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1430 Park View Lane - Building
N ELECTRICAL PERMIT c CITY OF PORT ANGELES C' 360 417 -4735 R Application Number 12- 00000580 Date 6/05/12 Application pin number 359740 Property Address 1430 PARK VIEW LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-2-5320-0000- Qn our excise tax form Application type description ELECTRICAL ONLY Y Subdivision Name to the City of Port Angeles Property Use Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 100 amp feeder and 10 circuits nurse room Owner Contractor PARKVIEW ASSOCIATES NORTH PENINSULA ELECTRIC ATTN: PETER JORGENSEN 761 FRESHWATER PARK RD 1430 PARK VIEW LANE PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 477 -1764 c (360) 452 -7222 926 91-6S Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 238.00 Plan Check Fee .00 Issue Date 5/15/12 Valuation 0 Expiration Date 11/21/12 D Qty Unit Charge Per Extension 10.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 50.00 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 238.00 238.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 238.00 238.00 .00 .00 N INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN /_lxC?l r FINAL 07 a AP 9:01p E` COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING t N ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 -417 -4735 CP Application Number 12- 00000580 Date 5/15/12 O Application pin number 359740 Property Address 1430 PARK VIEW LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 100, amp feeder and 10 circuits nurse room Owner Contractor PARKVIEW ASSOCIATES NORTH PENINSULA ELECTRIC ATTN: PETER JORGENSEN 761 FRESHWATER PARK RD 1430 PARK VIEW LANE PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 477 -1764 (360) 452 -7222 5'2-O Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 182.00 Plan Check Fee .00 Issue Date 5/15/12 Valuation 0 Expiration Date 11/11/12 Qty Unit Charge Per Extension 10.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 50.00 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00 Fee summary Charged Paid Credited Due Permit Fee Total 182.00 182.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 182.00 182.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 2012 -05 -11 12:44 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1 rr U L..) 1 ><r r" r r V l City of Port Angeles Permit Application Building Divis nlElectncal Inspections ELEC ;iIC:,t. i 321 East Fifth Street P.O. tax 1150 ;)�1S EC i 0 O Port Angeles Washington, 98382 Ph: (360) 4735 Fes: (380)417.4711 Date. 11 —Lz- 2 Single Family Dwelling Muth• Fatnily or Commercial' Cormercial Addition Alteration Remodel !Repair' Pian Review May Se RRqui e, lease Compleett Plan P,eview Inftamatior. ShCer J Job AddreSS. 1 C� -i j_ ....L Buildin Spuare Footage J ,..e ,fir �lVy'" 'r�:11J�eJ i-- n ior. of above 'f T\ .,ll.y, S v`3 At.Lrft1� r T��Q ..�U E, sr i C .LY't�\..." \7-J M antrart Intar lido. :Vale. rmaUOn C. .Lf s �(„�t Name..` .1��^' Namt; r Meiling Address .2 c', L-. \c X d Ma:ung Address. 7 U Yo.' L� d. 1 v___. ;it _state \.k,'-1, Zia. 4 —.i 0:ly: -t T State ?`c C _3 Phone 3 1_ '1 1 1 .Fax: Gh Lt 11L! 1-' 1 Fay Z U License a Exp n t' :C._.E i, .J c.. v 7 Unit C.r 0rQe Cgt I n oT&I (qty hlul i li d by Un i: Charoei 5 119 90 SI_l. _I Service/Fee-der 200 Amp. 5 ..A5 50 S_... Service/Feeder 201.400 4mo i 204.80 S_ Service/Feeder .10 Amn 26? 20 S_ Service'Feeder 6.31.1300 Amp. 3'7 50 5 over 1000 Arm S 150 I/ C/ 5 _..r L.) C 9ranch Circuit *Service =eerier 5 73 50 S__._. tlranch Circuit WW!0 Service Feeder 5 7.40 5 Each AdditOnal Branch Ciro,d 5 92.70 Temp. Service! Feeder 200 Amo S 110.30 5_ Temp Service,=eeder 20140: AMU 148 70 S____._ Temp Service1Feeder 401600 Amp. 915790 S Ten•p. Service/Feeder 601-1000 Amp 5 95 90 S__ P0nel t0 Pont HOury 88 20 S Sign %Outline Lighting 5 95 9C S Signa; Circuit Uwe(' Energy Commercial. AOOivonal 1500 95 00 S 63 90 S._.. Signal Circuit' Limited Energy -1 8 7 Family Dwelling S 63.90 5.. Sgna• Ci rcurS Lim ted Energy Mult,. Owellirg 5119.90 Manufactured Home Connection S 102.30 S Electrical Energy 5KVA System, or Less 5 110 30 S FIrsi 1300 Square Ft. S 35 20 S.____ ... Each Adam 500 Square 0: or Potion ar 73.50 S Each 0 Acting •,r Detached Garage 5 i10 30 S E wimmrng Pool or !J.0; Tub S 56.00 S ermosta: r ply S 'fotal ps 1 2 7 Owner as defined by RCW.19.28.281; (1)Owner will occupy fhe structure tor two years after this electrical permit a finalized, (2) Owner is required fo hire an electrical contractor If above avid property is for sale, rem( or lease, Permit expires after Of months of lag t inspection. After reading the above statement, I hereby eerily that I am the owner of the above named property or a licensed electrical contractor. l am mating the electrical Installation or alteration in compasnce with the electrical taws, N,E.C., RCW. Chapter 1928. WAC. Chapter 296.488, The City of Port Angeles Municipal Code. and Utitlty Specifications. Signature of owner. electrical contractor or sl0etrlul edminlstramr f Cash Check I 1 I 1 X VA, 1 Date; ..0 Ciedlt Card ti C,� 2012-06-0113:58 NORTH PENINSULA ELEC 3609289409 360 417 4711 P 1/1 0%'c1ac3 h )v L EC Fc rir117T 'N;IPP111.1.__ CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections t 0 116=11111 n 3 321 East Filth Street P.O. Box 1150 Port Angeles Washington, 98362 V" �Jv Ph: (360) 417.4735 Fax: (360) 417 -4711 ELECTRICAL W Z INSPECTIONS Date: 2 <G A�Id- F amily or Co�mtercier Plan Review May e PI Complete Electrica_ I_ Plw Review Irttorma1ion Sheet Job Address: a ,TX l LIAJ L_ 0. VVsi--) Building Square Footage: Desolation of above ��]M`iRTINIM i Owner Info atl 1 c X' 1 Contractor to on VC 1 Name; Melling A �f s: L- an Mailing Add s10La�IS=101!�l'-� r is�. Cit Y J. Stele: Zip; L city. State a f ip:, '1 t ;r Phone' Fax Phone: 1 .,...3_2.- j c Ucense 4 /Exp. LJ nee a Exp. em M• i r 1_ an lJnit Charge gxt Total May Multiplied by Unit Charnel Service/Feeder 200 Amp, 132.00 Servio9/Feeder 201 -000 Amp, $160.00 Service/Feeder 401-600 An 8 225.00 Service/Feeder 601 -1000 Ann. S 288.00 Service/Feeder over 1000 Ann. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp, Service/Feeder 20140 Amp. 121.00 Temp. Servloe/Feeder 401.600 Amp. 164.00 Temp. Service/Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign/Outline Lighting 88.00 Signal Circuit/ United Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial $96.00 Note: $5.00 for each additional 1500 sf Re Electrical Energy 50A System or Less $113.00 Thermostat 8 56.00 8 Note: $5.00 for each additional T-Stat Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration In compliance with the electncal laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical adminlstiator: 0 can, chock X 1: Dated: 1 I 1 Z. tnro1R012 CITY OF PORT ANGELES ;.:40, 4 DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION w 1a 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000420 Date 4/18/12 Application pin number 912940 Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000- REPORT SALES TAX Application type description COMM ADDITION on your state excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 78000 Application desc OFFICE ADDITION REMODEL Owner Contractor PARKVIEW ASSOCIATES HOCH CONSTRUCTION ATTN: PETER JORGENSEN 4201 TUMWATER TRUCK RT 1430 PARK VIEW LANE PORT ANGELES WA 98363 F1 1 r 3.72.1 2 PORT ANGELES WA 98363 (360) 452 -5381 (f w (360) 452 -7222 Other struct info HARD SURFACE AREA Permit BUILDING PERMIT COMMERCIAL Additional desc OFFICE ADDITION REMODEL Permit Fee 873.25 Plan Check Fee 567.61 Issue Date 4/18/12 Valuation 78000 Expiration Date 10/15/12 Qty Unit Charge Per Extension BASE FEE .00 1.00 873.2500 THOU BL- 50,001 -100K (7.00 PER K) 873.25 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/18/12 Valuation 0 Expiration Date 10/15/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Permit PLUMBING PERMIT Additional desc SINK INSTALLATION Permit Fee 57.00 Plan Check Fee .00 Issue Date 4/18/12 Valuation 0 Expiration Date 10/15/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL- PLUMBING TRAP 7.00 Special Notes and Comments April 17, 2012 7:41:39 AM rbecker. 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. /�L J 6104-1 77_ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping _SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T•Pnrm' /Rnilriinn r)ivisinn /Riiilriinn Permit R CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 '1 Page 2 Application Number 12- 00000420 Date 4/18/12 Application pin number 912940 REPORT SALES TAX 9 Special Notes and Comments on your state excise tax form i If you are installing a closed fire system, you will need to install a double check valve assembly. If you are installing to the City of Port Angeles O" an open fire system, you do not need to install a backflow (Location Code 0502) ac+m assembly. If you have any question call Ron Becker at 360 -417 -4886, 4' E- mail:rbecker @cityofpa.us or fax:360- 452 -4972. This project will require a seperate permit and fire alarm plans for review. A full acceptance test will be required for the fire alarm system. Call for cover inspection for all sprinkler installations. This project will require seperate permit and fire sprinkler plans for review. April 18, 2012 10:45:56 AM sroberds. The proposal will result in an office addition /remodel within a multiple family complex. Lot coverage is 26W/ site coverage is 41W in the RHD. No land use isues. II Electrical load calculations and electrical permits are required. X 91 Public Works Utility Engineering has n6 requirements for this plan review. .$3 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 995.05 995.05 .00 .00 Plan Check Total 567.61 567.61 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1567.16 1567.16 .00 .00 0 4 Separate Permits are required forelectricalwork, 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 to last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions i 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. 4 4 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit a' 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. ■r-1 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: MOWO 5.q I Footings 45.4. I Iv-- cr" Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab f%J• a- S IA/ Rough -In C 'QM'. t Water Line (Meter to Bldg) Gas Line QQ 8 la- Accepted by L� Back Flow /Water FINAL DateU AIR SEAL: Walls> ate• V2,- Ceiling FRAMING: CP�4 9 n Zw rA-' Joists Girders Under Floor e. Hold Downs Gi c3-a 1,2r* 1 Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar 14)'754 Ia- Z3"U-- INSULATION: Slab (3 Wall Floor Ceiling Z< •'S' /2' n/fi MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney --yy�� a i Commercial Hood Ducts FINAL Date 3'22 12-Accepted by t. MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By c Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 29.• (bL T•Fnrmc /Rnilriinn r)ivicinn /Ruilriinn Permit H 'V 3 H '0 W W W W W W W W W W H /0 ro O n> n ro M M M r 0 r r r T r r r Z M ro a O 0 H 10 ro '�C (0 y J H n H w H '0 w H M ro 4 ro PI Z Z M H M 3 3 Iii 0 M rnMHz zro M H (n H M H X7 XJ M p H o 0 H o 0 0 0 0 0 0 0 0 o 0 H Zr. >01 O M H r H H H N N H r H H C n M "1 M 3 H 0 PI 1 WI m• Z• 0 0 10 n X7 0110(1 X7 X7 W o M 01 0 M 0) m m m m mm 01 t/1 MW WW to to Wm 01 01 0 M H 310 100 H.� H.-, H.-, 30 N M C O N ro C 0 N N N N N O O ow ow W N W N W N O O 000 H O ro x H N r ('1 0 N r M 0 N 7,1,H WW H. O 01 Ow O 10 0P 0 r M 0 N m p 0 0 Mu) mm mm 11Z0w 0, 1 7 1 H H3g H HH HH HH HH HH HH HH HH HH Owx xo MN M M r N M M M N N N N N NM NM NM NM MN NM mm M M Cr 00 C r MI MIi M i C MH o 0 t00ro M 3 00070> M 0/0 4.3 En Z Z 4 X1 H 4 >4>4 >4 00 >ro 23 001 Oro >4 M Z wo>H o L41-10 (1 r v MH 7.....11. 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(0) W r b1 M H G H H 010 t o H 9 T x H O 1-' f*1 0 m G W rt G' 1m i ,m ,-..3 H 1 N N LINDBER A R C HI E C T S May 29, 2012 Jim Lierly City of Port Angeles Community Economic Development Depart. 321 East Fifth St. Port Angeles, WA 98363 -0217 OP, RE: Parkview Addition Dear Jim: Hoch Construction scheduled with myself on May 25 to observe the placement of the anchor bolts into the existing concrete foundation at the Parkview Addition project. The permitted drawing call for (5/8") five /eights inches diameter rods to be drilled and epoxy into the existing concrete foundation a minimum (4 four inches in two locations. I observed the drilling and cleaning of these holes and we had over (4 four inches of embedment. I also observed the epoxy and rods being place into these holes -as per the manufactures requirements and the drawings. On May 29 Hoch Construction had me come back to the site and review the post at the hold down located at the west side of the exterior door on the north of the addition. The drawings call for a Simpson HDU2- SDS2.5 hold down be place just west of this door and be bolted to a (3 three inch post. The existing post is made up of two 2x6 studs with one of them being interrupted with the door header. I directed the Contractor to provide blocking at the face of the header to be flush with the face of the studs and install a Simpson strap to extend a minimum (12 twelve inches above and below the header. This will allow the N two sections of the stud to act as a continuous stud. If there is any additional questions, please contact us. Respectfully, LINDBERG SMITH ARCHITECTS, INC., P.S. RECEIVED Charles S 'th, Architect MAY 3 1 2012 CITY OF PORT ANGELES BUILDING DIVISION P 2Mit a 420 319 south peabody suite b port angeles wa 98362 360.452.6116 fax 360.452.7064 email contact @lindarch.com www.lindarch.com 07 t0 ttl t0 b7 b7 b7 H 1d >010001 n ro r r r r 01 r K w 01> H 0 H w H (0 w H m ro M ro 01 Z 0 H M 01 4 0 m 00('J-301 <01 WWWW 0 0 0 0 0 0 o ip y 01 0 ›m O W H N N H H r r S n (n m m H 0 m m o Pt m• 017• 0 n 011 017 0011 O1 a) U1 01U1 Ul Ul In--.. 01 Ul WW OM y 3 0 0 O ow ow w N w N w N O O ro O r 0 ro x r Ul U l r H H H 00 0 (0 0 (0 ,P 'P r m O N 01 q 0 '0 MM 1 I x7 n w OH H H H H r r r H r r 1-- H H tC O w x x 0 MN N N N N N NM MN 03 03 NN m m[ 00< 0 0 tJ H o Oro t J rf 0 (0 Z Z 0 0) H IA I tn Otj: 4 0701 Jyro bro f ro 0'0 Y4 ro x Noyes N ›M ro m ro w T m '00' 01 D( 0 o C MZ 0101011 0 0 Cro 010001 0 ro 00,0,E w y 3 w H H 3 H 0 Z Z H q'm C l o w 4t0G 4tD4ro3tU33t0m G'3b7G 3 0733301 00 i 0o r 0 0 d G r G GO O'GZ'Gd 1010 H (D 10 0 01 0 (0 01 G) m oar/ G) G) 0 L) [n0 H Ij H w w i N (0 w 0, 0 A A r x1 0 (.711-10 H 'J H t7 H y o 1 to (f) 000100 0- 0 A T. 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P0 z nn m i N 01 H H H W H CO W (n (0 i O H wz tn> O z O N 4 w to yy0 H O 3 x x O: i M x M 00 (7 1 Cr) (0 (0 Z Z 0 1 H (0 r n M M H l r n (D N C 1 H a m M rr ry G 7( G r N N G 0 01 0 ■C p 01 01 I 0 0 0 0 A 0 VI N N J 01 N W N CO N H 0 (0 H 01 M M 01 N H N U� r K t y ro 0 O C G N O r 3 r 00+7H0 K0 o 0 H 0 0 0 0 0 r 0 00 0 0 c1 0 0 0 r 0• z• o vl O tTi x y Z 0 0 0010 `Z 0 0 iiM0W O H H H Id 0 0 01 0 M N N 1s] 17 0 00‹ r 0 0 0 H 0 0 M z z N o› Cr) x A MHO 01 0 U] M C UI [n 01 NVIC.'H �r zm n,onm to H o H Z Z H 1» 0001 qN O MM HO rt X c H M o mH rH o H H H z Z U 'O n r 0 O O O O n H H H H 3 comZ 3 O 3D 01 d 0 0 y 0 0 z n n N w to cn O H �Z U O 0 W H O v 0 0 O 0 000 3n H 0001 1 OO m0 x Z Z 0 y (1 0 111 H 0 a C H G 01 N 0 O w w k 0 0 0 0 a a Crl 0 0 N N J UI N 0 N CO N 0 0 0 H M UI N W O H b T ro O n? n ro 7 O 3 C n 3 3 x1 K 3 0 0 H z r Y' W O 0 0 C7 0 0 0 0 y 0 ro u tri 0 n 0 0 Ob7 H� o ro b 0 O O I C O H o ro 0 H b -P O r M 0 1 1 W O n Lo A r r H H [U o W 0 X O CI N 0 t7 C7 b O O C r O 0 H o H( ro b1 C o0o1T1O? cn H A In x 4 0 Z N O> H 0 tt (1) 0 0 O 0) g] 0 0 0 0 (f) 0 n 0 n (11 (n C i)1 0 0 n H 0 N H 0 H 1 t7 0 0 (n 000 700 1 CI 0� 0 0 H i a r o 0- 0 H H z O x00 0 H H H q� 00 X 3 ro 0 0 0 W G H H nn Cn W N (n O H Dr t H k O O t (n M z C7 (C H 4 4 H Z 0'' roro Cn r-- i 0 r ZZO n] 0 t7 tT] H I r A PN C H 01 ft d7 0 G 0 N C J O W W o m m 0 0 0 �y J A' NJ N N J UP N W N Co N I t7 tri u, O H N 4, 0,po r BUILDING PERMIT APRL.IC TION Print in ink s i'k7 CITY OF PORT ANGELES For City Use Only: CM m- Attn: Building Permit Technician Angeles, WA 98362 /Sate Received I a. 321 E. Fifth St., Port An g ermit# 2 5 NNW' (360) 417 -4815 fax (360) 4174711 I( Date Approved I/T1 SI Applicant LI,Jc I 4 c i ip/,4 /1-S Phony 452 te.„. 'I‘o Property Owner 1/� 0 42...A. �Z Phone 4.42_- 7 ZZ.Z P I N roperty Owners A ddress 14,3e, 13 7. 1/' i4/ LA-,,t,/._ Contractor Alr Phone 4sz- 5 sgi Contractor's Address 4a imw4'. 781/4. -del: License Expires E -mail fib PROJECT ADDRESS I�.� v L..At E Parcel Number giQ2, Lot 2. ZoningG&C7 Project Type Brief Description: 'Residential Multi family XCommercial Industrial Check all that apply New Construction XAddition r o i` Remodel Repair Demolition Re -roof House garage other tear off re -roof o lay over one layer Heat System }Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. L 1 Floor 79 33 2.24 2 Floor 3 Floor Garage Carport RECZTVED Covered Po ch Se Shed Deck APR 1 2 2011 Other CITY OF PORT ANGELES BUILDING DIVISION TOTAL VALUATION 78z7 Total footprint of structures sq. ft. T Lot size 1E4 ISI sq. ft, Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 1=1-1.(*) Max. height of proposed structures ft. Occupancy group of bedrooms l Will a lawn sprinkler system be installed? Lib Occupant load of full baths Will a fire sprinkler system be installed? Construction type V.A of half baths i t. I 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 at ermits are required, end to obtain permits prior to working on projects. Date IZ_ Print Name s1 t,1/ r�'�� Signature 0 T:Forms /Building Division /Building permit application I F/ „2,,,,„„::, ,a` y f -5.. T_. ,4 gyp 1 F% d x y a a x 4.', O\ CI y r f /J j ��a d .:w. n rca y r A' q ,x �jJ a I O F -4 a I. «i C%' K s'..x& �J/' "d^,: s t ""i"' ti •;w: c., e y e s r 'sK t. W r ';42.r,.' -'1%14,11P ,-''''--...V.V'''' s y 5l w^ d r d d W a, i ."x''S r z ""r s r�, g .I axe P'u' v z .w l k g x t r t :I f u 'r i a ^x y ,-i` .,i'' d, x 2. 'xv, `ti r .F"wf e; Y 7 st ''x`+ 1 p N .,i. D `i 0 4 xa$$ r �q i t f t S 1 "1 a�3 $4 2x 1 „A r x r 'c; g ""s'. OV °+r --1 t 4�.3 fi., 9 "Yt p r! 4 ic ,,,,,,,..,..,-„,f,„ -).0,4„, s-. tor Y 44 'w '44..4^ n .>•.F y t r A (774..V.':.'. V 5 y� g' y� si 1 dl O •a e dt„ al. fa d e a o •v� ti �c 's' c� y Y A 7 o a s r y V� �1 j r. a .,..:K''.' x �pti4.r x Q 4 x O Sv a., a •:,t „r ".3 3. a° ,--,-t- x`+N co \)/1.44 a 5 `1`1 1i� 7 r v s s+a a .�i "V^'` 'x f v i s a e^b j y�/f. "a '�•..a ,w w -S. J. S� w ;r4 't sa; fi r+,, a i' cfl zs v S 7 w:, off' 14',1,,, .4a* :f* �e to a I. 1 1 .p fi r .r r s J f st+.✓ J,� C rq "E '+r y„gri' %�'."^"F� y' k's'' a ti 'l W "o et .�n� cW Q I' 4, n 1p J 0 0— V,L.,,,," ,;-:0;1- i.: 0 t .zi!-- „.',......„.'-z" -v e 'ter w? p 0� o r o I' ",,,,x''.;„! q dC f 'x r N y r ;y I u j A,„ i k ,1`4,74,;;41:,; r ?`q 7 ,t, j....,, isr.-7 z; 4 CI 41%. 4 4' '/7 r /4 t'4'''9' r C Ci u,,, Co -1', ''''‘`,"■sci, 4/2Y12 '44, 0 .,,,,,9 H r l w, h n a w i x ap m; a a tl O N ^rt. '''''Y 0: c e° r C1 `v ,c\ i 3 s t f l'' 4 ,..5,,,.„. c,, 1 k 4" )1 0,, Atit ,,z),,,,, 43A. ,4, '7 t 'x x* s ,r,. d =°i" O _,,,,,:10' "s} a AF �4, e x 'r am. L BEM LITH A R C Ii I C T S r t iTq 319 s. peabody, suite b port angeles, wa 98362 4n 360.452.6116 fax 360.452.7064 r� C C 14:1.10 11..:x. Project: Project No. h+>z s. Subject; R 1 .L By: pate: Sheet i of Lam. om o S C44,400, NCI r Jet rt i LINDBER'S2VIITH A R C H I C T S 319 S. Peabody, Suite B., Port Angeles, WA 98362 360.452.6116 fax 360.452.7064 contactna lindarclr.. corn www.lindarch.com Project: j �..J� Project No. Subject: T 411.0 By: G. 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R R I 1 0 1 1 1 m P 14 T4 1 1 1 1 1 PORK VEIW LANE CITY OF PORT ANGELES F FIRE DEPARTMENT PERMIT 321 East 5t Street, Port Angeles, WA 98362 r•N Application Number 12- 00000552 Date 5/08/12 Application pin number 819600 Property Address 1430 PARK VIEW LN REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-99-0-2- 5320 -0000- Application type description FIRE ALARM SYSTEM 017 your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 1500 Application desc FIRE ALARM SYSTEM ADDITION Owner Contractor 1 PARKVIEW ASSOCIATES HI TECH SECURITY INC ATTN: PETER JORGENSEN 723 E FRONT ST 1430 PARK VIEW LANE PORT ANGELES WA 9.8362 'PORT ANGELES WA 98363 (360) 452 -2727 (360) 452 -7222 Permit FIRE ALARM SYSTEM Additional desc FIRE ALARM SYSTEM ADDITION Permit Fee 50.00 Plan Check Fee .00 Issue Date 5/08/12 Valuation 0 Expiration Date 11/04/12 Qty Unit Charge Per Extension 1.00 50.0000 ECH FIRE ALARM PLAN REVIEW 50.00 Permit FIRE ALARM SYSTEM Additional desc TESTING INSPECTION Permit Fee 100.00 Plan Check Fee .00 Issue Date 5/08/12 Valuation 0 Expiration Date 11/04/12 Qty Unit Charge Per Extension BASE FEE 100.00 Special Notes and Comments A full acceptance test will be required for the fire alarm system. Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be 's true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel t e •rovisions of any state or local law regulating the work specified in the permit. Signature o Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360 417 -4655 for fire" inspections. Please provide a minimum 24 -hour notice. It is unlawful to cover, insulate g or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERM][T CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments r\ FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Completed by Contractor: Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test psi Time initiated LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final VDD GENERAL COMMENTS: 2/15/00 0,,„„,,,,, FIRE RELATED PERMIT APPLICATION a CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received t• 321 E. Fifth St., Port Angeles, WA 98362 Permit (360) 417 -4815 fax (360) 417 -4711 Applicant ?aAL, k.),‘4,0 U Ida Phone (00-4s2.-722.z_ Property Owner PAQ v 16dV (6SC CA 4 RTF S. Phone Property Owner's Address it 30 hark V.` L, Contractor k..\`' S -e c Qv t` y Phone 3 e cis Z 21 z1 Contractor's Address Z3 ca, S;-. License v-1�T s_ Expires I- 10- il E -mail PROJECT ADDRESS 14'30 p C r k V 1, LAni Pro'ect Business Name Ph tv k V 1 e vt/ VI 1 1 Fire Alarm System Residential Multi- family Commercial Industrial Check all that apply Briefly describe the pro c One addressable loop 'P c.a„ p #3L 1 tk.ckes.,. i., "a One zone /Additional zones List quantity of additional zones PROJECT VALUATION (labor materials) 1,ejp15 l 00 Fire Sprinkler System Residential Multi- family Commercial Industrial Check all that apply Briefly describe the project: Installing backflow protection device(s)? yes no _..2 inch water line (list quantity of devices) it s0 p >2 inch water line (list quantity of devices) In y f #l5 9t1' PROJECT VALUATION (labor materials) I, e DO y r Hood Duct Fire Suppression System 130 Residential Muam Commercial ❑Industlti- frial ily Check all that apply Briefly describe the project: Will only the fire suppression system be installed or altered? yes ono Will a hood and /or ductwork be installed or altered? yes* no If yes, a mechanical permit will also be needed. PROJECT VALUATION (labor materials) I have read and completed this application and know it to be true and correct. I am authorized to pply for this permit and understand that it is my responsibility to determin hat permits are required, and to obtain permits prior to wo ng on projects. Date f`1$'(�l Q 1 ej IZ. Print Name Signature Q T:Tt orms/Building Division/Fire related permit application RECEIVED MAY 7 2012 CITY OF PORT ANGELES BUILDING DIVISION Heather Catuzo From: Ken Dubuc Sent: Wednesday, August 22, 2012 2:58 PM To: Heather Catuzo Subject: RE: Permit #12 -552 You can final this permit, it was only a minor addition to the alarm. Thanks, Ken From: Heather Catuzo Sent: Wednesday, August 22, 2012 8:45 AM To: Ken Dubuc Subject: Permit #12 -552 Hi Ken, The above permit is for a fire alarm system addition at 1430 Park View Lane. They are requesting a final inspection for the building permit today. Have you inspected the alarm? Thank you Heather Catuzo Building Permit Technician City of Port Angeles Building Division 321 East 5th Street Port Angeles, WA 98362 (360) 417 -4817 hcatuzo@cityofpa.us 1 ELECTRICAL PERMIT r CITY OF PORT ANGELES 360-417-4735 0 Application Number 11- 00001066 Date 9/27/11 Application pin number 947316 REPORT SALES TAX Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH'DENSITY Application valuation 0 Application desc 4 circuits Laundry room 3rd floor Owner Contractor PARKVIEW ASSOCIATES SIMPSON ELECTRIC 1430 PARK VIEW LANE 243036 W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 452 -7222 (360) 457 -9270 (,1 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 193367 Permit Fee 81.30 Plan Check Fee ..00 Issue Date 9/27/11 Valuation 0 Expiration Date 3/25/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 Fee summary Charged Paid Credited Due Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 FINAL )1 1 1) COMMENTS: 1-064( p y l AQ..11 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING VEDS 0 PORT 44t,, u li EC 1A @(prs'a 4 eej. 'CITY OF PORT ANGELES PERMIT APPLICATION SEP i Q Build ing Division/Electrical inspections 2 7 101 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 1 av Ph: (360) 417-4735 Fax: (360) 417 -4711 ELECTRICAL. Date: 9 7-/i INSPECTIONS 1& 2 Single Family Dwelling Multi- Family or Commerciah Commercial Addition /Alteration r Remodel Repair* Plan Review May B°R Please q lets Electrical PI n ;Review Information Sheet Job Address: i £t.r)( i) 1 e-4 J' 11 a l,g,�c.". /2O'v'�^ Building Square footage: r Description of abovo Sr err- 06-vr, -P s O Ie Z ,ixr�e s �s, MP! a u i±c Iii h Owner Info ation r I Con r Informs 1 Name: t .J i t Name _,52„7 ICI 1e�G :tr i C, LL—C, Mailing Ai ;1,S ice,..," Mailing d City t�II State: f4 Zip: AV", City: State: e' 21p Phone: I�f�E Fax: Phone: Fax: C, License 4 Exp. Ucense E.xp, -I II -III i v Y 3 P--. CP Item Unit Charge glk Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. 119.90 Service/Feeder 201 -400 Amp, 145.50 ServlcelFeeder 401.600 Amp 204,60 Service/Feeder 601 -1000 Amp, 262.20 Service/Feeder over 1000 Amp. 372,50 Branch Circuit WI Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 .....1__ '73 ,.5 0 Each Additional Branch Circuit 2.60 _3 7, J 2 Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. $110,30 Temp. Service/Feeder 401.600 Amp. $148,70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 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 Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square 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 $L ?Total Owner as defined by RCW.19.26.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale. rent orlease. Permit expires after six months of last inspection. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical con ractor. I am making the electrical Installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296-418, The City of Port Angeles Municipal Code, and Utility Specifcations and PAMC 14.05.050 regarding Electrical Permlt Applications. Sig e of owner, electrical con r or electrical administrator: Cash 0 check Credit Garda Cf IL, _J. '6 J Defeat 7 /f minim _24 ^s CITY OF PORT ANGELES r DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION r m 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001075 Date 10/03/11 Application pin number 274425 Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000- REPORT SALES TAX Tenant nbr, name PARK VIEW VILLAS BLDG 2 on your state excise tax form Application type description COMM REMODEL Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 50000 Application desc CONVERT A 3RD -FLR STORAGE ROOM INTO A LAUNDRY ROOM Owner Contractor PARKVIEW ASSOCIATES HOCH CONSTRUCTION 1 ATTN: PETER JORGENSEN 4201 TUMWATER TRUCK RT 1430 PARK VIEW LANE PORT ANGELES WA 98363 r:Jeifdi Ierity0. PORT ANGELES WA 98363 (360) 452 -5381 (360) 452 -7222 Structure Information 000 000 CONVERT STORAGE TO LAUNDRY G`iv� Y`` Construction Type UNKNOWN J ‘e 1Q 1 i/CiI Itk Occupancy Type RESIDENTIAL V P AOC ermit BUILDING PERMIT COMMERCIAL ;LC o Additional desc CONVERT STORAGE TO LAUNDRY 1 Permit pin number 193482 ,V 0✓ n00 7 C Permit Fee 670.25 Plan Check Fee 435.66 Issue Date 10/03/11 Valuation 50000 6..S Expiration Date 3/31/12 Qty Unit Charge Per Extension BASE FEE 417.75 25.00 10.1000 THOU BL- 25,001 -50K (10.10 PER K) 252.50 Permit MECHANICAL PERMIT Additional desc Permit pin number 193508 Permit Fee 93.35 Plan Check Fee .00 Issue Date 10/03/11 Valuation 0 Expiration Date 3/31/12 Qty Unit Charge Per Extension BASE FEE 50.00 1 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 1 401* 'I 1.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 7.25 `/'1 2 2.00 10.6500 EA ME- STOVE /FIREPLACE /MISC. APP. 21.30 1 Permit PLUMBING PERMIT Additional desc Permit pin number 193516 Permit Fee 100.00 Plan Check Fee .00 Issue Date 10/03/11 Valuation 0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned 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. /0/9 .'U/6 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1•- BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footing s Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Roush -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling D all Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit fts SEPA: Parking Lighting ESA: Landscaping _SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number 11- 00001075 Date 10/03/11 Application pin number 274425 Expiration Date 3/31/12 REPORT SALES TAX on your state excise tax form Qty Unit Charge Per Extension BASE FEE 50.00 to the City of Port Angeles 3.00 7.0000 EA PL- PLUMBING TRAP 21.00 (Location Code 0502) 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 Special Notes and Comments September 29, 2011 3:55:22 PM kdubuc. Sprinkler protection must be extended into any areas that will be shielded from existing sprinkler protection. This may apply in the area behind the new dryer installation. September 29, 2011 3:57:09 PM kdubuc. A 2A -10BC (or larger )fire extinguisher shall be provided and mounted. September 29, 2011 3:57:56 PM kdubuc. A clear space must be provided in front of electrical panels. The plans show that the space in front of the existing panel may be blocked. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 863.60 863.60 .00 .00 Plan Check Total 435.66. 435.66 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1303.76 1303.76 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of taws 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:FormslBuilding Division /Building Permit a BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS 0 Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 CS\ IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings l 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 G /Accepted AIR SEAL: Walls C Ceiling L FRAMING: j 0 1 t •3VL Joists Girders Under Floor 0 Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) C�v T -Bar INSULATION: T Slab F Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Gas Line (r/ i WI' i L(,4-14 J- g Gas Line !Q 7-6-11 1 71Jl4JIl Wood Stove Pellet Chimney i i /e)- l r�;, �c Commercial Hood Ducts FINAL Date �epted l MANUFACTURED HOMES: S Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: F FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By x V Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 0 n -el!- Building 417 -4815 L 3 ._1 0 T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 u Application Number 11- 00001075 Date 10/20/11 Application pin number 274425 Property Address 1430 PARK VIEW LN SALES ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000- REPORT SALES TA/i Tenant nbr, name PARK VIEW VILLAS BLDG 2 Application type description COMM REMODEL on your state excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 50000 Application desc CONVERT A 3RD -FLR STORAGE ROOM INTO A LAUNDRY ROOM Owner Contractor PARKVIEW ASSOCIATES HOCH CONSTRUCTION ATTN: PETER JORGENSEN 4201 TUMWATER TRUCK RT 1430 PARK VIEW LANE PORT ANGELES WA 98363 y�(\ PORT ANGELES WA 98363 (360) 452 -5381 /1 r (360) 452 -7222 5 v \v- Structure Information 000 000 CONVERT STORAGE TO LAUNDRY f(I1 Construction Type UNKNOWN Occupancy Type RESIDENTIAL .Permit MECHANICAL PERMIT Additional desc TANK SET /GASLINES -3 ITEMS Permit pin number 1950 Permit Fee 20.65 Plan Check Fee .00 Issue Date 10/20/11 Valuation 0 1 Expiration Date 4/17/12 `L�" Qty Unit Charge Per Extension u` ,p 1.00 10.6500 EA ME -FUEL GAS PIPING,1 -5 OUTLETS 10.65 Vo`�A 1.00 10.0000 EA ME- SUPPLEMENTAL PERMIT 10.00 Special Notes and Comments September 29, 2011 3:55:22 PM kdubuc. 2 Sprinkler protection must be extended into any areas that !rii l� will be shielded from existing sprinkler protection. This 0 lv may apply in the area behind the new dryer installation. September 29, 2011 3:57:09 PM kdubuc. A 2A -10BC (or larger )fire extinguisher shall be provided and mounted. September 29, 2011 3:57:56 PM kdubuc. A clear space must be provided in front of electrical panels. The plans show that the space in front of the existing panel may be blocked. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 20.65 20.65 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. �j �j ii)/20/ l 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- I-IOUP NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE Inspection Type Date Accepted By Comments FOUNDATION: Footings Siemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab RR uugh -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts P Rough -In E Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit: #s SEPA: Parking Lighting ESA: Landscaping ,SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY% USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PVV Engineering 417 -4831 Fire 417 -4653 Plannin• 417 -4750 Building 417 -4815 CITY OF PORT ANGELES iier-oftmatA OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 �nr Page 2 Application Number 11- 00001075 Date 10/20/11 Application pin number 274425 Plan Check Total .00 .00 .00 .00 REPORT SALES TAX Other Fee Total 4.50 4.50 .00 .00 Grand Total 25.15 25.15 .00 .00 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:FormslBuilding 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 OP CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 00 1 H --......1 CO 0, 1 a. 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(0 0 l0 a 0 Q H 0 o a 0 a N (0 X C.....6.---- 1 0 H H, H WW aa' a q H N CO N M N al H N N 0 0 C W N H U 0 0 trl o l0 0 ri M 0 O 0 H 1,4 0 I H u W H 0 a F ∎0 0a 0 z (n W M i CO 00 H W X W' n 00 r F H. m a s 0 0 Z F h 0 H a Z z q z oa o O a HO cn 0 o U I Z 0 V, a N as I 5 0 U'rvm q 0 v,cn 20 Z 0 CO 0 H H I U o U 0 0 0 a E AFH° N oq C Q O00C4 0 00 00 a O U CO q 00 1 0 0 00044 o w w a E a cn OE- c H 0 0 U01U alc F. 0 5 F a N N Z a J o� x N i 0 H oo 0 4C H o w m o 5 0 0 U 0 0 H00 -a' >0o ww 0 H W' o x 0 x 0 0 0 F' F H C7 tuck Ua' V)0 �Z d'RCO2o C 41 TV C I H a 0 a 0 H 0 0 0 0 0 a£ 01:0 1 a a U a Q 0 0 0 0 0 (0 CO Al a' Z O 0 0 q H w 0 cn U a H o I O F FC a Z F+ a 0 cn a E-' S COP ■g w o 3 1,4 a 0 Pc 41 r a au �CFUOa C a F m ��`Y�4 Q�HTgti BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES L '—t Attn: Building Permit Technician Lp For City Use Only: 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 G Date Received Z$-`i o Permit 1'01- 41, Date Approved Applicant J kti LE C Pho 45z -72.27 Property Ownef Ps 4c t// k utl J Photel; Property Owner's Address f4 .a- rAge4OOF*/ e Contractor 4;_ H e G C Phone 4z- Contractor's Address 47,1 r uM vA,1,a -r f r =farAi_v_46/.4g License Expires ail PROJECT ADDRESS I4.� P. las. isiv LAI4 8td� 2 Parcel Number GYv3• 923 Lot Z,.• Zoning CSD Project Type Brief Description: Residential +;Multi- family Commercial o Industrial Check all that apply New Construction c�N V_S/mil o� .Sr Addition Remodel 44 1.44/A/429 /2t� dew Tf/ /r ��e 3'.!�,� X �u L L, n.' $6 t s,& gySTfj Repair i A.S. CAL is Demolition WiirStialeS /7ia/E12.6 *D L '44TE2 h4 47 7g /Z. Re -roof House garage other o tear off re -roof lay over one layer Heat System o Heat pump wood burning stove gas fireplace pellet stove o other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement„ per sq. ft. 1 Floor 2 Floor 3rd Floor ZAP 7" Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION Total footprint of structures sq. ft. Lot size 174 sq. ft. Lot coverage 1 7 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group g- .Z of bedrooms Will a lawn sprinkler system be installed? Occupant load: of full baths Will a fire sprinkler system be installed? 4r Construction type V.. 1 of half baths l have read and completed this application and know it to be true and correct. l.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 S- en? Print Name T:Forms!Building Division /Bldg Permit.doc Lf/7. 5Mf',(�( ,/-m=7-S PLUMBING CHANGES Check "No" or "Yes" (and enter quantities) for each line item. Tvpe Plumbing Changes (Moved. Added, Replaced, or Altered) Sink (hand, mop, floor etc.) No i/ Yes 7,- Quantity Toilet I No Yes Quantity Bathtub L No Yes Quantity Shower No Yes Quantity Washing Machine No i/ Z Yes Quantit Hot Water Heater No Yes I Quantity��� Jhn Quantity Water Line (meter to structure) No Yes Quantity Re -plumb the structure t,--- No Yes Quantity Sewer Line No Yes Quantity Backflow Prevention Device Types: Beverage Machine t/ No Yes Quantity Landscape Watering System i/ No Yes Quantity Fire Sprinkler System s 2 inch line No Yes Quantity Fire Sprinkler System 2 inch line 1/ No Yes Quantity Please list all other planned plumbing changes or additions that aren't listed above. MECHANICAL CHANGES j Check "No" or "Yes" (and enter quantities) for each line item. '1 ifj Type Mechanical Changes (Moved, Added, Replaced, Furnace, heat pump, or or Altered) forced air unit 5 tons 1/ No Yes Quantity Furnace, heat pump, or ii V forced air unit 5 tons J/ No Yes Quantit Ductless heat pump No t, Yes Quantity Wall (recessed) heater No Yes Quantity Baseboard heater r No Yes Quantity Steffes room heater _No Yes Quantity Wood- burning stove t No Yes Quantity i Pellet stove No Yes Quantity P Radiant floor heat No Yes Quantity 6.� Gas fireplace or freestanding stove No Yes Quantity 1 I Gas cooking stove r/ No Yes Quantity Pro•ane tank se yes i/ No Yes Quantity te yes V No Yes Quantity :oi er 1 O a No Yes Quantity $91),A52-)D,191, Clothes Dryer 5 ‘P% 5 No Yes Quantity `1�' Ventilation fan (single duct) o No Yes Quantity Hood duct mechanical exhaust No Yes Quantity Ventilation system (not part of a heating or air A,+ 1 i conditioning system) No Yes Quantity Air handler No Yes Quantity Evaporative cooler (non portable) No Yes Quantity \k77,) Please list all other planned mechanical changes or additions that aren't listed above. Z V 9 ikk U AL 'cc, at Q,- S t 1 Y Vlnc t!! Page 4 of 4 314r1 0113A Yd 13A) E i il i H 4■ i o 4 01 1-1 —1 4 i a_. I I_____ i III rl 1--- 1 i (0 z m 0 Li ea I I i 13 1 A 1 I i 1 e vi- 1 0 o p 1 Clallam County Assessor Treasurer Property Details 70475 PARKVIEW ASSOCIA... Page 1 of 1 C.lallam County Assessor Treasurer Property Search Results 70475 PARKVIEW ASSOCIATES for Year 2011 2012 'Property Account Property ID: 70475 Legal Description: LOT 2 BLKS 253 254 305 AND 306 TPA SP# 88 -1 -4 V18 P86 Geographic ID: 0630990253200000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 13 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N I Township: Section: Range: Location Address: 1430 PARK VIEW LANE Mapsco: PORT ANGELES, WA 98363 Neighborhood: PA West Multi -Unit Res Map ID: 3 Neighborhood CD: 5153500 Owner Name: PARKVIEW ASSOCIATES Owner ID: 209001 Mailing Address: ATTN PETER JORGENSEN Ownership: 100.0000000000% 1430 PARK VIEW LANE PORT ANGELES, WA 98363 Exemptions: Taxes and Assessment Details Property Tax Information as of 09/28/2011 Amount Due if Paid on: Ev NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. i Base Amt. j Penalty Interest f Base Paid I Amount Due O' Statement Details 2011 163264 $26901.99 $26901.90 $0.00 $0.00 $53803.89 $0.00 f' Statement Details 2010 51568 $27100.53 $27100.51 $0.00 $0.00 $54201.04 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 9/28/2011 3:48 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =70475 9/28/2011 !1 V>ORT v4 �y' x G !i CITY OF PORT ANGELES PERMIT APPLICATION SEP 2 S 2011 Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 1 Ph: (360) 417 -4735 Fax: (360) 417 -4711 BUILDING DIVISION Date: 1.• 2_7- I 1 2 Single Family Dwelling Multi- Family or Commercial* )C Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: A RZYj 2,8e. pr 2E Description of above P 1.p t1 w I L1, Co r A 3Pso F( kr.ict [Ai jo A' A. //.16 A JLy AN .r(/t.I h t5t/I'I Asls o Livi�Y� Owner Information Contractor Information Name: S- Name: SM.( Y( d Mailing Address:43h /c C/J.ew L.44 Mailing Address:,OV �)C ®g3� City:P State: Zip: City: Ph State: Lz/4•Zip: �2. Phone! ,Z •7?2,2 Fax: Phone:afG77.eZTe) Fax: License Exp. License Exp.$ /mf3s.&-L9 R 2 Item .Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. 145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 1 73. S Each Additional Branch Circuit 2.60 1L) ?la 4.V"). Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 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 Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300Square 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 $9 1:%'T otal Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical. permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign. of o I er, electr' tra• or electrical administrator: El Cash Check Credit Card X Dated: 7 2 I 01101/2010 RECEIVED m r0Ri A. n SEP 2 8 2011 1 Electrical Information Form Public Works Utilities Department (360) 417.4700 m +41)QkS bs c CITY OF PORT ANGELES 3 BUILDING DIVISION City Electrical Inspector (360) 417 4735 Please complete and rettirn-to-PribItc Department Applicant Information Permanent service: Name: PAR th EA.! S/iL.LAS Name and address of party Street: /4.3.0 Re4,4 L_ Vlgy✓ Liyjr. responsible for permanent City 1 State ZIP: f A1,,,`(j 14t/4 qg 1 service billing? Daytime Phone: •442; 72.Z2. Home Phone: Contact Information (if other than above) Site contact: Name:, GTz 1 c Title: ey .r c, t.I(/ QI rtk.c L Daytime Phone: 45z 7ZZ2 Contractor: Name: ,.I c4 4, f Company: 1.4 e Daytime Phon 4,Z Sg'g I Electrician: Name: i 'I4 Company: _e„, Mpc.�/ L r G Daytime Phone: 457 47 2 Excavator: Name: Company: Daytime Phone: Project Type n Existing New Single- family residence ❑Multi family residence; of units Commercial ❑Subdivision; of lots Overhead service ❑General service Underground service Other: Ass%vre.c. \-441■3c.FAL∎`v i"? Project Information Description of work: Corlue2T 3Rc FLR S•o2pl:..S 'To LAAVzVF i Rte• Street address lot number: 143a 9 PT. aNC, s, Wk 88363 Nearest cross street: STkeer Desired connection date: Ex%Si‘uc,rc�uncs Electrical transformer serving property is: on a pole on the ground Electrical Load (E•As V1tt4) Total square footage: sq. ft. Main disconnect size: amps Voltage: 0120/240 1ph .120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph Other Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that apply: KA/C ton) Range /Oven Hot Tub n Clothes Dryer4AS❑ Heating Pumps Hp) No Load Change Water Heater4AS Elevator Hp) Other Supporting Documentation Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location. *Connected load data. *Size and locked a ij ps of s 0hp. Applicant's Si. I /r er Date: 9 -.2-9-----,, MAIL OR DELIVE ,COMPL TED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-'711 WS WF Information form.xls N: \PWKS\ LIGHT \ENGR\ #Originals \Information form Revised 1 -15 -09 4 NOTES Permit I l— l 615 14 30 Pct.i4< V a u j Lan e Pct„rK Vi'e cdJ Vi ((a,s Coh.vert 3rd P loor S e roon -v i vi*o La ncl Morin 10 1( P1an5 subnni+ -et, how in whew, ,P 7 vLIn4 j4,s \lV 1� iI( o 0,_ why i4 u,)111 co j 1 _r)- gy p 1 V1 e- (z) c l t'i d€ T k b U t 1 I l/t rke. T Ii i 4 1 -Fs( (o r` -i-n P Z fa ne ud a4e- ke.a4e,r k 6 1 rn pot nP c1 o p ck emirs Oh -0 e O h o i In c{ af P t r `i"7 oh) sic --T ere (n)-©v ka be h qa_S `i 5" no -f-run se f-, A 1 0 20 (1 �J fi, 0 eG(anicc d Qr m;rh -For C. Profane- 4 /0L-s time I r se-h i i of o nAP,�'Q tuv ck Qa� ihee Ili) feC ':h,CV) V 4 10 II s c�a -in+ r J o Gav A J i k cs Soo v, as 435s-i b( 4 i il" v*L' 7 1 1r) a corn .rd r Sara h e' l 1 a5sury \1b u a f p rove. t.k *e T,S N ln,e, I s u vt I-e s s he- ke e,rs d e -K -Reno-. yOu, Ne. stlj h-e_ d n eeA a e s-a- f Tans L T:Forms /Building Division/Notes �4 5 r 4 I I I I I P A 1 BUILDING I �,p B UILDING 2 FIN. FL. EL. 1 1 3,e C FIN. FL. EL. 2)0 A 1 I EXIST. SAN.'�4d.l 'X� k� �4 I ADJUST MANHOLE e V 1 FRAME TO EL. 229.50 r I.E. 220.58 I I. o G .40&// ,:cf Li I A INSTALL M.H. +20 t I IT.E. 228.33 E I E. 220.94 II STA. 1 +30 STA. 0 +88 1 C0 I.E. 223.54 240 L.F. 8" PVC 2.0'a ri REMOVE AND 'L. 1 EXIST 6 "S.S. 5 1 .S/ 6" INSTALL I000GAL. 2 COMPT. GREASE /OIL ME 4 SEPARATOR (SEE DET* IL) BUILDING 1 s 2 2 L.F. FIN. FL. EL. 230 (ABANDONED) --v1 l PROPOSED 10' o ITARY SEWER 6 P.V.C. EASEMENT Q SUMP GRAIN FOR TRASH COMPACTOR BLDG. RECEIVED (SEE DETAIL) OCT 2 0 2011 f CITY OF PORT ANGELES BUILOM EltESIOV123. 7 95 L.F. 6 PVC 2.13% 4' 207 L.F. 8" PVC g 2.42 To M.H. 6" SS T.E. 232.00 6" SS 0 +51 6" SS I.E. 221.70 ITARY SEWER GENERAL NOTES till sanitary sewer system construction shall conform to the WSDC71' /APWA 4. Side Sewer Laterals: "1988 Standard Specifications for Road, Bridge, and Municipal 2onstruction" and the approved plans which are on file in the City of A. Side sewer shall be 6 inch minimum diameter Port Angeles Department of Public Works. Any deviation from the approved ?lans will require written approval from the proper agency. B. Side sewers shall be tested for leakage at t line sewer is tested. If not tested togethE 41l new sanitary sewer lines shall be sealed off at the existing trunk sewer main connections. :onnection point until all upstream construction is completed, cleaned, tested, larrped, and accepted by the City of Port Angeles. A11 C. All lateral connections to sewer maths shal] onstruction debris and water shall be removed from pipe prior to opening sweeping tee. 'seal. 5. Construction of dewatering (groundwater) system ewer Pipe, Bedding, and Trench Compaction: with Section 7- 17.3(1)A of the Standard SpecificE All sewer pipe shall be PVC, conforming with AS'IM D -3034. SDR 35. 6. Whenever sewers crust cross under water main the 5 Pipe joints shall be of the same materials. such an elevation that the to of the sewer line 1 below the bottom of the water main. 11 !121.11 ili_i 1 1 .1_111_1_1.1_1_1_1i!ni iii_,..i.L___4) I I r 41■ I 0. IL I Ji I 1 i F a 1 i 1 I I i c 7 I 1 mew M mil 1 um IIIIINI I:5 s 11 I... I Oal 110...7 I ..101■1111 Livi Irts_ 1 r C\I 01 m 11 li _Ili I. I 4 110 411 -a 31 1 m................A 1......•■•■• 1 _4 __F4,-- 11-11-111111111 Ell a 101 7 111 1 I -1 I Il RI Imo 1111:ettl NMI I I I I Hil Ili. ,-4H 1 H-i -I 40 ilwiltr j lir i j .,1,;1 1 ill!; 'If k -1 1 at ..._.......-11JLINI as no ,J mil na IiI1 i 1• -itillit 0 r NE r 1 1=1=91 11 ni-1 r/ I ow" 1 ffi i 1. 1 r_a___= 2..___.= ._..............a 1 1,, 1, li OCT 2 0 2011 m 1 RECEIVED 1 .111 1., 1 1 LI l! I!! i! II. 11.! 'IL 1, I!! 1 1 11' I 1 CITY OF PORT ANGELES .......W emir r ...inms MISS •1111111111811 113 4 —IIIIIIIII'llIllHIIIIIMII1 BUILDING DIVISION I M am W HIM II 1 illilluillill Min WWI C> t, I I; II .0. 1 IR NM all NMI I NMI UM L e. e me I I itimm :1 "21. 4.' 71 i i i C) lq111 1111 h iil 1 -1. 1 1 1 I i I 1 nu l II I H li iH N, -I*: Li' .1 .11,1 in a l .i---,,,414 II 7 1 1 Mr! 1 I-1 1 1 I 4-1 1 1 1 1 yili I 1 1 1 1 I 1 1-1 12 -4 -i 1 I i 1 1 1 i 1 1 I i Mii i _t 11 :1 1 1 11 1 i i LI i I i r" Is 1 i._ I I 1 Ii.,_1 ALI 11 11 1 1 I 1 I t ....slag! 1:10 1 UP Aidfiiie r e. i7,2415...w47, 7 moulain•• 1 IN ipppi s 1 ill i L I i l l I 1 1 I 1 1 0b 1 l I 1 iIi■III•.:II• !II I'' 1 I II!' 11 1 111• 1 am i um 111 I I II I I IMEN =1111 NINO Ll'il i__ LI l I i 1 1 1:111 1 :.1 1 '._IHH :i 11 11 I ITTI—T H MN MIS I 1,' ,I I 111;0'1 It. i 1 I I- T- II T Ilrri rf 711, P:71T 1 ii 1 1,1,•,1, HI, 1 ,_,;41-,, NMI I 1 Mel I 1 I I 1 i 1 MIN i 1 NMI 1 i 7 i MIMI MIMI 1 1.111.111111:11.611111 :11111 ----1 I ..m' i .1Ith 1 1 1 i U ilnr i :111riltIlli ,,,i1,,Iri 'L_ 1111111111 L mi 4,1 (111) r 1 1 1, GI 11!,11h!,1,,, 1 ...m. 9, 111 1 i t!' I I I 1 I I I 11 I i 1 I 1 i I 1 1 I I H i I I 1 I 1 -b. -IN_ 1 1 1 ri H1 1 ,---1----, -.Ill 1 1 41 1_ ,....e r_. L J I r -4 1-- 1 .1 )4 Fl .4 11. hi 4 11 ,1 L 1, i ir CITY OF PORT ANGELES 1� DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000356 Date 4/21/11 Application pin number 569800 Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER: 06- 30- 99 -0 -2 -5320 -0000 REPORT SALES TAX Tenant nbr, name PARKVIEW ASSOCIATES on your state excise tax form Application type description MECHANICAL APPL. PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 6415 Application desc TWO, SINGLE ZONE DUCTLESS HEAT PUMPS Owner Contractor PARKVIEW ASSOCIATES DAVE'S HTG COOLING SRVC INC 1430 PARK VIEW LANE PO BOX 413 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 -7222 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc TWO DUCTLESS HEAT PUMPS Permit pin number 184184 Permit Fee 79.60 Plan Check Fee .00 Issue Date 4/21/11 Valuation 0 Expiration Date 10/18/11 Qty Unit Charge Per Extension BASE FEE 50.00 2.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 29.60 Fee summary Charged Paid Credited Due Permit Fee Total 79.60 79.60 .00 .00 Plan Check Total .00 .00 .00 .00 01 Grand Total 79.60 79.60 .00 .00 1 J 1 1 A 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. 2( 11 L 4 4,,_,., 116- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 1 BUILDING PERMIT INSPECTION RECORD W PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments. FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: d Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts L FINAL Date Accepted by 5 MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 r 3 T:Forms /Building Division /Building Permit H H 1 ti I I N ry I I 0 W W 1 v 0 E. O 0 a W H (X a 0 0 W W m N 1 Cr) M N 0 N 0 W o E" as KS PI N N 1 w x VI r a F W 0 O O 0{ 0 V/ 1 to a a 1 r+1 1 j H 1 1 H 01 H H 1 M F 4 H W W 1 0 01 X In E. o 1 0 00 1 nw W V1 1 0 0 0 1 x m W 0 w V 1 W 0 1 0 I 0 0 0 0 H pC 1 In W 0 Z h 1 0 0' F 0 0 sNF 0 1 0 F l m a x a w E. u z z N z w N W W I 0 1 w H H w H x a a, w 1 Z w o> W F w z z u a i 0 0 a N 0 0 F 0 H H 1 H a 1 F\ 0 0 V 0 0 W 1 0u3 00410[=1 a 0.] 1 11) CI) u O z O H W I W W W a W W ou C7 1 E00 ZFCb£= (n Hw 1 H H W 1 a10 ‹Nx 01 H 0 H t`•1 u I a F 0] 1000000 1 1 F�j as Q�7ys 0] O (1) i V H c}1 1 0 a o to I H 0 0 X F 0 co 1 x 0 0 1 V1 W w 0 0 w 1 a H (n H 1 0 0 0 �-1 W 1 0 0 0 x 0 0 1 E F F H H0 1 00 w 1 W 1 W 44 VD 1 0a 0] V1 4 1 000(000 1 0 '0 (0 N N 010 \F 1 W 0 .4. a ai 0: a zo w q F •0 w 0 0 11 0 E a Z i F 0. 0 a 0 E a F W 0 0 1 Z 0 0] a E -'0O 0 a 1 w F 0 Apr 20 11 12:39p Dave's Heating Cooling 3604520939 p.1 0 ow BUILDING PERMIT APPLICATION Print in ink CI TY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received 2.O- I 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit 11- 5(0 Date Approved Applicant 1)(4 's H•ea cs Phone 9S •3 ci Property Owner fo V 111'114.- Phone ,2 -i aa17 5'( Property Owner's Address /13 na (/?__,...e.) Lo -2.- f rk A r ol Contractor Dave ile..4 -t"„ Phon a _o73 7 Contractor's Address ?Co _4)c '(3 foie* ,1_s License 74VEs{ -tc i KCB Expires S aoi I E -mail PROJECT ADDRESS f 30 f a r >K Ur e w L a r,-e. Parcel Number Lot Zoning Project Type Brief Description, o Residential o Multi-family gcCommercial c Industrial Check all That apply New Construction o Addition o Remodel o Repair o Demolition o Re -roof o House o garage o other o tear off re -roof o lay over one layer '-teat System ')!Heat pump o wood burning stove o gas fireplace o pellet stove o other Other O GlGtt.e.-s tz. s f 1n c- Zoo .54 ..i.-r., Floor Areas Existing (sq. ft) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 6 S Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft Occupancy group of bedrooms Will a Lawn sprinkler system be installed? Occupant load of full baths V1fili a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and correct 1 am authorized to apply for this permit and understand that it is res onsibility to determine what permits are required, and to obtain permits prior to working on projects. Date ab 11 Print Name 01 4e, k c_ h Signature Ui T:ForrnsJBuildin Division/Bldg Permit.doc Clallam County Assessor Treasurer Property Details 70475 PARKVIEW ASSOCIA... Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 70475 PARKVIEW ASSOCIATES for Year 2011 2012 i Property 1 Account Property ID: 70475 Legal Description: LOT 2 BLKS 253 254 305 AND 306 TPA SP# 88 -1 -4 V18 P86 Geographic ID: 0630990253200000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 13 Open Space: N DFL N Historic Property: N Remodel Property: N 1 Multi Family Redevelopment: N Township: Section: Range: N I, Location Address: 1430 0 PARK VIEW LANE Mapsco: \\ra" PORT ANGELES, WA 98363 Neighborhood: Cycle 5 Comm Map ID: 3 Neighborhood CD: 20953140 Owner Name: PARKVIEW ASSOCIATES Owner ID: 209001 Mailing Address: 1430 PARK VIEW LANE Ownership: 100.0000000000% PORT ANGELES, WA 98363 Exemptions: Taxes and Assessment Details Property Tax Information as of 04/20/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. t f First Second Half Half Base Base j Taxing Jurisdiction Amt. Amt. Penalty Year Statement ID Interest F Base Paid Amount Due ty 2011 163264 ST SCH STATE SCHOOL $5601.31 $5601.31 $0.00 $0.00 $0.00 $11202.62 2011 163264 CC -GEN COUNTY CLALLAM $3092.14 $3092.14 $0.00 $0.00 $0.00 $6184.28 2011 163264 SD #121 -SCHOOL DISTRICT #121 $7321.87 $7321.85 $0.00 $0.00 $0.00 $14643.72' 2011 163264 CITY PORT ANG CITY OF PORT ANGELES $7138.42 $7138.39 $0.00 $0.00 $0.00 $14276.81 2011 163264 PORT PORT OF PORT ANGELES $435.21 $435.20 $0.00 $0.00 $0.00 $870.41 2011 163264 NTH OLY LIB NORTH OLYMPIC LIBRARY $1296.80 $1296.79 $0.00 $0.00 $0.00 $2593.59 2011 163264 HOSP #2 HOSPITAL #2 $1269.34 $1269.33 $0.00 $0 00 0 00 $0 00 $2538.671 2011 163264 WSMET PK DIST WILLIAM SHORE MET PARK DIST $385.82 $385.82 $0.00 $0.00 $0.00 $771.64 2011 163264 CITY STORMWATER CITY STORMWATER $360.00 $360.00 $0.00 $0.00 $0.00 $720.00 i 2011 163264 WEED CONTROL WEED CONTROL $1.08 $1.07 $0.00 $0.00 $0.00 $2.15 2011 163264 TOTAL: $26901.99 $26901.90 $0.00 $0.00 $0.00 $53803.89 2010 51568 ST SCH STATE SCHOOL $5842 $5842.41 $0.00 $0.00 $11684.82 $0.00 2010 51568 CC -GEN COUNTY CLALLAM $3109.14 $3109.14 $0.00 $0.00 $6218.28 $0.00 i 2010 51568 SD #121 SCHOOL DISTRICT #121 $7567.51 $7567.50 $0.00 $0.00 $15135.01 $0.00 2010 51568 CITY PORT ANG CITY OF PORT ANGELES $7198.68 $7198.66 $0.00 $0.00 $14397.34 $0.00 2010 51568 PORT PORT OF PORT ANGELES $436.98 $436.99 $0.00 $0 00 $873.97 $0.00 2010 51568 NTH OLY LIB NORTH OLYMPIC LIBRARY $903.44 $903.45 $0.00 $0.00 $1806.89 $0.00 2010 51568 HOSP #2 HOSPITAL #2 $1275.45 $1275.45 $0.00. 50.00 52550.90 $0.00 i 2010 51568 WSMET PK DIST WILLIAM SHORE MET PARK DIST $405.84 $405.84 $0.00 $0.00 $811.68 50.00 2010 51568 CITY STORMWATER CITY STORMWATER $360.00 $360.00 $0.00 $0.00 $720.00 $0.00 2010 51568 WEED_CONTROL WEED CONTROL $1.08 $1.07 $0.00 $0.00 52.15 $0.00 2010 51568 TOTAL: 527100.53 $27100.51 $0.00 $0.00 $54201.04 $0.00 http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =70475 4/20/2011 A j ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number 11- 00000324 Date 4/14/11 N v Application pin number. 191376 J v Property Address 1430 PARK VIEW LN REPORT SALES TAX --C ASSESSOR PARCEL NUMBER: 06-30-99-0-2-5320-0000- your excise tax form Application type description ELECTRICAL ONLY on Y Subdivision Name to the City of Port Angeles Property Use Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 0 Application desc 2 ductless heat pumps no load Owner Contractor PARK VIEW ASSOCIATES SIMPSON ELECTRIC PETE JORGENSEN 243036 W HWY 101 FEDERAL WAY WA 98003 PORT ANGELES WA 98363 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL (J/ Additional desc Permit pin number 183731 Permit Fee 86.50 Plan Check Fee .00 Issue Date 4/14/11 Valuation 0 Expiration Date l0 /11 /11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 5.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 13.00 Fee summary Charged Paid Credited Due Permit Fee Total 86.50 86.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.50 86.50 .00 .00 Z 1" INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 141 q FINAL yi )2'/ i ii‘47) 147 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING i RECEIVED 0;'�rR ir„` 0 CITY OF PORT ANGELES PERMIT APPLICATION APR 13 2011 (iii I V I Building Division /Electrical Inspections i 1 321 East Rifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL I Ph: (360) 417 -4735 Fars: (360) 417-4711 INSPECTIONS r Date: -r 1') _I& 2 Single Family Dwelling Multi- Family or Commeaiar Commercial Addition 1 Altera Remodel 1 Repair K Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Bob s: U 1 l� Building ding Square Footage r L 'L Description of above /of jirr .,a 4.1` 1 L. y 710 la1)0 LACCLAIArt-05Itfba.g.k4 Owner InfoOnation Contractor Informal! n �LG Name p�elC i.LL r f Ps'''. Name: AI .4 1)111 'I Mailing A i ress: I LI _s 0 Is 04-- u a Lie Mailing NU_ i Cay: t A state: !41,4 zip 3 Z city: State: i.LJl Zi Phane:�` 5 1�� Z FaK: Phone: Lt.5 Z y, 7U Fax: aSANiJ Ucense Exp. License 41 Exp. 5 G 2r 9 item Unit Charm gty TOW Mb/ Mul piled by Unit Charnel Service/Feeder 200 Amp. 119.90 Service/Feeder 201400 Amp- 145.50 ServlcelFeeder401.600 Amp 204.60 ServicefFeedet 1t100 Amp- $262.20 ServicelFeeder 1000 Amp. 372.50 Branch Circuit WI SerNce Feeder 2.60 Branch Circuit Wl0 Service Feeder 73.50 I u2 Each Additional Branch Cirnult 2.60 r Q Temp. Service/ Feeder 200 Amp. 92.70 Temp. ServicelFaeder201400 Amp. $110.30 Temp. Service/Feeder 401-600 Amp. 148.70 Temp, Service/Feeder 601•1000 Amp $167.90 Portal to Portal Hourly 95.90 SlgnlOru8lrte Lighting 8020 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 Circuit Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 NEW CONSTRUCTiON ONLY: First 1300 Square Ft. 110.30 Each Additional 500 Square Fl. or Pardon of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 S' 5QTatal Owner as defined by RCW.19.28.261: (1) Owner wilt occupy the structure for two years atlerfhis electrical permit Is finallzet :2) Owner is required to hire an electrical contractor if above said property Is for sale, rent or lease. Permit expires after six months or last Inspec0 11. After reading the above statement, I hereby certify that I am the owner Of the above named property or a licensed electrical i: ntractor. t am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 10.28, WAC, Chapter 29 i!6B, The City of Part .Angeles Municipal Code. and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signatli a of owner, electrical contractor or electrical administrator: 0 Cosh 0 Check rE cniukci,„J# P.A., j A.vi- l nod: `7 /3 olmiizme Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Meter reduction to 1 main meter Owner PARK VIEW ASSOCIATES PETE JORGENSEN FEDERAL WAY Permit Fee Total Plan Check Total Grand Total WA 98003 Permit Additional desc Permit pin number 176255 Permit Fee 372 50 Issue Date 10/27/10 Expiration Date 4/25/11 Qty Unit Charge Per 1 00 372 5000 ECH EL OVER Fee summary Charged 372 50 00 372 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITS OF PORT ANGELES 360- 417 -4735 10 00001249 951380 1430 PARK VIEW LN 06 30 99 0 2 5320 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation 1000 SRV FEEDER Paid Credited 372 50 00 372 50 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION 00 00 00 117310 AP 11 l eo /to .IP Date 10/27/10 WA 98363 Due RESULTS Extension 372 50 00 00 00 00 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. OW L.52. L- fi j CITY OF PORT ANGELES PERMIT APPLICATION J Building Division/Electrical Inspections X 1,4 :I CAL 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 IONS Ph (360) 417 -4735 Fax: (360) 417 -471 C) oa th 1 f &r:ala Single Family Dwelling Multi- Family, or Commercial* ,X Commercial Addition Alteration Remodel Repair ip Item Service /Feeder 200 Amp. Service/Feeder 201400 Amp. Service/Feeder 401.600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service! Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp. Temp Service /Feeder 601 -1000 Amp Portal to Portal Hourly Sign /Outilne Lighting Signal Circuit! Limited Energy I First 1500 sf Commercial Note: $5,00 for each additional 1500 of Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit! Limited Energy Multi- Family Dwelling Manufactured Home Connection Renewable Electrical Energy SKVA System or Less Thermostat NEW CONSTRUCTION ONLY First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Sign tare of owner electrical cont Unit Charge $119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.80 92.70 $110.30 146.70 $167.90 95.90 88.20 95.90 or electrical administrator Dated: -V1.6 70 9tt Plan Review May Be Required, 131ease Complete lectr cal Plan Review Information Sbeet Job Address: l)111 a- t tke,4.,.„) 2-N Building Square Footage: Description of above (WSJ O Cash 0 Check Credit Card t (5 01(0112010 Owner in nn on ,n Contract nfotma n Name: �e eivie G(NlNr Name: I 1--C.C. Mailing Add -s: r O l�fo Mailing Add �/y -p City State: L Zip 2� City: c T State�Zip: Phone Fax: Phone: .t" Fax: License* Exp, License Exp. Total (gty Multlrilied by Unit Charge] 63.90 63.90 $119.90 $102_.30 56.00 $110.30 35.20 73.50 $110.30 3 71(SC Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of Iasi inspection. After reading the above statement, I hereby certify that I am the ovtner of the above named property or a licensed electrical contr ictor I am making the electrical installation or alteration in compliance with the electrical laws, N.E,C,, RCW Chapter 19.28, WAC, Chapter 296.46E The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. SIMPSON ELECTRIC LLC 243036 HIGHWAY 101 W PORT ANGELES, WA 98363 (360) 457 -9270 FAX (360) 457 -9270 CELL (360) 460-1046 To Electrical Inspector Trent From Andrew Simpson RE Letter from Siemens regarding modification for Parkview Villa meter by pass Thank you Date 8/17/2010 Time. 9 50 AM Page 1 fRR k H 3F R,1' JA```iPt G k Date: 8 -11 -2010 To.Andy Simpson Simpson Electric From Don Ask S Energy Automation RE. 1600 Ampere FC -i Switchboard so #19- 14044 -02 mfg 1986 Andy The modifications we discussed to the existing switchboard do not appear to compromise thi integrity of the equipment or void any UL or Nema requirements. The switchboard is out of warranty as is so no warranty is being maintained anyway As long as the modification is made and does not cause any safety issues and is done in a professional manner Siemens has no issues here. As always. the final approval will, need to be made by entity with local authority 1 hope this addresses any concerns, feel free to contact me if I can be of further assistance. Regards, Don Askins Siemens S Energy Automation, Inc. 13112 NE 20 St., Ste A, Bellevue, WA. 98005, Tel: (425) 881 -4055 Fax: (425) 881 -7148 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for kitchen equipment Owner PARK VIEW ASSOCIATES PETE JORGENSEN FEDERAL WAY Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98003 148882 59 50 6/22/09 12/19/09 Charged 59 50 00 59 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000610 166840 1430 PARK VIEW LN 06 30 99 0 2 5320 0000 ELECTRICAL ONLY RESIDENTIAL HIGH DENSITY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER COMMERCIAL Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 59 50 00 59 50 Plan Check Fee Valuation 00 00 00 Date 6/22/09 DATE RESULTS WA 98363 00 00 00 00 0 Extension 57 50 2 00 Due Signature of owner or Electrical Contractor X Date INSPECTOR. °Tisp. 06/21/2009 20 25 4579270 City of Port Angelo P h mit App6Is Lion Building DivisionfBectrice Inspections 321 Ent Rllh Street -K'.0 lox 1150 Port Angeles Washington, 1II3&2 Plc (380) 417.4735 Fax (3l tt 417471• Date: t o X 0 7 _G 18, 2 Single Family fuelling Multi-Family or Corn nercial` Commercial Addil;iof v Alteration Remodel I Repair Plan Review May Be R squired, P ease Cotpplete E,leptrical Plan Revlwu Informs ion Sheet Job Address: /I-4, 512..4 k4Lk us QtA.) L.. fN Building Square Footage Description of above 1 Unit,Chargg r; Total (W Multiplied by Unit ;har0e) 'S 93.75 Service!Feede 200 Amp. $113.75 ServicelFeede, 201 -400 Amp. $160.00 3 ServieelFeedef 401-600 Amp. $205.00 Service/Feedef 601 1000 Amp. $29125 .5 Service/Feeder over 1000 Amp. 2.00 Branch Circuit V/ Service Feeder 57.50 l 3 7.50 Branch Circuit VIO Service Feeder 2.00 11......._ -7 d+7 Each Addition Branch Circuit 72.50 Temp. Service! Feeder 200 Amp. 3 86.25 3 Tamp, Service/I •eeder 201.400 Amp. $116.25 Temp. Service!) eeder 401-600 Amp. $13125 3 Temp. Service/I •ecder 601 1000 Amp. 75,00 Portal to Portal lourly 69.00 SignlOuIftne Lig Ming 75.00 Signal Circuit/ L mited Energy Commercial s 50.00 Signal Circuit! L mited Energy 1 2 Family Dwelling 50.00 Signal Circuit! I.. mited Energy Multi Family Dwelling 93.75 Manufactured H me Connection 80.00 Renewable Elec rlcal Energy 510/A System or Less 96.25 First 1300 Squat e Ft. 3 27.50 Each Additional i00 Square Ft. or Portion of 57.50 Each Outbuildha. or Detached Garage 8625 Each Swimming pool or Hot Tub 43.75 Thermostat 5 S ti SO Total Sign of owner, electrical c r'0 r otedrlcai admtnlstretor Cash 0 Clink n` n: leF Creed c and I C I k e �OY /1 r' f s ��i' -ern RECEIMEIREcTRic JUN 2 2 2009 LIGHT DEPT PAGE t1 0 Owner Irfgqnatio I I r i t A 1;40141,4- ih �Contrac or I omJatro5 5 Mel-pr G 4. L Name: rail K 1. 14;;4.) 1 /4./` n^u'n ij Name: /J Mailing PAdress: 1 9, O t :-7--A L r7 Mailing f Iddress: 9 =S D3 I L I City 4* State: _.laa? Zip '3 City:.1 State: IV A- Zip: 3123 Phone: q _V 4y 7 p!, 2 ;Fax: Phone 4I7- 41 F x: Q 71 �l -D4 License I Exp. license I I Exp. 'Z _Sec Dower as de6medby RCM! rt.,i t 261: (1) Ci rmer w59occupythe structure for Oro years after d is electrical permk isfieefi ed a Owner Is required ro tete en electrical contractor ifemir s ill property is fbrsere, rem or lease. After reading the above stan4m v t, I hereby certify that 1 am the owner of the above named pn party ore licensed elecMcal contractor. I am making the electrical Instailatlon or atlemtlon In own Alsace Ott the electrical laws, N.E C. RCW. Chapter 19.28, W. %C. Chapter 296.466, The City of Port Angeles Municipal Code, and Utility Specifications. Application Number 09 00000589 Date 6/18/09 Application pin number 993024 Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER 06 30 99 0 2 5320 0000 Tenant nbr name PARK VIEW VILLA Application type description HOOD /DUCT SUPPRESSION SYSTEM Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 5100 Application desc REPLACE KITCHEN HOOD SUPPRESSION SYSTEM Owner Contractor PARK VIEW ASSOCIATES PETE JORGENSEN VILLAGE CONCEPTS FEDERAL WAY (360) 452 7222 Fee summary WA 98003 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5 Street, Port Angeles, WA 98362 Charged Paid Credited (4141 KNIGHT FIRE PROTECTION INC 2509 WEST 19TH STREET PORT ANGELES WA 98363 (360) 417 0505 Permit HOOD DUCT SUPP SYSTEM Additional desc REPLACE KITCHEN SUPPRESSION Permit pin number 148593 Permit Fee 40 00 Plan Check Fee 00 Issue Date 6/18/09 Valuation 0 Expiration Date 12/15/09 Qty Unit Charge Per Extension 1 00 25 0000 ECH .HOOD /DUCT INSPECTION /TESTING 25 00 1 00 15 0000 ECH HOOD /DUCT PLAN REVIEW 15 00 Special Notes and Comments June 17 2009 10 29 14 AM kdubuc A K class fire extinguisher is rquired to be mounted in the kitchen June 17 2009 10 29 42 AM kdubuc The manual pull station must be mounted in the path of exit travel June 17 2009 10 30 06 AM kdubuc A full acceptance test including balloon test will be required Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 c o \o'e/' 02 o This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be complied with whether specified her or not. The granting of this permit does not presume to give authority to violate or cancel the it visions of a ate or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 -417 -4655 for fire 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. Inspection Type Date Passed FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1KDD 02= la Completed by Contractor Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments psi psi 0 0 Applicant P t ft0 0■11 A Property Owner ParK view ;ksso Phone Property Owner's Address Peie_ITArg em Yen Si It ait, Conce 5 'fc S 336Th A .1* Z Feole &I i,.t Contractor 1LiNt �t2� 1�^o ?tx n 1n1c Phone e r�2sr WA- 1 84)03 Contractor's Address 'z' -f 19 Sr �yt L%, Ldp fi License Expires E -mail PROJECT ADDRESS 1430 PO-4- VI 0 14400 Parcel Number Ufo3o f`t oZ 5320 Project Type Brief Description. Residential Multi family /Commercial Industrial Check all that apply New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other aeOther le- VreHt3n 14=1 Upprr,y...t r SV<Ten'1 Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other T:Forms, uilding Division /Bldg Permit.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 efts -nfob poCi \i tn. t4K4fri Existing (sq. ft.) Proposed (sq. ft.) sq ft. T Lot size Total footprint of structures Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces (see PAMC 17 94 135 for exemptions) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Phone For City Use Only: Date Received Permit# C)q 5R9 Date Approved Lot Zoning per sq ft. TOTAL VALUATION c', 1,06 f sq ft. Lot coverage paved driveways sidewalks, patios, Site coverage d/o of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am author ¢d to apply for this p that it is my responsibility to determine t -'I permits are required, and to obtain permits prior d w. cts Date 4 Print Name 6 IAt T'c Signature and understand 10 I2'-0'x3' -13 CLASS I 1400D JO 24 "X24' EXHAUST DUCT Io3 1 PCL 600 FIRE SYSTEM 10 REMOTE PULL STATION le I© I© I® tip ®1 TABLE AUTO GAS VALVE STANDARD LINK DETECTION 2D NOZZLE iH NOZZLE 2H NOZZLE 2L NOZZLE 1a EMT CONDUIT SCHEDULE 40 BLACK PIPE CONVECTION OVEN FRYER RANGE TILT SKILLET PDF Created with deskPDF PDF Writer Trial http: /www.docudesk.com b® 3) 'A FvU— 41/4c_t.,e,P TEL twic.I..U1) '146 1+A.Loora t U tu.. %E ft£" a.)t Rk� 40' I 14 DA'E 6 IT 04 o t tel Eel Eel Eel 8\17 4 4 \17 4 Z z Z Z 36 PLANS 'I E'I'R()\ I'• T) BY POIi1 Ail F i I- IRE DEPT 2° SUPRESSION SYSTEM SECTION VIEW SCALE NTS CONTRACT NAME. PARK VIEW VILLAS 1430 PARK VIEW LN PORT ANGELES, WASHINGTON 98363 1 E a n.r DESIGNER AH FIIIE wnr.nE I(Q Tt9TA!". tel Nvfm t_ OLYMPIA, WA 98512 -9188 (360) 786 -8606 LICENSE NO. KNIGHPPO44LK OAT I JOH NUMBER 6/ 0(09 I 09 -090 S�P.zESS�o N.owc KNIGHT FIRE PROTECTION 9702 LATHROP INDUSTRIAL DR. SW F 0 KITCHEN KNIGHT@ II Wet Chemical Restaurant Kitchen Fire Suppression System Data/ Specification Sheet TO FUSIBLE LINKS 28 125 TO DISCHARGE PIPING TO REMOTE MANUAL PULL STATION 1 (T'- 114AT 13.125 gyro iChen TO GAS VALVE SHUT -OFF OPTIONAL MINIATURE SWITCH CONNECTION TO GAS SHUT-OFF 00.882 OPTIONAL CYLINDER ENCLOSURE Tyco Safety Products One Stanton Street Marinette. WI 54143 10.625 FEATURES UL and ULC Approved Complies with NFPA Standard 17A and 96 Meets the requirements of the Building Officials and Code Administrators (BOCA) Approved by the City of New York Material and Equipment. Acceptance Division (MEA) CE Marked GENERAL The KITCHEN KNIGHT® II Restaurant Kitchen Fire Suppression System is a pre- engineered solution to appliance and ventilating hood and duct grease fires. The system is designed to maximize hazard protection, reliability, and installation efficiency. Automatic or manual system activation releases a throttle discharge of potassium carbonate solution on the protected area in the form of fine droplets to suppress the fire and help prevent reignition after the discharge is complete. C D B 002841PC Flow Mounting Model Point Bracket No. A B C D Capacity Weight Used PCL 160 1 7.00 119.62 125.37 117.31 1 5 1 33 lb 1 MB -15 PCL 300 1 8.00 125.06 1 30.81 122.75 1 10 1 53 lb 1 M8 -15 PCL -460 110.00 1 25.06 130.81 1 22.751 15 1 83 lb 1 MB -15 PCL -600 110.00 +35.81 141.56 133.50 1 20 1 108 lb 1 MB -1 ALL DIMENSIONS IN INCHES SYSTEM OPERATION The KITCHEN KNIGHT II Restaurant Kitchen Fire Suppression System has been designed for protecting kitchen hood, plenum, exhaust duct, grease filters, and cooking appliances (such as fryers, griddles, rangetops, upright broilers, charbroilers and woks) from grease fires. The versatile state -of- the -art wet chemical distribution technique, combined with dual independent activation capability automatic fusible link or manual release provides efficient, reliable protection the moment a fire Is detected. Once initiated, the pressurized wet chemical extinguishing agent cylinder discharges a potassium carbonate solution through a pre- engineered piping network and out the discharge nozzles. The wet chemical discharge pattern is maintained for a duration of time to ensure suppression and inhibit reignition. Expanded capability provides remote manual actuation, gas. equipment shutdown, and electrical system shutdown. This optional equipment will enhance the basic system functions and be applicable when designing custom configurations to suit a particular customer's needs and /or comply with local codes. The operating temperature range of the PYRO -CHEM® KITCHEN KNIGHT.II System is 32 °F to 120 °F (0 °C to 49 °C) PYRO -CHEM is a trademark of Tyc Inter ati al Ltd. or its affiliates. 2/15/2008 PC2001192(3) SUGGESTED ARCHITECT'S SPECIFICATIONS The fire suppression system should be of the stored pressure, wet chemical pre- engineered fixed nozzle type manufactured by PYROCHEM. A carbon dioxide cartridge is designed in compliance with Military Specification 'MIL -C -601 G' and shall be used as the pneumatic releasing device for the system. The. cartridge shall be an integral part of the control head assembly. The wet chemical storage cylinder shall be a DOT -rated cylinder for stored pressure of 225 psig, and a pressure gauge shall be provided on the cylinder valve for visual inspection. The system shall be capable of automatic and manual actuation Automatic actuation shall be provided by an appropriate number of fusible link detectors mounted in series on a stainless steel wire input line t� the control head. Manual actuation shall be provided by turning a handle on the primary head and /or by TYPICAL INSTALLATION 1 CYLINDER CONTROL HEAD Integral design requires no separate release pressure cylinder Separate wire cable activation lines for automatic fusible links and optional remote pull station provide an added measure of safety An easily accessible manual release mechanism provides an option for the automatic fusible link and, depending on local codes, can be used in place of a remote manual pull station. Unique foolproof technique for achieving necessary input wire cable tension. 2. PIPING Unbalanced piping network simplifies application design and installation. Requires no separate piping to connect system pressure cylinders to extinguishing agent container Schedule 40 black iron, chrome plated, or stainless steel pipe can be used. 3. CYLINDERS Contain PYRO -CHEM Potassium Carbonate wet chemical solution stored at 225 psig. Includes pressure gauge for visual maintenance checks. 1 6 3.0 4.6 and 6 0- gallon sizes provide 5, 10, 15, and 20 flow point coverage respectively offering a broad range of application coverage 4 NOZZLES Can be fixed or fitted with a swivel adaptor allowing the nozzle to be rotated approximately 30° in all directions. an optional remote pull station with a dedicated stainless steel input line to the control head. The system shall have been tested to the UL Standard for Fire Extinguishing Systems for Protection of Restaurant Cooking Area, UL300, and Listed by Underwriters Laboratories, Inc. It shall be installed in accordance with the National Fire Protection Association Standard No 17A Wet Chemical Extinguisher Systems, and No. 96 Standard for the Installation of Equipment for the Removal of Smoke and Grease Laden Vapors from Commercial Cooking Equipment, and comply with all,local and /or state codes and standards. Refer to PYRO -CHEM KITCHEN KNIGHT II Restaurant Fire Suppression System Manual, Part No. 551274 for detailed installation and maintenance instructions. 5. REMOTE MANUAL PULL STATION Simple operating instructions with double action release avoids careless system discharge. Maximum limitations of 150 ft cable run with 1/16 in. cable and 40 corner pulleys apply A dedicated wire cable input line to the cylinder control head provides a true back up in the event the fusible links are fouled. 6. FUSIBLE LINK DETECTION EQUIPMENT Accommodates both series and terminal placement to minimize inventory and simplify ordering. All necessary components are included for efficient assembly and installation. Fusible links rated for maximum ambient temperature must be ordered separately. Maximum limitations of 20 fusible links a 150 ft cable run with 40 corner pulleys provide substantial hazard coverage. 7 AUTOMATIC GAS SHUT -OFF VALVE Complies with requirements pertaining to the shut off of fuel as described by NFPA 17A. Can be reset at control head after regular maintenance /service check for convenience to service technician. Maximum limitations of 100 ft cable run with 30 corner pulleys provide mounting flexibility. B. CORNER PULLEYS AND ACCESSORIES Designed to ensure reliable system function as tested by Underwriters Laboratories. Pyro-Chem® Wet Chemical Extinguishing Agent Data/ Specification Sheet FEATURES Fast flame knock -down and securement of grease related fires Provides a cooling effect which further enhances its ability to prevent reflash Designed for a wide variety of restaurant hazards Listed by Underwriters Laboratories Inc. (UL) as part of the KITCHEN KNIGHT® II Restaurant Fire Suppression System and KITCHEN ONETM K -Class Fire Extinguishers Ease of recharge and post -fire cleanup APPLICATION Pyro -Chem® Wet Chemical is designed for use only in Pyro -Chem Restaurant Fire Suppression Systems and K -Class Fire Extinguishers. This liquid agent will combat grease related fires as found in restaurant appliances and ventilating equipment. It should not be used for fires involving energized electrical hazards. DESCRIPTION Pyro -Chem Wet Chemical is a specially formulated, aqueous solution of an inorganic salt. The agent is pre -mixed eliminating the need for dilution.before system charging. When used as an extinguishing agent, it will produce no toxic by- products. AGENT PROPERTIES Appearance Clear colorless liquid Storage Life 12 years Refractive Index 1.39 1 41 Freezing Point -40 °F -40 °C) Specific Gravity 1.32 1.52 Kinematic Viscosity 3 2 cs 25 °C pH 12.5 13.5 WARNING Care should be taken when handling the agent. If contact is made with the eyes or skin, flush with water for 15 minutes If the agent is swallowed, dilute with water or milk and contact a physician. Pyro tChen Tyco &defy Products One. Stanton Street Mar ne« e. W/ 54143 PERFORMANCE When used in the KITCHEN KNIGHT II Restaurant Fire Suppression System or KITCHEN ONE K -Class Fire Extinguishers, Pyro -Chem Wet Chemical is extremely effective on fires in restaurant ventilating equipment (hoods and ductwork), as well as in a variety of cooking appliances (deep -fat fryers, griddles, range tops, and several types of broilers and char broilers). Suitable operating temperature is 32 °F to 120 °F(0 °Cto 49 °C). As the agent is sprayed in fine droplets (atomized) onto an appliance grease fire, it provides excellent flame knock -down, surface- cooling, and fire securing capabilities. When the agent reacts with the hot grease it forms a layer of foam on the surface of the fat. This soap like blanket of foam acts as an insulator between the hot grease and the atmosphere helping to prevent flammable vapors from escaping and reducing the chance for flame reignition. Post -fire cleanup can be readily accomplished by flushing the area with water or steam. APPROVALS AND LISTINGS Pyro -Chem Wet Chemical has been tested and is listed as part of the KITCHEN KNIGHT II Restaurant Fire Suppression System with: Underwriters Laboratories Inc. (EX 3830) Underwriters Laboratories of Canada (CEX -812) Material and Equipment Acceptance Division (MEA) for New York City (91 -99E Vol. II) The agent is also listed as part of KITCHEN ONE K -Class Fire Extinguishers with. Underwriters Laboratories, Inc. (EX 5157) Underwriters Laboratories of Canada (CEX 1363) ORDERING INFORMATION Part No. 553176 1.6 gallons (6 1 liters) Part No. 551188 3.0 gallons (11 4 liters) Recharge services are available from Pyro -Chem Authorized distributors PYRO -CHEM trade', are of Tyco International Services AG its affiliates. 8/112005 PC2004036(1) rsyrom CChem Appliance I Deep Fat Fryer Vat Deep Fat Fryer (Low Proximity) Vat Deep Fat Fryer Drip Pan (Vat 18' x 18' max.) Deep Fat Fryer (Low Proximity) Drip Pan (Vat 18' n 18' max.) Deep Fat Fryer- Drip Pan (Vat 19 1/2' x 19' max.) Deep Fat Fryer (Low Proximity) Drip Pan (Vat 19 1/2' x 19" max.) Two Burner Range Two Burner Range (Low Proximity) Two Burner Back Shelf (High Proximity) Four Burner Range Small Wok Small Wok (Low Proximity) Large Wok Large Wok (Low Proximity) Small Gnddle Small Griddle (Low Proximity) Large Griddle Large Griddle (Low Proximity) Gas Radiant Char Broiler Gas Radiant Char Broiler (Low Proximity) I Large Gas Radiant Char Broiler I Large Gas Radiant Char Broiler (Low Proximity) Lava Rock Char Broiler Natural Charcoal Char Broiler (max. fuel depth 6 I Natural Charcoal Char Broiler (Low Proximity) Mesquite Char Broiler (max. fuel depth 6 I Mesquite Char Broiler (Low Proximity) Upright/Salamander Broiler Plenum Single Bank/V Bank Duct Rectangle /Circular I Rectangle /Circular Pyro -Chem ,r, Kitchen Knight II 4 CH EN ®L PCL 160/300/460/600 KNIGHT. II Nozzle Coverage Summary Sheet e/idtl sngth Min. Max. Nozzle Flow (In) (in) Height Height Type Points Max Side Area Sq. In (in) (in) 2H 24 48 2 191/2 19 2 27 3/4 500 Sq. In, 2 25 3/8 495 Sq. In. 2L 2H 2L 2H 2L 1H 1L 2L 2L 1H 1L 2H 2L 1H 1L 2H 2L 1H 1L 2H 2L 2L 1H 1L 1H 1L 1 12 28 2 28 1 336 Sq. In. 2 28 28 1 24 dia. 6' depth 2 30' dia. 8' depth 1 36 1080 Sq. In. 2 48 1440 Sq. In. 1 26 624 Sq. In. 2 36 864 Sq. In. 2 I 26 1 624 Sq. In. 1 24 480 Sq. In. 1 24 480 Sq. In. 1L 1 36 W 28 D Front edge; above the grate 13 24 13 24 13 40 13 24 34 24 13 24 13 24 10 24 10 24 13 36 13 15 '24 15 24 15 24 48 24 48 24 50 24 35 48 48 24 48 24 48 24 48 24 48 24 48 36 35 35 24 35 24 Chain Broiler (Internal Chamber) 1L 1 27 'N 38 D Front edge; 1 3' above the chain Tilt Skillet/Braising Pan Coverage limitations are based on fryer sizes including the drip boards. Exception. Till Skillets and Braising Pans may exceed maximum of 6 sq. ft. Nozzle Flo Width Length Nozzle Placement (See Type Points (ft) (`t) manual for more detail) 1H 1 4 10 0' -6 "from end of plenum Nozzle Flow Max. Side Perimeter Diameter Length Type Points (in) (in) (in) (in) 2D 2 34 100 31 7/8 Unlimited (2) 2D 4 51 150 47 1/2 Unlimited PC2001189(4 Pipe length /ft 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 C Chem 1/4 20.5 ml per ft. 3/8' 37,5 ml per ft. 1st nozzle Tot< I Pipe Cylinder Flow Total Pipe to last Maximum Pipe Length Size Pts Vol noz le /4 I 3/8' I 1/' d, PCL 160 5 1500 I 600 En 1 ii. 40 0 I 25 0 't PCL 300 I 0 1910 1125 93.17 ft 50 93 ft 31 94 '1 18 19 ft PCL 460 I 14 I 3400 3000 1 165 85 ft 10 67 if 56.86 f< 32 38 ft PCL 460 15 I 2.600 I 2000 1 126 83 ft 69.33 ft 43 48 ft 24 76 `t PCL 600 19 I 4215 I 1688 /side 1 205 61 ft 112.4011 70 48 ft 40 14 ft PCL 600 20 I 3465 I 1312.5 /side 1 169 02 ft I 92 40 It I 57 94 ft 33 00 ft 1/4' 20.5 41 61.5 ,82 02.5 123 143 5 164 184.5 205 225.5 246 266.5 287 307.5 328 348.5 369 389.5 410 Pipe Size /ml I 3/8' 1/2' 3/4 j 37.5 59.8 05 75 119 6 210 j 1125 1794 315 i 150 239.2 ,20 j 187.5 299 525 j 225 358.8 630 i 262.5 418 6 7„5 300 478 4 840 337.5 538.2 945 375 i 598 1050 412.5 657 8 1155 450 717 6 260 487.5 777 4 1365 525 837.2 1470 562.5 897 575 600 956 8 1680_ 637 5 016.6 1785 675 1076 4 1890 712.5 1136.2 1995 750 1196 2100 General Rules 1 Measurements taken from fittings centerline (All SCH. 40 PIae). 2. Maximum difference in elevation from valve outlet to any nozzle is 10' 3. Largest diameter pipe must be used first and decrease in size as installation moves away 'rom he lank 4 No traps in the piping 5 Two elbows are allowed in place of a swivel. Elbows used a swi 'el do hot have io be subtracted 'torn the total allowed 6. Maximum of 25 elbows. 7 Maximum of 5 elbows between nozzle and preceding to,'' 8 Maximum flows for 1/4 pipe 6 'lows. 9 Maximum volume allowed for /4 pipe from tee to nozzle is 410 ml (20 ft) Additional rules for PCL 600• 1 Split.piping must be used with a maximum of 14 flow on a side 2 No nozzles before the split. 3. Minimum 1/2' pipe must be used to the first split. Pyro- Cheat kitchen Knight ii Pipe Volumes Conversion Chart 'T lei 044 1/2 59 8 mi per ft. 3/4 105 ml per ft. F am st nozzle to last nozzle Maximum Pipe Le igth 1/4 3/8' I 1/2' I 3/4 "92ft i 16011. I 100 it -;488 ft I 3000`1 I 18.81 f 46 34 ft I 80 00 ft I 50 17 ft 97 56 ft 53.33 ft I 33 44 ft I 82.34 ft 45.01 ft I 28.23 It I 64 02 ft I 35.00 ft I 21.95 ft I Minimum Pipe Volumes for a Fryer Range and Wok Cylinder Size j Entire System j At or before appliance PCL 160 I 239 ml 1 Flow P' I 180 ml 1 Flow Pt PCL 300 300 ml 4 Flow Pts I 239 ml 2 Flow Pis PCL 460 I 660 ml 0 Flow Pts I 180 ml 2 Flow Pts PCL 600 960 ml 14 Flow Pis I 120 ml 2 Flow pts (p Lave ?010 1071 ft 28.57 It 1905 ft 16.08 ft 12.50 ft CITY OF PORT ANC .F,F,:Ii�>(T APPI,ICATiON RE--"CEfl'V'ED--,, q t Building Division/.Electrical Inspections OCT I � �� ally Iwo 321 East Fifth Street—P.O.Dox 1150 I Port Angeles Washington, 98362 �II. � Ph: (360)417-4735 Fax: (360) 417-4711 Date:„ Multi-Family or Commercial* *Plan Review May Be,Re uired, PI se Complete Electrical Plan Review Information Sheet Job Address:—.. 1�_ _ C7ar�r� 8009 Square Footage; °" " " - Descriptlan of above J p A. Owner IntpMation a Contractor Information Name: ^. _i aliJ—lfr Name:-azr 1 C- Malfing Address; M--- � Maiiin dd s9;�, p 1 City: _ Stela:f,�jQ_Zip: 3 Ciry 5tate;ll1 Zip; Phone: 'Fax:_ Phone: Fax- I�rn' Licenso#1Exp, LicenseltlExP• SSf , Item Unit Charge Yt Total{tats fVlultil died ty Unit Charge) ServiWFeeder 200 Amp, $132.00 $ Service/Feeder 201- 00 Amp, $160.00 Service/Feeder 401-600 Amp $22500 -" $ Service/Feeder 601.1000 Amp, $288.00 Service/Feeder over 1000 Amp. $410.00 Branch Circuit VV/Service Feeder $ 5100 - $ Branch Circuit WIO Service Feeder $ 74.00 Each Additional Branch Circuit $ g,QO �� Branch Circuits 1 f° $ 86.00 p Temp,Service!Feeder 200 Amp, $102,00 Temp.Service/Foeder 201-400 Amp, S 121,00 Tamp,Service/Feeder 401.600 Amp, $164,00 $ Temp.ServlcelFeedor 801-1000 Amp, $185.00 $ Portal to Portal Hourly $ 98,40 SignlOuNne Lighting $ 882 $� - Signal Circuit/Limited Energy-Multi-Family $ 84,00 " Signal Circuit/Limited Energy 1 First 1500 sf-Commorcial $ 96.00 Jrrdca Note; $5.00 for each additional 1500 sf Renewable F€edrieal Energy-5KVA System or Less $113.00 $ Thermostat g 56.00 $ Nate:$5.00 for each additional T•Stat Owner as defined by RCW.1918.261:(1)Owner will occupy the structure for two years after this electrical permit i5 nalized.(2) Owner is required to hire an electrical contractor if above said property is for safe,rent or lease. Permit expires after six months of last Inspection. After reading the above statement,l hereby certify that l am the owner of the above named property or a licensed electrical Conti,actor. I am making the electrical installation or alteration in compliance with the electrical laws, N.P.,C,,ROW,Chapter 19. 8,WAC. Chapter 296463,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, signatIR of owner,electrical contractor or electrical administrator, p cash d check - 7'Credit Card 0 13 B11DIRD12 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number . . , . . 13-00001186 Date 10/15/13 cz Application pin number . . . 138016 Property Address , . . . . , 1430 PARK VIEW LN ASSESSOR PARCEL NUMSER: 06-30-99-0-2-5320-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , . , , . , Property Use to the City of Port Angeles Property Zoning , . , . . . , RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation . . . . 0 1 Application desc Atrium addition Owner Contractor PARKV77W AS80CIATES SIMPSON ELECTRIC ATTN: PETER JORGENSEN 243036 W HWY 101 �® 1430 PARK VIEW LANE PORT ANGELES WA 98363 PORT ANGELES WA 96363 (360) 457-9270 (260) 452-7222 t - ---------- ----------------------- Permit- ELECTRICAL ALTER COMMERCIAL ('+� Additional desc , . v Permit Fee . . . 245.00 Plan Check Fee .00 Iasue Date 14/15/13 valuation , . . . 0 Expiration Date 4/13/14 Qty Unit Charge Per Extension �f4 1.00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74,00 15.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 75.00 1.00 96.0000 ECH EL-LIMITED 1ST '1500 SQ FT 96,00 ---- ----------- -- -------- - ------------------- -- --- ----- Fee summary Charged Paid Credited Due ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 245.00 245.00 .00 00 Plan Check Total .00 .00 .00 .00 Grand Total 245.00 245.00 .00 00 iv INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE f ROUGH-TN t (� FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ctor X Date: GAIEXCHANGEWILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00001188 Date 10/15/13 Application pin number . , , 138016 Property Address . , , 1430 PARK VIEW LN ASSESSOR PARCEL NUMFER: 06-30-99-0-2-5320-0000- REPORT SALES TA Application type description ELECTRICAL ONLY on your excise tax form Property Name . . , . . . to the City of Port Angeles Prp ert Use Property Zoning , . , , . . . RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation .' . . . 0 Application dese Atrium addition Owner Contractor PARKVIEW ASSOCIATES SIMPSON ELECTRIC ATTN: PETER JORGENSEN 243036 W HWY 101 1430 PARK VIEW LANE PORT ANGELES WA 98363 PORT ANGELES WA 9B363 (360} 457-9270 (360) 452-7222 Permit , . . , , . ELECTRICAL ALTER COMMERCIAL Additional desc , . Permit Fee . , , . 245.00 Plan Check, Fee DQ Issue Date 10/15/13 Valuation , , , , Q Expiration Date 4/13/14 Qty Unit Charge Per Extension 1.00 74,0000 ECH EL-COMM BRANCH CIR WO/ S/F 74,00 15.00 5,0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 75,60 1.00 96,0000 ECH EL-LIMITED 1ST •1500 SQ FT 96,00 Fee summary Charged Paid Credited Due Permit Fee Total 245,00 245.00 00 .00 Plan Check 'Total ,00 .00 00 0O Grand Total 245.00 245.00 00 .00 INSPEC'T'ION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGMBUILDING North Peninsula Electric 928 -9409 p,3 Owner as defined by RCW.19,26,261: (1) D mer will occupy the shucfure for two years after this electrical pen�Ks finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elecfiical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.26, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical PermitApplica6'ons. Signature of owner, electrical contractor or electrical administrator: El cash Cl crFX* - tCM(rtGarda X YL— 01X,12012 RECEIVED, XJ CITY OF PORT ANGELES PERmu APPLICATION JUL 17 209 1 Bailding Divisiion/Eleetrical Inspections 321 East Fifth Street —P.O. Box 11501 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax. (360) 417 -4711 INSPEGi10N Date:, _- l 2 _ I , "Plan Review May Be Required, Please Complete Electrical Plan Review Iniarmation Sheet )q-�t � t Job Address: Budding Square Footage: Description of above Owner ]rail an i r Name: LJ i t Contract r Info Nerve" l Yn J Mai!ingAd C 1n5 L fVtaifirgAddress , c h City: State:l Ifs dip: T phone: Far: • L City_.�IQ State. Z� : �;1 \— 1lr�F" Phone:�r`ll - i icem #I Exp. License # 1 Exp. Item Unit Charge Total Kb Muldipliedby Unit Charge) ServicelFeeder200Arnp. S 120.00 $ ServicelFeeder V -400 Amp, $145.10 $ Service/Feeder 401.600 Amp $ 205.00 $ Service/Feeder 601 -1000 Amp. $ 262.00 $ Service/Feeder over 1000 Asap. $ 373.00 $ Branch Circuit Wl Service Feeder Branch Circuit W10 Service feeder $ 5,00 $ 6.3% ' $� Each Additional Branch CircUl $ 5.00 Branch Circuits 1.4 $ 75.00 $ y Tamp. Service/ Feeder, 240 Amp. $ 93.00 $ Ur Temp. SerViceJFeeder 201.400 Amp. Temp. ServirnlFceder401- K0Arne. $110.00 $149.00 $ $ G� J }� 17-5 Temp. ServiowFeeder601 -1000 Amp, $168.00 $ Pala! to Portal Hourly $ 96.00 $ Signal Circuitl Urnited Energy -1 & 2 Family Ravelling 5 600 $ Manufactured Horne Connection 5120,00 $ Renewable Electrical Energy - 5KVA Syslem or Less $102.00 $ Thermostat $ 56,00 $ Mote: $5.00 for each additional TStal NEW CONSTRUCTION ONLY: First 1300 Square RL $120.00 $ Eaz:h Addlonal 540 Square FL or Portion of t=ai Outbuilding or Detached Garage $ 40.00 $ 74.00 $ $ m Each SW rnming Pool or Hot Tub $110A0 $ atal Owner as defined by RCW.19,26,261: (1) D mer will occupy the shucfure for two years after this electrical pen�Ks finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elecfiical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.26, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05,050 regarding Electrical PermitApplica6'ons. Signature of owner, electrical contractor or electrical administrator: El cash Cl crFX* - tCM(rtGarda X YL— 01X,12012 Of vORri,, Q.," ELECTRICAL INSPECTION Gs WIRING REPORT 417-4735 DATE: PERMIT# NSPECTOR OVVNE9 f CONTRACTOR hi o MTa4 _,T- �yz- DDRES,9 o 7A APPROVED NOT APPROVED ❑ .— ........... .... DITCH ....... ............ 0 ❑ ................ ROUGH IN/COVER ............... ❑ ❑ ..... ............. . SERVICE ................ — 0 0 ............... ..... FINAL .... ...... >Pr-- CORRECTIONS NEEDED: 12 m: A NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS m IsTall il Isli d w.1 A ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number , . . 13- 00000790 Date 7/2$/13 Application pin number . . , 927390 Property Address . . . , 1430 PARK VIEW LN ASSESSOR PARCEL NUMBER; 06-30- 99-0 -2- 5320 -D000- Application type description ELECTRICAL ONLY Subdivision Name , . . , . , Property Use . . . , Property Zoning . . . . . RESIDENTIAL HIGH DENSITY Application valuation , , , , 0 Application desc 4 circuit remodel Owner Contractor PARKVIEW ASSOCIATES NORTH PENINSULA ELECTRIC ATTN: PETER JORGENSEN 761 FRESHWATER PARK RD 1430 PARK VIEW LANE PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 477 -1764 (360) 452 -7222 Permit , . , . ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4. CIRCUITS Permit Fee 86.00 Plan Check Fee 00 I9sue Date . . . . 7/18/13 Valuation 0 Expiration Date . , 1/14/14 Qty Unit Charge Per Extension BASE FEE 86,00 Fee summary Charged Paid Credited Due Permit Fee Total 66.00 56.00 .00 .00 Plan Check Total 00 .00 00 00 Grand Total 86100 86.00 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 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:1EXCHANG1;IBUILDIHG V V� J\ J� Building Division/Electrical 1:nspectionx 321 East .Irittta Street t —111.0. Box 1:150 i Port Angeles Washington, 98362 Phi (300) 417-47351 :txw (360) 417 471.1 Date: 11.20..3 X Mufti-Family or Commercial' "T, �earar I.: V wow 2 2 ��c I:IwC(�fRICA� II`I�47f:I;II�N:� Page 1 of 1 Plan Review May Be Required, Please Cornoele Electrical Plan Review Information Sheet . .............. C3 s , a n cif °sx . lest lJ..rlde ura�311anc .s l raa _ _ ,._ .. ........ .. ...... _..._ »,....._.,_.W. _. _ ._ ..__.._.,._-._....._...._.._._� .._ _.m ., ... Owner Information Contractorfnformatlon Nam a: ark i iIla _. Name. wi Je Nl t t sclJr : _14 � rl a( Itlla __ -._ M Adtrr 723 East Frod St _._ �., ;.P. n alp r to r _Po a.. ra' . zip: .,. _.. Sttzt0V_ __ tat � -.. . _n4 � t .'t x; •......... __ r.__ e_.... e._ ,....,°e_..._.,.., ._. _ _.....,_._.. E P•_.,_._,_.rf lTk: T - : »» ., Item Uralt 9 ar a �et.al : Multiplied b klralt hiarcaiat Zarvr`;rea�ler 2ti4 A�snp. $132,00 _..,_......._........... �._..._ ._..._..,...._.....»._ SeMmTeedaf 201-4W Amp. S160.00 So v lFaed�z401 -600 Amp 925013 _......... SerNice Redar61;11 -10X Amp, .2,M00 �.. �_• Sea dFee &-r over 1r36Amp, 41OLO 8(anOCimmit WtServa Feeder 5,013 - _..�_ _ $___......a,_— Ofandi OicuitV80Seir'aFa*4?dw 74.E Ea0Additoaria BraraeiaCJwi[ 5.00 _,..� I}�.,.,.,..._..,,_.... 8fafrsalr01,1%Jits14 86.06 ..... _ ......... .... _.._, Temp. Servimi Feeler 200 Amp. 102 DO Temp. SxviWFeader 201 -400 Mip, $ '12100 TatV. ServicelFeedai 401-600 Amp. $164.00 Terra . Sa(vivIFeWof 601.1000 Amp . $ 165013 .. ».- � i?01 io porrttl Msarly 9607 ..... _.._ _...,.,... _ S; rfflul ie lighting 8M Si ml C asty L'srriited E rg y _ Multi- Farriity 64A S rail C4wW Lt nitod Efeqy 1 Fi*11506 sf - Oommwaal $ 96316 $ t f , e_.• Iota: $166 far eadi additiesmi 1500 sf RimewaNs Elsc tal Energy - 5KIM System or Lass S 11100 - Therntoslat 56,00 %rata: $5.16 fcT each aMlvarai T-Slat 9 S�Oi3 Total Oar wrr as defined by I"tGIN. 19.28,261: (1) Oar Will Occupy tine structure for two years after thls electrical permit is f nRlized, () Owncf is rNL&ad to hire an electrical contractor if above said property is for sale, rard or lease. Peel €t expires after si_x mo atNs of last inspection. After reading the above statement, I hereby c,�zAifj that I am the owner of the above married property or a licensed electrical caratra,,Jor; I afro makhig tho el iriLal :installatierr oratteration in compliara with the electrical J , N1. C., R IN, Chapter 1918, INAC, Cfaapter 296 -46B, The City of Fart Angeles Muriidpal Code, and Utility Specircalbos and PANIC 14 OS� OAI rega(ding Electrical Permit Applications, ignatureofowner, electrical eontractoror electrical administratrar. 13 cyst, D tlwd Cr��3n Gars ._. aa.n file _ _ x Mille Shirlelr taats�: 11.20 -13 � #�4t1Z4r1� http: / /www.pdfescape. coral/ open/ RadPdf .axd ?rt= c &dlc= 02C7ECFC7QW WO6CII3 WXUT575TWBU4ZO7... 11/20/2013 V W .' CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. c;2'/t9 Y DATE /opt/,,$r .READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Phone: lAu-: Sq. Ft. Residentia~ S-- ~New Construction Heat KW::J /0- Remodei ~ Baseboard 0 Furnace/Boiler 0 Service update/alter/repair Heatpump 0 Other C Commercial/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) L/- tJ~ o Overhead ~underground /.m Voltage .~~ ~1" 0 3-';,;; Service size ,.00 Amps o Temporary Det ils/Description: . Lw W.S No. Service Capacity: 0 O.K. 0 Not O.K. I o Ditch inspection O.K. ~~ ~OUgh-in/cover O.K. 1~ cp.K. to connect service ~ral O.K. . Sild Address: Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instailation o Fire Department notified of inspection o Plan Review approved/pending ::/Pt . Date: J () 'g' I No~ify the Department of City Light by Street Address and Permit Number when ready for i spection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector' riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. 9~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Inspector Amount paid WH'TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYTle PRINTERS. II'lC. Site,!~ddreSt; Installed By: Own'erfBusiness: Ow erfBusiness Address: 111 Residential _,..- I Heat KW ): d:) g Baseboard 0 Furnace/Boiler [ Heatpump 0 Other [ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Det ilslOescription: . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .;:/$"03 DATE /O/:sO$f . ELECTRICAL PERMIT )'CWI LL CALL FOR INSPECTION Phone: o READY FOR INSPECTION License Number: Phone: Sq. Ft. [)(New Construction b Remodel o Service update/alter/repair o Overhead l.l!. UndergrOUn~,n-. Voltage ~ 'T'-' 'f2 1.0 03.0 Service size 'i/OC) o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) L/- f/kJC ~&O ~ t'-~ ' '/- /0 ~ 7t:/~s ~ 5 ;J.JSD o,4--ffS c9 W.S No. Service Cap city: 0 O.K. 0 Not O.K. o itch Inspection O.K. ~ 90ugh.in/cover O.K. ~~ O.K. to connect service ~ inal O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Ins aller: Permit/Receipt No. Not fy the Department of City Light by Street Address and Permit Number when ready for inspection. Work mu. t not be covered or electrically energized before inspection and O.K. for covering or service has been given by t e Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~~~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 96'P() Inspector Amount paid WHilE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM1'C PRINTERS, INC. . o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) t;-fJ~ ~ ~ i:j/cL - ~,/~S 0.:JsV u/#7T5 ~M~ /~ / 10 ~/ ~f '. 'It..> CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Sitefddres~ Installed By: #& OwnerfBusiness: OW~,er/Business Address: It Residential s;, S- Heat KW ;:) ~ Baseboard 0 Furnace/Boiler tl Heatpump 0 Other [I Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) \& New Construction o Remodel o Service update/alter/repair Detlj.i Is/Description: -t -t .- -t -t dl , Kw PERMIT NO. .,::>o/.o;;l.. / .o/.;:lt? #? , . DATE o READY FOR INSPECTION License Number: ~WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Overhead ~ UndergrOun~ '1/0 Voltage 1.o1~ ~10 03.0 Service size 9'1'9'" o Temporary Amps -t -t W.St No. Service Capj3.city: 0 O.K. 0 Not O.K. o Oitch inspection O.K. ~ Rough-in/cover O.K. ~f'J O.K. to connect service ~ Flinal O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter ---Of o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending t) '30 Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work mu~t 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. I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7 S (}O Inspector Amount paid , WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLY'"'It,C PRINTERS. INC. Permit/Receipt No. . v SiteUAddress: Installed By: Ow~er(Business: Owrier/Business Address: rr Residential ,-- Heat KW ~r. ~> D~ Baseboard 0 Furnace/Boiler t) Heatpump 0 Other CI Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Detljli I s/Descri ption: -, CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. .;:2<t/O/ /0/30$7" , , ELECTRICAL PERMIT DATE #.5 o READY FOR INSPECTION License Number: .:;t'W1 LL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ~ New Construction ti Remodel o Service update/alter/repair o Overhead ~ Underground /..In -Voltage 1.:7()/.;l.,.~ ~ 1.0 03.0.,/. Service size -y'&i) Amps o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list beiow) Ij-p/c)l t~ ::;;; /h~ca. kJ~, /ud ctul- r 7&~1 I/wri -----Of . ~I S~ W 1J-7T5 .;;J/ . elA) -, W.S, No. Service Capl3city: 0 O.K. 0 Not O.K. -1Jt1... 0 [Iitch inspection O.K. 'fJ'"1"{ ~ Flough-In/cover O.K. 1~ O.K. to connect service 1$ Flinal O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending +,5 Permit/Receipt No. <:9,/0/ Notily the Department of City Light by Street Address and Permit Number when ready lor inspection. Work mu~t 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. I ~ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7S ~ -+-----I Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYM!+IC PRINTERS, INC. . .- o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) '1-/~ s: ' ~~edUS ~Jf~~nI./~ a;.;' f ~f- ft!?/u-; CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site tddress: G Inst~l1ed By: ~ Own'er/Business: i OwrierfBusiness Address: I < I ~ Residential I Heat KW .$".~ ~ Baseboard 0 Furnace/Boiler o Heatpump 0 Other C Commercialllndustrial load ! Total Connected load (attach breakdown) Total Motor load (attach breakdown) b{ New Construction b Remodel o Service update/alter/repair Det~ils/Description: ~o ::t -, < --'if < ----if i ----if 5" .;2,~ wtA-rr; -j, ku/ ~. ;;;J I PERMIT NO. .;;< y/!)O /O/3PRJ' . , DATE o READY FOR JjrW/LL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. o Overhead 5'b Undergroun~yD Voitage 1~1!? '% 113 0 3'0 Service size $/tYO o Temporary Amps -i' I I -" Date Hold for: 0 Easement 0 Letter W.S.. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o CHtch inspection O.K. /1,~ ~ough-in/cover O.K. ~1{J o..K. to connect service ~ ~lnal O.K. ~I . o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of Inspection o Plan Review approved/pending Noi'fy the Departmen of City Light by Street Address and Permit Number when ready for inspection. Work mu~t 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. .; -Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '1/ 9.- t!!? -:, 19m ./ .:> . Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLY"'!"C PRINTERS. INC. .. Owner/Business: I Owner/Business Address: I I I I qJ Residential I Heat KW qJ Baseboard D Furnace/Boi ler iD Heatpump D Other 1i:! Commercial/Industrial load if Total Connected load ! (attach breakdown) : Total Motor load , i (attach breakdown) , Detai Is/Description: , CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /9.s 7 /Dl'/;/~~ , , ELECTRICAL PERMIT DATE SIc!, #3 A.$$ OCi~'!--h D READY FOR D WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. 'I\([ New Construction b Remodel D Service update/alter/repair D Overhead ~ Undergroun<;l Voitage /.;1D/.;J.oti' D 10 jl(3.0' Service size A(tI() Amps D Temporary D Add/alter circuits D Auxiliary power (iist below) D Special equipment (list below) " qos; kUJ (' ~:tJ) ., , /~ .. i '31 , Not'fy the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Buiiding Permit. PHONE 457.0411, EXT.158 or EXT. 224. o ; rr, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT fi:. f) ~? I .(fl~ ff' as;;)..- I In peetor Amount paid WHitE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall I OLYM;'IIC PRINTERS. INC. i W.S.. No. Service Capacity: D O.K. D Not O.K. I D Ditch inspection O.K. I ITF.l.ough-in/cover O.K. ." B 0.K. to connect service r ~alo.K. I .. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Permit/Receipt No. /9J,-7 ~' CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /Ck-,-~ /O?///d? , . ~ ELECTRICAL PERMIT DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: II Own'er/Business Address: I , Phone: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ~ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) b(New Construction o Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead ~ Underground! A'07 Voltage /dJ.O /.;Jvo , o 10 .KI3.0 Service size /~ov Amps o Temporary Det81ilslDescription: ~ /,cr.J 85 ~ 1<.1.(.) -.~ W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. ,.,.l 'I .."- o.-l? .....~ ~/. s-f' L ., ("". . ().... IJ Rough-in/cover O.K. I / K ~ Ie",,' ,~ , -* .,....... 1; O.K. to connect service ~_ Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending s Installer: '7" ~ Inspector WHITE - file by address YELLOW - file by number Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. rl 8/.;2 ~ Amount paid PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . OLYMP!r: PRI"'TF''',. INC .--:; Site AddreSS:6 l.lAIIJ I nstalled By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. /9.5-'s- /~ h htY , . ~ ELECTRICAL PERMIT DATE o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: OWl;1erfBusiness: .1 Ow'ner/Business Address: I Phone: Sq. Ft. o Residential Heat KW o Baseboard D Furnace/Boiler o Heatpump D Other ..". Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) De~kilslDescriPtion: g' New Construction D Remodel D Service update/alter/repair D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) D Overhead ~ Underground/ -0 Voltage /~/.;J(J(L D 1.0 "30 Service size /~D Amps D Temporary GlVtJEc:kri /..rMd .:;z $3 Kw .. W.S. No. Service Size Capacity: D OX D Not O.K. Comments D Ditch inspection O.K. 1P Rough-in/cover O.K. 't€f O.K. to connect service ~fLFinal O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: Permit/Receipt No. ICjS!: IA-Z-A elJ . ;-1 AuOc-i . .~ Notlly the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. . NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT C)C .~ :;)3.:2 - Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall II"" _. Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. c?,/ D;L DATE ~/.?1 /rt Insi'alled By: II Ow'ner/Business: II OwnerfBusiness Address: II D READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. o Residential Heat KW CJ Baseboard 0 Furnace/Boiler CJ Heatpump 0 Other CJ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01003.0 Service size o Temporary Detai Is/Description: o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) ~ ~ ~.a ~ ./ /2) -.2 <I t/ ./;;; hA/-e..s Amps . W.S. No. Service Size Capacity: 0 O.K. 0 Not OK Comments o Ditch inspection O.K. ~ Rough-in/cover O.K. o O. K. to connect service ~ Final OK Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Permit/Receipt No. New Meters - . 'i./!../ Notify the Department of City Light b~ treet ildress and Permit Number when ready fo inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by tl1e In ct in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. -ttR In ctor Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT W ELECTRICAL PERMIT CITE' OF PORT ANGELES 360 -417 -4735 Application Number . , , , , 13- 00001356 pate 2/18/14 Application pin number , . . 103988 Property Address 1430 PARK VIEW LN ASSESSOR PARCEL NUM1341z; 06-30-99-0-2 -5320 -0000- Application type description ELECTRICAL ONLY Subdivision Name , , , , . . - Property Use . . . . . , . . Property Zoning , , . . , , . RESIDENTIAI, HIGH DENSITY Application valuation , , . . 0 ------------ ---_.- _- ___ - -_ -_- Application dust Video security -------------------------------------.--_ --__- ___.--------------- -- -- -- - - -- -- Owner Contractor PARKVIEW ASSOCIATES HI TECH SECURITY INC ATTN: PETER JORGENSEN 723 E FRONT ST 1430 PARK VIEW LANE PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452 -2727 (360) 452 -7222 Permit . , , . . . ELECTRICAL ALTER COMMERCIAL -- ------- Additional desc Permit Fee 96.00 Issue Date . , . . 11/2S/13 Expiration Date . , 5/24/14 Plan Check Fee . , 00 Valuation . , . , 0 4ty Unit Charge Per Extension 1,00 96,0000 ECH EL- LIMITED 1ST 1500 SQ FT 96,00 Fee summary Charged Paid Credited Due Permit Fee Total 96,00 96.00 ,.00 .00 Plan Check Total .00 ,00 00 00 Grand Total 96.00 96.00 .00 ,00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Cade 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL CONMONTS: 47 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:TXCHANGE1BUILDING