILDING DEPARTMENT phone 417 4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Q� CN Lkyh Ir Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilatio systems, etc). l Work planned: 5 'ta rv. u tr— rL `S �S Pp_ n✓ (rte' �Z30 FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No L" Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417 -4623 Square footage of business? Is business moving within the PBIA? Yes No .w CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes El No LR" Will there be dancing at this business? Yes No L A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Page I of 2 Fire approval bAX) I N �L 1 1 PBIA notified on City Clerk approval b 1I COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc Signs planned: A..* �C-e e �e 1.4 ivy. �J 0 CED approval by Qrnugy cilo W 1 M t PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 PWE approval by Is site work planned (new or re- located sewer or water service, excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking lots, downs outs, irrigation system backflow devices, etc.). Yes No Work planned: PUBLIC WORKS WASTEWATER phone 417 -4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No LAY If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date' �a C.®�1; I l Print Name Signature T: \Forms \Building Division \Certificate of Occupancy Application (2010).doc Page 2 of 2 CERTIFICA TE OF OCCUPANCY APPLICATION Permit .1� d v Uv FEES f tirf (I 12-Z, CITY OF PORT ANGELES 3�. Certificate /Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 0 Parking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations 8c �11 �n, ;4- e0_V-t hc� >Q P EASE PRINT IN INK Check one: New business in P.A. Change of ownership only? Moving locationrfrom within P.A.? VZoning C�J SIN�SS NAME S�''1"P- Z_'_-�'t �G'Tit -t•2 �'�l 6`�^"� S 6'a S Gress LZA Mailing address F Z 1 f 7 PAC Phone number _j�Z- 7?,2L- Opening ate zt-li Days hours of operation 2V Business owner's name ZrF Clltll o `c phone �W r 7 Business owner's address �u Brief description of business �t L., Property owner's name Je`vuh `I J W-- Contact phone Property owner's address /contact -'i VA LL-.k BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilatio systems, etc) Work planned: ��zc� ra cl r� i�'z�,, S �z,7re -v tr- rtrfi -S �c?- hc. it a qe rni FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No L" Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417 -4623 Square footage of business? Is business moving within the PBIA? Yes No -L1 CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes ❑�Noo Y Will there be dancing at this business? Yes No NJ A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbrok&,_Dance, Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses. Fire approval by K01 on lk L2 l PBIA notified on City Clerk approval by on Pnno 1 of 2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off- street parking spaces available for employees and customers? -P— i (A parking plan may be required.) Signs? (wall mounted, freestanding, projecting, awning, A- frame, etc Signs planned: �C-e� ?'-A I CED approval by i� on PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 A10 D PWE approval by g'T 04 y p Is site work planned (new or re- located sewer or water service, excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking lots, downs outs, irrigation system backflow devices, etc.). Yes No Work planned: 0 PUBLIC WORKS WASTEWATER phone 417 -4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No COY If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that l have read this application and state that the information l have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. 7 Date t� Print Name T:IFormstBuiiding DivisionlCertificate of Occupancy Application (2010).doc Signature f Page 2of2 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? iO_ i 4� (A parking plan may be required.) Signs? (wall mounted, freestanding, projecting, awning, A- frame, etc Signs planned: CJ CED approval b X 1�1 onI �r L .may �iv�n a A c' LL V PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 PWE approval by Is site work planned (new or re- located sewer or water service, excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking lots, downs outs, irrigation system backflow devices, etc.). Yes [I No Work planned: PUBLIC WORKS WASTEWATER phone 41.7 -4845 1 PWWapproval by on on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening► business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility, services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that l have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date t� 1 Print Name 4; 16 A W f T:Worms\Building Division \Certificate of Occupancy Application (2010).doc Signature t Page 2 of 2 Rr,, CERTIFIC OF OCCUPANCYAPPLICATlOhf Permit# Ot V, +ctrl- FEES 12 4 CITY OF PORT ANGELES W Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 0 Parking Business Improvement. Area (PBIA) 3360) 417 -4815 fax (360) 417 -4711_ fee charged for bowntowri locations P COtl N5 tx Sue &D U P h O YX' E. P PLEASE PRINT IN IfJK Check one: New business in P.A. Change of ownership only? Moving location from within P.A Vz ning C �j SIN SS NAME 'address_ lvz> k, P� w� Mailing address 19 --X Y 7 Phone number l5 7 'ZZLt -1 Opening date Nb ,r mil flays hours of operation 2- /7 Business owner's name ��t,on c phoneW Business owner's address Brief description of business .r Property owner's name JCS 4- J V Contact phone Property owner's address /contact i tr `Y V A I BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding %altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilatio systems, etc). Work planned: U I v FIRE DEPARTMENT phone 417 -4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes No Work planned: PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? PBIA notified Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes 11 1 oo L`f Will there be dancing at this business? Yes No �J A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel- Motel, Fireworks„ Ambulance, and Tattoo Businesses. on on City Clerk approval by on I IC I Pnno 1 of 2 I ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 11- 00001176 Date 10/20/11 Application pin number 354680 Property Address 1006 W 11TH ST #A ASSESSOR PARCEL NUMBER: 06-30-00-0-3- 5305 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 0 Application desc 2 circuit bathroom Owner Contractor JAMES P JEANI G HILL JEDI ELECTRIC 316 W 14TH ST 331 FORS RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 775 -5292 (360) 460 -0556 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 194860 Permit Fee 76.10 Plan Check Fee .00 Issue Date 10/20/11 Valuation 0 Expiration Date 4/17/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60 Fee summary Charged Paid Credited Due Permit Fee Total 76.10 76.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN .k-P FINAL y v COMMENTS: S i I REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) o. 11 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 10 r ELECTRICAL INSPECTION V P IP y WIRING REPORT -.s�� 417 -4735 DATE: PERMIT INSPECT OWN; CONTRACTOR ADDRESS Al�_o� u) /i9 h�- A APPROVED NOT APPROVED ......DITCH.................... ROUGH IN /COVER D6 .....SERVICE................... ......FINAL.................... CORRECTIONS NEEDED: DA NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE CITY OF PORT ANGELES PERMIT APPLICATION 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: 1(9-19 1 2 Single Family Dwelling E A"' E I V E 0 OCT 1 20,1 -.I ELECTRICAL INSPECTIONS Multi- Family or Commercial* —Commercial Addition /Alteration Remodel/ Repair* Plan Review M Be Required, Please Cot�ete Electrical Plan Review Information Sheet Job Address: _j 0 t 4 1 1 k kt% Building Square Footage: Description of above _R R 0 0cu 6�o.'Sh R o m Ae Cr; n Cu.'%kS M L2 "N o Ae_L Owner Information Contractor Information Name: _�`i (h %A't \k Name: --5e O i S' 1 e_(L. t 2t C Mailing Address: r,/J 1 +-1 Mailin Addrg 33 i Co tc R c l City: LIP-01 State: Zip: p: �g ?j�2 City: ,4 State: L.) r,�, Zip: R93(. Phone: Fax: Phone: Fax S re S i t '7f' License Exp. License Exp. \ed i PAe_ -e ct S 7 G 2 Item Unit Charae gtlt Total ((qty Multiolied by Unit Charge1 ServicelFeeder 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 W10 Service Feeder 73.50 1 $_3.50 Each Additional Branch Circuit 2.60 9 �Q Temp. Servicel Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. $110.30 Temp. Service/Feeder 401 -600 Amp. $148.70 Temp. ServicelFeeder 601 -1000 Amp, $167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuitl 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 Ft $110.30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 16. /n 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 properly 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 PANIC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check NYA44 N e 11 CreddCard x nmed- /D MA4rm4n CITY OF PORT .ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001230 Date 1 11/07/11 Application pin number 809460 Property Address 1006 W 11TH ST #A S ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3 -5305 -0000- R S A Tenant nbr, name SERENITY HOUSE GROUP H HOME on your state excise tax form Application type description REMODEL o Subdivision Name C�3 t to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL NEIGHBORHOOD Application valuation 2500 Application desc REMODEL BATHROOM KITCHEN HOOD /VENT Owner Contractor 316 W 14TH ST PORT ANGELES WA 98362 (360) 461 -2474 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit Fee 109.75 Plan Check Fee 7 71.34 Issue Date 11/07/11 Valuation 2 2500 Expiration Date 5/05/12 Qty Unit Charge Per E Extension BASE FEE 9 95 -75 1.00 14.0000 THOU BL- ,2001 -25K (14 PER K) 1 14.00 Permit MECHANICAL PERMIT Additional desc Permit Fee 67.90 Plan Check Fee .00 Issue Date 11/07/11 Valuation 0 0 Expiration Date 5/05/12 Qty Unit Charge Per E Extension BASE FEE 5 50.00 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7 7.25 1.00 10.6500 EA ME- HOOD /DUCT -MECH. EXHAUST 1 10.65 Permit PLUMBING PERMIT Additional desc Permit Fee 79.00 Plan Check Fee .00 Issue Date 11/07/11 Valuation 0 0 Expiration Date 5/05/12 Qty Unit Charge Per E Extension BASE FEE 5 50.00 r r 12'.70, 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. I Date Print Name Signature of Contractor or Authorized Age 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 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE- INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Biggs) PLUMBING: Under Floor Slab i Rouqh -In Water Line (Meter to Bldq) I i Gas Line Back Flow Water I FINAL Date Accepted by AIR SEAL: Walls I Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs 1 I Walls Roof Ceiling I (Drywall (Interior Braced Panel Only) I IT -Bar INSULATION: Slab `Wall Floor Ceiling 1 f MECHANICAL• Heat Pump Furnace FAU Ducts Rough -in I (Gas Line (Wood Stove Pellet Chimney Commercial Hood I Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing I Slab I Blocking Hold Downs I I Skirling PLANNING DEPT. Separate Permit #s SERA: 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 -4315 CITY OF PORT .ANGELES DE1 OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001230 Date 11/07/11 Application pin number 809460 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 256.65 256.65 .00 .00 71.34 71.34 .00 .00 4.50 4.50 .00 .00 332.49 332.49 .00 .00 REPORT SALES TAY on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Bullding Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -1-IOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE Inspection Type Date Accepted By FOUNDATION: Footings Stemwall Foundation Drainage Downspouts I Piers Post Holes (Role Bldgs.) (PLUMBING: (Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line jBack Flow Water i (AIR SEAL: (Walls Ceiling I FRAMING: Joists Girders Under Floor I I Shear Wall Hold Downs Walls Roof Ceiling I Drywall (Interior Braced Panel Only) IT -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line I IWood Stove Pellet Chimney I Commercial Hood Ducts MANUFACTURED HOMES: (Footing Slab I Blockinq Hold Downs Skirting PLANNING DEPT. Separate Permit #s Parking Lighting Landscaping Comments 5.11a�� wit/ 1i �Ti.� I I I I FINAL Date 5-X411/Accepted by I I I I I FINAL Date//' to j 1 I 1 SERA: ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE I inspection Type Date I Accepted By Electrical 417 -4735 I Construction R.W. PW /Engineering 417 -4831 Fire 417 -4653 Planninq 417 -4750 Building 417 -4815 V j (J Q �F- i PREPARED 12/14/11, 9:22:06 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/14/11 ADDRESS 1006 W 11TH ST #A SUBDIV: TENANT, NBR: SERENITY HOUSE GROUP HOME CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 461 -2474 PARCEL 06-30-00-0-3- 5305 -0000- APPL NUMBER: 11- 00001230 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS protection on plumbing under bathroom sink. Landing at rear stairs raised so 1st step is the same as others. PL99 02 12/14/11 JLL PLUMBING FINAL A /A December 14, 2011 9:06:21 AM pbarthol. COMMENTS AND NOTES PREPARED 12/14/11, 9:22:06 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/14/11 ADDRESS 1006 W 11TH ST #A SUBDIV: TENANT, NBR: SERENITY HOUSE GROUP HOME CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 461 -2474 PARCEL 06-30-00-0-3- 5305 -0000- APPL NUMBER: 11- 00001230 COMM REMODEL PERMIT: BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/22/11 PB BLDG FINAL 11/23/11 DA November 28, 2011 8:36:17 AM pbarthol. Handrails must extend 12" beyond top and bottom tread. protection on plumbing under bathroom sink. Landing at rear stairs raised so 1st step is the same as others. BL99 02 12/14/11 JLL BLDG FINAL December 14, 2011 9:05:38 AM pbarthol. Brad 360- 649 -0764 Joseph 360 477 -8853 PERMIT: ME 00 MECHANICAL PERMIT TYP /SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS /COMMENTS ME2 01 11 /06 /11 JLL MECHANICAL HOOD DUCT e 11/08/11 AP November 8, 2011 8:28:30 AM 1pangrle. JIM 461 -2474 "RANGEHOOD" THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. November 8, 2011 5:02:08 PM jlierly. ME99 01 11/22/11 PB MECHANICAL FINAL 11/23/11 DA November 21, 2011 10:36:32 AM pbarthol. November 28, 2011 8:36:17 AM pbarthol. Handrails must extend 12" beyond top and bottom tread. protection on plumbing under bathroom sink. Landing at rear stairs raised so 1st step is the same as others. ME99 02 12/14/11 MECHANICAL FINAL December 14, 2011 9:06:11 AM pbarthol. PERMIT: PL 00 PLUMBING IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLSP 01 11 /08 /11 JLL PLUMBING SHOWER PAN 11/08/11 AP November 8, 2011 8:26:29 AM 1pangrle. JIM 461 -2474 "SHOWER" (SHOWER PAN THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. November 8, 2011 5:02:08 PM jlierly. PL99 01 11/22/11 PB PLUMBING FINAL 11/23/11 DA November 21, 2011 10:36:43 AM pbarthol. November 28, 2011 8:36:17 AM pbarthol. Handrails must extend 12" beyond top and bottom tread. CONTINUED ONTO NEXT PAGE Sc5 b7w� PREPARED 12/20/11, 9:04:38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/20/11 ADDRESS 1006 W 11TH ST #A SUBDIV: TENANT, NBR: SERENITY HOUSE GROUP HOME CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 461 -2474 PARCEL 06-30-00-0-3- 5305 -0000- APPL NUMBER: 11- 00001230 COMM REMODEL PERMIT: BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/22/11 PB BLDG FINAL 11/23/11 DA November 28, 2011 8:36:17 AM pbarthol. Handrails must extend 12" beyond top and bottom tread. protection on plumbing under bathroom sink. Landing at rear stairs raised so 1st step is the same as others. BL99 02 12/14/11 JLL BLDG FINAL 12/14/11 DA December 14, 2011 9:05:38 AM pbarthol. Brad 360- 649 -0764 Joseph 360 477 -8853 December 14, 2011 3:47:55 PM jlierly. sink drain knee protection /finish hand rail extenions per code /jll BL99 03 12/20/11 LL BLDG FINAL December 20, 2011 8:19:53 AM pbarthol. Brad 360 565 -6744 COMMENTS AND NOTES PREPARED 11/08/11, 8:29:18 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11 /08 /11 ADDRESS 1006 W 11TH ST #A SUBDIV: TENANT, NBR: SERENITY HOUSE GROUP HOME CONTRACTOR PHONE OWNER JAMES P'/ JEANI G HILL PHONE (360) 461 -2474 PARCEL 06-30-00-0-3- 5305 -0000- APPL NUMBER: 11- 00001230 COMM REMODEL PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME2 01 11/08/11 JLL MECHANICAL HOOD DUCT November 8, 2011 8:28:30 AM 1pangrle. JIM 461 -2474 "RANGEHOOD" THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLSP O1 11/08/11 JLL PLUMBING SHOWER PAN November 8, 2011 8:26:29 AM 1pangrle. JIM 461 -2474 "SHOWER" (SHOWER PAN THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. COMMENTS AND NOTES �j PREPARED 11/22/11, 9:38:40 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/22/11 ADDRESS 1006 W 11TH ST #A SUBDIV: TENANT, NBR: SERENITY HOUSE GROUP HOME CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 461 -2474 PARCEL 06-30-00-0-3- 5305 -0000- APPL NUMBER: 11- 00001230 COMM REMODEL PERMIT: BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/22 1 JLL BLDG FINAL November 21, 2011 10:35:07 AM pbarthol. BRAD 360 649 -0764 JOSEPH 477 -8853 BL99 02 1 /.2 /11 JLL BLDG FINAL November 22, 2011 9:21:05 AM pbarthol. BRAD 360- 649 -0764 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME2 01 11 /08 /11 JLL MECHANICAL HOOD DUCT 11/08/11 AP November 8, 2011 8:28:30 AM 1pangrle. JIM 461 -2474 "RANGEHOOD" THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. November 8, 2011 5:02:08 PM jlierly. ME99 01 11/23/11 JLL MECHANICAL FINAL November 21, 2011 10:36:32 AM pbarthol. PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PLSP O1 11/08/11 JLL PLUMBING SHOWER PAN 11/08/11 AP November 8, 2011 8:26:29 AM 1pangrle. JIM 461 -2474 "SHOWER" (SHOWER PAN THE BUILDING IS UNOCCUPIED. THE KEY IS IN A WATERPROOF ELECTRIC BOX NEAR THE BACK DOOR. November 8, 2011 5:02:08 PM jlierly. PL99 01 11/22 11 JLL PLUMBING FINAL ....r November 21, 2011 10:36:43 AM pbarthol. COMMENTS AND NOOO TTEEjS h BUILDING DIVISION CITY OF PORT ANGELES Job Located at Inspection of your.work revealed that the following is not in accordance with the-codes governing the work in this jurisdiction: 4 T7) oO�. lL l S ti To ,riff p Af111s. fl,4 7�w' �'•�lil�Ai_/1 did% �r/�,.2���� These corrections must be made and are not to be covered until reinspection is made When .corrections have been made, please call for inspection Date Inspector for Building Division DO NOT REMOVE THIS TAG l,; „.BUILDING /PLUMBING /MECHANICAL PERMIT APPLICATION -LONG FORM 1 (To be used for projects that require plan review.) City of Port Angeles Attn: Building Permit Technician 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360-417-4711 Hours: Mon through Fri 8 5 pm Date Received W J f-1 l Permit i Please print in ink. Date Approv d Approved by Credit card payments are accepted Mon -Fri 8 -5 pm (no Am ican Express) Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: �v-1 H I 1 Phone: Property owner: 31 a _)Qo•ll l Phone: L 4 5z- 7 Property owner's mailing address 0� 1� w 1 P. Contractor's business name: I�aViG1'�i(1 1� \urr,lr��� Phone: (or property owner's name if he /she is doing /overseeing the work) Contractor's mailing address: Contractor's L &I license number: (��S,g�,�� Expiration date: t Q i j °19 D MR �l"��m�o l K �c�IJS c�uc �c,��Sc�xev��` NouScz- Gcou"��12 Project Address: Project Type: o Residential Commercial Industrial ri Multi- family Project Business Name: Zoning: (for commercial, industrial, or multi family projects) 1JE;e,► —lbof 1�aoc Parcel 4b 30 00 O 3 5305 CCCO Lot Complete only the portions of this permit that are relevant to your project. PRaPecRlrY \b Lacy LdT Z '63 Pay the plan check fee (based on the valuation of the project) at the time of submittal Residential Projects submit: Two sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Prescriptive Approach Simple Form (confirming conformance to the Energy Code) Commercial Projects submit: Three sets of plans* (including engineering calcs, geotech reports, etc. if applicable) Paperwork confirming conformance to the Energy Code For large projects, a pre- construction meeting with various City department personnel is highly recommended. To schedule a pre- construction meeting, contact the Planning Manager at (360) 417 -4750. Additional information may need to be submitted including: landscape plan, parking plan (including ADA spaces, ramps, etc.), utilities (existing proposed), curbs, sidewalks, storm water plan, etc. For Additions New Structures also submit: Site plan (8 112” x 11 showing all structures (existing proposed), setbacks, new driveways If an architect or engineer drew the plans or calculations, include at least one "wet- stamped" set of plans and /or calculations. T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Long Form (Revised 2011) Page 1 of 4 Repair Solar Panels Miscellaneous: (explain the proiect) Project Valuation r r Remodel: (explain the proiect. including how tfm building space is currentiv being used and what the new. remodeled use will be) c�r3 Sh�vuer i nstal lat ion tJU 1c� nG c�a�s u�-e� US t�,i 1 S L-X c i' t1J L W 1 1- V.p Project Valuation Z If the space will change from commercial to residential, submit: "Checklist Converting Commercial Space into Residential Space" Addition: (explain the proiect and complete submit page 3) Maximum height of the new addition feet Project Valuation New Structure: (explain the proiect and complete submit page 3) Maximum height of the new structure feet Project Valuation PLUMBING PERMIT: Will there be ANY plumbing changes (items moved, added, replaced, or altered) Check one: No Yes If yes, complete submit page 4 "Plumbing Changes" MECHANICAL PERMIT: ,.Check one: No Yes Will there be ANY mechanical changes (items moved, added, replaced, or altered) If yes, complete submit page 4 "Mechanical Changes" 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 *Homeowner: 'If you will be doing overseeing the work, then the project valuation will be determined by do_ ubling the .cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation 1 have read and completed this application and know it to be true and correct. 1 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 i0 30 I 1 Signature Print Name V J ��I 11 Page 2 of 4 I Floor Areas Existing square New square footaae footaqe Base t 1 st Floor 2 "d Floor 3` Floor Garage Carport Covered Porch Deck 30" high)* Deck (5 30" high)* Shed Other Other Walking surface of the deck above ground LOT COVERAGE SITE 00VERAGE sq. ft. lot size For residential building projects the minimum square fo t valuatiN we accept is: Dwelling $85.00 per sq. ft. garage /utility /misc.stru ure $30.00 Xer sq. ft. porch /deck /carport $12.00 per sq. ft. Lot coveraqe is the amount or percent of g and area on which buildin s are located. It includes: houses, garages, carports, cover d patios, cantilevered portions buildings, roof overhangs that.are longer. than 30- inches, uncovered decks or porch having walking surfaces higher t an 30- inches off the ground, etc. Total footprint of structures Site Coveraqe is the amount patios, and other impervious sur Price per new sauare foot X l emodel project valuation TOTAL VALUATION soft. Lot coverage �rvious surface on a parcel, including struct res, paved driveways, sidewalks, (see Port Angeles Municipal Code 17.94.13X for exemptions) Does the project include a ne driveway? yes no If yes, what will the driveway e made of? m cement asphalt gravel othe (NOTE: 18 feet 1 the recommended minimum driveway length for residential Does this project inclu e a new parking pad? yes no If yes, what will the p rking pad be made of? cement asphalt gravel other a) Total footprint of structures sq. ft. (existing &-1 b) TI concrete, asphalt, other impervious surfaces sq. ft. (existing n C) A lines "a" "b" above to get the total impervious sq. ft. (existing n Total impervious sq. ft. .lot size sq. ft. Site coverage Page 3 of 4 Please list all other planned mechanical changes or additions that aren't listed above Page 4 of 4 PLUMBING CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Tvpe Plumbina Changes (Moved. Added. Replaced. or Altered) Sink (hand, mop, .floor etc.) No Yes Quantity Toilet '1l No Yes Quantity Bathtub y No Yes Quantity Shower No Yes -1 Quantity Washing Machine _jC No Yes Quantity Hot Water Heater 4 No Yes Quantity Water Line (meter to structure) No Yes Quantity Re -plumb the structure X No Yes Quantity Sewer Line X No Yes Quantity Backflow Prevention Device Tvoes: Beverage Machine Yes Quantity Landscape Watering System X No Yes Quantity Fire Sprinkler Systems 2 inch line _X No Yes Quantity Fire Sprinkler System 2 inch line _,_No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Type Mechanical Changes (Moved. Added. Replaced. Furnace, heat pump, or or Altered) forced air, unit 5 tons No Yes Quantity Furnace, heat pump, or forced air unit 5 tons X No Yes Quantity Ductless heat;pump )c ""No Yes Quantity Wall (recessed) heater __Y No Yes Quantity Baseboard heater )L No' Yes Quantity Steffes room heater No Yes Quantity Wood burning stove X No Yes Quantity Pellet stove j No Yes Quantity Radiant floor heat No Yes Quantity Gas fireplace or freestanding stove 'x No Yes Quantity- d Gas cooking stove X No Yes Quantity Propane tank set 4 No Yes Quantity Gas line X No Yes Quantity Boiler 7k No Yes Quantity Clothes Dryer No Yes Quantity Ventilation fan,(single duct) -�C No Yes Quantity Hood duct mechanical exhaust No Yes 1. Quantity. Ventilation system (not part of a heating or air conditioning system) X No Yes Quantity Air handler 1( No Yes Quantity Evaporative cooler (non- portable) No Yes Quantity Please list all other planned mechanical changes or additions that aren't listed above Page 4 of 4 J r n W"o CITY Or PORT ANG21ES Construction Plans The Issuance of this permit based upon these plans, spel cations and other data shall net prevent the building official from thereafter requiring the correction of errors in said Plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordirances of this jurisdiction. +ter 00 Approval Date if r( B i3F4cK�� U CERTIFICATE, F OCCUPANCY City' df 'Port Angeles. "Buiil:di 0..g yDi` ,Ision This certificate is issuedpursudnZ;to,the requirements of Section 111 of the 2009 International Building Code certifying that at the timeof issuance,thisstructur..e was in compliance with the various ordinances of the City regulating building T-n#r*cti6n�bthuseoo ,�r t i max` t. T"k Business name i x yKarenas Accounting, :Seru'icesfnc: (Owner :Ktarent "Spence) Business address �1'.00.6 °`1%V 11 t �St, #A Property owner s James P %.J.eania:Gi <Hill s P Property owner s gddress 316 W 14fh :S.f j jP�ort,.Angeles, WA 9$362 Automatic fire spry kler,.s Per IBC Yly Use occupancy class f cation. Business z F Occupant load. •ti; y i Building permit number M Fvx Type of construction. 11 -04 -10 Manager Date Post on the premises in a conspicuous place. not be removed except by the Building Official. t O iT Q1�. j —L,0 fi PREPARED 10/29/10 8 21 01 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/29/10 ADDRESS 1006 W 11TH ST #A SUBDIV TENANT NBR KAREN S ACCOUNTING SRVCS CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 775 5292 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 10 00000646 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 9/15/10 JLL BLDG C/O FINAL TIME 01 00 9/16/10 DA OVERRIDE TAKEN BY LPANGRLE DATE 09/14/10 TIME 11 12 13 September 14 2010 11 11 01 AM 1pangrle KAREN 457 0377 C OF 0 FINAL KAREN S ACCOUNTING SRVCS September 16 2010 9 02 20 AM jlierly hand rail per code /jll C099 02 10/270 LL BLDG C/O FINAL l OVERRIDE TAKEN BY LPANGRLE DATE 10/29/10 TIME 08 17 43 October 29 2010 8 15 50 AM 1pangrle JOAN 457 0377 C OF 0 FINAL KAREN S ACCOUNTING COMMENTS AND NOTES (10/25/2010) Linda Pangrle Re Fwd Did these two businesses get their Fire Dept. C of O inspections approvals? Page 1 From. Ken Dubuc To: Linda Pangrle Date: 10/25/2010 12 59 PM Subject: Re Fwd Did these two businesses get their Fire Dept. C of O inspections approvals? Sorry Linda I am absolutely swamped over here. Both of those inspections were conducted on 8.23.2010 Ken Linda Pangrle 10/25/10 11.32 AM Hi Ken, I never got a response back from you regarding the e-mail below that I sent you on 09 -14 -10 Please let me know your answer to my question. Thanks, Linda Linda Pangrle 9/14/2010 11 23 AM Hi Ken, 'II C of 0 #10 -646 Karen's Accounting Services Inc., 1006 W 11th St. #A C of 0 #10 -647 The Good Home Store, Inc. 1006 W 11th St. #B I called the owner of these two new businesses, and she said someone from the fire department came and did an inspection and approved them. What date did these businesses get their C of 0 inspections approvals? (I haven't received your C of 0 approval paperwork back yet.) Thanks, Linda PREPARED 9/15/10 8 14 01 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1006 W 11TH ST #A SUBDIV TENANT NBR KAREN S ACCOUNTING SRVCS CONTRACTOR PHONE OWNER JAMES P JEANI G HILL PHONE (360) 775 5292 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 10 00000646 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 9/15/10 BLDG C/O FINAL TIME 01 00 'In U OVERRIDE TAKEN BY LPANGRLE DATE 09/14/10 V September 14 2010 11 11 01 AM 1pangrle G KAREN 457 0377 C OF O FINAL KAREN S ACCOUNTING SRVCS 'etc COMMENTS AND NOTES PAGE 2 DATE 9/15/10 TIME 11 12 13 ,,X.�exooDY\ I:I t4 l AD— a i IM cy4OjJ i_ K sou l e CevA 6 v' Q. �54D� `A IES O 3`7 `7 FAX To: L t ^AA, Fax: LA n U 1 Phone t 1 Re: p04 L Comments: KAREN S ACCOUNTING SERVICES, INC. 1006 W 11'^ Street Port Angeles WA 98362 Phone: 360 457 -6822 Fax: 360 417 1158 Web address: www.korensoccounting.com Taking Core of You! I From: I Pages: I Date: cc: U' C b tM D 6LAI'\ Z0 39Vd 9NI1Nn000VSN3aVA BSTILTV096 SS b0 0TOZ /b0/80 CERTIFICATE OF OCCUPANCY APPLICATION Permit# IQ (Di CITY OF PORT ANGELES FEES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 X50 0 Certificate Inspection (360) 417 -4815 fax (360) 417 -4711 $1 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations USA 4WD CoMP �-t�r) huh d on put A ors fie_ C; cv (,dfitr /sex- BUSINESS NAME /Cerro s �i°iJU1r/X, .5�_ri BUSINESS ADDRESS /l'�� Zoning C N Business mailing address (5 e /1 q cfh�t�P Phone Opening date 71j Days hours of operation W- Washington State Tax I D If known list the name of the previous 33(9 �/o _v business at this location Brief description of proposed business Business owner's name y�y� S oi�,� O��s;P�f Phone #�i l37 ��yy Business owner's home address 1&2 PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. ACTION r I WILL THERE BE ANY OF THE FOLLOWING? NOV I YES I IF YES CONTACT Electrical changes 7 I Electrical Dept. at 417 -4735 New business i New or relocated signs I Building Div at 417 -4815 Construction changes 7 Transfer of business I Mechanical changes (ventilation, heating, cooling, etc.) location from a I Plumbing changes I PBIA location V Fire sprinkler system chanoes I Fire alarm system changes Transfer of business I New or relocated sewer or water service I I I Public Works at 417 -4807 i location from a I Excavation or fillinq of lots non -PBIA location I Work done in the City right -of -way I New driveway openings V I i Change of ownership I Grading site drainage (parking lots, downspouts, etc.) I I i I Landscape irrig ation system (backflow devices) I Water Dept. at 417 -4886 Remodel I Is this a home occupation? I Planning Div at 417 -4750 i Is this a second -hand dealer or pawnbroker business? I I City Clerk at 417 -4634 i Temporary business Is there off street parking for this business? I I How many spaces? Is the street in front of this business paved? I Change of use Is there a sidewalk in front of this business? Is there a curb putter in front of this business? I Call for Certificate of OCcuDancv insp before opening business. Please sign up for utility services Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 at the cashier counter Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Date_(, 7:3 lr,9 Print Name�,� Signature���r� For City use only Department I Approved I Rejected Comments Conditions I Initials date Initials date I Building I I I Type of construction Occupant Load Fire I I Automatic fire sprinkler system required no yes 1 PBIA I I �c�vrs for 2por �r�rr,nJ Qlr HIPrIC fD C -lose 01-F �r 1 Planning I I 5 t rom is +D✓r Oriky P v4 -h V, We- 6 rs o t, Ke City Clerk I I I h�n�es a h4��� J ir�� j J 1 Public Works TIorms /Building Division /Certificate of Occupancy Application n,PORtn, CERTIFICATE OF OCCUPANCY APPLICATION Permit# 16 -b`IG CITY OF PORT ANGELES FEES Attn Building Permit Technician $50 0 Certificate /Inspection 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 $1 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations SL In USe >4 ?vi +be con- P-_P 6u+ Aon+ put A or\ •44►e a7 v v:Aa rwe ss pex. ciao 1i "°I- BUSINESS NAME Ye S �I ��r17� ,SPrv1C>° S 141 1 BUSINESS ADDRESS 1���� ��7Lf/ ��A, 0 f 14 Zoning C N Business mailing address 65 Phone Opening date 71,5 11p Days hours of operation I W- ,r 9Q„n Washington State Tax I D If known list the name of the' revious 4;W2,2 33/) 4 /0 business at this location Brief description of proposed business 14S ,OMW7 T "y c its„ Business owner's name Kar�h �o� p -A d Phone #,�/p Business owner's home address //D PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. Call for Certificate of Occupancv inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy supplied is correct to the best of my knowledg Datel�,2:3 //0 Print Nam For City use only Department Building Fire PBIA NO✓ e WILL THERE BE ANY OF THE FOLLOWING? ACTION Electrical changes New business I New or relocated signs I Construction changes I Mechanical changes (ventilation, heating, cooling, etc.) Transfer of business I Plumbing changes location from a PBIA location I Fire sprinkler system changes i Fire alarm system changes New or relocated sewer or water service Transfer of business I Excavation or filling of lots location from a non -PBIA location I Work done in the City right -of -way New driveway openings Change of ownership I Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Remodel I Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Temporary business I Is there off street parking for this business? Is the street in front of this business paved? Change of use I Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? Call for Certificate of Occupancv inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy supplied is correct to the best of my knowledg Datel�,2:3 //0 Print Nam For City use only Department Building Fire PBIA NO✓ I YES I IF YES CONTACT I I Electrical Dept. at 417 -4735 I Building Div at 417 -4815 7 I I I I I I I I I I I i I I Public Works at 417 -4807 I I I I I I I I I I Water Dept. at 417 -4886 I I Planning Div at 417 -4750 I I City Clerk at 417 -4634 How many spaces? I I I I I I I I I I (::Ea for sigup for uflity service the counter I acknowledge that I have read this application and state that the information I have e 15 d '_r2a'l Signature Rejected Initials date Approved Initials date iu 10-N I K x-23 -10 I I Planning(�'1,2�� City Clerk Public Works RV I I� T:Forms /Building Division /Certificate of Occupancy Application Type of construction Comments Conditions Automatic fire sprinkler system required Occupant Load no yes 1:)oors for 3)oor Cra^,ng J tZprG already D Close 0' -F K45 Pro— s hre Only p v44' v j 46e- Aaei-s ot, the I h�nyes d a.dd�nJc the erns Z r5r 4 T I PF AV C.V -kin 0 a -nL X 1. 40 '4 7 -4k J"tl} y PO- C l b 'Al AK AU 51 0" PREPARED 4/03/08 8 54 59 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/03/08 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BLDG FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BLDG FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR O1 11/16/05 JLL BLDG AIR SEAL TIME 17 00 11/16/05 AP 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY BLWS O1 11/17/05 JLL BLDG INSULATION WALL /FLOOR 11/17/05 AP 11/17/2005 08 39 AM DYASUMUR JIM HILL 461 2474 11/17/2005 03 42 PM JLIERLY BL99 01 12/29/05 JLL BLDG FINAL TIME 17 00 12/29/05 DA 12/26/2005 08 48 AM PBARTHOL JEANNIE 452 7635 *CALL 1ST* 12/29/2005 05 03 PM PBARTHOL ELECTRICAL NOT SIGNED OFF REAR PORCH NEEDS TO BE INSTALLED DRW O1 4/21/06 JLL BLDG DRYWELL 4/21/06 AP 04/20/2006 08 23 AM PBARTHOL JIM 461 2474 04/21/2006 04 39 PM JLIERLY drywell /down spouts and footing drains all ok at this inpsection /jll BLFD O1 4/24/06 JLL BLDG FOUNDATION DRAINAGE 4/25/06 AP 04/24/2006 08 28 AM JLIERLY 04/25/2006 08 11 AM JLIERLY DSD O1 4/24/06 JLL BLDG DOWN SPOUT DRAINS 4/25/06 AP 04/24/2006 08 28 AM JLIERLY 04/25/2006 08 11 AM JLIERLY BL99 02 4/03/08 J BLDG FINAL TIME O1 00 April 2 2008 4 17 22 PM 1pangrle JIM JEANI 452 7635 (I CALLED THEM TO FINAL THIS OLD PERMIT BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PREPARED 4/03/08 8 54 59 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/03/08 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/29/05 JLL MECHANICAL FINAL TIME 17 00 12/29/05 DA 12/28/2005 08 54 AM PBARTHOL 12/29/2005 05 03 PM PBARTHOL ELECTRICAL NOT SIGNED OFF REAR PORCH NEEDS TO BE INSTALLED ME99 02 4/03/08 J MECHANICAL FINAL TIME O1 00 April 2 2008 4 18 31 PM 1pangrle JIM JEANI 452 7635 (I CALLED THEM TO FINAL THIS OLD PERMIT MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/16/05 JLL PLUMBING ROUGH IN TIME 17 00 11/16/05 AP 11/16/2005 08 26 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY PL99 01 12/29/05 JLL PLUMBING FINAL TIME 17 00 12/29/05 DA 12/28/2005 08 55 AM PBARTHOL 12/29/2005 05 03 PM PBARTHOL ELECTRICAL NOT SIGNED OFF REAR PORCH NEEDS TO BE INSTALLED PL99 02 4/03/08 J PLUMBING FINAL TIME O1 00 April 2 2008 4 19 02 PM 1pangrle t( JIM JEANI 452 7635 (I CALLED THEM TO FINAL THIS OLD PERMIT PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 4/24/06 12 03 04 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/24/06 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BUILDING FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR O1 11/16/05 JLL BUILDING AIR SEAL TIME 17 00 11/16/05 AP 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY BLWS O1 11/17/05 JLL BUILDING INSULATION WALL /FLOOR 11/17/05 AP 11/17/2005 08 39 AM DYASUMUR JIM HILL 461 2474 11/17/2005 03 42 PM JLIERLY BL99 01 12/29/05 JLL BUILDING FINAL TIME 17 00 12/29/05 DA 12/28/2005 08 48 AM PBARTHOL JEANNIE 452 7635 *CALL 1ST* 12/29/2005 05 03 PM PBARTHOL ELECTRICAL NOT SIGNED OFF REAR PORCH NEEDS TO BE INSTALLED DRW O1 4/21/06 JLL BUILDING DRYWELL 4/21/06 AP 04/20/2006 08 23 AM PBARTHOL JIM 461 2474 04/21/2006 04 39 PM JLIERLY drywell /down spouts and footing drains all ok at this inpsection /jll BLFD O1 24/ 6 LL BUILDING FOUNDATION DRAINAGE 04/24/2006 08 28 AM JLIERLY DSD O1 4 24 6 BUILDING DOWN SPOUT DRAINS Z 04/24/2006 08 28 AM JLIERLY COMMENTS AND NOTES PREPARED 4/21/06 12 47 51 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/21/06 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BUILDING FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR O1 11/16/05 JLL BUILDING AIR SEAL TIME 17 00 11/16/05 AP 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY BLWS O1 11/17/05 JLL BUILDING INSULATION WALL /FLOOR 11/17/05 AP 11/17/2005 08 39 AM DYASUMUR JIM HILL 461 2474 11/17/2005 03 42 PM JLIERLY BL99 01 12/29/05 JLL BUILDING FINAL TIME 17 00 12/29/05 DA 12/28/2005 08 48 AM PBARTHOL JEANNIE 452 7635 CALL 1ST* 12/29/2005 05 03 PM PBARTHOL ELECTRICAL NOT SIGNED OFF REAR PORCH NEEDS TO BE INSTALLED DRW O1 21/06 LL BUILDING DRYWELL Io p 04/20/2006 08 23 AM PBARTHOL JIM 461 2474 COMMENTS AND NOTES v PREPARED 12/29/05 10 08 53 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BUILDING FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR 01 11/16/05 JLL BUILDING AIR SEAL TIME 17 00 11/16/05 AP 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY BLWS 01 11/17/05 JLL BUILDING INSULATION WALL /FLOOR 11/17/05 AP 11/17/2005 08 39 AM DYASUMUR JIM HILL 461 2474 11/17/2005 03 42 PM JLIERLY BL99 01 12/29/05 L� BUILDING FINAL TIME 17 00 12/28/2005 08 48 AM PBARTHOL JEANNIE 452 7635 *CALL 1ST* PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/29/05 JLL MECHANICAL FINAL TIME 17 00 12/28/2005 08 54 AM PBARTHOL PERMIT PL 00 PLUMB MG PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/16/05 JLL PLUMBING ROUGH IN TIME 17 00 11/16/05 AP 11/16/2005 08 26 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY PL99 01 12/29/05 PLUMBING FINAL TIME 17 00 12/28/2005 08 55 AM PBARTHOL COMMENTS AND NOTES PAGE 11 DATE 12/29/05 PREPARED 11/17/05 12 22 48 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L.LIERLY DATE 11/17/05 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BUILDING FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR 01 11/16/05 JLL BUILDING AIR SEAL TIME 17 00 11/16/05 AP 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 11/16/2005 04 29 PM JLIERLY BLWS 01 11 17/05 Jj,L BUILDING INSULATION WALL /FLOOR 11/17/2005 08 39 AM DYASUMUR JIM HILL 461 2474 COMMENTS AND NOTES PREPARED 11/16/05 13 12 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/16/05 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 11/10/05 JLL BUILDING FRAMING 11/10/05 AP 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M 11/10/2005 04 38 PM JLIERLY BAIR 01 11 16/05 JLL in BUILDING AIR SEAL TIME 17 00 11/16/2005 08 27 AM PBARTHOL JIM HILL 461 2474 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11 16 /OS L PLUMBING ROUGH IN TIME 17 00 11/16/2005 08 26 AM PBARTHOL JIM HILL 461 2474 COMMENTS AND NOTES PREPARED 11/10/05 11 50 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/10/05 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 9/15/05 JLL BUILDING FOUNDATION WALL 9/15/05 AP JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE 09/15/2005 04 14 PM JLIERLY BL3 01 1 /10 OS LL BUILDING FRAMING 11/09/2005 04 48 PM PBARTHOL JIM 565 1210 PREFERABLE AFTER 3 00 P M COMMENTS AND NOTES d T" CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 05 00000091 Date 10/20/05 469186 1006 W 11TH ST #A 06 30 00 0 3 5305 0000 COMM ADDITION COMMERCIAL NEIGHBORHOOD 27000 Owner Contractor HILL JEANI DRY CREEK CONSTRUCTION 316 W 14TH STREET 316 W PORT ANGELES WA 98362 14TH STREET 36) 452 7635 PORT ANGELES WA 98363 (360) 452 7635 Structure Information 000 000 192 SF ADDNT 2ND STORY APPARTMENT Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL o LOT COVERAGE 19 10 HARD SURFACE AREA NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1146 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 192 00 TOTAL LOT COVERAGE 1338 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW COMMERICAL Additional desc JEDI/ 2 METER PACK Permit pin number 62513 Sub Contractor JEDI ELECTRIC Permit Fee 157 10 Plan Check Fee 00 Issue Date 10/20/05 Valuation 0 Expiration Date 4/18/06 Qty Unit Charge Per Extension 1 00 95 8000 ECH EL COM 101 200 NEW SRV FEEDER 95 80 1 00 61 3000 ECH EL COM 101 200 NEW ADD SRV FDR 61 30 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The project is a commercial remodel in the CN with an apt unit on 2nd floor Setbacks and lot coverage are good for the proposal although the structure is nonconforming 2 off street pkg spaces are required for the apartment occupancy The combination commercial /residential use will require 7 off street parking spaces A site plan identifying the required parking would be appropriate 2/11 /05 4 30 34 PM Electrical load calculations and elctrical permits are required Customer adding 2nd meter raise mast $160 00 for mtr Svc Building water line connection to water meter requires a Public Works inspection prior to back fill of ditch Other Fees STATE SURCHARGE 4 50 O O t f 1 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRJCAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED v INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE rYSPECTION TYPE DATE ACCEPM COMMENTS YES 1 NO FINAL GENERAL COMMENTS: wv- 1102.15I4%1 d J� Application Number Application pin number Fee summary Charged Permit Fee Total 157 10 Plan Check Total 00 Other Fee Total 4 50 Grand Total 161 60 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH STREET PORT ANGELES WA 98362 Page 2 05 00000091 Date 10/20/05 469186 Paid Credited Due 157 10 00 00 00 00 00 4 50 00 00 161 60 00 00 I COMMENTS /ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD '3 CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIND" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL GENERAL COMMENTS: I 4e� J/1 30 05` flr rwa102.1514" a PREPARED 9/15/05 13 02 23 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/15/05 ADDRESS 1006 W 11TH ST #A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLl 01 9/09/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 9/09/05 AP 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M 09/09/2005 05 00 PM JLIERLY BI2 01 29/?5/05 JL� BUILDING FOUNDATION WALL JIM 461 2474 LATE AFTERNOON INSPECTION IF POSSIBLE COMMENTS AND NOTES PREPARED 9/09/05 12 38 17 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/09/05 ADDRESS 1006 W 11TH ST $A SUBDIV CONTRACTOR DRY CREEK CONSTRUCTION PHONE (360) 452 7635 OWNER HILL JEANI PHONE 36) 452 7635 PARCEL 06 30 00 0 3 5305 0000 APPL NUMBER 05 00000091 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 0 J BUILDING FOUNDATION FOOTING TIME 17 00 09/08/2005 10 24 AM PBARTHOL JIM 461 2474 FRIDAY A M COMMENTS AND NOTES i °Rr CITY OF PORT ANGELES 'f;. DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation 05 00000091 Date 3/07/05 469186 1006 W 11TH ST 06 30 00 0 3 5305 0000 COMM ADDITION COMMERCIAL NEIGHBORHOOD 27000 Owner Contractor HILL JEANI DRY CREEK CONSTRUCTION 316 W 14TH STREET 316 W PORT ANGELES WA 98362 14TH STREET 36) 452 7635 PORT ANGELES WA 98363 (360) 452 7635 Structure Information 192 SF ADDNT 2ND STORY APPARTMENT Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE 19 10 HARD SURFACE AREA NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1146 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 192 00 TOTAL LOT COVERAGE 1338 00 NUMBER OF UNITS 1 00 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 61 50 3/07/05 9/03/05 Qty Unit Charge Per BASE FEE 2 00 7 2500 ECH ME VENT FAN Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 82 00 3/07/05 9/03/05 Plan Check Fee Valuation Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE Permit BUILDING PERMIT COMMERCIAL Additional desc Permit Fee 434 95 Plan Check Fee Issue Date 3/07/05 Valuation Expiration Date 9/03/05 Qty Unit Charge Per BASE FEE 2 00 10 1000 THOU BL 25 001 50K (10 10 PER K) 00 0 oft Extension 47 00 14 50 00 0 Extension 47 00 28 00 7 00 t 282 72 27000 Extension 0 414 75 20 20 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 con truction. 7,, C N:;' SitatuNf Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date Q T•\Policct s4 4d2_l5 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 I I FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I I I BACK FLOW WATER AIR SEAL WALLS I CEILING FRAMING JOISTS/ GIRDERS I I I SHEAR WALL/HOLD DOWNS WALLS R DRYWALL (reTERIOR BRACE�L NLY) I I I T -BAR INSULATION SLAB I I WALL FLOOR CEILING I MECHANICAL HEAT PUMP /FURNACE /DUCTS I I I GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD/ DUCTS I MANUFACTURED HOMES FOOTING SLAB I BLOCKING HOLD DOWNS SKIRTING I I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA, PARKING/LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I I I PLANNING DEPT 417 -4750 I I PLANNING DEPT I I I BUILDING 417 -4815 I BUILDING n_ m c t,. ad;aa n,* it xnsnection recotd05.wDd f 1/4/20051 Of CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000091 Date 3/07/05 Pin number 469186 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The project is a commercial remodel in the CN with an apt unit on 2nd floor Setbacks and lot coverage are good for the proposal although the structure is nonconforming 2 off street pkg spaces are required for the apartment occupancy The combination commercial /residential use will require 7 off street parking spaces A site plan identifying the required parking would be appropriate 2/11 /05 4 30 34 PM Electrical load calculations and elctrical permits are required Customer adding 2nd meter raise mast $160 00 for mtr Svc Building water line connection to water meter requires a Public Works inspection prior to back fill of ditch Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 578 45 578 45 00 00 Plan Check Total 282 72 282 72 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 865 67 865 67 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 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 building,permit inspection rccord05.wpd(1 /4/20051 BUILDING PERMIT INSPECTION RECORD 0,5' R 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 I COMMENTS YES NO FOUNDATION: 417 -4735 FOOTINGS R I J� I WALLS W+ FOUNDATION DRAINAGE DOWN SPOUTS PW ENGINEERING y�Olo IY PIERS I 417 -4750 I POST HOLES (POLE BLDGS.) BUILDING 4174815 I PLUMBING T•\Policies \l 102_15 building permit inspection record05.wpd [1/4/2005] UNDERFLOOR/SLAB I ROUGH -IN t WATER LINE (METER TO BLDG) GAS LINE I I BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALLIHOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) I T -BAR I INSULATION SLAB I I I WALL FLOOR CEILING C MECHANICAL HEAT PUMP FURNACE DUCTS I I I GAS LINE I I I WOOD STOVE PELLET CHIMNEY I I I COMMERCIAL HOOD/ DUCTS I I MANUFACTURED HOMES FOOTING SLAB I I I BLOCKING HOLD DOWNS I SKIRTING I I I I I i PIUM6 fi 4 I -3108 P1 A l� (ylechu.niccj F hej 4 13)o g PS PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION KW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I PLANNING DEPT BUILDING 4174815 I I BUILDING T•\Policies \l 102_15 building permit inspection record05.wpd [1/4/2005] ACCEPTED YES NO I I I I 1r I I �YI 5Ing I PA 1 t Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner CTfY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000091 Date 3/07/05 469186 1006 W 11TH ST 06 30 00 0 3 5305 0000 COMM ADDITION COMMERCIAL NEIGHBORHOOD 27000 Contractor HILL JEANI DRY CREEK CONSTRUCTION 316 W 14TH STREET 316 W PORT ANGELES WA 98362 14TH STREET 36) 452 7635 PORT ANGELES WA 98363 (360) 452 7635 Structure Information 192 SF ADDNT 2ND STORY APPARTMENT Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL 5 9 LOT COVERAGE 19 10 HARD SURFACE AREA NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1146 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 192 00 TOTAL LOT COVERAGE 1338 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 715 00 Plan Check Fee 00 Issue Date 3/07/05 Valuation 27000 Expiration Date 9/03/05 Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The project is a commercial remodel in the CN with an apt unit on 2nd floor Setbacks and lot coverage are good for the proposal although the structure is nonconforming 2 off street pkg spaces are required for the apartment occupancy The combination commercial /residential use will require 7 off street parking spaces A site plan identifying the required parking would be appropriate 2/11 /05 4 30 34 PM Electrical load calculations and elctrical permits are required Customer adding 2nd meter raise mast $160 00 for mtr Svc Building water line connection to water meter requires a Public Works inspection prior to back fill of ditch Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Extension 715 00 4 50 Due Separate- Rermits- arerequired-for-elestrical -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 co traction. 7 /C� Sign re�pf Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1 Mi.15R 1105] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER I I SEWER CONNECTION I SANITARY I I STORM SITE DRAINAGE I SITE EROSION CONTROL I PARKING I SIDEWALK CURB GUTTER I I DRIVEWAY APPROACH I BACK -FLOW DEVICE I I I i I I I I I I I I I I FINAL INSPECTIONS I I 1 i I I I I I I I 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 I FIRE DEPT I PLANNING DEPT 417 -4750 I I I I PLANNING DEPT I BUILDING 417 -4815 I 1 BUILDING 1 I T•\Policies \l 102.15R 11/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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) Page 2 Application Number 05 00000091 Date 3/07/05 Pin number 469186 Permit Fee Total 715 00 715 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 719 50 719 50 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. 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 I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY I I STORM I I I SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK I I I CURB GUTTER I I DRIVEWAY APPROACH I BACK -FLOW DEVICE I I I I I I I I I I I I I I I I I I I I I I 1 I 1 I I I I I I I I I I I I 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 -4807 PW ENGINEERING FIRE 4174653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I 1 PLANNING DEPT 1 l BUILDING 417 -4815 I BUILDING J I T •\Policies\ 1102.15R 1 /05 FOR OFFICIAL USE ONLY ifs BUILDING PERMIT APPLICATION lDateRec. I Permit Fill out COMPLETELY and in INK. Your application and site plan MUST Date A pproved. COMPLETE to be accepted for review If you have any questions, call r PERMITS (360) 417 -4815 FAX(360)417 -4711 Date Issued. y C r eebc Coo w Applicant or Agent: Phone ytD I 2 y Owner )ir- N .�-ea 1 I i 1 Phone 5 2.` 1 Address 00(-i w City R 4 oa l v; Zip 7 Architect/Engineer Phone: Contractor State License Exp Phone Address. I i City Zip PROJECT ADDRESS 100(0 'I ZONING LEGAL DESCRIPTION Lot: Z Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. --I(') ©C') Q !S !5 3 Q_ Credit Card Holder Name: Billing Address: city. Credit Card Type VISA MC Exp. Date: TYPE OF WORK. SIZE/VALUATION Residential New Constr Re -roof Stove f 9 2. SF /SF Multi family Addition Move Garage SF /SF r Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION' .2 rZoo BRIEF DESCRIPTION OF THE ROJECT ZLJ i I3Gk CX COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: 2— Lot Size 7000 V� Existing Sq. Ft. I I y k7) Total lot coverage PLANNING USE ONLY Occupant Load. Construction Type Proposed Sq Ft. Z. TOTAL Sq Ft. 1 33B ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other- APPROVALS. PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. Thus figure will be reviewed and maybe 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 tune 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 'If no permit issued within 180 days of the date of application, the application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits p 7 r to work. T•�RVESS�BLDG- forms- forms- Buildingpermit.wpd Applicant: Date: Y I i I 'h S rR 6 0 -T n iv 16 b a `oti 1 .r oj