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116 N Lincoln St - Building
E .!O Y PA Citi/'x �of:Port Ange1'esB'u,iing}Di ision A- �.., This certificate is issue d; pursuant to the requirements, of Section I "�'ihe 2006 International Building Code certifying that affihe.)timeof issuance this structure was in compliance with the various ordinances of the City regulating bu ld ng constriction.,or. ws e. foryuthe follow ng & Business name Westside Pizza(®wner `Tnnertephens) a "r Business address • -1 'h IN k �`` Lincoln - _ 5�:.�. Property owner ' r Louis C Re ileri Trlast e%o,3: bbb W R.6hlen Property owner s�address, PO Box 3$_`5;;�:Castleton" �1f 0:5735 _ ° y t tem.Automatic fire sprinkersysPerMfB�` t3., Use & occupancy classifcation. Bush Occupant load. yP r 2'0®6�e lBCF abIe004.�1x I�: Building permit nuAe ;2U2 - Type Type of construction.''` r' -06/28/10 _._ ,• mer Date Post on the premises in a conspicuous place:IThi be removed except by the Building Official. M �4 6-2-q- 16 Z- 1, (5%18/20.10) Linda Pangrle - Fwd A Re opening ,restaurants (#10-202 Westside Pizza) µ x µ N Page 1 E From: Linda Pangrle To: Jeff Young Date: 5/18/2010 4 15 PM Subject: Fwd Re opening restaurants (#10-202 Westside Pizza) Attachments: Restaurant C of O's 03-24-10 pdf Hi Jeff, Please see the attachment below I haven't heard back from you regarding Westside Pizza. Are you ok with my issuing their C of 0? Thanks, Linda >>> Linda Pangrle 3/24/2010 4.51 PM >>> Hi, On 10-28-09 Michael McQuay applied for a 'change of ownership' Certificate of Occupancy for Kokopelli Grill at 203 E. Front St. He stated his wife, Candy McQuay is the owner The only thing changing is the ownership He stated they will be closed Mondays and are open Tues. Sat. from 5.00 9.00 pm. Phone numbers to reach the owners are: 281-831-4586 or 457-6040. When there is a change of ownership only and everything else will allegedly stay the same, Jim Lierly often approves the Certificate of Occupancy without doing an inspection. I think Ken Dubuc might do the same thing. The Certificate of Occupancy was approved by six departments, and was issued on 01 it 10 I guess we all assumed that if their grease trap used to be ok, it would still be ok. Bad assumption? Do you mean the 8th Street Bridge's Grill at 511 W 8th St.? If so, the owner is Steven Bridges. He can be reached at 809-2989 or 457 3287 On 06-26-07 he applied for a permit to build a deck, ADA ramp, and place the modular kitchen on the site. That permit is #07 757 I looked at the HTE tracking to see if you had signed off on it, but your department wasn't listed in HTE. I guess it didn't get routed to you, sorry To answer your concern, Jim Lierly will know whether or not they got approved without a grease trap. Jim's cell is 808-0534 There are two other food -related Certificate of Occupancy applications that you should know about. They are attached below Please let me know by e-mail, when you are ok with my issuing these two C of O's. I'll send you copies of all future restaurant C of 0's (whether they are making changes to the restaurant or are only going through a change of ownership, and whether or not I think they'll use grease) Thanks, Linda >>> Jeff Young 3/24/2010 11 23 AM >>> We are now doing grease trap inspections and see that Kokopellis has reopened, did permitting have to approve this reopening and do you have any info on them. We want to inspect and be sure they have usable grease traps. Do you have any info on the Bridge restaurant, we want to find out about them too. They said they were OKayed without a grease trap. thx jell PREPARED 5/13/10 8 28 05 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 116 N LINCOLN ST SUBDIV TENANT NBR WESTSIDE PIZZA CONTRACTOR PHONE OWNER LOUIS C REHLEN TRUST PHONE PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 10 00000202 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 5/12/10 JLL BLDG C/O FINAL TIME 01 00 5/12/10 DA OVERRIDE TAKEN BY LPANGRLE DATE 05/10/10 May 7 2010 2 41 10 PM 1pangrle TANNER 206 769 1285 C OF 0 FINAL WESTSIDE PIZZA AFTERNOON May 12 2010 4 11 09 PM jlierly not ready finish installing seating etc C099 02 5/13/10JJJ���LL///'''��� BLDG C/O FINAL TIME 03 30 %4 00 TAKEN BY LPANGRLE DATE 05/13/10 May 13 2010 8 25 09 AM 1pangrle TANNER 206 769 1285 C OF 0 FINAL WESTSIDE PIZZA LATE AFTERNOON INSPECTION COMMENTS AND NOTES PAGE 6 DATE 5/13/10 TIME 15 34 42 TIME 08 26 22 PREPARED 5/13/10 8 28 05 CITY OF PORT ANGELES ADDRESS 116 N LINCOLN ST TENANT NBR WEST SIDE PIZZA CONTRACTOR AN DEN CONSTRUCTION OWNER LOUIS C REHLEN TRUST PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 10 00000415 SIGNS PERMIT SIGN 00 SIGN INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 670 6979 PHONE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/12/10 JLL BLDG FINAL TIME O1 00 5/12/10 DA May 10 2010 3 35 27 PM 1pangrle TANNER 206 769 1285 BUILDING FINAL SIGN AT WESTSIDE PIZZA AFTERNOON May 12 2010 4 11 09 PM jlierly not ready finish installing seating etc BL99 02 5/1/10 Lys L BLDG FINAL TIME 03 30 -t��j\! May 13 2010 8 26 09 AM 1pangrle TANNER 206 769 1285 BUILDING FINAL SIGN AT WESTSIDE PIZZA LATE AFTERNOON INSPECTION COMMENTS AND NOTES PAGE 10 DATE 5/13/10 PREPARED 5/12/10 8 26 29 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 116 N LINCOLN ST SUBDIV TENANT NBR WESTSIDE PIZZA CONTRACTOR PHONE OWNER LOUIS C REHLEN TRUST PHONE PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 10 00000202 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO99 01 5/12/10 JLL BLDG C/0 FINAL TIME O1 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/10/10 1t May 7 2010 2 41 10 PM 1pangrle TANNER 206 769 1285 C OF 0 FINAL WESTSIDE PIZZA AFTERNOON COMMENTS AND NOTES PAGE 15 DATE 5/12/10 TIME 15 34 42 PREPARED 5/12/10 8 26 29 CITY OF PORT ANGELES ADDRESS 116 N LINCOLN ST TENANT NBR WEST SIDE PIZZA CONTRACTOR AN DEN CONSTRUCTION OWNER LOUIS C REHLEN TRUST PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 10 00000415 SIGNS PERMIT SIGN 00 SIGN INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE (360) 670 6979 PHONE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/12/10 LL BLDG FINAL TIME O1 00 May 10 2010 3 35 27 PM 1pangrle TANNER 206 769 1285 BUILDING FINAL SIGN AT WESTSIDE PIZZA AFTERNOON COMMENTS AND NOTES PAGE 16 DATE 5/12/10 CITY OF PORT ANGELES ��►.�. DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION ` ®- • 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc WALL -MOUNTED SIGN Owner 10 00000415 Date 5/06/10 389555 116 N LINCOLN ST 06 30 00 5 1 1601 2001 WEST SIDE PIZZA SIGNS COMMUNITY SHOPPING DISTR 300 Contractor LOUIS C REHLEN TRUST AN DEN CONSTRUCTION %JOHN W REHLEN 237 W ALDER ST PO BOX 385 SEQUIM WA 98382 CASTLETON VT 05735 (360) 670 6979 Permit SIGN Additional desc 1/4 METAL PLASTIC SIGN 16 SQ Permit pin number 164392 Permit Fee 47 00 Plan Check Fee 00 Issue Date 5/06/10 Valuation 300 Expiration Date 11/02/10 Qty Unit Charge Per Extension BASE FEE 00 1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 47 00 Special Notes and Comments April 27 2010 5 48 44 PM sroberds The proposal will result in installation of a 20 sq ft bldg mounted sign in the CBD for a total of 37 sq ft of signage Building facade area allows for a total of 77 sq ft of signage No land use issues anticipated Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 ` Grand Total 47 00 47 00 00 00 /a 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 truSp9d correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The gran pe t does not presume to give authority to violate or cancel the provisions of any state or cal law regulating construction or the perfo anc ns -5/K//6 % /6 �'.� sA� �� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- O — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — I 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I 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 I 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 I 5� Rough -In I Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by 5' MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting ESA. Landscaping I I 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 lIn Building 417-4815 Cj — L) ''T LL Cs S T.Forms/Building Division/Building Permit ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000445 Date 5/06/10 Application pin number 644415 Property Address 116 N LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1601 2001 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 5 BRANCH CIRCUITS Owner Contractor LOUIS C REHLEN TRUST STARBOARD TECH %JOHN W REHLEN PO BOX 892 PO BOX 385 PORT TOWNSEND WA 98368 CASTLETON VT 05735 (360) 385 3514\� _ V Permit ELECTRICAL ALTER COMMERCIAL Additional desc 5 BRANCH CIRCUITS Permit pin number 164889 Sub Contractor STARBOARD TECH Permit Fee 83 90 Plan Check Fee 00 Issue Date 5/06/10 Valuation 0 Expiration Date 11/02/10 Qty Unit Charge Per Extension 4 00 2 6000 ECH EL BRANCH CIRCUIT W/FEEDER 10 40 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 83 90 83 90 00 00 Plan Check Total 00 00 00 00 Grand Total 83 90 83 90 00 00 ^ U'. INSPECTION TYPE DATE RESULTS I INSPECTOR. DITCH SERVICE ROUGH IN FINAL sl0l,a� COMMENTS i Signature of owner or Electrical Contractor X Date AF R/05/2010/MON 1n 04 Alf FAX l a v 002/0L, cr wrtin. Electrical Information Form .11 = Public Works & Utilities Department (360) 417.4700 NMI City Electrical Inspector (960) 417.4135 Please complete and return to Public Works & Utilities Department Permanent service, Narne Name and address of party Street; 1/4! /v �1w• GB fir— , Z�� responsible for permanent City I State t ZIP- .�aY/ �(%� A..5 service billing % Daytime Phone Home Phone. • . • (if otherthan above; Nam �k�j� A/I•'14- f Title Site contact: _. _... ......... Daytime Phone Contractor 'Name Dayy�rr�nnte Phone 141 r7/ Electrician. � NanS,f.I*'�'�•. Company• Dayt(me_ Phone, Excavator Name. Company Daytime Phone Prqj.oct Type Existing ❑New Single-family residence ❑Multi -family residence # of units Commercial ❑Subdivision # of lots Overhead service ❑General service - ED Underground service ❑Other ,Projpct• Description of work:_ ..,- Street address / lot number LAINearest cross street: Desired connection date. Electrical transformer serving property is Von a pole ❑ on the ground `/,:5rT/ t_- - Total square footage 5'42D , sq. ft. Main disconnect size Z0 -fl amps 120;240 3ph ❑q803W 3pth" .._� ph Voltage / p E1277/450 3 ❑ Other ❑ Standard residential loads (Lighting refrigerator dishwasher washer) Check all that apply ❑ A/C ( _ ton) ❑ Range/Oven ❑ Hot Tub ❑ Clothes Dryer ❑ Heating ❑ pumps L_Hp) ❑ No Lca(i Change ❑ Water Heater ❑ Elevator ! Hp) ❑ Other tsupporting Doclufneiltation Please provide a copy of the following •Detailed plot plan (d'wrg or dxf format mandatory for subdivisions) *Electrical one -line drawing showing the service entrance anel and location `Connected load data. Size and Iccked rotor a s of ail mot rs wer 50hp. Applicant's Signatur /, Date MAIL OR DELIVER COMPLt=TED ORM TO 321 E STH STREET PORT ANGELES VVA 48362 FAX TO 360-417-4711 Information forrn,xis WS WF IJ d VVK�.I_iaf'iT1EN6hZ'4 C�lii�lYt&I51iP1ar'itritcnr'form I _oS rn ro 0' m m I AFRAG /2010AAON 10 03 AM '�AX No P 001/002 ?C7Rr 4;lr�1�� CITY OF POnT ANGELES lPEPUN.7T ,A,PPLICATION � Building Division/Electrical inspections 321 East fifth Street– P.O. Sox 1150 / ]Port Angeles Washington, 95362 ti:rw" Ph. (360) 417-4735 Fax: (360) 417-4711 Date 1 & 2 Single Family Dwelling — Multi -Family or Commercial"` -i Commercial AdditionAlteratio�Iemodel 1 Repair" Plan Review May Be Required, Pie se Complete Bectri I Plan Review Information Sheet Jot Address: I/,. Building Square Footage: Description of abcve '5 Vit. Owner Information Name: 5�aiic.— S' Mailing >Od W: Z/�_/✓ .G City �. 77 Ste#e: _ zip:�=� Phcne?aG 14 fi / Lfcen,e #/ Exp, Item Unit Charge Service/Feeder 200 Amp $119.90 6ervicelFeader 201-400 Amp, $145.50 Service/Feeder 401-600 Amp $ 204.60 Service/Feeder tOl 1000 Amp $ 262.20 Service/Feeder over 1000 Amp. $ 372.50 Branch Clrcult 61 Service Feeder $ 2.60 Branch Cil cult WIO Service Feeder $ 73.50 Each Additional Branch Circuit $''.,60 Temp. Servicel Feeder 200 Amp. $ 82.70 Temp. ServiceiFeeder 201-400 Amp, $110.30 Temp, ServiceiFeeder 401600 Amp. $148.70 Temp. 5ervicelFeeder 601 1000 Amp $167.90 Portal to Portal Hourly $ 95.90 Sign/Outline Lighting $ 86.20 Signal Circuit/ Limited Energy/First 1500 sf– Commercial $ 95.90 Note: $5,00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 & 2 Family Dwelling $ 63.90 Signal CircuPJ Limited Energy Multi -Family Dwelling $ 63.90 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 TT or I�i''�' O 77' Con rector n r �tlon / " / Name: 1 Lo�el�%d // 'L... Wailing A l e City in Phone: # i EX 3'�� F � !EP Af License # / Ex : 1` � l75� 7 Jl 360-3,6 141–j/ GQty Total (Ctv Multiulied by Unit Chanel $ $ -2-Z S� ivev 3 44" io r'a S $ Nner 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 i3 for sale, rent or lease. Permit expires after six months of last inspecbon 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 owner electrical contract r electrical administrator, ❑ cash ❑ Check Z— 1:1Credit Card t Zx _ gated: ���/�� 011011201D SIGN 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 Inl,, Date Received Permit # L DoW D t A d C3 ` e pprove a Applicant or Agent Wes Sll Q- 2C-) J _,"a M-2 Ph ne - Property Owner 1-01 PAO_ - I Property Owner's Ad ,�rgss Contractor/Engineer �)AN ehse� Contractor/Engineer's Address i o i f'1 License # aLRdef\ C_* q g y 0 1'�, Project Address Business Name Parcel Number W4JCA,_i An bom (.bv,6-ruc4P gone o Q 014 m P(L 9 w� Expires LI-1-12- I I-1-(Z l I. b A/ tom,_ ,Iov\ s( l.A/e,S F Sc is Pi z2� 06%0 0351 1601 Lot Zoning Submit an 8 % "x 11 "site plan & three sets of plans that include ■ Type of sign (wall -mounted projecting freestanding illuminated other ) ■ Placement and sq ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■ Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. Sign Type & Brief Description. (Type, location, sq ft.) Sign #1 e Axe- J / P1,s�vc- 7- i�,cl Sign #2 Sign #3 Sign #4 Totals (Unit charges Sign(s) ,5w. 06 Unit Charge Quantity multiplied by auantities) Iffe of Siqn Valuation $ $47 00 x _ $ All signs less than or equal to 25 sq ft. $85 00 x = $ Wall sign or marquees, over 25 sq ft. $115 00 x = $ Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s) area 2 0 sq. ft. ='Total sign(s) area .?% sq ft. Building fagade area (height '2Z ft. X width i- 6 ft.) = sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) 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 Date 427[o Print Name t ���"� �T V^S Signat e T Forms/Building Division/Sign Permit Application.doc SlY\ s r rii r V l ccr rS �C((Qw r� &"C' � M C4,1 fi"kv�- CJS CITY OF POPT �nstrvction Plans The Issuance of this ^CO these plans, specifi- cations and other d, : w prevent th^ building official from thereafter requiring n,a cr-ection of errors in said plans, specifications ,nd ,a data, or from preventing building operations being ra. on the,eunder when in violation of all codes and nr,t+nancA° of this jurisdiction. �Eh'T{E}N363 :; ,; • ---;..;..-i--. �tae51G �.a� Approval ate rte'" t���`' W\t� crr.w Sc ute\ `4DU j S C Sc+rc V,, a SIC 0,c��. 0 voar �CERTIFICATE OF OCCUPANCY APPLICATION Permit # / �a`— CITY OF PORT ANGELES FEES Attn Building Permit Technician E� 50 00 Ce tificnte /Inspection 321 E. Fifth St. Port Angeles WA 98362. (360) 417-4815 fax (360) 417=4711 $100 00 Parking Business Improvement Area (PBIA) Print in ink —fee charged for downtown locations BUSINESS NAME Weg S(k 1°t 2211\ L I �ayl\ St - BUSINESS ADDRESS (16 dV Business mailinq address. Opening date L4 I i l_.t0 Washington State Tax I D # 6o z- - 3Z 99( Brief description of proposed business Zoning (' & C> Phone# .7`G Q'l-) — y'P'oo Days & hours of operation t 1 —1 ( Ph^ If known list the name of the previous business at this location P.7_2,,A_ Res i i�v vzvr�fi Business owner's name T�,1 s -c ' rranner +��'� / Phone # Zair76- I Business owner's home address Io(ZT- PLEASE NOTE. A Business License is also.required for the following. businesses Taxi Peddlers, Second-hand dealer Pawnbroker Dance Hotel - Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non-PBIA location Change of ownership Remodel Temporary business Change of use .i WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs r.pvk' SiJ 1h -%N Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City riqht-of-way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second-hand dealer or pawnbroker business? Is there off-street parking for this business? Is the street in front of this business paved? • Is there a sidewalk in front of this business? Is there a curb & gutter in front of this business? NOV X_ YES✓ IF YES CONTACT Electrical Dept. at 417-4735 1C Building Div at 417-4815 Public Works at 417-4807 Water Dept. at 417-4886 Planning Div at 417-4750 City Clerk -at 417-4634 How many spaces? Call for Certificate of Occupancv-inspections before opening business. Please. sign up for usiity services. Building Department Inspection 417-4815 & Fire Department Inspection 4,17-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy supplieg if correct to the best of my knowledge Date fl. Id Print NamegO«qAl',- For City use only DepartmentI Approved Rejected Initials & date Initials & date Building Sum Fire IAD! 5-46- It PBIA RN. $-9- I4JJ,, Planning SK 3-10'10 City Clerk IT4 Public orks Av 3-1- (D T:Forms/B,Ading Divisivd(_aniiica Occupancy Application �e`f young 6 -18 -IL oK) I acknowledge that / have read this applicaf and statf,that the information I have Signature Gi " Comments / Conditions Type of construction Occupant Load Automatic fire sprinkler system required no yes CJ Properties by Q�_� LANDMARI I it C Ph. (360) 452 1326 • Fax: (360)457 3212 Website portangeleslandmark.com • Email: info@portangeleslandmark.com LEASE AGREEMENT This lease made and entered into this 1st day of March , 2010 , by and between JOHN REHLEN LOUIS REHLEN AND RICHARD REHLEN hereinafter referred to as 'Lessor" and Tanner Stephens business name Westside Pizza hereinafter referred to as 'Lessee WITNESSETH In consideration of their mutual promises, the parties hereto do mutually agree as follows 1 LEASED PREMISES Lessor hereby leases to Lessee -and Lessee hereby leases from Lessor that certain commercial premises commonly known at 116 & 118 N Lincoln Street, Port Anaeles, WA 98362 Port Angeles, Clallam County Washington and more legally described as a portion of the following described real property, Lot 1 Block 16 Norman R. Smith s Subdivision of the Town site of Port Angeles, Clallam County Washington Hereinafter called 'the premises. 2. TERM This lease shall be for a term of one year year beginning the 1st day of March 2010 and ending the 29th day of February 2011 'Lease year" as hereinafter referred to shall begin March 1 of any year during the lease period and end the following February 29th 3 RENT Lessee agrees to pay as rent for the premises: Lease year No'1 $82500 per month The rent for each month as set forth herein shall be paid to the Lessor on or before the first day of each month of the lease term and shall be payable at such place as the Lessor may hereinafter designate the first such payment being due March 1. 2010 Late fees will be assessed beginning on the tenth of the month at a rate of 1 % (percent) of monthly rent per day 30 -day advance notice If that occurs unit 118 rent will be $450/month for the remainder of the lease. Also the adjoining access must be closed up at that time Permission granted to open a wall area for customer viewing between the two units while renting both units and must be restored to original upon vacating Tenant must ensure they will not cause any structural damage in the process. 23 NOTICES All notices and payments hereunder may be delivered or mailed If mailed they shall be sent to the following respective addresses: TO LESSOR'S AGENT TO LESSEE. Properties by Landmark, Inc. 330 E 1st Street, Suite 1 Port Angeles, WA 98362 118 N Lincoln Street Port Angeles, WA 98362 Notices and payments sent by certified or registered mail subsequently received by Lessor or Lessee, as the case may be shall be deemed to have been given when and if properly mailed, and the postmark affixed by the United States Post Office shall be conclusive evidence of the date of mailing. 24 BINDING EFFECT The covenants and agreement of this lease shall be binding not only upon the Lessor and Lessee, but also upon their herein executors administrators successors sub-lettees and assignees IN WITNESS WHEREOF the parties hereto have signed this lease agreement the day and year first above written. John Rehlen (Lessor) Date Louis C Rehlen (Lessor) Date Richard Rehlen (Lessor) Date 211 Properties by Landmark, Inc. (Agent) Date 3 ,C lc) Ta r Stephe�kCessee) Date 1�0�e Sma11 CrclC, IV-� ort tN;v)JoW '114, I Yy 135 I Clallam County Assessor & Treasurer - Property Details - 61401 LOUIS C REHLEN TR. Page 1 of 3 Clallam County Assessor & Treasurer Property Search Results > 61401 LOUIS C REHLEN TRUST for Year 2010 - 2011 I Property Account Property ID- 61401 Legal Description SMITH NORMAN R 1/3 INT INLT1 BL 16 Geographic ID- 0630005116012001 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 58 Open Space N DFL N Historic Property, N Remodel Property- N Multi -Family Redevelopment: N Location _ Address: 136 E FRONT ST Mapsco PORT ANGELES Neighborhood Cycle 5 Comm Map ID- Neighborhood CD- 20953140 Owner - - Name LOUIS C REHLEN TRUST Owner ID- 48140 Mailing Address: %JOHN W REHLEN % Ownership- 100 0000000000% PO BOX 385 CASTLETON VTO5735 Exemptions: Taxes and Assessments Due Property Tax Information as of 03/08/2010 Amount Due if Paid on. . First Second Half Half 1 Statement 1 I Base Base Base Amoy Year ID Taxing Jurisdiction_ _Due Due _ Penalty Interest Paid ! Due F2010 44116 _ ST SCH STATE SCHOOL $11573 $11573 $000 $000 $000 $23 010 44116 CC -GEN COUNTY $61 59 $61 59 $000 $000 $000 $12; 2010 44116 PORT PORT — $866 $865 $000 $000 $000 $1 2010 44116 PORT ANG PORT ANGELES $142.59 $142 59� $000 $000 $000 $28! 12010 44116 SD #121 SCHOOL DISTRICT #121 $149 9_0_$_149 90 $000 $000 $000 $29! 12_010 44116 NTH OLY LIB NORTH OLYMPIC LIBRARY _- -HOSPITAL $1790 $1789 $000 $000 $000 $3! 1,2010 44116 HOSP #2 #2- $25.26 $25.27 $000 $000 $000 $5( [2010 44116 WSMET PK DIST WILLIAM SHORE MET PARK DIST $804 $8.04 $000 $000 $000 $1( 2_010 44116 CITY STORMWATER CITY STORMWATER $2093 $2093 $000 $000 $000 $4 2010 44116 TOTAL. $550.60 $550.59 $0.00 $0.00 $0.00 $110' 2009 614012008 ST SCH STATE SCHOOL $13506 $135_06 $000 $000 $27012 $( 2009 614012008 CC -GEN COUNTY $6836 $6833 $000 $000 $13669 $( 2009 614012008 PORT PORT $968 $968 $000 $000 — $1936 $( 2009 614012008 PORT ANG PORT ANGELES $149 92 $149_92 $000 $000 $29984 $( 2009 614012008 SD #121 SCHOOL DISTRICT #121 $16702 $16705 $000 $000 $33407 $( `2009 614012008 NTH OLY LIB NORTH OLYMPIC LIBRARY $1986 $1986 $000 $000 $3972 $( 2009 614_012_008 HOSP #2 _HOSPITAL #2 _ _ $2803 $2803 $000 $000 $5606 $( , 2009 614012008 CITY STORMWATER CITY STORMWATER $2093 $2093 $000 $000 $41 86 $( http .//vpn.clallam. net. 8084/propertyaccess/Property. aspx?cid=0&year=2010&prop_id=61401 3/8/2010 PREPARED 2/08/07 13 08 03 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/08/07 ADDRESS 116 N LINCOLN ST SUBDIV CONTRACTOR PHONE OWNER LOUIS C REHLEN TRUST PHONE PARCEL 06 30 00 5 1 1601 2001 APPL NUMBER 07 00000036 CO- CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS CO1 01 2/08/07 JLL BUILDING C/O INITIAL INSP OVERRIDE TAKEN BY PERMITS DATE 02/07/07 TIME 09 58 31 04/06/2006 09 OS AM PBARTHOL 04/06/2006 09 07 AM PBARTHOL 02/07/2007 09 55 AM PERMITS MEGAN 417 6755 CELL 360 990 8417 COMMENTS AND NOTES 0,/ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BLUDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 'ta� Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 05 00000859 Date 11/17/05 977806 116 N LINCOLN ST 06 30 00 5 1 1601 2001 DELUNA S RESTAURANTS HOOD/DUCT SUPPRESSION SYSTEM COMMUNITY SHOPPING DISTR 3000 Owner Contractor LOUIS C REHLEN TRUST LISENBURY FIRE PROTECTION %JOHN W REHLEN 470 MONROE RD CASTLETON VT 05735 PORT ANGELES WA 98362 (360) 683 5132 Permit HOOD & DUCT SUPP SYSTEM Additional desc Permit pin number 65334 Permit Fee 40 00 Plan Check Fee 00 Issue Date 11/17/05 Valuation 0 Expiration Date 5/16/06 Qty Unit Charge Per 1 00 25 0000 ECH HOOD/DUCT INSPECTION/TESTING 1 00 15 0000 ECH HOOD/DUCT PLAN REVIEW Special Notes and Comments This project will require a seperate permit and hood and duct suppression system plans for review A full suppression system test will be required Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 40 00 40 00 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 44 50 44 50 00 Extension 25 00 15 00 4 50 Due 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to giv, authority to viola r cancel the provisions of any state or local law regulating construction or the performance of construction. Sin re of Contractor or othorized Agent Date Signature of Owner (if owner is builder) Date T-\Policies\l 102_15 building permit inspection record05.wpd [1/4/2005] BUII.DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I ACCEPTED COMMENTS I` YES I NO I FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY.. BACK FLOW / WATER AIR SEAL WALLS I I I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I I LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT \ BUILDING1 417-4815 BUILDING i •\Policies\l 102 15 building permit inspection record05.wpd [1/4/2005] — I .4.} _A_0� 1�51 ill i� 119 E ` s HOOD/DUCT SUPPRESSION SYSTEM PLAN REVIEW Project Name DeLuna's Phillipino Restaurant H/D Installer - System Installer- Lisenbury Fire Protection Permit # 05-01 Address 116 N Lincoln Telephone Telephone (360) 683-5132 We have checked this plan and find that it conforms to the requirements of our ordinance The following items must be noted. 1) The exact location of the manual pull station for the system is not shown. The pull station must be in the path of exit travel and easily accessible. 2) A "K" class fire extinguisher must be provided along with the system. The extinguisher must be located in an easily accessible location, with the top no more than 5' off the floor 3) A full witnessed acceptance test of the system will be required. This test will include a balloon test, as well as tests of the fuel/electrical shut -offs, the pull station and the fusible links. Reviewed By- Date to r ( O`s Building Department ❑ Contractor ❑ Fire Department �r puzz 5 f �? F.7 Y % -TM5 -Z A -7 , 4ZZ--.I% 70xe •11•i,1� r h 1 f. C A IV5 v/ - i 3G -G- q5_7 -e7f 3� 470 Monroe Rd. W) D � DFUT j I -i Gs� Port Angeles, WA 98362 _ H 0 C) D � �"� 52" 1 18 " 360-452-1143 or 3C'O-633-5132 Rf\��r!- 7G" ,or I „ PLANS APPROVED BY -►� ��'��'' `'`' - 90: 'f//E PORT ANCEI ES HRE DEPT. — yr— /044)7, CI z: Gv774 /l 0. Al F DATE to I-( o, SECTION IV — SYSTEMDESIGN UL EX. 3470 ULC CEx747 Page 4=24 REV 5 10-1-02 Electric Char -Broiler Protection The R 102 system uses the IN nozzle for the protection of electric char -broilers. The maximum length of the hazard can be no longer than 34 in. (86 cm) and the total cooking area must not exceed 680 sq. in. (4388 sq. cm). 1 Nozzle Location: 20 to 50 in. (51 -to 127 cm) above the grate surface. The 1N Nozzle (Part No. 419335) is used for electric char - broiler applications. The nozzle tip is stamped with IN, indi- cating that this is a onei4ow nozzle.and must be counted as one flow number When using this nozzle for electric char -broiler protection, the nozzle must be positioned anywhere along or within the perimeter of the maximum cooking area and shall be aimed at the center of the cooking surface. See Figure 50. COOKING AREA COOKING AREA 1 � i I I I I I I 50 (12IN. MAX MUM I � 1 I 1 20 IN. (51 cm) MINIMUM II � Is 1 FIGURE 50 Gas -Radiant Char -Broiler Protection The R-102 system uses the 1N nozzle;_(Part No. 419335) for gas - radiant char -broiler protection. The nozzle tip on the 1 N nozzle is stamped with a 1 N, indicating that this is a one -flow• nozzle and must be -counted as one flow number One IN nozzle -will protect a hazard with a maximum length of 36 in. (91 cm) and a total cooking .area which does not exceed 864 sq. in. (5574 sq. cm). The nozzle, tip,_must-be' located 1546 40 in: (38 to 102 cm) above the hazard surface. When using this nozzle for gas -radiant char -broiler protection, the nozzle must be positioned anywhere along or within -the perimeter -of the maximum cooking area and shall 'be aimed at the center of the cooking sur- face. See Figure 51 FIGURE 51 470 Monroe Rd. Port Angeles, WA 98362 360-452 1141, or MCD -683-5132 t I 40 IN. i t I \\ ! MAX MUM I/ ' 15-I (38 cm) I I MINIMUM 1 � t 000ss� FIGURE 51 470 Monroe Rd. Port Angeles, WA 98362 360-452 1141, or MCD -683-5132 SECTION IV — SYSTEM 'DESIGN UL EX. 3470 ULC CEx747 Page 4-8 REV 5 10-1-02 Fryer — Single Nozzle Protection (Continued) Maximum Area Dimensions — Single Nozzle Fryer Protection 1 I I I I I I I I i I I I I I i I j j I TOP OF FRYER I I I { I I 1 Nozzle Location See Figure 15 and 16 See Figure 15 and 16 FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD SPLIT VAT NOZZLE TIP POSITIONED ANYWHERE ALONG OR WITHIN PERIMETER OF COOKING NOZZLE TIP POSITIONED ANYWHERE ALONG OR WITHIN PERIMETER OF COOKING SURFACE AND AIMED TO THE CENTER OF THE COOKING AREA SURFACE AND AIMED TO THE CENTER OF THE COOKING AREA. FIGURE 15. ► FIGURE 16 002M 002M a Max. Size Max. Size Overall Type of Nozzle Height Frypot Only With Dripboard Nozzle Above Top of Fryer Full or Split Vat Full or Split Vat 230 .27 in. to 47 in. ' 14 in. x 15 in. 14 in. x 21 in. (69 cm to 119 cm) (36 cm x 38 cm) (36 cm x 53 cm) Full or Split Vat Full or Split Vat 245 20 in. to 27 in. ► 14 in. x 15 in. 14 in. x 21 in. '(51 cm'to 69 crn) (36 cm x 38 cm) (36 cm x 38 cm) 1 I I I I I I I I i I I I I I i I j j I TOP OF FRYER I I I { I I 1 Nozzle Location See Figure 15 and 16 See Figure 15 and 16 FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD FRYER WITHOUT DRIPBOARD FRYER WITH DRIPBOARD SPLIT VAT NOZZLE TIP POSITIONED ANYWHERE ALONG OR WITHIN PERIMETER OF COOKING NOZZLE TIP POSITIONED ANYWHERE ALONG OR WITHIN PERIMETER OF COOKING SURFACE AND AIMED TO THE CENTER OF THE COOKING AREA SURFACE AND AIMED TO THE CENTER OF THE COOKING AREA. FIGURE 15. ► FIGURE 16 002M 002M a @10 SYSTEM DESIGN The Ansul R-102 Restaurant Fire Suppression System may be used on a number of different types of restaurant cooking appli- ances and hood and duct configurations. The design information listed in this section deals with the limitations and parameters of this pre-engineered system. Those individuals responsible -for the design of the R-102 system must be trained and hold a current Ansul certificate in an R-102 training program. The R 102 and the PIRANHA systems use compatible agents and components, therefore, they may be used together for cooking appliance, hood, and duct protection. The primary ANSUL AUTOMAN Release can be either an R-102 or a PIRANHA ANSUL AUTOMAN Release and can actuate up to two additional R-102 or PIRANHA Regulated Actuators. In systems utilizing a 101 remote release, any combination of the maximum number of regulated actuators can be used. Both systems must actuate simultaneously. Each system must be designed and installed per its appropri- ate manual. Adjacent appliances requiring protection must be protected with the same type of system, either R-102 or PIRANHA, unless the center -to -center spacing between the adjacent R-102 and PIRANHA nozzles is no less than 36 inches. When appliances are protected with R-102 nozzles, the hood and connecting duct above those appliances cannot be pro- tected with PIRANHA nozzles. Mixing systems in a common plenum is not allowed. One of the key elements for restaurant fire protection is a correct system design. This section is divided into ten sub -sections: Noz- zle Placement Requirements, Tank Quantity Requirements, Actu- ation and Expellant Gas Line Requirements, Distribution Piping Requirements, Detection System Requirements, Manual Pull Sta- tion Requirements, Mechanical Gas Valve Requirements, Electri- cal Gas Valve Requirements, Electrical Switch Requirements, and Pressure Switch Requirements. Each of these sections must be completed before attempting any installation. System design sketches should be made of all aspects of design for reference during installation. NOZZLE PLACEMENT REQUIREMENTS This section gives guidelines for nozzle type, positioning, and quantity for duct, plenum, and individual appliance protection. This section must be completed before determining tank quantity and piping requirements. Duct Protection — Single Nozzle All duct protection is UL listed without limitation of maximum duct length (unlimited length). This includes all varieties of ductworks both horizontal and vertical including ducts that run at angles to the horizontal and ducts with directional bends. The R-102 system uses different duct nozzles depending on the size of duct being protected. SECTION IV — SYSTEM DESIGN UL EX. 3470 ULC CEx747 -Page 4-1 10-1-02 REV 5 GENERAL INFORMATION 1 .Nozzles must be located 2-8 in. (5-20 cm) into the center of the duct opening, discharging up. See Figure d 2-8 ft (s.— 20 cm) `ry FIGURE 1 000173 2. in installations where .a UL listed damper assembly is employed, the duct nozzle can be installed beyond the:8 in. (20 cm) maximum, to a point just beyond the damper assem- bly that will not interfere with the damper Exceeding the maxi- mum of 8.1n. (20 cm) in this way will: not void the UL listing of the system. 3. Previously listed 3 flow number and 5 flow number duct pro- tection detailed in earlier published manual, Part No. 41'8087 06, can also still by utilized. DUCT SIZES UP TO 50 IN. (127 cm) PERIMETER/ 16 IN. (41 cm) DIAMETER One 1100 nozzle (Part No. 430912) = one flow number 50 in. (127 cm) perimeter maximum 16 in.:(41 cm) diameter maximum DUCT SIZES UP TO 100 IN. (254 cm) PERIMETER/ 32 IN. (81.3.cm) DIAMETER One 2W Nozzle (Part No. 419337) = two flow numbers 100 in. (254 cm) perimeter maximum 32 in. (81.3 cm) diameter maximum A.2WH nozzle (Part 'No. 78078) must be substituted for a 2W nozzle for any installation using Option 2 of the 1.5 gallon sys- tem coverage (duct and plenum protection only). A 2WH nozzle is -limited -to a maximum of 75 in. (190 cm) perimeter or a maxi- mum diameter of 24 In. (61 cm) of coverage. The chart below _shows the maximum protection available from each duct nozile. Part 3.0 Gallon 1.5 Gallon Description No. System System 2W Nozzle 41.9337 Maximum Maximum. 100.1n. (254 -cm) 100 In. (254.cm) Perimeter Perimeter 1100=Nozzle 430912 Maximum Maximum 50, Im-(127 cm) 50 in. (127 cm) Perimeter Perimeter Plenum Protection The R-102 system uses the 1W Nozzle.(Part No. 419336) or the ► 1100 Nozzle{Part No: 430192) orthelN Nozzle (Part No:4.19335) for plenum protection. The 1W nozzle tip is stamped with -1W and ►the 1N nozzle -tip is stamped with 1N indicating they are one -flow Inozzles and must be counted as one flow number each. When.pro- tecting a plenum chamber .the entire -chamber musY be =protected ► regardless of filter'length. ► VERTICAL PROTECTION -GENERAL ► One 1W nozzle or 1100 nozzle will protect 4 linear feet (1.2 m) of plenum. The maximum distance from the end of the hood to the first and last nozzle must be no more than 2 ft. (.6 m). After the first nozzle, anyadditional nozzles must be positioned at a maximum of 4 ft. (1.2 m) apart down the entire length of the plenum. The ► plenum width must not exceed 4 ft. (1.2 m). (The 1 W or 1100 noz- zle can be used on single .or V -batik filter arrangements.) See ► Figure 6. 2 FT. (.8 m) MAXIMUM 4 FT (1.2 m)�f'� MAXIMUM R 4 FT. (1.2 m) 1/,\4 FT. (1.2 m) riuurcC s 000101 . When protecting plenums with the -1 W or 1100 nozzle, two options of coverage are available: ► Option 1 The 1100 or 1W nozzle must be on the centerline of the single or "V" bank filter and positioned within 1-20 in. (2.5-51 cm) above the top edge of the filter See ► Figure 7 SECTION.IV — -SYSTEM DESIGN UL. EX. 3470 ULC CEx747 Page 4-5 1b-1-02 REV 3 I t 20 IN: (51 cm) MAXIMUM w , - I:% (2.5 0m) iMINIMUM } 20 IN. (51 cm) MAXIMUM A_ 1 IN. (2.5 cm) MINIMUM FIGURE 7 000199 ' Option 2: The 1W or 1100'nozzle must be placed perpendicular 8-12 in. (20-30 cm) from the face of the filter and angled to the center of the filter. The nozzle tip must be within 2 in. (5 cm) from the perpendicular center line of the fil- ter See Figure 8. 4 IN. (10 om) X\ NOZZLE TIP MUST. BE WITHIN THIS AREA ► HORIZONTAL PROTECTION _ OPTION 1 12 IN. (30 an) MAXIMUM 8 IN. (20 cm) MINIMUM FIGURE 8 00020 1 N NOZZLE — PART NO. 419335 - SINGLE BANK PROTECTION One 1N nozzle will protect 10 linear feet (3.1 m) of single filter bank ► plenum. The nozzle(s) must be mounted .in the plenum, 2 to 4 In. (5 to 10 cm) from the face of the filter centered,;between the filter height dimension, and aimed down the length. See Figure 9. 10 FT. (3.1 m) MAXIMUM SECTION'IV _ SYSTEM DESIGN UL EX. WO ULC 011047 Page 4-16 REV 5 10-1-02 Range Protection 2 -Flow Nozzle Low Proximity Application (2 -Flow Nozzle): 15 in. to 20 In. (38 cm to 51 cm) above the cooking surface. The low proximity application requires two (2) 290 nozzles, Part No. 419342, The nozzle tip isstampedwith-290 Indicating this Is a two flow noz- zle and must be.counted-as-two.flaw numbers. Two (2) 290 nozzles will protect 6:cooking area of 1008 sq. in. (6503 sq. -cm) -with a maximum dimension of 36 in. (91 cm). When using two of these ho&es for low proximityrangeprotec tion, the nozzles must be positioned along the cooking surface perimeter to 1.5 in. (3.8 cm) inside the perimeter and aimed at a 450 angle along the longitudinal centerline of the- range. See Figures 33 and 34 45* It 20 IN, (51 cm) MAXIMUM AXIMUM 15iIN. (*cm) MINIMUM 290 NOZZLE TIP LOCATION 0 —1.5 IN. (6 —3.8 an) IN FROM EDGE OF COOKING SURFACE Folrellmire0no —I . 45. A 4 20 IN. (51 CM) MAXIMUM 1115IN. (38 CM) j 0 FIGURE 33 0=76 COOKING LONGITUDINAL "*--AREA CENTERLINE p. COOKING AREA 290 NOZZLE TIP LOCAT ON CENTER OF IC COOKING SURFACE t 2 IN. (5 cm) 290 NOZZLE TIP LOCATION 0 — 1.5 IN. (3.8 cm) IN FROM EDGE 0W230 OF COOKING SURFACE COOKING AREA COKING �3 31 (3 (- AREA L � LZJ 290 NOZZLE TIP -o- LOCATION CENTER OF COOKING SURFACE ± 2 IN. (5 cm) 290 NOZZLE TIP LOCATION 0 —1.5 IN. (3.8 crn) IN FROM EDGE OF COOKING SURFACE FIGURE 34 °°°wF�N CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner LOUIS C REHLEN TRUST %JOHN W REHLEN CASTLETON VT 05735 Permit SIGN Additional desc 6 SF SIGN Permit pin number 63412 Permit Fee 47 00 Issue Date 10/26/05 Expiration Date 4/24/06 05 00000991 Date 10/26/05 337883 116 N LINCOLN ST 06-30-00 5 1 1601 2001 SIGNS COMMUNITY SHOPPING DISTR 350 Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 PROJECTING Plan Check Fee 00 valuation 350 Qty Unit Charge Per Extension 1 00 47 0000 PER S SIGN LES THAN 25 SF 47 00 Special Notes and Comments This project will require a seperate permit and fire alarm plans for review Call for cover inspection for all sprinkler installations A full acceptance test will be required for all fire alarm systems Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give thority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons ction. I'ature ontr for or Authorized Agent / Date Signature of Owner (if owner is builder) Date T•\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE( DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS I FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW / WATER AIR SEAL l WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLMOLD 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 I FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING I PLANNING DEPT SEPARATE PERMIT #'s PARKINGILIGHTING LANDSCAPING I RESIDENTIAL SEPA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE DATE YES NO COMMERCIAL DATE --- nen—tion ecord0S.wnd(1/4/20051 ELECTRICAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION RW / PW/ PW / ENGINEERING ENGINEERING 417-4807 FIRE 417-4653 BUILDING, PLANNING DEPT 417-4750 I BUILDING 417-4815 --- nen—tion ecord0S.wnd(1/4/20051 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT PLANNING DEPT r ' Y 4 BUILDING, ACCEPTED YES NO 0�. sour,tFOR OFFICIALUSF, ONLY BUILDING PERMIT - APPLICATION lateRec. j4 Permit #- Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved. COMPLETE to be accepted for review If you have any questions, call Date Issued. -=--� PERMITS (360) 417-4815 FAX(360)417-4711 1 Applicant or Agent: � A- f l; t y '.�l `� S Phone Owner Del (ic vl ti S >� �r l/ i.I(JO USS f yr ,e Phone Address /�6 /� L r �v)�, ` _ City- 7+A76e,6 S t,41 Zip 9S'7` 2 a J Architect/Engmeer `, / I�1 �i S /G� (S a Phone 3 6 Q yr' % ^ ! O Contractor � ` /tti 2 //%S e State License #:14��f PM�!3 % ?E pN 6_I0-16 Phones �% -'S SZ Address. P6 S- A- � _ /A City- A4l/ Zip PROJECT ADDRESS D61"'S Ca5,1-I l' e /6 IV /_,� 61(/vt �7 ZOINING /)d L✓vl_1?JW1-1 LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Occupant Load. Construction Type - TYPE OF WORK. Existing Sq Ft. ❑ Residential ❑ New Constr ❑ Re -roof ❑ Stove ❑ Multi -family ❑ Addition ❑ Move ❑ Garage ,��Commercial ❑ Remodel ❑ Demolition ❑ Deck ❑ Repair Sign ❑ Other BRIEF DESCRIPTION OF THE PROJECT 8 /cL d e , LlfS 6 � � Subdivision. SIZEWALUATION 6 SF @ $ /SF = $ 3 w SF @$ /SF = $ SF @$ /SF = $ TOT ,� VALUATION $ 3. �'t o cc�lfp � COMMERCIAL/RESIDENTLAL. Occupancy Group Occupant Load. Construction Type - No of Stories: Lot Size: Existing Sq Ft. & Proposed Sq. Ft. = TOTAL Sq Ft. _ Total lot coverage %e7 } / PLANNING PLANNING USE ONLY APPROVALS PLAN BLDG DPWU FIRE ESA/Wetland(s) ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once t hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what per 'ts are required ,not the City's, and that I must obtain such permits prior to work. TAPolicies\BL 1102_13 wpd Applicant: Date: MA& S-60 rl R- A�Ll�l��i'S A -v, j )t )? OC) A)NE 1N/ TAME Q... 5 eig, / _'d-rAL- wT - t I A ty� 14 � A-9 4 ANGELES -- Con: r, rni" CSV Q I s permit rased Mpan the>la s ti aid er to shall not prwent t rell I.ling i theft, uinng tie cor ection of enors in id sand dther data, o: from prey Q ng being w3med on th,seundar wh n on of I es and ordina rtes this ju tion. s'ustcr miminip r, rni" CSV Q I WAIVER AND RELEASE FOR AND IN CONSIDERATION of permission from the City of Port Angeles for the nght to F k1.ss on the property located at: / / G lU L-11 "lrt 5 f The undersigned, for themselves, their heirs, successors and assigns, hereby waives, releases, and forever discharges any claims against the City of Port Angeles or its employees for personal mjunes or damages ansing out of the entry onto the above referenced property for the purpose as set forth above. Dated this ?S day of 4G B , 2005 STATE OF WASHINGTON ) ) ss. COUNTY OF CLALLAM ) On thiday of(�-,15��t - , 2005, before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, personally appeared 0 cfs to me known to be the individual described in and who executed the foregoing instrument, ana acknowledged to me the (s)he signed and sealed the said instrument as his/her free and voluntary act and deed for the uses and purposes therein mentioned. Given undek--Tpy hand and official seal the day and year in this certificate first above written. N:\PWKSUGHT\CONS\CATS\WAIVER.wpd NOTARY PUBLIC in Oa -for the State Of Washington, residing at Port Angeles, Washington. 045 1794 # 7 ra-� �� X05 851 �- 4*1, 4X09 6r&t-01�� DEPARTMENT OF LABOR, AND IN STRIBS a. REGIS. ,F D AS PROVI' ' D BY LAW AS CONST. .CO T SPECI TY s' Of5.i2.p.0i7' WASH FIR & S ETY EQUIP LLC PO BOX 777 PORT GELES WA 98362 FG25-052-OUO (3/97) , 4/ Po; aAve %vt ��G T1cu� arc ��ton .t F�r Apfw rA4 - awl C�n'�'st a(vv �t�cJ �u�rGsscDn �s-�, cell, Fi re, �, DavidYasumura _Permit Application 05-859 From Dan McKeen To* Yasumura, David Date 9/29/05 11:29AM Subject: Permit Application 05-859 __.�.._�..._._..w..__.m.-.__.�.�.�._.. Page 1 !) Dave, Permit # 05-859 for the installation of a restaurant hood fire supersession system will not be reviewed until the applicant, Washington Fire & Safety provides the Fire Department with a more detailed drawing and needed information The applicant is also required to submit cut -sheets of the equipment that is being proposed I contacted Scott MacDougall and went over what is needed before the permit can be issued The suppression permit should not hold up any other work such as the installation of the hood and related duct. It is my understanding in talking to Scott that Ken had also required the same information before he could provide comments and recommend the issuance of the permit. Dan McKeen Fire Chief 417-4651 dmckeen CC. Dubuc, Ken CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05-00000858 Date 9/26/05 Application pin number 882372 Property Address 116 N LINCOLN ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1601 2001 Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 15000 Owner Contractor LOUIS C REHLEN TRUST THORNES REFRIGERATION %JOHN W REHLEN PO BOX 991 CASTLETON VT 05735 PORT ANGELES WA 98362 (360) 461 0158 - - Structure Information 000 000 - Construction Type TYPE II FIRE RESISTIVE Occupancy Type BUSINESS OFF/PRO/MED/REST Permit MECHANICAL PERMIT Additional desc Permit pin number 61051 Permit Fee 57 65 Plan Check Fee 00 Issue Date 9/26/05 valuation 0 Expiration Date 3/25/06 Qty Unit Charge Per Extension BASE FEE 47 00 1 00 10 6500 ECH ME HOOD/DUCT SYSTEM 10 65 Special Notes and Comments This project will require a seperate permit and hood and duct suppression system plans for review A full suppression system test will be required Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 57 65 57 65 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 62 15 62 15 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local I e ulating construction or the performance of construction. 11 Signature of Contractor or Authorized Agent Date at Of Owner (if owner is builder) Date T-\Polici es\ 1 102_ 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO PER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES ( NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS I PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) I GAS LINE I ` BACK FLOW / WATER I I AIR SEAL WALLS CEILING �ING c STS / GIRDERS Or EAR WALLMOLD DOWNS I WALLS / ROOF / CEILING 1YWALL (INTERIOR BRACED PANEL ONLY) .07T -BAR 4LINLATION AB WALL / FLOOR / CEILING TPUMP / FURNACE /DUCTS LINE )D STOVE / PELLET / CHIMNEY IMERCIAL HOOD / DUCTS )FACTURED HOMES *FOOTING / SLAB BLOCKING & HOLD DOWNS 04,6KIRTING 10 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL I SEPA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION RW ENGINEERING 417-4807 I PW / ENGINEERING FIRE 417-4653 I I FIRE DEPT IPLANNING DEPT 417-4750 1 1) I PLANNING DEPT BUILDING 417-4815 I { BUILDING T tPoliciesll 102_15 building permit inspection record05.wpd (1/4/2005] I ACCEPTED ' YES NO OF pORT,N,O� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner LOUIS C REHLEN TRUST %JOHN W REHLEN CASTLETON Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 05 00000875 926750 116 N LINCOLN ST 06 30-00 5-1 1601 2001 JOHN DELUNA MECHANICAL APPL PERMIT COMMUNITY SHOPPING DISTR 500 Contractor Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Permit Fee Total 57 65 57 65 00 Plan Check Total 00 00 00 Grand Total 57 65 57 65 00 Date 9/15/05 MO 64068 00 0 Extension 47 00 10 65 Due 00 00 00 >C „rq -1&- /0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construct' Signature of Contractor or Authorized Agent ate Signature of Owner if owner is builder Date 9 9 � ) TAPolicies\1102_15 building permit inspection record05 wpd [1/4/2005] Z FERRELLGAS LP ONE LIBERTY PLAZA VT 05735 LIBERTY (360) 683 9029 MECHANICAL PERMIT TANK SET & GAS RANGE 60228 57 65 Plan Check Fee 9/15/05 Valuation 3/14/06 Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Permit Fee Total 57 65 57 65 00 Plan Check Total 00 00 00 Grand Total 57 65 57 65 00 Date 9/15/05 MO 64068 00 0 Extension 47 00 10 65 Due 00 00 00 >C „rq -1&- /0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construct' Signature of Contractor or Authorized Agent ate Signature of Owner if owner is builder Date 9 9 � ) TAPolicies\1102_15 building permit inspection record05 wpd [1/4/2005] Z BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEj DATE Y ACCEPTED ED COMMENTS I I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) I GAS LINE BACK FLOW / WATER IAIR 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 HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES r FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGH LANDSCAPING TING ! I , SHORELINE. ' FINAL INSPECTIONS REQUIRED PRIOR Tp OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815 T-\Policies\1102_15 building permit inspection recordOS.wpd [1/4/2005] ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT PLANNING DEPT i BUILDING _n ACCEPTED YES NO tb g°erq FOR OFFICIA US ONLY BUILDING PERMIT - APPLICATION DateRec. ���••I2"Permit#• 61✓' ✓� Fill out COMPLETELY and in INK. Your application and site plan MUST E Date Approved - COMPLETE to be accepted for review If you have any questions, call Date Issued: O PERMITS (360) 417-4815 FAX(360)417-4711 If i Awe Applicant or Agent: aQe -" �S lr' t -r Phone. Owner- /trA d- Lum k / Phone: 3 (00 - L' r-) — Address. L/WGdLfco City. Zip le -A6 Z Architect/Engineer- ®k, rh G1-- Phone: Contractor c%o�lidU'S �lrFitl�Tk'4State License # %fbx.</X+�9S/Lxp !o_Z Phone: Address. r Rejo City. "ot-00'L- A"re L'e-4 Zip ��3102 PROJECT ADDRESS ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit Card Type VISA 1:1 Stove ❑ Garage MC # TYPE OF WORK. ❑ Residential ❑ New Constr ❑ Re -roof ❑ Multi -family ❑ Addition ❑ Move Commercial ,ft Remodel Demolition ❑ Demolitio ❑ Repair ❑ Sign BRIEF DESCRIPTION OF THE PROJECT ❑ Deck ❑ Other 10& STN, COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories. _ Lot Size: Existing Sq. Ft. Total lot coverage % PLANNING USE ONLY City. Exp. Date: SIZE/VALUATION SF @ $ /SF = $ SF @$ /SF = $ SF @ $ /SF = $__Z,:5,Otl� TOTAL VALUATION $ rr- An -aro +- Dux-+ 1- FIS Occupant Load. Construction Type: & Proposed Sq Ft. = TOTAL Sq. Ft. ESA/Wetland(s) ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other - APPROVALS. FWP) I PLAN BLDG: DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my re ilit to ermine what permits are requir d ,not the City's, and that I must obtain such permits prior to work. T•\Policies\BL-1102_13.wpd Applic n Prn N/W Distributors NEWS Heating and Cooling 6 MEN §'%" N Products A��Wnc. c- 06/4 "0'6Lia'VA T- T V 4 7 TZ_ - 0-1 T, Cv + tt 74r—j- .4 A.— f T- T j f CITY OF PORT ANGELES Constriction Th - ellssuah plads- I Ce of:this permit upon theseplans speAl. 1 V) -cations-data-othor-clata shalllnot-pieventlthe buildin'-official, 4- g from ther6after1requiring the correction of irrorsiin said i plans; -specifications and other -data, or -from preventing building operations biting carried; on thereunder when in codes; and rdiinances of 66, junidictiom i !tRdw0___ 77,61 -2� 44-4— r - Appioval date .6CBy f 4 -A" t 'rl t1% TIN I u 1 1*4 SPOKANE 18755 S W TETON 7915 SOUTH 184th St. 730 E. FIRST AVENUE TUALATIN, OR 97062 KENT WA 98032 SPOKANE, WA 99202 (503) 1 692 1 3210^--- (425) 65677878 (509) 536-1811 Ej Ak o_E i.1-0�Ss. 'C0 nc. N/W Distributors Heating and Cooling Products TUALATIN KENT SPOKANE 18755 S.W TETON 7915 SOUTH 184th St. 730 E. FIRST AVENUE TUALATIN, OR 97062 KENT WA 98032 SPOKANE, WA 99202 (503) 692-3210 (425) 656-7878 (509) 536-1811 /�HADCO SUPPL5� Northwest Distributors HVAC/R Parts & Supplies lit;, 10 i, a f I. 3 r: f f ii i 1 I ' I � T,,.. i r � f I I I i i I ! i._.____ I f I ; 1 77- I I � • , ' f i SEATTLE TACOMA KIRKLAND KENT SPOKANE 2500 AIRPORT WAY SOUTH 4702 20TH ST EAST 11730 118TH AVE. NE, SUITE 200 7827 SOUTH 184TH ST 730 E. FIRST AVE. SEATTLE, WA 98134 TACOMA, WA 98424 KIRKLAND, WA 98034 KENT WA 98032 SPOKANE, WA 98202 (206) 624-4840 (253) 922-7307 (425) 825-8448 FAX (425) 656-1234 FAX 656-9737 (509) 534-1721 FAX FAX (206) 623-5080 _ .,. FAX (253) 922-3962 �......,. ^ (425)825-8745 n 1— (425) onn OA -- (509) 535-0582 onn nnn neo m N Co N M G (A F. ru N N 0 M z m 0 m m m H IT! 70 3- H 0 z w m 0 n� 00 -o m ro ` 304 SIS Construftn WI #E4 Finish i 18 GA. 304 SIS \_ CONSTRUCTION — M 70 NAVE A *4 FINM) SIS HANMNG I L (3) SIS GREASE CUP 111141111ill BUILT TO LAPPA -96 & UMC STANDARDS 18 GA, 304 #4 SIS =0 WELDED CON57RLEUCN PER UMC CHAPTER S SECTION 508.12 CFM = L x W x 100 PER UMC SEMON 508,7,2 NSF APPI OVER * CFM wmsr I I * OUCr SIDE } U.L. APPROVED LmmTrs & ALUMIW4 FILTERS 40 MORI i 1 wan I omwn ter Tcv VWF4 rame w rn 0 000 w ccnn cn IV ..00lt Up a Contractor, Electrician -or Plumber License Detail Washington State Department of Labor and Industries General/Specialty Contractor A business registered as a construction contractor with L&I to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance License Information License WASHIFS12ONQ WASH F601IX Licensee Name WASHINGTON FIRE & SAFETY EQPT Licensee Type CONSTRUCTION CONTRACTOR UBI 600635595 Ind. Ins. Account Id 54084800 Business Type INDIVIDUA Address 1 PO BOX 1777 Address 2 City PORT ANGELES County CLALLAM State WA Zip 98362 Phone 3604571217 Status REREGISTERED Specialty 1 FIRE PROTECT SYSTE Specialty 2 APPLIANCES/EQUIP NT Effective Date 8/18/1988 Expiration Date 3/21/2004 ! 5/yUb7 Suspend Date Separation Date / Parent Company Previous License / Next License W�iHFSE971DE Associated License / Business Owner Information Name Role Effective Date Expiration Date MORSE, DAVID G OWNER 08/18/1988 03/05/2003 Bond Information Bond Bond Company Account Effective Expiration Bond Name Number Date Date Until #2 CBIC 655565 03/21/2002 Cancelled #1 CBIC 655565 07/01/1988 03/21/2002 Cancel Impaired Bond Received Date Date Amount Date 08/13/2004 $6,000 00 03/21/2002 $4,000.00 https.//fortress.wa.gov/lni/bbip/pnnter.aspx?License=WASHIFS 120NQ Page 1 of 2 9/12/05 Application Number . . . . Application pin number _. . Property Address . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . Property Use . . . . . . . Property Zoning . . . . . . Application valuation . . . CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00001085 Date 11/04/05 888345 116 N LINCOLN ST 06 -30 -00 -5 -1 -1601 -2001 - ELECTRICAL ONLY COMMUNITY SHOPPING DISTR 0 Owner Contractor ------------------------ LOUIS C REHLEN TRUST ------------------------ ANGELES ELECTRIC %JOHN W REHLEN 524 E. 1ST ST. CASTLETON VT 05735 PORT ANGELES WA 98362 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW COMMERICAL Additional desc . . ANGELES/100A TO 200A SVC. Permit pin number . 64683 Permit Fee . . . . 95.80 Plan Check Fee .00 Issue Date . . . . 11/04/05 Valuation . . . . 0 Expiration Date 5/03/06 Qty Unit Charge Per Extension 1.00 95.8000 ECH EL -COM 101-200 NEW SRV FEEDER 95.80 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 95.80 95.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 95.80 95.80 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M[ND" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS Es I No DITCH ROUUH-IN/UUVER SERVICE I FINAL GENERAL COMMENTS: I //- R. 1 0 y'1 1.16-1(11 PW -1102.1314" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST STH STREET. PORT ANGELES. WA 98362 Application Number . . . . . 05-00000857 Date 9/28/05 Application pin number .. . . 877471 Property Address . . . . . . 116 N LINCOLN ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1601 -2001 - Application type description ELECTRICAL ONLY Subdivision Name Property Use . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . 0 Owner Contractor ------------------ ------------------------ LOUIS C REHLEN TRUST OWNER %JOHN W REHLEN CASTLETON VT 05735 ------------------------------ Permit . . I . . ---------------------------------------------- . ELECTRICAL ALTER COMMERCIAL Additional desc . . TXOnNES/ 1-5 CIRCUITS Permit pin number 59782 Sub Contractor . THORNES REFRIGERATION Permit Fee . . . . 61.30 Plan Check Fee .00 Issue Date 9/28/05 Valuation . . . 0 Expiration Date 3/27/06 Qty Unit Charge Per Extension 1.00 61.3000 ---------------------------------------------------------------------------- ECH EL -COMM ALT <5 CIRCUITS 61.30 Fee summary ------------------ Charged ---------- Paid Credited Due Permit Fee Total ---------- 61.30 ---------- ----- 61.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.30 61.30 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS I` YES I NO DITCH RODUH-1N / COVER SERVICE FINAL i GENERAL COMMENTS: PW -1 102.1514M) CERTIFICATE OF OCCUPANCY City of Port Angeles Max. Occupancy Building Division 20 This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the titne of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following. Use Classification Business Building Permit No. 05-708 Business Name- Eden's LuMDia Group B Type of Construction- VN Use Zone * CA Owner of Business Reden Deluna Address 3819 Canvon Edge Dr. Port An2cles, WA. 98362 Building Address 116 N. Lincoln Street— - Port Angeles. WA. 98362 November 3 . 2005 Building knicial Date Post on the premises in a -conspicuous place. No. 44 Shall not be removed except by Building Official. C 1>r11i S �. (J Yyl l CL x �t ROUTING SLIP �_ � �`w°F p �eo Certificate of Occupancy U5- -lee--lee- 'm, $47.00 Certificate/Inspection Fee DATE L I �' �� New Business ............................ Address of Proposed BusinessII Transfer of Business Location ................ _LL) N U n C_o In POI''t Change of Ownership ...................... ,Applicant - �) S> /01 L( -r n Ljo" -q-oY: New Building ............................. Address POr -+- R I ,' -1 1.P t � W/� � �� � Remodel .... ............................ _ R D r-'iA Temporary Business .... .................. Phone: business home '��J��- �.3 Change of Use ............................ Brief description of proposed business:Say✓.ail Legal Description: Lot Block Subdivision Current Use of Property: Vat -,(o 4 --- Zoning Classification of Property: e—_ 11� /) r WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes x PERMITS BUSINESS LICENSE Electrical changes 1) Budding 1) Taxi Mechanical (heating, cooling, stoves) 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 Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupations 8) Curb installation 8) Ambulance Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop Work done in Cit n Y right-of-way Y i� �– 10) Water meter installation 10) Other � Is there sufficient off-street parking? 11) Fire New driveway openings ... �_ 12) Occupancy A grading plan for site drainage .... ... 13) Sign (parking lots, downspouts, etc) r 14) Shoreline Are the existing streets paved _ 15) Home occupation Are there existing sidewalks9 16) Conditional use Is there curb and gutter? 17) Other g00 Other hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my � / knowledge. Signed: j� APPRO ED REJECTED Comments / Conditions Building Section Public Works Department 6 -/-?/o5 j7Z Planning Department k6C) Fire Department .8u 41/0 S City Clerk SK / P.B.I.A. EJ E F PORT boc""�o' iCITY OF PORT ANGELES LIGHT DEPARTMENT �321 E. Fifth Street Port Angeles, WA 98362 ,O",(206) 457-0411 PERMIT Nn 5©2 i DATF ELECTRICAL PERMIT Site Address:/ ❑ READY FOR 1:1 WILL CALL FOR id //% o. 1—we'OLIJ INSPECTION INSPECTION J Installed By: + EE License Number: Phone: Tw T�� 6c.Ec��tc. Owner/Business:P one: MIC't-fA6L, CP—tEIU 457-_/831 Owner/Business Address: Sq. Ft. f l co nlo- Lr/vcoLN ELECTRIC HEAT ❑ RESIDENTIAL ❑ BASEBOARD KW ❑ COMMERCIAL ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ HEAT PUMP KW 9f REMODEL ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ SERVICE UPGRADE/REPAIR ❑ TEMPORARY SERVICE Details/Description: 2rew12&. .rO(G Y 65T2.b550 . W.S. No. SERVICE SIZE CAPACITY: ❑ O.K. ❑ NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE ❑ Ditch Inspection O.K. ✓6*7 X Rough-in/cover O.K. l/ ❑ O.K. to connect service N Final O.K. Site Address: 11(a Mo. Li %I Z-0 L-tj Installer: IU_\la ❑ RISER ❑ OVERHEAD SERVICE ❑ UNDERGROUND SERVICE VOLTAGE: ❑ 1 0 ❑ 3 SERVICE SIZE AMPS FEEDER SIZE AMPS ENGR. ❑ OVERHEAD SERVICE APPROVED ❑ CHANGE SERVICE WIRE ❑ OTHER Permit/Receipt No. 502/ New Meters Date: 3 -/S -9s Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered ® before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee WHITE — File by address OLYMPIC PRINTERS INC PINK—Top: Eng, Bottom, Customer GREEN — Top. Meter Dept., Bottom: City Hall CITY OFPORT ANGELES ELECTRICAL PERMIT LIGHTT DEPARTMENT N? 15364 _ Port Angeles, Washington Y __� ;�-- - - -------------- 19--- — In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address ; Occupancy -------------- ------------------ Owner ---Tenant ` �-?ti .�! - --------- -- -- - Wiring Contractor Light Outlets -------------------------------------- Receptacle Outlets ............................... Dryer, KIS I------------------------------------- Range, ------------------------------Range, Kw ---------------- -------- ------------'- Water Heater: Kw Heat: Rw------------------------------------------- Motors: size, volts and phase: ..=... By --------- Service, volts/P e /`a-yU --- --- - ------------------- No. wires ---- ------------------------------ a; Size wires.... ------.-----.._--...------ Main fuse ... /) L.! Enclosure ___---- . Type of wiring: Entrance Cable ..... Rigid Conduit ....._- Metallic Tubing .. Current transformers: No. & Size ............... ........................................... Ser. No .............................................. Type of Wiring: Armored Cable ........ ... --------------_ Non -Metallic --------------------------------- Knob & Tube --------------------------------- Rigid Conduit ............ Metallic Tubing .......................... Raceway ..................... Circuits, Light ---- Utility............................................. Ileat------------------------------------- --------- Range--------------------------------------------- Water Heater ............................... Motor............................................. -......................................................... Ser. No..... ....................._....................._..........-. Ser. No.....__...._......_-------------- ........... Furnace .... ._..... TotalLoad ----------------------------- Ser. No .............................................. Total ....................................... Remarks: _. ------ :�L� ... '° ==7 �= y-------' Z = '" i --- --------------------------------------------------- Permit Fee Treas. Receipt 4,1 r 6 $----------------------------------- No ----------------------------- By ..... --..U°. --- NOTICE—Current must not be turned on until Certificate of Inspection bee been issued. If work Is to be con- 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 Date called for inspection ........................ Preliminary inspection dates .................. Inspection completed. ...... - .............. _...... , TotalLoad ....... . ......................................... 1M 3-72 Olympic Printers, Inc. N? 15364 r Job wired by Electrical Contractors O Owner Electrical contractor name License number C \i 1 s \. ELECTRICAL WORK PERMITAPPLICATION �lnstall n L%enlation Commercial O Residential s O New ❑ Altered/Addition ">PurSS _madm addrt� f rf�'�"� 11 ;o 2/ % %�, o City S' e ZIP (J t Telephony a7r FAX number- Premises owner's,4 L5 kapwo Address of io' c tion City 7A Phone number to schedu is ins ection- �-3019 Owner ca defined bi, RCW.19,23.261.,(1) Owner will occup7, the structurefor two years after tris electrical permit is fnaltzed, (2) Owner It reymr td to hire at electrical contractor if above suid property is far vale, rent or lease. ❑ Caul Cl Check# After reading the aboec statement. i hereby certify that I am the owner of the above named property or a liccnscd electrical contractor. I :un making the electrical instal- r,ditCard lation or alteration in compliance with the cicctncal laws, N.E.C., RCW, Chapter 19.25. WAC. Chapter 296-46R, The City of Fort Angeles Municipal Code, and Card # _ „- Utility Specifications �Sipnature of o ner, electrical contracts or electrical aamsats r�yt//off�``- Expiration Date 1 X e��`�� Date: �� �1 .\ f card t Hsu Additions and or btractions r. O� 1 LOAD CHANGES O Baseboard _ KW ❑ Furnace _ KW O Overhead Service O Heat Pump Ton — LAR O Temp Service ❑ Fan -Wall _KW l7 Underground Service SANIE DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH -1N � Mn• nppmree ay ` FINAL Dat A CTHERMOSTAT 1 Dne Ar/pmvice Py J CDa,e AIT"npPmwJ Dy Inspection Area. Building or Equipment Inspected Date V.sa , �Mastercard Discover 'G (Inspectiioonn4ZIICU S / 13 / nice St4EMt//2 Voltage I/ PhaseO A Service Size: Feeder Size: SER�7CE 1 41ZI-1 App,vca Py CFEFnER bme Appmvc-0 Dy Electrical Actino Taken I inspector _f t'd S9Z6 ZSD 09E ONI BI2i10313 S3135NV WOidd WV9F:F3 9lZ-570—I t 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: (3601) 417-1711 Date: 4130/14 X Multi -Family or Commercial* APR 3 n 2( ELECTRICAL INSPECTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 116 N. Lincoln Building Square Footage: 2000sa. ft. Description a# above Downtown commercial buiidina being remodeled to accommodate a frozen voahurt business. Dema work being performed now. Owner information Contractor Information Neme, Tara Nage: Lincoln Breithaunt Mallin Address: Vit) N. Uncoin 5t. Mailln Address: 1619 W. 7th St. city: Fart Angeles state: �C(A—zip: ��-- ---� city: Fort Angeles state: vvH zip: wtsd(j3 Phnne: ()-t)bax: Phone: (3601)808-175,`I=ax: License 41 Exp, License #I Exp. r Anl�, CCS M01 De Item Unit Charge CI yt Total tv Multiplied by Unit Charaet Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp $ 225.00 $ Service/Feeder 601-1000 Amp, $ 288.00 $ Service/Feeder over 1000 Amp. $ 410.00 $ Branch Circuit W/ Service Feeder $ 50 Branch Circuit W10 Service Feeder $ 74.00 $ 14.00 Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86,00 $ 'temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp, Service/Feeder 401-600 Amp. $164,00 $ Temp, Service/Feeder 601-1000 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-Stat $ 74,00 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 making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. C e - B The Citv of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature„ f owner lectrical contractor or electrical administrator: 0 Cash 0 Check ......__. �. .. �Credit Card 9 X Dated: a 010912012 d vl ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number , , , . , 14-00006505 Date 4/30/19 Application pin number , , . 015595 Property Address , , , , 116 N LINCOLN ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -5 -1 -1601 -20c1 - Application type description ELECTRICAL ONLY Subdivision Name . . , . . , Property Use , , . . . . . . Property Zoning , . , , . . , COMMUNITY SHOPPING D1STR Application valuation . , . , 0 ---------------------------------------------------------------------------- Application desc Commercial. remodel ---------------------------------------------------------------------------- Owner Contractor JOHN W REHLEN LINCOLN WIRING PO SOX 365 1619 WEST 7TH STREET CASTLETON VT 05735 PORT ANGELES WA 98363 (360) 808-1757 ---------------------------------------------------------------------------- Permit , , , , , , ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 74.00 Plan Check Fee 00 Issue Date . . . . 4/30/14 Valuation . . . . 0 Expiration Date 10/27/14 Qty Unit Charge Per Extension 1100 74.0000 ECH EL -COMM BRANCH CIR WC/ SIF 74.00 --___. .__m-_-__..___-------------------------------------------------------- Fee Summary Charged Paid ,Credited Due ----------------- ---------- Permit Fee Total. 74.00 ---------- ------,---- ---------- 74.00 .00 .00 Plan Checac Total .00 .00 00 .00 Grand Total 74,00 '74.00 .00 ,00 L -P Nr > ,k— �:. ' yob mat t 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: l I PERMIT WILL EXPIRE SIX (6) MONTHS FROM LA7INSI Signature of owner or Electrical Contractor Xi s 1 Date: G:IEXCHANGEIHUILDING