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Home My WebLink About1718 E 1st St - Building ~POAT'4: t;,....~~ (j,.~. L ~- "'i.""'" 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 07-00001152 Date 10/04/07 161088 1718 E 1ST ST 06-30-00-1-0-1305-0000- JIFFY LUBE & EXPRESSO DEMOLITION COMMERCIAL ARTERIAL 75000 Owner Contractor RUDDELL PROP MGMT RPM 2 LLC 110 GOLF COURSE RD PORT ANGELES WA 98362 (360) 452-6822 Structure Infor~ation 000 000 J & J CaNST OF PT ANGELES INC 233 ALICE RD. PORT ANGELES WA 98363 (360) 457-1809 DEMO 1,000 SQ. FT. BLDG. Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date DEMOLITION DEMO 1,000 SQ. FT. BLDG. 112508 50 .00 Plan Check Fee 10/04/07 Valuation 4/01/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 ~.. /: ~C?~ / :< cy 0;:: 'o~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This perm it 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. AIi provisions of laws and ordinances governing this type of work wili be complied with whether specified herein or not. The granting of a permil does not presume to give authority to violate or cancel the provisions of any tale or local law regulating construction or the performance of construction. 'D-l.{-or Date j,.1\ -::r- s.,-~w"c,...1';.1L- Print Name Signature of Owner (if owner is builder) T:FormsfBuilding OivisionlBuilding Permit (IO/OI/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 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 LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE o ....j INSPECTION TYPE DATE I ACCEPTED COMMENTS YES I NO FOUNOA nON: rOOTINGS sr"IEAR WALLS I WALLS FOUNOA TrON DRAINA.GE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO SLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL . WALLS CEILING I I I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL aNL Y) T-BAR INSULATION SLAB I WALL I FLOOR I CEILING I I 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 I SLAB . BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT If's SErA: PAIU<ING/L1Gl-ITlNG 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. BUILDING 4174815 BUILDING jj,q-Ci7 JU-- \J1 ~ -J (Xl ft\ l/) -t V\ -t f 0- T:Forms/Building Division/Building Permit (10/OI/07),wpd s-\ :p, 1- c W ~ ~ ~-" O~ ~O , m 0 , ~ ~ 00 ~" << "0 m~ O~ mm ~w ~~ . ~~ ~ ~~ " m " 00 . ww ~ '" MM ~ 0 ~ ~ " 0 ~ ~ ~ > < '" ~ 8 00 " zz ~ " O~ ~ 00 0 " " ~o "" H " ~~ ~ "" 0 ~ 0 ~ " z "~ 0 0 0 z ~ ~ 0" 0 HO ~ ~ ~ ~ "" " 0 0 uu Z o~Q " 00 0 ~~ z "" ~ ~ 0 ~~ Z~ -. ~ ~~ U 00 ~o ,~ ~ Z HU < ~< 0 HU "' Zl.<wZ U ~ "~ H<L!'<tH ~~ ~" u,~....:lr:.. 0 ~s ~~ ~z ~ <1.1 >< [) 0 ~~ Q ? ~ Cl OD::E:OO 00 ....:l 0 ot ....:l ~~~g~ 0" III Z CHO 0 , ~ ~E-<E-<U)..:1 0..0..::<':00 ~3}- " ~M~ " M rilr:..::;:......t:i1 "~ 0 " 0 '0 .~o ~. "0 oz~ ~ "0 ~ H~O ~ E-<fllUl!l:......1f1 " " UllllZP< ~ H m ~oo o~ ~ ~ ,..:lU....:Joo 0 0 0 0 , 0 ffioO i - ~ >O,"=,Woo 00 ~ ~o m" OMO 0"" 0 o~ ~~~!3~~ ~o , ;;;~ oo~ m ......'":l':lO:oo 00" 0 0 ,,~ , '" 000 H ~" " " ffi"U H ~o . W" '0 " zo w 0 0 ~ " 5 0" -u ~ "0 ~"< ~z " " 0 < ~~~~tJ.-:J H ~ "'" ffi , m 0" C1ZZZo:n, " m "H ow oS;: <J;P-. '" ~ "U .o::E-< uo 0...0:: " " w ;, '< f ,.,.. '.' , I.:,,;." '. '. .' (.: ~; ~ORTANGE:L,ES &ec{c; ..::: WAS H I N G TON, U. S. A. Public Works & Utilities Department October I, 2007 J & J Construction 233 Alice Rd Port Angeles, W A 98362 RE: Port Angeles Landfill! Transfer Waste Disposal Application, WDA 07-46; Building demolition at formerJi.:.. Llul..S 1718 East I" Street, Port Angeles,W A J,'ffy LIJ~e:)(pref>SO \W We have received your application for disposal of building demolition debris from the referenced s'ite and reviewed the testing results for lead content. Based on the testing results the debris appears to be acceptable for disposal at the transfer station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal. Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. J::::~r Stephen Sperr, P.E. City Engineer Enc!.: WDA 07-46 Copy: Claudia Stromski Bldg N:\PWKS\ENGINEER\ WDAPPU007-46 File: Landfill Solid Wnste Disposal Applications Phone: 360-417-4805/ Fax: 360-417-4542 Websile: wwwcityofpa,us/ Email: publicworks@cityofpa.us 321 East Fifth Street - P,O. Box 1150/ Port Angeles, WA98362-0217 , . ~ 'PORT .11,0\1; o G ~4.'" .... ~~~ CJ., a.....:tJl ..U ~~ ~! 1:> (i<'Y ~Ai<" To: (VDA- 0/- <tV. PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION City of Port Angeles, City Engineer 321 E Fifth Street P.O. Box 1150 Port Angeles, Washington 98362 Phone: (360) 417-4803 FAX: (360) 417-4709 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: Phone: Project Name: Project Location: '" J --s- C>J')1/!uC~o--' Z~~ 0Uut RJ, P~7 /~IV{{-<(;"S" h_A 46 (- Y _ Z'1 l$co77 ) /5<.)1<J:>,-v4 b...........o1,-t,.yJ 17/-3 Ii-'K 7' A- rz..d S 0:"S-f -1') 9bb{,,"2 U /1 I ?YZ 7 /J";&;.~"" s 2. Other Contacts (if applicable): Consulting Firm: Contact: Phone: Contractor Name: Contact: Phone: Laboratory: Contact: Phone: 2-7--tI c) J t c.. .J 4""", ..:Cv c- . f~o/ cl,,(\,{lc L( I ) - ()57J ( --3!..s c;JN"Sf""-'-'c rAY<-' Cc..e.-r-r 3<-<-f<.-A6Li..1.2. l/6r-l{,2..1 tJ vL LA4",z."'\.,....A.~.s "7-<.JG AI~/\I1A6 17..2A7 ;)..CJ( --S1f7-01()O City of Port Angeles.. Landfili Waste Disposal Application Wed,10/4/2006 0:4 PM Page-1 , , . 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup that will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable). CERCLA/MTCA Remediation Independent Remedial Action Unused Chemical Product Spill Agency Contact: UST Removal ~ Other Source~OU "t"<ON . 4. Waste Material Composition: (check all that apply and include percent of total) Soil - % Concrete/Asphalt - % Preserved Wood - % Coal Ash - % Wood Ash - % NOTE: Total must equal 100%. _ Foundry Slag _DID _ Dredge Sediments _% ---.t:.. Debris IQ.Q... % _ Other (list) _% _% 5. Waste Material Contaminants: (check all that apply) Gasoline ~ Solvents Unused Motor Oil Other 7'0/'<6 hn. 1'&...0 (<:4<l_ /};4O;"'o\ S"~.&Y07'fM-> Metals _ Heating Oil Used Motor OillWaste Oil Diesel PCBs Other Petroleum Product NOTE: Unknown Supply any MSDS information with application, if available. City of Port Angeles - Landfill Waste Disposal Application Wed, 10/4/20060:4 PM Page - 2 , . 6. Estimated Quantity of Waste for Disposal: 2--) Cubic yards / Drums/ 30 Tons (estimate both) Tons (estimate both) Other NOTE: Estimated quantity for disposal must be within 20% of the quantity actually disposed. (10% for projects over 7,500 tons or 5,000 cubic yards.) 7. Frequency of Disposal: -X One time _ Monthly Annual Other 8. Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples. The methods and equipment necessary for obtaining representative samples of a waste, and the frequency of sampling, will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled. Include site maps with sampling locations if possible. Number of COMPOSITE samples! F & number of discrete samples per composite S Number of DISCRETE samples S- f "/.-L :;~u'" II<. I. 'V1.ItI--t. o~ -;'.:il"-'- NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling frequency will be used: 0-25 25 - 100 101 - 500 501 - 1000 1001 - 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards = 1 composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples 10 plus one sample for each additional 500 cubic yards contain a minimum of three/maximum of five = = = = = NOTE 2: One composite sample shall discrete samples. City of Port Angeles - Landfill Waste Disposal Application Page - 3 Wed,10/412006 0:4 PM , . .~ 9. Waste Analysis: The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication #91-30 (Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from UST releases. Submit all laboratory analyticai results, QA/QC data, and Chain of Custody sheets along with this application. (NOTE: The laboratory must be accredited by the Washington State Department of Ecology.) . a) List all anaiytical test methods used: i;jJft /311 llvo06 . b) Prq.vide a narrative as to why th~ above analytical methods were selected: jJa$S,$(/~ -(......~ ~S-<6 /'40'>17 ~ Or" ;::;"-r-t-JC7"I//fM :50 ~-r~~ -- fop-. G446 &s0, fJ4t^rr Additional sheets attached: ~ YES NO NOTE: 10. Soil Classification: (-FOR PETROLEUM CONTAMINATED SOILS ONLY-) Based on the analytical data and Ecology Publication #91-30, the soil classification is: (check one) Class 1 Class 2 Calculated Hazard Index . . Class 3 Class 4 11. Dangerous Waste Affidavit: Based on a review of the analyticai test results, site history, and the applicable regulations, this waste is classified as: (check one) --1(.. Neither Dangerous Waste (OW) nor Ex1remely Hazardous Waste (EHW) Dangerous Waste (OW) and Waste Code: Ex1remely Hazardous Waste (EHW) and Waste Code: City of Port Angeles - Landfill Waste Disposal Application Page - 4 Wed,10/4/2006 0:4 PM . .. 12. Certification: We, THE UNDERSIGNED, certify that this application is true to the best of our knowledge. All information provided is correct and the enclosed analytical' results represent the proposed waste ate rial to the b st of our abilities. Was Generator Signat ~c.-'1' 0<...ev;""~<' Printed Name 7~DU(<- .f compa~ tt 2.7}0 { Date ktl(j4~5 , J.--rc City of Port An~eles ~proval: \ ~O/U~1~-J&- CitY ngineer /0-/-07 Date :5~ ~f2aV I?~. /2 -1-07 Approval Expiration Date City of Port Angeles - Landfill Waste Disposal Application Page - 5 Wed,10/4/2006 0:4 PM SEP. 20; 2007- 9:43A~NYL LABORATORIES INC NVL Laboratories, Inc. 4708 Aurora Ave. N.. Seattle, WA 98103 Tel: 206.547.0100, Fal<0206.634.1936 www.nvllebs.com , NO. 2883-P, ~==::;-) . A/HI'. I AIHA . IH # 101861 ~~.;~lJ . WA - [JOE # C1765 J.A80RATORll'.' Anal sis Report Toxicity Characteristic Leaching Procedure. Lead (Pb) Client Zenovic & Associates, Inc. Address: 301 E, 6th St. Suite 1 Port Angeles, WA 98362 Batch #: 2713498.00 Matrix: Bulk Method: EPA 1311170008 Client Project #: 07219 Date Received: 09i17/2007 Samples Received: 1 Samples Analyzed: 1 Attention: Mr, Tracy Gudgel Project LocatiM: 1716 East FrontSt., Port Angeles 27089136 07219 RL mg/L 0,4 Results in maIL " 0.4 Results in ppm < 0.4 Lab 10. . Client Sample # " Sampled by: Client Analyzed by: Ahmad l2Zat Date Analyzed: 09/20/2007 DRAFT mg/ L =Milligrams per liter RL = Reporting Limit ppm = parts per million '<' "Below the reporting Limit Note: Method QC results are acceptable unless slated otherwise. Unless otherwise indicated, the condition of all samples was acceptable at time of receipt. .. , SIP, 20, 2007 9:43AM NYL LABORATORIES iNC" NVk.!4boratories, Inc. CHAIN,()f CUSTODY 4708 AurOfa Ave N, SeaI\1e. WA 98103.. SAMpLE LOG .Tel: 206.547.0100 Emefll. Pager. 206.344.1878 t.88e,NVUABS (685,5227) Client Zenovic & Assocleles, Inc. 5treel.;OO\ G lr,V\.-.. ~eel< 1:t.1 NO, 2883 .p, 3 BATCH ID 2713498.00 '--' NVL Ball:h Number ClIent Job Number Total Sample. Port Angeles 0 Pro;.",l Monager.1 -7......G1' ~~ Tum AtIlund 'rime 1-1-1r 0 24-1-115 04 Days ,-- -;:- /; 0 2+trs 0 ~ays 0 5 Days Project Loc;ation nip, n,wl" ~ S1.' I ro<tr ~.f<,u 0 4+trs (i.;l'3 Davs, .06 to 10 Davs _call lor TAT leU IhBn 24 Ho; emilil addras.s 1h......C ~-".,...<i "f' nl?.lcr Phone: (360) 417-0501 Fax: (360) 417-Q5M . 10 "'be$loS Air 10 PCM (NIDSH 7MlO) 0 TI<M (NIOSH 7402) , CJ rEM (AHERA) 0 TEM (SPA Levell!) 0 other 10 Asbestos BUlklo PlM (EPA/60lliR.931116) 0 PLM (EPA Point Count) 0 PLM (SPA GrevlmlllrY) 0 TEM Bulk METALS Dot LImit Matrix RCAA MotaIs DAJl8 Ulher _Ie ~o\al Metals [?'"ppm (MS) [l Air Filler ' o Paint Chips o Anlenic (As) o Lead (Pb) U All 3 TCLI> , o ppb (GFAA) o Drinking waler o Paint Chips (Area) o Barium (Ba) o Mercury (Hg) o Copper (CuI U Dust/Wipe o Wasle Water o Cadmium (Cd) o Selenium (Se) o Nickel (Nij , o Soil o Chromium (0') 0 SilVer (All) o ZInc (Zn) o OtherTypB5 o Fiberglass o Nuisance Dust o Rolomeler Calibration o Olher (specify) I of Analysis 0 Sitica o Respiflll)\e Dust 0 Mold/Fungus Condition of Package: 0 Good 0 Damaged (no spillage) 0 Sel/ele dama.!l!' (~p,i1la.\le) \J - - - .. Seq.' LablD Client Sample Number Ccmmenls AIR 1 ,~.o<I --:&.4 (~ PI IfNYt. /./.,.. R-wt..tr 2 . 3 4 . . . -_.- ~ . ~ 7 8 9 10 11 12 13 . j 14 I~ --_. 1~ sWpttd bY Refinquished by Received by Ana:yxed by ResultB Called by Iblsulls Faxed by rme f:~ ~d .f< . -. . ...~" -..-. Special Instructions: Unless requesled in ...,ling, .11 samples wl~ be disposed of two (21 weeks after a""ly~is. Pl,vrS'i r~'f" f!..r.oIJl.-IS '-....-/ 0~/19/2007 15:29 3504171457 09/19/2007 16:25 FAI 360 491 6308 SEP-.1l-2007 1aS':$P FRO'1; , I , -~gCE~D , SEP l!) 2U~7 ORCM I Notification of Demolition Penni I 1111 ~~~='''- liD _....... ................{Dr ~-_......,of -.. ........ · ... ~ .,_IiD....... ... . w........ _ r... __' . ""*" or dIo' .~ ...... tire _ Dr ............ ... J...... _~...1 ... QIICA, L. A..,... ........"'. lIlr . .1DlI.".... ... ,...,.. . ........ tIIat ... ,. DO ..... . - -"~..-rfI1 ""-_."1lI .. ... If. .... I _ I . ~ilot Site Ad": 1'1 I B _ f I $I So T~ 6, CIlIJIq: C iAu...A V\ Otr..l.o~ A-rj(.\c.S . SlIIle: lA!JA . lip: 99"* L Sl8diDg flow:: i Oc-i. B P=pJIlIioa D;a: .?J;;; I "J -cn-llla 101"'''''-- -';1l8Iim poIilllllilllB ow8prmJl'lllliI~} f\_ty Ow-::fJJJ( Prllf;l.tyM~......r~.f-elephoue,3l,il-'tS<. -1.9zz. MaJiqgA~ 110 ..s ('O1.-=' (<Jo.J'<'<' P-o.,.J Ci4'~p,,~ ~~.\o. DeOl.ollil"iI~r. 'Jd' 0",,-4-~..Ji',..J MaiIirlllAddraf: .:n~' A\~CL ~'I.\\ ' Cl1y: Po~'t' A11'.\<''' CouIacl f'enaa:~ (,1\ S c.\' """'J kr YES NO v L D......litinn by w~ or DiwMIIlUaa'J (S'15.OOfee) dIed:.lISZ2. / .1c' TnUiDg file n..n....Iian'l ar~ 8lllIdI1iJe a..-~.l'I!lJU'" ftlrlnli1liaa 0.-) jL Jl-lvatios.Alte..... p""""""'\as.JI..:_-. Cll'odlet~'1 .J.!!" ~ __... _ ~~ ..1' OJII:A.A. 2E1 er ...... -... .. - _ ,.It. .... .. ........,. ~. I IIeim ....... . If n..... IP.., .a.c.. macnI""" . ' - ,.ojoIIlr ~ ~ ... 1m JIIIIioom=l '" . 00llI/II;d ~ ~ 1 """ oil _ at polMllollp lIiollIa _ Ie ..-w ... 8l\f "'-~W ....... lIoli:r to ClRCAA ~ I Atlida I' Ibr _, .~A_IUI tb. -r.".,. : .AII__ S_,'53 C ~..~ by ,UUnrA o..~"__~n'" ~I,\~ c-:&-~.~ ~-;;;ij""d ";" 701 !!re/V I '. ' 11118......_.4 ~ - OJlllll lie avaiIobtc 11 ~ jab. _.0'1I11Jl12 ORCAA s~ 1.J A PAGE 01/01 TO: 13604170514 @OOl/OOJ P.9 PERMIT"~~~1 d"t'S APPROVED C' - - O-r CONOnnoNAllVAPPROVED NOT APPROVED FOR COMPliANCE WITH ORCA~EGU~nON 1 I. . ~ ., ru J S _.~.."".IVL - r Pax.: Zip: ~93b""L- S_U_I: -:I~(.)Nl'J- iJ<-J9PIl s"'.... wA- T~36i)..'l57-IB{J9 Zip; "193(,3 Pax: 1,(1)-'1.51-5/"''1 , ......as ~ - _r. r, 'c..~~~'r~- t-. 29t08 LimllIldX-W. 01...... _~9lllII.2 ~1CN4 . lIllI fZl-- . .....NII-49I_ ~ ".......... . auiI: uIb~Cft! PAID ~1!~~ sepCl1-200i. el6:35P FROM: TO: 13604170514 P.2 Northwest Asbestos Consultants 406 Reed St. Port Townsend, W A 98368 360-385-0584 northwestasbestosconsu1tants@cablespeed.com .I:la.te; 9/11/07 Tob Site: Express Lube and Tune Building 1718 E. 1st. St. Port Angeles, WA 98362 Contlt"ts: Zenovic and Associates Tracy Gudgel, PE 301 E. 6th St. Suite #1 Port Angeles, WA 98362 Suhif!("t: Demolition InsDector: Bob Withertdge AHERA - Building inspector / Management Planner WAMOA - 0042-10270601 Expires - 10/27/07 SEP"ll-2l!l07. 06: 35P FROM: TO: 13604170514 Scone of work I} Building survey and inspection to inspect for asbestos cont"lnlng building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Report to Tracy Gudgel, PE of Zenovic and Associates. Summ::lrv of Insn@("dnn Requested by Tracy Gudgel, PE of Zenovic and Associates. Inspection of suspect asbestos contlllnlng building material (ACBM). Inspection was made single story metal and wood framed building. Cement slab and ceramic tile floors, metal and vinyl clad windows and electric heat. Approx. 1400 sq. ft. No suspect of ACBM. All asbestos cont"lnlng building materials with a reading of greater than 1961s considered a hazardous material if disturbed. Removal of any hazardous materials must be abated by a certifled abatement contractor which follows the rules of the EPA and governed by Olympic Region Clean Air Agency. During bulldlng demolition, it is possible that additional suspect asbestos conTaining buIlding material (ACBM) may be found With In a wall, floor, ceiling or other areas not accessible at the time of the survey. Should such suspect material be discovered an AHERA cert:lfl.ed inspector will have to sample and test the material to prove it is of non-asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiabie with reasonable diligence. 'IbaDk you, B~tu~ Bob Witberldge, E.F.M. P.3 SEP~li-2007_06:35P FROM: TO: 13604170514 P.4 , ~ "<. .: ,':' '/ ~.,. <- ,/,/ ,/ ,/ , - ~ /.' : / ,'.....: ' : ,'/ .::=:> .':....,: " ,r ~,/,,: l" /, ......../ ~ -~ ',,', ,/ ~J' ,'" i0.( ;:~\,~:. ,'. ......,: "", :,:' f"---.,;'/ ~' f.'" , ~:~" ,.-,...' /.." :/,/ " " " /,/' , , , '. ". , , , " , '. ". ~.._-,.." c.. ,. , . , ' ,. . /}/'" ..--...-: /j,/::. ............ ,f:.::.,.. ",,': -.' '1.'~_ ---.. , '. ". -'--- , , '" '. '.' ..~-.. ". ........ ....-.'~ .....~. ........ \i " , " " ........ " " """"j /"''',,,,,, " " '" '. '. .......... . , , . , , . , . .,---,,' " .' .!J / ,',JI i ::: 1 L!.,.~ f\ "~':! ---- . " --..... '------- ----. 1714 :..... ". ...... /> :' :,///' " ..... : ;------------..- ~ : .. --- -- --"-- '., " " " " " '. \j . . . , , , . , .-----,. 1'--": . , .' / ,::::::::::::::::::::!} ,'--' . " .. ~::::::~ ,/' ..- " _:.~:.) / ...",- .., I -'J .:;] BUILDING PERMIT - APPLICATION Fill out COMPLETELY aud in INK. Your application, prescriptive energy form, plans, -specs, and a 8 ~" x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 FOR OFFICIAL USE ONLY: DateRec.:~ Permit#: 0"1-\\1;') Date Approved: Date Issued., Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Applicant or Agent ::r j J (,:),.)5-+ t2.,^c-~I'Il"- owner.-li"\~flJl-\) A- ~v...~J1..\\ (IDS. ContractorlEngineer ns Owner's Address (..., I':: (0<-1 --j<- (::>",J ITt4<.c.-+'o....J PhoneY r;,- (80 '1 Phone liS '2 -~8z.,L tJ 1A- State License # ::rT~.).N?' 0 '7'7?fiExpires 10 - 2-0,> 9 Phone ContractorlEngineer's Address PROJECT ADDRESS: 1"7 I 6 LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: E loft- 5Tt...i:CJ ZONING: ('.A. Block: Subdivision: TYPE OF WORK o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel )!!- Demolition o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THEl'ROJECT: (Jf:."'1 ~ I.. i TIw4 1> i:.e,,-..Jc.( o Stove o Garage o Deck SIZEN ALVA TlON SF. @ $ /SF. = $ SF.@$ /SF.= $ SF.@$ /SF.= $7">1000 TOTAL VALUATION $ or: F~/~I-.'...J9 ./ !.'<lt~/ ~ 5;:?t!ejj" 3.... /i l,~ / COMMERCIAL/RESlDENTlAL: Occupancy Group: . Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft. & Proposed Sti1Jcture(s) basement Sq. Ft. 1" floor Sq. Ft. & 1" floor Sq. Ft. 2'd floor Sq. Ft. & 2"d floor Sq. Ft. 3,d floor Sq. Ft. & 3'd floor Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq.Ft. TOTAL of existing & proposed structures Sq. Ft. Maxiinum Height of Proposed Structure(s) Ft. iDD 0 if> Are you planning to instalL a lawn sprinkler system? (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) V ALUA TlON OF CONSTRUCTION: In all cases, a valuation amount most 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRA nON OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested ill writing and justifiable cause demonstrated. (IRe/lBC 2006105.32) I hereby certify that / have read and examined this application and know th ame to be true and correct. I am authorized to appiy for this permit and understand that it is my responsibility 0 d rmi wha ermits are required, and that I must obtain such permits prior to work. Date 7-17-07. Applicant T:\FORMSIBUILDING DIVISIONIBldgPermitAppl.-2006 CODE - backup.wpd # tJs~ q&[3 ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee DATE iO-;S--dOOS- Address of Proposed Buslnes~ ~ i11K' 6- ri--st- ~, -2l. WPr "l%.'\l> ~~:~t .~~'~I e'Pt~'4\ ~i ~C- ~1<-'-e,.) ilJA..q'{.~l:,~ Phone: business 5I51'db1-'i{lf'll home ;.jJ" SV'-/7 Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: Block WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . Electrical changes . Mechanical (heating, coofing, stoves) ........ Plumbing changes. New or relocated signs . New septic tanks . New sewer service. Admission charged to patrons ............... Is this a home occupation? . Excavation of filling of lots. Work done in City right-af-way . Is there sufficient off~street parking? . New driveway openings A grading plan for site drainage. . (parking lots, downspouts, etc.) . . Are the existing streets paved? . Are there existing sidewalks? Is there curb and gutter? . . Other. SI-k.,p New Business. . . . . . . . . . . . . . . . . . . . . Transfer of Business loc Ion.......... Change of Ownership . . . . . . . . . . . . . . . . New Building ............................ Remodel . . . . . .. ........................ Temporary Busi Change of Us . . . . . . . . . . . . . . . . . . . . . . . Subdivision Of>. 0A- o sr .-1 6"""" ro ) ) X) ) ) ) ) THE FOllOWING Will BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer ,...J 4) Mechanical 4) Pawn Broker 00 5) Sewer 5) Dance 6) Sidewalk installation 6) Holel - Molel fT\ 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Ta1l00 sr,p be Ie \f) 10) Water meter installation 10) 01her U S. "f- -r- 11) Fire 12) Occupancy ~. 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other -I.... I hereby apply for a Certificate f Occupancy and acknowl- edge that I have read this plication and state that the information I have suppli is correct to the best of my knowledge. AP ROV.E~/ r/l Q U Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. JiJ1f0 S R JD)/olof? &lJ f I Date: IO-?rdO~ Signed: =f6(~) -::?r+- - Comments / Conditions '\ ~\f\~ J ~ 's 00\~ \' \0 N 0\.\<7 ~ 0 }f'f\ /I \ ,j(}- 17 . ~/" /' 0 \ " \ \/ \ \ " ~ ~ U'J 7 > "is ~.~ ~ 8 U ~tj~ L"....(3 : a - -~.....,,~~-~ ...... Z ~~~. ~ u ~,~~ <C " " " ' '.... """ a "'".I '_ ro .......... 't :S.:9 '3 Qj ~ ~ ,.. ~ ,- rfJ ,c,' (fI .... /;r) ~ ~..5 ~ " VJ 00 ~ ~ :;::-, ~ oQ;::: dJ il.J 0', U-' . ..,":\ ~ g'<Q.5 ~ ~ .as :.< , t; ~ ',"- 3: I c: ~ ".... ".-.u Cl .... O~ ~~O ~.~ ~ ~ ~ ;,/. ,~~ < Joo.I'I .~ J... ~,,,_ ~ a 0 O ""'.r./J '::: !::""".z ,'0.. .14= ,.'" ~ ':-0" c.~, ~ . -< ',,~ ~' - .., ~,~ . ''''0 If. ',,~;.::::. .. 1:! .~ Cl'" . jro .a.. ...... 'l-ol ::u..... ~ ~'i:::l,o ,'" ~ ..s::: .....'~ ~ ,m /0::: o 0:0.1)' ; '::.1'~S ~ ~\ "l. nu =~ it?] ~ ~;~ '" 0 -- ::::: :='_'~ ~ o' > 1-.::1" H:- -~ -3 8 ';~\9 ,-,g z 00 <(" '- """ <l,"'? ~ ::: - r~ ~ --;,4~"_:';;" ~"g c ~ -':\ "-I :~:%il'" 'U ..... & .~ \:, ()''ZJ\:~) ,~f:~;~ 1_.,,_5 ~ ~ LL .: l~"...jr..", ,""- :::l 0 , ;~o,i~ ,3: . .'\ a::l ~ - "~'f;;~':~ 0 I fZ) , .j;~-~ c I-- ',~;8;f:~"'-~ ~C: ',~ - . ~ :::~ J'o c: :s:.'~.S :'.9 .E- -JEll) ~, ' _ ..... ... -... ........ I ...," (/) ~1"\"\ ~ 'ro -- ......;!-.... UJ iU...~ E ...... '. ;::::I ~CI'.l 0 U !::""Cl'~ _----="& '" ,;'I 0- '-"ll...t.:l.'-....i)"'~~ ~ U :'<;""",D .." 00 ~ '~'-;::::I ~ :S ....l 0 r- Cll <..l - Cll .J: (/) c " . ~ .S M v .~ v " , .<J u CIJ 0 ~ ~ "' -< '0 " " 0. ~ 0 0 " 0 :9 v 0 . '5 :"J 0 0 '" " ., I ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee (.OR'A>\, /O~~~'" ~l" ~~ ~ ~jcwO";"~ DATE <2 5-- 0 Z-- . Address of Proposed Business /7/)/ 'ev;::?,<-?5/5'7'-- Applicant 'Gt=:.iP4L?J 4t:.>n5~ Address ~~t' --'""///~ /~~ ~-t Y .41~F ~-<1 &----- ./ Phone: business ~f! C;t; 57 home ~\ 7%71,/ New Business ............................ Transfer of Business Location. . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . . . . New Building ............ . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . (If ( ( ( ( ( ( Brief description of proposed business: ~./~ yt.. &L ftltI-p Legal Description: Lot Current Use of Property: ,/r,i 11___ Zoning Classification of Property: Block <;'1h 1J /YVV Subdivision WILL THERE BE ANY OF THE FOLLOWING? YES Construction changes. . . . . . . . . . . . . Electrical changes. . . . . . . . . Mechanical (heating, cooling, stoves) . Plumbing changes ............................. New or relocated signs. . . . . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . New sewer service Admission charged to patrons. . . . . . . . . . . . . . . Is this a home occupation? ................ Excavation of filling of lots ............... Work done in City right-af-way . Is there sufficient off-street parking? . . . New driveway openings. . . . . . . . . A grading plan for site drainage. . . . . . . . . (parking lots, downspouts, etc.) Are the existing streets paved? ........... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? .................. Other. ..................... THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed' / APP REJECTED Comments / Conditions 1)-6-D~ S\ kGl~ Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. f pORT ~ &-4,O~~~ ,. "- -=->r :-=- 'l.&i:-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00001125 Date 11/14/05 286125 1718 E 1ST ST 06-30-00-1-0-1305-0000- PLUMBING REPAIR COMMERCIAL ARTERIAL 100 PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES WA 983624904 BROTHERS PLUMBING P.O.B. 2136 SEQUIM WA SEQUIM (683) 9191 WA 98382 ~\~ t- 'f. v.., \ '0\0 O~~ Owner Contractor Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 65300 54.00 11/14/05 5/13/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 58.50 58.50 .00 .00 Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied With whether s . ed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or law regulating construction or the performance of construction. 1!-lcr-zP"r Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T-\Pohcles\1102_15 bUIldmg permIt mspectJOn record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 , I-IJ../-O~ "I J.-L. WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB 1/'1 JJ._I9J Ju, ROUGH-IN I WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I!-IJ.[-q ,...- .1 L L.. WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A- PARKING/LIGHTING 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 PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\Pohcles\1102_15 bUIldIng peront inspection record05 wpd [1/4/2005] PREPARED 11/14/05, 16:30 11 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/14/05 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 1718 E 1 ST ST BROTHERS PLUMBING PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001125 PLUMBING REPAIR SUBDIV PHONE PHONE (683 ) 9191 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT LasererJ CED DESCRIPTION RESULTS/COMMENTS PL1 01 ~ ~ ~~~~~~~O~D~~ ~~ABpM T~~~ER~~:~~__________________________ -------------------------------------- COMMENTS AND NOTES -------------------------------------- r-- CJQ> 8~ ~ Q. - ",. Of pORT ~ ,-"'~~~ <{tria- L -=..:or ~ "l.tii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00001030 Date 12/02/05 242990 1718 E 1ST ST 06-30-00-1-0-1305-0000- COMM ADDITION COMMERCIAL ARTERIAL 19470 Owner Contractor PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES Construction Type . . Occupancy Type AMERICAS HANDYMAN P. O. BOX 3814 SEQUIM (360) 582-2808 Structure Information 000 000 ---------------------- TYPE II FIRE RESISTIVE BUSINESS:OFF/PRO/MED/REST WA 98382 WA 983624904 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 64386 344.75 10/31/05 5/15/06 plan Check Fee Valuation 224.09 19470 Qty Unit Charge Per Extension 92.75 252.00 18.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments .... 12/02/2005 09:03 AM REVISED PLANS DATED 11-28-05 FOR ENCLOSED PATIO IS APPROVED AS NOTED. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrast1ng color from the background. 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. 10/31/2005 10:07 AM SROBERDS -- The use is permitted in the CA zone; however, the activity MUST not allow stacking into on-coming driveway. Site should be marked for expected traffic pattern per Public Works and Utilities requirements. MAINTAIN CLEARANCES FROM SERVICE WIRES 10/25/2005 07:40 AM JHEBNER ---------------------------- E1ectr1cal load calculations and electrical perm1ts are required. 10/25/2005 07:41 AM JHEBNER ---------------------------- $0 Connect Fee. 10/25/2005 07:41 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Stacking of cars can not block enterance or exiting to 1st street. Other Fees 4.50 STATE SURCHARGE H NALE%/ 4;[!/o{o JUJ - ....J - ~ JI1 ..... '#. " ~~ ~ -- ~ ~ b V - ~~ ~ ]:- l'\ Separate Permits are reqUired for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provisions of any state 0 al law regulating construction or the performance of construction. ~ Signature of Contractor or Authorized Agent Date wner (If owner IS bUilder) T'\PohCles\11 02_15 bUIldmg pennl! mspectlOn record05. wpd [1/4/2005] Date \ BUILDING PERMIT INSPECTION RECORD .., ,. CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. . INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / GElLING ,. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR ~ INSULATION , SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKINGILIGHTING ESA LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\Pohcles\1102_15 buildmg permit mspectlOn record05.wpd [1/4/2005] ~ pORT ~ t4.0~~~ #.. rea "- ~ ~ ~~ , CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number . . . . . 05-00001030 Application pin number 242990 Page 2 Date 12/02/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 344.75 344.75 .00 .00 Plan Check Total 224.09 224.09 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 573.34 573.34 .00 .00 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is bUilder) Date T \Pohcles\1102_15 bUlldmg pennlt mspectlOn record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD ~ .- ~ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: J I FOOTINGS /)-/ :;-/ t' :r ,-Jl1 1 WALLS f FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN l"lrv'l./of ~V WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW I WATER AIR SEAL WALLS j<J.-j?Cl / () 'S <SL.-- CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING \"-,/,,.9, InS J'" DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB f WALL I FLOOR I CEILING Ill'!' /O~ .(fl..(/ MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A- PARKING/LIGHTING 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./ PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. I I ,..--;, . BUILDING 417-4815 14- BUILDING ~H If)ft. \,}VV CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FORELECTRlCAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 \J) I '6i ~ ~~ ~\)) ~ m ~ ;~ ~ T:\PohCles\1102_15 bUlldmg permIt mspeclIon record05.wpd [11412005] ~ pORT ~ tJO~~~ ~ "- -=:;;.;or ~ "4i(~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use Property Zoning . . . Application valuation 05-00001030 Date 10/31/05 242990 1718 E 1ST ST 06-30-00-1-0-1305-0000- COMM ADDITION COMMERCIAL ARTERIAL 19470 Owner Contractor WA 983624904 AMERICAS HANDYMAN P. O. BOX 3814 SEQUIM (360) 582-2808 Structure Information 000 000 ---------------------- TYPE II FIRE RESISTIVE BUSINESS:OFF/PRO/MED/REST ---1 PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES WA 98382 \\( ~ '- ~ ~ \' V ?- .J\ .0 ~ Construction Type . . Occupancy Type Permit BUILDING PERMIT - COMMERCIAL Additional desc Permit pin number 64386 Permit Fee 344.75 Plan Check Fee 224.09 Issue Date 10/31/05 Valuation 19470 Expiration Date 4/29/06 Qty Unit Charge Per Extension BASE FEE 92.75 18.00 14.0000 THOU BL-2001-25K (14 PER K) 252.00 cr ~ Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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. 10/31/2005 10:07 AM SROBERDS -- The use is permitted in the CA zone; however, the activity MUST not allow stacking into on-coming driveway. Site should be marked for expected traffic pattern per Public Works and Utilities requirements. MAINTAIN CLEARANCES FROM SERVICE WIRES 10/25/2005 07:40 AM JHEBNER ---------------------------- Electrical load calculations and electrical perm1ts are required. 10/25/2005 07:41 AM JHEBNER ---------------------------- $0 Connect Fee. 10/25/2005 07:41 AM JHEBNER ---------------------------- Any mod1fications to the City's electrical facilities will be at the customer's expense. Stacking of cars can not block enterance or exiting to 1st street. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes null and void if work or construction authorized is not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state r ~Iocal law regulating construction or the performance of construction. ) 0- ~I; <-t/tJS Signature of Contractor or Authorized Agent Date Signature Owner (if owner is builder) Date T:\PohCles\1102_15 buildmg permit inspectlOn record05 wpd [11412005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN , WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING 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 PW 1 CONSTRUCTION - R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005] ~ 'f'ORT ~ c},O~~~ rea w... -=:;.a' ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CED Application Number . . . . . 05-00001030 Application pin number 242990 Page 2 Date 10/31/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 344.75 224.09 4.50 573.34 344.75 .00 .00 224.09 .00 .00 4.50 .00 .00 573.34 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Pohcles\1102_15 bUlldmg pennlt mspectlOn record05.wpd [1/4/2005] " BUILDING PERMIT INSPECTION RECORD .. CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL 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 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB /1, IlJ-OS JI.-V ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/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 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A' PARKING/LIGHTING 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 PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\Pohcles\1102_15 bUlldmg pellmt mspecl10n record05.wpd [1/4/2005] PREPARED 4/11/06, 12.47.19 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 4 4/11/06 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION (360) 582-2808 " SUBDIV: PHONE PHONE . PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Lasered CED BLIS 01 11/14/05 JLL 11/16/05 AP BL1 01 11/14/05 JLL 11/14/05 AP BL1 02 12/02/05 JLL 12/02/05 AP BL3 01 12/23/05 JLL 12/23/05 DA BL3 02 12/28/05 JLL 12/28/05 AP BAIR 01 12/30/05 JLL 12/30/05 AP BLI 01 1/05/06 JLL 1/05/06 AP BL99 01 ~~ BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ---------------------------- 11/16/2005 12 49 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09:23 AM PBARTHOL --------------------------- CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found 1nsu1at1on/and p1umb1ng unders1ab ok at th1s date/]ll BUILDING FOUNDATION FOOTING TIME 13 00 12/01/2005 10:44 AM DYASUMUR CHRIS 670-6915 12/02/2005 04.52 PM PBARTHOL --------------------------- BUILDING FRAMING TIME: 17:00 12/22/2005 01:46 PM DYASUMUR --------------------------- Dom1n1c-Ph. 670-3187 Fram1ng 12/23/2005 03:46 PM JLIERLY ---------------------------- electr1cal rough not complete/]ll 12/27/2005 10:19 AM PBARTHOL --------------------------- BUILDING FRAMING 12/27/2005 10:21 AM PBARTHOL --------------------------- LOU 452-3100 12/28/2005 04:55 PM PBARTHOL --------------------------- BUILDING AIR SEAL 12/29/2005 05:07 PM PBARTHOL --------------------------- LOU 452-3100 12/30/2005 12:39 PM PBARTHOL --------------------------- BUILDING INSULATION 01/05/2006 04 31 PM DYASUMUR --------------------------- LOU 452-3100 INSULATION ASAP PLEASE 01/05/2006 05 01 PM JLIERLY ---------------------------- BUILDING FINAL 04/11/2006 08 16 AM PBARTHOL --------------------------- LOU ~ ,;; - .) -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/05/06, 13 08 28 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 1/05/06 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION Lasered CED SUBDIV PHONE PHONE (360) 582-2808 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ---------------------------- 11/16/2005 12 49 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------- CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found lnsulatlon/and plumblng underslab ok at th,S date/]ll BUILDING FOUNDATION FOOTING TIME 13 00 12/01/2005 10.44 AM DYASUMUR CHRIS 670-6915 12/02/2005 04.52 PM PBARTHOL --------------------------- BUILDING FRAMING TIME. 17 00 12/22/2005 01.46 PM DYASUMUR --------------------------- Domlnlc-Ph. 670-3187 Framlng. 12/23/2005 03 46 PM JLIERLY ---------------------------- e1ectrlcal rough not complete/]ll 12/27/2005 10 19 AM PBARTHOL --------------------------- BUILDING FRAMING 12/27/2005 10 21 AM PBARTHOL --------------------------- LOU 452-3100 12/28/2005 04 55 PM PBARTHOL --------------------------- BUILDING AIR SEAL 12/29/2005 05 07 PM PBARTHOL --------------------------- LOU 452-3100 12/30/2005 12 39 PM PBARTHOL --------------------------- BLI 01 ~05 06 J4LL BUILDING INSULATION 01/05/2006 04 31 PM DYASUMUR --------------------------- LOU 452-3100 INSULATION ASAP PLEASE -------------------------------------- COMMENTS AND NOTES -------------------------------------- BLI SOl 11/14/05 JLL 11/16/05 AP BL1 01 11/14/05 JLL 11/14/05 AP BLl 02 12/02/05 JLL 12/02/05 AP BL3 01 12/23/05 JLL 12/23/05 DA BL3 12/28/05 12/28/05 JLL AP 02 BAIR 01 12/30/05 12/30/05 JLL AP PREPARED 12/30/05, 7-52.55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 12/30/05 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION SUBDIV: PHONE (360) 582-2808 PHONE : PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Lasered CEO BLIS 01 11/14/05 JLL 11/16/05 AP BL1 01 11/14/05 JLL 11/14/05 AP BL1 02 12/02/05 JLL 12/02/05 AP BL3 01 12/23/05 JLL 12/23/05 DA BL3 02 12/28/05 JLL 12/28/05 AP BAIR 01 12/30/05 W ;)j'?O BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ---------------------------- 11/16/2005 12 49 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------- CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found lnsulatlon/and plumblng underslab ok at thlS date/]ll BUILDING FOUNDATION FOOTING TIME: 13 00 12/01/2005 10 44 AM DYASUMUR CHRIS 670-6915 12/02/2005 04 52 PM PBARTHOL --------------------------- BUILDING FRAMING TIME. 17:00 12/22/2005 01:46 PM DYASUMUR --------------------------- Domlnlc-Ph 670-3187 Framlng. 12/23/2005 03:46 PM JLIERLY ---------------------------- electrlcal rough not complete/]ll 12/27/2005 10 19 AM PBARTHOL --------------------------- BUILDING FRAMING 12/27/2005 10 21 AM PBARTHOL --------------------------- LOU 452-3100 12/28/2005 04 55 PM PBARTHOL --------------------------- BUILDING AIR SEAL 12/29/2005 05 07 PM PBARTHOL --------------------------- LOU 452-3100 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/28/05, 11 36 35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 15 12/28/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1718 E 1ST ST BROTHERS PLUMBING PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001125 PLUMBING REPAIR SUBDIV PHONE PHONE (683) 9191 /-asered CEO PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PLl 01 11/14/05 11/16/05 JLL AP PLUMBING UNDER SLAB TIME 17 00 11/14/2005 04:29 PM JLIERLY ---------------------------- 11/16/2005 12:49 PM JLIERLY ---------------------------- '"'~O't'~;;~~~---;;~;~::::::;,;:.o~::::,i~g:-:::::::-:::::---::-:::-::::____~ PREPARED 12/28/05, 11:36.35 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 12/28/05 SUBDIV: PHONE PHONE : Lasered CEO ------------------------------------------------------------------------------------------------ (360) 582-2808 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLIS 01 11/14/05 JLL 11/16/05 AP BL1 01 11/14/05 JLL 11/14/05 AP BL1 02 12/02/05 JLL 12/02/05 AP BL3 01 12/23/05 JLL 12/23/05 DA BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ----------------____________ 11/16/2005 12 49 PM JLIERLY -----------------------_____ BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL ----------------------_____ CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found lnsulatlon/and plumblng underslab ok at thlS date/]ll BUILDING FOUNDATION FOOTING TIME: 13 00 12/01/2005 10 44 AM DYASUMUR CHRIS 670-6915 12/02/2005 04 52 PM PBARTHOL --------------------------- BUILDING FRAMING TIME 17:00 12/22/2005 01 46 PM DYASUMUR ---------------------______ Domlnlc-Ph 670-3187 Framlng. 12/23/2005 03 46 PM JLIERLY --------------------------__ electrlcal rough not complete/]ll 12/27/2005 10'19 AM PBARTHOL ----------------------_____ BUILDING FRAMING 12/27/2005 10 21 AM PBARTHOL -------------------- ______ LOU 452-3100 Be, " ~1tP -------------------------------------- COMMENTS AND NOTES PREPARED 12/23/05. 12:39.26 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 12/23/05 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION Lasered CEO SUBDIV PHONE PHONE . (360) 582-2808 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLIS 01 11/14/05 JLL 11/16/05 AP BL1 01 11/14/05 JLL 11/14/05 AP BL1 02 12/02/05 JLL 12/02/05 AP BL3 01 12/23/0'l~ "J';JI ~ BUILDING INSULATION/SLAB 11/14/2005 04.23 PM JLIERLY ---------------------------- 11/16/2005 12 49 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------- CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found lnsulatlon/and plumblng underslab ok at thlS date/Jll BUILDING FOUNDATION FOOTING TIME. 13 00 12/01/2005 10.44 AM DYASUMUR CHRIS 670-6915 12/02/2005 04 52 PM PBARTHOL --------------------------- BUILDING FRAMING TIME: 17 00 12/22/2005 01 46 PM DYASUMUR --------------------------- Dornlnlc-Ph. 670-3187 Frarnlng -------------------------------------- COMMENTS AND NOTES -------------------------------------- eUC ~~ \(~~ }L~ PREPARED 12/02/05, 12.36 58 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 12/02/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION SUBDIV' PHONE (360) 582-2808 PHONE . PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Lasered CED BLIS 01 11/14/05 11/16/05 JLL AP BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ---------------------------- 11/16/2005 12 49 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------- CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found 1nsu1at1on/and p1umb1ng unders1ab ok at th1S date/J11 "'~ O'~~~~__~;:;;~~:::;::::~:~::~~~;UMUi'M'--":OO-----~-~~-----___~~___~ 01 11/14/05 11/14/05 JLL AP BL1 PREPARED 11/14/05, 11:57'56 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 9 11/14/05 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER: 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION SUBDIV PHONE PHONE (360) 582-2808 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS /.asered CEo BLl 01 ~tf- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------- CHRIS 670-6915 -------------------------------------- COMMENTS AND NOTES -------------------------------------- SL~ :P\ V~ f> ~~\ oIL sl~ II \'Ll/or V 4(.)a1t, DlL PREPARED 11/14/05, 16-30:11 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 11/14/05 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1718 E 1ST ST AMERICAS HANDYMAN PORT ANGELES BOWL INC 06-30-00-1-0-1305-0000- 05-00001030 COMM ADDITION SUBDIV PHONE PHONE (360) 582-2808 PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Lasered CED BLIS 01 \~l/\lj/f.:,~~Lp liIJi47'05 ~ 11/14/05 AP BUILDING INSULATION/SLAB 11/14/2005 04 23 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 11/14/2005 09 23 AM PBARTHOL --------------------------_ CHRIS 670-6915 11/14/2005 04 20 PM JLIERLY ---------------------------- found lnsu1atlon/and plumblng underslab ok at th,S date/]ll BL1 01 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING PERMIT - APPLICATION Lasered CEO Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, callI I PERMITS (360) 417-4815 FAX(360)417-4711 rz. ':l- ApplIcant or Agent: / vtJbe d4 lal{ Jc1C.. t'rt- i Phone: <.( ~~ - J ( dO Owner: jM.etf'o- p te....,c t1e-lL tdffLS TiA c. Phone: Address: 1107 ~, y.?;.<Q... CIty:--p~-t 14l1l~~i<LS w)v:t ZIp: 9&36:1.. ArchItect/Engmeer: aIYUA-rJ1te.. JLeSi~ \I\... _ vJo~lL5 Phone: ~ 17 .. -Z 177 Contractor It t4€.d--.e..a $" He1uL[ ~ State LIcense #: A....... Q..,II..} 116 ~xp: 6 -II- 2tlOG Phone: 670" 518 7 Address' 200 g ~. 'i:D:' ~ve. CIty: ~o./' \- I\~e.\es \J v\. ZIp: '!g3 6 ~ PROJECT ADDRESS: /718 G. fJf ~ti'e.e-t ZONING: COt.'-l~ I A ~I LEGAL DESCRIPTION: Lot: Block: SubdlVIslOn: CLALLAM COUNTY PARCEL NUMBER: 06'3006 10(:305 TYPE OF WORK: o ResIdentlal 0 New Constr. 0 Re-roof 0 Stove o MultI-family /II Addition 0 Move 0 Garage o CommercIal ~ Remodel 0 DemolItIOn 0 Deck o RepaIr 0 SIgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~~cYv\ ~ ~~eOQ \6tc.-h.. . ~c,l((('J.. ~r- ~t-~c.XL SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ /' TOTAL VALUATION $ ~ Gf OI,......~.-tQ) ~ 10..11\. - e..tM:~_loSi'~ t\.LC'cJtt k. lA. t-te..'- ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: F- \ No. of Stones: -L Lot Size: 71 b $"0 EXlstmg Sq. Ft IS~..{ 7 Total lot coverage '2.1. q~ % Occupant Load: b 0(.(; ConstructIOn Type' ~ ~ & Proposed Sq. Ft. I t6!:> = TOTAL Sq. Ft. i >7 30 APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be reVIewed and may be reVIsed by the BUIldmg DIVIsion to comply WIth current fee schedules. Contact the Pernut Coordinator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the time the buildmg pernut applIcatlon and constructIon plans are submitted. All other pernut fees are due at the trme of pernut Issuance. EXPIRATION OF PLAN REVIEW: If no pernut IS Issued withm 180 days of the date ofapplicatlon, the application will expire. The Building OffiCIal can extend the time for action by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOn RI 05 3.2 of the InternatIonal BuildmglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and exammed I applicatIOn and know the same to be true and correct I am authonzed to apply for thiS permit and understand that it is my responsibility to deten hat permits are required ,not the City'S, and that I must obtain such permits pnor to work. Date: II, 31' ::kJ(}~ T \PohcJes\BL-ll 02_13 wpd ApplIcant: PLUMBING TRAPS: WATER HEATER: SEWER: WATER: MECHANICAL: VENTS: FURNACE: FIREPLACE: ...:) -'Ii>' ," ,1 " " ------ ~ ~, 4$/~~$ ~ ---------- / $/~~~/ ~ -------- LIS /0/ ~ __________ '4$ .,.. lasered CEO , - -- -------- ~) .- AG; D Die ' - TO 'FA ILIT I ~ o I co -- """ / "'" ~ 'I II II ! /, /1 ,I II it' " ~i jJ EXleTIN~ LueE FACILITY ~~~w;~- \/~". \ '''0 ~ 1/f!I rt{JJI , Lasered CEO BUILDING PERMIT - APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and sit plan MUST BE COMPLETE to be accepted for' review. Questions? Call: PERMITS (360) 417-4815 Fax (360) 417-4711 Lon ~AN Phone: (\AJ) ASZ,'3\oc:> (11e:ti'i..'f)IQ..,( Vt2.sttvteS T,.,c,. Phone(1:t) 4l ( - S04 ( Address:--LIO( to, PtNtZ-. City: po (2.;::< A~b~L~S Zip: q ~%-z.. Architect/Engineer: OLlM PI L Otz--Slb"\ \NO~ ) I/~ &hone: 31 t ,2. '1-1- ~ ContractOl ~E.~~CAS ~f\'NDY~StateLicensr ~~to/l~Jjk: 6 ~[I-20t7b Phone: 36tJ-" 70- 31 Address: JO{) 8 IE. q!J' five... City: ~rt ~e I a,j LJ I"r Zip: '18.i' i 2- PROJECT ADDRESS: \ '116> ~-r f ,\ (Z..S"'- 6-rfZ..lZ:.€-\ ZONINg: CO LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: o4? '30eb \ 0 l 3C)5 Applicant or Agent: Owner: ;- 6^)'f .1fL- Credit Card Holder Name: Billing Address: . Credit Card Type VISA_MC # TYPE OF WORK: SIZENALUATION: D ResidentIal D New Constr. 0 Re-roof D Stove f ~'3 SF. @ $ D Multi-family ~ Addition D Move D Garage MO SF. @ $ }(.Commercial D, Remodel 0 Demolition D Deck SF. @ $ D Reparr ~ Sign D Other TOT AL V ALUA nON BRIEF DESCRIPTION OF THE PROJECT. fC-.K \?Af......""=::o lOf-.) OF ~ City: Exp. Date: bra /SF.=$ lep 4(0 .50 /SF.=$ "3000 /SF. = $ $ t C\ I 4-'(0 j ",0 A: (,-\ t tJ~6.. A t2-fr..A ~ COMMERCIALIRESIDENTIAL: Occupancy Group: ,~ - l Occupant Loa. 6- ~. Construction Type: ? B No.ofStories:~ Lot Size: 11~ EXlstingSq.Ft. f5541&ProposedSq.Ft. \ ~3 = TOTAL Sq. Ft. 15"130 Total lot coverage ?_ I ..'15% APPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s)' DYes D No SEPA Checklist required? DYes D No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Dtvlsion can provide you with information on the applicatiOn and plan submittal requirements if you have questions. V ALUA TION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applicant. This figure wlll be reviewed and may be revised by the BuildlDg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a phm 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: Uno permit is issued Within 180 days of the date ofapphcation, 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 RI05.3.2 of the International Building/ResidentIal Code, 2003). No application can be extended more than once. www.cityofpa.us Applicant: e true and correct. I am authorized to apply for this permIt and y's, and that I must obtain such permIts pTlor to work. Date: 10 ~ "- 2oCJS- I hereby certify that I have read and examined thIS applicatIon and know the sa understand that it is my responsibility to determine what permits are required, '&' ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98362 Lasered CEO Application Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Appllcatlon valuation 06-00000569 Date 551028 1718 E 1ST ST 06-30-00-1-0-1305-0000- LOU REGAN 7/05/06 SIGNS COMMERCIAL ARTERIAL o Owner Contractor PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES WA 983624904 AMERICAS HANDYMAN POBOX 3814 SEQUIM (360) 582-2808 WA 98382 Permit Additional desc Permit pln number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL SIGN PERMITS COLEMAN/ 1 SIGN 81307 COLEMAN ELECTRIC 36.40 Plan Check Fee 7/05/06 Valuation 1/01/07 00 o "'-.... '-.l ........... <)) Qty unit Charge Per 1 00 36 4000 ECH EL-COMM-IST SIGN Extension 36.40 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36 40 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 36 40 36 40 .00 .00 ~ , ,. , COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO III ."H ~AA ROl IGH-IN I CUYhK SERVICE ....INAI 1'7~;.t),/tJbl h.v)1 GENERAL COMMENTS: PW-II02.1'I4'961 d'~'~ J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT Issued: 12/03/97 Permit No: 6131 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ JIFFY LUBE I 1718 1ST ST E 1718 E. 1ST I Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 I Sub: T: S: I Parc No: I CONTRACTOR-----------------------------DESIGNER--------------------------------- OLYMPIC ELECTRIC I 1805 TUMWATER I PORT ANGELES, WA 98362 I , 360/457-5303 I 000/000-0000 I PROJECT INFO-------------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- PROVIDE LIGHTING IN LUBE PIT PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. :J/S- ,7 b - .zcP-tN - ELECTRICAL PERMIT DATE Site Address: fSREADY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: L Owner/Business Address: Sq. Ft. o New Construction o Remodel o Service update/alter/repair ~Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 010 03.0' Service size o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other ~ Commercial/industriai load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps Details/Description: ;'}-cl~ rl ~di4-.41 ~;/ (it ~5 __) - W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~inal O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for instaliation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Installer: Permit/Receipt No. ::l/s-7 New Meters Date: t. ~zrf'-r / \- \ \ Notify the De artment 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electricaliy energized belore inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT C::?O ~ I nspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng. Boltom: Customer GREEN - Top: Inspector. Boltom: City Hall i OLYMPIC PI'itINTEI'itS. INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO._~ () 0 7" ::J /8'/;/ , , DATE Site Address: o READY FOR ILL CALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. o New Construction o Remodel o Service update/alter/repair 'fij{ Add/alter circuits f[]'Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 01003.0 Service size o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps DetailslDescription: C/'''''''1( J-/l/ > h1-1/ . , ;;jlI/Vf1 //u FJI'/. I' / ~I . ~U~ /~ J~/ ?t . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service ~Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending ~ Site Address: Installer: Permit/Receipt No. New Meters . Notify the D artment 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized belore inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. /' ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ cJ ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall O~YMPIC PRINTERS. INC. . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT / WIl- PERMIT NO. 2;;;L '70 { ~ 0" DATE I '-/7l?/Y? I .:>s;READY FOR INSPECTION 'Ucense Numb~ -7e '--h~qkr o WILL CALL FOR INSPECTION Phone: - 7>5'-~;l. -<I Phone: 'tJe-r- 14vk..~f uA-, Sq. Ft. '!/New Construction D Remodel D Service update/alter/repair ~dd/alter circuits D Auxiliary power (list below) D Special equipment (list below) D Overhead D Underground Voltage D 10 D 30 Service size D Temporary D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps Details/Description: /. f"fUI{l E~nTJNb Sib"'; 0"'; 2, JAJr1'Ac..L '7(1/0 MvJ sib).)) 0"'; 3. :ruf~.ll "'tV L \MI>.-(l.. -fo fP"-/7fv' 5/?"} , ;IN.. r;. i).J 1'771 ClA.r0Ofll, I ~ .'0 f"(fl.. Sib t--i g I.p;'! !Jl.J ~ ~ 6 tC!- /()~ "1J~x:f ;.J 's,,. 'IJ<:rr o,v je.{HJNcl . S'M[ I [ 11f'l{) "'I;/.[. /rt-'f) !'':'/fJS'MLl.'i.O. ~ ~~ W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments --9 Dildl 11I~~""tieA O.K.- n I'ln"Q~ iA!eever 0.1<. ...-Q.-Q,:,K-:-te-eOAR8Gl ;:Jt;1 vivc /It' ~ Final O.K. - '->"i'i- Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending . --- -..-.......... ( Site Address: ') -1.7/ y -:iE- RIfIT/ s';' ApT- ~w, W+. / . In stall er:...-) ~1. ew Meters \.. -- If S/6cv gr dIE.- ~ c.rj-- de. -e- Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~6 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Permit/Receipt No. / If C;')- OlYMPIC P~INTERS. iNC. . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 1] 71 Oct 30. /0)51 . ELECTRICAL PERMIT DATE Site Address: Ill? E. F/!Z 5 'I D READY FOR D WILL CALL FOR INSPECTION INSPECTION Installed By: 7lNf ,((:fC Td..le (!PA;:/ ~'1 I License Number: Phone: Owner/Business: --S \ {'.(. ~ Lvb~ , Phone: Owner/Business Address: Sq. Ft. o New Construction ~ Remodel o Service update/alter/repair ~Add/alter circuits Ie] Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage o 10 03.0' Service size o Temporary o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other -ii Commercial/lndustrial load ( Total Connected load (attach breakdown) Total Motor load (attach breakdown) Amps Detai IslDescription: . 5ph , c)I/AJ MDLJt. eo I"--,?' tel: .)0\rYL I Ct IL. /;1 . ~ y:. ,?'. . (rz..."f c L7 ~ f /;V ;:Jlf. , W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. o O.K. to connect s~r"Zt :/{f;:l'~ i Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of Inspection o Plan Review approved/pendi ng Site Address: /'7/8 t. Installer: fJlt E{ 1 C ~ I {. /5'/ Permit/Receipt No. /"::. 7q --e--- New Meters . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Insp ctor ~Writi 9 on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. o NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / 6~ Inspector ( Amount paid WHITE - file by address YEL OW - file by number PINK - Top: Eng. Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. UTING SLIP I ert icate of Occupancy $47 0 ' ertificate/lnspection Fee /7 --2)~ 0 2.-- DATE /- ~ Address of Proposed Business /7/i~, &>;:;/-76/ 5'r~ Applicant r;;1:: 1Pl'L() 4(~>>?5/Z/ Address (>!? f/ ,f,<, //c< /~-<L o:z.~ Y .I'(JVI'fA''v<1 4/;-.- Phone: businesst..y! <(1)"/ homey)7..f7'/ Brief description of proposed business: Legal Description: Lot Current Use of Property: ,//,1 If", Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . Plumbing changes .. . . . . . . . . . . New or relocated signs. . . . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . New sewer service . . . . . . . . . . Admission charged to patrons. . . . . . . . . . . . . Is this a home occupation? ........... Excavation of filling of lots .. ................ Work done in City rjght~of-way . Is there sufficient off-street parking? New driveway openings. . . . . . . . . . . . A grading plan for site drainage. . . . . . . . . . . . (parking lots, downspouts, etc.) ................. Are the existing streets paved? ................. Are there existing sidewalks? . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other. ........ ........ ~.r& Block <"lh ~ .I . /.))1"1"'1..... YES ~ =i= New Business ............................ Transfer of Business Location. . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . . . . New Building ........ . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business .... . . . . . . . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . ".../UML (. C;o 0../ j T('" , Subdivision THE FOLLOWING WILL BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 1 0) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other (>f ( ( ( ( ( ( -1 - CO IT( - \1\ ., I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed:. APP REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions '," . SPICUOUS place. '~~,; , , . ",;,:",~?>;;",; ,>Ii ;;;fji?~~i)t,.,..- "," , remQye"d"l ~eEO~y.Building Officia ."',i':'!;:_:i!;l_',Sir.i#,li~;!j,1l;!,j;ru;;~)"- Use Classificalion: Gmop' S-3 Owner of Business: Building Address: " ,n :~ Type 'J:l % Gerald.'Fulmer .~ 8E~1" Date Address: 84ButeLRoad. Port Angeles ill W A 98363 of Construction: This ce'ation issued pursuant to the requirements of Section~l 09 of the "'if""/'::;;;'" Cod. "rl~m, """ " <h. <i= <1 i,,_. <hi, ''',",'w, W~ in cO,Wnpliance with the various ordinances of the City regulating Building construction or use. For the following:'; . .\ Building Permit No. Business Name: PenInsula Autpworks Lube]Station V-N Use Zone: pi CA CERTI FICA'T'e"OP~0CCU P ANCY 'f'" do. .. City of Port Angel~s''''.", Building Division CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000105 1718 E 1ST ST 0630001013050000 RE-ROOF Date 2/10/03 2600 Owner Contractor PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES WA 983624904 LARRY'S ROOFING 352 AVIS ST. PORT ANGELES PORT ANGELES (360) 452-2215 TEAR OFF. SHEET, TORCH DOWN TYPE V NON-RATED REPAIR GARAGES WA 98362 Structure Information Construction Type . . . . Occupancy Type . . . . . ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc Permit Fee 106.75 Plan Check Fee .00 Issue Date 2/10/03 Valuation 2600 Expiration Date 8/09/03 Qty Unit Charge Per Extension BASE FEE 92.75 1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00 Other Fees STATE SURCHARGE 4.50 ~ --\ ......l., ~ r~. ~ . ') ~ CIp ~ ~ ~ ~ N ....... > \~ () ~ \)' /"/'l ~ ---------------------------------------------------------------------------- Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 111. 25 111.25 .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 orwork 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 rtify that I have read and examined this application and know the same to be true and correct. All provisions of laws and dinances ov rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume give aut orit to violate or cancel the provisions of any state or local law regulating construction or the performance of constructi G -fO -ti:) Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL417-4815 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 ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN T PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING 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 RW. / PW/ CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-48 I 5 I.) -JIl....()~ ~/1 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] . ., - CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . / REQUEST: Date cd-- ~ /0 - 63 Time Received by ~ (phone, person) Location of Work to be inspected I { /J" E.. Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~ Sewer Excav. Other (2mF ' y( ,./ ' I~ 10) INSPECTION NOTES: Inspected: Date Remarks: Time By //. I. ,I r RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City [] Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) r '(i ~ r "';."' CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62 Appllcation Number Application pln number Property Address ASSESSOR PARCEL NUMBER. Appllcation type descrlption Subdlvlsion Name Property Use Property Zoning . Application valuation 05-00001193 Date 12/16/05 518271 1718 E 1ST ST 06-30-00-1-0-1305-0000- ELECTRICAL ONLY @) COMMERCIAL ARTERIAL o Owner Contractor PORT ANGELES BOWL INC 1714 E 1ST ST PORT ANGELES WA 983624904 THORNES REFRIGERATION PO BOX 991 PORT ANGELES WA 98362 (360) 461-0158 Permit Additlonal desc Permlt pin number Sub Contractor Permit Fee Issue Date Explration Date ELECTRICAL NEW COMMERICAL THORNE'S/SVC UPGRADE + CIRCUIT 66449 THORNES REFRIGERATION 95 80 Plan Check Fee 12/16/05 Valuation 6/14/06 00 o Qty 1 00 Unlt Charge Per 95 8000 ECH EL-COM 101-200 NEW SRV FEEDER Extension 95 80 ~ "'-.J -..... ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.80 95 80 .00 00 plan Check Total .00 00 00 00 Grand Total 95 80 95 80 .00 .00 ~ ......... \'" ,. v, :'\ COMMENTS/ACTION NEEDED \ ELECfRICAL PERMIT INSPECfION 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 JOB SITE INSPECTIO,N TYPE DATE COMMENTS NO /,;)-5 - CJ GENERAL COMMENTS: PW-II02 U [41'96) ':'l}L1/A;,~."~~/T:,U Ut:4~ A!/i 8obb~ O. Coleman l:! l"i lJe PA BLOC DEPT . ..360-452-7594.....,,- ,AI Nd6C 4!7 47i! :.GO:<C: "p. .\.~.. Jun 29 06 03:41p The Electlical Permit Application must be filled oUl comDI.lelv. 1'(>>. O!OM'c....l.. U~:!! O"l/o.- 'I' Deo.......,.__.__ '......1 __ 0'11.........."""" __,____ n.,. I"",,~ ELECTRICAL PERMIT APPLICATION Please type or reprint in ink. It you hilVf: afl)' qUDl:Uons, pleas. call (360) 417~7J~ Fall number: C36Dl 417~7" Ownel 0' Elee. Contr.lClor Ag.nl 8 ~::-/H A ;J PlOpen, Owner Lo</~.c:~'v ""..e," / '7/ ;;r ~ ;:::;: "" ~ I City: fJectr1c.al Gontri:~or: ~ ~.#'~ P tJ,.;;~...&- Ad.'m: 5"? 2- W I (.p '1-1- City Phone: ,/~ / . .2- 3'100 ZIp: '9i? g 4 '"L p.on.: 'I:!J~ - "'1'/"7 YFax: ~-z;- 4n-'j _I. , License 1t Exp: t;;.... 1- {J.""'5 dr' .iJ.4 Phone: Zip: q,r -gc.? INSTALLATION WIRED BY: . 0 OWNER '~~CAt 'CONTRACTOR' Credit Card Holder Name: Bitling Address: Cily: Zip: Exp. Date: VISA: MC: Credit Card Number: PROJECT ADDRESS: ,/'7/<6' c; ~~ . /?a- f .4~J' TYPE OF WORK: Checl< !lJ! thaI apply: Cl New C_Aiteration/Addition o Residential 0 Mulli-family o Commercial 0 MObile Home Sq. FI o Remote Meter o Detached garage o Hol Tub 0 Swim Pool o Septic Pomp o Low Voltage 0 Telecom. ~/ Number of Circuits added Of" altered: DeSCRIPTION OF THE ELECTRICAL PROJECT: 9/i,:V Jck 51~ 7/i- kc:- JJ, t..U ,J I'- 4t:uJ U?, Electrical Hllat Load Additions and or SL.lbtraellons Service Information o Overl1ead Service o Temp Service a underground Service Voltage; Phase: 0 1 0 3 Service Size: Feeder Size;__ :J Baseboard ~ F Unlace :l Heal Pump ::J Fan-Wall _KW KW TON LRA _KW- i r hereby certify that 1 have read and examined this application and know that same to be true and correct, and 1 am ! ~uthorized 10 apply fOl this permit. I understand it ;s not the City's legal responsibility to determine what permits i 3re required; /1 remains the applicants responsibility to determ; what permits are requirerJ and to obtain such. , I Credit Card Holder's Signature: Date: Owner Dr Elec.. Conl Signature: Date: PERMIT FEE: $ 3'6 ..yO ::fElECTRICAI..PERMIT APPUCA TION {f/t-I~ ---7-6 - ~ kOJ M(? ijy~/'~ ELECTRICAL INSPECTiON" WIRING REPORT 417-4735 DATE ! PERMIT # 3 I INSPECTOR T -g- '-I-LI-ob 06- //9 OWNER/CONTRACTOR (Je/V ,4 u 7D ldOJ-k-S ADDRESS n/15 E' 57 1- APPROVED NOT APPROVED D .................... DITCH. . . . . . . . . . . . . . . . . . . . D D.. . . . . . . .. . . . . .. ROUGH IN/COVER. . . . . . .. . . . . . . . D D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . D D..................... FINAL...................~ CORRECTIONS NEEDED: -..0 30/1 8t?f!r<"j /r-~IR ,,-vee<:J 51 ~ F~r;d ;;:Ft I 0 Lu I '" e f3 t?fJt9 k'f!f l!J ~ J b (i c. e /"1 A tf-E> ~ ) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 . ELECTRICAL WORK PERMIT APPLICATION Electr:ical contrac.t)l.7 name . W"'-"> fCm~/& Wfl"'.... Purchaser's ~ail!ng ~addr~ I ? C l '6cl)O '1 CJ C(4) 'r'OL --t- h l-J'X<"<- uY.::. Tel.ephone number U- '-I(,01-61S-3 License number Date Expi s ~ 0,W/Z..;t7'JILI/ (, ~ Inst~tion description ;zJ Commercial 0 Residential ~red/Addition o New Job wired by o Electrical Contractor 0 Owner State ZIP 'f<i 0 j20([n;:- -Iv Sv 13 -4 h>UlJ MUM 11~ 4t- ~t/.rf?1t_{. f)~7!.- . w r 9~51o'L FAX number c.-- 4-'5"2 -7'5''+~' Pre"fies owner's. name ( r0411L<iSUL4- Au-b l.Lb,- <.J\...- Address of ins~tio1 1-1/'6 ~ q Cit?cn..-+ A"''1<;.JS2 uJ/i- <; 8'% '2-- Phone number to/schedule inspection: J Ie"" _ 3100 tyAJ2. c e.....~ ...,.;> ~ Owner as defined by RC .19.28.26/:(1) Owner will occupy the structure for twO years after this electrical permit is finalized. (2) Owner is required /0 hire an electrical contraclor if above said property is for .mle, rent or lease. 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 instal~ lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specificatio Signature /#'.5 WIG- s- eltU<< /7S: .lv.- 2T PI'Z-'-'V, . u? . Cv.utlU~C€ (l(<~j7" //l./ .4~I'/77(rV1 . 5,,(.<.-1/4 + / , o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card E Weal d Additions and or subtractions IJ NO l! AD CHANGES o Baseboard KW , o Furnace KW ' o Heat Pump Ton LAR IJ Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage Phase IJ 1 IJ 3 Service Size: _ Feeder Size: . SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN / THERMOSTAT SERVICE P./S /I:r<;' 4zD Dale ApprovedHy / \. Dale Approved By , Dati Approved By FINAL / , DITCH FEEDER "'-5-06 rE Dale Approved By/ "- Date Approved By "- Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector '-I. UJ.- 0 b F II'-' AI 1.- ,..u~ 1'ff 1.(- !5 - D b fltV.1 L riP -re I. V ./,.2 YI ~-) S- . ;it: / /