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Home My WebLink About802 C St - Building ELECTRICAL PERMIT t CITY OF PORT ANGELES X- 360- 417 -4735 e- V Application Number 12- 00000462 Date 4/24/12 Application pin number 962758 Property Address 802 C ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2 -5800 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision. Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc Gas dispensers replacement Owner Contractor GRANDVIEW GROCERY INNOVATIVE ELECTRIC 802 S C ST PO BOX 6783 PORT ANGELES WA 98363. LYNNWOOD WA 98036 (360) 457 -6575 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1 -4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 4/24/12 Valuation 0 Expiration Date 10/21/12 Qty Unit Charge Per Extension 1\..) BASE FEE 86.00 Fee summary Charged Paid ,Credited -Due a Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 rl\ INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH Li /j z. l 1 SERVICE ROUGH -IN 9[2:4( Z FINAL 1 1 )Z_ COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING Flpr 23 2012 10:14RM Innovative Electric, Inc. 4253551965 page 1 ECE1 flE APR 2 3 2 12 CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: April 23, 2012 x Multi-Family or Commercial* Y Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 802 South C Street Building Square Footage. Description of above Replace 3 gasoline dispensers using some new and some existing conduit Owner Information Contractor Information Name: Grandview Grocery Name: Innovative Electric, Inc. Mailing Address: 802 South C Street Mailing Address: P.O. 4399 City: Port Angeles Stale: WA Zip: 98362 City: Everett State: WA Zip: 98204 Phone: 3R0- 457 -6575 Fax Phone: 425 -290 -7803 Fax: 425 -355 -1965 License Exp. License Exp. INNOVEIO55K3 Item Unit Charge alt Total (Qtv Multiplied by Unit Charge) Service/Feeder 200 Amp. 13200 Service/Feeder 201 -400 Amp. 160.00 Service/Feeder 401 -600 Amp 225.00 Service/Feeder 601 -1000 Amp. 286.00 Service/Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/0 Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 66.00 3 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Ternp. Service/Feeder201 -400 Amp. 121.00 Ternp. Service/Feeder 401 -600 Amp. 164.00 Temp, Service/Feeder601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign/Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf— Commercial 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Note: $5.00 for each additional T-Slat 86.00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am malting the electrical installation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: cash a ecI l:re6t Card x i Drmed: 1 Apr 26 2012 8:13AM Innovative Electric, Inc. 4253551965 page 1 1 i Rz., ELL J 4 CITY OF PORT ANGELES PERMIT APPLICATION i w 0 Building Division/Electrical Inspections ELECTRICAL G 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 INSPECTIONS s Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 4 [2.6 la Multi Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: %QZ S e Building Square Footage: Description of above Qdr), 11...i."Sn vavA.4\ fw+1p 4e *rinn "C t.er.. It-s Owner Infojnation Contractor Information Name: (6 CCkvv 1Q.uo C-o[o c_e_ c•- Name: pli t• c ci. e Mailing Address: KC 2_ 4 C. 5 Mailing Address: el \3c'- 9 cilyttaLIAloc State: S62.1;),_ Zip: gSc?.4.'Z CitylAjQ4 A. State:l,i.Zhr_ Zip: 4%1 Phonetkb Ng LS7'gFax: PhoneA2.5 1.4,o19so3Fax: 4.tS 3S5 L'5 License Exp. License Exp. TNNCV QT O$tiAtCg- Item Unit Charge gtL Total llMultiplied by Unit Charnel Service&Feeder 200 Amp. 132.00 ____L_ t Z Service /Feeder 201 -400 Amp. 160.00 ServicelFeeder 401 -600 Amp 225.00 Service/Feeder 601 -1000 Amp. 288.00 Service/Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/0 Service Feeder 74.00 Each Additional Branch Circuit 5.00 __3_ l Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Arnp. 102.00 Temp. Service/Feeder 201 -400 Amp. 121.00 Temp. Service/Feeder 401-600 Amp. 184.00 Temp. Service/Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign /Outline Lighting 88.00 3 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 Note: $5.00 for each additional 1500 sl Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Nole: $5.00 for each additional T -Stat l 4 Z Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical`permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of 0. r, electrical contractor or electrical administrator: CI cash Check 'Ot Pc0 ko ex�s -k j s 'ls s-42. ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00000871 Date 1/10/12 Application pin number 427042 Property Address 802 C ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2 -5800 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City/ of Part Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 3 circuits kitchen Owner Contractor GRANDVIEW GROCERY APS ELECTRIC 802 S C ST 546 BENSON RD. PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 -6575 (360) 452 -6753 Permit ELECTRICAL ALTER COMMERCIAL �T Additional desc J Permit Fee 78.70 Plan Check Fee .00 Issue Date 8/15/11 Valuation 0 Expiration Date 2/11/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -COMM BRANCH CIR WO/ S/F 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 -.4" INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Z� 11 t 44> FINAL "i 17 /1 '•rI COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING e l. PORT gN�F ELECTRICAL INSPECTION WIRING REPORT U N v L C-V G 4, 417 -4735 DATE PERMIT INSPECTOR OS-7I OW ER /C TRACTOR ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: O F 5 N W L-S- 9"rzpv- TRY5.icA t >">4(..>S /4E 34,,6 7J err L A LL u� v S 7 a� 1►�( 4— rl►ec )!O. 12_ 'D ISC, 4- CohI 17U Cr fzo o slc 4 G1n TZ b aA i■ ITx vs cam o" BBC vra-c 3 3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL PERMIT 1 E a CITY OF PORT ANGELES 360-417-4735 Application Number 11- 00000871 Date 8/15/11 Application pin number 427042 REPORT SALES TAX Property Address 802 C ST our excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5800-0000- 017 y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 3 circuits kitchen Owner Contractor GRANDVIEW GROCERY APS ELECTRIC 802 S C ST 546 BENSON RD. PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 -6575 (360) 452 -6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 191015 Permit Fee 78.70 Plan Check Fee .00 Issue Date 8/15/11 Valuation 0 Expiration Date 2/11/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 2.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 5.20 Fee summary Charged Paid Credited Due Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 78.70 78.70 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1[1., FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCFIANGE \BUl LDING FROM A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Aug. 15 2011 07:49AM P1 ECE vED OF �'U1rT PORT PERMIT APPLICATION AUG 1 3 0 2011 a3t�it(iArt Divisioft/Elecilvi>. at S tsttetlie �i 321 Fast fifth Street— P.O. Box 1150 /Port Angeles Washington, 98362 ELECTRICAL Ph: 1 360) I7- -473; ?;nx: (36') k17 -471.1 INSPECTIONS \/fir, 1 M. ,i�.. X 0 I �'w6ilY 7h'{� Date; V ,,,_,.1 2 Single Family Dwelling k Multi- Family or `mmerciar Commercial Addition Alteration Remodel Repair* Plan Review a f3e Re wired, Plea Complete Electrical Plan Review Information Sheet AV Job ,t b 1 C ree t 9 uiiding Square Footage: De srr iption U eivwe C i d' l.[ t 5 n U� X Cr 1/..r.Z.:.(IJ..._ �r 11. W c,o a Owner Information Contractor Igforppatign Name: Nama W r S Mailing A rtes: O art C.'` P MaiiincAc.k rees: 1 Car City: Stale: 'p City. Stale. IV Zi t'hone Phone, —Fax' r #1 Licari,!! txp. License Exo.,,, Item Unit Charge Total (Qty Multiplied by Unit Charge) 3ervice/Feeder 200 Amp S119.90 Service/Feeder 201 -400 Amp, S 145.50 Service /Feeder 401 -600 Amp S 204,60 S Service/Feeder 601-1000 Amp. 262.20 S Service/Feeder over 1000 Amp. 372.50. Branch Circuit W/ Service Feeder 2.60 g Branch Circuit W/O Service Feeder S 73.50 8 Each Additional Branch Circuit S 2,60 _Q__ $_57.1.2..___. Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service /Feeder 201 -400 Amp. $110.30 Temp. Service /Feeder 401-600 Amp. S 148.70 S_______ Temp. ServicelFeeder 601 -1000 Amp S 167.90 Portal to Portal Hourly S 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ limited Energy First 1500 sf Commercial 95.90 8 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 Manufactured Home Connection 8 119,90 S Renewable Electrical Energy SKVA System or Less S 102.30 g Thermostat 56.00 NEW CONSTRUCTION ONLY; First 1300 Square Ft. 8 110.30 Each Additional 500 Square Ft. or Portion of e 35.20 g Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110,30 O Total Owner as defined by RCW,19.28.26 i (1) Owner will occupy the structure for two years after this electrical permit is finalized, (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above statement, I hereby certity that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications.. Signature of owner, electrical contractor or electrical administrator: Casty 0 Check o crsaitcaraa ! CITY OF PORT ANGELES f DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000780 Date 7/27/11 Application pin number 844560 Property Address 802 C ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 5800 -0000- Tenant nbr, name GRANDVIEW GROCERY on your state excise tax form Application type description COMM REMODEL Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 10000 Application desc NEW WALLS, FLOOR DOORS FOR NEW COOLER Owner Contractor GRANDVIEW GROCERY OWNER 802 S C ST PORT ANGELES WA 98363 (360) 457 -6575 Structure Information 000 000 NEW WALLS DOORS NEW COOLER Construction Type TYPE V NON -RATED Occupancy Type MERCANTILE Permit BUILDING PERMIT COMMERCIAL Additional desc NEW WALLS DOORS NEW COOLER Permit pin number 189878 Permit Fee 207.75 Plan Check Fee 135.04 Issue Date 7/27/11 Valuation 10000 Expiration Date 1/23/12 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14.0000 THOU BL- 2001 -25K (14 PER K) 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 207.75 207.75 .00 .00 Plan Check Total 135.04 135.04 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 347.29 347.29 .00 .00 1 VIM I 2t •1 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 within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provis'- if any sta or local law regulating construction or the performance of construction. iii Date Print Name Signature of Contractor •r Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417-4653 Planning 417 -4750 Building 417 -4815 12- 2- I 1 1 ALL T:Forms /Building Division /Building Permit ?(IPF4 BUILDING PERMIT APPLIC TION Print in ink CITY OF PORT ANGELES t 7: fir. For City Use Only: f Attn: Building Permit Technician Date Received 7 2-1 t. 321 E. Fifth St., Port Angeles, WA 98362 Permit '"o (360) 417 -4815 fax (360) 417 -4711 A, ateAr0v' /?7/ 1f ed Applicant CoK~a edft?� f //✓c P e 7 Property Owner �r Phone Property Owner's 6ddress 800 So C. S7 Contractor L Phone Contractor's Address License Expires E -mail -sue i s° eft PROJECT ADDRESS -R- c S2,--e`—C1 Parcel Number Lot Zoning Project Type Brief Description: Residential o Multi- family mmercial Industrial Check all that apply New Construction a Addition rem ,/e,,/ V �r//,�c S s�� 7'() Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3rd Floor Garage Al. Carport A. Allallk t O1 ul4L& 5 o 0 0 Covered Porch ctfb- BOO Deck Shed Other „lc.- Other i4 TOTAL VALUATION 000 Total footprint of structur= sq. ft. Lot size sq. ft. Lot coverage Site Coverage the amoun. of impervi• s surface on a p: rcel, including ructures, paved •riveways, side elks, patios, and other impervious surfac= (se: 'AMC 17.94.135 for emption Site cove =ge Max. height of proposed struct -s ft. Occupant group of b toms Will a lawn sprinkler system install- Occupa' t lo.. of II bat Will a fire sprinklersyste se installed? Construction typ- half baths I have read and completed this application and know it to be true and correct. 1 am authorized to apply for permit a nderstand that it is my responsibility to determine what ermits ar equired, and to obtain permits prior to working proj: ts. Date 7 Zz r/ Print Name /77 Signature T:Forms /Building Division /Building permit application ‘N ki 4, NJ -3— r0' 1.j.-----\ V i' 11\ 0 :17:. t J... S...... ii i 1 cC ‘si: o l ki r, i116-. '1 J t Afill4b Oel .,.._.p ,�c 1 A8 mu abed lenOJddv J 5 00c (•apo .W •uogolpsunt sly} Jo saaueu!pJo pue woo He jo uogeloia ul uonm Japunaaag up pima Bumaq suoyejado 8ulplinq Au}uanaJd WW1 JO 'elep aay;o pue suopeayiaads 'said pies ul S10JJa to upyaalJoa an Butynba! ial;eeJayi woij leloJ o 2 ulpllnq eqi umlaut jou Heys e}ep Jay }o pue suogea 3 •l{I.ads 'sueld asay} uodn 1'1 1 pase llw�ad sly ;o aauenssl ayj I. staid uotsoruisuoa sarIONV IdOdl 30 A113 t Commercial Display Systems LLC .,===1 Phone: 800-478-3790 650..lessie St Phone: 818-361-8160 San Femando CA. 91340 CDS FAX: 818-361-8152 COMM2(0411 &Way SyZons t 4 'IWZ4 ,i' Z'-'14, i 16 WWW11 g ---g e' L' A PPIelgtiaVV-11:1W WV:- V. 7 :F :NW #1i4* -7 vo 4 4:, ,,ILe.,,, -_0 ''t '14' 4671614 4; :-Y- i'''' -j 44 W .1-44 V: 'r 70 X' 'O''''' -A 4z ilAP t, iTit -0 7 c 7 i'l*:: 7 1 ;...ge4A;;;,,, 144- WL 4 W I...i&AUZliallitlirlii.Vifiz AkiL-4‘421AIL01144,41eiAtaikk z44.-,W4 4.14:14(WAZIA:-.4-f- filwa4VC 7 4-- 4 -2- c72 4% trigl flatni7,-?;;17-47,-iwnRY:2 FAT -7: 7 7,757fr a lf- WA 'MTIN tt.' *-A.,,,,,A. "AWN 4,, 1 l 'Alz tzg.a. 14,1 ak 44.14S.17.., Z7PAS:--;:a. 4 ...4 4 &V:4,14,41,i,;_tk--' 4 A,4 6 4A4144:...2s'- 4 ,.:1.' '1.: ".'1.. The FS Legacy Series door is the industry standard Featuring Standard 2 pane gas filled Low E glass package $;7 4 7, 4k4r ,IptitlM, k or 3 Pane Low E glass package for California. ;11; 'ft !i7' ittittififtirltrin lil, 11 y= 44 A` T-8 Electronic Lighting with optional Hi Definition 1.t.t; ,4: zr...e.4,f LED lighting available. :1 6. 1 1; The T mullion Design provides the strongest frame 1 for durability and years of dependable service J '4, „,..i0,4,Q.,,AA 1 -0. Exclusive hold open with no arm to bind combined -0f :1,..i• i'l 1 0 il i fi with our patented Kwik Torque and Kwik Level system V F: I:; ,1,11 f L ;;Iii; gives you a door that compares with more expensive .1 ;?iilk*ta A 1. l''' i,, doors at a competitive price a value not to be over looked 74 il 14 :1 IL Add optional features like gravity flow shelving and full length handles to give you the look you want at a price you il i A.t.- you can't beat and a door that you can rely on for years of dependable service. k 72111PL—ABW. =A FREEZER DOORS For Freezer doors see note on back page DOOR SIZE PRICE DOOR SIZE PRICE Prices are per door opening 23 X 67 $1,305.00 23 X 67 $1,432.00 For multiple doors multiply number 23 X 73 .$1,408.00 23 X 73 $1,526.00 of door openings by the list price 23 x 79 $1,542.00 23 x 79 $2,036.00 Standard Features 26 X 67 $1,355.00 26 X 67 $1,510.00 T-8 Electronic Lighting 26 X 73 $1,454.00 26 X 73 $1,543.00 *3 pane Low E glass Package or 26 x 79 $1,582.00 26 x 79 $2,040.00 2 pane Low E gas filled glass package 28 x 67 $1,405.00 28 x 67 $1,709.00 27" deep epoxy coated :shelves 28 X 73 $1,518.00 28 X 73 $1,832.00 Energy Free Cooler Doors'"' 28 X 79 $1,583.00 28 X 79 $2,045.00 **designed for 35 degree F box 75 degree F 30 X 67 $1,414.00 30 X 67 $1,549.00 ambient and 72% Relative Humidity 30 X 73 $1,525.00 30 X 73 $1,832.00 .3 Pane is used for Califomia only 30 X 79 $1,673.00 30 X 79 $2,050.00 ;4 i f ilt711 MfarStrIttriFIVrt r if:PM: 1 Net Opening Heights for all door width's are 67-1/8" 73-1/8" 79-1/8" Mitinnt OftStra Fillia 4., MEV= 29- MtigtriA P4MISITANWI: W "MET 24" 1' 11 3' 10 5 9 7' 8 9' 7-3/4" 11' 6-3/4" 13' 5-3/4" 15' 4-3/4" 17' 3-3/4" 19' 2-3/4" 26" 2' 3-1/2" 4' 6-1/4" 6' 9" 8' 11-3/4" 11' 2-1/2" 13' 5-1/4" 15' 8" 17' 10-3/4" 20' 1-112" 22' 4-114" 28" 2' 5-112" 4' 10-1/4" r 3" 9' 7-3/4" 12' 0-1/2" 14' 5-1/4" 16' 10" 19' 2-3/4" 21' 7-1/2" 24' 0-1/4" 30" 2' 7" 5' 1-1/4" 7' 7-1/2" 10' 1-3/4" 12' 8" 15' 2-1/4" 17' 8-1/2" 20' 2-3/4" 22' 9" 25' 3-1/4" Slii,,:;A• EMU= EISFIll RACKINS RiiiiiaM EIi zli MUM Sitii,r: PANZEM rtl.:,741i.J zl:fferoil 24" 21' 1-3/4" 23' 0-3/4" 24' 11-3/4" 26' 10-3/4" 28' 9-3/4" 30' 8-3/4" 32' 7-3/4" 34' 6-3/4" 36' 5-3/4" 38' 4-3/4" 26" 24- 7" 26' 9-3/4" 29' 0-1/2" 31' 3-1/4" 33' 6" 35' 8-3/4" 37' 11-1/2" 40' 2-1/4" 42' 5" 44' 7-3/4" 28" 26' 5" 28' 9-3/4" 31' 2-1/2" 33' 7-1/4" 36' 38' 4-3/4" 40' 9-1/2" 43' 2-1/4" 45' 7" 47' 11 30" 27' 9-1/2" 30' 3-3/4" 32' 10" 35' 4-1/4" 37' 10-1/2" 40' 4-3/4" 42' 11" 45' 5-1/4" 47' 11-112" 50' 5-3/4" EFFECTIVE DATE 1/1/10 Manufacturing Facility Commercial Display Systems LLC Phone: 800-478-37)0 650 Jessie St Phone: 818-361-8130 San Fernando CA. 91340 FAX: 818-361 -81!22 Commercial Display Systems For Freezer doors to meet Federal Standards add: $1,230.00 for 1 -5 doors and $172.00 for each addition' 1 -5 doors Example for 8 30 x 73 doors 8 x $1,832.00 $14,456.00 $1,230.00 (Controller) $172.00 (relay) =$16,058.00 x multiplier First 5 doors require 1 controller each additional 5 doors require 1 relay 12 doors would require 1 controller and 2 relays 1 vj�� }a C Ous a s a k c 1, �1§ LISTED s A.. A El i n t ff DxdtF \3 r` '.fi r t, 9 The "T mullion design of I O="x NSF CRI O 2 815,3 The Kwik Level* system is placed the Legacy Series doors 4 at the top of the door making it assures strength and support r.� s 1 simple to sight down the line -up for the walk in box header adjusting each door to the next panels. The triple seal gasket Door leveling is simple and easy. utilizes a magnetic beaded door gasket fitting into a recessed frame gasket to assure a positive air tight seal ors -g ''-="7,; r The unique design of the Kwik Torque* makes adjusting The positive hold open t. olds tension a snap_ Just 3 to 4 ti 'f, the door open to a full 90 degrees. clicks and the door shuts and x Simply pull the door to 90 degrees seals with ease. i r p and it locks in place. Release the door by pushing ligh� ly for a positive air tight seal. l� I U to the optional LED Hi Definition Lighting system with a 5 year warranty p 9 9 Y Y tY Brightest light with the best product coverage Optional Motion Sensor to further reduce your Energy Consumption No annoying side glare as commonly found with other LED systems i. i Contact the factory and see how much you can save with the Hi Definition LED Lighting System from CDS *CDS roducts are covered b p y patent: 6,978,516 Commercial Display Systems offers a variety of additional products to meet your needs. Sealed glass units, custom size doors, walk -in box viewing windows, rolling beverage racks custom shelf sizes, color coating, choice of handle finishes and more. Please contact the factory for additional information. ALL DOORS INCLUDE THE FOLLOWING STANDARD FEATURES DOOR AND FRAME HEATERS ON FREEZERS/ FRAME HEATERS ONLY ON COOLERS 67" AND 73" DOORS HAVE 5 27" DEEP WHITE EPDXY COATED SHELVES AND 79" DOORS HAVE 7 SHELVES CHOICE OF BLACK OR WHITE SHELVES AND PRICE TAG MOLDING BLACK HANDLES 2 PANE NON HEATED GAS FILLED LOW E TEMPERED SAFETY GLASS IN COOLERS 3 PANE HEATED IN FREEZERS ALL PRICES AND STANDARD FEATURES ARE SUBJECT TO CHANGE WITHOUT NOTICE Commercial Display Systems LLC warrants all products to be free from defects in materials and workmanship for a period of 2 years from date of purchase. All sealed glass units are warranted against leakage for 10 years from date of purchase. Warranty issues must be submitted to Commercial Display Systems LLC, as no other agency has either the right or authority to commit Commercial Display Systems LLC to any warranty repairs or replacement without written authorization. Warranty does not cover misuse or intentional or unintentional abuse. EFFECTIVE DATE 1/1/10 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000818 Date 8/02/11 Application pin number 772812 Property Address 802 C ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 5800 -0000- Tenant nbr, name GRANDVIEW GROCERY on your state excise fax form Application type description MECHANICAL APPL. PERMIT to the City Of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 1200 Application desc EXHAUST FAN Owner Contractor GRANDVIEW GROCERY PENINSULA HEAT INC 802 S C ST 782 KITCHEN -DICK RD PORT ANGELES WA 98363 SEQUIM WA 98382 (360) 457 -6575 (360) 681 -3333 Permit MECHANICAL PERMIT Additional desc EXHAUST FAN Permit pin number 190330 Permit Fee 60.65 Plan Check Fee .a0 Issue Date 8/02/11 Valuation 0 Expiration Date 1/29/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME -VENT SYSTEM (NON -HVAC) 10.65 Fee summary Charged Paid Credited Due Permit Fee Total 60.65 60.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.65 60.65 .00 .00 h n 12-Z1.11 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any s to or local law regulating construction or the performance of construction. E,kjL Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: W Walls c Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab \A Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit Its SEPA: Parking Lighting ESA: SHORELINE: Landscaping FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 S Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 VI Planning 417 -4750 417-4815 /.'`_°'t! l J7 S° Building S T- rrnc /R1 iilrlinn nivision /Ruildina Permit H H N WW 0 F q a 10 N r N N O m .0 La o 0 A r M a a H a H W W Z Z F Q 0 0 N V) 1010 W o0 o w H X a s 0 0 Kt 10 z H h N Q 0a �a H 0 rn H F F F o cr) U U 2 N co H C c i) Z£ 00) 10 HH 1 00 aN X U H H 5+ o UU p a CO w p v 0 n 0 U0)c q u E 00 41 41 a 0 E 1 Q a W Q o W a F o 10 w CO H a 04 I-1 0 a zm li U C7 i o C7 H W a r o m x S S r H H W Woo 0 U(21 Q o o b W W H M a m a z o mHa a H a o 1001 Qzzza■ a 0) W U a F UU o a.0 i a F 0.al o t KI BUILDING PERMIT APPLICATION Print in ink �1 S Fr P^.�- CITY OF PORT ANGELES It For City. Use Only: Attn: Building Permit Technician Date Received 321 E. Fifth St, Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Permit 1\- Date Approved Applicant .Ch 0--v/is fie »de r5 .6 Phone Sr 33.- 3 Property Owner Phone Property 0 er's Address Contractor refri i n a /e"17 Phone 4:S-1 --3 3 3 Contractor's Address 7 i .r �yi�� J h.er t2, lac/ c c.-'s l' License j)/1J (,J 7 Expires E -mail r A e ez 74,;: 63 i ,de i PROJECT ADDRESS G=f..ea..r...dirt$ art-- 6 0 2 C f, r P,/ q e Parcel Number Lot Zoning Prolect Type 8 Brief Description: ,srdential o Multi-family )(Commercial o Industrial Check all that apply o New Construction ct ct,d, G o o c A PI X r s;) S F o Addition ..6.:f aJ ,tie r�c�.r -ere r .s i .h.J Jl c-4- t4 A o Remodel a Repair o Demolition o Re-roof o House o garage a other o tear off re -roof o lay over one layer 0 at System o Heat pump o wood burning stove o gas fireplace o pellet stove o other Nf Other EY 11 A st f 4./Pv Floor Areas Existing (sa. ft) Proposed (sa. ft) Basement per sq. ft. 1 Floor 2" Floor. 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 1 o "TX Total footprint of structures sq. ft. "k". Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces: (see PAMC 17.94.135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group of bedrooms Will a lawn sprinkler system be installed? Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths 1 have read and completed this application and know it to be true and coned. k am authorized to pply for this permit and understand that it is my responsibility to determine what, permits. are required, to obtain permits prior 10 ��nndd L r°l. Date Print Name GG ek�'%Y1i s T:F uilding Division/Bldg Permitdoc 11pp11caC1on Number 10 00001212 Application pin number 278616 Property Address 802 C ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 5800 0000 Tenant nbr name GRANDVIEW GROCERY Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 26000 Application desc ADD KITCHEN /COOKING AREAS Owner GRANDVIEW GROCERY 802 S C ST PORT ANGELES (360) 457 6575 Structure Information Construction Type Occupancy Type Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 10 6500 EA T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 000 000 ADD SINKS COUNTER FRYER FOR FOOD SERV UNKNOWN BUSINESS OFF /PRO /MED /REST BUILDING PERMIT COMMERCIAL ADD KITCHEN /COOKING AREAS 175802 427 85 11/03/10 5/02/11 Unit Charge Per Extension BASE FEE 417 75 10 1000 THOU BL -25 001 50K (10 10 PER K) 10 10 MECHANICAL PERMIT Per PLUMBING PERMIT 175836 114 00 11/03/10 5/02/11 Contractor OWNER BASE FEE ME STOVE /FIREPLACE /MISC APP Date 11/03/10 Plan Check Fee 278 10 Valuation 26000 175810 60 65 Plan Check Fee 00 11/03/10 Valuation 0 5/02/11 Extension 50 00 10 65 Plan Check Fee 00 Valuation 0 Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any stater local law regulating construction or the performance of construction REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I I ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By PREPARED 5/13/11 8 17 17 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/11 ADDRESS 802 C ST TENANT NBR GRANDVIEW GROCERY CONTRACTOR OWNER GRANDVIEW GROCERY PARCEL 06 30 00 0 2 5800 0000 APPL NUMBER 10 00001212 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/`3/11 JLL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE PHONE (360) 457 6575 BLDG FINAL TIME 01 00 May 12 2011 4 51 03 PM 1pangrle JIM 457 6575 (I CALLED HIM TO FINAL THIS PERMIT BUILDING FINAL AFTERNOON ME99 01 5/13/11 JLL MECHANICAL FINAL TIME 01 00 May 12 2011 4 52 03 PM 1pangrle JIM 457 6575 (I CALLED HIM TO FINAL THIS PERMIT MECHANICAL FINAL AFTERNOON PL2 01 11/03/10 JLL PLUMBING ROUGH IN 11/04/10 AP November 3 2010 9 08 37 AM permits DALE 452 8525 ROUGH IN PLUMBING November 4 2010 4 37 01 PM jlierly PL99 01 5/13/11 JLL PLUMBING FINAL TIME 01 00 May 12 2011 4 52 28 PM 1pangrle JIM 457 6575 (I CALLED HIM TO FINAL THIS PERMIT PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 11/03/10 9 09 50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/03/10 ADDRESS 802 C ST SUBDIV TENANT NBR GRANDVIEW GROCERY CONTRACTOR PHONE OWNER GRANDVIEW GROCERY PHONE (360) 457 6575 PARCEL 06 30 00 0 2 5800 0000 APPL NUMBER 10 00001212 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/03/10 LL PLUMBING ROUGH IN November 3 2010 9 08 37 AM permits DALE 452 8525 ROUGH IN PLUMBING COMMENTS AND NOTES Application Number Application pin number Qty Unit Charge Per 4 00 1 00 1 00 1 00 1 00 7 0000 EA 7 0000 EA 7 0000 EA 15 0000 EA 7 0000 EA Special Notes and Comments October 21 2010 9 15 40 AM rbecker Need to install Reduced Pressure Backflow Assembly on Soda Dispenser I will need to do a inspection on the sinks also If you have any questions call Ron Becker at 417 4886 or E mail rbecker @cityofpa us A K CLASS FIRE EXTINGUISHER MUST BE PROVIDED AND MOUNTED WITHIN 20 OF THE COOKING AREA October 27 2010 5 51 31 PM sroberds The project involves interior remodel only No additional floor area or sit down seating is proposed No land use issues anticipated October 20 2010 1 01 34 PM Brian 417 4708 OK Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Separate Permits are required for electrical work SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged 602 50 278 10 4 50 885 10 10 00001212 278616 BASE FEE PL PLUMBING TRAP PL -WATER LINE PL- BACKFLOW PROTECTION <OR =2 PL -SEWER LINE PL -WATER HEATER Paid Credited Due 602 50 278 10 4 50 885 10 00 00 00 00 Page 2 Date 11/03/10 STATE SURCHARGE 4 50 Extension REPORT SALES TAX 50 00 28 00 on your state excise tax form 7 0000 to the City of Port Angeles 15 00 (Location Code 0502) 7 00 00 00 00 00 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wail Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments —lO IFINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 5 -13 -1 Accepted by S FINAL Date D -1' Accepted by J Date Accepted By L_. Applicant 6 /.0 ,P✓f,eul Property Owner Property Owner's Address Contractor Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition r,1Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impervious and other impervious surfaces (see PA Max. height of proposed structures Will a lawn sprinkler system be install Will a fire sprinkler system be install d? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 criotion. Residential Expires S? C ETA €fir 14":4' it "0.44_ moving kayv( J Q St �k cs rea so_ House garage o other v Heat pump wood burning stove +il a 9' wail Existing (sq. ft.) Posed (sq. ft.) C '(ov (,6' q ft. T Lot size ace on a parcel including structures 17 94 135 for exemptions) Occupancy group Occupant load Construction type of bedrooms of full baths half baths For City Use Only Date Received 1 d -10 Permit Date Approved P ne X-6 4/S 63 Phone 9T./0:3 Phone E -mail .„..-,ge yr I .-j��vdd mii, Gr&v) G roce1r 9 Lot 5G oning (',5b Multi family o/Commercial Industrial 1e,,ow 2/o. A f3644/0 P a. ,eri-io vt Sock Mack c_ (p 1"ep c i 4 4tn0't'tl'.n .r�n jack S f ula 2 n the 3 comP SI tear off (1., re -roof lay over one layer gas fireplace pellet stove other Meki k) V t4" 1( Q..vlfless 11oda1 Sv`p cnA". Ma d- vi Ft clijk k an 6n-cieirno,n Reaiet- Fat- -the �oni coy per rtiei" i nd nK TOTAL VALUATION sq ft. Lot coverage driveways sidewalks Site coverage patios I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit an derstand that it is my responsibility to determine what permits are required, and to obtain permits prior to working o cts. Date /G'9 -/O Print Name %//0 L Signature if T Forms /Building Division /Building permit application i- permit 0 LQ N OTES o les T Forms/Bwiding Division Clallam County Assessor Treasurer Property Details 58326 GRANDVIEW GROCE Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 58326 GRANDVIEW GROCERY for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area. Open Space: Historic Property* N Multi- Family Redevelopment: N Township Range. Location Address. 802 S C ST PORT ANGELES WA 98363 Cycle 5 Comm 20953140 Neighborhood Neighborhood CD* Owner Name Mailing Address: Owner Name Mailing Address: Owner Name. Mailing Address: Taxes and Assessment Details Property Tax Information as of 10/19/2010 Amount Due if Paid on. 7 Year Statement ID 2010 41277 2010 41277 2010 41277 2010 41277 2010 41277 2010 41277 2010 41277 58326 0630000258000000 Real 0010 PA 121 PORT ST CNTY H2 N GRANDVIEW GROCERY 802 S C ST PORT ANGELES WA 98363 GRANDVIEW GROCERY 802 S C ST PORT ANGELES WA 98363 GRANDVIEW GROCERY 802 S C ST PORT ANGELES WA 98363 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 Legal Description Agent Code L Land Use Code 55 DFL N Remodel Property N Section Mapsco Map ID Owner ID Ownership Exemptions. Owner ID Ownership. Exemptions. Owner ID Ownership Exemptions: LOTS 1 3 BL 258 3 27433 100 0000000000% 27433 100 0000000000% 27433 100 0000000000% http. /vpn. clallam. net. 8084 /propertyaccess /Property. aspx ?cid =0 &year= 2010 &prop_id =5 Y )\P NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid $558 74 $558 75 $0 00 $0 00 $558 74 $297 36 $297 34 $0 00 $0 00 $297 36 $41 79 $41 79 $0 00 $0 00 $41 79 $688 45 $688 45 $0 00 $0 00 $688 45 $723 73 $723 72 $0 00 $0 00 $723 73 $86 40 $86 40 $0 00 $0 00 $86 40 $121 98 $121 98 $0 00 $0 00 $121 98 10/19/2010 i s o Approval Date FILE CITY OF PORT ANGELES Construction Pfans The Issuance of this permit based upon these plans/specifi, cations and other data shall not prevent the buil dg official from thereafter requiring the correction of errs in said plane specifications and other data, or frog preventing building operations being carried on thereunder when in, violation of all codes and ordinances of-this jurisdiction, 2oa By J pil 114121 .tom Cie") I 7 $I� kNS \PPIAtr FP WY DA <51 13. tj(o 41 git 6 it v\ vs' a c!r`` CA. G7°V-- ,\,\d7/ (Age �So Fr Cu i-` 1 J A Wil/A 47 14 AlIVAQ 0 17 ke-A1.7 1- 141 2 e r ,41 k" Ventless Hood System Compact and versatile one-of-a-kind stainless steel hood provides the necessary vapor removal requirements for all current electric models of Broasteipressure fryers_ Simple to install eliminates the need for expensive roof modifications and the hassles of dealing with multiple vendors supplying separate hood and electrical systems. Safe includes built -nn Ansul R 102A fire suppression system with piping, nozzles (appliance and plenum), and conduit routing the fusible link cable through the hood. Effective 3 -stage air filtration system includes. Q stainless steel baffle filter for trapping large grease particles electrostatic air cleaning filter (EAC) with ionizers for charging particles m the grease laden air and electrostatic plates for particle collection VW Oa r 4 2008 The Braaster Company FORM 9.2629 01;200$ Printed in U.S.A_ g400-385-S... CRANSTDN i WI 5351149 PRAM BH TRF 9ADASiER CDN[PAAY 2855 SEMI 91 USA PHDIi�. f�48- 3fi5 -D193 FA]L HOB-363-7957 a a M t' e .vc-,_ ,Cam I S,43_tcrie a E c :gnat na .l s r 4..,ft: only la ,Icun t r eta u t tea.`. en oul:lotizaticy, frziti The 8r ,:J Carnpahy. disposable charcoal filter for eliminating odors Complete shipped with one of each of the following: baffle filter, charcoal filter, EAC filter, EAC soak tank, EAC dry tank, manual• sulk for. Aerations where eu lc- c moifigicuudi h Jsytsterrr r l° J Ventless Hood System U Front SPECIFICATIONS Construction 20 gauge to 16 gauge stainless steel Ventless Hood Exhaust: 510 680 cfm Decibel Level: approx. 65 decibels Overall Dimensions Width: 29- 11/16" (753.5 mm) Depth: 38 -3/4" (983.6 mm) Height 98-1/2" (2502.7 mm) PART NUMBERS 208v Ventless Hood System 240v Ventless Hood System 208v Ventless Hood System with ILS* 240v Ventless Hood System with ILS* Side 93424 93425 93426 93427 lntedoddng Start Option shuts down the ventilation hood system if the fryer underneath is not operating. Check with your local officials to see if this is required in your area. if not specified, a non -ILS unit will be provided. Back [613921 r m 29 /16 [722.521 ,,-6y,waa.m T P. Inches (Millimeters) Electrical Specifications Available voltages: 208 volt, 1 ph, 60 hz, 5.5 amps 240 volt, 1 ph, 60 hz, 5.5 amps (no service cord provided) Shipping Specifications Crated Weight: 535 lbs. (243 kg) Crated Cube Size. 42" D x 52" H x 107" L 136 cu. ft. (1067 mm x 1321 mm x 2718 mm 3.85 cu. m.) Unit Ships with the Following Accessories: Baffle Filter Charcoal Filter EAC Filter EAC Soak Tank w/o Cover EAC Soak Tank Cover EAC Dry Tank w/o Cover Additional quantities are available at extra charge. 93433 93432 93431 93428 93429 93430 0-365-8278 2-2008 Th Broaster Company FORM 92629 0112008 Printed in U.S.A. s .r w�� f� v THE i6t1ASTIR G0MPAWV, 2855 CRANSTON BOAR, BELOW WI 535ii -3991 USA P PARKE: Boo- 365 -0193 FAL 688- 363 -7951 E-MAIL BROAS7ERg ROASTEA.COM r c 'i•'H n3 a c?>; v t! n b wt lv.� JPl '.1:e 2242p t omp. r ..'�Ja. r� C...1...: iL..:E«, 1: :2 "4•c4:t:T LSY v.. kC<14 3`." .c. Proven round cooking well design engineered for more uniform heat distribution, durability, and efficiency; no cold spots or corners. Unique Auto Comp"" feature automatically adjusts cooking time to accommodate for varying sizes and temperatures of loads. Exclusive quick closing and opening single action sealing cover designed for safety and ease of use. Built-in filter system provides quick, easy, and safe cooking oil filtration; no heated fittings to disconnect. Automatic cook cycle counter monitors production between filtering. Easy to operate one- of- a-kind Temp N -Time feature offers the capability to pre program up to 10 different cook cycles for quick and easy preparation of various menu items. Compact occupies only 4.38 square feet of floor space. Durable backed by a 5 -year cooking well warranty and a 2-year solid state controller warranty Fast and productive cooks up to 40 pieces of fresh chicken per load in under 10 minutes! Fits anywhere available m both gas and electric models. Model 1800 Pressure Fryer SA C US CE approved machmes available. The only brand_of equipment authorized for producing Genuine. Brouster Chicken .1 s: f 5ZE408TheBroast FORM 92163R 9!2408 Printed in U.S.A. c 'U i.?w.�_ a T..teon` .e a Pant THE BOASTER COMPANY, 2855 CRANSTON ROAD, BELOFL W153511 -3951 USA g PHONE: 60&365-0193. FAX 608- 363 -7957 9 [ARIL BOASTER BRDASTER.CORf 8tp2 Linz(. Erl2.r...w C?:5z,i co r..`. 3..(.1-:.ieria' .i. ySie sfel c..._. ..57Ct_ if avail„}r- Griiy to IlC2:7 d p 3r,i:.s witrl YrrlrLl :5'Jtfl ri2@'si r frcm The ?ra?Stir Ccr part SPECIFICATIONS 1800E and 1800GH 14 lbs. /load 80 lbs./hour ELECTRIC 18' Model 1800 FRONT VIEW ELECTRICAL R TRACE any) —2 -518' (67) MODEL FRESH CHICKEN COOKING OIL OPERATING CAPACITY CAPACITY PRESSURE ENERGY REQUIREMENTS 1800E Single Phase 208V 48 Amps 240V 45 Amps Three Phase 208V 28 Amps 240V 26 Amps 1800GH 65,000 BTU 120V 15 Amps (6 cord plug included) ADDITIONAL FEATURES Durable, welded tubular steel frame powder coated to resist corrosion. Specially designed stainless steel basket with a three position ratchet-style removable basket handle for easier loading and unloading of product Pressure Fryer CAS (457) I "tir 1 1 ELECTRICAL 1wGP•n GAS SurPLY ItsGCE o �r t (914) c� (51) 13' u 42 lbs. 12 14 P.S.I. ACCESSORIES AVAILABLE Basic Accessory Kit Complete Start-up Accessory Kit 18 -112' (470) I I r I II a� Caster Kit SIDE VIEW GAS SUPPLY Nom MOWN m*1 32 -114' 1 (819) Ei 4 „43) -x (25) A Inches (Millimeters) OVERALL DIMENSIONS COUNTER SHIPPING W I D H HEIGHT WEIGHT CUBES 18" 35" 46" 36" E:270lbs. 20.6 (457) (1016) (1200) (914) GH:310lbs. Main Burner Orifice Natural Gas: #24 Drill, LP Gas: #41 Drill Note: Specifications indicated above are for elevations up to 2.000 feet. For higher elevations, consult your authorized Broaster distributor for proper orifice size Pilot Burner Orifice Natural Gas: .018" LP Gas: .011 Gas connection 1/2" NPT (adapter for 3/4" NPT included) Advanced solid state controls for easy operation and dependability Stainless steel top and side panels for durability and easy cleaning. Rear casters (1800E unit only). FORM 92163R 9)2008 Printed in U.S.A. 1 vi4 Y `o .i oa teFacOmn The Broaster Company THE BROASTER COMPANY, 2855 CRANSTON ROAD, BEIOIT, WI 53511 -3991 USA e PHONE: 608- 365-0193 a FAX 9 E-MAIL: 660RSTER@IIROASTIRCOOM ✓c._ter, Q:..ze r: .5 9rco...2.i orv' registered trade ;larks. oa e .s oss iecle only to licensee, cperaluss with wr ten authorization from Tile 6rcastcr Ccm any. 1------ -- I #,.~...._ ';;.lH"""""';1'i'~",<..,;,;(":",s,,~,~., CERTIFICATE OF OtG~UPANCY , .~ Oity of Port Angeles - Building Div,ision ~ ~ , , This certificate is issuedpursuant to the requirements of Section 11 () of the 200'3jnternational Building Code certifying that at the tiine of issuance this structure was in compliance with the various ordinances of the City regulating building instruction or use for thefollowing: ~t, Business name: JIfl '. Grandview Grocery Inc. ": .-. Business address: '802 S. C St. Owner of busines 1'" Jim Cromert, " ")' Ov.mer's address: ," 91 Madera Place, Sequim, WA 98382 Use & occupancy assification: Mercantile Building permit nunlber: 07 -385 Type of construction\. --\:IaN OS/24/07 Date " 1.\(00 - t?b '1~ ROUTING SLIP ~~." .. t. o~ ,"ORT -4~Q~ -J iJ' ('<1\ , Certificate of Occupancy - ~ ~~i. ~ owner: L.. -=:::..J (!r 0111 L/' $50.00 Certificate/Inspection Fee~ =- ~ ....J / /11 "'8(IC~'<J \11 DATE L) . [I .07 New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Addres~f Proposed ~ness~ 9 g36 3 Transfer of Business location . . . . . . . . . . . . . . . ( /) OLS. . "=-{.-L-r Change of Ownership .. .... . .... . ....... .. ( ) Applicant G/~O.//~/1/ (//dC~~ ,/d( New Building . . .... ............. .... ..... ( ) Address <(Oi- ('- S,.-y -<. ~.,-- Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) q 1 (Yl~ex-t\. P\ a.u., ~CI)rn <i8'~82A<l'~&-3- Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business c./ 57-(, S-7}" home I'd k'3 .{ 07 f. Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: C<?\-ocek) ~rt. legal Description: lot Block Subdivision Current Use of Property: LA Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . -~ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V 1) Building 1) Taxi ~ Mechanical (heating, cooling, stoves) ............. - ----yT 2) Plumbing 2) Peddlers -~ Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 3) Electrical 3) 2nd Hand Dealer ~ New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . '. . . . . . . . . . . . . . . . . . -~ 5) Sewer 5) Dance -- New sewer service. . . . . . . . . . . . . . . . . ' . . . . . . . . . . . ,,"" 6) Sidewalk installation 6) Hotel - Motel if> -- Admission charged to patrons .... . . . . . . . . . . . . . . . ./ 7) Driveway installation 7) Fireworks -~ I. Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . - ---v 8) Curb installation 8) Ambulance Excavation ot tilling ot lots. . . . . . . . . . . . . . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way ..... . . . . . . . . . . . . . . -~ 10) Water meter installation 10) Other 0 Is there sufficient off-street parking? . . . . . . . . . . . . . . . 11 ) Fire New driveway openings ........................ - --vr 12) Occupancy ~ -- A grading plan tor site drainage . . . . . . . . . . . . . . . . . . ./ 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . -~ 14) Shoreline , Are the existing streets paved? . . . . . . . . . . . . . . . . . . . ~ ---;7 15) Home occupation Are there existing sidewalks? .. . . . . . . . . . . . . . . . . . . ./~ 16) Conditional use Is there curb and gutter? . . . . . . '. . . . . . . . . . . . . . . . . . ./ 17) Other -- Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- -........ I hereby apply for a Certificate of Occupancy and acknowl- ~,p_=: :3 p 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: _ .L ---- 0 I r;;IJ ~ REJECTED Comments / Conditions -- ~ csrmaing SectiOr1j - 5 Public Works Department If( \g/o/ se V Planning Department ~ Fire Department () ~7BU City Clerk ~ P.B.I.A. C) 07-,3&5S o 'I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Nt? 17271 Port Angeles, washlngton__m_____m__~...:::_t._~~m_____.._._____mm., 19_ff:~ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure In the City of Port Angeles, per- ::: ~T~:Z~:Sw=~.:'-"w:;..,-,>-kg,~--mm ~::~ ~~':~::t~~ .-.~I!.~ij:::~;2Ji~ttt:~~;:::::::::::::::..::~~~:~::::::=::::::::::::::::::=::::::::=::::::::: Light ouu.ts.._.______../...9..:.............. S.rvlc., volts /<!P.J!..?'Y..'':..'h' Typ. 01 Wiring: R.C.Pt~cl. OUU.ts__..."'2..9.....___..___... No. wir.s ...lA?h./;1.......7/.....h"j ;;/ Armor.d Cabl. ..h_...................h.... SI I s.<:v / Non-Metallic _.....m._....._.........______ Dryer, KW nn"h"''''__h_'__'''h_'___._..___.._ ze w res./.;r:;---.......-h. ___......__. '~fl. d Knob & Tube_.......___...._.__.............. Range, KW ___n..____n___......nu._n_..n______. Main tuse .....-:;:,..7.1....~........... '--- _~ RIgid Conduit ...._h__..___.........._...... Water Heater: Enclosure ..mm_._......m'______............ Metallic Tubing ...........m..m_....... Heal~:~::::__.f(:::C::..::::__..::::__... Type of Wiring: Entrance Cable "'''m.mm''''''m..._. MO~S: size, :OltS apd~e: ;. ..._1fd.-V~'h---""'''h--'' 7~";f-1pt~;;;d7 rd'~~AL"hh"""''''''' Rigid Conduit ....m._._............__...... Metallic Tubing ....___.m.........m__.. Current transformers: No. & Size........._._..........._...._.......... Ser. No._._.__._._.__.......___..._.__.........___.._. -.....-.----.-...-----...-..-.-............-.-.........-... Ser. No._..._.............__............___........._ -.-.-.....-----.......---........-...-.......---.-....-..- Ser. No...._._..._........_........................__. Total Load...__..__......._...__....... Ser. 1\'0. .._._.___........_..........._h.........._. Remarks: ---.-mm----m----.__________m___....m___.m____.__.__..m__.____.m.____m____.m__m...__m__.__.mm...mm__._..___m___..____mm Total _........._.._n.._.............__..... Raceway _................._....._......___._ Circuits, Llght......__.__....._...........___........ Utility ..........._.._........_....._..._.......... Heat _____._.................._...._........____ Range Water Heater ......................__....... Motor _.__..___._.............._.._........._.... Dryer __._._..._......._..._....._..........___.._..._ Furnace .. ........................_.....___n.. ._.... __._~..______._n__...______..._______..._____.____.____~_..____._...________......_______._.____.__._.____._._____.._______..__..___..._._______..______....______......._____ Permit Fee -u-..-u--...----u.....uuunnuhu_nn_n.uh.nn.__._..h._nnn.nhn_nu..-nuhhuh.-...Uu....uuh_hnnnh.n_n....nu__unnnnu_u_uu_...... $--.----..-----....----..-------------. Treas. Receipt NO._____._.._____...._____...._ By______._______..______.._______.______.________.________________...___ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be eon- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 17271 Address..____........__...____...........___....._.___............__....._.._..................................._.........--........_.._......Date..__....______.._.._._........___...._......_._....... Owner ..........-........--............._...._....._.._._._......__._........_.........._._._................._.......___.._.... Tenan~,;......_........._._..._..._..._........._._._.........___........ Wiring Contractor..................................._......._.............._....................._......___.........._.............._.... By............._...u........................................._ NOTICE-Current must nDt; be turned on until Certificate of Inspection has been issued. If work 1fJ to be con- cealed due notice must be given the Inspector so that work may be inspected b~ore concealment. 1M Olympic Printers, Inc. Ju1 28 08 11:20~ Innovative Eleotrio, Inc. 425-355-1865 p.2 0' lRJECE'VED (;,uD) LI. \"'4 '-I. ~ \I _ (:c$ JUt 3 (j ZOIl/ELECTRlCALWORKPERMITAPPLICATION cf6 -O'1l ~ \~ JobOwlred by (:\l Electr;cal Contractor 0 Owner In..tl\IIGtion dOllcription 'i Commcrcial Q Residential Ulc'lric.Il.1 C.Ol\\rilC10f Tlllme 1",,,,,,,,,doI,,.. E.\o.....-\<",<:.,~< P~(ChMer.s mailinE: llddt'css y 0 ~O_X l.J:,~lS~ LI..cn~ Illunbcr Dll.te E"l'ircs ""'-\~l:>\l~\O"'S$.~ ~1 DN~'W a ^'t~rc4lAddll.iollo g "''kD~\a \ l"s.k\\ \ ~( ~v... b'J.....'i~\l""\--=> IQ.\Jc..\ \'Y"Ion',~ l...:YA -\or ..)L <:" ,~L o --D Cit)' L.:ln"'....::>c<'>~ 'rel~llholle number SU.lt ZII' ...\" I "" ~ p,.cmi,Cs owncr', na,."t C'-,'f'~_A"'I.A $\.'..-:> ^ddr~'u or JOlipcctlon ID~ c.., c.. Cit ?\. An~,,-,"... w.::>P! Ph~e .wmbH to Itbcdulc~ IOJopcctltlo: 1..; ":\ \ Ow"~r ".~ ddi,,#d by RCWliJ.28,261:(I) Owll(tf' wi/l occ/JP.... 1M SlrUC(lIrr j()r two .'X~r:c tiftu ill"" dt"{'lrj('w Ilt'I'IlIi1 jJ: jitt~Un'd. (1) ()wlII:r 1,\ t'l!quit'('u 'I> /r{I"f' (Iii ('l('dt"ko( cull()'Ul:lar if ubuve "~uld properly J,I" I!)" ,q,/.., ,.~'" f,r I..u~.., Aner l'Cal1ing the above statement, I hcreby certif)' that l am the owner of the above nllmed property or a lic;;cna:w electrical conttador. I am maJcing the cleclriC:llol in!ltal- latillll 01 llllcflllion in c:on\"lillncc wi1h ,he ('INlric:nl Inwli. N,n,C.. R.r.W. Ch:!IHer 19,2$, WAC. Chaplcr 29b.'6n, The: City of pori AIlBClcs MuniciplIl Co(to, Ilonc.l Utilit)' Specifications. SIl:O , or OWIU!r, Cllc(:t..1 ~ ,\~::,J....,:=' o Cash o Check # CiI Credit Card v... Mastercard Discover CllId # : . r or 1'1('(t,.l(o.l admin15tll'lltor .1Ill.~ru. Date: ~ \d.<>' tc'i$ l)""e.lL>t 1 :s,.,~ Expiration Oat\ ofc3I'd \\ \ Eloctrlcal LO \J NO LOAD CHANGES o ~5eboard _ KW o Fumar;:e _ KW o Hoa! pump __ Ton _ lAR o Fon.Wall KW ServIce Info.c.co.o.1i9.o. o Overhead SCtt'VtcO o Ttlmp Sorvico Q Und(l'o,ovt'ld $orvjco VOltDQO Phaso 0 1 [J 3 Sorvico Sizo: _ Feodor Sizo: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUCIl-.!..N _ .p TIlF.RMOSfAT RjZ<J'/op, -wi U...c" "l'l""vc"! lly D.l~ Ntf!l'OWllltv SFJW1CE Uate ^"'fe...,....y~ (; HN^L e Zf,(r;?J ~_.., rrUl U:j B~ FEIDF.R 1).le ^"ro.....IJly InspCCI;OIl Date Area, Du.ilding or Uqu.ipmenl Inspccled Action Taken mCClrig,1 Inspector .. ,.- 08 U v' ej) -b'OB V'" <..~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 600 amp service 20 circuits deli Owner JACOBS CRAIG A 802 S C ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983635744 169847 256 60 7/20/10 1/16/11 256 60 00 256 60 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 10 00000758 962184 802 C ST 06 30 00 0 2 5800 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Qty Unit Charge Per 20 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 204 6000 ECH EL 401 600 SRV FEEDER Paid Credited 256 60 00 00 00 256 60 00 DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION (2.0(rn 11/18 ?(o sP r2lS(Ia Date 7/20/10 WA 98363 RESULTS 00 0 Extension 52 00 204 60 Due 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date INSPECTOR. c a CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 Date: "7 -7 -QC." /O 1 2 Single Family Dwelling i/Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* *Plan Review ay Be Required, PIe Complete El r trical Plaip Review formation heet Job Address: �GL-rt I,� t u7 c,P� C v1 i h t` e` emu, it 0, r G Owner Information Name:U f Mailing Address: -O� C City A State: Zip: Phone:A ^C- Fax: License #7 Exp. x er'i; Lela). Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less $102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square Ft 110.30 Each Additional 500 Square Ft or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 fc;)CALEDTotal Building Square Footage: De5cri oonn of above 4')c f'' rIO J Gk r o c or t-G e, Yl i 4: T 11 Q Lido 4, se I' 6b Name: S ation �F i cat Lo Name: Mailing Address: 0. City State: e Zip: Phone: Fax: 1 j License Exp Item Unit Qyt Total (.%r Multiplied by Unit Charge) Service/Feeder 200 Amp. 119.90 Service/Feeder 201 -400 Amp. 145.50 Service/Feeder 401 -600 Amp 204.60 70, (nt) Service/Feeder 601 -1000 Amp. 262.20 Service/Feeder over 1000 Amp. $372.50 Branch Circuit W/ Service Feeder 2.60 2 a Branch Circuit W/O Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. 110.30 Temp Service/Feeder 401 -600 Amp $.148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign/Outline Lighting 88.20 Signal Circuit/ Limited Energy! First 1500 sf- Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuits Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90 Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator Cash check Dated: Z Z (C credit card 6' 01/01/2010 iera-c0XA-- .ptuni-pA H6.1u-L1 MOdiott) IkFt LI tii) cildr;Ifiu.' 1 LeAx. 412441-, 694 04CW 466(k AeAdiett4--tn& 62_ A 4- 17 cC) t i a 11 ,1 L+50C) L--) PREPARED 12/11/09 8 16 36 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/11/09 ADDRESS 802 C ST SUBDIV TENANT NBR GRANDVIEW GROCERY CONTRACTOR PHONE OWNER GRANDVIEW GROCERY PHONE (360) 457 6575 PARCEL 06 30 00 0 2 5800 0000 APPL NUMBER 09 00001027 COMM NEW CONST PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 12/11/09 BLDG FINAL TIME 01 00 December 10 2009 11 36 52 AM 1pangrle JIM 460 5698 BLDG FINAL STORAGE SHED (GRANDVIEW GROCERY) AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 circuits for storage build Owner Cromer Jim 802 C street PORT ANGELES (360) 460 5698 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98363 09 00001261 993706 802 C ST 06 30 00 0 2 5800 0000 ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 ELECTRICAL ALTER COMMERCIAL 15763 59 50 12/04/09 6/02/10 Charged 59 50 00 59 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 59 50 00 59 50 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 00 00 00 Date 12/04/09 WA 98363 DATE RESULTS 00 0 Extension 57 50 2 00 Due 00 00 00 LAP 21455 Signature of owner or Electrical Contractor X Date INSPECTOR. FROM A.P S. ELECTRICAL CONTRACTOR FAX NO, 360 452 6753 RECEIVE DEC 4 2009 City of Port Angeles Permit Application Building DlvIsionlElectrieal inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington. 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date.. M 2 j Description of above G Signature of owner, electrical contractor or electrical administrator x J� g j id/CP- Date J 1 2 Single Family Dwelling Mufti- Family mmerciar Commerdral Ad ion ration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: _S[6.2 Building Square Footage: Dec. 03 2009 08 43AM P1 ELECTRICAL INSPECTIONS Owner Information Contractor Information Name: r m G yri2' Name* g. P.S E)ectri Pei Coft+ c b r Mailing Address: 1 30 a C. Sts e7r Mailirtg Address: C /t r, City rP A._ State: ZIP: City State: T Zip: Phone 5(-Pa Fax Phone: Fax r° License Exp. License It/ Exp tt c Unit Charoe k Total (Qtv Multiglied bv_.Unit Cltargel U*1 f 93.75 ServiceiFeeder 200 Anti. $113,75 Service/Feeder 201-400 Amp. $160.00 Service/Feeder 401 600 Amp. $205.00 ServicelFeeder 601 1000 Amp. $29125 Service/Feeder over 1000 Amp. 2 Branch Circuit VW Service Feeder 57.50 $mil, 4 Branch Circuit W/O Service Feeder 2.00 $_.7 CrCr Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp. Service/Feeder 401 -600 Amp. 5131.25 Temp. Service /Feeder 601 -1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign/Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ limited Energy Multi Family DweOing 93 Manufactured Home Connection 80.00 5 Renewable Electrical Energy 5KVA System or Less 86.25 '5 First 1300 Square FL 27.50 Each Additional500 Square Ft or Portion of 57.50 Outbuilding or Detached Garage 86,25 Each Swimming Pool or Hot Tub 43.75 Thermostat aa_50 Total 5 c%ut lit I Owner as dermed by RCW.19.2 (1) Owner will occupy the structure for two years after rigs electrical permit is finaltred (21 Owner is required to hire an electrical contractor If above said property is for safe, motor tessa. After reading the above statement I hereby certify that l am the owner of the above named property or a licensed electrical contra :ter. am making the elec:sleet installation or alteration in compliance with the electrical taws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296468, The City of Port Angeles Municipal Code, and Utility Specifications. O Cash Check J Creert Card &V, Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 160 SQ FT STORAGE SHED Owner GRANDVIEW GROCERY 802 C ST PORT ANGELES WA 98363 (360) 457 6575 Structure Information 000 000 160 SF SHED Permit BUILDING PERMIT COMMERCIAL Additional desc 160 SF SHED Permit pin number 154641 Permit Fee 137 75 Issue Date 10/29/09 Valuation Expiration Date 4/27/10 Qty Unit Charge Per BASE FEE 3 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 21 2009 4 19 03 PM sroberds The proposal will result in a covered area above existing gas pumps in the CSD zone No land use issues anticipated October 12 2009 8 16 15 AM Brian 417 4708 Maintain working clearance of 3 feet out from meter base Contact myself or Trent if necessary for more detail Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00001027 115605 802 C ST 06 30 00 0 2 5800 0000 GRANDVIEW GROCERY COMM NEW CONST COMMUNITY SHOPPING DISTR 4800 Contractor OWNER Plan Check Fee STATE SURCHARGE 4 50 Charged Paid Credited 137 75 137 75 00 89 54 89 54 00 4 50 4 50 00 231 79 231 79 00 Date 10/29/09 Due 89 54 4800 Extension 95 75 42 00 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 4735 Public Works Utilities 9 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor 1 Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Parking Lighting Landscaping Electrical Construction Fire Planning Building BUILDING PERMIT INSPECTION RECORD Separate Permit #s 1 FINAL INSPECTIONS ,REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type R.W PW Engineering T.Forms /Building Division /Building Permit Date Accepted By 417 -4735 417 -4831 417 -4653 417 -4750 417 -4815 Comments FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. Date Accepted By oQ Q N V 0 3 Z, I I -01 Max. height of proposed structures 8 ft. Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 For City Use Only Date Received w— tr, (T$ Permit 0 Date Approved Applicant (4/".9 4�c/Y /tf.,/' Pho ie Property Owner ,h l"c020t Property Owner's Address 5777 Contractor S, Contractor's Address License Expires PROJECT ADDRESS 400.- Parcel Number v 3COCO Z S OO DQOC Proiect Tvpe Brief Description. Residential Multi family ry Industrial Check all that apply 2/New Construction Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft) Proposed (sq. ft) Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed 1( Other roof 0Vr.C'ys U1) Ld /g TOTAL VALUATION j-} $00 Total footprint of structures 35 2. sq ft. Lot size .20,9 7S sq ft. Lot coverage (O S, Site Coverage the amount of irt'ipervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage Occupancy group Occupant load Construction type Ph e Phone E -mail Lot I 3 Zoning (9) per sq ft. of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for thermit and urjderstand theta is my responsibility to determine what permits are required, and to obtain permits prior to working on oject Date Print Name i />/�l Signature T Forms /B Division /Bldg Permit.doc FIL CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plar specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 1 f l 1 y �S,v(P C .Approval Date I By N IS*1 1 \V�rZG2 -1_1N+ ,s- tel ..t N., ti 400 1• f D --r- 3111(14 4 11111 3e 4e 40... if ,5 Ott/ 1-(1,A*- 4C112 2/ t1, N PREPARED 10/07/09 8 42 04 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/07/09 ADDRESS 802 C ST SUBDIV TENANT NBR GRANDVIEW GROCERY CONTRACTOR PROFESSIONAL ROOFING SERVICES PHONE (360) 457 1243 OWNER GRANDVIEW GROCERY PHONE (360) 457 6575 PARCEL 06 30 00 0 2 5800 0000 APPL NUMBER 08 00001029 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/07/09 BLDG FINAL October 7 2009 8 24 10 AM 1pangrle JIM 457 6575 BLDG FINAL SIDING COMMENTS AND NOTES 5 C., 5 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 32l EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001029 Date 8/20/08 Application pin number 451208 Property Address 802 C ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 5800 0000 Tenant nbr name GRANDVIEW GROCERY Application type description SIDING Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 3500 Application desc REMOVE EAVE SIDE THE WEST SIDE OF THE BLDG Owner Contractor GRANDVIEW GROCERY PROFESSIONAL ROOFING SERVICES 802 S C ST 1229 W 17TH ST PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 6575 (360) 457 1243 Structure Information 000 000 REMOVE EAVE RE SIDE WEST SIDE OF BLDG Permit BUILDING PERMIT NO PR FEE Additional desc RE SIDE THE WEST SIDE OF BLDG Permit pin number 132605 Permit Fee 123 75 Plan Check Fee 00 Issue Date 8/20/08 Valuation 3500 Expiration Date 2/16/09 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This 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. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (05 /13 /08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPT POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -47:35 CONSTRUCTION R.W PW/ ENGINEERING 417-4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T•r. /P n/R '1r!, Permit (05/13/08). 'od YES NO FINAL I I FINAL DATE ACCEPTED BY. I SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE I ACCEPTED YES 1 NO 0 09 0 Floor Areas Project Type Brief Des Check all that apply New Construction Addition Remod Repair Re -roof Demolition Heat System Other Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Date °g Print Name T Forms /Building Division /Bldg Permit Appl. 2006 Code doc BUILDING PERMIT CITY OF PORT ANGELES AtIn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 0: 1"6-° e rty" P efl Applicant or Agent h�- ��oh/ S vipees Property Owner .3. G rrandV Groc Property Owner's Address $v2 $4 ,y31z Contractor /Engineer Contractor /Engineer's Address 429 9 A/ /774c License J gQS 9, i') PROJECT ADDRESS go Parcel Number 0630 cooa S Existing (sq. ft.) Proposed (sq. ft.) Max height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type APPLICATION Print in l Phone Phone Phone 9se Expires For Cit Date Rece Permit t Date App y,'7 J l9 4`l ASS'S /Zy3 Heat pump wood- burning stove gas fireplace pellet stove other per sq ft. TOTAL VALUATION 3 X76 sq ft. Lot size sq ft. Lot coverage of bedrooms of full baths of half baths Signaturel y cription. Residential XCommercial Multi- family Industrial Faye �O f d Sir_. c z S cvd 6�� Slaoro sa A maid,- idcst d o-S /civ4P Z E lS 1 /1h 1 Yl 01 i V ✓✓J.L1f 7 9 t3g 3 Lot Zoning SEaI'e-- I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. This ap at nt nded to be ed legal de tpa Thr map/drrns g is produ ed by th Cdy Port Angele fo its nd purpo Any oche se of tin map /dr wing shall of he the spo tbdity of the City. Vern al Datum NAVD 81 Ho ntal Datu NAD 83 20 Feet Map Legend r Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000918 Date 685058 802 C ST 06-30-00-0-2-5800-0000- ELECTRICAL ONLY 7/31/08 COMMUNITY SHOPPING DISTR o Application desc Tank Level Monitor Owner Contractor JACOBS CRAIG A 802 S C ST PORT ANGELES WA 983635744 INNOVATIVE ELECTRIC PO BOX 6783 LYNNWOOD WA 98036 131078 58.00 7/31/08 1/27/09 Plan Check Fee Valuation .00 o CJ\) o N Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL Qty 1. 00 Unit Charge Per 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- ~ Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 r ~ . .... SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH /,' SERVICE OUGH - IN FINAL OMMENTS: wr ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , , , , 15- 00001377 Date 10/29/15 Application pin number 186672 Property Addrea5 , , . 802 C ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2 -5800 -0000- Application type deacription ELECTRICAL ONLY Subdiviaicn Name , . . , . , Property Use , , . , , , . , Property zoning . , . , , . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 Application desc Sign circuit Owner Contractor RESULTS: - ----- -- ---------- GRANDVIEW GROCERY - - - - -- .. ----------------------- APS ELECTRIC 802 S C ST 546 BENSON RD, PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 -6575 (360) 452 -6753 Permit , . . . , . ELECTRTCAL ALTER COMMERCIAL Additional deec . .. Permit Fee 88.00 Plan Check Fee .00 7SSUe Date . . , , 10/29/15 Valuation .. 0 Expiration Date . , 4/26/16 Qty Unit Charge Per Extension 1.00 88,0000 ECH -EL -COMM -SIGN 88.00 ---------------------------------------------------------------------------- Fee summary ----------- - - - Charged -- -- - - - - -- Paid Credited ---- - - - --- ---- -- - - -- ---- Due - - - - -- --- Permit Fee Total 88,00 88.00 .00 ,00 Plan Check Total .00 .00 .00 00 Grand Total. 88.00 88,00 00 00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTIONTYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GIEXCIIANGETUILDING 10/2$12015 11:04AM 3604526753 A.P.S. ELECTRICAL PAGE 01101 CTrY OF PORT ANGELES PERNUT APPLICATION Building Division/EleMcol I.nspeClions 321 Fast Filth Street -P.O. Bog 1150 f Port Angeks'washiogtoo, 9m Ph.- (360) 417 -4735 Fax: (3 0) 4174711 tate:1 0� aq• 'l5 'Plan Ray job Aftem s ftA om"m d Muhl- Family Coeflme„cia>" E �,� s -3 }� I -ILL! vl'Cryry",L Orvitar Mf n � m t, L/u-r,u),L fv Stagy PboW-%v y ha Tmbb,, bm 964 G'hams s%vir~er200AmP. $132,00 .ServimFeeder2014W Amy $160,00 8*r*WFoedar401.600 Amp $ 225.00 $ervice,� 601.10110 Amp. $266.00 5mtWFWff over 1000 AnW. $ 410,00 i CkW W1 8Wto l:ooldr $ 500 Brach ckd WIO smW Feeder $ 74.00 taO Addlt>anal &m& Ckmk 3 6.00 Wnch Cletus 1.4 $ 86.00 Terrrp• Ssr+r W Feeder 200 gyp. $10200 Terry. Smvi=FWd0r201 -400 A(*. $121.00 Temp. 9etvicelFee* 40t -600 Arty. $16400 Temp. Serwr1oQ FWK 6D14000 Amp . $185.00 Pbrbt 10 poft Hart'ly $ 96.00 ftno)ft Wft $ 88.00 ft" CiraWUrF%tWErieW-M"&* $ 6400 Signal Cinxritl Um4od Energy! Fzd 1500 cf- -Corru wdal $ 96.00 #lone, $5.00 for each asditio W 1500 sf Romm-W 8QcM Eey- WVA orla , $11300 Thfflros $ 56.00 N0*. $5.00 for each a T -Stet Owner as dc0 ied by RM10.28.261: (1) Owner vA occupy ttfe strmrs for tRo years attef this elect is pemht is tina mad, (2) owner is requires b hire an elech:9 cof'adar If mare said purl" is for s* rani or lease. Pettrdt expires after six months of last inspefiarr. After rea ft ttre above $Mroit I hWeby 00* that I am the owner rff the abom named propaq or a iioe and dtecbW oor ttaclof d am oralring lha ela*ical hft"m orsuration in C ffoams ►alt tho da&icd taws, N-F-C, R.CW_ Chapter 19.28, WAC. Chapter M 46B, The City of Port Mod% MVJCO Code, 8W Uft Sft%ft8§M and PAMC 14,05.00 "t=leclrlCai Pemllt"coom Slgrobm of owner, sWctdcat conb=W oret ebtal admin1dra w. ❑ cd6 ❑ Cho& ��° 1�1�-� .$l •cr�rc�ra�_ Wit_ , . _,,. __W - - `s QrM12 z SIl4d ....... I:diC: r � �otaf C�r_IYeu#%orred by Unit Ch�rue� s_. $ S ' $ .— Tow Owner as dc0 ied by RM10.28.261: (1) Owner vA occupy ttfe strmrs for tRo years attef this elect is pemht is tina mad, (2) owner is requires b hire an elech:9 cof'adar If mare said purl" is for s* rani or lease. Pettrdt expires after six months of last inspefiarr. After rea ft ttre above $Mroit I hWeby 00* that I am the owner rff the abom named propaq or a iioe and dtecbW oor ttaclof d am oralring lha ela*ical hft"m orsuration in C ffoams ►alt tho da&icd taws, N-F-C, R.CW_ Chapter 19.28, WAC. Chapter M 46B, The City of Port Mod% MVJCO Code, 8W Uft Sft%ft8§M and PAMC 14,05.00 "t=leclrlCai Pemllt"coom Slgrobm of owner, sWctdcat conb=W oret ebtal admin1dra w. ❑ cd6 ❑ Cho& ��° 1�1�-� .$l •cr�rc�ra�_ Wit_ , . _,,. __W - - `s QrM12 z �1 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , . . . 15- 00000726 pate 5/25/15 Application pin number , , , 261240 DITCH Property Address 802 C ST ASSESSOR PARCEL NUMBER; 06-30-00-0-2- 5800 -0000- Application type description ELECTRICAL ONLY Subdivision Name . , , , . . —7 Property Use . , . , . , , . Property Zoning . . , , . , . COMMUNITY SHOPPING, DISTR Application valuation . . . . 0 ---- ------------------------------------------ Application dose -------- -------- ---- ---- - - -- -- Lighting upgrade Owner Contractor GRANDVIEW GROCERY ENERGY MANAGEMENT SERVICES INC 802 S C ST 15008 35TH AVE W STE C PORT ANGELES WA 98363 LYNNWOOD WA 98087 (360) 457 -6575 (425) 74.1 -352.6 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1 -4 CIRCUITS Permit Fee , . . . 86.40 Plan Check Fee .00 Issue Date 6/25/15 Valuation . . . . 0 Expiration Date 12/22/15 Oty Unit Charge Per Extension BASE FEE 86,00 Fee Summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 oa Do Plan Check. Total ,00 oo oo ao Grand Total 86100 86.00 .00 .60 W REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN .FINAL COMMENTS: —7 PERMIT WILL EXPIRE SIX (6) MONTIiS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date; G:TXCHANGEIBUILDING CITY u PORT ANGELES ,PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — ]P.O. Box 1150 / Port Angeles Wastaingto u, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 6 6 12 � to t�T' * Plan Review May Required Please Job Address: L Building Square Focia e: Description or above ut Owner)nformatlon Name. .2-2, Mailin Address; =n2 ac+ V2- i:e City: a�.t'S State.I Zip: _ Phone: ax: Uoenso # / Exp. Item Ssry WFeeder 200 Amp. SeMce/Feeder 201 -400 Amp, Service/Feeder 401.600 Amp SeiO4Feeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1.4 Temp, Service! Feeder 200 Amp, Temp. Service/Feeder 201.400 Amp, Temp, Servioe/Feeder401.600 Amp, Temp. Service /Feeder 601.1000 Am p . Portal to Portal Noudy SignfOuTne Lighting Signal Circuit/ Limited Energy — Mufti - Family Signal Circuit! Limited Energy I First 1500 sf — Commercial Note: $5,00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Less Thermostat Note; $5.00 for each additional T -Stat Multi- Family or Commercial* Unit Chamo $132.00 $160.00 $ 226.00 $ 288.00 $ 410.00 $ 5.00 $ 74.00 $ 5,00 $ 86.00 $ 102,00 $121.00 $164,00 $185.00 $ 96.00 $ 88100 $ 64.00 $ 96.00 $113.00 $ 66.00 r JUN 2 5 2015 ELUECTRICAL INSPECTIONS Contractor Information Name: (' , 0-i E,l/i7t •. S et UfCts itr'iaili Address: J City: Stets; _Zip: Phone. S 7 76 FaX: / 711/ -I/ Llowse # 1 Exp, 1111 0 1.4 11.1' { �yt Total (Otv Multiplied by Unit Charoe) $_ Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above statement, I hereby certify that t am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW, Chapter 19.28, WAC. Chapter 296 -46B, The City df Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator; Dated: I . Application Number . . . . . 23-00000055 Date 1/28/23 Application pin number . . . 055555 Property Address . . . . . . 802 C ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5800-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Gas pump replacement ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GRANDVIEW GROCERY SHERMCO INDUSTRIES INC 802 S C ST 2425 E PIONEER DR PORT ANGELES WA 98363 IRVING TX 75061 (360) 457-6575 (214) 728-8914 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 1/28/23 Valuation . . . . 0 Expiration Date . . 7/27/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 PREPARED 1/17/23,11:43:55 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000055 802 C ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Fuel pumps NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/3/2023 23-55 TAP OWNER CONTRACTOR Shermco Ind. PROJECT ADDRESS 802 C St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Fuel Pumps NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 2/9/2023 23-55 TAP OWNER CONTRACTOR Shermco Ind. PROJECT ADDRESS 802 C St Application Number . . . . . 23-00000084 Date 1/30/23 Application pin number . . . 319400 Property Address . . . . . . 802 C ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-5800-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Upgrade POS ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GRANDVIEW GROCERY MASCOTT EQUIPMENT CO INC 802 S C ST 435 NE HANCOCK ST PORT ANGELES WA 98363 PORTLAND OR 97212 (360) 457-6575 (503) 282-2587 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee . . .00 Issue Date . . . . 1/30/23 Valuation . . . . 0 Expiration Date . . 7/29/23 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 PREPARED 1/28/23,12:43:27 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000084 802 C ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 86.00 TOTAL DUE 86.00 Please present reciept to the cashier with full payment