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Home My WebLink About630 E Front St - Building"Yrir "•rIV"., :4,-r, '6,v, ;:e.i,,, ''.04 4 e-q 't.n ,Our a km,,,_,,,z-,,,,, o f Port 'City ladatton e 0502 s.d-pg„ Co tr: 749 rriS 0502» .4 t.?c)4?` 1 #14 -1, 4- --;1.*'' propertyuse.: tv ,POt ka ._ap .7' 7r• 1 r Ail' ':.X, Y' 4,- -4, v A CONVERT iOFFICE"Td..--RESTALIRANT SPACEP.T ,v,.._,TL„,%, 4JAIMEBAUTIST4,- V"Ti 44:,(711i,,,, QN fi 1C FIW,..g,TR.11,c^. 14.1 1r' i•-,---4-- V nt rac:toi 7318.riESTE C T s„4 :129:..3:;111, um wA2ER;7175 „,,,,,a:- r8,464L,K,,, 6 6 I-4„,..; p.oRTANGELg '•ie.„ 4, ,11„.4* v,...,, 3 PORT ANGELES 460.-7 452 Az ft:do 0 "Strtfeture InformatIon •,00.0q 4 oh C 0 ..ii---.--;!V: t...„iit ililibil RATED sttuction..„ -YAP- 4,- „-w- L. A i.ipg'riey evi,, 44.%_B j,iSiNE ss; "0EF„ 11,4 .i,"„2:0,.. 7' 77, ir -.7 tkit 4,i .k.,MAC i4G p, B 14 i1:;;; ;44' yl :r *.:::44, ,4,4 ;,Iii;,,„'"n4 u T o t n,i L ,,,,,,I,iiiiilvizt pii...,,,,I, 'ACKFLOW tlil.:4--1-i 1, wt; Y-4-11-:t4.--r- 1„, A D at e 4.4' Expirat Qt. U 4 P '914 '-'pr .r..... -1 00 :66 0.0r.;:V.kt, prliBAcKFLow7PROTECTI9T.;<011=2 c)or• 4-4 444.4.-4 t)ii3/4fi-ir:?' 119: .00 (20EA ...0, ,64 rr;;Aw r.trr, ,ivre• t 0 1 '34 rA; 5:114 49pe): ',.Nci,t-e ,i./pik,ri--t m, Thaiii.A "A" 4,1 li,- A 4,. i*'Etilltacceptance,'testOsTI"..be,104U3I'reCit.idittYie.!.„fiiei.,471.a.rm 4, w '-',6 :"4: ...ikit.,. 4. 7:4)F „I s ys t e m tn ir -,:$4,16 e 7 ,t I. ..px, 7i :e. i ,-*1:g,:.,.. be Va•r-rx:•••-.,...„ w 4: Extindik?:shersi ".rTnountecI 3,llut 1;A ,tly. ,.-no ,,4rnore‘: .1/4 1-.: 9 sp..j. -!r4.. 95 )r Su ie,e!ir,qco.oj*::i5)i4PpeR 1:P- adj.a.d to an 'ekif. ti'ke" .p.,Alci4o4'..,1ockIng oditl,."joe epartmentVat 360,41:17--. or fICINIPX ikeybcak Apfder-Ing.. e..z. 7,7, ,,,,K 1; ,‘P e i n f ormation Ta4airtn014ntd1T4 cat iblD'el l'il. 1: iiiijA ±1A- e ;4 :41:i0c It doors li 4 t ,0 P 4 d el I 5: C oiVi 1 i ii :4 3 4: I re -'41. #--4,7 p,;.3i14.,1 ,i54.1.14,,0 t ,respons .';'f 4, -,,p2T'q:.41;p±rill,;:cgZn'- a:iig4 ,:iiialiiii74.1 77gto,4 .:w.thr- ",k Ma.if t pif 4:.:isile''ifMt g '''01 c dlibr p,i rArF: t 'tPfEe.-•1t7 d':1"C.iititaid"ti'd:iOii fvp CT r e 'COMMEROIAlk 4 1 Y 157424 5.10 ri"- 7 7 Separate Permits are required forelectricalwork, t es; p wate.andpublic,improvementsyThis:permitbecomes itiltAnd:1904wocKir_tirconsttu_dt*tatithsVect is47■Ot cgmvierio6dvithiOACI it OtrttilictLF'„%yvcoQit ,eUtpe011ea**b04one0 for a period of 180 days after the work has commenced, or if required inspeplons %ba) ast inspection. 1 hereby certify that 1 have read FISqarli?4000t) )f.Iaws and ordinances governing this type of work wilLbe complied with wIi'et 1($ g V.fOklie ti4 k.-..1 I'. 4•5:a 'ela A1120iniiibr4 preirrornotjhpgrantirt aTermitclpps gylatipwcopStrUdtiokoOheilidiform'ancecif 1A",4 4 r. rL „te, -21, tt ent Signature 1 ZWIe ,k.tr NAME OF PREMISES. SERVICE ADDRESS LOCATION OF DEVICE. L'IV /7 L /z S A/ I7 Y S M /0 /ft ASSEMBLY '/9 ,i "7",r G O 1 3, a 9 --S Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY" YESEXCTO IS ASSEMBLY INSTALLED CORRECTLY" YES B i O DATE OF INSTALLATION A i"1. a old UNKNOWN❑ Initial Test Repairs Details DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I I CHECK VALVE #2 I RELIEF VALVE Leaked Leaked Did Not Open Q Closed Tight C— Held at v psi Held at P si Opened at. T psi Cleaned Replaced Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division 36 E, fA' r figeer REDUCED PRESSURE PRINCIPLE ASSEMBLY Cleaned Cleaned Replaced Replaced 3 psi Buffer YES NO Final Closed Tight 14/ Test Held at! (!psi Held at psi Opened at psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Asscm.# Received RP Er' RPDA DC DCDA PVB Air Gap SVB AVB PVB/SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO TYPE OF HAZARD SO /�9 r /fP COMMENTS Line Pressure/0 t/ psi 1 M 5 ECTCp Terre", 91 PA Backpressure C H eld Back ressure YES CVNO #2 Shutoff Held YES W Relief Valve Exercised YES LV NO I Date /Time Tester Signature Cert. Test Kit Passed Failed I Test l 3/ W /t £%r 65.6, fl a 7,,,` f 4f j h'(f I Repairs T est 3/ /G, C k7 C R c v n 14, s -7- 6 Date Application Number 10 00000404 Application pin number 026496 Property Address 630 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 01 7 0 6300 3010 Tenant nbr name FIESTA JALISCO Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 157424 Application desc CONVERT OFFICE TO RESTAURANT SPACE Owner JAIME BAUTISTA 718 ESTES CT PORT ANGELES Construction Type Occupancy Type Permit Additional Permit pin Permit Fee Issue Date Expiration Date Qty 1 00 1 00 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 desc number Unit Charge 7 0000 10 0000 Contractor HOCH CONSTRUCTION 4201 TUMWATER TRUCK WA 98363 PORT ANGELES (360) 452 5381 Structure Information 000 000 TYPE V NON RATED BUSINESS OFF /PRO /MED /REST PLUMBING PERE SODA MACHINE BACKFLOW DEV 172312 17 00 Plan Check Fee 8/30/10 Valuation 2/26/11 Per EA PL- BACKFLOW PROTECTION <OR =2 EA PL- SUPPLEMENTAL PERMIT n TR- Print Name Signature of Contractor or Autioriz Date 72 May 7 2010 10 14 14 AM kdubuc Self closing doors must be connected to fire alarm system RT WA Special Notes and Comments 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 A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 8/30/10 98363 Extension 7 00 10 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) ,o)c M 00 0 d ex wiao 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 inspe 'ons have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this applicati n nd kno a same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w f et er specifi d erein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any, sate r local la r gulating construction or the performance of construction Signature of Owner (if owner is builder) 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 Furnace FAU Ducts 1 Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab 1 Blocking Hold Downs 1 Skirting 1 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. I FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By Page Application Number 10 00000404 Date Application pin number 026496 Special Notes and Comments May 6 2010 12 32 31 PM sroberds The proposal will result in the combination of two adjacent building areas into one structure and will require a zoning lot covenant The work will be done by penetrating an existing interior wall Site coverage will not change No new footprint are is being added On site parking is available for the resultant area at 1 space per 125 sq ft of floor area The site is located in the CA Zone No land use impacts are anticipated May 10 2010 8 59 17 AM Bob Larson 360 417 4706 Once the firewall has been breeched BOTH external electrical service panels MUST be placarded showing the other panel location MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required if any electrical wiring is effected Any modifications to the City s electrical facilities will be at the customer s expense Follow conditions of letter sent May 13 2010 from Community Economic Development Department A separate Right of Way Construction permit application is to submitted to Public Works Utilities Engineering for review and approval May 5 2010 8 16 29 AM rbecker A reduced pressure backflow assembly is being installed on the soda dispenser Will there be another soda dispenser installed If so then the reduced pressure backflow assembly will either have to be hooked into this one Or if it can not serve both soda dispensers you will have to install another backflow If you have any questions contact Ron Becker 417 4886 or fax rbecker @cityofpa us Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 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 STATE SURCHARGE 4 50 Charged Paid Credited 17 00 17 00 00 00 00 00 4 50 4 50 00 21 50 21 50 00 Due 00 00 00 00 2 8/30/10 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 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) 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting 1 Landscaping 1 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 Inspection Type 1 FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. 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 Issue Date Expiration Date Parcel Number Property Address Subdivision Name Legal Description Property Zoning Owner Contractor Approved VOID UNLESS SI CITY OF PORT ANGELES 321 E 5TH STREET P 0 BOX 1150 PORT ANGELES WA 98362 C E R T I F I C A T E O F O C C U P A N C Y T E M P O R A R Y 8/13/10 9/30/10 06-30-01-7-0- 6300 -3010- 630 E FRONT ST PORT ANGELES WA 98362 TOZIER CENTER COMMERCIAL CONDO UNITS 630 A, B, F COMMERCIAL ARTERIAL JAIME BAUTISTA HOCH CONSTRUCTION 360 452 -5381 Application number Description of Work Construction type Occupancy type Flood Zone Special conditions August 13, 2010 10 43 47 AM perm West dinnig area only finish inspection when com lete /jll 10- 00000404 000 000 COMM REMODEL TYPE V NON -RATED BUSINESS OFF /PRO /MED /REST uildinga5ffi ED BY BUILDING OFFICIAL PREPARED 8/13/10 8 37 20 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/13/10 ADDRESS 630 E FRONT ST SUBDIV TENANT NBR FIESTA JALISCO CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER JAIME BAUTISTA PHONE PARCEL 06 30 01 7 0 6300 3010 APPL NUMBER 10 00000404 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 6/22/10 JLL BLDG FOUNDATION TIME 09 00 6/22/10 AP June 22 2010 8 40 35 AM 1pangrle MARK 477 5409 FOUNDATION MORNING June 22 2010 4 10 52 PM jlierly BLCG 01 7/20/10 PB BLDG CEILING GRID TIME 01 00 7/21/10 AP July 20 2010 8 21 03 AM 1pangrle ELI 460 3988 CEILING COVER AFTERNOON July 21 2010 9 38 03 AM pbarthol BL99 01 8/13/10 JLL BLDG FINAL r► August 13 2010 8 31 06 AM 1pangrle /4 ELI 460 3988 TEMPORARY C OF 0 FOR FIESTA JALISCO 1 HE REQUESTED AN INSPECTION A LITTLE AFTER 9 00 AM COMMENTS AND NOTES \.1 '7,49 A*, 0 o -P\AO1 PREPARED 7/20/10 8 22 10 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/20/10 ADDRESS 630 E FRONT ST SUBDIV TENANT NBR FIESTA JALISCO CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER JAIME BAUTISTA PHONE PARCEL 06 30 01 7 0 6300 3010 APPL NUMBER 10 00000404 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO 01 6/22/10 JLL BLDG FOUNDATION TIME 09 00 6/22/10 AP June 22 2010 8 40 35 AM 1pangrle MARK 477 5409 FOUNDATION MORNING June 22 2010 4 10 52 PM jlierly 7/2.0/10 JLL BLDG CEILING GRID TIME 01 00 BLCG 01 July 20 2010 8 21 03 AM 1pangrle ELI 460 3988 1[/1 'CEILING COVER AFTERNOON COMMENTS AND NOTES PREPARED 7/01/10 8 32 42 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/01/10 ADDRESS 630 E FRONT ST SUBDIV TENANT NBR FIESTA JALISCO CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER JAIME BAUTISTA PHONE PARCEL 06 30 01 7 0 6300 3010 APPL NUMBER 10 00000404 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 6/22/10 JLL PLUMBING UNDER SLAB TIME 09 00 6/22/10 AP June 22 2010 8 41 08 AM 1pangrle MARK 477 5409 UNDERSLAB PLUMBING MORNING June 22 2010 4 10 57 PM jlierly PL2 01 7/01/10 L PLUMBING ROUGH IN 4,,1 0 July 1 2010 8 26 30 AM 1pangrle MARK 477 0626 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 6/22/10 9 02 03 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/10 ADDRESS 630 E FRONT ST SUBDIV TENANT NBR FIESTA JALISCO CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER JAIME BAUTISTA PHONE PARCEL 06 30 01 7 0 6300 3010 APPL NUMBER 10 00000404 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFO O1 6/22/10 J L BLDG FOUNDATION TI5E 09 June 22 2 2010 8 40 35 AM 1pangrle MARK 477 5409 FOUNDATION MORNING PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 6/22/10 JLL PLUMBING UNDER SLAB TIME 09 00 June 22 2010 8 41 08 AM 1pangrle MARK 477 5409 UNDERSLAB PLUMBING MORNING COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 stats no load change Owner JAIME BAUTISTA 718 ESTES CT PORT ANGELES 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 98363 167635 112 00 6/14/10 12/11/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000611 719297 630 E FRONT ST 06 30 01 7 0 6300 3010 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor Qty Unit Charge Per 2 00 56 0000 ECH EL LVT THERMOSTAT ANGELES HEATING 2114 W 8TH ST PORT ANGELES (360) 457 0111 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Charged Paid Credited 112 00 112 00 00 00 00 00 112 00 112 00 00 Date 6/14/10 Due DATE RESULTS 6 4sP s P WA 98362 Extension 112 0'0 00 00 00 0 0 0 Signature of owner or Electrical Contractor X Date INSPECTOR. Building Square Footage: Description of above L-4 c,./ Owner InfoJr nation Name: /-e (1 /J CO Mailing fires .7 City State: Zip: g,7_3J Phone: Fax: License Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 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 /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA 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 Signature of owner electrical co ractor or electrical administrator Unit Charae 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 IEC CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 1 4 2009 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 ELECTRICAL INSPECTIONS Date. /lip rip 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: L4 /rte moo i 1.✓ /re- l'K ifl _PP/7 L¢.c.P Contractor Infor /9"N 6"'• f� Mailing.4ddress. City Or, Phong:?. o License Exp. mation _M7 Cash Check refill Card Dated: (o A/7 01/01/2010 \A c State:tot/4 Zip: 9/'? ax: Co 4'S7 .3/ ?C Total (Qty Multiplied by Unit Charae) /Jo Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to•hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 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. o1 T:FormsBuilding Division/Building Pennit Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP JAIME BAUTISTA 718 ESTES CT PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor WA 98363 Qty Unit Charge Per 2 00 14 8000 EA Fee summary Charged Permit Fee Total 79 60 Plan Check Total 00 Grand Total 79 60 (r/A 10 00000610 936830 630 E FRONT ST 06 30 01 7 0 6300 3010 MECHANICAL APPL PERMIT COMMERCIAL ARTERIAL 10000 ANGELES HEATING INC 2114 W 8TH ST PORT ANGELES (360) 457 0111 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit pin number 167627 Permit Fee 79 60 Plan Check Fee 00 Issue Date 6/14/10 Valuation 0 Expiration Date 12/11/10 BASE FEE ME FURN /HP /FAU OR 5 TON Paid Credited 79 60 00 79 60 00 00 00 Date 6/14/10 WA 98363 Extension 50 00 29 60 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 constructs Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) V k.41 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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 Comments Inspection Type Electrical Construction R.W PW Engineering Fire Planning Building FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 417 4735 1 1 n 417 -4831 1 1 1 417 -4653 1 1 1 q 417 -4750 1 1 I I 417 -4815 �,l 10- 1 1 V J I d Applicant Property Property Contractor Contractor's License Gfd 'P /ha S CO Owner Owner's Address i3cO 5 i Address J Expires PROJECT ADDRESS 4'3a Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof 4,14eat System Other Floor Areas T Forms /Building Division /Building permit application BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential Multi- family n 1 /act 2 c– �1 APPLICATION Print in ink Phone Phone For City Use Only Date Received__(-15 Permit 677/17 Date Approve t7.7- Phone 4r7 E -mail Lot Zoning fioinmercial Industrial House garage other tear off re -roof lay over one layer XHeat pump wood- burning stove gas fireplace pellet stove other Existing (sq ft) Proposed (sq. ft.) Basement 1St Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other 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 TOTAL VALUATION per sq ft. 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 of bedrooms of full baths of half baths /0 e c 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 determ/i�' hat permits are required, and to obtain permits prior tg,w�o n projects Dat� //Y/f Print Nam C am— :NC e- Signature ritgi Application Number 10 00000404 Application pin number 026496 Property Address 630 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 01 7 0 6300 3010 Tenant nbr name FIESTA JALISCO Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 157424 Application desc CONVERT OFFICE TO RESTAURANT SPACE Owner JAIME BAUTISTA 718 ESTES CT PORT ANGELES Construction Type Occupancy Type CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 2 00 1 00 2 00 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date 14 8000 EA 10 6500 EA 10 6500 EA 10 6500 EA Per (er ii I v g,, Go &R Date Print Name T:FormsBuilding Division/Building Permit MECHANICAL PERMIT PLUMBING PERMIT Contractor HOCH CONSTRUCTION 4201 TUMWATER TRUCK RT WA 98363 PORT ANGELES WA 98363 (360) 452 5381 Structure Information 000 000 TYPE V NON RATED BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc CONVERT OFFICE TO RESTAURANT Permit pin number 164269 Permit Fee 1345 05 Plan Check Fee Issue Date 6/11/10 Valuation Expiration Date 12/08/10 Qty Unit Charge Per BASE FEE 58 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 164798 122 20 Plan Check Fee 6/11/10 Valuation 12/08/10 BASE FEE ME FURN /HP /FAU OR 5 TON ME AIR HAND <OR =10 000 CFM ME HOOD /DUCT MECH EXHAUST ME STOVE /FIREPLACE /MISC APP 164806 100 00 Plan Check Fee 6/11/10 Valuation Date 6/11/10 Signature of Cofactor or Authoriz Agent 874 28 157424 Extension 1020 25 324 80 00 0 Extension 50 00 29 60 10 65 21 30 10 65 00 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 pe does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performancyf const on. Signature of Owner (if owner is builder) 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 T /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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Expiration Date Qty Unit Charge Per 4 00 1 00 1 00 7 0000 EA 7 0000 EA 15 0000 EA Special Notes and Comments 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 A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit A KNOX locking keybox will be required Contact the Fire Department at 360 417 4653 for KNOX keybox ordering information and mounting location Labeling is required for doors leading to spaces containing fire alarm control panels and fire sprinkler risers Owner is responsible for ongoing fire alarm system inspection and maintenance per the current addition of NFPA 72 May 7 2010 10 14 14 AM kdubuc Self closing doors must be connected to fire alarm system May 6 2010 12 32 31 PM sroberds The proposal will result in the combination of two adjacent building areas into one structure and will require a zoning lot covenant The work will be done by penetrating an existing interior wall Site coverage will not change No new footprint are is being added On site parking is available for the resultant area at 1 space per 125 sq ft of floor area The site is located in the CA Zone No land use impacts are anticipated May 10 2010 8 59 17 AM Bob Larson 360 417 4706 Once the firewall has been breeched BOTH external electrical service panels MUST be placarded showing the other panel location MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required if any electrical wiring is effected Any modifications to the City s electrical facilities will be at the customer s expense Follow conditions of letter sent May 13 2010 from Community Economic Development Department A separate Right of Way Construction permit application is to submitted to Public Works Utilities Engineering for review and approval May 5 2010 8 16 29 AM rbecker A reduced pressure backflow assembly is being installed on the soda dispenser Will there be another soda dispenser 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:FonnsBuilding Division/Building Pennit 10 00000404 026496 12/08/10 BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL -SEWER LINE Page 2 Date 6/11/10 Extension 50 00 28 00 7 00 15 00 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 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 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Other Fees T:FormsBuilding Division/Building Permit 10 00000404 026496 Special Notes and Comments installed If so then the reduced pressure backflow assembly will either have to be hooked into this one Or if it can not serve both soda dispensers you will have to install another backflow If you have any questions contact Ron Becker 417 4886 or fax rbecker @cityofpa us Fee summary Charged Paid Credited Due Page 3 Date 6/11/10 STATE SURCHARGE 4 50 Permit Fee Total 1567 25 1567 25 00 00 Plan Check Total 874 28 874 28 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 2446 03 2446 03 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet !Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping Electrical Construction R.W PW Engineering Fire Planning Building T /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 Date Accepted By Comments -2-2-- -I8 3L-L G, -1? -t n 1- I- 1 0 Inspection Type So di s sev- bo Kflow Rout f3ecKelr S 31 -to FINAL Date9 -2/IO Accepted by CeZltny Coox 7 -ZO -Io PLC s 0 FINAL Date 1 Ac cc cepted by TLC— SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 1 2 3 1 L 1 m ?onthi C o� 6 (Wes +d�hinp 2Ke o nly) 203/104 4 1 f :300 YLL June 9 2010 Jaime Bautista 636 E Front St. Port Angeles, W A 95362 RE Fiesta Jalisco This includes cost for permit. hoch construction 4201 Tumwater Truck Route Port Angeles, Washington 98363 i C S vc-k- 2c, Ge� CHANGE ORDER Rick Hoch Date Ph 360 452 5381 Fax 360 452 5382 e-mail hochnuolvmous.net licensed bonded insured '1 �a OfieL RECEI JUN 10 2010 CITY OF PORT ANGELIS 2: GO BUILDING DIVISION n �"1 The cost to provide, install hook -up (1) 36x36 vapor hood over the new dishwasher location with 900 cfm exhaust fan and 12' curb, provide, install hook -up (1) 72x36 heat removal hood class 2 over new location for existing ovens (2 each) and 1200 cfm fan and curb, provide, install hook -up (1) swamp cooler and 4 -way diffuser for make -up air service to kitchen, 2000 cfm will be Eleven Thousand, Four Hundred Twenty Four Dollars and 00/100 ($11,424.00) plus Washington State Sales Tax. June 9 2010 Jaime Bautista 636 E. Front St. Port Angeles, WA 98362 RE Fiesta Jalisco Permit to be provided bY. owner hoch construction 4201 Tumwater Truck Route Port Angeles, Washington 98363 -Fo61- r� f\42.),)3 c u k-z CHANGE ORDER RECEIVED JUN 10 2010 CITY U OF DIVISIONS The cost to remove existing approach and fill in with approx. 25 In ft. of curb and 25'x5 of sidewalk per City of Port Angeles will be One Thousand, Four Hundred Eighty Dollars and 00/100 ($1,480.00) plus Washington State Sales Tax. Jairfi- B. r. Date Rick Hoch Date Ph 360 452 5381 Fax 360 452 5382 e-mail hochn.olvmous.net licensed bonded insured Application Number 10 00000514 Date 5/21/10 (P Application pin number 024370 .J Property Address 630 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 01 7 0 6300 3010 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Application desc Remodel expansion 15 circuits 1 panel Owner Contractor JAIME BAUTISTA 718 ESTES CT PORT ANGELES WA 98363 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 165829 Permit Fee 158 90 Plan Check Fee 00 Issue Date 5/21/10 Valuation 0 Expiration Date 11/17/10 Qty Unit Charge Per Extension 15 00 2 6000 ECH EL- BRANCH CIRCUIT W /FEEDER 39 00 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES O 360 417 -4735 158 90 158 90 00 00 00 00 158 90 158 90 00 DATE RESULTS 00 00 00 ft IT/ 6 1'6 e12 rifn 4 Signature of owner or Electrical Contractor X Date INSPECTOR. 2010 -05 -20 12:11 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street- P.O. Box 1130 Port Angeles Washington, 98362 Pk (3601417-4735 Fax. (360) 4174711 Date: C 20 1 _1& 2 Single Family Dwelling Multi Family or Commercial* •Commercial Addition Alteration Remodel Repair' Plan Review May Be Rekurrgd, PlealgLomplgte.Electrical Pla Review I rk Sheet Job Address: 1j `C' '\C' Building Square Footage: Description of above \CCJ w k Y C S Owner I ation Name: Mailin ddress: City VA Phone: License 1 Exp Unit Charge 119.90 145.50 204.50 5 262.20 372.50 5 2.60 S 73.50 2.60 S 92.70 $11030 S 148.70 167.90 S 95.90 5 88.20 S 95 90 5 83.90 63.90 $119.90 5 102.30 $110.30 S 35.20 S 73.50 110.30 S 56.00 NORTH PENINSULA ELEC 3609289409 Zip 0'a 1, t �sv State Fax: (Tptg I lOty Mutilated by Unit Charge) S I 1 "Service/Feeder 200 Amp Service/Feeder 201 -400 Amp. Service/Feeder 401-600 Amp Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 Amp. E Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp ServiwlFeeder 201-400 Amp. Temp Service/Feeder 401 -600 Amp Temp Service /Feeder 601 -1000 Amp. E Portal to Portal Hourly Sign/Oulline Lighting 5 Signal Circual Limited Energy Commercial. Additional 1500 55.00 Signal Circa/ Limited Energy 1 8 2 Family Dwelling 5 Signal Circuit/ United Energy Multi Family Dwelling S Nome Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square FL or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Not Tub Thermostat Total /58 yo Signature of owner. electrical contractor or electrical administrator 0 Check U X Date: 360 417 4711 Contra ss. for In anon Name Cr' X�r�; MaihngAAdre L' �;Z' City: State _q;'1� Phoneull \11. Fax: '1 L Licenser+ Exp, C. r �'L•. HRECEIVEB PAY 2 0 2009 ELECTRICAL INSPECTIONS L) 3— rn 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 296 468, The City of Port Angeles Municipal Code, and Utility Specifications. 11 Cash i P 1/1 W A S H I N G T O N U S A Community Economic Development Department Mr Jaime Bautista 718 Estes Court Port Angeles WA 98362 RE Expansion of 630 -636 E. Front Street Building Permit 10 -404 ROW Permit 07-15 .Dear Jaime During the permit review process.for Building Permit 10 -404, a couple otissues have come up that need to be addressed in advance of issuance of a buildingpermit at 630/535 East Front. Street. The first issue is that the certificate of insurance for the Right of Way Use Permit issued to you in.2007 (07 -15) for' landscaping in the right of way is no longer valid. The insurance.-must remain valid for the life-of the use The City'.s Engineering Division needs to receive an updated insurance-coverage notice each year to retain the landscaping. A site inspection indicates that wheel stops have not been placed along exterior parking stalls abutting Eumce Street (per 14 40 120 Port Angeles Municipal Code) This requirement was discussed during the 2007 remodel project. Additionally, the broken curb ramp and sidewalk along Eumce Street north of the First/Front Alley to dust north of the Eunice Street entry driveway needs to be replaced (per 8.30.045(P)(2) Port Angeles Municipal Code) as the driveway is no longer used and, in fact, conflicts with on site parking spaces. This letter is intended to serve as notice that you will need to either to work the items into your current site improvements, or perform the work before the building permit is issued. With the exception of installing the wheel stops, work in the right of way will require a Right of Way Construction Permit prior to commencement of such work. It appears that you are doing well in your busmess, and we.are happy to work with you on yet another remodel project. Please let us know your intent in this matter at.-the earliest opportunity Sincerely, Sue Roberds Planning Manager ORT ANGELES Cc Eric Walrath, Engineering Division Phone 360- 417 -4750 Fax: 360- 417 -4711 Website. www.cityofpa. Email smartgrowth @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362 -0217 (5%14/2010) Linda Pangrle Re Building Permit 10 -404 Page 11 From Eric Walrath To Sue Roberds Date: 5/14/2010 7 42 AM Subject: Re Building Permit 10 -404 CC: Linda Pangrle, Roger Vess, Steve Sperr Sue, Per 11.12.040 and 11 12.090(H), permits for the obstruction of unopened streets and sidewalk cafes are the only ones that require annual renewal. In this case, the requirement for maintaining insurance for the obstruction was a condition of the permit. Maintaining insurance in force for landscaping is not typically required per 11.12.140(6), but is required for other obstructions. I agree that a mechanism needs to be in place to ensure that, when required, the insurance is kept current. I will see if this is something that our current system can do for us. Regarding the repair of the sidewalk and the removal of the abandoned driveway these are required per the Code and it would seem timely to address these issues as a part of the building permit process. .Eric Sue Roberds 5/13/2010 3•41 PM Eric: When a semi permanent ROW Use Permit is to be issued, I thought a mechanism was set up to bill the property owner each year If a mechanism isn't in place to check the insurance status prior to renewal, sounds like there is a problem there. The renewal fee could be billed and paid, but the insurance likely would expire. I well remember that the matter of closing the curb has been discussed numerous times and that in the latest instance it was determined that the matter would be brought up 'later' If this building permit had not been submitted however how would that have been accomplished? The matter of wheel stops is one we can certainly deal with under the building permit review without fear of a challenge that we are bringing up old issues without cause. The wheel stops should have been taken care of for public safety reasons long ago regardless of other concerns. I worry a bit about the closure of the curb being tied to the building permit because, once the wheel stops are placed, the public safety matter relative to use of the building goes away However I will send a letter informing Jaime that all of the items need to be worked into his building plan. I fully expect to hear from his Attorney Will let you know how it goes. Sue From. Eric Walrath To: Sue Roberds Date: 5/13/2010 12 21 PM Subject: Building Permit Application 10 -404 630/636 E Front St (Fiesta Jalisco Expansion) CC: Roger Vess, Steve Sperr Sue, I have assembled the following comments related to the subject permit application: The certificate of insurance for Right of Way Use Permit 07 15 is expired. This was the permit for the planting and rockery along Eunice Street. A new certificate of insurance must be submitted. Install wheel stops in the parking stalls adjacent to the sidewalk along Eunice Street per 14 40.120 PAMC. The remainder of the comments will require issuance of a Right of Way Construction Permit to a licensed and bonded contractor to perform the work prior to or in conjunction with issuance of a Building Permit: Remove the abandoned driveway from the east parking lot to Eunice Street and restore the curb to full height per 11.08.150 PAMC. Remove and replace the broken curb ramp and sidewalk along Eunice Street north of the First/Front alley to just north of the driveway to Eunice Street (approx. 60 linear feet) per 8.30.045(P)2 PAMC. Eric C. Walrath Engineering Projects Supervisor City of Port Angeles Ph. 360-417-4806 Fax 360 417 -4709 ewalrath @cityofpa.us Applicant or Agent Pro Property Owner p erty wner's Address 1(54 C s-te s Cr P f Iki.f &3 6 3 Phone (Contra)Engineer's Address jjabt PROJECT ADDRESS .nom ey 147, Parcel Number Proiect Tvoe Brief Description. Check all that apply New Construction Addition Xrtemodel Repair Re -roof Demolition Heat System Other Floor Areas Existing (sq. ft.) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 fit, `O C Residential r 1 bga►, l'sfin.q 6. d �,a d. !lure %Heat pump wood burning stove gas fireplace pellet stove other; dosed (sq. ft.) ommercial sq. ft. T Lot size Calm e 4)o' Gk S u o 7 )e m ev,4& p lum6415 perti,r Ric K for So d:$p )se► 1-,ctf-Kflow 4evtce For City Use Only ate Received 6i z2' ermit r) Date Approved Pho aao.(f5 Phone 5 E -mail hock@ of 1 g714. O9ths,WA 6 16 Lot Zoning C pv Multi family Industrial TVA k, crr per sq. ft. la4 cw. CD l 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 permits prig o working on projects. Date a Print Name Signature Oh '13o /I o i'h e her 3air dam t" 6l0 1p o -1. 1 TOTAL VALUATION 1, sq. ft. Lot coverage *per (')ec%aruca.1 Changea tt ft. Occupancy group 11)42/-1 db of bedrooms b ttD ND Occupant load of full baths O' 3 Construction type of half baths ,0r' Y/4 fps r y(o/ ors Ll; permit to BLP °mss 3t2 E ��t S+, 1c X30 vf��. Wiz- y P Nr+-- T Forms /Budding DIvlsion /Notes NOTES W y v c/01 ALI‘te, /re _Odk ‘4µuUf D,cl k-gkeJ L ,c.. ytS Code Analysis for Fiesta Jalisco Occupancv. B2 A2 with incidental use areas as per Table 302 1 1 Occupant Load Existing Dining Area 1262/15 85 (includes Entry lobby) New Dining Area 1125/15 75 (excludes service portion of Bar) The two dining areas are divided with a 2 -hour fire barrier to avoid the requirement of sprinklers as permitted in IBC Section 706 3 9 903 2 1 2(2) Area. Base Allowable Area as per Table 503 for A2 (most restrictive) 6000sf VB Construction Existing structure is less than 6000sf Heigh: 1 story permitted according to Table 503 Type of Construction VB as per Table 601 All walls, floor /ceiling assemblies, roof assemblies, and structural frame may be non -rated Separations IBC 508 3 2 Non Separated Uses No separations are required since the proposed change of occupancy is designed for allowable areas based on the most restrictive occupancy (A2) Interior Finishes Floor Covering Class II materials complying with DOC FF -1 "pill Test" (CPSC 16 CFR, Part 1630) Decorations Trim Curtains, draperies, hangings and other decorative materials suspended from walls or ceilings shall be flame resistant Alarms NPFA 72 system required as per Section 903 4 2 Fire Barrier: 2 hour required for fire area separation Table 706 3 9 4 Qt:i1/2 r q ;4. T f. 4. Cladlum County Assessor Treasurer Property Details 63259 JAIME BAUTISTA for Page 1 of 4 CIaUlam County Assessor Treasurer Property Search Results 63259 JAIME BAUTISTA for Year 2010 2011 s Property Account Property ID Location Address. Neighborhood: Neighborhood CD Owner Name Mailing Address. 2010 45748 oV1D 45748 uO1O 4o7*8 2010 45748 2010 45748 1 2010 46 Geographic ID Type. Tax Area: Open Space Historic Property Multi-Family Redevelopment: axes and Assessments Property Tax Information as of 05/04/2010 Amount Due if Paid on. 3��- 63259 0630017068080000 Real 0010 N N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property 630 E FRONT ST PORT ANGELES WA 98362 Cycle 5 Comm 20953140 JAIME BAUTISTA 718 ESTES CT PORT ANGELES WA 98363 Statement Year ID Taxi Jurisdiction 2010 45748 ST SCH STATE SCHOOL r 2010 45748 CC-GEN COUNTY Agent Code PORT PORT P0RTANG PORT ANGELES ANGELES SD #121 SCHOOL DISTRICT #1u1 wT�ocvua wORT�OLY�p|CL|anARY HOGP*m MOGP|�AL#o WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 45748 R CITY I 201 45748 WEED WEED 7 �u1V 45748 AL. O9 832592OO� STGCM 8T�TEGCMOOL ono 632 CC-GEN COUNTY 009 832*92008 PORT PORT 2UV8 OV25VuV0V POnTAmG PORT u 0O9 632592008 SD 8CHOOL�|__ �TR|�T#1c1 r 12009 632592008 NTH NORTH Legal Description Mapsco Map ID Owner ID °A Ownership. Exemptions: 63 N N First Iwan Base IDue $382.62 $203 64 $59 16 $83 53 $26 58 $U82 $1827 10 $446 53 $226 00 $32.01 a4S508 $552.21 $65 66 TOZIER CENTER COMMERCIAL CONDO PARCEL B BLA SUR V65 P88 12992 100 0000000000% Second Half Base Base Due P�no Paid ��O2 $0 00 $0 00 $765.24 $203 60 $0 00 $0 00 $407.24 $0O2 $28 62 $0 00 $0 00 $57.24 $471 $471 $0 00 $0 00 $842.88 $5917 �OOO $oon $118 33 $83o3 $0 00 $0 00 $167 06 $26 58 m]O� $O0n �16 $7511 $0 00 $O_OU $150.21 $0 81 $0 00 _$0 00 $1 63 $1827.08 $0.00 $0.00 $3654.18 $446 53 $0 00 $0 00 $893 06 An Du $225 6 $VV0 $OUO $451 98 $32.01 $0 00 $0 00 $64V2 $495 67 $0 $0 00 $991 35 $552.19 $0 00 $0 00 $1104 40 $858O $0 00 $0 00 $131 32 http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&propid=63259 5/4/2010 Clallam County Assessor Treasurer Property Details 61463 JAIME BAUTISTA for Page 1 of 6 Clailarn County Assessor Treasurer Property Search Results 61463 JAIME BAUTISTA for Year 2010 2011 4 Property _Account Property ID* Geographic ID' Type Tax Area: Open Space. Historic Property N Multi- Family Redevelopment: N Location R Address: Neighborhood: Neighborhood CD Owner Name. Mailing Address: 61463 0630005121000000 Real 0010 N PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property 636 E FRONT ST PORT ANGELES Cycle 5 Comm 20953140 JAIME BAUTISTA 718 ESTES CT PORT ANGELES WA 98363 Taxes and Assessments Due Property Tax Information as of 05/04/2010 Amount Due if Paid on. Statement Year ID Taxing Jurisdiction 2010 44169 ST SCH STATE SCHOOL 2010 44169 CC -GEN COUNTY 2010 44169 PORT PORT 2010 44169 PORTANG PORT ANGELES 2010 44169 SD #121_ SCHOOL DISTRICT #121 2010 44169 NTH OLY LIB NORTH 2010 44169 HOSP #2 HOSPITAL #2 Legal Description Agent Code. Mapsco. Map ID Owner ID Ownership. Exemptions: First Half Base 58 N N Second Half Base $0 82 $0 81 $1550 14 $1550 14 $376 08 $376 08 SMITH NORMAN R LOT 1 E12' LOT 2 BL 21 12992 100 0000000000% Due Due Penalty Interest $322.25 $322.25 $0.00 $0 00 $171 50 $171 49 $0.00 $0 00 $24 10 $24 11 $0 00 $0 00 $397 06 $397 06 $0 00 $0 00 $417 41 $417 40 $0 00 $0 00 $49 83 $49 83 $0 00 $0 00 $70 35 $70 35 $0 00 $0 00 2010 44169 WSMET PK DIST WILLIAM SHORE MET PARK DIST $22.38 $22.39 2010 44169 CITY STORMWATER CITY STORMWATER $74 44 $74 45 2010 44169 T WEED CONTROL WEED CONTROL 2010 44169 TOTAL. u� 2009 614632008 S_T SCH STATE SCHOOL CC 2009 614632008 -GEN COUNTY 2009 614632008 PORT PORT 2009 614632008 PORT ANG PORT ANGELES 2009 614632008 SD #121 SCHOOL DISTRICT #121 2009 614632008 NTH OLY LIB NORTH OLYMPIC LIBRARY 2009 614632008 HOSP #2 HOSPITAL #2 2009 614632008 CITY_STORMWATER CITY STORMWATER Base An Paid Du $644 50 $342.99 $48.21 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0.00 $3100.28 $0 00 $0 00 $752.16 $794 12 $834 81 $99 66 $140.70 $44 77 $148.89 $1 63 $190 35 $190 31 $0 00 $0 00 $380 66 $26 96 $26 96 $0 00 $0 00 $53.92 $417 48 $417 45 $0 00 60 00 $834.93 $465 08 $465 08 $0 00 $0 00 $930 16 $55 31 $55 30 $0 00 $0 00 $110.61 678 06 $78.05 $0 00 $0 00 $156 11 $74 45 $74 44 $0 00 $0 00 $148.89 http. /vpn.clallam.net:8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =61463 5/4/2010 When recorded return to Cov o c OVA w A e \,,3 b DATED this day of Print Name arv\t L co -c Print Name (Owner Sigiiatu JJ Phone. fib, 60% STATE OF WASHINGTON COUNTY OF CLALLAM -VI aC..S`r- certify that on this `7 day of m and voluntary act fi r for the purposes herein mentioned. GIVEN UN? 1( $'D OFFICIAL SEAL this N0T4 9 0 a co Eva N A 0 ?44pip E t o 0 L I G WA SHE ss ZONING LOT COVENANT Phone 2010 1251568 Page 1 of 1 Protct Covenant Jaime L Bautista Clallam County Washington 05/07/2010 03 05 28 PM 1111 pi I WO Allii 1,1 QiiGCii,1V 147,11111 11 111 I /WE the undersigned owner(s) of the following described property. (insert legal description, address if available, and Assessor s Parcel Number) 0630005121000000 and 0630017063080000 6630 Orro 6,308 0000 '1 ozieN Cavtler cornmear -cial Condo Parcel B X0 3/0 E fret SF 0 63o oo ,:1 (11/3 00 Snii+h, Not-meal g L e �t s4,+zv6S Pas 630 and 636 East Front Street, Parcel B and the east 12' of Lot 2 and Lot 1, Block 21, N.R. Smith LO+ L BL 2./ Subdivision does hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 130 "Z" of the Port Angeles Mumcipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. (Aar (Owner Signature) 2010 day of y �ti.a 20 NOTARY PUBL in and for the State of Washington residing at Port Angeles. Notary Public in and for the State of Washington, do hereby 2010, personally appeared before me known to me to be the individual(s) described in and who executed the within instrument and acknowledged that signed and sealed the same as free 2008 1215299 Page 1 of 2 Protct Covenant Lane Wolfley Clallam County Washington 01/28/2008 11 05 02 AM Gcio /C 1111,KIVi ATUniliiiiihlrli!r rliAli'Iir1C411N'i 11111 630 rom± St re e f V P(P5 1u,4 gq 3 G .4 When recorded return to Lan ZONING LOT COVENANT 1 1 )„,B, t ITT JAN 2 9 2008 CITY OF i'Ol TANuELI: Dept of Develovn n± I/WE the undersigned owner(s) of the following described property- (Insert legal description here) f (`,1 D 300 6 o Z� (so I o� Jee �Xh /��f 4 C7 (30 0)(30 go) (3o so) C7 06 3000s z1d0 do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17 08 032 `Z' of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58 17 RCW (subdivision regulations) and /or the City of Port Angeles short subdivision regulations (Ordinance No 2222, as amended) This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant: is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DM'ED this Zr day of 2008 /Owner)/ (Owner) er) (Owner) STAT F WASHINGTON COUNTY OF CLALLAM I, 1` C t z i Notary Public in and for the State of Washington, do hereby certify that on this25 day of 2008, personally appeared before me L,Amt._ and frAr— to me known to be the individual(s) described in and who executed the witlun instrument and acknowledged that u_-r signed and sealed the same as ■free and voluntary act and deed for the purposes herein mentioned. \111 GIVEN UNDER MY HAND AND 4 ihis _ZS day of 2008 l/ 81 Z i NOTARY PUBLIC in and for the State of Washington residing at Port Angeles. 1111%,.‘‘‘‘ S`� This document must be filed with the Cittn'brY1t110Dlxyi�ty Auditor s Office and a copy returned to the City of Port Angeles to be included in City records. ss 6 0 rn Exhibit A Lots 1 and 2 of Block 21, N R. Smith Subdivision, Townsite of Port Angeles, Washington c ORT a4 ,w �N WOLFLEY LANE J 560 MONROE RD PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000595 Application pin number 578775 Property Address 630 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 01 7 0 6300 3010 Tenant nbr name LANE WOLFLEY Application type description RE ROOF Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 4000 Owner Contractor WA 983629328 OWNER Date 5/24/07 Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF MANSER ROOF Permit pin number 102723 Permit Fee 123 75 Plan Check Fee 00 Issue Date 5/24/07 Valuation 4000 Expiration Date 11/20/07 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the e to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specifi- erei or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or .c- law re:ulating construction or the performance of construction Signature of Contractor or Authorized Agent Date ignature Owner (if ovyher is builder Date T \Policies \1 IO2_I5 building pennit inspection record05 wpd [1/4/2005] CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-473' FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NI' WOKA BEFORE INSPECTED 4ND-ACCEPTED. POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) 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 ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING R. HOLD DOWNS SKIRTING PLANNING DEPT 'SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I 1 BUILDING 417 -4815 T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGTNEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY DATE ACCEPTED BY. DATE ACCEPTED YES NO 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 PERMITS (360) 417 -4815 FAX(360)417-4711 Applicant or Agent: La-ii 14J'i) Phone: 67(9 6 Owner L._ 14 E f Jo f (Q-c v Phone 14 Address: 7I "g -A t a ST '1 �St City PA- Zip q' 51 3 6 Architect/Engineer ki /a- Phone: 670 (f. Contractor LOO lc .e.,, State License Exp Phone: Address: 7/3 J 15- City PA- Zip q' S6 7--- PROJECT ADDRESS E a qr Preset 5Q i PA ZONING LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION Residential New Constr XRe -roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION OU `'r' BRIEF DESCRIPTION OF THE PROJECT �/rit. iL, i l.. a zie .1. 441S--..e u i y COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: Lot Size: Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other OA 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 Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that have read and examined apply for this permit and understand that it i must obtain such permits prior to wort T•\FORMS\B1dgPermitform.wpd Applicant✓ BUILDING PERMIT APPLICATION Existing Sq. Ft. Block. Subdivision. tion and know the same to be true and correct. I am authorized to sibility to determine what permits are required ,not the City's, and that I Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. Date: FOR OFFICIAL USE ONLY Date Rec. n5 -2- Pennit 5 I S Date Approved: nS 14-0 Date Issued:41 07 APPROVALS PLAN BLDG DPWU FIRE. OTHER. FEE RECEIPT NUMBER St-J II) , <'Z S' t ("J/ r flUI r rV CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A 810 .;, PERMIT NUMBER !- TOTAL FEE 2-b ~ $7&-N CONT. LIC. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY NO OCC . ~CY OR USE ESTABLISHED UNDER THIS PERMIT Site Address ~ -, N APPLICANT PERMI.TS WITH WRONG ADDRESSES ARE CANC~,L:..o , Owner Installation By (2.A--, ~ ~~ ~ ~1 G-tJ Owner's Address rJr""" Installers Address '7? 1>, P~. R D Day Phone 4:)L- 4b33. Installers Phone. ~ - ~~ Ap~llcation is hereby made for Permit to install Electrical Equipment as follows:. 11-1<; :. .xr:' 5'/MJ_ ~() CPlto:ldfl"""'- 'nl -tKI:<lH.l6 C.d:o.J,r- Wiring Method ('tJJJJpU I q-- : .~ NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA '0 30 CIRCUITS CIA '0 30 LIGHT SIGN , !~.4 X 2I.,~ LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIAE ALARMS DISPOSAL BUAGLAA ALAAM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE #. FURNACE . SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT . "'7--~ ~ TOTAL FEE ELECTRIC HEAT SIZE OF SEAVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G. I SUB. TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performernder this 7rmlt will be done by the Installer and l/cO f . mance w Date Application made 1 2- (, "if 7 ,19 B I CONTRACTOR OR OWNER (OR AUTHO ED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the~CItY'of Port Angeles. o Cll R OF CITY LIGHT .E.C. Elecfrical Code. \.:..," . ,~.., . ~,~. " \ . . \.. Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. By PLANS APPROVED :\ _\ , ' . Date Permit Issued WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Dupllcate PINK. Triplicate WHITE CARD. Inspector's Report . OLYMPIC PRINTERS. INC. , . " . ;, REPORT OF INSPECTOR .' DATE OF VISIT MADE BY REMARKS , . . " - .:..;; " . " ,. ~ .- "-.~ '- , " " -'. " , . : .' ; . " " .. . .. , .. . , ., , , . .. , .. .. , - , " . , , O.K. I"un ....uw ",RING , //A nv "'--.BIl .~~I ..e".....", , 11;)7/f7 -'"/I ,,- 'FINAL O.K. . I ( f , .. , .. .. . z c:l ~ cl: ::i! ~ :t: I- Z W I- ~. I- o Z o o .