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1714 N St - Building
PREPARED 5/19/09 9 16 13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/19/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S WITNESSES OF PA _ PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 4/13/09 JLL BLDG AIR SEAL 4/13/09 AP April 22 2009 3 31 46 PM 1pangrle AIRSEAL April 22 2009 3 32 14 PM 1pangrle BL3 01 4/13/09 JLL BLDG FRAMING TIME 09 00 4/14/09 AP April 10 2009 9 54 02 AM 1pangrle SCOTT 460 8245 ROUGH IN FRAMING PLEASE INSPECT AS EARLY AS POSSIBLE April 14 2009 9 26 12 AM jlierly BLI 01 4/14/09 JLL BLDG INSULATION TIME 11 30 4/14/09 AP April 14 2009 9 05 10 AM 1pangrle SCOTT 460 8245 INSULATION PLEASE INSPECT AT 11 30 AM IF POSSIBLE April 14 2009 4 55 12 PM jlierly BLTB 01 4/20/09 JLL BLDG T BAR TIME 10 30 4/20/09 AP April 20 2009 8 34 30 AM 1pangrle SCOTT 460 8245 T BAR MORNING April 20 2009 4 53 45 PM permits BL99 01 4/28/09 JLL BLDG FINAL TIME 01 00 4/29/09 DA April 27 2009 9 35 14 AM 1pangrle SCOTT 460 8245 BLDG FINAL KINGDOM HALL AFTERNOON April 29 2009 8 38 43 AM jlierly hand rail for steps ok to occupy /jll BL99 02 5/19/09 BLDG FINAL (� May 18 2009 10 20 25 AM 1pangrle SCOTT 460 8245 BLDG FINAL EXTERIOR HANDRAILS COMMENTS AND NOTES PREPARED 4/28/09 8 24 18 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/28/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S WITNESSES OF PA PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL -- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 4/13/09 JLL BLDG AIR SEAL 4/13/09 AP April 22 2009 3 31 46 PM 1pangrle AIRSEAL April 22 2009 3 32 14 PM 1pangrle BL3 01 4/13/09 JLL BLDG FRAMING TIME 09 00 4/14/09 AP April 10 2009 9 54 02 AM 1pangrle SCOTT 460 8245 ROUGH IN FRAMING PLEASE INSPECT AS EARLY AS POSSIBLE April 14 2009 9 26 12 AM jlierly BLI 01 4/14/09 JLL BLDG INSULATION TIME 11 30 4/14/09 AP April 14 2009 9 05 10 AM 1pangrle SCOTT 460 8245 INSULATION PLEASE INSPECT AT 11 30 AM IF POSSIBLE April 14 2009 4 55 12 PM jlierly BLTB 01 4/20/09 JLL BLDG T BAR TIME 10 30 4/20/09 AP April 20 2009 8 34 30 AM 1pangrle SCOTT 460 8245 T BAR MORNING April 20 2009 4 53 45 PM permits BL99 01 4/26/09 ^ BLDG FINAL TIME 01 00 T�y`� April 27 2009 9 35 14 AM 1pangrle SCOTT 460 8245 BLDG FINAL KINGDOM HALL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 4/13/09 JLL MECHANICAL ROUGH IN TIME 09 00 4/14/09 AP April 10 2009 9 56 43 AM 1pangrle SCOTT 460 8245 ROUGH IN MECHANICAL PLEASE INSPECT AS EARLY AS POSSIBLE April 14 2009 9 26 12 AM jlierly ME99 01 4/28/09 JL MECHANICAL FINAL TIME 01 00 MC j April 27 2009 9 36 08 AM 1pangrle SCOTT 460 8245 MECHANICAL FINAL KINGDOM HALL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 4/13/09 JLL PLUMBING ROUGH IN TIME 09 00 4/14/09 AP April 10 2009 9 57 12 AM 1pangrle CONTINUED ONTO NEXT PAGE PREPARED 4/28/09 8 24 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/28/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S WITNESSES OF PA PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SCOTT 460 8245 ROUGH IN PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE April 14 2009 9 26 12 AM jlierly PL99 01 4/28/09 J L PLUMBING FINAL TIME 01 00 April 27 2009 9 36 40 AM 1pangrle SCOTT 460 8245 PLUMBING FINAL KINGDOM HALL AFTERNOON COMMENTS AND NOTES 1\ M ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000031 Date 1/12/09 Application pin number 514844 Property Address 1714 N ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 0300 0000 ` Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Lamp replacment and Audio system Owner Contractor JEHOVAH S WITNESSES OF PA ELCON CORP .� 1714 S N ST 1720 75TH ST NW PORT ANGELES WA 983631520 EVERETT WA 98203 (425) 743 5600 �a Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 140095 Permit Fee 132 50 Plan Check Fee 00 Issue Date 1/12/09 Valuation 0 Expiration Date 7/11/09 Qty Unit Charge Per Extension V 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 �( 1 00 75 0000 ECH EL LIMITED 1ST 1500 SQ FT 75 00 1 1\\ Fee summary Charged Paid Credited Due + —r 5TA"r- Permit Fee Total 132 50 132 50 00 00 Plan Check Total 00 00 00 00 Grand Total 132 50 132 50 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 1�1 FINAL COMMENTS Signature of owner or Electrical Contractor X Date �\ ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000031 Date 4/13/09 Application pin number 514844 Property Address 1714 N ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 0300 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 0 Application desc Lamp replacment and Audio system Owner Contractor JEHOVAH S WITNESSES OF PA ELCON CORP 1714 S N ST 1720 75TH ST NW PORT ANGELES WA 983631520 EVERETT WA 98203 (425) 743 5600 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 144162 Permit Fee 75 75 Plan Check Fee 00 Issue Date 4/13/09 Valuation 0 Expiration Date 10/10/09 Qty Unit Charge Per Extension 16 00 2 0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 32 00 1 00 43 7500 ECH EL-LVT THERMOSTAT 43 75 Fee summary Charged Paid Credited Due Permit Fee Total 75 75 75 75 00 00 Plan Check Total 00 00 00 00 Grand Total 75 75 75 75 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS i 1 Signature Of & „�XDate o v-�h o r j zR A At- 3e lv PREPARED 4/20/09 8 36 29 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/20/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S WITNESSES OF PA PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 4/13/09 JLL BLDG FRAMING TIME 09 00 4/14/09 AP April 10 2009 9 54 02 AM 1pangrle SCOTT 460 8245 ROUGH IN FRAMING PLEASE INSPECT AS EARLY AS POSSIBLE April 14 2009 9 26 12 AM jlierly BLI 01 4/14/09 JLL BLDG INSULATION TIME 11 30 4/14/09 AP April 14 2009 9 05 10 AM 1pangrle SCOTT 460 8245 INSULATION PLEASE INSPECT AT 11 30 AM IF POSSIBLE April 14 2009 4 55 12 PM jlierly BLTB 01 4/20/09 JL40n BLDG T BAR TIME 10 30 April 20 2009 8 34 30 AM 1pangrle IV SCOTT 460 8245 T BAR MORNING COMMENTS AND NOTES PREPARED 4/14/09 9 17 52 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/14/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S W-TNESSES OF PA PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 4/13/09 BLDG FRAMING TIME 09 00 April 10 2009 9 54 02 AM 1pangrle SCOTT 460 8245 ROUGH IN FRAMING PLEASE INSPECT AS EARLY AS POSSIBLE BLI OT 4/14/09 BLDG INSULATION TIME 11 IV- 1p� April 14 2009 9 OS 10 AM 1pangrle SCOTT 460 8245 INSULATION PLEASE INSPECT AT 11 30 AM IF POSSIBLE COMMENTS AND NOTES (n/ V '{— c'— 'A PREPARED 4/13/09 8 47 57 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/13/09 ADDRESS 1714 N ST SUBDIV TENANT NBR P A KINGDOM HALL CONTRACTOR BILL MEYERS CONSTRUCTION LLC PHONE (360) 452 5457 OWNER JEHOVAH S WITNESSES OF PA PHONE (360) 460 0230 PARCEL 06 30 00 1 1 0300 0000 APPL NUMBER 08 00001567 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 4/13/09 BLDG FRAMING TIME 09 00 /� April 10 2009 9 54 02 AM 1pangrle �` C „(J� SCOTT 460 8245 C ROUGH IN FRAMING ` () /y\� PLEASE INSPECT AS EARLY AS POSSIBLE 'c Cl'VVV PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 4/13/09 JLL MECHANICAL ROUGH IN TIME 09 00 April 10 2009 9 56 43 AM 1pangrle SCOTT 460 8245 ROUGH IN MECHANICAL PLEASE INSPECT AS EARLY AS POSSIBLE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 4/13/09LST L— PLUMBING ROUGH IN TIME 09 00 April 10 2009 9 57 12 AM 1pangrle SCOTT 46O8245 ROUGH IN PLUMBING PLEASE INSPECT AS EARLY AS POSSIBLE COMMENTS AND NOTES WASHP O-RT N- GELES A! I N G TON U S A Public Works & Utilities Department January 14 2009 i Jehovah s Witnesses of Port Angeles Attn. Pete Chase 1025 East 5' Street Port Angeles WA 98362 RE. Port Angeles Landfill/Transfer Waste Disposal Application, WDA 09-02 Building demolition 1714 South `N' Street. We have received your application for disposal of building demolition debris from the referenced site and reviewed the application. Based on the information submitted the debris appears to be acceptable for disposal at the transfer station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval Please call if you have questions Sincerely 4 Stephen Sperr P.E. City Engineer Encl. WDA 089-02 Copy Claudia Stromski N:\PWKS\ENGINEER\WDAPPLIC 09-02 File: Landfill Solid Waste Disposal Applications Phone 360-417-4805/Fax 360-417-4542 Website www cityofpa.us/Email publicworks@cityofpa.us 321 East Fifth Street P 0 Box 1150/Port Angeles, WA 98362-0217 N :"ep— B1a_, Permit �= PORT ANGELES LANDFILL atF WASTE DISPOSAL APPLICATION OAKS ANOJ To City of Port Angeles City Engineer Phone (360) 417-4803 321 E Fifth Street FAX. (360) 417-4709 P O Box 1150 Port Angeles Washington 98362 NOTE All questions must be answered for waste to be approved. 1 Generator Information Company Name �EItOVAVW Jr, W,'�_VCssEs e>F PO P_ A N G E Los I Mailing Address -n-10 P(E�Tc C- A_C_6 nn IO2(o E 5 RDFT ANbfl.c%S W4 963bL Contact: SC-07r Phone 4bo S2g5 Project Name RtmO°E:`- Project Location t-71L4 S C\ � sr QJA 8363 �2 Other Contacts (if applicable) f Consulting Firm I 1 Contact: Phone Contractor Name Contact: I Phone Laboratory- Contact: Phone , City of Port Angeles ! ndfill Waste Disposal Application P ,ge 1 of 5 3 Source of Waste Check the appropriate box below and briefly describe the project, process and/or cleanup that will or has produced the waste requiring disposal Include the gasoline service station numberl (if applicable) CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill Other Source We Aft RC—riA00 LlitJG IkSC tAJT(5(LfoV— A)b A©ouvti AN �'viSr4c �Joo2 Si�cW 4LK WC tL,tLi- &if L1t6POscA/GN of Plt �vi£L1 �Lu��N-,oA Woat�� A�.y u�4Lc..�o`D C�r2!s�T 44ftNyL F�°Ri��,, � LirC�c.6Nc,l�=ice F2eM Feil--mt^�C, P(Z1oR R�rv1e��C CN(� F112G (��ST�(LPrT1oN b©.U,E AFT iq!2'p NO lvE� cF 4 Waste Materia! Composition (check all that apply and include percent of total) Soil % Foundry Slag % Concrete/Asphalt ®S % Dredge Sediments % Preserved Wood % x Debris Coal Ash % Other (list) Wood Ash % % I NOTE Total must equal 100% Waste Material Contaminants (check all that apply) Gasoline Metals Diesel Solvents Heating Oil PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other Other Petroleum Product Unknown NOTE Supply any MSDS information with application if available Uty i, Port Angeles Landfill Waste Disposal Applica,ion Page 2 of 5 �6 Estimated Quantity of Waste for Disposal r,(N Ati ac 4 o ti -g &t U oUmPsrcAs Cubic yards / Tons (estimate both) Drums / Tons (estimate both) Other NOTE Estimated quantity for disposal. must be within 20% of the quantity actually disposed (10% for projects over 7 500 tons or 5 000 cubic yards ) 7 Frequency of Disposal One time Monthly Annual X Other W�ThVrJ WJE MoNTb� 8 Waste Sampling Proper characterization of the waste for disposal requires the collection of representative samples The methods and equipment necessary for obtaining representative samples of a waste and the frequency of sampling will vary with the type and form of the waste Check the appropriate box and briefly describe how and where the waste was sampled Include site maps with sampling locations if possible Number of COMPOSITE samples & number of discrete samples per composite Number of DISCRETE samples i NOTE 1 Unless prior approval has been granted by Port Angeles the following sampling frequency will be used 0 25 cubic yards = 1 composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2 One composite sample shall contain a minimum of three/maximum of five discrete samples City of Port Angeles Lan 1111 Waste Disposal Application Pay- 3 of 5 9 Waste Analysis ----- ---- -- --------- ---------------- The `Dangerous Waste Regulations (WAC 173-303) shall be utilized to determine the appropriate analytical requirements for waste characterization Ecology Publication #91-30 (Revised April 1994) Guidance for Remediation of Petroleum Contaminated Soils shall also be used to characterize petroleum contaminated soils from UST releases Submit all laboratory analytical results QA/QC data and Chain of Custody sheets along with this application (NOTE The laboratory must be accredited by the Washington State Department of Ecology ) a) List all analytical test methods used b) Provide a narrative as to why the above analytical methods were selected fyo WIL-4— 66 160nlE NOTE Additional sheets attached YES NO 10 Soil Classification (**FOR PETROLEUM CONTAMINATED SOILS ONLY**) Based on the analytical data and Ecology Publication #91-30 the soil classification is (check one) Class 1 Class 2 Class 3 Class 4 Calculated Hazard Index 11 Dangerous Waste Affidavit: Based on a review of the analytical test results site history and the applicable regulations this waste is classified as (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code Extremely Hazardous Waste (EHW) and Waste Code i City of Po r.Angeles Landfill Waste DisCosa, fAppi,ration Page 4 of 5 f 12 Special Notes for Asbestos Disposal I All asbestos containing materials (with the exception of roofing material in good condition that is not peeling cracking or crumbling with petroleum based binder that still exhibits plasticity to prevent the release of asbestos fibers) must: I be tightly wrapped or bagged in 6 mil plastic with no excess air in the packaging not exceed 50 pounds per bundle be labeled as asbestos with required information regarding its origin be transported with a manifest in the vehicle arrive at the transfer station only by appointment with Brian Tate of Waste Connections so that the material can be deposited in a lock box (his cell number is 360-912 7080) 1 Certification We THE UNDERSIGNED certify that this application is true to the best of our knowledge All information provided is correct and the enclosed analytical results represent the proposed waste material to the best of our abilities Waste Generator Signature p 1 ft N C,R L.,�: Printed Name Company Oct Date City of Port Angeles Approval �,i9A Pzvj a J +�G City Engineer IV �//do Date /Wnq _ Approva Expirati n Date ! NAPWKS\ENGiNEER\Waste Disposal Applicaticr \waste dispo�,.l explication-2008 version.wpd City of Port Angeles Landfill VJaste Disposal Application Page c of 5 01i0a/2003 15 23 4253553315 ELCON CORP PAGE 05/05 r City of Port Angeles Permit Application r Building Division/Electrical Inspections 321 East Fifth Street P 0,Box 1150 Port Angeles Washington,90302 Ph:(380)4174735 Fax,(360)417.4711 Date; 0 axdol 1 &2 Single Fancily Dwelling Multi-Family or Commercial` Commercial Addition 1 Alteration f Remodel!Repair' 0V Pian Review May Be Required,Please Complete Eleftal Plan Review Information Sheet ,Job Address; - =s 1"JA 36� Building Square Footage:_ _ 21Q' Desdiptiortofabove eA2 5Z2tel Nr-_..� s�,� q.r • _ -t At JAIL ext✓ar c_ ri;w ✓,w uv�?" (�� 2rpezc��p �1L-,._x7nY�or�.� , :gj" / s15hild r Pt,aaCui3_ Owner Information Contractor Information Name: :na.f t DIY v rpt n. _.8E-, AL;ua,i ; I11,4.a.KK Name: "r"W r�-�i ue✓ Mailing Address:__ I'7I y Mailing Address:��_ 7— 5t� City, 46 ^State:. Zip: 4,1 city' State;l&A.Zip: D:3, Phone; 36 0 t e. D ?c; :eta V 7 ..s'a'd phone; �Lr _64o7 la� License#!Exp. _ L,icense#!Exp, ISD✓c'at/2 bra I 4� J_r--1��,,,_ UniLCharae SLY Total f Multiplied by nit CharaeP $ 53.75 $ Service/Feeder 200 Amp. $113.75 $ Servioe(Feeder 201.400 Amp. $160.00 — $ Servioe/Feeder 401. 00 Amp, $205,00 SeNbWFeeder 601.1000 Amp. $291.25 $ $micelFeeder over 1000 Amp. $ 2.00 $ Branch Circuit W1 Service Feeder $ 57.50 �_ $ Branch Circuit WIC Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 77.50 $_Temp,Service!Feeder 200 Amp. $ 66.25 $____ Temp.SerricelFeeder 201.400 Amp. $t 16.25 $ Temp.ServicefFeeder 401-600 Amp. 5131.25 $_ Temp.ServioelFeeder 601 1000 Amp. $ 75,00 — $ Portal to Portal Hourly $ 69.00 $ Sign/Outline Lighting $ 7$,00 Y $ 7S Signal Circud]Limited Energy Cc --cW $ 50.00 $_Signal Cireutil Limited Energy 1& a Amy Dwelling $ 50.00 $ Signal ClrouRl Limited Energy Multi !ly Dwelling $93.75 �_— $ Manufactured Home Connection $ 80.60 $ Renewable Electrical Energy 5KVA System or Less $ 86,25 $ First 1300 Square Ft, $ 27.50 — $ Each Additional 500 Square Ft,or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ $6.25 5 Each Swimming Pool or Hot Tub $ 43.75 — $ Thermostat $_.132- Total Owner as Wined by RCW 10 ZJ..167.(1)Oawrer will occupy the sftWtwe fortwo years off I is e%ctrical perndr is#ntliW(?J Oavnaris tequued M hire an electrical conMactor ifabow said oMmiry is for sale,rent or/ease. After reading the above statement,I hereby certify that t am the owner of the above nerved property or a licensed electrical contractor I am making the electrical installatlon or alteration in compliance with the electrical laws,N.E.C. RCW.Chapter 19,28,WAC.Chapter 296466,The City of port Angeles Municipal Code,and Utility specrficaaions. Signature of owner electrical contractor or electrical administrator . `—~^ Date• /•"""i; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001567 Date 1/07/09 Application pin number 844336 Property Address 1714 N ST ASSESSOR PARCEL NUMBER 06 30 00 1 1 0300 0000 Tenant nbr name P A KINGDOM HALL Application type description COMM REMODEL Subdivision Name Property Use Property Zoning RESIDENTIAL MEDIUM DENSTY Application valuation 52760 Application desc INTERIOR REMODEL Owner Contractor JEHOVAH S WITNESSES OF PA BILL MEYERS CONSTRUCTION LLC C/O CHASE PO BOX 1603 1026 E 5TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 5457 (360) 460 0230 Structure Information 000 000 INTERIOR REMODEL Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc INTERIOR REMODEL Permit pin number 139576 Permit Fee 691 25 Plan Check Fee 449 31 Issue Date 1/07/09 Valuation 52760 Expiration Date 7/06/09 Qty Unit Charge Per Extension BASE FEE 670 25 3 00 7 0000 THOU BL-50 001 100K (7 00 PER K) 21 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 139584 Permit Fee 79 30 Plan Check Fee 00 Issue Date 1/07/09 Valuation 0 Expiration Date 7/06/09 Qty Unit Charge Per Extension �] l BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 2 00 7 2500 ECH ME VENT FAN 14 50 Permit PLUMBING PERMIT g llY Additional desc I Permit pin number 139592 Permit Fee 156 00 Plan Check Fee 00 Issue Date 1/07/09 Valuation 0 Expiration Date 7/06/09 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 permit does not pr/surae to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance OyAnstrucLone- X, � Dat Print Name Signat of Co tractor o uthorized Agent Signature of Owner(if owner is builder) T:FonnsBuilding Division/BuiIding Pennit 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 Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wail/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION. Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit CITY OF PORT ANGELES _ DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION c� 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 08 00001567 Date 1/07/09 Application pin number 844336 Qty Unit Charge Per Extension BASE FEE 50 00 12 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 84 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 Special Notes and Comments December 31 2008 10 37 53 AM kdubuc If the main exit door is not equipped with panic hardware a sign must be placed above or adjacent to the door that reads This door to remain unlocked during business hours Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 926 55 926 55 00 00 Plan Check Total 449 31 449 31 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 1380 36 1380 36 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection I hereby certjfy 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 grantin f a permit does n presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance co struction. Da e Print Name Sign o re of Contra or Authorized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 1 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 Bldgs) PLUMBING Under Floor I Slab Rough-in e 73'L41 Water Line(Meter to Bldg) Gas Line �� Back Flow/Water FINAL DateIAccepted by Tt�'-. i AIR SEAL. Walls -� Ceiling s FRAMING Rou3li,-m (--Mm6ij `f-13-61 'ALL Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only)__ t /� T-Bar —110— INSULATION. 110-INSULATION. (,L ' Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In —1 0 Gas Line Wood Stove/Pellet/Chimney .,¢ Commercial Hood/Ducts FINAL Date y-W—Q /q Accepted b TCL- MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /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 O` Building 417-4815 Q T Forms/Building Division/Building Permit ��eSsolt' W�'bs� s(-ares owner s ��t �lnovt 's W; rvt�ss of Ioz6 E 544n S+ �i_0J gOJUAF BUILDING PER APPLICATION Print in ink G CITY OF PORT ANGELES For City Use Only- Attn: nl -Attn: Building Permit Technician ��P�S' 1 Date Received 321 E. Fifth St. Port Angeles,WA 98362 �� �� Permit# (360)417-4815 fax(360)417-4711 �� �o ate Approved Qo rpo` Applicant or Agent , �� -RPh e �6`t3- y�Q �' Property Ownermp �� hone Property Owner's Address f Contractor/Engineer 1 Contractor/Engineer's Address Ex fires License# PROJECT ADDRESS / ��"` r Parcel Number `00110;70} Lot Zoning1/ Of 6 Project Type&Brief Description. o Residential o(Commercial ❑Multi-family ❑Industrial Check all that apply ❑ New Construction l D Nee �- ❑Addition 7- ol Remodel ✓ ❑ Repair ❑ Re-roof ❑ Demolition A rt ex ri ❑ Heat System i0 Heat pump ❑wood-burning stove ❑gas fireplace ❑pellet stove ❑other ❑Other F_FloorAreas Existing(sg.ft.) Proposed(sq. ft. @$ _ per sq.ft.entrr '-`� 199 3`d Floor Garage � Carport '7 Covered Porch Deck Shed Other `- 0 TOTAL VALUATION $ 2 sq. Lot coverage % Total footprint of structures C/� sq.ft. - Lot size ft. = _ occupancy #-of bedrooms Max. height of proposed structures ,Vt Ll ft p y grou p #of full baths Will a lawn.sprinkler system be installed? /V� Occupant load � �- Construction type T ar of half baths Will a fire sprinkler system be installed. 1 have read and completed this application eand termn�e what perm arew it to be true and Crequlred,t. l am and totobfZe perm it to for this permit on understand that it is my responsibility to d projects. Date /z ;Z Print Name 122� L� �_Signature I I i 3 i f � I I II I f 1 z r � z NO n� ll U VA-C �a� 2202 2202 f� 2202. 1624, / 1624` f zzo, � f 220, . / 9629 Y .2201' ` ! e ��- � 0 1/~/.'"•,,, 003,11 Pro fo s e-A 1701 '~"'•,, �'^., � 1 j �.,,� ,jos 2,3, 2,25, ELECTRICALwORKPERMITAPPLICATTON ` ❑Request inspection Electrical Contractor Downer U Annual Permit p Alarm ❑ Carnival O Commercial 0 Residential O Residential Malec. ❑ Signs ❑ Thermostat 0 Telecom. installation description Job wired by O Electrical Contractor 0 Owner Electrical contractor name License number Nr Tt=e.ta SPt.�tzt�`t s..ae Hrt-t.clS 9556y4(�(x�Ac S�cyEZ��`( � Purchasers mailing address 72 0S-T- !F-7f 0,DT i City state ZIP �Dp--V �a xt�l�s ".)cal . 961 �(0 Telephone number FAX number 3�0 ys2 22� 31,0 - 452- gSGO Premises owner's name KwCabc ry-N NA LL-- Address of inspection ���`� \ 11 SO. Q . Cit ❑ Cash 0 Check# J t KZ— I hereby certify that I am the owner of the above named property or a licensed El electrical contractor(or the firth's authorized agent) and am making the electrical Credit Card Visa Mastercard Discover installation or alteration in compliance with the electrical law.Chapter 19.28 RCW. Card# Signature of own r, lectrica c tractor or electrical administrator Expiration Date X ofeard Inspection tec $ 42.2 WALLS CEILING THERMOSTAT SERVICE Insulation Only insulation Only Det, Appmvcd by Dem Approved by D.ve nppm.ea err nam AppmvW By DITCHEF,F:DER Cover Cover Dam Approvers ayDam AppmvW By Dam Appw,W By Dnm Appmv,d Dy Electrical Load Additions and or subtractions Service Information_ U NO LOAD CHANGES 0 Baseboard —KW Voltage ❑ Furnace —KW U Overhead Service Phase 0 1 0 3 0 Heat Pump _Ton_,...._LAR 0 Temp Service Service Size: _ O Fan-Wall ,._KW U Underground Service Feeder Size: Inspection Electrical Date Arca,Building or Egmpment Inspected Action Taken Inspector Tel WUST:60 900E 0T 'FeW 09SS ZSV 092 'ON Xti9 SOIN0a-LD3-13 H031-IH WOd3 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION �i 321 EAST 5TH STREET. PORT ANGELES.WA 98362 Application Number . . . . . 06-00000482 Date 5/12/06 Application pin number . . . . 976962 Property Address . . . . . . 1714 N ST ASSESSOR PARCEL NUMBER: 06-30-00-1-1-0300-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 Owner Contractor JEHOVAH'S WITNESSES OF PA HI TECH SECURITY INC 1714 S N ST 723 E FRONT ST PORT ANGELES WA 983631520 PORT ANGELES WA 98362 (360) 452-2727 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . HI TECH/ SECURITY SYSTEM Permit pin number 77222 J Sub Contractor HI TECH SECURITY INC Permit Fee . . . . 42.20 Plan Check Fee .00 Issue Date . . . . 5/11/06 Valuation . . . . 0 Expiration Date 11/07/06 Qty Unit Charge Per Extension 1.00 42.2000 EL-LOW VOLT SYS <=2500 SQFT 42.20 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 (A ` 1 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 NO DITCH SERVICE FINAL S-Ig-o6 GENERAL COMMENTS: FW-1102.1514" 19ORT 4Nc=FCITY OF PORT ANGELES PERMIT NO.LIGHT DEPARTMENT /77/ �Ti ELECTRICAL PERMIT DATE ® Site Address: El FOR ❑ WILL CALL FOR /� INSPECTION INSPECTION Installed By: G6�/f License Number: Phone: 445 I�11_ Owner/Business: 99/I E.SPhone: Q.' L(qo 5 lL l i Owner)Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair Voltage Heatpump ❑ Other ❑ 10 ❑ 30 /❑ Commercial/Industrial load ❑ Add/alter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: /r��i12f_ iN �i� /7EA7� ,IJc�Jmc,¢.2� W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending ^ Site Address: Permit/Receipt No. 7/ C54 177/ Installer: �— New Meters Date: /3 dd� ® Notify the Department of Citj l by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411,EXT. 158 or EXT.224. .f NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ' Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPART14MT ELECTRICAL PERMIT N? 17085 h. .r/ Port Angeles, Washington......../..___/ ..................-----------, In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby anted to do electrical work as listed below. YSr I�11 Sc� N con ' Address _-/---•--a ------------- Occupancy _..--•---. Owner �.:!!/-.-----c=t°`�`--�=- Tenant. - - - Wiring Contractor__.B rte- --------------.............................. By_............ - Light Outlets........................................ Service. volts ....................................... Type of Wiring: Receptacle Outlets------------------------------- No. wires --------------------------------------- Armored Cable .............................. Dryer.KW.......................................... Size fares..................._. Non-Metallic ................................. Knob & Tube................................ Range,KW----------- --------------- ---------- Main fuse --------------------------------------- Rigid Conduit --------------------------_... Water Heater: Enclosure --------------------------------------- Metallic Tubing ........................... q KW....................... ..................... Type of wiring: Raceway ............................... XHes% KW.._�..�..y....��_r........_..... Entrance Cable............._-............. Circuits, Light....................................... Motors size v Its d see: Rigid Conduit ............................... Utility ..................... �/f Metallic Tubing .......................... Heat ... . ........................_...._. Current transformers: Range -------------............................... ........ No. & Size....................................... Water Heater ............................... / ..... ..... .........P ................. Ser.No............................-.................. Motor ..._........................................ . Ser. No---------------------------------------------- Dryer................................................ ........................................................._ Furnace.............. Ser. No.............................................. TotalLoad ......................... A`J SQe�r. No.................._........................-- Total --------------------------------------- Remarks: ---------------------------------------— — rte?- -• - ------------------------------------------------------------------------------------------------------ -...---------•-----------------------------------••----••---••----- -----•---------------------------------------------------- ----------------------- ------ ... Permit Fee Treas. Receipt $--------------------------------------- No----------------_---------- By ----------------------------------------------- :----? NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION 1 ELECTRICAL PERMIT 17085 Address ....................----..................------......----'---...................------`--------.......................... Date................................................... Owner .........................................._........._......_.._.............._........................................... Tenant.................................................................... WiringContract r......................................................................................................................... By.............................................................. 1 NOTICE—Current must not be turned on until Certificate of inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. ,�e Olvmnic Printers, Inc.