HomeMy WebLinkAbout633 E 1st St - BuildingApplication Number 11 00000555
Application pin number 765045
Property Address 633 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2190 0000
Application type description PLUMBING PERMIT
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 670
Application desc
BACKFLOW PREVENTER
Owner
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Qty Unit Charge Per
1 00 7 0000 EA
Fee summary Charged
WA 983623303
Permit Fee Total 57 00
Plan Check Total 00
Grand Total 57 00
Contractor
ANGELES PLUMBING INC
PO BOX 1151
PORT ANGELES
(360) 452 8525
Permit PLUMBING PERMIT
Additional desc ALTERED PERMIT FOR REFUND j
Permit pin number 187633
Permit Fee 57 00 Plan Check
Issue Date 8/05/11 Valuation
Expiration Date 2/01/12
BASE FEE
PL- BACKFLOW PROTECTION <OR =2
Paid Credited
57 00
00
57 00
WA 98362
Date 8 /05 /11
Fee 00
0
00
00
00
Extension
50 00
7 00
Due
00
00
00
REPORT SALES TAX
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 I
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction,
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:Forms/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 -ln
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Cnrrnc /R1 driinn nivisinn /Ruildina Permit
Inspection Type
PLANNING DEPT Separate Permit SEPA.
Parking Lighting 1 ESA.
Landscaping 1 1 SHORELINE.
FINAL Date ccepted by ri
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Date Accepted By
NAME OF PREMISES C 1- NA f /RS r
SERVICE ADDRESS W 7 3 E 1 5'4 1 T,tE T
LOCATION OF DEVICE. A/ .i) C i 5 g l? 4 PIS p CA/ S c R'
ASSEMBLY WA .r l 4
Manufacturer Model I Size
IS THIS AN APPROVED ASSEMBLY'? YES B O 0 IS ASSEMBLY INSTALLED CORRECTLY' YES fa- O
DATE OF INSTALLATION 7 aid// UNKNOWNO
Initial
Test
Repairs
Details
Final
COMMENTS
Initial
Test
Repairs
Final
Test
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #1
Leaked
Held at 7 d psi
Cleaned
Replaced
Test Held at ps
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
REDUCED PRESSURE PRINCIPLE ASSEMBLY
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION• YES NO
CHECK VALVE #2
Leaked
Closed Tight
Held at psi
Cleaned Cleaned
Replaced Replaced
Closed Tight
Held at. psi
RELIEF VALVE
Did Not Open
Opened at 6 psi
3 psi Buffer YES NO
Opened at 2.6 psi
_1:/vile- Tex i Eye I P49ff t1'
194Ck fLGw /4 iv A .5 TG
Loki i 1 0 h' /4 /5'Cn ?,j I f-U "G"H
Line Pressure psi
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
Replaced
Official Use Only
Assem.#
Received
rt„ G.
S 3/ 3/
Serial No
RP'•sr. D" RPDA 0
DC DCDA
PVB Air Gap
SVB AVB
PVB /SVB
AIR INLET
Did Not Open
Opened at psi
CHECK VALVE
Leaked 0 Held at psi
REPAIRS
Cleaned
AIR INLET Opened at psi
CHECK VALVE Held at psi
BACK PRESSURE NO YES
TYPE OF HAZARD S fi 1JA .P
Held Backpressure YES EK NO
#2 Shutoff Held YES NO
Relief Valve Exercised YES NO
I Date. 'Time Tester Signature Cert. Test Kit Passed Failed
6-01 6QCkm if" //,h Er Et7
f/t c k Ai r E 7
e��
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
BACKFLOW PREVENTER
Owner
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Qty Unit Charge Per
1 00 15 0000 EA
Fee summary Charged
WA 983623303
Permit PLUMBING PERMIT
Additional desc BACKFLOW PREVENTER
Permit pin number 186999
Permit Fee 65 00
Issue Date 6/06/11
Expiration Date 12/03/11
Permit Fee Total 65 00
Plan Check Total 00
Grand Total 65 00
T:Forms /Building Division /Building Permit
11 00000555
765045
633 E 1ST ST
06 30 00 5 1 2190 0000
PLUMBING PERMIT
COMMERCIAL ARTERIAL
670
Contractor
ANGELES PLUMBING INC
PO BOX 1151
PORT ANGELES
(360) 452 8525
Date 6/06/11
WA 98362
Plan Check Fee 00
Valuation 0
BASE FEE
PL- BACKFLOW PROTECTION 2
Paid Credited
65 00 00
00 00
65 00 00
diuetia 7416,07)
Extension
50 00
15 00
Due
00
00
00
REPORT SALES TAX
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 orconstruction 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)
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
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
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
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 Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES.
Footing Slab
Blocking Hold Downs
Skirting
Inspection Type
Electrical 417 -4735
Construction R W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
g�.�\ov� n
FINAL Date by Roo
F/
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
Comments
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE
Date Accepted By
06/03/2011 09 27 3604528583 ANGELESPLUMBING
Applicant or Agent
Property Owner CHINA FIRST
Property Owner's Address
Contractor /Engineer
Contractor /Engineer's Address
License
Parcel Number
Ecoject Tvoe Brief Description:
Check all that apply
a New Construction
c Addition
Remodel
o Repair
o Re -roof
Demolition
Heat System
X Other
BUILDING PERMIT APPLICATION
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles. WA 98362
(360) 417 -4815 fax (360) 417-4711
ANGELES PLUMBING. INC.
ANN VOANG
633 E First
ANGELES PL!Jl1BING. INC.
P 0 130X 1151, Port
ANGELP.I077KP
PROJECT ADDRESS 633 East First
Flow Areas ExIstine laQ IL) f g� xiosed lsa. IL)
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
o Residential )4CarninerCW
Phone 452 -8525
Phone 461 -5604
Phone 452 -8525
Angeles, WA 98362
Expires 5 15 2012
Lot
Zoning
Multi-family 0 Industrial
o Heat pump wood- burning stove a gas fireplace o pellet stove o other
Install backl"low preventor
per sq. ft.
PAGE 02/02
Print in ink
For City Use Only
Date Received 67 '5 -t I
Permit
Date Approved 4,-
TOTAL VALUATION 670 00
Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage
Max. height of proposed structures
Will a lawn sprinkler system be installed?
WM a fire sprinkler system be installed?
have read and completed this application and knew it to be true and correct tam 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 6 -3 -11 Print Name DALE BRUNTZ
T.Forma/Buikling Division/Bldg Permit Appl. -2006 Code.doo
ft. Occupancy group
Occupant load
Construction type
of bedrooms
of full baths
of half baths
Signature
7
1
Cash Adjustment C C�
Application
Receipt} 00 5 3 9 9 3
Fee Type
Amount Paid- 6 5 `b d
Adjustment
Posted Fee
Signature
SEND TO
Refund Amount
New
Cashier info n
Payment Type C
Check.
8, 04
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S:Application ;inquiry- (BPN2001001
File Edit Commands Help,
IRINCIARIr PUBLIC SECTOR.
NeviLrne
Application 11- 000009
GB Bonds
Contractom escrow!
Fees
Global balance dud
Inspection history
Miscellaneous irrtol
i Names
ill Permits
Ltd Plan tracking
J Recaipis.
Square footage tai
Structures
El Valuation calculatic
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Documents .i
Property Information
Address 633 E 1ST SF
PORT ANGELES WA
99638
VOANG KHOAN
06- 30- 00 -5 -1
063000512190
Location ID:
Owner name
ASSESSOR PARCEL NUMBER:
ALTERNATE ID:
Contractor Information
0. Contractor Name ANGELES PLUMBING ..INC
Cdntractor:Number• 139
Type .PLUMBING
.Status ACTIVE
Contr•actoc'Requirements 'Doc .Number
'141.
/06/11
2190 -0000- J
P■ i
0053993 l' PERMITS
1 1
Application Information
1. I Application desc
9836: 1 Application status
Status Date
Application type
Application date
Valuation
Square footage
Outstanding Inspections
Type
cl. PLUMBING UNDER
ci PLUMBING GAS.LI
PLUMBING 'ROUGH-
/I 111 -Iii
L,
BACKFLOO PREVENTER
PERMIT ISSUED
6/06/2011
PLUMBING PERMIT
6/03/2011
670
0
OP 1` 65 00 I -00
Total l 65.00 1. .OD'
r
-1
Insp. Schedule Confirmatiorf:
ID Date Number
k
Release of Information Authorized
Complainant Requests No Pub
Confidential Release Authority
Month
09
Offense 1 Literal
Information Report
Offense 2 Literal
Address/Location of Incident (include City):
633 E 1 Street, Port Angeles
:C4mtchmt
Position/Grade
Charge 1- RCW NCIC/PAMC Code:
Same as Offense 1
Charge 2- RCW /NCIC/PAMC Code:
Same as Offense 2:
Parent/Guardian Notified:
OYES ONO
Employer /School:
Position/Grade
Employer/School:
Position/Grade
F.
23
Day
Same as Offense 2.
Parent/Guardian Notified:
OYES ONO
Charge 1- RCW/NCIC/PAMC Code:
Same as Offense 1:
Charge 2- RCW /NCIC /PAMC Code:
Same as Offense 2:
Parent/Guardian Notified:
OYES ONO
:COP.YTO
Detectives
Prosecutor
City Attorney
Patrol
RE- ASSIGN TO
Year
08
Required 4Et t x r Original (g Supplemental Li Pabe of
l.z..' x. "'.!lXe "W- R YP.k ,r7; -TeL2 &a. vy ,tir.
m..... x.. ......;3..,...�D"t)IFORt F�OMi die: l' k:'_J`if:�..�';*�,.,,�....�1e. rr AGEC1 a Sf:..:r.,:
Time I Month Day Year Time j Month r Day
2240 09 23 08 2240 09 1 23 i Year Time
08 1 2240
RCW CIO/PAMC Counts I( ttempt/Committed
I _O—A El C
I
Counts f Attempt/Committed
j I ❑A 0
Type Weapon/Tool/Force Used:
No Force
�eoe:�:er.:e<xreur.K�v;r.^ .�z: xs,:s!y�:c: -•;.c�.ra•; s�s rvr r- ,.r-e- f ^z -ns i
7: 7 v 7 11,
R.'.,,., .a�, 1•42 .rCacr -Kj c
a �.rt� dx+ 4 `sti�
Eveitt(Retated;. teQ4, ,.ComPUtefR'efaleillr. .ISus,
Name AFFORDABLE ROOFING
Address. 258663 HIGHWAY 101
Ct/St/Zp SEQUIM WA 98382
DOB Age Race Sex Hgt
DL# State. Hair Eyes
Address:
s Name BABE KERRY ARLENE,
Address. 323 E 2ND ST APT 419
Ct/St/Zp PORT ANGELES WA 98362
A DOB Age Race t i Sex
DL#
State: Hair
I Address:
Name /Relationship of Person Notified:
CORK
Chief of Police
Animal Control
Victim
Insurance
Address:
Oa.
2L c
Location type Entry
Restaurant l Force
�Gar�tg�aR; elated tf'
"COPY TO:
Addtl Agencies
DSHS /CPS
Youth Center
Other
Type/Extent of Injuries
Arrest Date: Time: Location of Arrest
Incarceration Location
CCCF YC Other
Name/Relationship of Person Notified: DateTme Notified:
Phone. 360 -683 -5665
Work
SS#
M Hgt Wgt
Eyes
Type/Extent of Injuries
Arrest Date: Time: Location of Arrest
Incarceration Location
CCCF YC Other
DateTme Notified:
BY
0-
RCW NCIC/PAMC Code:
Open
1 Cleared by Arrest
2 Exceptionally Cleared
3 Unfounded
CASE NUMBER: 2008 -1 2028
Phone:
Work 360 -683 -9619 AO
SS# 000 -00 -0000 /13
000 Wgt 000 R'7'
1s) <t•`q
Relationship to Victim/Suspect
Based on the attached information, I believe there is probable cause that this person committed the crime(s) listed below
Statement: Verbal
Taped Written
Notified By:
Statement:
El Taped
Notified By
Relationship to Victim/Suspect
Based on the attached information, I believe there is probable cause that this person committed the crime(s) listed below
Charge 1- RCW/NCIC/PAMC Code: Arrest Date: i Tune: i Location of Arrest
Same as Offense 1 I
Charge 2- RCW/NCIC/PAMC Code: I..,.o,...,,d3on Location
CCCF YC Other
I Name/Relationship of Person Notified: Date/Time Notified:
Statement Verbal
Taped Written
Notified By: i Disposition of Juvenile
Type/Extent of Injuries Relationship to Victim/Suspect
Based on the attached information, I believe there is probable cause that this person committed the crime(s) listed below
I Incarcerated
1:1 yes No
Verbal Charges Admitted
Written
_:.BY STATUS
4 Closed
7 Pending Pros /CA Review
Block Watch Noti ,ed: Yes No
Yes No
I Charges Admitted
Yes No
Disposition of Juvenile
I Incarcerated
Yes No
Charges Admitted
I Yes No
Yes No
Disposition of Juvenile
Oa
a/2a/2nnR
iq: :,v ��y `,)--.r 7 �:Z';'.! r' "�r` "k' ^w>'� •;.SE;••.••Y6i%�J,
er Case Number
I'�
Case R ,fr
PORA;GE.S C RT urx? e x' 2008 -12028
Report C o Continuation tS y l :p y; y p -r n a v a,'xA, Mme..
ep0 t;. 'Yp. r-'.. {fS T,.',d b_ 4,!', l e i :1�.' ti! ��C: t1i S L
:5 .s� -r:v� S'.. .b?'$?.. bi <ix'.�;la�;'_?F 4..::,.;7: -:c o,...
VEHICLE.. ,t SUSPECT ID VICTIM .ABANDONED ''Q tIiEFTiz rEs STOLEN,` ,i '.RECOVERED" ❑IMPOUNDED I] 'UNAUTH. USE
Year: I Make: Model: Style: Lic No: j State: Color. VIN:
l
Additional Description or Features:
Registered Owner
Address:
Address:
Vehicle Disposition (If Towed List Towing Company, Address, and Phone No:
Wetrcle
NSI
Insurance Insurance Company:
DYES
NO
Recovery Date/Time:
Other Agency No:
VROREFk
R STA`FUS`'
1.'STATUS' I Item:
Case Status Closed
i Notified By:
ulen. Kc
Recovery Location:
Date:
Description (If weapon include barrel length, finish, action):
2i.STATUS .1 Item:
Description (If weapon include barrel length, finish, action):
Item:
Description (If weapon include barrel length, finish, action):
5.4;;STATUS.' 'I Item:
Description (If weapon include barrel length, finish, action):
...;&STATUS'_: -i hem:
Description (If weapon include barrel length, finish, action):
;.I hem:
Description (If weapon include barrel length, finish, action):
Time:
!riot. pla 'evidence)
I Est. Value:
Impounded By:
Make:
Make:
Make:
Make:
Make:
Make:
I Hold:
I OYES ONO
�ence'rin rogiess' "'1. D or.4 tick
yrnent;Overaue Ttjnttio
Qua
Current Damage to Vehicle:
Model /Caliber
Model /Caliber
Model /Caliber
Model/Caliber
ModeUCaliber
Model/Caliber
Phone Number.
Phone Number.
Reason For Hold:
ff °`F=
I Anyone Permission to use:
Yes No
Hold: Yes No
Hold Reason Safekeeping Investigation By
Recovered Condition (Damage, Missing Items, Etc.): Est Rec Value:
Deitibied
Serial Number
Owner Notified
Misc: l Value:
i s
Serial Number
Misc: Value:
Serial Number
Misc: Value:
I
Serial Number.
Misc: Value:
!s
Serial Number.
Misc: Value:
I$
Serial Number
Misc: Value:
i$
I certify (or declare) under penalty of perjury under the laws of the State of Washington that the foregoing is true and
correct Written and signed in Port Angeles, WA
Reportng Or _2rs sign I I.D j DATE. i pane 9 of 'J
Babb said that this has been occurring for the past 3 days. Babb said that construction stopped about 10
minutes after he called Police the second time.
STOLEN .PROP /VEH:ENTEREDsWAClc_' s�5'DATE: r r ;CL REi)`E19AC�:EJ..."
COMMENTS:
On 092308 at around 2240, and then again at 2348 hrs, Kerry Babb reported that he was being disturbed by noise
from construction on the roof of China First (633 E 1 Street). Babb lives on a 4th floor apartment and has a direct
line of sight to that location. Babb reported hearing a staple gun and a hammer and said that the noise was
keeping him awake.
At around 0030 hrs, I was given the above information. At around 0040 hrs, I went to the area of China First and
did not see any construction occurring The job site appeared to be shut down for the night.
While working patrol yesterday from 2300 hrs 0700 hrs (9/22- 23/08), I saw construction occurring on the roof of
China First under high intensity lights when I passed while responding to a disturbance at 0036 hrs.
(91 9 /2008) ,Sue Roberds 633 E.' fit Street
From. Sue Roberds
To Terry Gallagher
Date. 9/19/2008 6 33 PM
Subject: 633 E. 1st Street
CC•
Terry•
Jerald Osterman Nathan West
We have been having some trouble with a re roof job being done at China First by Jay Ketchum, Affordable Services. As a
good deed to the business community and because the site is in the center of a commercial zone, we allowed a re roofing
job to be done after normally permitted hours of noisy construction (after 10 p.m. and before 7 a.m.) for no more than 4 days,
over a weekend, with the understanding that the contractor would be mindful of the late /early hours and would endeavor to
do the work done in a reasonable manner Normally that kind of permission comes from the Board of Adjustment, but it
seemed like an easy thing to accomplish in that the contractor appeared to want to cooperate and show that he could be
trusted. That didn't work.
Jane Ketchum said the extended work hours would be for '3 to 4 days. We agreed administratively (mistake 2). Work
started on September 12. On September 17 I called to ask about progress and was told that the equipment was being
moved but the work wasn't done. I told Mrs. Ketchum that extended hours couldn't continue. Further work must be done
during permitted hours as we had complaint. That didn't work.
Through several subsequent conversations between Jim Lierly and Jay Ketchum, he was informed that he could no longer
work beyond 10 P M and before 7 A.M and to adjust his schedule accordingly And, I told the affected neighbors that if
they are disturbed past 10 p.m. well into the morning hours, they should call the Police. Extended work hours are NOT
permitted. The contractor told us we would have to 'shoot him off the roof.
The roof job can continue as long as necessary but not during non construction hours.
Please let me know if you have any complaints. Appreciate your help on this.
Sue
Tn AM
Date 9fr o Time PM
W ILE Y WERE OUT
M
4,7Sy3
of
Page 1j
Phone Numbers Telephoned
Office Please call
Area Code Number Ett.
Voicemail 111 Returned your call
FAX Called to see you
Pager Wants to see you
Mobile Will call again
e-mail URGENT
Mes g
5 n
L nbi
(!mn s 1 J
7 AMPAD Operator Reorder
Cps EFFICIENCY #23 -000
CITA OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00001144
Application pin number 197736
Property Address 633 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2190 0000
Tenant nbr name VOANG KHOAN
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 4823
Application desc
TEAR OFF RE ROOF
Owner Contractor
VOANG KHOAN AFFORDABLE SERVICES
225 DOGWOOD PLACE 258663 HWY 101 WEST
PORT ANGELES WA 98362 SEQUIM WA 98382
(360) 457 1647 (360) 683 9619
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 134239
Permit Fee 137 75 Plan Check Fee 00
Issue Date 9/10/08 Valuation 4823
Expiration Date 3/09/09
Qty Unit Charge Per
BASE FEE
3 00 14 0000 THOU BL -2001 25K (14 PER K)
Special Notes and Comments
September 10 2008 3 44 51 PM 1pangrle
Work to be done p m Work between 10 p m and 7 a m shall
not result in decibels exceeding 47 Anticipated work time
expected to be no more than 4 days Lighting shall be
minimal and directed away from nearby structures
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
T.Forms /Building Division Building Permit (05/13/08) wpd
STATE SURCHARGE 4 50
Charged Paid Credited
Date Print Name ignature 9
Date 9/10/08
Due
137 75 137 75 00 00
00 00 00 00
4 50 4 50 00 00
142 25 142 25 00 00
Extension
95 75
42 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 whe er specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions s e or local law regulating construction or the performance of
construction
Q In --tom jalAt_1 44'. Lull/NC 0
Contractor or Authorized Agent
Signature of Owner (if owner is builder)
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
I GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED I COMMENTS
PLANNING DEPT SEPARATE PERMIT M's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
I PLANNING DEPT 417 -4750
I BUILDING 417 -4815
T 17 /TII n /R1 'Ir!i Permit (05 /13 /081.wod
BUILDING PERMIT INSPECTION RECORD
YES I NO I
I FINAL DATE ACCEPTED BY.
I I
FINAL
SEPA
ESA.
SHORELINE
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
0
°n
Applicant or Agent LI j i S Phone M 94 (9
Owner 1/ 14 NI II A Phone 3 qv
Owner's Address .,2 94_,
Contractor /Engineer :en i 0 tcoru 1'60c Phone y 6 fgnn
Contractor /Engineer's Address 1 ,50 (a t a ,S.aic uirN t,() A-- 6 t0- t2-7
License i2 5 or; Expires
PROJECT ADDRESS 0 33 E �irelf -cfrt ee
iX3c5IZI
Parcel Number
Project Type Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
41-Re-roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1St Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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
criotion.
fe'wc R 13os
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sq ft.
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq ft.)
Total footprint of structures sq ft. Lot size
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
Residential commercial o Multi- family
ft.
Occupancy group
Occupant load
Construction type
For City Use Only
Date Received 9- �8
Permit# C>g- -.i("44
Date Approved
Lot Zoning
per sq ft.
TOTAL VALUATION Qi7 2)
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
Industrial
VO
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain p mits .rior to working on
projects r<-1r g
Date Print Name c Si gnat
T Forms /Building Division /Bldg Permit Appl. -2006 Code doc
6 4
DEPOSIT
AFFORDABLE ROOFING
258663 Hwy 101 West
Sequim, WA
yf;ordable Roofing s Representative:
_,stomer s Signature Accep:ar.oe.
cached Warranty Statement_
(360) 683 -9619 (360) 385 2724
Name T YVi r,.9—
d dress :4 C 1=r r�Sf (5-6-e..
C t V D Yf- g K
4 Tarp house perimeter to protect landscaping
;Remove old roofing and haul to landfill
Install Plywood OSB
Install Roofing Felt
Install Pipe Flashing
Install Exhaust Vents
Install Ridge Vents
Install Attic Vents
Install Sun Tube
Install Skylights
Install
Install l- I 'i -j -T i I
Install `J
Payment to full upon completion of project,
unless other arrangements accepted.
We propose hereby to furnish material and labor
complete in accordance with the above specifications.
All material is guaranteed to be as specified Any alteration or deviation from the above
specifications involving extra costs will be excuted only upon written orders and will
become an extra charge over and above the estimate. All agreements contingent upon
spikes, accidents, or delays beyond our control. Owner to carry fire, tornado and other
necessary instance.
Phone #1
Phone #2
State UJ Zip Code 9 i 0 2 4
Install
Instal l
Install
Install
Cut In
Install
Install
(360) 452 -0840
Drip Edge Metal
Metal W- Valleys
Roof to Wall Flashing
Roof to Wall Step Flashing
Chimney Counter Flashing
Chimney Step Flashing
Skyhght Flashing
Install
Secure Locate Septic Drain Field Location
Price Includes Building Permit
Customer to Secure Building Permit 0
Description. Install 30 year laminated, Night Wind Shingles, at 6 nails per shingle.
With Scotch Guard Algae Block System.
A cceptance of Proposal the above prices, specifications and conditions
sansfactory and arc hereby accepted. You are authorized to do the
uric as specified. Payment will be made as outlined above.
SUBTOTAL.
SALES TAX
TOTAL
Note this proposal may be
acz Mod within 30 days.
Brand
Color
5 Year Warranty Ok I
Lifetime Warranty
Date
PROPOSAL
qa Z r 2.5
withdrawn by us i f not
Data 9
Year 36
Workmanship
~ pORT "-I<
t.O~%
Cj~~
... --
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
07-00001173 Date 10/09/07
636914
633 E 1ST ST
06-30-00-5-1-2190-0000-
ANN VOANG - CHINA FIRST
PLUMBING REPAIR
COMMERCIAL ARTERIAL
6500
Owner
Contractor
KHOAN VOANG
633 E 1ST ST
PORT ANGELES
(360) 457-1647
WA 983623303
ANGELES PLUMBING
P. O. BOX 1151
PORT ANGELES
(360l 452-8525
WA 98363
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
GALV/COPPER TO WIRSBO
112946
57.00 Plan Check Fee
10/09/07 Valuation
4/06/08
.00
o
Qty Unit Charge
Per
1. 00
7.0000 ECH
BASE FEE
PL- EA. INSTALL WATER PIPE
Extension
50.00
7.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57 .00 57.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 57 .00 57.00 .00 .00
1>
~",( .
c7~ Y
~
~
Separate Permits are required foreiectricai work, SEPA, Shoreline, ESA, utiiities, 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 appiication 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 penermance of
construction.
Print Name
Signature of Owner (if owner is builder)
T:Forms/Building DivisionlBuilding Permit (IO/Ol/07).wpd
~:
1
('
,
BUILDING PERMIT INSPECTION RECORD
~i.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
. INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION;
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE SLOGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLOG) ~ 0 -?kO lATE
GAS LINE 7)U./ ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS I I
CE]L1NG I I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB I
WALL / FLOOR I CEILING I
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE .
WOOD STOVE I PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT II's SErA:
. PARKING/LIGHTING ESA:
LANDSCAJ'ING SHORELiNE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W.
ENGINEERING 4]7-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPr.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 4174815 BUILDING
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Applicant or Agent
Owner An YI.
Owner's Addre'ss
Contractor/Engineer
Contractor/Engineer's Address
License #
Proiect Tvpe & Brief Description:
Check all that apply
o New Construction
o Addition
o Remodel
)(Repair
oRe-roof
o Demolition
o Sign
PROJECT ADDRESS
Parcel Number
o Heat System
o Other
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Attn: Buiiding Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
For City Use Only:
Date Received \(l --()q-D7
Permit# ()7- 1\13
Date Approved
k ~~e~s a#?d~
IJ. ~
zz S- ~9Ld~ //. 1?6?
Phone
Phone
783" L
Phone
Expires
~1)3 E Isf
Lot
Zoning
o Residential
)I!l.Commercial 0 Multi-family 0 Industrial
'{e',"-U/t?*r /4765' t?'.5~
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area s . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (Sq. ft,) Proposed (Sq. ft.)
Basement @$ per sq. ft. = $ ftoo cg..
1" Floor
20d Floor
3,d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures
sq. ft.
%
sq. ft. = Lot coverage
Lot size
ft
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to ob ain permits pri r to working on
projects, 1.-., / 1\ _ LJ ..L
Date //I8T/07 Print Name JyjJI'D/'Ph/-z.- Signature
T:Forms/Building Division/Bldg Permit Appl.-2006 Code. doc
~ pORT ~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
:\~
.,
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
property Use
Property Zoning , . .
Application valuation
04-00000066 Date
.059720
633 E 1ST ST
06-30-00-5-1-2190-0000-
CHINA FIRST
CO- CHANGE OF OCCP/USE
2/12/04
~
~
COMMERCIAL ARTERIAL
3000
Owner
Contractor
-
/-- I IV IJ- 1----
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
LISENBURY FIRE PROTECTION
470 MONROE RD
PORT ANGELES
(360) 683-5132
Structure Information FIRE SUPPRESSION SYSTEM
Construction Type . . . . . TYPE V NON-RATED
Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST
WA 983623303
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
HOOD & DUCT SUPP SYSTEM
40.00
2/12/04
8/10/04
Plan Check Fee
Valuation
.00
o
b'
W
~
Qty
1.00
1.00
Unit Charge Per
25.0000 ECH
15.0000 ECH
Hoon/DUCT INSPECTION/TESTING
HOOD/DUCT PLAN REVIEW
Extension
25.00
15.00
,,-\-:--.,
Fee summary Charged Paid Credited 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
m
-
}J\
f
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and v9id if work or construction authorized is not commenced within 180 days, if constructIon or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection- -I hereby certify that I have read and examined this application and know the same to be true and correct. All provIsions of
laws and ordinances governing this pe of work Will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to VI e or cancel the provisions of any state or local law regulating construction or the performance of
construction
f'.,
Signature of Owner (if owner is builder)
Date
T-IPLANNINGlFORMS\1102 15 [11/14/2003]
\
r
BUILDING PERMIT INSPECTION RECORD
,.
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
, YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT. !J.Hall \lnr:
PLANNING DEPT 417-4750 PLANNING DEPT { 'f
BillLDING 417-4815 BillLDING
T \PLANNING\FORMS\II02 15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec 1- 26 -1
PermIt # Dl./ ~ b
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Date Approved
Date Issued
ApplicantorAgent! isel"I,v-j ;::;rt:- .-.c'O!eClOh Phone: {( cF-.J-.S/J::2-J
Owner C/ -::/'~ ~J;:'~~~4~ Phone: 7::52-('2'17
Address: 6' 33 /-'- 7// ..f'r. CIty: r / Ah:..I.f' ~j ZIp: 0/';:::.:;; 62
ArchItect/Engmeer: ~~# L-r~_~~__ v Phone: r:'cF.>-5-/J>Z
- - ./
Contractor L: )c,h Ivr- 1/ ;t:::; /~ State License #:1. is e"'~l"o~ Exp: )./\Jv ;J.iJoq Phone: ~ ~ ?~6J 32-
, ~ t),:q
Address: C-/ 7 (/ /t/Ji> n .r u<- .i< ~ CIty: ~,. r: ,A ~/-( kr Zip: f" F.7 C-Z--
PROJECT ADDRESS: ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVIsion:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdential 0 New Constr. 0 Re-roof
o Multi-family 0 AddItion 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 SIgn
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
SIZEN ALUATION:
o Stove SF @$ /SF.=$
o Garage SF. @ $ /SF. = $
o Deck SF. @ $ /SF. = $
g.-Qther TOTAL VALUATION $"'30 () O~
~-~... J,/~~-~/ r-./OA 'St/J -A-p.... Zqk/<:yd.:h'd/...-o
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load.
No. of Stories: Lot SIZe: EXIsting Sq. Ft. & Proposed Sq. Ft.
EXIstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
ConstructIOn Type:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESA/Wetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DiVIsion can proVIde you wIth informatIOn on the applIcation and
plan submittal requrrements If you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure wIll be reVIewed
and may be revIsed by the Building Division to comply WIth current fee schedules. Contact the PeTmlt Coordinator at 417-4815 for aSSIstance.
PLAN CHECK FEE: IF a plan check fee is due It must be submitted 'at the tIme the bmldmg peTmlt applIcation and constructIOn plans are
subrmtted. All other peTmlt fees are due at the time of peTmlt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued WIthm 180 days of the date of applIcatIOn, the application will expire. The
BuIlding Official can extend the time for actiOn by the applIcant up to 180 days upon wrItten request by the applIcant (see Section 107.4 of
the Umform BUlldmg Code, current edition). No applIcation can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not t City'S, and that I mu tam such permits prior to work.
Date: J k t /0 t-j
. / I
Apphcant:
T:\FORMS\APPS\BUlldmgpermit wpd
04-(..k
PORT ANGELES FIRE DEPARTMENT
HOOD & DUCT FIRE SUPPRESSION SYSTEM
PLAN REVIEW
Project Name' China First Restaurant Address; 633 E 1st
HID Installer: Telephone:
System Installer: Lisenbury Telephone: 452-1143
Permit #04-01
We have checked this plan and find that it conforms to the requirements of our ordinance with the
following exceptions:
1. The system is utilizing the maximum number of flow points. Any additional nozzles will
require a system size upgrade.
Additionally:
1. A hood and duct plan or diagram in conformance with NFP A #96 shall be submitted to the
Fire Department.
2. If plans have not previously been submitted to an insurance rating organization, i.e.,
Washington Surveying and Rating Bureau, Factory Mutual, this Department strongly
recommends such submittal to seek the most favorable insurance rate from the carrier.
3. A fire suppression system diagram in conformance with D.L., Inc.
4. Before final acceptance ofthe system, an inspection wi11 be conducted by the Port Angeles
Fire Department to ensure system comply with NFP A #96, UMC Chapter 20, UFC Article
10.
D Contractor
D Fire Department
Date
\LO;)~ 0
I -zet .fb'f
~ Building Department
Reviewed by
FP - 12
Page 1 of 1
10'-0" FROM PROPERTY LINE
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FRONT ELEVATION
SCALE: 1/2"=1'-0"
PLANS APPHOVED BY
PORT ANGELES FIRE DEPTo
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DATE: \'ZG '(/)4
-/,5/8"-GWB / TYPE X
2-1/2 METAL
STU OS
----14" x14" OPENING ALL WELDED
GALVANIZED DUCT 196 SQ. IN.
1/2' STEEL
BANDING
0-1/2'
26,] CM
24'
21'
TYP,
53,3 CM
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3M FIRE
BARRIER
1-2 HR, RATED
FIRE BLANKET
112' STEEL
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OVERLAl'f'ED ARE
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24'
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I
I
NOZZLE PLACEMENT REQUIREMENTS (Continued)
Wok Protection
The R-102 system uses two different nozzles for the protection of
woks.
1. A 260 nozzle, Part No. 419341, will protect a wok 14 in.
(36 cm) minimum diameter up to 30 in. (76 cm) maJ(lmum
diameter. The wok depth must be no less than 3.75 in.
(9.5 cm) al:ll:Lpo greater than 8 in. (20 cm).
The nozzle tIp is stamped with 260 Indicating that this is a two-
flow nozzle and must be counted as two flow numbers.
When using thIS nozzle, the nozzle must be positioned as
~ shown in Figure 70.
I
I
I'
NOZZLE MUST BE posmoNED WITHIN 1 IN (2 em) RADIUS
OF THE CENTER OF THE WOK. POINTED VERTICALLY DOWN
I)
I":
.,
I'~
260 NOZZLE
~
\
I
\
1
35-45 IN.
(89 - 114 em)
I,
I:
,
MINIMUM DEPTH 3 75 IN (96 em)
MAXIMUM DEPTH 8 IN. (20 em)
~
~
I~
14 IN (356 em) MINIMUM DIAMETER
30 IN (762 em) MAXIMUM DIAMETER
FIGURE 70
llOO261
~
I,,~
2. A 1N nozzle, Part No. 419335, Will protect a wok 11 In. 28 cm)
minimum diameter up to 18 In. (46 cm) maximum diameter.
The wok depth must be no less than 3 In. (7.6 cm) and no
greater than 5 In. (13 cm).
The nozzle tip is stamped with 1 N indicating that this IS a one-
flow nozzle and must be counted as one flow number.
When uSing this nozzle, the nozzle must be positioned as
~ shown In Figure 71.
I:;
I;'
_,-I,
.
I'
.
.
~
SECTION IV - SYSTEM DESIGN
UL EX. 3470 ULC CEx747 Page 4-29
7-1-98 REV. 1
NOZZLE MUST BE POSITIONED WITHIN 1 IN (2 em) RADIUS
OF CENTER OF THE WOK, POINTED VERTICALLY DOWN
1 N NOZZLE
~
I
I
MINIMUM DEPTH 3 0 IN (76 em) \
MAXIMUM DEPTH 5 0 IN. (12.7 em) I
L
~
1
35 -40 IN
(89 - 102 em)
~
11 IN (27.9 em) MINIMUM DIAMETER
18 IN 1457 em) MAXIMUM DIAMETER
FIGURE 71
000261
~
3. A 1 N Nozzle, Part No. 419335, will also protect a wok 11 in.
(28 cm) minimum diameter up to 24 in. (61 cm) maximum
diameter. The wok depth must be no less than 3 in. (8 cm) and
no greater than 6 in. (15 cm). The nozzle tip IS stamped with
1 N indicating that thiS a one-flow nozzle and must be counted
as one flow number. When using this nozzle, the nozzle must
be positioned as shown In Figure 72.
NOTICE
When using thiS type of wok protection, only
5 flow numbers are allowed on a 1 1/2 gallon
system, and only 11 flow numbers are allowed
on a 3 gallon system.
NOZZLE MUST BE POSITIONED WITHIN 1 IN (2 em) RADIUS OF
CENTER OF THE WOK, POINTED VERTICALLY DOWN.
1 N NOZZLE
~
I
I
MINIMUM DEPTH 3 0 IN. (7 6 em) I
MAXIMUM DEPTH 6 0 IN (15 em) I
L
T
1
35 IN.
(Bgem)
11 IN (28 em) MINIMUM DIAMETER
24 IN (61 em) MAXIMUM DIAMETER
~
FIGURE 72
llOO26 ,
REV. 2
8-1-01
DISTRIBUTION PIPING REQUIREMENTS (Continued)
Distribution Piping Requirements - 6.0 Gallon Manifolded
System (Continued)
'This configuration consists of two 3 gallon tanks. Both tanks are
connected to a common manifold tee and are pressurized from a
'single double tank (Part No. 73022) nitrogen cartridge in the reg-
, , 'ulated release assembly. See Figure 90.
When using the hose/grommet package, independent pipe runs
can also be used with the regulated release assembly and the
tank/enclosure assembly. See Figure 91.
r~~.,
HOSE/ ~~~
GROMMET I
PACKAGE I
(PART NO
418511)
3/8 IN
BRANCH
3/B IN 3/B IN !r
SUPPLY SUPPLY ~
.,~ ~""N"~"
SUPPLY
t,
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,,- USE HOSE/
,. ,,' ";'GROMMET
<" ,"~ . PACKAGE
, ' (PART NO
. .:~'.' 418511)
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DO
3.0 GALLON
TANK
OR
1 5 GALLON
TANK
3.0
GALLON
TANK
30
GALLON
TANK
DOUBLE TANK NITROGEN
CARTRIDGE (PART NO.
73022) OR 101-30 cO:!
CARTRIDGE (PART NO.
15851) OR LT-A-l01-30
CARTRIDGE, PART NO
29187 (REGULATED
ACTUATOR ONLY
REGULATED RELEASE ASSEMBLY OR DOUBLE TANK NITROGEN
REGULATED ACTUATOR ASSEMBLY CARTRIDG'f: (PART NO 73022)
OR 101-30 C02 CARTRIDGE
TANK/ENCLOSURE (PART NO 15851) OR
ASSEMBLY LT-A-101-30 CARTRIDGE. PART
NO 29187 (REGULATED
ACTUATOR ONLY)
3 0 GALLON REGULATED RELEASE
ASSEMBLY OR 3.0 GALLON REGULATED
ACTUATOR ASSEMBLY
THIS DIMENSION MUST BE A MAXIMUM OF 8 1/2
IN (21 5 em) WHEN USING THE HOSE/GROMMET
PACKAGE, PART NO. 418511.
FIGURE 91
000786
FIGURE 90
oociii2
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~ NOZZLE PLACEMENT REQUIREMENTS (Continued)
Fryer _ Multiple Nozzle Protection (Continued)
When 'protecting appliances which are larger than single nozzle
coverage"lIlultiple nozzles can be used.
Larger applian.ces can be divided into several modules, each equal
'to or smaller ffian single nozzle coverage. Exception: Fryers must
not exceed a.maximum of 864 sq. in. (5574 sq. cm).
, :~~~ "--. .
Maximum Arei{Oimension - Multiple Nozzle Fryer Protection
~ (1_> ~'"" . -
,. '
Max. Size Module
Overall
With Dripboard
,C-f
Max. Size Module
Erypot Only
Type of
Nozzle
,:' '?2<1dn:'x 210 in.2,
~~,,;; ':', (53' cm x .14 m2)
L'>V?' .
~;: ~; :~21' in.x 210' in.2
1~::1 :" (53Cm,x..14i112)
-~ ;:
8 x 370.q)n2
,~;.m2)
21. in. x 294 in.2,
(53 cm x .19 m2)
21.in. x 294 in.2
(53 'cm x .19 m2)
25 3/8 ~ 495 in2
(65 cm x .32 m2)
25 3/8 x 495 in2 ,
(65 em x 0.32 m2)
27 5/8 x 497 in2
(70 cm x .32 m2)
3N
23Q.-..
245
290
3N
/~-
-,-~.....- ....-.....
rC_: --
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I 'I-y-
I : I
I I I
I I I
I I I
I I I
I I I
I
FRYER WITH DRIP BOARD
000213
'.
E TIP ANYWHERE ALONG OR WITHIN THE PERIMETER OF THE MOD.
TING AND AIM AT THE MIDPOINT OF THAT MODULAR AREA
FIGURE 37
I~',.
"}t .
FIGURE 38
002290
Nozzle Height Nozzle
Above Top of Fryer Location
27 in.,to'4~iQ....' See Figure
(69 cm to 119 em) 37
20 in. to 27 in. See Figure
(51 to 69 cm) 37
13 In. to 16 In. See Figure
(33 to 41 cm) 38
See Figure See Figure
39 39
25 In. to 35 in. See Figure
(64 cm to 89 cm) 40
34 IN (86 em) MAXIMUM DIAGONAL
DISTANCE BETWEEN NOZZLE:
ANO CENTER OF
HAZARD AREA
:J:""--:-t "
: 21 In. (53 em)
I MINIMUM
I VERTICAL
NOZZLE
HEIGHT
~
FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD
3N NOZZLE TIP MUST BE posmONED ANYWHERE ALONG OR WITHIN THE PERI.
METlER OF.:rHE MODULAR IT IS PROTECTING AND AIMED AT THE MIDPOINT OF THAT
RESPECTlVE'MODULE AREA.
FRYEf,l WITHOUT DRIPBOARD FRYER WITH DRIPBOARD
THE 3N'NOZZLE TIP MUST BE POSITIONED ANYWHERE ALONG OR WITHIN THE PERI.
METlEI3 AND FORWARD OF THE RIGHT-TCH.EFT CENTERLINE OF THE COOKING AREA
THE AIMING P E NOZZLE MUST BE AT THE DIAGONAL CENTER OF THE
MODULAR coo ","',' ~;.: ..;:
,.rtJ\,~#
AIM POINT (DIAGONAL
CENTER OF MODULE
COOKING AREA)
RIGHT.Ta-LEFT
CENTERLINE
j
. ,~!.."
~
FIGURE 39
002291
_ ,~i"r,
.
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.C .2 ..~. L;rf.~;'
". FIGURE 40
002293
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.. UL EX. 3470 ULC CE:x747
7-1-98 REV. 1
page 4-2
NOZZLE PLACEMENT REQUIREMENTS (Continued)
Duct Protection (Continued)
NOTICE
A 2WH nozzle must be substituted for a 2W
nozzle for any Installation using Option 2 of the
1.5 gallon system coverage (6 flow duct and
plenum protection only).
2.2W Nozzle (Part No. 419337):
The R-102 System. uses the 2W nozzle (Part No. 419337) for
duct protection of 75 in. (190.5 cm) penmeter or less, or 24 In.
(61 em) diameter oriess. The nozzle tip IS stamped with 2W,
indicating that thiS is a two-flow nozzle and must be counted
as two flow numbers
The 1 Wand 2W nozzles will protect the following:
\ 3. Single Nozzle {2W) Duct Protection:
One 2W nozzle will protect ducts with a maximum perimeter
of 75 in. (190,5 em) or a maximum diameter of 24 in. (61 cm).
The nozzle must be installed 2-8 In. (5-20 cm) into the center
of the duct opening and pOSitioned as shown in Figure 4.
.t.
2-81N
(5-20 em)
FIGURE 4
000173
4. Single Nozzle (2W) Transition Protection:
One 2W nozzle Will protept transitions at the point where the
perimeter of 75. in. (190.5 cm) or the diameter of 24 in.
(61 em) or less begins within that tranSition. The nozzle must
be placed in the center of the tranSition opening where the
maximum perimeter or diameter begins as shown in Figures 5
and 6.
MODULE PERIMETER
NOT MORE THAN
75 IN. (1905 em)
FIGURE 5
000174
DUCT
MODULE PERIMETER
NOT MORE THAN
24 IN. (61 em)
FIGURE f
ooot!
5. Dual-Nozzle Duct Protection: /.
TwO'2W1'1ozztes-.Will.PCotectJducts"witA'a.rnaximum;perimet~
of 15Q,ia.,.(381 cm) or a maximum diameter of 48 in. (122 cm)
The nozzles must be installed 2-8 in. {5-20 em} into the d!l~
opening and positioned as in Figure 7. .~:'11
':.~
j:J
:;~
,'II
~~
;
;:<.1
~ ~~
:.:~~
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~,
,; f
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RGURE
. 000,
"c',
NOTICE
In installations where a UL listed damper . I:
assembly is employed, the duct nozzle can be ,.' (5
Installed beyond the 8 in. (20 cm) maximum, to:h.'1Yr.
a pOint just beyond the damper assembly thaty;r"
Will not interfere With the damper. Exceeding the~~'j.ro:.:
maximum of 8 in. (20 cm) in thiS way will no('~~~~
vOid the UL listing of the system. >.
"1
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,:i, ~OZZLE PLACEMENT REQUIREMENTS (Continued)
t:';"Plenum Protection (Continued)
"
, ' :'ii:~For a plenum, either single or "v" bank, with a linear extension
, >Ionger than 8 feet (2.4 m), eactrb-dllk may'f1e.pm~Q!.'l;)t'le
'':,:'I'N''ntlZZtereverr8''fl. (2.4 m) or less depending on the overall
'/:jength of the plenum. See Figure 28. The nozzles may point In the
: ~'opposite directions as long as the entire plenum area is protected,
" " and the 8 ft. (2.4 m) limitation is not exceeded. See Figure 29. The
>nozzle positioning shown in Figure 30 IS not an acceptable method
, of protection because the plenum area directly under the tee is not
, within the discharge pattern of either nozzle.
B FT (2.4 m)/
MAXIMUM
.,tJEW C.ODE HAS A
MAt Or /0' B FT. (2.4 m)
J'} /" 'I' / 1" I1z:;'MAXIMUM
WILL t-' /.vl/.J.-bI'-
'fj "f" (fT"
~..., (1 f,t; B FT (2.4 m)
,- ~ MAXIMUM
, ..,....1 . A J
-." Ii Itlt-
FIGURE 28
0011206
B FT (2.4 m)/
MAXIMUM
1.:\ ~
~~;.~ :~~.
,-
FIGURE 29
000207
, ,.
FIGURE 30
000208
~ Appliance Protection
The follOWing pages detail types of appliance protection. Each
design requires several factors: correct nozzle choice, correct noz-,
zle height above hazard, correct nozzle location and correct aim-
ing point.
Fryer - Single Nozzle Protection
1. Design requirements for fryers are broken down Into two
types.
A. FRYERS WITHOUT DRIPBOARDS
If the fryer does not include a dripboard, measure the
intemal depth (horizontal dimension from front to back)
and length of the frypot.
B. FRYERS WITH DRIPBOARDS
If the fryer includes any dripboard areas, measure both
the Internal depth (horizontal dimenSion from front to
back) and length of the frypot portion, and then measure
the internal depth and length of the overall hazard area
Including any drrpboard areas.
2. Using Table, "Maximum Cooking Area Dimension - Single
Nozzle Fryer Protection," determine which nozzle is needed
to protect the fryer based on the maximum dimenSions listed.
A. If the fryer does not Include a dripboard, use the maxi-
mum dimenSions listed in the first column of the table to
select the correct nozzle.
B. If the fryer includes any dripboard areas, use both the
maximum frypot dimenSions in the first column of the
table, and the maximum overall dimensions in the second
column of the table to select the correct nozzle. None of
the maximum dimensions In either column may be
exceeded.
3. If either the maximum frypot or the overall sizes are exceed-
ed, an additional nozzle(s) Will be required. Refer to the mul-
tiple nozzle requirements.
Example: A fryer with a dripboard. The inside of the frypot wIthout
the dripboard measures 18 in. in depth x 18 in. in length (46 em x
46 em) and the inside of the overall area includmg the dripboard
measures 18 in. in depth x 24 in. in length (46 cm x 61 em). From
the Table "MaxImum Cookmg Area DimenSIon - Smgle Nozzle
Fryer Protection, n either the 3N or the 290 nozzle should be select-
ed to protect the fryer, depending on the maxImum nozzle height
above the fryer and the positioning reqUIrements allowed. Refer to
~ appropriate FIgures.
~
, ,.
NOZZLE PLACEMENT REQUIREMENTS (Continued)
. Griddle Protection 1-Flow Nozzle
The R-1 02 system uses four different nozzles for the protection of
. gnddles. One of the applications reqUires a 1-f1ow nozzle and
. three of the applications reqUire a 2-f1ow nozzle.
High Proximity Application: 35 in. to 40 in. (89 to 102 cm) above
the cooking sqrface.
This high proximity application uses the 1 N nozzle, Part No.
419335.
The nozzle tip IS stamped with 1 N indicating this is a one-flow noz-
zle and must be counted as one flow number.
. One 1 N nozzle will protect a maximum cooking area of 1080 sq.
In. (6968 sq. cm) with the maximum longest SIde of 36 in. (91 cm).
When uSing thiS nozzle for griddle protection, the nozzle must be
positioned along the cooking surface perimeter to a maximum of 2
In. (5 em) Inside the perimeter, and aimed to the midpOint of the
. cooking surface. See Figure 50 and 51.
.' NOTICE
When using thiS type of gnddle protection, only
<S"f1ow numbers are allowed on a 1.5 gallon sys-
tem and only 11 flow numbers are allowed on a
_ ',3 gallon system. '
I 1\:::-
'I-
f.
I
l,
t
, "
,.
f!;
r<- -
r
.
r
I
..
rl--------
MIDPOINT OF ,
I COOKING SURFACE I 4- f-
: 4 I
I I
I I
,- l- I- I
L-_______1J
+
I
1 N NOZZLE LOCATED ALONG COOKING SURFACE EDGE
ANY SIDE OF GRIDDLE SURFACE
WITHIN 0 - 2 IN (0 - 5 em) OF
COOKING SURFACE EDGE
NOZZLE MUST BE AIMED AT MID-
POINT OF COOKING SURFACE
FIGURE 50
000241
SECTION IV - SYSTEM DESIGN
. UL EX. 3470 ULC CEx747 Page 4-19
7-1-98 REV. 2
I I NOZZLE LOCATION
'I 0 - 2 IN. (0 - 5 em)
I I INSIDE PERIMETER
_I r.- OF COOKING SURFACE
II
II
It
II
II
II
II
II
EDGE II
of--11
COOKING I I
SURFACE I I
.
I,
I
II
I II
/ I HEIGHT
/ Z OF1N
I I t NOZZLE TIP
/ I I 35 IN. (89 em)
/ / I I MINIMUM
/ I I HEIGHT
I I OF1N
/ I I NOZZLE TIP
: I
FIGURE 51
000243
","
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SECTION IV - SYSTEM DESIGN
~ UL EX. 3470 ULC CEx747 Page 4-16
7-1-98 REV. 4
NOZZLE PLACEMENT REQUIREMENTS (Continued)
~ Range Protection 2-Flow Nozzle
~ High Proximity Application (2-Aow Nozzle): 40 m. to 50 in.
(102 cm to 127 cm) above the cooking surface.
,:rhe high proximity application uses the 245 nozzle, Part No.
419340.
The nozzle tip is stamped with 245 indicating this is a two-flow
nozzle and must be counted as two flow numbers.
i One 245 nozzle will protect a maximum cooking area of 672 sq. m.
~ (4335 sq. cm) with a maximum longest dimenSion of 28 m. (71
em).
When using thiS nozzle for range protection, the nozzle must
.. be pOinted vertically down and positioned as shown in Figures
44 and 45.
..
~
245 NOZZLE TIP LOCATION
CENTERLINE OF COOKING SURFACE
q
t
r
50 IN.
(127 em)
MAXIMUM
HEIGHT
OF 245
NOZZLE
TIP
000236
FIGURE 44
NOTICE
Four burners shown in Figure 45. For single or
double burners, locate nozzle at center of cook-
Ing surface or 11 3/8 in. (29 cm) maxlml)m from
nozzle centerline to center of any burner.
:1[....,
..
COOKING
AREA
m~,
m~
COOK
.AFlEA
~
245 NOZZLE TIP
LOCATION CENTER OF
COOKING SURFACE
OR
11 3/8 IN (29 em)
MAXIMUM FROM
CENTERLINE OF NOZZLE
TO CENTER OF ANY
BURNER
~
..
245 NOZZLE TIP
LOCATION CENTER OF
COOKING SURFACE
OR
11 318 IN (29 em)
MAXIMUM FROM
CENTERLINE OF NOZZLE
TO CENTER OF ANY
BURNER
~
I ~;:
COOKING
AREA
00
0+0
CooKI
AREA
000766
FI
f pORT ~
/O~~~
rea
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
<,~
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00001203 Date 1/23/04
633 E 1ST ST
06-30-00-5-1-2190-0000-
MECHANICAL PERMIT
COMMERCIAL ARTERIAL
12000
Owner
Contractor
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
MONARCH TRADING CORP
P. O. BOX 80563
SEATTLE WA 98108
(206) 763-6161
WA 983623303
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
57.65 Plan Check Fee
1/23/04 Valuation
7/21/04
.00
o
Qty Unit Charge Per
Extension
47.00
10.65
BASE FEE
1.00 10.6500 ECH ME-HOOD/DUCT SYSTEM
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
-\(".... -::
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 penod of 180 days after the work as commenced, or If required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
~~ ~ /~~2oY
Signature of Contractor or Authorized Agent
Date
Signature of Owner (If owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
Da\
\
/J
r
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS I
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
P ARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT. It\ /u' ;/,. . / KDD
I_U r/ol"1
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [11/14/2003]
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY
Date Rec )'Z - /5- dS
Penmt # ,z. 0 ..$
Date Approved ~
Date Issued
BUILDING PERMIT - APPLICATION
ApplIcant or Agent: Phone: (3.6 C7 -~, ),7 - / -6 ~ 7
Owner: 11}-/1.I h [) 0 A- fiJ ~ Phone:
Address <6',3 3 C 15 -1- s-1 City(1,,;.,r,r '7'5- tJ,f- ZIp it)--6 _~
Archltect/Engmeer: ~ :::A,\ Phone: G,eIV .
Contractor P1~!!' 7.i~~~'LS ate LIcense #;MDNAKrC,d,SExp; ~ 11,,/0:> Phone;;.l OJ: - U7-t<'/6'
Address: ~ ~a:_ -:~_ CIty~)/{;k111j? tJ j ff d ZIp: 9 ~ In 8'
b 6~ 8D .Zf- , ~
PROJECT ADDRESS: 5 ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVISIOn:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
o ResidentIal 0 New Constr. 0 Re-roof 0 Stove
o Multi-family 0 AddItion 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o RepaIr 0 SIgn 0 Other-A-
BRIEF DESCRIPTION OF THE PROJECT. H~r')d <:\Y
~eoe..ll-o.:-Ie .c.~OIl<A- +k~ ~G:-~.. ,'i-
,
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stones: Lot SIze: Existing Sq. Ft. & Proposed Sq. Ft.
Existmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage
City:
Exp. Date:
MC
#
SIZEN ALUATION:
SF.@$ /SF.=$
SF.@$ /SF.=$
SF. @ $ /SF = $ 00
TOTAL VALUATION $~
)) u...c.i- - SlA.~"-e.<;.e::::, ro~ v...> iLl
b-e--,
ConstructIOn Type:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlsIOn can prOVIde you WIth mformation on the applIcation and
plan submIttal reqUIrements If you have questIOns.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. This figure wIll be reVIewed
and may be revised by the Buildmg DIVISIon to comply with current fee schedules. Contact the Perrmt Coordmator at 417 -4815 for aSSIstance
PLAN CHECK FEE: IF a plan check fee IS due it must be subrmtted at the time the bUIldmg perrmt applIcation and constructIOn plans are
submitted. All other perrmt fees are due at the time of perrmt Issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued WIthm 180 days of the date of applIcatIon, the application will expire. The
Budding OffiCIal can extend the tIme for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see Section 107.4 of
the Umform Buildmg Code, current edition). No applIcation can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits pnor to work.
T IFORMSIAPPSIDV,ldmgp<=" ""d Apph~t. J ~ ~' ,/;2 - /cf'-'- ~ )
.'J
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~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Zoning . . .
Application valuation
03-00000973 Date 10/08/03
633 E 1ST ST
06-30-00-5-1-2190-0000-
ELECTRICAL ONLY
o
Owner
Contractor
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
OWNER
WA 983623303
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER COMMERCIAL
FEEDER FOR COOLER/FREEZER
STRAITS ELECTRIC
76.30 Plan Check Fee
10/08/03 Valuation
4/06/04
.00
o
Qty Unit Charge Per
1.00 76.3000 ECH EL-COM ALT 0-200 SRV FDR
Extension
76.30
~
\. ".
,),:"
CIJ
Fee SWMmry Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
\'\
"
\~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and voidjf work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and kl!oW the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent.
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\II02.JS (412002]
BIDLDlNG PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOlJNIJA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUG11-IN I I I
PI,(JMRING
-
UNDER FLOOR 1 SLAB
ROUGII-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I
WAIL/ FI,OOR/CEILlNG I I I
MECllANICAL ..
HEAT PUMP
WOOD STOVE / PELLET 1 CIIIMNEY
IlOODI DUCTS
PW llTlLlTIF:S 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'~:
WATERI,INE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING nEPT. SEPARATE PERMIT #'~ SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHOREUNE:
FINAL INSPr.CTlONS REQUIRED PRIOR TO OCCUPANCY/USE
REsmENTlAI, DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 EI.ECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION. R. W.
ENGINEERING 417-4807 rw 1 ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.t5 [4/2002]
<:!I'ORT~
tfi~'
~~
5
BUILDING PERMIT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ISSUED:
PERMIT NO:
13721
9/18/2002
OWNER/APPLICANT
CHINA FIRST RESTURANT
633 E 1ST ST
Port Angeles, WA 98362
360/457-1647
T:
S:
PROPERTY LOCATION
633 1ST ST E
Lot: 16,17,18
Block: 21 ~ Long Legal
Subdivision: NR SMITH
Parcel No: 063000512190000
CONTRACTOR
ALL WEATHER HEATING & COOLING
302 KEMP STREET
PORT ANGELES, WA 00009-8362
360/452-9813
PROJECT INFO
Project Value: $600.00
Project Type: EXHAUST FAN
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use: CAD
ARCHITECT
N/A
, 98360-0000
3601000-0000
SFD Units: 0 Commercial: 0
SFD sa FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD sa FT: 0
C'
J'J
VJ
f17
-
PROJECT NOTES
INSTALL ATTIC EXAUST FAN, ADD 1 CIRCUIT FOR FAN
RECEIPT#9695
FEES ASSESSMENT
Building Permit:
Plan Check:
State Surcharge:
House Moving:
Manufactured Home:
Sign:
Plumbing:
Mechanical:
Radon:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$34.15
$0.00
\f\
-l
Misc Fee 1: 1-ELE CIRCUIT
Mise Fee 2:
Mise Fee 3:
$59.40
$0.00
$0.00
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE:
$93.55
$34.15
$59.40
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
fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. i hereby certify Ihatl have read and examined thIs application and know the same to be true and correct. All provisions of
iaws 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.
T\PLANNING\FORMS\1102.15 [4/2002]
Signature of Owner (if owner is builder)
Dale
BIDLDlNG PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I T
WALL / FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTiON R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT. ~'f. (), y-ef'. -
BUILDING 417-4815 BUILDING ..,'" -I7-cJ~ Pili
T:\PLANNING\FORMS\1102.tS [412002]
FROM: ALL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Sep.
S'''''' ':1./1 '1 II'
I. . . BUILDING PERMIT. APPLICATION
17Ie IJIli/IIiJlg P_.It -1're-appliCfltw" __ fie J1lkd ,,11I Ctltrfpletdy.
"ti:~ PI_ type or prtat iu Iuk. If yeu bave lay questleua, pleae call 417-4S1S
App. . Jicant or ~cmt:~ P V -lleaJr'9 ~ [JJcltnj liJC
Owner: f~~
Addrcu: (/ 73 Gis"; SI- City: VtfY-H4t1r!tS
~~..-= . , PhoDc;
C~: 14/IUJ.InJfpy ffptJitllf LiCCltllCl #;f1LlWltJ5~: q/t J fl3
~:~ ~1-- Knvltsf City:]ljJy+IWqeI.e5
"AQK"J~~' {o~2; 6-/S-f Sf.
LItGALHSCtl-rJON: Lot: Block:
(''l...II.....COUl'fTY 'ARCEL NllMIlEll:
8lIIIIII ~:
CndIt Cn.:
18 2002 09:01AM Pi
o."'lIIc.:
.......,.:
Dale AppnJwd:
DaIIo _:
Pbooe: 1//0 -l/52-CJ gZ:J
Phouc: !!J1; --lfs 7-/ (p 1/7
Zip: qt3ffL
Phone: ''152-4fr?J
Zip:..!lf"3( p z..
ZONlN~
VIS..!.
MC
~''':woaKl
c p.-.o-,,;.I Cl New Coulr.
o Multi.famiIy 0 A d<lih""
o C "ciaI 0 R-.d_\
o Repair
o b-roof
o Move
o Demolition
o Sip
SIZEIV ALVA-TION:
o WoodalOve SF. @ S !SF. ~ S
o Garage SF. @ S /SF, ~ $
o Deck SF.@$ /SF. =-$ ()
o TOTAL VALUATION S c:;..qq~J
J11 f(j~ VJA; ( A j ~ II fljt1~~ ( WI? rA IllY' {!tt Yj
.BlUUDUCaDTlON'OF'l1IE PIlOBCT:
CO~EN'l14L: o.:cupaney Group: OCCUPIUII Load:
NP.vt.S1Drioa: Lot Size:. % Lot Cov""'Sc:
ExiItius LOt Covaq.: Isq. ft. + Proposed Lot Coverage:
PLAN1lQI'fG u.- ONLY:
N.:
Consw..lion Type:
%.
Isq. ft. = TOTAL LOT COVERAGE:
APPROVALS: PLAN
~
DPW
IDlE
OTIIER..--..
'sq.f1
ESA/Wctlancl(s): 0 Yea [] No SEPA Checklist required? 0 V.. [] No
Other:
JIlJnoIQNoIISRMITAJII'LICA.1'JON stlBMI1T AI.: y.... -.-;>u-"IIItItllUltl .,.", .... H/I&tI_ 011""""" IN ~r- ,. '''r
rnkw. The BuiIdiDg Diviaion can provide you with more detailed infonnation on the application and plan Nbmillal requimncntl. Y 0lIt
..omplC1Cd appli\:aliaa, aile plan (for addilioDll) and building couslNclion plans are to he submitted to the Building Division.
v ALVAft.QIU)1I' CONSTlUJCTJ~: Ia all c:ua, . vaIuaIioa _u.t mUll be eatered by the applicant 'Ibia fipn will be miftcd
and may be revised by the Building Division to comply with =1 fee schedules. ConlaCtlhe Permit CoordiDator al417-4815 for usistaace.
PLAN CJmCI(. nE: Your plau dIeck fee is dlIc at the time the building permit application llDd COllIttuc:tion plallllllrc submil1l:d. AD 0Ibcr
permit feel are due al the time of permit issuance.
EXPDtATION OF PLAN REVIEW: IE no pennil is issued ",ilbin ISO dlY. of the date of application,. this appIlcatiou wDl uplre. The
BuilcIiDg Official CUI extend the limo for action by the applican. up to 180 days upon wrilt10n reques' by the applicant (see Section 107.4 of
the UnirOlll\ Building Code, CU11'e:III edition). No application can be extended DIllre than once.
,. I".., arIifI tIuIt I Iadw I"tIIId tmd _Ined this IIpplk:lltIon IUld .blow the SII"'e to be true mui tOI't'et:~ IInd I IUlf tlUtMrlzed III 4/lPly for
tlWt pel'7llll. I IInd~land it Is ""t tlae City'. legal respoMihlllty 10 det_I". what pe"",'tr are required: It remalru tlae applicant"
,eapolISibillty Iv detal'7lll"e wilDt permits lire required and to obtain SUtla. - 1 J:liJffc .I
,.'..T:\FOIlMSv.PPS\8Ui14i11lP<""il APPlir...~ f1,Mj1 ~DaIe: 11 It/;) 2.r
~L; -TIE< "CO"'" aDU",
. 3~rtj /
Uiv~ 'rS
.
FAX NO.
360 452 5177
Sep. 18 2002 09:02AM P2
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FAX TRANSMISSION -# t3j z--r
ALL WEATHER HEATINO & COOLlNGINC. (
~il: K!:MP 5~e:~
PORT ANCc:I..E.S. WA QS3e2
(360) 4!5~'i>e I ;)
,..x: (360) 452-51 77
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Fax #: 3(".0 - tt,';-/ - C1:> S1
. From: .G,~{)-t-<nv;.N'
. Subject: J w-<-~ -/i.:- c&wk.
COMMENTS:
Date: "D(z.! /0 1....
Pa ges: / ' including this cover sheet.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:Q1 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00001164 Date
.485076
633 E 1ST ST
06-30-00-5-1-2190-0000-
ELECTRICAL ONLY
12/16/04
COMMERCIAL ARTERIAL
o
Owner
Contractor
VOANG KHOAN
633 E 1ST ST
PORT ANGELES
WA 983623303
STRAITS ELECTRIC
PO BOX 2914
PORT ANGELES
(360) 452-9104
WA 98362
----------------------------------------------------------------------------
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTBR COMMERCIAL
ADD 2 EXTERIOR LTS.
STRAITS ELECTRIC
61.30 Plan Check Fee
12/16/04 Valuation
6/15/05
.00
o
Qty
1. 00
Unit Charge Per
61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61.30 61.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 61.30 61.30 .00 .00
~.
\.N
U
"
..
"'-
\~
~
COMMENTS/ACTION NEEDED
\
ELECTRICAL PERMIT INSPECfJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT J08 SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.1S [<1196]
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15244
/(' - 30 ~v
Port Angeles, Washington.............mmnm......................................, 19.:!.:'..
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
~~::;s.~:l~:~::::~i:~~=~;.~~::~::::::::..u;~;;:~~:::...~~~~:~.n~~:::~:~'~::::::::::::::::::::::::::::::
. ../) (Jr. ~U
Wiring Contractor .................-'-.-;-/-......L..........nuu....m......n. By...u............m.nm.n.m...n...n....nu.n..............u
\.
Light OuUetsm_._______.....h..........h_..._..__ Service, volts ......._......._h..m_m__.__....... Type of Wiring;
Receptacle Outlets__................._...........
No. wires .....___........._..________...........
Dryer, KWj nnn__.___n__n_.......__._n.n_.__ .__
Range, KW nm_n_.unm______.n__
Water Heater:
Size wires__.._.m.............._hm_____._..
Main fuse m_.m..___.....mm_______.._.m.
KWnmnmmn..nn
Enclosure ......_._.m....h.m..
Type of wiring':
Entrance Cable ..m.m.........h.m...__
Heat: RV;r .___._.............0._......___________...__
Rigid Conduit __...mm_mm.._mm.m
Metalllc Tubing m__...._...........h..__
Current transformers:
No. & Size.__.m_m__m____.h.h..........m
Motors: size. volts and phase:
Ser. No.........__..______.____....______..__._......
Ser. No.___..................._.___._____________._...
Ser. NO.__.........._.........h____________._....__.
Total Load.___.....___..__.............
Ser. No. ...0..0.____________.._...__._........0.____
Armored Cable _..__m.........._mm__n.
Non-Metallic _h.h......h__n__.............
Knob & Tube__________m__..__..__m.______
Rigid Conduit ......0.._____0.
Metallic Tubing mmn..n
Raceway .__.____....____.....__.____.....0........
Circuits, LighL......_n..........h_.m...h.......
Utility nnm..mnmm..nm.m.m..mmn
Heat
Range ..____.._____..______...____n_......________
Water Heater m.____.......mmmmm.
Motor ............0._............................0.
Dryer..___..__..__.___.._......h__________..hh_.____
Furnace m.m_.nm_mn....._m. .
Total h..___....___________________.._______
Remarks: ......:~..../!c.e......../?r_..I.~.run..j.!:~X&"".z,:;C.n......u...nm...................U..........nm...........
~~.~.~~..~~~................... ~~~.~_~:_.~~_~_~~~_~._.n.u By,l.;L)Ik;,lJ.(.~_-:t:.i..~,-'~..........n..
NOTICE-Current must n()t be turned on until Certificate of Inspection has been issued. It work is to be con.
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15244
Date called for inspection___.___________.____________.._____.._____......_.._....__...._......._.._................___....._.....____.._........_........____.___..................________.............
Preliminaryinspectiondates..........._....___...................._._..._........_.________......_.______........_._______.........._________...____________....__________.__..._.............._.._
Total Load ____.__..______..__________________________________.___.........__...._.___._________..... .__
InspecUoncompleted...____.....__.._...._.____......_...____........................~..__........_______...........____..............._____............._._.................._.........._......_
1M 3-72 Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
15376
.r-~ ;,s-
Port Angeles, Washington___________nnn__m__m__m_m_n___mmum___n____, 19umu_
In aocordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
~:::s_;~:l~;::::t=:=r~:::::m-;:=~=~-::-u~::~~)~-~-c-~::::::::::::::::::::::::::::::::::::::::::::::::
- (j
Wiring Contractor n_Uu_ummm______n_n_nn_______nhn_____hnn_mm By_mhh____..._.nnnhd.h.hmh.umnu._n__________.__.uu
Light Outlets____.__.__________.._____.._________......
Receptacle Outlets..mm................__mn
Dryer, KWi.____n.__________n...___n______n__
Range, KW._______
"rater Heater:
KW.______nnm__m__
Ileat; RW..__........nn....._nn...___..._..._.._
Motors: size, volts and phase:
A....__...__....fl.__....__.__mC______________
-jOG A,r'm_}2?.!J;-"t.__~.!!k!!_f
/")0/,,1y(;
Service, volts ---.ooo.;-......7..m-....m------n
~ V
. X No. wires _m......_..mmmnnn........_..
Size wires__~~q,!J{/'.1.....
GOOn
Main fuse .nm_.{____...._~mmm_mm___..
. C 1t.4
Enclosure ..__m.m_.........._.____......m__
Type of wiring:
Entrance Cable mn__._m__mm___nm_
Rigid Conduit n.......mnn....nn.nnn
MetalUc TUbing ........__..............m
Current transformers:
No. & Size._..................nnnn.....n....
SeT. NO.__.__n_n..__.....__nnn___nn_....n_n_.
SeT. No. ._0000_00...........__..00..____...0000._00_.
SeT. No...._________........___._........__.__________
Type of Wiring:
Armored Cable ____n..m.m_m..........
Non-Metallic _
Knob & Tube___
Rigid Conduit.
Metallic TubIng
Raceway m....._____
Circuits, LighL....nmnn.nm.___nnm____...
Utility __.._._________._m____'___.______
Hcat
Range nunn...n_n____n__n_.nn_..........._
"Vater Heater m__mm.m.....n.........
Motor .............._.....................nnnn.
Drycr..__.______.________________...._____.............
Furnace nn_.._...nnn.unn.'_.._._.............
j- (.
Total ......~.n__n._.....n................
Total Loadnnnn....nn______nn.. SeT. No. ..0000.00..........000000.0000___00_00_00..._
r",
.-...- '-"--
Remarks: ___u.;_~.::.:.....e..;c-'O::'___-~-h.-n~-u.uL~J2.~-?_':.c~:.{.-::).~<t~~L.d..-u.h-nnuu__u__nu.nn......u....UhhhU....u_...u..n.n..
..ununh_h...hUU.:_udu.unuuu.uuhU....UU_UU..U_U..UU...UUU_U_UUhn_n_u.n__._uu_unn____u_.UhunU...n.uuh.UU_uhnU.U.U..
~~-~~-~~~:~t~-mum--m- ~~~_~_~:__~_~,~,~~~_~un_m By m;t..Lnll.~_hf..A~,:,_,"__'.
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con.
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15376
(' ?> C' /S:
:::~i~;~::I::~~:~:2;~:.;0f~~:~::::::.::::.::::::::::.:.::=:':::::::::::::::::::::::.::::':::.::::.:_.::::::::::::::::_::~:::::::::::::::::::::=~:::::::::::::::.::
Inspectioncompleted____.....__.....___..._.................................................._......____.______..........._...______.__..._.........__...___..__....____.______.___...._....._......._
1M 3-72 Olympic Printers, Inc.
Total Load .....................__._....._._._____............_........................___.._____._
---,
.
Leetrl.a. COnlrDctor
~
~
o Owner ~Z
l:J AIlUUaIPel'nllt a Alarrn 0 Candval Conunet'clu.l
ELECTRICAL WORKPERMlT APPLICATION
o Request Inspcction
oL/ - //~y
o Resldentl.1 0 ResldenllD. Mulnt. 0 SIKII. 0 Thmno.tDt 0 Telecom.
Jab wired by
~ctrlcal Contractor 0 Owner
Instllllllllon deSCl'ip[ion
,
Rlcctrlcal con\rtt...:tol' I1I1n1C LIcense number
,....,S"/'7"rf /reS .t!5LS'/
Purchaser'lI mlllll~addl'~96
"P tJ . ~7Y' .2 -;7/41'
"~n- ~a='"~E.,S" ~ .ZIP ;7';c:$b2-
T'~.s;":'~/t'~ FAX""llIb~7 -~6"jfl
Prelllbel ownel'" n.mll
A/YA/'c VIJA-A/G c(!#/"""" /g-" ~k)
Add..... 01 ~IO. . -
6 ~,sr ~~ $ir:
City Parr- .A:1I~.s"'
A~ E~()".. ~/7/A/t5"
. .
(;i!.) t:!//1::(//"fiS - ~L-
-
~ a///?A/,s .-
o Cash 0 Check #
1 h~reby certify that I 11m lht= UWJJ~I' of lhe ab\lvc named property or II lica:nYl:d
cleclrkol contractor (or the flrm'!J aul:horized agont) and urn making the electric..1
installation or altcflItilJ" in compliance with the elccLrl~ull:J.w, Chaptet' 19.28 RCW.
o Credit Card VIsa Mastercard Discover
CDrd# _ &/1/ .r/~-____-____
SIJ:;nat '" ul ~wller. eleelr.lf~ contr.ctul' or ch:ctrlCIII ltdmlnJstrlltc.f
X,-l.(' _...,.. c..v
Expiration Date
of cDrd
)
( $niPZ/fc~
)
\
\ ~\\LLS CElUNG
J n~ullllion Dilly Insulu.tioll 0111)'
D_lll APllfovtll Yy DUlu Approved Jjy
Cover COVill
D." ApllfOvcd By Dill.. ^11llrovud By
/'
THERMOSTAT
SERVICE
.......
\... 0,1"
AppnJvW By
D,l..
ApIJr6,,~lly
D1TOl
FEEDER
1)~IC
Apprnvul By
Ou..::
Anp,"ovoM! lly
real Load Additions and or 9ubtrActlons
NO LOAD CHANGES
CI e...board KW
o FumacQ KW
1:1 Heat Pump _ Ton _ LAR
o Fan-Wall ~ KW
Service Information
D overhead Service
o Temp Service
CJ Underground SQrvlcQ
Vollogo
Ph..oO 103
50"'1.0 Slzo: __
Feeder Size:
Inspccllun Arc", Building or Equipment Inspected .alec-trieal
Datil Action l'ukcn Inspector
ph6J; '1 ~/'4t?......eLl /fc.O
.d W~6.:.. P00G P. '~~a
869PLSP09[: 'ON X~j
JI~lJ3l3 SlI~~lS: WO~j
~V/V~/~VU~ ~o;~~ rA~ ~OUq~/qO~O
::STKAIT~ t.'LJ:;CTKIC
14101
fi
~="
"tiii....
\ '
ELECTRICAL PERMIT APPLICATION
RlROffiClAL USE Of\'LY
DlWSLn;;
~.:
I:kzk: App"I.u:
~I....:.J:
The Electrical Permit Application must hi! filled out CDI'IIDletelv.
Electrical Conlr.lclor:
.._ __cAddress: P.O. Box 291 4
OwnororElec.Co~rAgent S~,,:its Electric PtoDnO'
PlOpertyOwner. Ch,ntL t-ur;t /1.1)AN~,l'klft!)RN. .
Addmss: t06:3 E FtI:5.f! City: _orf- ~ftfS
Straits Electric Licenselt: STRAIE*OU,OS
Port Angles; WI\.
..t:;ity;
PleaSe type or reprtnt In Inll. M you haw BnJ questions. please call (360.417-4735 /fIE.. P-<j 13
Fax number: (360) 417-4711 ~
REQUEST INSPECTION f'L
452-9104 Far 457-4698
Phone: 157 -/ h47
Zip: Cjg~z..-
9/0'ii ptw:me.452-91 04
Zip; 98362
INSTALLATION WIRED BY:
DOWNER
~ ELECTfIICAL CONTRACTOR
Cree/It Card Holder Name: Straits Electric
. ,Billing Address' P. 0 - ~ox 291 4
_
Z/p:98362
,
VISA:~MC=-
PROJECT ADDRESS:
(P-83 &
11 Y(Sf
TYPE OF WORK:
Check all that apply: 0 New
o A~erationfAddition
o Residental 0 Multi-family ~ Commercial' 0 Mobile Home Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Vonage OTelecom. 0 S'ign
Number ot Circuits added or altered:
.fO-dcr ifoy
fla>> . Q;oOfcr /ikfdlf
DESCRIPTION OF mE ELECTRICAL PROJECT:
Electrical Heal Load Additions
Service Information .
o Baseboard
o Fumace
o Heat Pump
o Fan-Wall
_KW
_KW
_KW
_KW
o Overhead Service
o Temp Service
o Underground Service
Vollage: 2. ,#0.., /'2 to
Phase: Jal 0 IJ
Service Size:
Feeder Size: (" 0 A
PAMC 14.05.060(B); For Industrial. commercial, & residen~al projects larger than a duplex. a one . line drawing of the 'Electrical Sennoe &
Feeders. building size (sq. 1l). load calculations. and the type & ot conductors and/or raceway is required and shell accompany the
Electrical Pennit application. . .
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine .what permits
are required; it remains the applicants responsibility to de~ ine what peimits are required and to obtain such.
ker/Christie Tucker Dam:
Dam: /Q--l--{j3
PW.9019
Owner or EIec. Cont. SI
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date :;--/6--0,
Time ')~UV Jm
Received by
117
(PhOne~
Location of Work to be inspected {; 33 E -l-""rsf-
Name of person requesting inspection ,.-t/a fer t?, v
Address of person requesting inspection 1703, S.f2. IS sT Phone No. 417- '-1'('-17
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ ~ f -e r
INSPECTION NOTES:
Inspected: Date ~-IS -01
Remarks:
Time /1;0;) -In?
By
71(
}'I ~e/t/lc;. f".
/€<fr.j. lel1~vt/(7d man-. fa J4J.efer
atJro)t.. '05'1' ['r Co/1uele t"erl1/:lIn::d
I
RESTORATION REQUiRED...... YES X NO
~ ljl
~"A-L ~ 7;;': 1
--...l- ~
..... +1,sT ~
~ sr "
~. - ;J
\,J
- ~
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
D No Damage Found
OAsphalt OPCC Oq'Other Stele vudl
Work Order # 7JC)3'1J,- J 7<iI
~ COMPLETE (/'ll- n ('0
XINCOMPLETE tj'1-(
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATEI
Application Number . .
I 1 1 15-00001608
Date 12/24/15
Appl. icatl.on pin number
328248
Py.operty Addrers I ...
. 633 E 1ST ST
ASr:;ESSOR PARCEL, INLJMBEIR:
06 -30 -00 -5 -1 -2190 -0000 -
Application type desc.ription
ELECTRICAL ONLY
Subdivision Name,
Property Use
Prope.r.ty Zoning . .
. . . COMMERCIAL ARTERIAL
Appl.icati.on va].uat...ion
0
Appl.icat.ion desc
Safed Lip some wi.re.s
Ow n. e r
Con.tract(:lr
WANG KIR)AN
�.NIAMP E.1,ECTRICAL
CONTRA.CT.I. ING
633 E 1 ST ST
PO BOX 363
POR,r ANGET..,ES WA
983623303 PORT ANGE1.,ES
WA 98362
(360) 452-1.689
Pe r. :n it E T.,
E CrFRICAL ALTER COMMERCIA.I.,
Additional desc 1-4
CIRCUITS
Perni.it Fee
86.00 1')lan. Check. Fee
00
Issue Date
12/24/15 Valual-ion
E,xpirati.o,n. D a I- e
6/21/.1.6
Qty Unit Claarge
Pe
E z n 11 a ol I
BASE FEE
86,60
Fee summary ('IlArg(�rj
Paid Cred.i.ted
Dic
Perrni.t Fee
66 00 86 00 .00
00
Plaxi. Cl ick Total.
00 00 .00
00
Crand Total
86.00 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:
GAEXCHANGEWILDING -
0. jfaflt,4" .0, ELECTRICAL INSPECTION
W'IRING REPORT
417-4735
fts
-- — -------
DT PERMIT #
UA
CONT FWTOR
--t�
ADMIESS
APPROVED NOT APPROVED
.................. ITCH...., ...... 0
ROUGH IN/COVER 0
0. SERVICE....,11
0.. v4NAL. - . .O
CORRECTIONS NEEDED:
0
NOTIFY III' SPIECTOIR WKIEW COR11RECTIONS
AllE COMI31.11FETED WITFUN15 IIIAYS
- .............. DO II NO I IIREMOVE .................
I N 0 V M 41 A N S h ` F H.1 I H /��, IN II , I i
PQM 1 � f I i n i ,. ; 1111spleciAmis
1 NLO IT I It "tau u:el -- NO. BOX I151) 1 POrt A.hm, 183&2
8"h, F,nx016101) 41 7-4 710 �
1a 2
KnO0 mn
rub, 0,11 \ � 0, cl, A
vn zry
tea Gln kghym
Fiucdiur 2C t',Jmp,
.11 QUI
Arlp,
$ 10 [,u�
G-,'K�Ajj-qp
$ AT
B °,'X.)U AOI'J
JusVedu owr 1000 Amp
ir,vK Y8 ,, 'crdcrt 1-)vmdor
�11-)
VOL LO�.?AIAL tit..
&V PWAS01 8mon Omm
5ymm COOS 14
03
mp Grp md Fa6m MA Anp
KnO0 mn
rub, 0,11 \ � 0, cl, A
vn zry
tea Gln kghym
Fiucdiur 2C t',Jmp,
.11 QUI
Arlp,
$ 10 [,u�
G-,'K�Ajj-qp
$ AT
B °,'X.)U AOI'J
JusVedu owr 1000 Amp
ir,vK Y8 ,, 'crdcrt 1-)vmdor
7uf,xplj Fe( -, &: -
&V PWAS01 8mon Omm
5ymm COOS 14
03
mp Grp md Fa6m MA Anp
41-60f," Any
W)J
"OK 5 HIM Kody
il GAP,)
F;, -v p [.%v:A�ng
�yj
Hccit! Cmwcc',�on
12103
KmAW EbWKW Vwqy - 5XVA
(11 () j
Almysm',
, �: $54.0
%Ap
0�,,Y� qX9§"'-RUqflQ11).QmM
Kmi 1301 Squmv R.
D')
AdJiCc,,�a� -3qvo,, o� P,j�,6rjr A
Q, �'110
OAacr,,L%, G mdq,�
j J De
74,cll
Ron smmm" POA 00W N.",
1 MCI
Confraotor WonnatioP,
uA,
"W"j
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