HomeMy WebLinkAbout118 N Lincoln St - BuildingCITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5 Street, Port Angeles, WA 98362
Application Number 07 00000585 Date 6/25/07
Application pin number 816145
Property Address 118 N LINCOLN ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 1601 2001
Tenant nbr name SABOR DE MEXICO
Application type description HOOD /DUCT SUPPRESSION SYSTEM
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 2100
Owner Contractor
LOUIS C REHLEN TRUST
%JOHN W REHLEN
CASTLETON
Fee summary
VT 05735
OWNER
Permit BUILDING PERMIT COMMERCIAL
Additional desc ANSUL 3 0 GALLON FIRE SUP SYS
Permit pin number 102590
Permit Fee 109 75 Plan Check Fee
Issue Date 6/25/07 Valuation
Expiration Date 12/22/07
Qty Unit Charge Per' Extension
BASE FEE 95 75
1 00 14 0000 THOU BL -2001 25K (14 PER K) 14 00
Special Notes and Comments
05/24/2007 03 02 PM KDUBUC
1) The exact location of the manual pull station for the s
ystem is not shown The pull station must be iii the path o
f exit travel and easily accessible 2
The K Class extinguisher must be located in an easily ac
cessible location with the top no more than 5 off the fl
oor 3)
A mechanical gas shutoff is shown Provision must also be
made shut'down all electrical 'appliances under the hoo
d upon activation-_of the. system 4.)
A full witnessed acceptance test of -the system will be requ
ired This test will include a balloon test as wel'1 as tests
of the fuel /electrical shut offs the pull station
and the fusible links
Charged. y. Paid Credited
Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 71 34 71 34 00 00
Grand Total 181 09 181 09 00 00
71 34
2100
J 0
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
oQ
5
.Le i tA/aca/6
Signature of Contractor or Authorized_ Agent Date Signature of Owner (if Owner is builder) Date
.Fl
Call 360 -417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover insulate
or conceal any work before inspected and accepted Post permit in a conspicuous location.
Inspection Type
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough -in inspection
Alarm final
LP -GAS
Underground piping inspection /pressure test
Above ground piping inspection /pressure test
Tank (container) inspection
Appliance inspection
LP gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable /combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
GENERAL COMMENTS
FIRE PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Date Passed
I-L 1 ALi-e pyre-55101h
5th s rr 23/ 11-11 I-C
J 1
Comments
Completed by Contractor-
Test #1
Piping pressure test
Time initiated
Test #2
Piping pressure test
Time initiated
psi
psi
2/15/00
0Y -5Bs
PORT ANGELES FIRE DEPARTMENT
HOOD/DUCT SUPPRESSION SYSTEM PLAN REVIEW
Project Name Sabor de Mexico Address 118 N Lincoln
H/D Installer• Telephone
System Installer• RT Hood and Duct Services Telephone (206) 726 -0940
Permit 07 -01
We have checked this plan and find that it conforms to the requirements of our ordinance
The following items must be noted.
1) The exact location of the manual pull station for the system is not shown. The pull
station must be in the path of exit travel and easily accessible.
2) The "K" Class extinguisher must be located in an easily accessible location, with the
top no more than 5' off the floor
3) A mechanical gas shutoff is shown. Provision must also be made to shut down all
electrical appliances under the hood upon activation of the system.
4) A full witnessed acceptance test of the system will be required. This test will include
a balloon test, as well as tests of the fuel/electrical shut -offs, the pull station and the
fusible links.
N Building Department
Contractor
Fire Department
Reviewed By
Date 5 Z'1 0 7
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
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: ICY I Bre .tn PX
Owner waif Sabo rr de Mexico
COMMERCIAL/RESIDENTIAL. Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
•r•
Phone: (c O to- CP D °N-F 6
Phone:
Address: City Zip:
Architect/Engineer Phone:
Contractor 12.1" H c c d aria DU c F State License t2T}} 0 Or) 089 Q L Exp: 1 /0 Phone:
Address: (..01OO oZ r A E. City. no 'i P., U.)A- Zip G8 i dr,
PROJECT ADDRESS. (i 8 n. U l'1l'0 Fri Pt, r Y e re c c P ZONING
LEGAL DESCRIPTION Lot: Block: Subdivision.
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK. SIZE/VALUATION
Residential New Constr Re -roof Stove SF /SF
Multi family Addition Move❑ Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other TOTAL VALUATION a. 1 O C. OO
BRIEF DESCRIPTION OF THE PROJECT 0 tan S(A 1
3.0 e,,1a.,U n 6 r2 Scuppr.e s$1 erg p rp .ry
FOR OFFICIAL USE ONLY
Occupant Load: Construction Type:
Proposed Sq. Ft. TOTAL Sq. Ft.
Date Rec. 05/22-1o7
Permit D1 r 5$5 r
Date Approved: 5/ 241 KD
Date Issued:
APPROVALS.
PLAN
BLDG
DPWU
FIRE
OTHER.
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 I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
T-\FORMS\BIdgPermitAppl. wpd Applicant: Date: 5 Q009-
t�$4P'D 01 01
1
To Po rfi €,S
(SD I r S TY) St P.O. g n' 11 0
P -t pi es y 8(Se.
3
RT HOOD DUCT SERVICES, INC.
6100 12th Avenue South
SEATTLE, WASHINGTON 98108
COPY TO
Phone (206) 726 -0940
Fax (206) 767 2607
WE ARE SENDING YOU Attached Under separate cover via
Shop drawings Prints
Copy of letter Change order
Plans
RE:
COPIES DATE NO. DESCRIPTION
tC n-r �YIP. A J rn
Pe,r nel i t Pr pl r, J
THESE ARE TRANSMITTED as checked below
For approval Approved as submitted Resubmit copies for approval
For your use Approved as noted Submit copies for distribution
As requested Returned for corrections Return corrected prints
For review and comment
FOR BIDS DUE 19 PRINTS RETURNED AFTER LOAN TO US
REMARKS
-p 1e,Qse in 1,,,.l r c f 1 I��7C r mr T0_ OS
ii1o.t.I AS tile) 0 jr; rnAL -P.
'flacon t en 1
SIGNED
If enclosures are not as noted, kindly notify us at once.
LETTER OF TRANSMITTAL
DATE �Y 18 j�O 9-- I JOB NO.
ATTENTION�
PP..r 1
cis ci.e_ s ICY\ ell 4 r ,e^
1 Pt Cl Ar
e ‘r Pm a P_ 1 P
the following items:
Samples fit Specifications
Lilco I Fire R -102 RESTAURANT SYSTEM
Security NOZZLE COVERAGE SUMMARY SHEET
Width Length
Nozzle Flow (In) (In)
Appliance Type Points Max. Side Max. Side
Fryers without drip boards 230 2 I 14 1 15
Split or No Split Vat 245 2 1 1-, 1 15
Fryers without drip boards I 290 2 I 19.5 1 19
Non -Split Val (ONLY) 3N 3 1 19.5 ,1 19
3N 3 1 18 I 18
Fryers with drip boards 230 2 14 I 21
Split or No Split Vat' 245 2 14 I 21
Fryers 1 with drip boards' 290 2 1 19.5 1 25 3/8
Non-Split Vat (ONLY) 3N 3 1 19.5 1 25 3/8
3N 1_. 3 I 18 1T27
It Skillet/Braising Pan Coverage limitation are based on fryer sizes Includingg the drip boards.
Exception: Tilt Skillets and Braising may exceed the maximum of 6.sq. ft.
flange]
Griddle
1N
Without back shelf 1F
With back shelf 1F
1 245
Without back shelf i 260
With back. shelf I 260
2 x 290
I I1 N/1 NSS_
'290
260
290
1 2120
2x 1W
1
2
2
2
4
1
2
2
2
2
2
18 32
12
12
24
24
12
36
38
30
48
48
48
34
28
28
28
32
32
28
30
24
30
30
30
30
Multiple Nozzle
wo/Drip Board
Area Sq. In.
210
210
370.5
370.5
324
See Figure 1 for nozzle location.
Minimum chain broiler exhaust opening –12 in. x 12 In. (31 cm x 31 cm); and not less than of internal broiler size.
4 tn. (102 mm) maximum fuel depth.
6 In. (15 cm) maximum fuel depth.
Multiple Nozzle
w /Drip Board
Area Sq. In.
294
294
495
495
497
30
l 40
:1
ANSUC.1
Min.
Nozzle Ht.
(In)
27
20
13
21
25
27
20
13
2.1
25
30
Max.
Nozzle Ht.
(in)
47
27
16
34
35
47
27
16
34
35
1
30
30
15
35
30
30
20
10
10
40
50
48 y
.50
40
40
20
40
50
50
30
20
26
Chain Broiler
(Overhead Protection)
Chain Broiler 2 x 1N 2 31 43 Front edge; 1 in. 3 in.
(Horizontal Protection) above the chain
Char Brollertj Gas- Radiant I 1 N/1 NSS r 1 1 24 I 36 —I 15 c I 40.)
Electric 1 N/1 NSS i 1 20 I 34 1 20 1 50
Lava -Rock 1 N/1 NSS 1 1 13 1 24 18 35
Natural Charcoal' 1 N/1 NSS 1 1- 12 1 24 1 18 I 40
Lava -Rock or Natural Charcoal 3N 1 3 24 30
14 1 40
Wood Fueled 3N 1 3 24 30 I 14 1 40
Upright Broiler 12 x 1/2N I 1 30 32.5 Front edge;
Salamander Broiler 2 x 1 /2N 1 1 30 1 32.5 above the grate
1N I 1 16 1 29 1 1
1N nozzle location to be on the vertical edge 6 to 12 in. In front and 0 to 12 In, above the top of broiler
Internal Chamber 1N 1 1 1 16 1 29 1 6 -12 In. above either end
Wok 3.75 to 8 inches deep 260 I 2 114 In. to 30 in. diameter 1 35 1 45
3 to 6 inches deep 1N/1 NSS I 1 1 11 in. to 24 in. diameter 1 1 30 1 40
r For multiple nozzle protection of single fryers, see detailed Information on pages4 -10 to 4 -11 of manual.
qca /Fire
Securi&
t
Plenum
Perpendicular Protection Single Bank
Horizontal Protection V -Bank
Horizontal Protection V -Bank
Perpendicular Protection V -Bank
Duct
Single Nozzle 1 flow nozzle
MultipleNoizle
Multiple 2W Nozzle
R-102 OVERLAPPING PROTECTION
Appliance' type
Fryer
Griddle
Range
Wok, Maximum
Wok, Minimum'
Braising Pan/lilt Skillet'
Lava Rock Char Broiler
Charcoal Broiler
Mesquite Wood Broiler
Gas Radiant Char Broiler
Electric Char Broiler
See Figure 1 for nozzle location.
R -102 RESTAURANT SYSTEM
NOZZLE COVERAGE SUMMARY SHEET
The 245 nozzle, Part No. 419340, Is the only approved nozzle for overlapping
(zone) protection.
Width Length Nozzle Placement
Nozzle Flow (In) (In) I f (See Manual
Type Points Max. Side Max. Side for More Detail)
:Xi,
1 W /1100 I 1 48 48 See Manual for more detail
2 x 1N 2 1 48 120 0 in. 6 in. from end of plenum
1W/1100 i 1 48 i 72 1 Oin. 6 in. from end of plenum
1W/1100 I 1 I 48 1 48 1 See Manual for more detail
Nozzle Flow Perimeter Diameter
Type Points (In) (In)
1100 1 50 1 16 See Manual for more detail
7 a iv1_ a iugl fo oi*iii ta0` ngif,41 f 1
2W +1100 3
135 48 I See Manual for more detail 1 Unlimited
I
2W >135 1 >135 I See Manual for more detail Unlimited
Maximum Cooking Hazard
34 in. (864 mm) Deep x 5.8 sq. ft. (.54 sq. m)
30 in. (762 mm) Deep x Unlimited Length
28 In. (711 mm) Deep x Unlimited Length
30 in. (762 mm) Diameter x 8 in. (203 mm) Deep
11 In. (279 mm) Diameter x 3 Ih. (76 mm) Deep
34 in. (864 mm) Deep x Unlimited Length
32 in. (813 mm) Deep x Unlimited Length,
32 in. (813 mm) Deep x Unlimited Length
(4 in. (102 mm) Maximum Fuel Depth)
32 in. (813 mm) Deep x Untimlted Length
(12 In. (305 mm) Maximum Fuel Depth)
36 in. (914 mm) Deep x Unlimited Length
34 in. (864 mm) Delp x Unlimited Length
Tyco SAFETY PRODUCTS, ONE STANTON STREET, MAFIINETTE, WI 54143.2542 715. 735.7411
NoZzIe Placement
(See Manual
for More Detail)
COVER MUST NOT
INTERFERE WITH
EDGE OF
DISCHARGE
PATTERN
r
1
1
11
r LANE
1
ZONE CENTER LINE
:1 ANSUL.
Min.
Height
(In)
Duct
Length
(In)
Unlimited
1
0-5 IN. (0-15 cm)
Ill
Max.
Height
(In)
20
4
2
11/3 the height of filter
1 I 20
40-45 IN.
(1.1.1 m)
Form 110. F-2005010 02005 Anent Incorporated Utho In U.S.A,.
TANK AND CARTRIDGE REQUIREMENTS
Once the hazard analysis is completed and the total nozzle flow
numbers are established, the quantity and size of agent tanks and
cartridges needed to supply the nozzles with the proper volumes
of agent at the proper flow rates can be determined. For cartridges
used in the regulated release mechanism, flow capacities, tank
quantities and sizes, and regulated release cartridge options are
given in the table below.
Total
Flow
Numbers*
Quantity and
Size of
Tank(sl
Regulated Release
Cartridge Options
Nitrogen Carbon Dioxide
1 5 (1) 1.5 Gallon LT -20 -R 101 10
c6
(1y3:0 LT 30 -1-t 101201
11 16 (1) 1.5 Gallon Double 101 30
(1) 3.0 Gallon
16 22 (2) 3.0 Gallon Double 101 30*
When one or more regulated actuators are used, the following
tank and cartridge combinations apply for each regulated actuator
Regulated Actuator Regulated Actuator
Tank(s) Cartridge
(1) 1.5 Gallon
(1) 3.0 Gallon
(1) 1.5 Gallon and
(1) 3.0 Gallon
(2) 3.0 Gallon
LT-20-R or 101 10
LT 30 -R or 101 -20
LTA- 101 -30 or 101 30* or
double tank
LT -A -101 30 or 101 -30* or
double tank
For exceptions to maximum flow numbers, see Distribution Piping Requirements for 1.5 gallon
and 3.0 gallon systems in this Section.
The 101-30 cartridge can not be used when (2) two 3.0 gallon tanks are manifolded to. ether.)
For higher total flow numbers (23 to 110) multiple cartridges and
regulated actuators are required as shown in the System Selection
Guide in Section IX Appendix.
ACTUATION GAS LINE WITH AN LT -20 -R,
LT -30 -R, 101 10 OR 101 -20 CARTRIDGE
MAXIMUM LENGTH OF 20 FT. (6 m),
MAXIMUM NO. OF FITTINGS 9
"ANSUL AUTOMAN"
REGULATED RELEASE
ASSEMBLY
REGULATED ACTUATOR ASSEMBLY
EXPELLANT GAS LINES
NOT INCLUDED IN ACTUATION
GAS LINE LENGTH TOTALS
SECTION IV SYSTEM DESIGN
UL EX. 3470 ULC CEx747 Page 4 -43
4 -1 -06 REV 5
ACTUATION AND EXPELLANT GAS LINE REQUIREMENTS
This section contains the guidelines for installing the actuation and
expellant gas lines between the regulated release mechanism reg-
ulator each regulated actuator regulator and each agent tank.
These limitations should be considered when selecting the com-
ponent mounting locations.
Actuation Gas Line 6 to 8* Tanks Maximum
8 Tank maximum reflects the utilization of 3 tank regulated actuators.
1 Use only 1/4 in. Schedule 40 black iron, hot dipped galva-
nized, chrome plated, or stainless steel pipe and fittings.
2. The actuation gas line piping is installed from the regulated
release mechanism to each regulated actuator connected
within the system. The total length of the actuation gas line
from the regulated release assembly to the regulated actuator
assembly(ies) must not exceed 20 ft. (6 m) when using an
LT-20-R, an LT 30 -R nitrogen cartridge, or a 101 10 or a
101 -20 carbon dioxide cartridge. See Figure 80
REGULATED
ACTUATOR
ASSEMBLY
.e
t
0
FIGURE 80
000775
UL 300 COMPLIANT
SYSTEM MFG. ANVIL 3.0 GALLON
CAPABLE FLOW 11 ACTUAL FLOW 11
9'6' HOOD
/\.1N
15-40"
//777,
1
24" X 21
GAS
BROILER
24" X 24"
GAS
GRIDDLE
NOTE: All pipe is black schedule 40
System operating and mairterrance
instruction posted by manual pull
12,X16" DUCT
2W
An
17',„ 1F.,. 3N.„
IN 40-48 40*48° 40-48" 25-35"
35-40")
36" X 24"
GAS
RANGE
INSTALLED BY
R (3. T ROOD SERVICES INC.
6100 12ra S. SEATTLE WA. 98108
PHONE (206) 726-0940 FAX (206) 767-2607
14" X 15'
OAS
FRYER
2-A 1 BC K Back up portable fire
extinguisher (54" Max above floor level)
located along path of egress
within 30 travel distance
A
MANUAL PULL
BY EXIT 48"
ABOVE FLOOR
SABOR DE MEXICO
118 NORTH LINCOLN
PORT ANGELES, WA 98362
3.0 GALLON'
MECHANICAL
AUTOMATIC
GAS SHUTOFF
Plenum nozzle must be located
within 6' of end of plenum
and deviding the length into
sections equal to or less than 10"
Cylinder has mechanical control head
f VORT ~
lO~~
,.
"- ,.;;;;;.;or
~
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Applicat~on pin number
Property Address
ASSESSOR PARCEL NUMBER
Applicat~on type description
Subd~v~sion Name
Property Use
Property Zon~ng .
Applicat~on valuation
7/20/07
07-00000856 Date
508512
118 N LINCOLN ST
06-30-00-5-1-1601-2001-
PUBLIC WORKS UTILITES
CENTRAL BUSINESS DISTRICT
o
Owner
Contractor
LOUIS C REHLEN TRUST
%JOHN W REHLEN
CASTLETON VT 05735
AFFORDABLE CRANE INC
258663 W HWY 101
SEQUIM WA 98382
(360) 683-9619
Permit
Additional desc .
Perm~t p~n number
Perm~t Fee
Issue Date
Exp~ration Date
RIGHT OF WAY
R/W #07-37 CRANE IN STREET
107581
70 00 plan Check Fee
7/20/07 Valuation
1/16/08
.00
o
Qty Un~t Charge Per
Extension
70.00
BASE FEE
Spec~al Notes and Comments
No equ~pment on s~dewalk Not~fy Port Angeles Police Dept.
pr~or to setting equ~pment at loacation.
Fee summary Charged Pa~d Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 00 70.00 .00 .00
Plan Check Total .00 .00 .00 00
Grand Total 70 00 70 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 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 . to viol e or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
T \Pohcles\1102.15R [1/05]
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Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS 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
PW UTILITIES (Engmeenng DIvIsIOn)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W I PWI CONSTRUCTION - R W
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T \Policlesl1 I02.15R [1/05]
. .
-;'
M
\/IJ
c~p
ROUTING SLIP !rfOAr .<I...,
~O~Q~~
Certificate of Occupancy o~.
.... -=-:or
=-
$47.00 Certificate/Inspection Fee ~
~(ICWO'r-:+"'<O
DATE y /~O./'ZOOI New Business ........................... . ('k )
Addrq o}Jopose~ Businer Transfer of Business location. . . . . . . . . . . . . . . . ( )
_\\ ,L\v~~ Change of Ownership . . . . . . . .... ..... .... . ( )
Applicant C. 0,:\ \. C\..\I\ S (. tI\ New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address '-"L'S E-, D~~r~St\ Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Pot' \-. A V\~e\~5 ( W \P\ 9.'fj3~L . Temporary Business ............... . . . . . . . . ( )
Phone: business home 'is z. - \l~<.o Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: (l~~\ Shop
legal Description: lot I . \~ Block I~ Subdivision NR SJu,~+L-t
Current Use of Property: 'f?e.'tc..,' \ ,,<;a.. e~
Zoning Classification of Property: LED
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes " . .. . X PERMITS BUSINESS LICENSE
Electrical changes . . ==* 1) BUilding 1) TaxI
Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers
Plumbing changes ,. . . ., . ==X 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . , . . . . .. . ,. . --K..- _ 4) Mechanical 4) Pawn Broker
New septic tanks , , .. . .. . _X 5) Sewer 5) Dance
New sewer service .. . .. . ,X 6) Sidewalk Installation 6) Hotel - Motel
AdmiSSion charged to patrons ..... . - ---y 7) Driveway Installation 7) Fireworks
... . --
Is thiS a home occupation? ... -~ 8) Curb Installation 8) Ambulance
Excavation of filling of lots " . ... . X 9) Sidewalk obstruction 9) Tattoo shop
Work done In City right-of-way , , , , -~ 10) Water meter Installation 10) Other
Is there suffiCient off-street parking? - X 11 ) Fire
New driveway openings . . --X 12) Occupancy
--
A grading plan for site drainage ,. . . . _ --.2L 13) Sign
(parking lots, downspouts, etc) ., ., , X 14) Shoreline
Are the eXisting streets paved? ... . -f== 15) Home occupation
Are there eXisting sidewalks? . . .,. . 16) Conditional use
Is there curb and gutter? . . -y- 17) Other
--
Other .... . --
I hereby apply for a Certificate of Occupancy and acknowl- 'i /(0/200\
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ('b~ '-4. vf1~
knowledge. Signed:
$1D REJECTED Comments / Conditions
BUilding Section
Public Works Department
r!{; Planning Department
: ~ ~/~l Fire Department
City Clerk
~J~/I-OI P.B.I.A.
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.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
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Site Address:
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In'stalled By:
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ELECTRICAL PERMIT
-
PERMIT NO. S/.3.5
C //dl /9' ~
, ,
DATE
o READY FOR
INSPECTION
License Number:
Owner/Business:
Owner/Business Address:
ELECTRIC HEAT
0: BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW_
o . FAN/WALL KW _
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
.,. SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
.
DetailslDescription: _~ ~. ~ ~
e.u~ ~.N.A .;
/
J-~ ~ ~
o WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
o RISER
'!'%OVERHEAD SERVICE
tJ UNDERGROUNI}SERVICE
VOLTAGE: /Zit/LZ4'-O
~1l6 D3l6
SERVICE SIZE /,00 AMPS
FEEDER SIZE AMPS
\
at-
/;;20 /l< 4~.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
A/;~O.K. to connect service
o Final O.K.
Sit~ Address:
Installer:
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New Meters
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Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O. K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457.0411, EXT. 224.
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NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
$
Eleclricallnspector
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC
r &0
4&
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall