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HomeMy WebLinkAbout536 Marine Dr - Building CITY OF PORT ANGELES w PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 10- 00001201 Date 10/19/10 Application pin number 529149 Property Address 536 MARINE DR REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4930-0000- your state excise tax form Application type description PUBLIC WORKS UTILITES on Y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning INDUSTRIAL LIGHT Application valuation 0 Application desc RUP 10 -35 "A" frame sidewalk sign Owner Contractor MALIK V ATWATER VIVIAN WAI OWNER 6421 S. MT. ANGELES RD. PORT ANGELES WA 98362 (360) 477 -1519 Permit RIGHT OF WAY Additional desc RUP #10 -35 Permit pin number 175695 Permit Fee 40.00 Plan Check Fee .00 Issue Date 10/19/10 Valuation 0 Expiration Date 10/19/11 Qty Unit Charge Per Extension BASE FEE 40.00 Special Notes and Comments Sign to meet the requirements of Section 14.36.070(K). Obtain sign permit from DCED. Minimum 4 foot clear zone to be maintained for pedestrian travel. Insurance must remain Jr in force during permit usage. Permit expires 10/18/2011. Fee summary Charged Paid Credited Due Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 5 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 10/1 C 7 Agent Date Signature of Owner (if owner is builder D O Ta Date Signature of Contractor or Authorized ge g T: \Policies \1102.15 [10/08] PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 17' IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING, FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T: \Policies \1102.15 [10/081 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 \fir/ Application Number 11- 00001021 Date 9/22/11 Application pin number 783993 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -0- 4930 -0000- REPORT SALES TAX Tenant nbr, name MALIK V ATWATER V.W. on your state excise tax form Application type description SIDING Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning INDUSTRIAL LIGHT Application valuation 1294 Application desc REPLACE SIDING ON THE EAST SIDE OF THE BUILDING Owner Contractor MALIK V ATWATER VIVIAN WAI OWNER 6421 S. MT. ANGELES RD. PORT ANGELES WA 98362 (360) 452 -0999 Structure Information 000 000 REPLACE SIDING ON EAST SIDE Permit BUILDING PERMIT NO PR FEE Additional desc REPLACE SIDING ON'EAST SIDE Permit pin number 192773. Permit Fee 74.40 Plan Check Fee .00 Issue Date 9/22/11 Valuation 1294 Expiration Date 3/20/12 Qty Unit Charge Per Extension BASE FEE 50.00 8.00 3.0500 HND BL- 501 -2K (3.05 PER C) 24.40 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 74.40 74.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 78.90 78.90 .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. 4 1/2-2/1 V N WA.% 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 N 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 p Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar 5 INSULATION: �p Slab Wall Floor Ceiling MECHANICAL: OKJ 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 legi� T:Forms /Building Division /Building Permit S l nspa i es Entr TY 4F�PORTA G File Edit Commands, Help StPeGARD U UC SECTOR. i`; l am Nay Lkfle Inspection Results Entry Application number, type: 11 00001021 SIDING Structure, permit: 000 000 BNOP 00 Inspection type, sequence: BL9 0001 BLDG SHEARWALL Property address: 536 MARINE DR Request date, time, by: 1/04/12 PB Inspector ID: JLL Results date: 101/04/2012 i,. Results status: ,P Final inspection flag: tNN i x Edit oom°tr�r�t�s ®sp nspectien penalties Point value: I- 0 ve QK Z.'. Extt Cancel Request co... Standard ea... Delete a 0, vow -,,•1. BUILDING PERMIT APPLICATION Print in ink -!0= CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received q 11 .321 E. Fifth St., Port Angeles, WA 98362 Permit II-102A NIMPIr (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant ACC l t l AtWa, -`er Phone( "2'7 23s- Phone vv S2. "O Property Owner m (x v.._ A r( `f Property Owner's Address 6 V..Z 3. /141. A,,veks fed Pouf Ah fej w /g `�''?6 Z- Contractor etIt vA4r P,2 Phone c Contractor's Address License Expires E -mail PROJECT ADDRESS 5'36 A4e 1 -ie Pr; ✓kc g 7 T. Wd- Parcel Number 0630 0000 4 30 Lot Zoning 1-( Project Type Brief Description: c_• idential Multi family Commercial (industrial Check all that apply New Construction e p1 rcir i'i on s t s de, �Ju t lyi l f c() Addition 2 i. 0 i,� Remodel A Gi he_ Ke- Si 0( c-1( 0 Repair a iS 52' 55 --t Cgg 2-0/v4 fi' V2Lae 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 2nd Floor a Floor Garage fi11tE'4PJrlal5 6t-lb. 1 G Carport L7l‘onlr (09 1 Covered Porch Deck Shed Other q TOTAL VALUATION 1 Z 1 3 1 Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage cyo 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 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 .n project Date it Print Name "lq. l t At a. ler Signature AA L T:Forms/ uilding Division /Building permit application C_ ST DO /:„.„.W444 v (f 111111W1111110111111111111111 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 8 ALTERED CIRCUITS Owner Contractor MALIK V ATWATER VIVIAN WAI 6421 S MT ANGELES RD PORT ANGELES WA 98362 (360) 477 1519 Permit ELECTRICAL ALTER COMMERCIAL Additional desc N PEN EL/ 8 ALTER CIRCUITS Permit pin number 166744 Sub Contractor NORTH PENINSULA ELECTRIC Permit Fee 91 70 Plan Check Fee Issue Date 6/02/10 Valuation Expiration Date 11/29/10 Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 7 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000545 443360 536 MARINE DR 06 30 00 0 0 4930 0000 ELECTRICAL ONLY INDUSTRIAL LIGHT 0 Charged Paid Credited NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 1764 91 70 91 70 00 00 00 00 91 70 91 70 00 DATE �7a Date 6/02/10 RESULTS 00 0 Extension 73 50 18 20 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. DA E P ORT /ww \YI il ORKS 6 OWJO ER/CO &rRAC� ADDRESS it l(? APPROVED 0 0. ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSP TOR Sa l' pngie_./ 76 7A DITCH ROUGH IN /COVER SERVICE FINAL NOT APPROVED 0 0 CORRECTIONS NEEDED L,4 5 G jN /1L60.¢7 4 S /7eSi6 ve 4 f ,ep- i4iDs 'D /470,4ir Z 'Et.) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT Gzeu44Q .40-0S 2010 -06 -01 17:03 NORTH PENINSULA ELEC 3609289409 360 417 4711 City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Filth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 174735 Far: (360) 4174711 Date: Chock L I J Date: 5 2009 RICAL ONS 1 2 Single Family Dwelling ulli Family or Commercial' Commercial Addition/Alteration Remodel Repair Plan Review May Be Required, Please Comet EI ctrical Plan Review Information Sh Job Address. 5 Building Square Footage Description of above U) 0\ rKi N a kA 0 2 2009 ELECTRICAL INSPECTIONS ECEIYED Owner Inftioe Conlr for Information r Name: 1\\ t \k)C \l. Name N `0- V"\\ v) \C� r \C'c__1� -ir Mailin�` dr A dress: ess. Mailin 3 4;" y Y ---f' 1-- Cit Y k Stater\ Zip CV?) City V State: Zi L L...,3 Phone: Fax: Phone�■1 \11a�1 Fax: `--k t,.1 `i License I Exp. License Exp. L: 1 r\ Y 7.,. `i c_An Unit Charoe Total (Qty Multiplied by Unit Charon) 4x 923-1q1 $119.90 S Service/Feeder 200 Amp 145.50 S Service/Feeder 201.400 Amp. S 204.60 S Service/Feeder 401-600 Amp. S 262.20 Service/Feeder 601 1000 Amp 372.50 Service/Feeder over 1000 Amp S 2.60 S Branch Circuit W/ Service Feeder 73.50 1 S `r 4 ,S vIranch Circuit WIO Service Feeder S 2.60 1 re 4 Additional Branch Circuit S 92.70 S Temp. Service/ Feeder 200 Amp S 110.30 Temp. Service /Feeder 201 -400 Amp. 148.70 Temp Service/Feeder 401-600 Amp 5 161.90 Temp. Service/Feeder 601.1000 Amp. 95.90 S Portal to Portal Hourly 88.20 SigrilOutline Lighting S 95 90 Signal Circuit/ Limited Energy Commercial. Additional 1500 55 00 S 63 90 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling 63.90 S Signal Circuit/ Limited Energy Multi- Family Dwelling 119.90 S Manufactured Horne Connection S 102.30 Renewable ElecUical Energy SKVA System or Less 110.30 S_ First 1300 Square Ft. 35.20 Each Additional 500 Square Ft. or Porton of S 73.50 S__. Eacn Outbuilding or Detached Garage 110.30 Each swimming Pool or 1 Tub 56.00 Thermostat S t Owner as defined Oy RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit Is finalised. (2) Owner Is required to hire an electrical contractor N 'above said property is for sale, rant or lease. permit expires after six months of last Inspection. After melding the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I em making the electrical installation or alteration in compliance with the electrical laws. N.E.C. RCW. Chapter 19.28, WAC, Chapter 298.468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator I 1 Cash Credit Card# P 1/1 Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address License Project Address 53( NAA42., r\) Business Name Ct_ot,i V Parcel Number 01o30 poco qG 7 Lot Submit an 8 Z "x 11 "site plan three sets f plans that include. Type of sign (wall- mounted projecting freestanding illuminate other Placement and sq. ft. area How the sign will be securely attached (Engineering specs Separation distance between the bottom of projecting an See "Chapter 14.36 Sign Code of the City of Port Sian Tvpe Brief Description. (Type, location, sq. Sign #1 .2 plse, 1ecn N6, s,,ev tl R P 5/ ce Sign #2 0 ISI ,xM =1;2 r t2ZePi C 1 r^tn,n r, r, F D I D Sign #3 Sign #4 J Total/ (Unit charges Unit Charae Quantity rnultitfied by quantities): $47 00 $85 00 $115 00 SIGN PERMIT APPLICATION Print :n Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 4711 Ni{pLt I6_ Art/VA (DU N.)LA..,,T A f-1 i x 1 Si' L i 011/6C-' GRAND TOTAL Vwpl WA. Type of Sia Phone Phone 2D Phone Sign(s) Valuation Fo City Use Only' Date Received 3 -6 1 10 Permit 1,0 i 3Z Date Approved (3us) 1 417 61`1 SAM Expire o Zoning L►r, ay be required freestanding signs) freestanding signs and the surface below geles Municipal Code for sign requirements. All signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. 'Freestanding sign or projecting sign, over 25 sq ft. Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) ar -a sq ft: Proposed sign(s) area [32_ sq. ft. Total sign(s) area. 132- ,sq. .ft. ^11 t coo et fro, o ors Ceck&. St (Q-Lb Building faga• area height ft. X width ft.): sq ft. (If a building has more than one business only measure the area of the building fagadethat is used by the:business applying for this permit.) I have r- d and completed' this application and know it to be true and correct. I am authorized to apply f this permit and understand that it. is my responsibility to determine what permits are requir• -d and to obtain permits prior to working on projects Da 3h 2 010 Print Name U, v o N Signature 1 Q rms /Building Division /Sign Permit Application.doc Application Number 10 00000132 Date 2/16/10 Application pin number 121396 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER 06 30 00 0 0 4930 0000 Tenant nbr name COLONEL HUDSON S KITCHEN Application type description SIGNS Subdivision Name Property Use Property Zoning Application valuation 400 Application desc 0112 waft -moon S,y 4 one, i nj 519n Owner Contractor MALIK V ATWATER VIVIAN WAI 6421 S MT ANGELES RD PORT ANGELES WA 98362 (360) 477 1519 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 INDUSTRIAL LIGHT OWNER Permit SIGN Additional desc TWO WALL MOUNTED SIGNS Permit pin number 160648 Permit Fee 170 00 Plan Check Fee 00 Issue Date 2/16/10 Valuation 400 Expiration Date 8/15/10 Qty Unit Charge Per Extension 2 00 85 0000 PER S WALL SIGN OR MARQUEE 25 SF 170 00 Special Notes and Comments February 12 2010 4 15 19 PM sroberds The proposal is two signs (72 and 60 sq ft in area) in the IL zone for a total of 132 sq ft Signage is permitted in the IL at 1 sq ft for each In foot of frontage Fee summary Charged Paid Credited Due Permit Fee Total 170 00 170 00 00 00 41\.j Plan Check Total 00 00 00 00 II/�► Grand Total 170 00 170 00 00 00 'y t 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 fora 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 1 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 oor local law regulating construction or the performance of construction. 2A t/ /2- 1 0 /,v►A.Nl �L v �t.✓�' �.J- /Dated Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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. Date Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping SHORELINE. Comments FINAL Date Accepted by !FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type I Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 11 n Building 417 -4815 1\ 1%'V T:Forms /Building Division /Building Permit N W 3 5 p Os PREPARED 8/01/11 9 12 06 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/01/11 ADDRESS 536 MARINE DR SUBDIV TENANT NBR COLONEL HUDSON S KITCHEN CONTRACTOR PHONE OWNER MALIK V ATWATER VIVIAN WAI PHONE (360) 477 1519 PARCEL 06 30 00 0 0 4930 0000 APPL NUMBER 10 00000132 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS 8/01/11 41 11IF BL99 01 BLDG FINAL July 29 2011 4 20 51 PM 1pangrle ROBERTA KORCZ 452 3551 (VIVIAN CALLED ROBERTA AND TOLD HER THE SIGN IS HUNG BUILDING FINAL SIGN COMMENTS AND NOTES Linda Pan jrie From Linda Pangrle Sent: Friday July 29 2011 2 37 PM To Roberta Korcz Subject: Colonel Hudson's Famous Kitchen sign permit expired 07 29 -11 Hi Roberta, FYI The sign permit #10 -132 for 536 Marine Dr expired 07 29 -11 I left Malik Vivian a phone message on 07 -07 11 telling them that their sign permit would expire on 07 24 11, and to contact me and update me on their plans to complete the sign project. They never responded to me, so today I expired the permit I thought you'd want to know since I think this permit is related to the sign grant money they are due to receive through your sign improvement program Linda Raga 310a4•Z-a 5,r +tee YY‘a vl„ja,n e\A-ot ce-9-W JvA cev o -(4\41 -Hat r\Q- ,6-ulf \au- aL, lAtyLLD i44 i -(-1(. Colonel Hudson s Famous Kitchen 536 Marine Drive Port Angeles, WA 98363 January 21, 2011 Dear City of Port Angeles Building Department, We recently opened our restaurant and have been unable to put up our two signs due to time constraints. We hope to do so in the near future and kindly request a 6 month extension of our permit 10 -132 (wall and projecting signs) Thank you for considering our request and we apologize for any trouble this may cause. Sincerel Malik Atwater Vivian Wai upc,N) ?0RT Er or S Ue I (o I to `(lr\e� cah P e+ -thy 5 h o h any of +h e l� he fct Q SIGN PERMIT APPLICATION Print n ink c` 41Lh CITY OF PORT ANGELES ��o 321 E Fifth St. Port Angeles WA 98362 �j�� (360) 417 -4815 fax (360) 417 -4711 v Attn Building Permit Technician Applicant or Agent M AL I K ArwATE- Ail iLAW \AAA Property Owner cAMF Property Owner's Address 0421 S. Moo kJ r ANyE. S Contractor /Engineer SELF Contractor /Engineer's Address License Project Address 53(, tz►H,~ DiizivF Business Name CoinrAEL f)soN's k -r-4 -+E►,, Parcel Number 065,1 ono0 4830 Lot Totals (Unit charaes Unit Charae Quantity r.nultiolied by quantities) Type of Sign $47 00 x $85 00 x $115 00 x 170 T Forms /Buildng Division /Sign Permit Application doc required and to obtain permits prior to working on projects V Date 2/5/20 10 Print Name IVIAN V A.1 For City Use Only Date Received -5 -10 Permit t (9 ate Approved NI I 1.17 n all Ki5 Phone (3eo) L 11 151c (;ell Phone SAME. �n 1 Qr4l -1FJ s j .WA 923U� Phone Expires Zoning LIeFrs SND Submit an 8 4 "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 0 See "Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements.„A6 Sian Time Brief Description. (Type, loc9tion, ssq ff t..) SEE A t► ALt Imp sa R tsi n b X I Z 5 )+h n e Pro e ci n S∎ �t r !o k n u ti i( Sign #1 Sign #2 WALL-MDUINTWA WITH LAG, BOLTS ANT> WOo' FP_AML. onS C1-1?Ae_ S'T2f€r50cArE. Sign #3 5x 122 Sign #4 Sign(s) Valuation 1100 oiD all signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. Freestanding sign or projecting sign, over 25 sq ft. k GRAND TOTAL Make Checks Payable to City of Port Angeles 4 0 J�P \-A 110 00 Credit Cards (Except American Express) are accepted ej j, S• qef .4 Existing sign(s) area sq. ft. Proposed sign(s) area ,YW 7 q ft. Total sign(s) area sq ft. L 71 ft -Frphi-a..ge_ 0 Marine Dr 6o f4- onto g oto teday. S-(-- Building facade area (height ft. X width 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 Signature Ot.t; t Permit 1r t3 e kaD I J A.42 T Forms /Building Division/Notes NOTES NO YeaFur4 -Far a® affspi- _3 OL-S d, On! 2-)4 v yy\a4A-9 fc 6- ny()A-fe 5 ,x, 5 1 °KY GIL\ 10 '3' v ;Sv\W done g/"A qAk f I IFt4r FILE M AEI NE_ b12,1Ve_, Exterior View cotory NU DSol✓ lorCiitni 5I6,Pii 4 X !2' 1 MAe.i Ne bzwe CEDA2_ ST E Ex Trjaloe, VI 6w LI2 3 51C-IN )Ni oeM rrIoN NON vt,n-1 I NQ,T rc.D V400D Fr ANE. L TH E111 -fee FLEX 1131-1c. r3aoo l►CC ATGe.t A G W,.at d(;f JN�1'Did )=eAM+ 02 5OL..r1i? Fe-g:""4.E t+J 1-1 VIN�i STtCrY f c»3 Sor t (1-) f E��a�S UN CoSu JIS t' CITY OF PORT ANGELES Construction Pions The Iss ante of this permit based oon these plans. specifi- (oD Fes v cations and other data shall not p the bidding official from thereafter requiring the co ection of errors in said s par specifications and other 1ata, or fr preventing t x,TCEr� i J cE,,A, building operations being carrier on theretrder when in I 5 fi violation of all codes and Win Inces of tl is jurisdiction. 5, :04t2 5' 12' I 1 2vo(O L Approval Date II. I n 3Y-----._ H FErrr d i GeCtne 4161604 /FP- 4-.-pe G ,yi-1 M a-.1 cet_s 1-ec see 4t 1,4 f ast i,a Vii€ 0 V FPF*A0 �a� 411'_‘ 1 111.7.t I FE -e- 40 &li 4 4- 7114 1W n Ack The Mikno Arch Hangng Blade Sign Bracket Ile tche po'I©t s©DsOon for an mall sogn. Made math a 1/2°° s @ittEare RAW sited bar Moo= to any filag poll or wall With a heavy d a y 3 hack 5 1 D tc w i th four r ota u i j hole. 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Our Cellular PVC sign blanks can be single bull nosed to mount to a flat surface or double bull nosed to create a beautiful two sided sign. Our blade sign blanks are available in custom shapes and sizes with squared or bull nosed routed frames. Premier Cellular PVC sign blanks are available in thicknesses from 1/4" up to 1 By using premier cellular PVC blank signs you can have a custom looking sign that looks like real wood yet has the durability of cellular PVC. For custom sizes and shapes please call 800 896 -0978 u Click on Items Below for Details 36' x 24' Oval Premier Cellular PVC Sign Blank Price: 26' Round Premier Cellular 36' Round Premier Cellular PVC Si n Blank PVC Si n Blank Price Price: Ivo McAfee SECURES Secure Shopping 128 -82ss1 V2/v3 TESTED DFVLY 09 -MAR 46' x 30' Oval Premier Cellular PVC Sign Blank Price:MIN Page 1 of 5 46' Round Premier Cellular PVC Si n Blank 'Price 3/9/2010 NAME OF PREMISES. SERVICE ADDRESS LOCATION OF DEVICE. ASSEMBLY W A Initial Test Repairs Details Final Test COMMENTS Initial Test Repairs Final Test CHECK VALVE #I Leaked c Held at e psi Cleaned Replaced Held at y psi 3c, At A- It ,we P Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY'? YES 0''NO IS ASSEMBLY INSTALLED CORRECTLY YES a14O DATE OF INSTALLATION fr /3. 41/ /G UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO 77,Si r:F,») 9 0/94,res I DateTime Tester oi Leaked Closed Tight Held at psi Closed Tight EL Held at psi Signature Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division CHECK VALVE #2 I RELIEF VALVE PVB /SVB Did Not Open 3 i Opened at psi Cleaned Cleaned CHECK VALVE Leaked Held at psi Replaced Replaced REPAIRS Cleaned Replaced 3 psi Butler YES NO AIR INLET Opened at psi 3 CHECK VALVE Held at psi Opened at psi BACK PRESSURE NO YES J Y J 1 K TYPE OF HAZARD SODA tif/Pg, Line Pressure 6' psi Held Backpressure YES "NO #2 Shutoff Held YES NO Relief Valve Exercised YES4Er NO Cert. Test Kit Passed Failed )may 44 r2/ WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assern.# j Received AIR INLET Did Not Open Opened at psi Y r RP Of RPDA DC DCDA PVB Air Gap SVB AVB 3 ceRTIFI UPAINICY ciptorPort Anigele0;;-StiOcimg pivisiort Tchis certificate is issuedirtirsuant to the requirementS of Section ill:6,6111'1e 2406 International Building ode ce fying that at,lthtifil,aflssuance this structure was in compliance with the various ordinances of the City regulating4b#0:,i0Otiiictiaiubruse.for the falliiWifig:, Business name ,1:9,',:p.,61-iuds66:ilai:66:001 tt49...,-'81;,,,A1 tc-41e,ur;ntl°n\1) man wai rt er Property owner ad s.' d i) 6: ,e,Ss: 2 S Wii.1,--6,:ele!,;-if:Pbtli•00,LteleS Propey own ;A 983 Business address.'vl t` $A6AA,.,arine Automatic fi li re sprarilil Buso er=system Per L E50 ssw Use occupancy OassfiCation. Occupant load. Per 206 t.700.7,4ble,41004:"I il: Building permit nuMber i t .c,' i, Type of construction. 0 ificatc,shalicitlit6be removed excep e t by the 'Building Official. PREPARED 6/10/10 9 04 45 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/10/10 ADDRESS 536 MARINE DR TENANT NBR MALIK ATWATER /VIVIAN WAI CONTRACTOR OWNER MALIK V ATWATER VIVIAN WAI PARCEL 06 30 00 0 0 4930 0000 APPL NUMBER 10 00000077 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/10/10 SUBDIV PHONE PHONE (360) 477 1519 BLDG FINAL TIME 01 00 June 10 2010 9 03 48 AM 1pangrle MALIK 452 0999 BUILDING FINAL COMMENTS AND NOTES PREPARED 6/10/10 9 04 45 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/10/10 ADDRESS 536 MARINE DR TENANT NBR COLONEL HUDSON S KITCHEN CONTRACTOR OWNER MALIK V ATWATER VIVIAN WAI PARCEL 06 30 00 0 0 4930 0000 APPL NUMBER 10 00000133 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 6/10/10 SUBDIV BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 06/10/10 TIME 09 03 55 June 10 2010 9 02 53 AM 1pangrle MALIK 452 0999 C OF 0 FINAL COMMENTS AND NOTES PHONE PHONE (360) 452 3551 Signatu- Application desc INSTALL HOOD /DUCT FIRE SUPPRESSION SYSTEM Owner Contractor Fee summary CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 Application Number 10 00000440 Date 5 /11 /10 Application pin number 136240 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER 06 30 00 0 0 4930 0000 Tenant nbr name COLONEL HUDSON S FAMOUS Application type description HOOD /DUCT SUPPRESSION SYSTEM Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 1500 MALIK V ATWATER VIVIAN WAI PENINSULA FIRE INC 6421 S MT ANGELES RD PO BOX 1744 PORT ANGELES WA 98362 POULSBO (360) 477 1519 (360) 598 3300 Special Notes and Comments A FULL ACCEPTANCE TEST WILL BE REQUIRED FOR THIS HOOD AND DUCT FIRE SUPPRESSION SYSTEM THE TEST WILL INCLUDE A BALLOON TEST AS WELL AS A TEST OF THE FUSIBLE LINK MANUAL PULL STATION AND UTILITIES SHUT OFF Charged Paid Credited WA 98370 Permit HOOD DUCT SUPP SYSTEM Additional desc HOOD /DUCT SUPP SYSTEM Permit pin number 164814 Permit Fee 40 00 Plan Check Fee 00 Issue Date 5/11/10 Valuation 0 Expiration Date 11/07/10 Qty Unit Charge Per Extension 1 00 25 0000 ECH HOOD /DUCT INSPECTION /TESTING 25 00 1 00 15 0000 ECH HOOD /DUCT PLAN REVIEW 15 00 Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examinal this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whethe ecified herein or not. The granting of this permit does not presume to give authority to violate or cancel the pro vision of any state or local law regulating the work specified in the permit. Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover insulate O 0 or conceal any work before inspected and accepted. Post permit in a conspicuous location. Inspection Type FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final HeCA/Dufk SUPP MSS tort 5i 91€4'n F�`na( GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Date Passed UNDERGROUND STORAGE TANK (UST) ABANDONMENT 14,/,,Kbb Comments I Completed by Contractor- Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated 2/15/00 psi psi 31 3 Applicant 4r)( rtc 0, r e _i nr Propecense rty Owner1��V���,� Property Owner's Address 2! Contractor P€ rl nsulcc. Tnc. Contractor's Address 3 t) r, �av Li iThi Mac ,tit Jc 11� Project Business Name le s ra ©�5� k -Jch ev PROJECT ADDRESS Fire Alarm System Check all that apply One addressable loop One zone Additional zones List quantity of additional zones PROJECT VALUATION (labor materials) j. Residential Fire Sprinkler System Check all that apply Installing backflow protection device(s)? yes no Check all that apply CITY OF PORT ANGELES Attn Building Permit Technician 321 E, Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Print Name RA i T Forms /Bui'air /Fire- related permit application FIRE —RELA TED PERMIT APPLICATION Phone (1) s 5E-,?,.?nD V► Ld Phone '366 y 77- ail__ Ainj d 6s. Pfi, 1iA_ r„ z.. Phone S, it A- A3,, /c t qr' g3 r Expiress i7 -a,at E -mail txrif∎reWv,c r /.>cq t io, U Residential Multi- family Commercial Industrial Briefly describe the project: Brie <2 inch water line (list quantity of devices) >2 inch water line (list quantity of devices) PROJECT VALUATION (labor materials) l. Will only the fire suppression system be installed or altered? Xyes no Will a hood and /or ductwork be installed or altered? yes* no If ye a mechanical permit will also be needed PROJECT VALUATION (labor materials) 'e- I S c h 20373 Viking Ave. NW P.O Box 1744 Poulsbo, WA 98370 For City Use Only Date Received 5 -9 Permit 16 —4o 1 eninsula Fite, Sales and Service Safety Supply,,) Hood Duct Fire Suppression System Residential ❑Multi family y Commercial o Industrial Signature Ray Bertsch www.peninsulafireservice.com 5' d a (360) 598 -3300 To11 Free 1- 888 214 -3473 Fax (360) 598 -3303 Briefly describe the project: nS 1 I FRR c<4„0►aKSS o (.54.KA0^ I have lead and completed this application and know it to he true and correct. I am authorized to apply for this permit and undo stand that it is my responsibility to determine what permits are required, and to obtain permits prior r rking on projects. 1 1 Clallam County Assessor Treasurer Property Details 56032 MALIK V ATWATER Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 56032 MALIK V ATWATER AND VIVIAN WAI for Year 2010 2011 Property Account Property ID Geographic ID 0630000049300000 Type Real Location Address. 538 MARINE DR PORT ANGELES WA 98362 Neighborhood Cycle 5 Comm Neighborhood CD 20953140 Owner Name Mailing Address: r Taxe and Assessments Due Property Tax Information as of 05/04/2010 Amount Due if Paid on ME. 56032 J Legal Description LOTS 9 10 BL 49 TPA LOT COVENANT Agent Code 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 Mapsco Map ID MALIK V ATWATER AND VIVIAN WAI Owner ID 6421 S MT ANGELES RD Ownership PORT ANGELES WA 98362 Exemptions. 11813 100 0000000000% Statement I Year ID Taxing Jurisdiction 2010 39096 ST SCH STATE SCHOOL 2010 39096 CC-GEN COUNTY .2010 39096 PORT PORT 2010 39096 PORT ANG PORT ANGELES 2010 39096 SD #121 SCHOOL DISTRICT #121 1- 2010 39096 NTH OLY LIB NORTH OLYMPIC LIBRARY 12010 39096 HOSP #2 HOSPITAL #2 $68 48 $68 48 $0 00 2010 39096 WSMET PK DIST WILLIAM SHORE MET PARK DIST $21 79 $21 79 $0 00 2010 39096 CITY STORMWATER CITY STORMW ATER 12010 39096 WEED_CONTRO_L WEED CONTROL _m 2010 39096 TOTAL. 2009 560322008 ST SCH STATE SCHOOL 1 2009 560322008 CC -GEN COUNTY E 2009 560322008 PORT PORT 12009 56_0322008 PORT ANG PORT ANGELES 2009 560322008 SD #121 SCHOOL DISTRICT #121 2009560322008 NTH OLY LIB NORTH OLYMPIC LIBRARY $53 83 $53 83 $0 00 $0 00 $107 66 r2009560322008 HOSP #2 HOSPITAL #2 $75 98 $75 98 $0 00 $0 00 $151 96 12009 560322008 CITY_STORMWATER CITY STORMWATER $118 92 $118 92 $0 00 $0 00 $237 84 First Second I Half Half Base i Base Base Arr I Due !Due Penalty l Interest Paid 1 Du $313 68 $313 67 $0 00 $0 00_$313 68 $16694 $16692 $000 $000$16694 $23 46 $23.46 $0 00 $0 00 $23 46 $386 50 $386 48 $0 00 $0 00 $386 50 $406 30 $406.29 $0 00 $0 00 $406 30 V $48 50 $48.51 $0 00 $0 00 $48 50 $0 00 $68 48 $0 00 $21 79 $118 92 $11892 $0 00 $0 00 $118 92 $0 82 $0 81 $0 00 $0 00 $0 82 $1555.39 $1555.33 $0.00 $0.00 $1555.39 $1! $366 07 $366 06 $0 00 $0 00 $732.13 $185.27 $185.25 $0 00 $0 00_ $370 52� $26.24 $26.24 $0 00 $0 00 $52.48 $406 36 $406 35 $000 $0 00 $812.71 $452.69 $452.73 $0 00 $0 00 $905 42 http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2010 &prop_id =56032 5/4/2010 Distributor: Peninsula Fire Inc. 20373 Viking Way Suite A P O BOX 1744 Poulsbo, WA 98370 Phone: 360 -598 -3300 Fax. 360 -598 -3303 Notes: Project Description. Qty Device Type 1 Hood Plenum 2 Rectangular Duct 1 Zone Defense Colonel Hudson's Famouse Kitchen FP Nozzle(s) 2.0 11982 2.0 16416 18.0 14178 Amerex KP Restaurant Fire Suppression Systems Restaurant /Kitchen Device Specifications Report Ouoted To: Malik Atawter 536 Marine Drive PortAngelas, WA 98362 Attn. Malik Phone: 360452 3551 Fax. Width Width Width Device Specifications (All dimensions are inches) 18 00 Length 17 00 Depth 16 00 Depth 168 00 Penetrati 8 00 Style 18 00 Height Quote No: 06050 Revision. 04 54 PM 04/28/2010 Quoted by Ray Total Flow Points: 22.0 3 00 Detectio 1 00 1 00 40 00 PI, NC 4PPR()VFD BY P()1c1' ANG.1 +,1.t 1111E DEPT DATE 5.1 2010 FOR USE WITH AMEREX ACE PROGRAM PROJECT (j', v iJ /�rt 4,0 �`Crrvt0(.4 61,.Aen PREPARED BY J/7/ r), (u DATE TIME 5 QUOTE NO. c 1 Duct: 2 Plenum 3 Appliance 4 Appliance 5 Appliance 6 Appliance JOB NO. dS qty System Description "as appropriate size x size qty g /6" x /6R" Comments 0 NE 7 Appliance 8 Appliance 9 Gas Valve 10 Retrofit Kit: 11 Agent Cyl 12. Misc. size x size Pg. DEFENSE DESIGN, INSTALLATION, MAINTENANCE RECHARGE MANUAL NO. 20150 AMEREX RESTAU RANT FIRE SUPPRESSION SYSTEM TESTED AND LISTED BY UNDERWRITERS LABORATORIES TO UL STANDARD 300 and UNDERWRITERS LABORATORIES OF CANADA ULC /ORD 1254 6 -1995 AMEREX CORPORATION Post Office Box 81 Trussville, Alabama 35173 -0081 Phone (205) 655 -3271 Fax (205) 655 -5112 e -mail sales @amerex -fire com web page www.amerex -fire com No part of this manual may be reproduced or transmitted in any form or by any means electrical or mechanical including photocopying or by any storage and retrieval system without the expressed permission in writing from Amerex Corporation. A Factory Trained and Authorized Distributor must perform the installation and service of any Amerex Restaurant Fire Suppression System in strict accordance with this manual. Printed in U S.A. December 2008 MM #20150 12/2008 HOOD LENGTH 3' -0" 3' -6" 4' -0" 4' -6" 5' -0" 5' -6" 6' -0" 6' -6" 7' -0" 7' -6" 8' -0" 8' -6" 9' -0" 9' -6" 10' -0" 10' -6" 11' -0" 11' -6" 12' -0" 12' -6" 13' -0" 13' -6" 14' -0" 14' -6" 15' -0" 15' -6" 16' -0" 16' -6" 17' -0" 17' -6" 18' -0" ZONE DEFENSE NOZZLE CHART QUANTITY OF ZD NOZZLES 3 3 3 4 4 4 4 5 5 5 6 6 6 7 7 7 7/8 8 8 8 9 9 9 10 10 10 10 11 11 11 12 DISTANCE OF 1ST AND LAST NOZZLE FROM END OF HOOD 6 6 "/3" 6" 6" 3" 6 "/3" 6"/ 3" 6" 5 "/3" 6" 2" 5" 5.5 "/3" 6" 2" 4" 6" 3" 6 "/3" 6 "/3" 6 "/3" 6" 5.5" 2" 5" 6" 2" 5" 2" 2" 6 4.5" 3" 6" 4" 45 "/2" 5" 3 5' NOZZLE SPACING CENTERLINE TO CENTERLINE 12" 15" 18" 18" 14" 16" 16 "/18" 18" 20" 20" 17" 18" 18" 20" 20" 17 "/18" 18" 20" 20" 17" 18" 18" 19" 19" 20" 20" 18" 18" 19" 20" 20" 18 "/19" 19" 20" 20" 18" 19" 20" 20" 19" 195 /20" 20" 19' GENERAL PIPING GUIDELINES 1 All appliances must fall within the maximum cooking hazard size 2. Appliances cannot exceed outside the 34 depth "Zone of Protection 3 Dedicated protection of salamanders and cheese melters are only allowed when not positioned above another cooking appliance. 4 Nozzle types may not be mixed on any nozzle branch line. 5 The discharge fitting, distributor and distribution hose are not to be included in any calculations. 6 Maximum cylinder centerline to cylinder centerline distance for manifolded cylmders is to be 4 feet. 7 Duct nozzle has a maximum vertical rise above the supply branch line of 4' 8 The supply line has a maximum vertical rise above the distributor of 5' August 2004 KP DISTRIBUTION PIPING DESIGN LIMITS FOR ALL CYLINDER SIZES When designing a KP system to protect a kitchen containing a Fryer Wok or Range, the following MINIMUM TOTAL SYSTEM PIPING must be used in accordance with the chart below MINIMUM PIPING REQUIREMENTS MINIMUM MINIMUM TOTAL MINIMUM FLOW APPLIANCE LINEAR FEET EQUIVALENT FEET POINTS PER SYSTEM 2 Fryer Wok Range KP375 11 13/8 OR 1/2 1 6.5 9 7 SUPPLY LINE LIMITATIONS. KP375 11 1 3/8 OR 1/2 1 KP600 18 1 1/2 1 2 -KP375 22 1 1/2 1 KP275 8 3/8 KP375 11 1 3/8 OR 1/2 1 ____--levP6EX 1 3/8 1 2 -KP375 22' 1 1 3/8 1 M6K PER NozztE BRANCH 1 25 25 30 32 32 32 7 Section 3 Design Page 3 22 Amerex KP Wet Chemical System (EX 4658) 10 22.1 164 27 I 30 1 1 2 8 11 18 3 1 All i and Minis runnin from the distributor block or the dischar• a fittin to the first tee. CYLINDER PIPE SIZE FLOW POINTS KP275 8 3/8 MAXIMUM LINEAR FEET OF PIPE 20 MAX. QTY. TEES 1 MAX. QTY. ELBOWS 5 MAX. QTY. BUSHINGS 0 5 5 1 7 NOTE. 1 Use 3/8' supply line only when all piping is to be 3/8' pipe. 2. The supply line has a maximum vertical rise above the distributor of 10 feet. SUPPLY BRANCH LINE (including last nozzle branch) LIMITATIONS All pipe and fittings leaving the first splitting tee in the system and ending with the last nozzle in the last branch line. While the last nozzle branch is included in the piping limitations for the supply branch line, the limitation i size and maximum len for nozzle branch lines app to this portion of the suppl branch line. CYLINDER FLOW POINTS PIPE SIZE KP275 8 3/8 1 MAX. FEET OF PIPE STRAIGHT 20 MAX. FEET OF PIPE SPLIT 25 MAX. QTY. TEES 7 MAX. QTY. ELBOWS 8 MAX. QTY. REDUCING BUSHINGS 0 1 KP600 18 1 AS NOTED 135' 3/8' OR 1/2' 1 50'- 3/8' PIPE ONLY 1 2KP375 =22 AS NOTED 40' of 45 of 1 /2'' *30' of 3/8 *30' of 3/8 NOTE. 1 In a single 3.75 Gallon Straight Pipe System, 5' of pipe may be transferred from the supply line to the supply branch line. 2. The use of 3/8" pipe with two manifold KP375s is only permitted when the SUPPLY LINE length is equal to or less than 20' NOZZLE BRANCH LINE LIMITATIONS. All pipe and fittings leading from the supply branch tee to a system nozzle. CYLINDER FLOW TOTAL LINEAR MAX. QTY. POINTS PIPE SIZE FEET OF PIPE TEES 5 MAX. QTY. ELBOWS 10 MAX. QTY. BUSHINGS 0 10 14 18 12 18 18 6 6 4 8 8 8 7 GENERAL SYSTEM LIMITATIONS. 1 No'/' pipe nozzle branches shorter than 12' long 2. Nozzle types may not be mixed on any nozzle branch line and a maximum of 4 flow points. 3 The discharge fitting, distributor and distribution hose are not to be included in any calculations. 4 No mixing of pipe sizes is allowed within pipe categories. Example. if one nozzle branch is to be '/2 pipe then all must be pipe. pipe for nozzle branch lines is allowed only in an 11 flow point system. 5 Duct nozzle has a maximum vertical rise above the supply branch line of 4'0' 1 s is TKC. rp.N (Do p ‘6‘3-20 (o r...) 1 2 2 1 11 15 20 4 2 2 0 December 2008 Section 3 ZD Design Page 3 44 Amerex Restaurant Fire Suppression System (EX 4658) ZONE DEFENSE APPLIANCE PROTECTION ZONE OF PROTECTION NFPA 96 10.1 1 `Cooking equipment that produces grease -laden vapors and that might be a source of ignition of grease in the hood, grease removal device, or duct shall be protected by fire extinguishing equipment. The Amerex 'Zone Defense Fire Suppression System has been approved and tested in compliance with the requirements of NFPA 96 'Standard for Ventilation Control Fire Protection of Commercial Cooking Operations, NFPA 17A— 'Standard for Wet Chemical Extinguishing System and UL 300 'Fire Testing of Fire Extinguishing Systems for Protection of Restaurant Cooking Areas The Amerex 'Zone Defense System provides two types of appliance protection 'Zone of Protection and 'Dedicated Appliance Protection The following is a list of eligible cooking appliances and their maximum cooking hazard size that may be protected with the 'zone of protection nozzle coverage. Alliance Type Fryer Range Wok maximum Wok minimum Griddle Lava Rock Char broiler Gas or Electric Radiant Char broiler Mesquite Charcoal (Solid Fuel) Char broiler Mesquite Chips Chunks Char broiler Mesquite Logs Char broiler ZONE OF PROTECTION DEFINED The 'Zone of Protection is a rectangular area 34 deep X the length of the hood in which an eligible cooking appliance can be placed and be protection The appliance may be moved to any location within the 'Zone of Protection and be protected without any nozzles being moved or re- aimed. The 'Zone of Protection is created by the use of overlapping spray from multiple nozzles creating an area that is soaked by wet chemical agent. This is accomplished by placing Amerex ZD nozzles, part number 14178 in a straight line from one end of the hood to the opposite end The nozzles are to be a maximum of 20 inches (50 8cm) apart on center and must start and end at a point no greater than 6 inches (15.2cm) from the end of the hood The nozzles are to be located 46 to 51 inches above the top surface of the appliances and aimed straight down The resulting 'Zone of Protection is a rectangular area 34 (86 4cm) deep x length of hood with its front and rear edges 17' (43.2cm) from the centerline of the nozzles T HOOD DEPTH 34' DEPTH ZONE of PROTECTION A 17' 1` DZZLE 'OSITION V '1 20' MAX 20' MAX -0- Maximum Cookina Hazard 34 in deep x (5 6 Sq Ft. total) 34 in. deep x Unlimited Length 26 in. Diameter x 7 in Deep 14 in. Diameter x 4 in Deep 30 in. deep x Unlimited Length 24 in deep x Unlimited Length 24 in. deep x Unlimited Length 28 5 in deep x Unlimited Length (6 in Maximum Fuel Depth) 28 5 in deep x Unlimited Length (6 in Maximum Fuel Depth) 28 5 in deep x Unlimited Length (11 in Maximum Fuel Depth) LENGTH OF HOOD C ENTERLINE OF ZD NOZZLES December 2008 ZONE OF PROTECTION CON'T The `Zone of Protection requires that the nozzles be placed at 46 to 51 inches above the top surface of the appliance all ZD nozzles are to be placed at the same elevation and the nozzles are to be aimed straight down No additional aiming is required because the eligible appliances are protected no matter where they are located within the `Zone of Protection Therefore the spray is not to be impeded in any manner When an appliance such as an upright broiler or salamander is part of the cooking appliance lineup a dedicated appliance nozzle must be used to protect it. The ZD nozzles cannot protect cooking appliances with an enclosed cooking area such as an upright broiler or salamander No ZD nozzles are required above the upright broiler protected by a dedicated nozzle, however the ZD nozzle located to the right and left of the appliance must be no more than 6 inches from the edge of the appliance. The illustration below reflects the situation described above The location of the upright broiler is now fixed and the appliance must remain in this location Dedicated appliance protection of salamanders, cheese melters chain broiler or a range with a back -shelf is always in addition to the zone defense nozzles located overhead ZD Nozzles PN14178 (2xR) T 46' -51 V TOP OF APPLIANCE 6' MAX. 21 Section 3 .ZD Design Page 3 45 Amerex Restaurant Fire Suppression System (EX 4658) 1/ 6' MAX. DEDICATED APPLIANCE NOZZLE PROTECTION 20' MAX. 1< %1 1 1 6' MAX. A 46 51 TOP OF APPLIANCE December 2008 Section 3 KP Design Page 3 36 Amerex Restaurant Fire Suppression System (EX 4658) LINEAR FUSIBLE LINK DETECTION NETWORK LANYARD SYSTEM 24' MAX. DIST 1 4' MAX. DIST LINK TO MRM FROM END OF HOOD LINK TO LINK I CABLE SEGMENT ir I I PLENUM TERMINAL CABLE SEGMENT TERMINAL CONNECTOR EMT FITTING HANDY CONDUIT BOX 2 1/8' X 4 W Z H Z W U LINK TO LINK CABLE SEGMENT DUCT c) m Z Z CABLE EYE BOLT SUPPORT REQUIRED ON EACH SIDE OF THE DUCT HOOD L) m 24' MAX. DIST FROM END OF HOOD A unique system of cable segments, pre- fabricated has been developed to make the installation of this system simple and easy It eliminates the use of conduit, Zink holders and mounting brackets under the hood in the plenum area MRM The Linear Fusible Link Detection System provides complete hood fire detection by placing thermal links at maximum 24 intervals the entire length of the hood Installing the links in this manner allows the appliances to be placed anywhere under the hood without having to locate links directly over each appliance The limitations of the Linear Fusible Link Detection System are as follows 1 Maximum of 20 detection links and (19) Link to Link Cable Segments. 2 Maximum of 30 feet of cable used in the Link to MRM Cable Segment. 3 Maximum of 20 corner pulleys (either style) 4 Maximum unsupported detection cable length is 8' -0' 5 Refer to Fusible Link Selection section page 3 -24 of this manual for proper selection process The higher setting links are to be used when higher temperatures are encountered with appliances such as char broilers 6 The Linear Fusible Link Detection System is for use in single hood applications or where multiple hoods are connected end to end' only It cannot be used for `back to back' hood arrangements or multiple hoods that are mounted in separate locations and are part of a single Restaurant Fire Suppression System December 2008 Section .2 System Components Page 2 9 Amerex Restaurant Fire Suppression System (EX 4658) JOB LINKS Four temperature ratings of the Job Links are available They are constructed of two metal struts held intension by a small glass bulb that ruptures at the appropriate temperature rating The detector bracket (P /N 12508) will support either the Globe Type 'K' fusible links or the Job links and the same detector limitations apply for both types of detector Part No. 1 1 1 1 16226 1 16227 1 16445 1 16446 1 FUSIBLE LINKS Response Type Quick Quick Quick Quick Link Rating 1 286 °F 1 141 °C 1 360 °F 1 182 °C 1 450 °F 1 232 °C 1 500 °F 1 260 °C Four temperature ratings of fusible links are available They are of the electric solder type Zink which will melt at a predetermined temperature allowing the two halves of the link to separate Cr), Globe Type 'K' Load Limit: Maximum Load 50 Ibs (22.68 Kg) Minimum Load 3 Ibs. (1 37 Kg) CONDUIT OFFSET (P /N 12507) The conduit offset is used to allow a smooth transition for cable runs into or out of the MRM MRM II PRM without using pulley elbows It may be used with the detection network, manual pull stations or mechanical gas valve actuation network. The use lof this device does not reduce the maximum number of corner pulleys allowed in the system THE CONDUIT OFFSET MAY ONLY BE ATTACHED TO THE ENCLOSURE OF EITHER THE MRM MRM II OR THE PRM FUSIBLE LINK TERMINATION KIT (PN 17515) The kit consists of four major components their part numbers and quantities per kit are provided in the table The kit contains the necessary cable segments and hardware for the beginning and end termination of the Linear Fusible Link Detection network. MRM TO 1 LINK Max. Ambient Temperature 1 225 °F 1 107 °C 1 300 °F 1 149 °C 1 375 °F 1 191 °C 1 1 425 °F 1 218 °C 1 Part No. 12326 12327 12328 12329 EXPOSURE Link Rating 1 212°F 1 100°C 1 280°F 1 138 °C 1 360 °F 1 182 °C 1 450 1 232°C Job Quick Response Link Load Limit: 1 to 55 lb Temperature and year of manufacture are stamped on each link. LIMIT Max. Ambient Temperature 1 150 °F 1 66 °C 1 225°F 1 107°C 1 300°F 1 149°C 1 375 °F 1 191 °C 1 1 I EMT CONDUIT CONNECTOR 1/2' 1 I CABLE SEG MRM TO 1" LINK 30 FEET 1 CABLE SEG LINK TO TERMINATION 1 I HANDY BOX —'h CONDUIT BOX LINK TO TERMINATION 24 12' CENTERS CABLE SEGMENT LINK TO LINK PN17354 24" CENTERS PN19155 12" CENTERS The Link to Link cable segment PN17354 insures that the LINK TO LINK links in the linear fusible link detection system are spaced at the maximum 24 centers to center distance The Link to Link cable segment PN19155 places links 12' apart center to center It will assist in locating links in the hood duct opening when the two ducts are an odd distance apart. December 2008 Section 2 System Components Page 2 —10 Amerex Restaurant Fire Suppression System (EX 4658) MANUAL PULL STATION (P /N 11993) Every Amerex Kitchen Fire Suppression System must use at least one Manual Pull Station This device provides a means of discharging the system manually Manual Pull Stations should be located in a PATH OF EGRESS and mounted at a height conforming with the local Authority Having Jurisdiction The Manual Pull Station may be recessed or surface mounted see Installation Section 4 Page 11 for details MANUAL PULL STATION ADAPTER KIT (P /N 14193) (for use with manual pull station P/N 11993) When recessing the manual pull station the adapter kit compensates for the additional wall thickness and provides an oversized cover for the wall opening MANUAL PULL STATIONS (OVERSIZED P/N 14320) This Manual Pull Station may be either surface or recess mounted The oversized cover is large enough to cover the standard 4 octagonal sheetrock access hole and remain attractive and functional. Manual Pull Stations should be located in the path of egress and mounted at a height conforming with the local Authority Having Jurisdiction `QUICK -SEAL ADAPTER (3/8' pipe P/N 12276 HOLE SIZE 1 1/8' DIA.) (1/2" pipe P/N 14204 HOLE SIZE 1 1/8" DIA.) 1 pipe P/N 18252 HOLE SIZE 1 5/8" DIA.) This listed mechanical bulkhead fitting produces a liquid tight seal around distribution piping where the piping penetrates hoods or ducts. The quick -seal' adapter is available in 3/8' and 1/2' NPT "COMPRESSION SEAL ADAPTER (3/8' pipe P/N 12510 HOLE SIZE 1 1/8' DIA.) (1/2' EMT P/N 12512 HOLE SIZE 1 1/8" DIA.) The compression seal adapter is a 'listed mechanical bulkhead' fitting that produces a liquid tight seal around pipe or conduit when making penetrations in a hood or duct. Unlike the quick -seal adapter the compression seal adapter is not threaded to accept pipe and does not require conduit or pipe to be cut or threaded It is available in 3/8' and 1/2' sizes `QUICK -SEAL COMPRESSION FITTING (1/4 TUBING P/N 16502 HOLE SIZE 5/8' DIA.) In Cas Pull Pi he Pun Handl 3 5/8' (9.65 cm) This listed mechanical bulkhead fitting produces a liquid tight seal around the detection tubing where the tubing penetrates the hoods f Fire 1 .4 Li. ,E OF FULL FIN' THEN O PI ILL HANDLE M OO D r TE W ILL 01: APi 3 5/8' (9.65 cm) LOCK WASHER /GASKET SEAL r NUT ADAPTER BODY LOCK WASHER GASKET SEAL NUT j ADAPTER BODY I 4 4= 2'A (2413 cm) COMPRESS PIPE Appliance Deep Fat Fryer without Drip Pan Deep Fat Fryer with Drip Pan Deep Fat Fryer with Drip Pan Low Proximity Range Single Burner Range Two Burner Range Two Burner Range- Two Burners w /Back Shelf Low Back -Shelf /Salamander BS Manifold Range Three Burners Range Four Burners Wok Griddle Griddle Griddle Upright Broiler Charbroiler (Lava Rock) Charbroiler (Gas Radiant Electric Radiant) Chain Broiler Closed Top Chain Broiler Open Top Chain Broiler Nieco Model 9025 /Catalyst (2) Natural Mesquite Charcoal Charbroiler Mesquite Chips Chunks Charbroiler Mesquite Log Charbroiler Rectangular Circular Rectangular Circular Rectangular Circular Plenum Nozzle P/N 13729 13729 2 11982 11984 11982 11982 11982 17461 2 11984 14178 11982 11982 13729 14178 2 11984 11983 11982 11982 13729 4 11982 11983 11983 11983 Nozzle P/N Single Bank/V Bank 11982 Duct Nozzle P/N AMEREX KP RESTAURANT SYSTEM NOZZLE APPLICATION CHART 16416 16416 2 11983 2 11983 3 -11983 3 -11983 Flow Points 2 2 2 1 /2 1 1 1 1 1 2 1 1 2 2 1 1 1 /2 1 1 2 4 1 1 /2 1 1 /2 1 1 /2 Flow Points 1 Flow Points 1 1 3 3 4 1 /2 4 1 /2 Width 19 19 in 19 in 18 in 14 in 12 in 12 in 14 in 12 in 24 in 14 -24 dia 30 in. 30 in. 30 in. 30 1 /2 in 24 in 24 in 24 in 24 in 18 in 24 in 24 in 24 in Width 4 ft. Max. Perimeter 50 in 100 in 150 in Length 19 in 25 3/8 in 25 3/8 in. 18 in 28 in 24 in 24 in 42 in 36 in 24 in 4 -7 depth 36 in 42 in 48 in 28 in 24 in 24 in 31 in 31 in 24 in 28 1 /2 in 28 in 28 1 /2 in Length 10 ft. Diameter 16 in 32 in 48 in Min. Height 36 in 36 in 17 in 20 in 44 in 36 in 40 in 14 in 20 in 18 in 40 in 30 in 38 in 15 in 18 in. 18 in 12 in 12 in 16 in 16 in 19 in Protection is not limited to the items listed on this chart. Modulizing larger appliances is an acceptable practice. See your Amerex KP Manual for additional information. Max. Height 48 in 48 in 36 in. 42 in 48 in 50 in 47 in 19 in 30 in 50 in 50 in 48 in 50 in 50 in 44 in 48 in 36 in 36 in 42 in I 48 in 44 in Length Max. Diagonal Unlimited 1 18 8 in Unlimited Unlimited I 37.2 in. Unlimited Unlimited 1 55 9 in. Unlimited 1 0 0 rn December 2008 Section 3 Design. Page 3 2 Amerex Restaurant Fire Suppression System (EX 4658) DUCT PROTECTION LIMITATIONS TWO NOZZLES (2 x P/N 16416) Two Amerex Duct Nozzles (P /N 16416) will protect ducts with a perimeter of 51 inches to 84 inches (129 5 208 3 cm) or a maximum diameter of 26 inches (66 cm) To correctly position the nozzles in a rectangular duct divide the duct along its longest side into four equal distances A circular duct should be divided along a centerline into four equal distances. A nozzle should be placed at one quarter of the duct's width (or diameter) with both nozzles on the centerline paced 2 -8 inches (5 08 20 3 cm) into the duct opening and aimed at the center of the modular cross section of the duct. Each nozzle has one flow point. NOTE In no case can the diagonal dimension of each module exceed 18 8 inches (46 cm). T 18.8" 18.8" 8 1 1 1 17' 1 34 DUCT PROTECTION LIMITATIONS MULTIPLE NOZZLES (P /N 16416) DUCT PROTECTION LIMITATIONS 100 IN PERIMETER TWO —1 FLOW POINT NOZZLES (P /N 11983) The Amerex Solid Fuel Appliance /Duct Nozzle (P /N 11983) is listed to protect a restaurant cooking exhaust duct of unlimited length unlimited changes in direction and up to 100 perimeter inches (254 cm) or 32 inch diameter (81.2 cm) using two nozzles. The nozzles total three flow points and to properly position the nozzles, a rectangular duct should be divided along its longest side into four equal distances A circular duct should be divided along its center line into four equal distances The nozzles are to be placed at one quarter and three quarters position of the duct width (or diameter) with both nozzles on the center line, placed 2 8 inches (5 08 20 3 cm) into the duct opening and aimed straight up in a vertically run duct. NOTE. In no case can the diagonal dimension of the duct exceed 37.2 inches (94 4 cm) without adding additional duct nozzles NOTE. The use of one Duct Nozzle P/N 11983 is permitted for duct 50 perimeter inches or Tess in the same manner as Duct Nozzle 16416 Protecting ducts larger than 84 perimeter inches (208 3 cm) utilizing the single flow point nozzle (P /N 16416). Divided the perimeter by 42 (104 cm) and round up to the next whole number Divide the duct cross section into the same number of equally sized modules Check the modules to insure they are equal to or Tess than 50 perimeter inches and have a diagonal equal to or less than 18 8 inches. If they meet the criteria then place a duct nozzle in the center of each module, 2' -8' into the hood /duct opening December 2008 NOTE. An Amerex KP ZD Kitchen Fire Suppression System have the same listed criteria for the protection of the Duct and Plenum PLENUM PROTECTION LIMITATIONS SINGLE FLOW POINT NOZZLE (P /N 11982) The Amerex Appliance Plenum Nozzle (P /N 11982) is capable of protecting plenums up to 10 feet (3 048m) long with either a single inclined filter bank or a 'V' bank filter arrangement. The filter height cannot exceed 24 inches (60 96 cm) Each plenum nozzle uses one flow point. The nozzle must be positioned 4 inches (10 16) maximum from the end wall of the hood aimed horizontally and positioned down 1/3 the vertical filter height from the top of the filter The width of a 'V' bank filter arrangement is limited to a maximum of 48' (122 cm) CENTERED BETWEEN TOP OF FILTER AND SIDE WALL OF HOOD 5 OF THE VERTICAL HEIGHT DOWN FROM THE TOP OF FILTER SINGLE BANK PROTECTION NZ Os PLENUM PROTECTION MULTIPLE NOZZLES Plenums exceeding 10 feet (3 048 m) in length may be protected by using multiple plenum nozzles Each nozzle must be protecting an area of no more than 10 feet in length Nozzles may be positioned facing each other or facing the same direction as long as the entire plenum area is being covered Nozzles may not face in opposite directions from a common tee Section 3 Design Amerex Restaurant, Fire Suppression System PLENUM PROTECTION VER iCAL HEIGHT -1/3 VERTICAL HEIGHT DOWN FROM THE TOP OF THE FILTER CENTERED IN THE "V" BANK 48 IN. (122 cm) MAX. VERTICAL HEIGHT Page 3 -5 (EX 4658) NOZZLE TO BE LOCATED 0 -4" FROM THE END WALL CENTERED IN THE "V" BANK 10 FT (3.05m) PREPARED 3/02/10 9 24 31 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/02/10 ADDRESS 536 MARINE DR SUBDIV TENANT NBR MALIK ATWATER /VIVIAN WAI CONTRACTOR PHONE OWNER MALIK V ATWATER VIVIAN WAI PHONE (360) 477 1519 PARCEL 06 30 00 0 0 4930 0000 APPL NUMBER 10 00000077 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/02/10 A MarchING ROUGH IN 6IME O1 00 March 2 2010 9 22 26 AM 1pangrle MALIK 477 1519 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES f PONY 4 Wage Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation INDUSTRIAL LIGHT 0 Application desc close sidewalk ti install awning RUP #10 10 00000136 963640 536 MARINE DR 06 30 00 0 0 4930 0000 "PUBLIC WORKS UTILITES 03 .Owner Contractor MALIK V ATWATER VIVIAN WAI 6421 S MT ANGELES RD PORT ANGELES WA 98362 (360) 477 1519 Permit RIGHT OF WAY Additional desc CLOSE SIDEWALK Permit pin number 160697 Permit Fee 75 00 Plan Check Fee 00 Issue Date 2/09/10 Valuation Expiration Date 8/08/10 Special Notes and Comments Permittee to provide all signs cones barricades necessary for temporary full and /or partial sidewalk closure required for installation of and awning Work must be done between 7 OOam and 6 OOpm Monday through.Friday permit expires May 10 2010 Charged Paid Credited Permit Fee Total 75 00 75 00 00 Plan Check Total 00 00 00 Grand Total 75 00 75 00 00 Fee summary T \Policies \1102.15 (10 /08) Qty Unit Charge Per BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER RUP #10 03 Date 2/09/10 Due Extension 75 00 00 00 00 o_ Separate:Pe'mits,are required"forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null andvoid work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of180 =days after the- work- as•commenced, or-if• required- inspections.have not been requested within 180_days from theJast; inspection. I hereby certify that I have read-and examined this application and know the same to be true and correct. All provisions of laws and ordinances- governing.this..type.of_work will_be_complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or- Authorized Agent Date Signature of Owner (if owner is builder) 2 /ZOIb Date (t) CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE •DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE PLANNING DEPT BUILDING T \Policies \1102.15 [10/08] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO RESIDENTIAL 417 -4653 417 -4750 417 -4815 PERMIT INSPECTION RECORD COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT BUILDING Print in ink BUSINESS NAME C oLONel_ N KM Hei.I BUSINESS ADDRESS G 3( Q Business mailing address (DI-12.. Opening date_ 3 /C)L)7 O,n Washington Sta�tt T`a) I D Brief description of proposed businesi Business owner's name FArA I Business owne s home address 2 I a_ r_ eu..0 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 1 New business Transfer of business location from a PBIA location Transfer of business location from a non -PB 4 location Change of ownei ;Hp Remodel Temporary- business Change of use For City use or iv. Departme( 1 Building Fire PBIA Plai ping City Clerk Public Works Approved Rejected Initials 8 date Initials date T Gc. B' ing Division /Certificate of C;.ci pancy Application CERTIFICATE OF OCCUPANCY APPLICATION Permit# 16 133 See bldg Es -It )0 -77 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. 'Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 kA4,2_,NL 1)2,v( Ipoeir A t S 183bZ Zoning LL 5. Mow.rt- AN4t_L3. ED P T_ciN tiA. onne #__01(20 yS Z ?zS5 Days hours of operation -7 D_s n t If known list t name of the pr e'-ious. business at this location Foci 5 F.r23/1(. ‹.,TAPSUSl-M,t4T (Cr o p °0 0-0- 10 7T of construction 5∎`•o Certificate Inspection ie 110 Parking Business Improvement Area (PBIA) fee charged for downtown locations WILL THERE.BE ANY OF THE FOLLOWING? Electrical changes New ur relocated sighs _5 v,Fsmrrre o PGfcre4r1"-- Construction changes FINE-. P F.p�.A,tT' lo- 71 Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes HAV4: r1F4 iAT 10— /1 Fire sprinkler system change's Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right of-way ADOL -1F_o Fob t Hr New driveway openings r of w qK 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? Automatic fire sprinkler system required NO/ T Comments Conditions Occupant Load no Phone 445/-2'302_ I YES I IF YES CONTACT Electrical Dept. at 417 -4735 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 Occupancy inspections before opening business. Building. Department inspection 417 -4815 Fire. Department lnspectson 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I_acknowtedge That .l: have read this application ana state that the information I have supplied is correct to the best of my knowledge Date? 5/2.01.0 Print Name �1, AN V A 1 PeESI ignature .Please.sign up for utility services at the cashier counter yes H 41:1 'fg, Sr z 47- 1/S sjs sk, 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 INDUSTRIAL LIGHT 4900 Application desc REMODEL RESTAURANT ADD WINDOWS AWNING Owner Contractor 10 00000077 Date 2/04/10 048810 536 MARINE DR 06 30 00 0 0 4930 0000 MALIK ATWATER /VIVIAN WAI COMM REMODEL MALIK V ATWATER VIVIAN WAI OWNER 6421 S MT ANGELES RD PORT ANGELES WA 98362 (360) 477 1519 Structure Information 000 000 REMODEL RESTAURANT ADD AWNING Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc REMODEL RESTAURANT Permit pin number 159970 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 2/04/10 Valuation 4900 Expiration Date 8/03/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Permit PLUMBING PERMIT Additional desc Permit pin number 159988 Permit Fee 107 00 Plan Check Fee 00 Issue Date 2/04/10 Valuation 0 Expiration Date 8/03/10 Qty Unit Charge Per Extension BASE FEE 50 00 4 00 7 0000 EA PL- PLUMBING TRAP 28 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 7 0000 EA PL- BACKFLOW PROTECTION <OR =2 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 Special Notes and Comments January 26 2010 8 12 44 AM rbecker Yes you will need a reduced pressure backflow assembly for your coca cola fountain equipment I will also need to know what else is being served by water other than sinks and 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 fora 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 perfonce of construction. 2 `f —/D M4.ik4+c,va Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 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 T Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Application Number Application pin number Special Notes and Comments toilets Lawn sprinklers and closed fire systems require backflow protection Contact Ron Becker if you have any questions at 417 4886 E mail rbecker @cityofpa us Fax 360 452 4972 February 4 2010 7 18 19 AM jyoung In sizing this applications grease trap that needs to be installed I refer to the 2006 UPC on page 112 where the table 7 3 defines the DFU values There are two special purpose (public) sinks with 2 inch traps for 4 DFU each This is the three bowl sink and the vegetable cleaning sink From table 10 2 on page 134 the HGI flow would be 20 gpm I also shared this information with Mark Dunaway (Angeles Plumbing) since this was previously calculated at a 50 gpm unit but two other sinks will not be installed to the grease trap Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A minimum 2A 10BC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit January 26 2010 10 41 54 AM kdubuc If the commercial kitchen is going to be used the range hood must be cleaned and the hood and duct fire extinguishing system must have been serviced within the past 6 months January 27 2010 11 28 13 AM sroberds The proposal will result in an interior remodel of a structure for restaurant purposes in the IL zone No land use issues are anticipated Any modifications to the City s electrical facilities will be at the customer s expense Electrical load calculations and electrical permits are required Public Works Utility Engineering has no requirements for this plan review February 1 2010 2 31 23 PM jyoung I discussed the grease trap requirements with the Atwaters This location currently has no grease trap so one must be installed They gave me the dimensions of the 4 sinks to be installed which equated to 15 364 cubic inches This number is divided by 231 which gives the GPM of 66 5 GPM divided by 0 75 for displacement and the rated grease trap must be 49 88 GPM A 50 GPM grease trap will be required to be installed for the two hand sinks wash sink and the three bowl sink Other Fees CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 10 00000077 048810 Page 2 Date 2/04/10 STATE SURCHARGE 4 50 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 Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists I Girders 1 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.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. PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Comments FINAL Date Accepted by 1 FINAL Date Accepted by Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 I Planning 417 -4750 Building 417 -4815 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000077 Application pin number 048810 Fee summary Charged Paid Credited Page 3 Date 2/04/10 Permit Fee Total 244 75 244 75 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 338 79 338 79 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. Due Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding DivisionBuilding Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Stab 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: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 3 -2— 1(� Inspection Type Accepted By PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 1 ESA. Landscaping 1 1 SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 ft LL PROJECT ADDRESS Parcel Number Proiect Tvne Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other T:Forms /Building Crvisior S dg Permit.doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 35� 321 E. Fifth St. Port Angeles WA 98362 02, ‘0010 nS cf 1S (360) 417 -4815 fax (360) 417 -4711 Q 11 a +yl \I y 1 1-,5 Pho Phone Applicant MALIK AT►NA T EZ Property Owne,r f4 ArvvAIZ., re Property Owner's Address jv4Z i 5 kAbu.Nrr ANe& L& S Contractor SELF Contractor's Address License Expires criotion. Phone E -mail For City Use Only Date Received 1 l 0 Permit# 1 t()— Date Approved i) g) t o (30) 1 ,19 53(o T AAEJ N6 Dzt v P o— ANCE.L.ES 3 VVA q7 0 Ow) ao %-930 Lots9 10 131-41Zoning Lr Iry tt.k 1 ID Residential D Mufti family jd,,Commercial Industrial 1 sr SETT)rIEA t ITC -HeN Foa 1-1C-Li l=ooD 56aV C PNash Qf= 712.0yK T IN ILL INGIJADE l J _INSTALL1r4Ea .see3 )C l N Moe. ISTAL..4-I N CI TWO vYAL 1N ITT He- 14 V1S IN 1 ITT He-14 t LL TNS+TALLLNL f10 k q AWN)NC, oVF,t? Ru►aRI Pif,. AND FLDO2 me.A /KS FOR_ 5 usrKS AISe 3N°'rRr+4 4Nfa 3 wiNDov5 orJ EAST 51D6 OF E)1.t14x3VN42-• House n garage c, other o tear off re-roof lay over one layer Heat pump o wood burning stove gas fireplace pellet stove o other Existina (sa. ft.) ly2oosed ism 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 per sq. ft. r► °a ls 2, AJoo r a 4 Sn TOTAL VALUATION 9. 7 0 0 ILO, Z sq. ft. Lot coverage 38 Total footprint of structures 5 350 sq. ft. T Lot size 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 95 of bedrooms of full baths of half baths l have read and completed this application and know it to be true and ccrrect. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to °plain permits prior to wo irg on )rcyecfs. I Date 1 2..2:2010 Print Name MALL 14_ pNATF_. Signatu e 1 Permit #10 1 Fern! !Building Division'Notes NOTES JD 3 1� Dt 12-S t t *14r to MJ Wino JC b r2 s tie= 7_ e. u.7 6.14-112- v9 vs. F "I S W; e vlizo0 4111.0 y 1 L c.- v bE 121E to S -t C o Lio- o r k op wtf..t t,&. I v 1 s 21eAsc pu4- F"Tabx_ii- a.6 1 j` k tje.u) vier R.• ec.1_44vae_4 3rtk /h Pe_ir \nv tat, GNU I 47)1A, Vi VI a.1.1 +k thet, IC no b l e (Ai i v1 «i e tAa ci e_ s i°dewal k 4 ,c-4-AV P)rc al 4.-e walk- up Goiv.dOw. I+ i s simi i `76 e me vi e -Fh ,r The following items are required by you prior to the installation of the Coca -Cola fountain equipment: Electrical outlet within six feet (6 of equipment. Mimmum 110 volt, 20 amp electrical service. A half inch /2 cold water line within ten feet (10 of the carbonator Please supply a half inch shut -off valve with a three eights inch (3/8 male flare. Note NO HOT OR SOFT WATER. Local codes require a reduce pressure back -flow device that is installed by a certified plumber Device should be no smaller that half inch (t /z If chase is utilized for tubmg, diameter is six inches (6 eight inches (8 with no 90. degree bends. Must extend three inches (3 above floor surface Product listed below and CO2 are to be on location at time of installation Approved three inch (3 or larger floor dram must be within three feet (3') of dispenser If dispenser will be placed on counter, counter must be in a place and able to sustain a minimum of 500 pounds. Customer agrees that the items above will be completed and in place prior to delivery and installation Coca -Cola beverage dispensing equipment. A $200 "Return Trip" will be charged if the above items are incomplete when the service agent arrives for the scheduled installation. Tentative Installation Date (Mimmum of 10 business days required) Please notify Knox Gale (INSTALL COORDINATOR) at 1- 800 -531 -2238 x 4056'within 24 business hours if any changes occur that will delay this equipment installation. Syrup Distributor Phone Product: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 CO2 Distributor Phone Equipment Service: 1- 800 241 -2653 Classified Internal use F$ MAT CO SEQV10E TbDR ti ZEAS j DOOR- Will, LNSTALl.. Cxc,Q�_G- 1—V_45 WALK—up vv)INDcw4 milmeJ ALS 0 LAeo e_ loo tl) AWNtN IUATeQIALS #1,000 Lik+a02 LV350 Z5X2 .D_Ls 5► Nk_ Z HANDSJNICS 3o0 Ci secs I vii s,Hti bIve,Nt 139 cAr-ApraN NAPICHtf 1N Cs! CIO as S ON EA'cr D�" ree_V AlS 4_500 LAe e. 100 Clallam County Assessor Treasurer Property Details 56032 MALIK V ATWATER/ Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 56032 MALIK V ATWATERNIVIAN WAI for Year 2010 2011 Property Account Property ID' 56032 Legal Description. LOTS 9 10 BL 49 TPA LOT COVENANT Geographic ID 0630000049300000 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. 538 MARINE DR PORT ANGELES Neighborhood Cycle 5 Comm Neighborhood CD 20953140 Owner Name MALIK V ATWATERNIVIAN WAI Mailing Address: 6421 S MT ANGELES RD PORT ANGELES WA 98362 Taxes and Assessments Due Property Tax Information as of 01/22/2010 Amount Due if Paid on M. Values Mapsco Map ID Owner ID Ownership Exemptions: First Second Half Half 11813 100 0000000000% Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 560322008 ST SCH STATE SCHOOL $366 07 $366 06 $0 00 $0 00 $732.13 $0 00 2009 560322008 CC -GEN COUNTY $185.27 $185.25 $0 00 $0 00 $370 52 $0 00 2009 560322008 PORT PORT $26.24 $26.24 $0 00 $0 00 $52.48 $0 00 2009 560322008 PORT ANG PORT ANGELES $406 36 $406 35 $0 00 $0 00 $812.71 $0 00 2009 560322008 SD #121 SCHOOL DISTRICT #121 $452.69 $452.73 $0 00 $0 00 $905 42 $0 00 2009 560322008 NTH OLY LIB NORTH OLYMPIC LIBRARY $53 83 $53 83 $0 00 $0 00 $107 66 $0 00 2009 560322008 HOSP #2 HOSPITAL #2 $75 98 $75 98 $0 00 $0 00 $151 96 $0 00 2009 560322008 CITY_STORMWATER CITY STORMWATER $118 92 $118 92 $0 00 $0 00 $237 84 $0 00 2009 560322008 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 2009 560322008 TOTAL. $1686.18 $1686.17 $0.00 $0 00 $3372.35 $0.00 NOTE. If you plan to submit payment on a future date make sure you enter the date and RECALCULATE to obtain the correct total amount due Improvement Homesite Value N/A Improvement Non Homesite Value N/A Land Homesite Value N/A Land Non Homesite Value N/A Ag Timber Use Value Curr Use (HS) N/A N/A http. /vpn clallam net 8084 /propertyaccess /Property aspx ?ctd =0 &year 2010 &prop_td =56 1/22/2010 RIGHT OF WAY USE PERMIT APPLICATION Vtv 1AN NAME OF APPLICANT MAU K. ATWATEIZ DATE -2Z Z010 MAILING ADDRESS (12a S kilovArr" A1.,1e1 EAR ;Poe r AN( L&& WA 9836Z PHONE NUMBER 13100) L l 1- STREET ADDRESS OF PROPOSED STREET USE 53(o hAAetnlE Do v� DESCRIPTION OF REQUEST (include drawings required for clarity) flf street closure is requested please state the name of the street and limits of closure, together With the duration of closure lip I A. x U t AVNN l NFL INSTALL .D OIE.rz TWO UVALL.— UD r-cor" S�iz.V ICi `WH4DO%AI c: 4lTQC%4 -t 1 IS THE USE TEMPORARY OR PERMANENT? PEP... N1ANEtJ lT' HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? HOW IT WILL BE LIGHTED? N/A NIA City of Part Aitgelos ottu uutwes uepl EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLAI4TIRt"jSTRFPP" ARE THERE ALTERNATE AREAS THAT COULD BE USED? WILL $fin( V,LJ --txp rpm> Vi( Aln6 ttPEP Mi WAIN INCiro ..l ST&Tf— �o� e� Fs A.�E� HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersi. -.19[ himself and for his successors in interest, hereby agrees to indemnify hold harmless, and defend the City of Port\{Vtl� es, a t* any claims or lawsuits for personal injury or property damage arising out of or in any way connected O th a el 60 he use or obstruction on the City street, sidewalk, planting strip or right f way -9 1 DATED this 2 Z day of Arva •E1( 20 (0 w r A Z A Ry 4it s- V C F. 1 p3j011 i z Applican C. o 1 P Hal ;1 1/r v l �.t� v t ii 9 1•'}. `e\ j fir:. �i, T F p� PS `k\ NOTARY P LIC for Washington //I l tftlll N ll l tt��� residing at, 42, .k,6s My commission expires _S +1 -t. (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONLY] Date application received Fee paid Receipt Date Certificate of Insurance per PAMC 11 12 140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on N/A Application reviewed and recommendation by City Engineer Date is to deny or approve and with the following conditions Application approved of denied by the Director of Public Works Da.e Approvec copies to: Applicant 0 Fire 0 Police 0 Street 0 Other 0 Address rile N:1Urban Services;:tandards \C! !2009 ROW Use Permit.doc, last updated.Mei h 2009 I n` 1 It UL 0'04 U.1 fLJ RUP# I0- ,3 S V� NSET H-1A2D W AT2E_ FILE P e G A T1 N 1 1� p L m X mell, F (lQ o- (C 1 1 CH6 Ni c4=40‘; CITY OF PORT ANGELES Construction Plan The Issuance of th s permit based upon these plans, specifi- cations and other c ata shall not prevent the building official from thereafter re:iuiring the correction of errors in said plans specificatiors and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. P—ice7( Approval Date By �t1 eQk. Goao6rj (AL ;spen •e-, LI 0 k pc° r ot to rn o p' 0-) r-V 84.c.k Ti M�K —fAL. row `"L F 1— 0 4 PLANS AYYRtt`FD BY PO 1. 1 DEPT" DAT z� zi DAT t 26 tot D Door to electric panel yr o getable washing sink Door to Bathroom l) handsink 1 L_ 3 t5nhr slwoa.shiW9 Temporary exterior double door to other part of building Exterior View Ko st NNINEffiriaJt.3) 7fb 41 5 f nterior View Sink Locations (Item #4) 11013Ryil c)-It .)E, 1 handsink 1 Service Door (Item #1) rg, 5x5 vi,n6;1.osas (tier) e,ut- facre4 Walk-up windows (Item #2) Conn Commercial wn zs from Rainier 18375 0 mine Avenue uth Tukwi WA 98188 Exterior View f ry Yor.kee G ez cAn ec9 Nocr-1/4.)30r- 1690 4 L Jz-Nte..rwk over .,rix_ipa..1k. photo examplc 0 Michelle Martin Customer Service Receivables Supervisor 3600 Bell Drive, B-E Hurst, TX 76053 Ph. 817 354 -9600 extn 245; Fax: 817- 354 -9612 Email: michelle(a awntech.com www.awntech.com Winds From Michelle Williamson (michelle @awntech com) Sent: Mon 1/25/10 9 58 AM To waivivian @hotmail.com Attachments. image001.gif (2.4 KB), image002.jpg (5 5 KB) The New Yorker awning with holds 115MPH winds. This e-mail message and any files transmitted herewith. are intended solely for the use of individual(s) addressed and may contain confidential. proprietary or privileaed information. If you are not the addressee indicated in this messaae (or responsible for delivery of this messaae to such oerson) you may not review. use, disclose or distribute this messaae or any files transmitted herewith. If you receive this message in error, please contact the. sender b v reply e-mail and delete this message and'all copies of it from your system. Thank you. Our Address Awntech Corporation 3600 Bell Dr Buildings B -E Hurst, TX 76053 1- 800 -200 -5997 customers @awntech.com TOP 2008 BUSINESS 1 OlversityausIness.cam TOP 2007 BUSINESS XXX DIversityBusirueas.com TOP 2006 BUSINESS XXX Nvorcave +maim= corn Corporation RPRODUCTS SPECIFICATIONS ENERGY SAVINGS RETAILERS/DEALERS Awntech Corporation is a leader in the awning industry Responding to the needs of do -it yourself home improvement customers and business owners, Awntech is a proven supplier of high quality durable, and affordable awnings, structures, accessories and materials for commercial and residential applications. Patents Awntech holds utility patents and has patents pending that cover a range from modular assemblies, energy saving attic systems, awning styles and manufacturing methods. Beauty -Mark® vs Custom BEAUTY -MARK® awnings are high in quality and durability are easy to assemble and install and can be easily shipped to your destination Our designers and engineers take special care to join old world quality and craftsmanship with modern technologies. This makes it possible for us to offer awnings at 30 -50% below custom awning prices with out jeopardizing structural integrity Storage and Delivery BEAUTY -MARK® awnings, structures, accessories and attic systems can be easily shipped to any destination and stored in a relatively small area In contrast, custom frames /structures must be welded, stored, and trucked locally Custom manufacturing and installation requires expensive equipment and specially trained professionals. With BEAUTY MARK® awnings, assembly and'installation are performed at the job site. Interchangeable Parts Awntech's patented systems and manufacturing methods allow for interchangeable parts across a wide range of modular styles. This makes it possible to extend any awning to fit almost any door or window opening or to custom build your structure online, by phone, with a dealer or at one of the many retail outlets. Structural Materials and Testing ViBEAUTY° MARK®` frainesifafe ;okpowder;coatedssteel=a nd /.or.' s* structural aluminum, engineered to endure rough weather ...egnditions,,Allxout'dapn pfbducts' have° 6een"eng neered°andlf stud to°vuitfislandFezcessive w iid:andanpw iload Our Beauty -Mark® Fabrics are state -of- the -art materials that are resistant to moisture, mildew soil and•in some cases fire Our SuperStrength@ lof monofilament threads are second to none These threads have built in UV blockers and do not have a cotton core like most other awning threads. This means your seams will not rot and break apart. Installation BEAUTY -MARK® s mounting brackets.make installation a simple operation. With most structures, brackets are first installed and the installer hangs or slides the assembled awning /structure into the brackets and tightens it back to the wall. This translates into fewer installers and less time required on the job site Covers Awning cover technology is a science in itself All BEAUTY MARK @'s awnings structures may be covered with Sunbrella® or BEAUTY -MARK® s Fabrics that have superior strength to:weight ratios. All patterns are designed using SolidEdge 3 -D Imaging. Covers, slide through a channel over the frame, and are tightened to the frame with structural grade, adjustable, fastening materials. Cost Effectiveness Because BEAUTY -MARK@ awnings /structures are mass produced, you are able to purchase custom -like products for 30 -50% of the cost of custom. Purchasing BEAUTY -MARK® awnings may be purchased directly from one of our dealers, retailers or online. For more information or to place an order by phone, please call us toll free at 800 200 -5997 You may also direct questions to customers @awntech.com. http //www.awntech.comlaboutus.php 1/25/2010 W�rn� 1 o0- 5 HO AI er y1400, p124 -3 B124.4 0124 -5 EN24.6 EN24 -8 [N2¢10 EN24.12 EN24 -14 a EN24=16ral EN24 -18 );N2420 EN24 -25 ENZ4 -30 B424.35 EN24 -40 [124 -45 Mode11D 1 Product Descnation• °t`tfne:' 1 EaIHA1Nr "u D l i: EaveklAruidow lEn Awnm g411 X:;42 D eiOit7ndude e' 3'Low 13 Ft. NEW YORKER@ Window EntryAwning 241Hx42"D 14 FL NEW YORKER@ Window/ Entry Awning 241Hx42'D I5 FL NEW YORKER@ !Window Entry Awning 24 "Hx42"D 16 Ft. NEW YORKER@ Window! EntryAwning 241ix42'D 18 Ft. NEW YORKER@ Window /.Entry Awning 24 "Hx42'D 1 10 Ft. NEW YORKERS Window Entry Awning 24 "Hx42 "D 112 Ft NEW YORKER81 Window /Entry Awning 24 "Hx42'D 14 Ft NEW YORKER@ Window /Entry Awning 24 "Hx42'D 116 Ft NEW YORKER@ Window l Entry Awning 24 "Hx42 118 Ft NEW YORKER& Window Entry Aiming 24 "Hx4211 X20 Ft NEW YORKERS Window Entry Awning 24"Hx4211 125 Ft NEW YORKER I Window Entry Awning 24 "Hx42"D 124 9. NEW YORKER@ Window Entry Awning 3011x42'D 135 Ft. NEW YORKER@ 'Window Entry Awning 24 "Hx42'0 40 Ft. NEW YORKER@ Window /.EndyAwning 24 "Hx421D 145 Ft NEW YORKERS Window 1 Entry Awning 24 "Hx42 7D 150, Ft NEW YO,RKER@.4Vindo'w 1. Entry Awning 24 "Hx42"0 .14*.covid ndoriTEntryAwning34 K `X548"D;(Height ndude`i,6a;volance) w ,:4;' 3Ft. NEW YORKER @Window /EntryAwning 24 "1x48 "D NEW YORKER@ Ea 124 4 Ft. NEW YORKER@ Window Entry Awning 24 '1x48' D (NEW YORKER@ Ea 124 5 Ft. NEW YORKER@ Window/ EntryAwning 24 "1x48 "D 1NEW YORKER@ Ea 124 6 Ft. NEW.YORKER6 'Window IEntryAwnmg 24 "Hx NEW YORKER@ Ea124 8 Ft. NEW YORKER@ Window/ EntryAwning 24 "1 NEW YORKER@ Ea 124 10 9.. NEW YORKERS Window /EEntryAwning 24 "1x48 "D NEW YORKER@ Ea 124 124.5 148 160 1 5829.95 12 Ft. NEW YORKERS Window /EntyAwning 24 "Hx48 "D 1NEW YORKER@ Ea (24 `148.5 148 (68 5939.95 14 Ft. NEW YORKER@ Window /Entry Aiming 24 "1x48 "0 (NEW YORKER@ Ea 124 172.5 148 176 $1,049.95 18 N EW Y O Q R €R W it a 1 �NEWYORKER�@ E1 (24 8 220.5 148 K 51 279095 eta, Ea 209 NEW YORKER@ Window /Entry Awning 24 "Hx48'D (NEW YORKER@ Ea 124 244.5 146 198 1,389.95 25 Ft NEW YORKERS Window /Entry Awning 24 "1x48 "D NEW YORKER@ Ea 124 3D4.5 148 ,116 $1.739.95 30 Ft_ NEW YORKERS Window 1 Entry Awning 24 "Hx48'D (NEW YORKER@ Ea 124 364.5 148 1138 :2,089.95 35 `t NE'W YORKER2 Window Entry Awning 24 "Hx48'0 (NEW YORKERS Ea 124 424.5 140 1158 $2429.95 40 Ft NEW YORKERS Window,t,Entry Awning 24 "14x415D (NEW, YORKER@ Ea 124 484.5 148 1178 $2,779.95 45 FtNEWYORKER 1 Window /Entry Awning 24 "Hx48 "D (NEW YORKER@ Ea 124 544.5 148 1198 3.129.95 EN 24-50 50 Ft NEW YORKERS. Window Entry Awning 24 °Hx48 "D (NEW YORKER@ Ea 124 604.5 148 1218 $3.469.95 M filliV ,24: "ar. :!A a" Te 7. 2"0thids¢es cnll_800= 200 5997 ;VOilik:.tiriv aiiihtech :t6iCFat tia7diokeeereiiiiTai e 57, :,i VVA} 70 a'`` M17,`AM To. order 1 Use Model ID 2. Color Name Note: Valance is not optional with this style NEWYORKER® SERIES LARGE LOW EAVES WINDOW /ENTRY AWNINGS H X D: 24X42, 24X48 NEW YORKER@ NEW YORKER@ (NEW YORKER@ NEW YORKER@ (NEW YORKER@ (NEW YORKER@ 1NEW YORKER@ NEW YORKER@ 1NEW YORKER@ NEW YORKER@ (NEW YORKER@ NEW YORKER@ (NEWYORKER@ !NEW YORKER@ (NEW YORKER@ (NEW YORKER@ (NEW YORKER@ (Ea 124 1E3 124 IEa 124 (Ea 124 +Ea 124 Ea 124 Ea 124 Ea 124 Ea. (24 Ea 124 Ea 124 Ea 124 Ea 124 Ea 124 Ea 124 Ea 124 Ea 124 4 0.5 142 130 52.5 142 134 64.5 142 138 76.5 142 144 100.5 142 152 124.5 (42 160 148.5 (42 168 172.5 142 176 196.5 142 184 220.5 142 190 2 44.5 j42 198 3 04.5 142 1118 3 64.5 142 1138 424.5 142 1158 484.5 142 1178 544.5 (42 1198 604.5 142 1218 40.5 148 ,130 52.5 148 134 64.5 148 138 76.5 148 144 100.5 148 152 17 %A MP 5379.95 $449.95 5519.95 5559.95 8669.95 5779.95 3899.95 51.009.95 51.119.95 81,229.95 51.349.95 51.679.95 52.019.95 52.349.95 52,689.95 53.019.95 53.359.95 r'rkI4SRP 5399.95 $469.95 5539.95 8579.95 8719.95 Style Photos: Pages 2 -3 Measuring Guide: Page 4 Fabric /valances: Page 5 Signage: Page 31 Other sizes call 800- 200 -5997 or visit www.Awntech.com wall. Make another mark at the center of (TB) This is where the top brackets will be placed. STEP 17• Install the brackets to the wall with the following hardware and tools. (The long leg of the bracket is against the wall and faces toward the inside of the awning.) CONCRETE BLOCK WALLS. (1) 1/2" masonry bit with a 3/8" shank, (5-8) 5/16 "x 3" masonry anchor bolts 9/16" socket. You will also need a roll of weather stripping. METAL BUILDINGS. (1) 2x6x8 #2YP cut into 12" blocks for the back side of the metal, (5 -8) .5/16. x 4" lag bolts, (5 -8) 5/16" washers, rubber installation strips (in the shape of the metal). .and a 3/8" drill bit. Bolt through the washer,. the bracket and the metal into wood blocks behind the metal. Before tightening the bracket insert the rubber strips between the building and the awning. ANY TYPE OF SIDING• (5 -8) 1 /4 "x 4 toggle bolts, (5 -8) 1/4" washers, (1) Flat head screwdriver (1)• 1 /2 'drill bit (or if you hit a, stud) (5 -8) 5/16"x4" lag bolts, (5 -8) 5/1,6 washers, (1) 3/16'' drill bit and a 9/16" socket. You will also need a roll of weather stripping. CONCRETE, ,BRICK OR STONE. (1) 1 /2 masonry bit with a 3/8" shank, (5-8) 5/16 x 3" masonry anchor bolts, (5 -8) 5/16 x1/4" bushings, 9/16 socket. You will also need a roll of weather stripping. STUCCO. (5 -8) 1 /4 x 4" toggle bolts, (5 -8) 1 /4" washers, (1) Flat head screwdriver (1) 1/2 drill bit (or if you hit a stud) (4) 5/16 "x4 kg bolts, (5- 8) 5/16 washers, (1) 3/16" drill bit and a 9/16" socket. You will also need a roll of weather. stripping. STEP 18 Place the awning temporarily 'up on the brackets to make sure that it fits prior to tightening the,bolts. In cases where the wall is not flat, you may need to install several bushings under the bracket so that the awning will fit properly in the pocket of the bracket. Remove the awning. STEP 19 Tighten the brackets to the wall. STEP 21. Over 5' only Using the same fasteners as you used on the brackets, level the (CNPM)s and secure them to the wall. d T CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 07 00000324 Application pin number 306404 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER 06 30 00 0 0 4930 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Owner Contractor CENTRAL WASH GAMING LLC 536 MARINE DRIVE PORT ANGELES WA 98362 36) 417 8114 COMMENTS /ACTION NEEDED ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Fee summary Charged Paid Credited Date 4/06/07 WA 98362 Permit ELECTRICAL ALTER COMMERCIAL Additional desc ADD 20 CIR ELEC SVR Permit pin number 98368 Permit Fee 133 00 Plan Check Fee 00 Issue Date 4/06/07 Valuation 0 Expiration Date 10/03/07 Qty Unit Charge Per Extension 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 15 00 5 0000 ECH EL COMM ALT ADDTNL CIRCUITS 75 00 Due Permit Fee Total 133 00 133 00 00 00 Plan Check Total 00 00 00 00 Grand Total 133 00 133 00 00 00 DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 DATE ACCEPTED YES I NO COMMENTS 1 I I 1 1 I 1 1 I 1 I 1 ExPi LL:2 o 6_21 1 1 I 1 1 1 1 1 I 1 1 1 PW -I 102.13 (4 1961 l Job wired by LK Electrical Contractor Owner Electrical contractor name License number Date Expires f LesiI- i 1✓ S r'w Et, ttt ELT, CT S t 12 UPI Purchaser's mailing address g 2_ Orc liciitli,i ed City r 1 II y (10--e-%' Sta c 0 6 Telephone number FAX number 4- 12?- Premists awner's name Lo Address of n p tion 6 i Ok. City i f-1 in ctQI,L Phone numb sr to sch Jule inspection Li CO- SR Owner as defined by RCW19.28.261 (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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28 WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signature off owner electrical contractor or electrical administrator Electrical Load Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date V-7- Date Date FINAL Approved By Date Dale Appr ed By Date Area, Building or Equipment Inspected DITCH \(Installation description Commercial Residential ELECTRICAL WORK PERMIT APPLICATION New at) Cash Check Credit Card �Visa n JL Card# V Expiration Date of card Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360 417 -4735 ROUGH -IN THERMOSTAT Appro ed By y Appr ed By Altered/Addition �.r 1t— Date Date Inspection fee 1 3 3 Service Information Voltage Phase 1 3 Service Size: Feeder Size. SERVICE FEEDER Action Taken Appr ved By J Approved By Electrical Inspector Mt} J I 1'-1'-' , 0' , '- , , '" , , "" , '- , , o , , .... , , , , 0l0l , (9E-o , <(<( , P.Q , , , , , , , M'" , "'.... , 00l/1 , 0.... , , , , l/11'- , 1'-1'- " , 1'-'" .-< , .., , m , 00 <: , "'''' '" , :>< MM 00 , ..:I -- .-< , I>: , Ol " .. , H :> :>: , ..:I H 0l0l P. E-o Q ZZ UJ ~~t~ 00 .,. Ol :X::X: M E-o 8;'i UJ p.p. 0 0 Z E-o':> .,. Z ,- l/1 ~ 01>: HO UJ I'-M E-oE-o E-o 0'" UJ UU Z 000 E-o 0l0l Ol "'0 Z p.p. :>: , Ol UJUJ r>lZ:>: .l/1 :>: ZZ r>l00 ..:1"'1'- :>: H H P.HU <("'I'- 0 E-o'- Z U I>:p.UJ HIo-lH~ P.HE-o "'''0l0 , 1>:..:1 .a<(0 , , OU::> (90:X:<>: , 0 :Z:UJUJ QJJU, '\J.) 0 W~ HUHlJ::I , , 0 IQ~fmO:E~ I ~ , 0'" E-o: : :::s:. , p. , 0 , <(aD t~ f-"'~ , :X:MI>: , U"', .... , cncn~~ .,. 1 P::: P::: rxl p:: 10:: ~rg5l:..:I Ii) IOCIJUMo '" , ~ H M 1'<1' ~HOl'..:I ?()/ 0 I MlC(:>::r:ON :z: <>:,':> 't 'Z~I>: ,'" H' , '" IHE-tC%1 '00 9' , (t)1~..::x:(I)::r:OO ..~: ~~:E~~g HQQ: ~ f;:) M W I r-- I'-Ol' H I>:MO 1%1 E-t E-l I 0 <:!:.... OOI\DHE-tZII cnw......... -;;;-~: Gi~o~~~ o li:I H 10'\ I O::J ~ IN , '" , O~l....... , '-E-o' .. .. .. .. .. .. ~ tIl 0 10 , 01>:' I>: <>: o P:: U 1M , ....0' 'Ill I>: -00 ~ : , p., ZO III , Q , E-o '~ , , W~IUJ...U , .... , P:: 0 I (I) E-t ~ H 1-0 0'0 , ~~: ~~E-t~~H H UJ' , ~ '-' '" , OlE-o' QZZZI>:p. P. , '" , g:u:~~8~~~ :>< ' ..:I , P. E-o , III , 1----- ~ ~ORT ~ CITY OF PORT ANGELES ~ c} ~ ,. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~;.... -=:;;;;....>f 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~ Application Number 07-00000924 Date 8/06/07 Application pin number 485884 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4930-0000- Tenant nbr, name MALIK ATWATER Application type description RE-ROOF Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 27550 Owner Contractor ------------------------ ------------------------ HENRY H, HEERSCHAP o T M SERVICES 111 BROADWAY 732 GASMAN RD HOQUIAM WA 98550 PORT ANGELES WA 98362 (360) 477-1519 (360) 775-0863 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - NO PR FEE Additional desc , TEAR OFF AND RE-ROOF Permit pin number 108548 Permit Fee 448.05 Plan Check Fee ,00 Issue Date 8/06/07 Valuation 27550 Expiration Date 2/02/08 Qty Unit Charge Per Extension BASE FEE 417.75 3.00 10.1000 THOU BL-25,001-50K (10.10 PER K) 30.30 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 448.05 448.05 .00 .00 Plan Check Total .00 ,00 .00 .00 Other Fee Total 4,50 4.50 .00 ,00 Grand Total 452.55 452.55 .00 .00 ~ - ,,/ 5 0 2 ~ ~ ~ " ~ 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 ~~~~~~~"YtJ:tk~;rlhe i:C~; any state or local law regulaling construction or the periormance 01 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building pennit inspection record05,wpd [1/4/2005] ~-_._- BUILDING PERMIT INSPECTION RECORD 0 CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTR1CAL INSPECTIONS, ,.J CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES I PLEASE PROVIDE A MINHvlUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ~ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSP1CUOUS LOCA TION. "" KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE. , ... INSPECTION TYPE I DATE I ACCEI'TED COMMENTS ..L YES I NO !'OUNDA TlON: FOOTINGS I I I I I SHEAR WALLS I WALLS I I I 1 FOlJNDA T10N DRAINAGE I DOWN SPOUTS I I II PIERS I I I POST HOLES (POLE BLDGS,) I I I PLUMBING 1 I UNDER FLOOR / SLAB I I I I ROUGH-rN I I I I I WATER LINE (METER TO BLDG) I I I GAS LrNE I I I FrNAL DATE ACCEPTED BY: I BACK FLOW I WATER I I I I AIR SEAL I WALLS I I I I CEILING I FRAMING \ JOISTS I GIRDERS I SHEAR W ALIJHOLD DOWNS I WALLS I ROOF I CEILING I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I T-BAR I I I I I INSULA nON I SLAB I I I 1 WALL I FLOOR I CEILING I I MECHANICAL ROUGH-IN I I- HEAT PUMY/FURNACE I DUCTS 1 I GAS LINE I I FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY I I I I MANUFACTURED HOMES I FOOTrNG I SLAB BLOCKING & HOLD DOWNS I SKJRTING I I' PLANNING DErT, SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING I l I ESA: I LANDSCAPING ___ "_ J_ ._ I SHO~LINE: I FIN-AI.. INSPECTIONS REQUIRED Nil-OR TO OC'CUrANCY/USE """'l0 I RESIDENTIAL DATE I YES I NO I COMMERCIAL I DATE ACCEPTED ~ YES NO J ELECTRICAL- LlGHTDEPT. 4\7-4735 I ELECTRICAL I ~ LIGHT DEPT cr. CONSTRUCTION R,W./PW/ CONSTRUCTION - RW. I CJ-. , ENGINEERING 417-4807 PW /ENGINEERlNG J } I FIRE 417-4653 I F1RE DEPT. I I I I PLANNING DEPT, 417-4750, I PLANNING DEPT. I I I I I BUILDING 417-4815 l()-Z,)~ ~u, .,BUILDING I" I "- T:\Policies\II02 15 building pennit in~ecli~n record05.wpd (1/4/2005] BUILDING PERMIT -" APPLICATION FOR OFFICIAl.. USE ONLY: Date Rec.: 03 -- O(o~O Fill out COMPLETELY and in INK. Your application, prescriptive energy Pennit #: O~ - qz.~ form, plans, specs, and a 8 Yz" x: 11" site plan MUST BE COMPLETE to be - Date Approved:..o & ,; 0 (0 7 accepted for review. (360) 417-4815 FAX (360) 417-4711 Date fssued: " Residential projects: submit two sets ofplans Commercial projects: submit three sets of plans Applicant or Agent ") p~ne / Owner fv\ ~ (~ ~ A-+I_...! ~. + e ,r p .;;.~ :?bo '/n-/S '; ~~~I ~) Owner's Address to LfJ.- ( S, A11 ~ A-Y1 q f Ces (!J Pf-J. C(g] f;2- Contractor/Engin~er l"J 'T ;11 \' ' ) OTfVlSES '1" 3 DB f' /' J I c.. (' \' State License # Expires Contractor/Engineer's Address 7 '32. r; o..s YI.1 C( 1/\ R d f,4- CfisJb2- Phone 3b()-77~- o~b3 S3(,J,'S3~ (\/l C{ v"; I'UL '0v. e,1).. ~fJ36 ?- PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0030 0000 4 q '3D TYPE OF WORK SIZENALUATION o Residential o New c;onstr. )(Re-roof o Stove SF.@$ /SF. = $ o Multi-familr- 0 Addition o Move o Garage SF.@$ /SF. = $ (' DC.C:H~.rcia ") 0 Rem~del o Demolition 0 Deck SF,@$ /SF, = $ o Repair 0 Sign o Other TOTAL VALUATION $ ~ 2- -: / s.- ~- 0 , 0 () BRIEF DESCRIPTION OF THE PROJECT: -t eC( \/ o~+ g {~-.(cof '" (' (;) iV) !/VlC ,rC-;-~ b-/d c, f , C u Lr'f'."1- -I /;r ~//l/L ~- COMMERCIAL/RESIDENTIAL: Occupancy Group: cr Occupant Load: nstruction Type: . Existing Structure(s) basement Sq.Ft & Proposed Structure(s) basement Sq.Ft. 1st floor Sq.Ft. & 1st floor Sq.Ft. 2nd floor Sq. Ft. & 2nd floor Sq.Ft. 3 rd floor Sq.Ft. & 3rd floor Sq. Ft. , Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq.Ft. Ma."dmum Height of Proposed Structure(s) Ft. ' TOTAL Sq. Ft. of existing & proposed structures LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint . , Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) - - V ALUATIONOF 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 417-48 I 5 for assistance. PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days afterthe date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated, (IRCITBC 2006 105.3.2) I hereby certify that / have read and examined this application and know the same to be true and correct, I am authorized to apply for t~is pe.rmit and understand that it is my responsibility Mmine what permits are required, and that I must obtain such-permlts pnor to work. .-M - - I( 0 *' ~-- Date ? - l.c ~ 6 -; APPlican0 U T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE.wpd - (\()~ b- )(0 - 0 7 (v~OJ [(. LA-. \i {~\jU IITl1f SERVICES jCN. ~j l>-- "The 'lWofing Professional" , \ ~~ (" ,/ 732 qasman 1?1 Port jlngefes W)t 98362 CiA .. \lll ~ o[fUe (360) 417-fJ124 CeU (360) 775-0863 rJ\J \ '''; ~ Contractor ~gistration: CYI9vf.%S*963(j)(J3 l J,e Cl Luensea-Insurea-43orufea ~ontract for Compfete CJ?groof Clroject 1 Malik Atwater Ref#1 131 Invoice#1 061307-131-001 Project Address:536 & 538 Marine Drive Estimated Start Date: 23-Jul-07 Port Angeles WA 98362 Phone: I 4771519 Date I 6/15/2007 Scone Of Protect: 1.) Remove existing roof and haul debris off site. 2.) Furnish and Instilll 7/16 OSB as sheeting as required. 3.) Furnish and Instilll the following roofmg material according to manufacture spec's: 40 Year ELK Laminate Shin!rle Color: tba: Single Ply Membrane on flat areas. Color: White Options: The following are included in Total Bid Price: a.) 30# Felt as an Underlayment. b.) Venting as specified: Elk High Pro/He Vented Ridge c.) Cleanup of all excess materials and debris associated with roofing project. d.) Furnish & Instilll New metill flashings were applicable. (black) e.) Furnish & Install new cap metill as indicated on OTM Services job plans. Owner to provide building permit. Exclusions:Dry rot; an aUowance has been made to repair the areas which are visible, but there is an exclusion 0 the areas which are un omen. Will be billed at time and materiaL f --- ~_on.",oo_..............d_"'_A."""'will"',,''''.'"' above prices, specifications and conditions are satisfilctmy and hereby accepted, The signing of proposals authorizes arM SeJvices to provide all materials Wld SeMces specified, In no event sball arM Services be liable for consequcntial or incidental .:.......",~ or algae growth of any type including 055, mold, mildew Ete, Acquisition and costs of any Wld all permits is the .~,.~."';bilily of the customer, arM SeJvices shall not recalibrate Wlyelectri<:aI devices on roof (salcllite dishes IE) Base Bid Price $27,550.00 WSST (8.4%) $2,314.20 Total ~ue t~ $29,864.20 xl/0/( Jk _(~ -' (~ --0 l Client S1fI1Ulture <Date ~/ o_.L.-~. .,,;! . ,1liiJe,o'-i cd'''.~o 2 0 CJ:r <Preparetf6y: //~/~Y.~~4 / :Mic!iaefCE. Schmitt mate / CYI:M ~ect :Manager 01'- ....0 '- M 0 '- l/1 '0 <: '" 0l0l JJ (9E-o rn <(<( 0 P.Q 00 '" '" l/1 l/1 '0 I'- I'- <: 0 0 '" , , l/1 l/1 e I'- I'- "'.... 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JJ ..~: ~~.cx:~~g HQQ ~t , ::>0000 , <-:;. f\) t""'" ~ 1 H:X:: H r"l 0 IllE-oE-o , at) I o..o:>o..H I I UJOl , ::;-~: ~~~~~~ 000..:1 , ctCL 0::Jo. , .... , 0:>: , '-E-o' .. .. .. .. .. .. 010 , "'1>:' <>: I>: UI>:U , 0' 'Ill I>: ,00 ~ , 0.' zo III ~ , Q , E-o '?i , M ~ . Ul -u .... , I>: 0 , UJ E-o <( ..:I Z 1-0 0 0 , ii:~: ~~~~~H H UJ , ~ '- , OlE-o' QZZZl>:o. P. M , g:(j: ~~8~~~ :>< ..:I , P. E-o III , ------------ ~ 90RT ~ CITY OF PORT ANGELES tO~~'1, ha DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION .. -=-"" 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~~ <0 -:l , Application Number 07-00000332 Date 4/03/07 ~ Application pin number 469332 b> Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4930-0000- ? Tenant nbr, name VIVIAN WAI Application type description COMM FOUNDATION REPAIR Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 10000 Owner Contractor ------------------------ ------------------------ MALIK V ATWATER/VIVIAV WAI ALPHA BUILDER CORPORATION 6421 S MT ANGELES RD 1028 W 13TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-3551 (360) 775-0759 ---------------------------------------------------------------------------- Permit BUILDING PERMIT - COMMERCIAL Additional desc . COMM FOUNDATION REPAIR Permit pin number 98475 Permit Fee 207.75 Plan Check Fee 135.04 Issue Date 4/03/07 Valuation 10000 Expiration Date 9/30/07 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?0qi: ~ ~ ~ 01. ~ t\) '-f 2___ D 09 J - Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, 4 /D~ ~I ()v~ l~~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) / Date T:\Policies\l102_15 building pennit inspection record05.wpd [114/2005] " - ----------- BUILDING PERMIT INSPECTION RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS, 0 CALL 417-4807 FOR PUBLIC WORKS UTILITIES ~ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' IFOJU, BEFORE I INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TION. u3 KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE, \N INSPECTION TYPE I DATE I ACCEPTED I COMMENTS ~ I YES I NO I FOUNDATION: I FOOTINGS 15-~~O-7 I-rLL I 10\/1'3101 Fovn~t-\ol'\ ~cUr JLL I .. I I I SHEAR WALLS / WALLS I FOUNDATION DRAINAGE / DOWN SPOUTS I I I POs+ l't Plet- woH<' ~l,L- 5)3-0/ I I PIERS I I I POST HOLES (POLE BLDGS,) I I PLUMBING I I UNDER FLOOR / SLAB' I I I ROUGH-IN I I WATER LINE (METER TO BLDG) I I I GAS LINE I I I FINAL DATE ACCEPTED BY: I BACK FLOW / WATER I I , I AIR SEAL I \J( I WALLS I I I I \N I CEILING I I <5"' I FRAMING . :3 I JOISTS / GIRDERS I I I SHEAR W ALL/HOLD DOWNS I P I I I ..,. WALLS / ROOF / CEILING -/ I I ~ DRYWALL (INTERIOR BRACED PANEL ONLY) (b T-BAR I I I INSULATION I '\7 I I I ] :r SLAB WALL / FLOOR / CEILING I I " MECHANICAL I ROUGH-IN I I- I HEATPUMYlFURNACE/DUCTS I I GAS LINE I I FINAL DATE ACCEPTED BY: I WOOD STOVE / PELLET / CHIMNEY I I I I I MANUFACTURED HOMES I I 1 I FOOTING / SLAB I I BLOCYJNG & HOLD DOWNS I I SKJRTING I PLANNING DEPT, SEPARATE PERMIT #'s SEPA: I PARKING/LIGHTING I I I ESA: I LANDSCAPING I_-___~_~.:;OREL~=-,_, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE J RESIDENTIAL DATE YES I NO I COMMERCIAL DATE I ACCEPTED YES NO I ELECTRICAL - LlGHT DEPT. 417-4735 I ELECTRICAL LIGHT DEPT I CONSTRUCTION R,W, / PW/ CONSTRUCTION - R,W. ENGINEERING 417-4807 0 PW / ENGINEERING I FIRE 417-4653 FIRE DEPT, I I PLANNING DEPT. 417-4750 / / L~l PLANNING DEPT, BUILDING 4/7-4815 IJ /Z1.t71 BUILDING I T:IPoliciesll J02 15 building penn it inspection record05.wpd(I/4/W05] ,'( ---- ,. O' '::.':' '''VG"r. .s.....~'I"t;p!jjj:t;;,.., (s' FOR OFFICIAL USE ONLY: ~~\ BUILDING PERMIT - APPLICATION '/;.ate Rec.:~/V>/.J:22 l\~~ ~.- ~!' ,=;", r9~ ,~1 Fill out COMPLETELY and in INK. Your application and site plan MUST B ; ate APproved:Y 9 COMPLETE to be accepted for review. If you have any questions, call Date Issued: I PERMITS (360) 417-4815 FAX(360)417-4711 , I - - VIVIAN WA\ ~ Applicant or Agent: Phone: Owner: VI") AN WA\ ' Phone: (3~O ') 4 S 2 - 3SS I Address: (olfZJ '5 MOlANI ANbf:U::S iZD " City: 1=6e::- A NfmLtS . Zip: g R 3toL Architect/Engineer: Ll SEAC--nNC, / ,\Ol-\t-l Phone: Contractor I(~ N 10 p, I b.. ';:; State License #: Exp: Phone: Address: 1()7..R \rJ~5>~ I~ S '/ city:$-f /4-r~.I-7 Zip: PROJECT ADDRESS: C,3Qr Mc...I7_-" Nt-. b1'2.-\\Jt'--, ZONING: L'b/-4t" -rND~<;''''''Q.J LEGAL DESCRIPTION: Lot: Block: Subdivision: , CLALLAM COUNTY PARCEL NUMBER: - TYPE OF WORK: SIZE/V ALUATION: o Residential o New Constr, oRe-roof o Stove SF,@$ /SF. = $ o Multi-family o Addition o Move 0 Garage SF.@$ /SF. = $ ')4'.. Commercial o Remodel o Demolition o Deck SF.@$ /SF. = $ ~Repair o Sign o Other TOTAL VALUATION $ /0,000 .~ BRIEF DESCRIPTION OF THE PROJECT: ( r:.MIV\~eP_\ A.L.... ~,^/'o,ID.r::,.l)QN Er=:.':\>A 1\7 I COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: - Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY: APPRO V ALS: PLAN: BLDG: DPWU: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FIRE: OTHER: J VALUATION OF CONSTRUCTION: In aU 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: Ifno 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\B1dgPermitform,wpd Applicant: ( ),~ . ~ J.-.. )"--._- Date: ~ l=sc)1....oof( - I I r--- I L--A lWATER, 's ~o(P -q3~ ROUTING SLIP Certificate of Occupancy $50,00 Certificate/Inspection Fee ~-2~.06 . DATE: New Business, . . . . . . . . , , , . . . , , . , , . . . . , . . , ) Address of Proposed Business Transfer of Business location . , . . . , , . . , . . , , . ) 53b Ma.viVle.. Dr-: Change of Ownership ."..",.",..,.. ." ) Applicant Ma.' i k A1-wa+e r New Building ",.."..",...".,."....,. ) A~dres~ ~I, S. (\At. ~\.p~ Pel, Remodel".".."..""."."., ,...",. ) -~---,&-~lP- ~ ( W A 'l <6' 'S ~ L Temporary Business, , , . , , , , . , , . . , , . . , , . . . , ) Phone: business~O-l(~-tSI1home3WI/Se3S~1 Change of Use ,...".".',. ) Brief description of proposed business: Qp R+av.vJ / legal Description: lot Block ~RdiVision I Current Use of Property: M i c.\(.e ~'~ Co.. <:. I VI n J. S po (' fc;. (;(~ V ct G. v; , I Zoning Classification of Property: L', ~~+ L1c1.t\ / WILL THERE BE ANY OF THE FOLLOWING? YES NO E FOllOWING Will BE REQUIRED: Construction changes, . . . . , , . , , . . . . , . . . . , . . . , . . ~ PER ITS BUSINESS LICENSE Electrical changes, , , . . . . . , , . . , , . . . , , . . . , . . . , . . X 1 Building 1) Taxi Mechanical (heating, cooling, stoves) ",...,...". X 2) Plumbing 2) Peddlers Plumbing changes. , , . . . . . . . . . . , . . . . , , . . . . . . . . . ,c 3) Electrical 3) 2nd Hand Dealer 'vI New or relocated signs . . . . , , , , . . . . , , . . , . . . . , , . . 'X" 4) Mechanical 4) Pawn Broker \)0 New septic tanks . , . , . . . . . . . . . , , . . , , . . . . , . . , . . . ,( 5) Sewer 5) Dance New sewer service. . . . . . , , . . . . , . . . . , . . . . , , . . . , . X 6) Sidewalk installation 6) Hotel - Motel ()' Admission charged to patrons ". , . . . . , . . . . , . . . , , XI 7) Driveway installation 7) Fireworks Is this a home occupation? , , , . . . . . . , . . . . , . . , , . . . * 8) Curb installation 8) Ambulance 3 Excavation of filling of lots. . . . , . , . . . . . . , . , . . . . , . . / OX 9) Sidewalk obstruction 9) Tattoo shop ~ Work done in City right-of-way . , . . . . . . . . . . , . . . . . . y 10) Water meter installation 10) Other ""'i Is there sufficient off-street parking? . . . , , . . . . . , , . . . 11) Fire :;' New driveway openings .",......",...,."".. -X-- 12) Occupancy r A grading plan for site drainage . , . , . . , . . . , , . . . . . . X 13) Sign (parking lots, downspouts, etc.) .. , ... , , ..., , ,... , 14) Shoreline 0 Are the existing streets paved? . . . , , , . . . . . , . . , ,., yo 15) Home occupation <) Are there existing sidewalks? , , . . , , , , , , . . . , , , , , , .)c 16) Conditional use . Is there curb and gutter? , . . . . . . . . . , . . . . . . .. ..., >c 17) Other Other......",....."................, ..,.., I hereby apply for a Certificate ofAcupancy and acknowl- ~ _ - 0 6 edge that I have read this apgllcation and state that the Date: 2 S information I have SUP7lied 's correct to the best of my , -vl;1 ,. (j'L I1-LWI- J-- knowledge, Signed: J V l fA.J().Y( (.u I D...UA.. REJE;C ED Comments / Conditions Building Section . .;/ Public Works Department Il}zfe; P:r J; ';'. L. , . ~R / Planning Department moo€- t>V~1 V'lP.c,<; Ie; rJ,,~p~.Ei IS II Fire Department \Jf -tbr- <S.(,\.,le. ~I. + '{'\pWVr 'is -Z5-C(., W City Clerk (!)fen.~\ G\.S CL v--e.s.+zt.uV'll1'\-t- P.B,I.A. uV\cler-fh,> Dl.ut'\er. '" e. !i?ORr~ CITY OF PORT ANGELES t~O~~~ ha DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 1'f,_~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number 05-00000694 Date 8/01/05 Application pin number 742890 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- Application type description SIGNS Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 2480 Owner Contractor ------------------------ ------------------------ C",!n><AL WASH. GAMING LLC. PENINSULA AWNINGS \j\ 536 MARINE DRIVE 410 CARLS BORG PORT ANGELES WA 98362 SEQUIM WA 98382 ~\.) ( 36) 417-8114 (360) 582-9284 ---------------------------------------------------------------------------- \' Permit SIGN Additional desc . Permit pin number 56382 S Permit Fee 47.00 Plan Check Fee .00 Issue Date 8/01/05 Valuation 2480 Expiration Date 1/28/06 ~ Qty Unit Charge Per Extension ) .,- 1. 00 47.0000 PER S- SIGN LES THAN 25 SF 47.00 :s ---------------------------------------------------------------------------- \\ 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 ,. . . ~. 0% lie( "%6 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. S;9~dt6;f ow;',;, bUHd: ff-J"!)~ Signature of Contractor or Authorized Agent Date Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] '- D Electrical Contractor s .. "',.-. ..... .,. -,. -'I - , ;ri D Owncr ~"",..., ELECTRICAL WORK PERMIT APPLICATION o Request Inspection 7 ~ o Annual Permit 0 Alarm (:J Carnlval....ef" Commercial CJ Re5ideDtlaI a Residential Mai.at. Q Signs a Thermostal CJ TeJec:om. Job wired hy D Owncr Installation description D Electrical Contractor Electrical contractor name License number HI-.,-...._~ S~"R.\-.'i' r,,-,c.... 1'irn.~T~ 'tSSBS, r.... S.,......I \ So ~t:..J ~\ "t-'f Purchaser's m3iling address "'t 23 'Z".s., ~,.,-.- Sd- <;. 't-e.V""". C~-r State ZIP f\.>->{,fJ.4\,. "->1'>, 983'G, 'L Tclepbl>nc number FAX number 3G>" "'-152 _2'9'2":/- 3WD- 4~2- 8 S-~ to Premises owner's nAme (\'l\c.\L1:'TS ~!l"'.:"S BAR...., AddrC5$ of inspectlon S:S:(.. vY\A~\" ~ ~\>J~ C'~ I d'lia.~ ~\.o<:. uJA, 'ta3~L D Cash Cl Check # 0":- t-\ \l. I bert:by certify that I am the owner of the above namt:d property or a licensed 2"Credil Card Vi.", Mastercard Discover electrical contractor (or the firm's authorized agent) and am making the elcclrical installation Of 31leration in compliance with the elccaicallaw, Chaptet 19.28 RCW. Card # - - - ---------------- Si~Dature of owner. eJqt{r~a~~r 0,. c1cdric.lll administrator Expirdtion Date ( JnspcctiOI\ fee \.X~NL '" ~\ '\ of card $ ~2., 20 ~ \ ) WALLS /'\/ CEILING THERMOSTAT SERVICE Insulation Only III$LJlation Only O;tIC ^f'l'lrovcd ey D~tc ~lVt'wB)' [);tlt: Ajlp1'(I.OIJ Bl" Dllo.: Allllruvnl By DITOI FEEDER Cover Cover O;tIC ^Pl'fOved. By D~ ^l'provcdJJy "- nate AIl"r(I~Bl" D", A\lllro.."d Dy ^ , 1 .... Electrical Load Additions and or sublracUons o NO LOAD CHANGES a Baseboard KW a Furnace _ KW Q Heat Pump _ Ton ._...._ LAR o Fan.WaJl KW _Sl'.rvice Infol'J!1aliP..!! o OVGrhaad Service o Temp Service D Underground Service Voltage PhaseD1D3 Service Size: _ Feeder Size: lnspection Area, RuiJding ~lr Equipment Inspcr:tcd Action T.,ken Electrical Date Inspector 11.lk~ /;Je:- ,6..iY.. 4-,- AI7 AC.:0 -- - ......- /--.. ..i--- _.._v &0 .. -- -....-.. ~_c P.L__.__ . ..-. .. .-- ._up.___ / o 1d Wd~[:10 S00C 0c '.~O 09S8 cst> 09[ 'ON XtJ-" S)INO~1)3l3 H)31-IH WO~-" 06/22/2005 08:45 3604523498 OLYMPIC ELECTRIC PAGE 01 C\A~ ~ WI Illl Electric.1 Contrador I:J Owner ........... C AnDltal Permit D Allr,!, 1:1 CarDiv.l ~mrnercial ELECTRICAL WORK PERMIT APPLICATION o Request Inspection 111$laUatioTl (lC:Acrilltinn Job wired by I:J Electrical Contractor I:J Owner .&/'/.I'.:7r..- r &,:7~~~/;P' . EJec:tricll c:ontrBClOr name:: License number OLYMPIC ELECTRIC CD., INC. OLYMPEC285Dl pm-chaser's mailing address 4230 TUMWATER Cit)' State ZIP PORT ANGELES, WA 96363 Tcleptlone number FAX numoC1' (360) 457-5303 452-3498 l'rJij,sc'!t.""S name IC 's C;1I/ n('? A.d dren 0 n ipectlaTl {"!r. M,.1n"'~ Pr. CltlO /1-:;:" rr ", I:J Cash I:J Chcek # I hereby certify that I ant the ownt:r of the nbove flamed property or a licensed rpO;;dit Card ViSll Mastercard Discover electrical contrnctor (or the firm's autbori7.cd agent) and am making the electrieal instaUaticn {'or altetatio\\ in compUanc.e with t'be c\cctri~lla.w. ChatltCT 19.28 RCW. Cardll. - . . ----------------- SitftSltur~ or owner, r:lectrieDI tontnctM or t:lectrical ndrrlinhltrator Expirntion Date e Inspc~/n fcc X of card $/;. ~ '- ~ tJ R<<ldenliol 0 Residentlalllfnlnt. tJ Signs 0 Tbermnstot 0 Tele""l'" WALLS "" Ins.ulBtio" Ortl)' Dille ^\lPn.....eft By Covet Onle ~flftlvedBy ,/ '- CEILING lnSlll.nion Only Dlle "M'rovl.'d~~ Cover UnIt Apptoved By \. t' THERMOSTAT D~l~ MflnlVodily I DITCH "- Ollie ~mvtd(3)' ( SERVICE " 0111<:: MrmveclBy / I FEEDER DDU Allllft'I\"I:d By ./ ~al Load Addl!i2Ds and or 9ubtracl~ o NO LOAD CHANG~S \:J Baseboard -.m \:J Foroace JI2. -.m ( 0 [J Heat Pump 1. Ton _ LAR .", Go a Fen-Wan _KW ~ t:J Overhead Service l:J Temp Service CJ Underground Service J!.ervlce Information Voltage --7- :at:? Phose 1:1 1 Servioe Size; _ Feeder Size: {; .~ ElecbicO-l Inspector , {b 0\7 lnspection Dlltc Area. Buildiog or Equipmen1 In,!,cctc" AClion Taken r/AJV.lt4CL ;:IM-r r'vr, ,~, ,--' LVtc':..'.lc -::l,), \ ) ) \....-- . -- , /fr'f' ,.--.,> - -AT-D /Ia7 " '.' ELECTRICAL INSPECTION WiRING REPORT 417-4735 PERMIT ;/ INSPECTOR I..~ /71/C-k~, S/'<"~ I ADDRESS ~ ~ / . .-/ :;..7~ ;"?7 ~..-vt:- A 71J:... L.k:. APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER ......... . .... 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: @ ...f'bnDV....~ ~ rk'l./Y.JV<;;,.t.>n" t?9~5 / N A777 c.. ..AZ5';,. ....-:c ~'^',o H/1'~ 4//~ / /f'u /.Ai:?",~/'"",,,,.kt:T a) LbeJ t//),,~ L,N,4n~h /~ ~"'~.JV<; ~ ~/?<t.~.oJ .RF' C'Uf""-~ LJ u-"..,-r ;C)''.$c:..<~;<Y'/i.,U'~~ /E'-e&."" f /,c3:: Cil ~r' m,)L?,71~ ~:l<,/.irc'.-r:T, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 /' ~ w ~QI~ # 2, . . , 11/05/2004 18:23 FAX 3604523498 ,-.::...:o-u..:o; <'..~c....I\,I;-....:' 'j' ~01'<T ':""-G;:::LE,S OLYMPIC ELECTRIC ;3tiQ417..711 ELECTRICAL PERMIT APPLfCA nON fIOR OP'F1c.lAI.. Us.I: ONLY """,,,",. ~.. ra..~oICIt -- The E Iactrlcal Permit Applicafion must b8 flll.d oul comDfetetv. P'...e I)ope 01 "$WIn' In Jnk. tr you have any queattona, pl..... cell (350) .17~7'35 Fax num~.,.; (:HID) .17...711 o...-",EI.c:.CcnIr."""Ae""~ Olympic Electric Co., Inc. Phone: 457-5303 P",~.rtyOwner. 1J'C./2 <- 'jP/?rr ,,('?r .,1-;;::;// / / Acldr...: ,,,.I ~ ,vJ, ry:/7 r 17r CIty: A?r r 49".... ~.r EI_COn~oetor. Olympic Electric Co., Inc, ",.......#: Q~lE.p: ~ 4230 Tumwater a~ Port Angeles Fax: 452-3498 "//7-;;;//'/ Zip 'i8'x '? Phone: 457-5303 Zip: 98363 Phofle: 3/31/03 INSTALLATION WIRED BY: DOWNER I!l E"ECTRICA" CONTRACTOR Credit c.nIHolder N.",.: Charles T. Burkhardt, Olympic Electric Co., Inc. BIN/fig Addrwa: Same City: Credit c.nI Number. Exp. Oate: ZIp: VISA: X Me: PROJECTADDAEB4: 5J? 41,7/0'7,.= p/: TYPE OF WORK: Check l!l11hat apply: 0 New o Resldenll8l 0 Multi-family ~ommerCial o Mobile Home Sq.Fl Q --t \ DSlg ....... ~ CA I\: I ~rallonlAdd~\on o RamoI8 Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . 0 UlW Voltage 0 Te19OOfTl. Number of ClrcullB added Dr eltered: OESCRJPTION OF THE ELECTRICAL PROJECT: 17 / j) ~ /J / __~,;- Coco /. 5' ~c7/9fl1? Jt;2f /:7l7rh E'ect~.1 I I\1I",e Addition. and or subtraction. Service InfDrmatiDn o B......bD8ltl o Fumeee CJ Heat Pump o Fan-Wall KW KW _TON KW !.All 6em&Bd Service o Temp SoMC8 o Underground Service Voltage: / Plla.e: 01 If{ 3 Service Size: h/2?4/1? Feeder Slze:__ , ~ PAMC 14.05.060(8): Fa< induslrial, commercilll. & re&idenliBI projects larger than a dUplex, e one - line drawing of the Electrical Service & FeedenI. building size (sq. ft.), load calculatiCll18, end the ty P9 & of conduclor8 encIIor raceway is reQUired and shallaccom pany the EleclrtcBl Permit eppllcatlon. I hereby certify thaf I have reed and examined this application and know that same to be /rue and correct, and I af authorized to apply for thIs permit. I understand it is not the City's legal onsibility to determine what permits are required; it remains the applicanls responsibility 10 determina what permits are required and 10 obtain such. Ownar or Elec. Conl. Signature: Dole: 1115- /OcJ Do": /! / r/,;;;<j / If C; :!!? Cred~ C~rd Holder'. SIGnal,,",: PW-901917103 .\-=.2 /<': ':::. '\ ['>~ .' .'" ~--_.-. .' -~< ..- .-- '\); ,--'..} - ?..--, . I: \ .-:.__L..2....-j ~.-_/ ',. . ,; " t /J -. " - ----'-;. r " C'~" 'l"y lIG" IEllEClfAWCAl ~NSf?lIEC1r~ON W~IRl~NG IRlEIP'OIRl1r 417-4135 APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER...... ... .. ... 0 o ...,.,."......... SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . ' . . , .. 0 ~ ~ tLJ~ ~~AA, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 462-1381 ;:::.cSO...17...71' ~01 ... 2/_, 06/08/2004 14:33 FAX 3604523498 '-"''':-U-"" ~:~o_M;"':'; I, PUH\ .':"r.01::O~.=S OLYMPIC ELECTRIC (j ELECTRICAL PERMIT APPLlCA nON JIOfl DmCIAL USE ONLY -... ......-. o...~_: ~ _Il-t The Electrical Pel1l'lIt Applicafion mU5t D. flll.d auf Cat\Ol ~8tBfv. Pl.... type or ,elWint 1n InIL "you have any que.tlona.,...... C1111 (310) 41''''735 F... number: 'MO) "t7-41tt o -LiSe Clwrlot..E~Canb._Ag...t 01 ymp i c ::::7~14;f;;~;:-;; Elect! ic Co., Inc. P""ne: 457-5303 Fox: 452-3498 Phone Jf/7-!?//'I Zip: 'irX.7 3/31/03 Phone: 457-5303 ZIp: 98363 e_eon_r. Olympic Electric Co., Inc. ~ 4230 Tumwater iM/? ..r &A'n L Cf\y: Jb/?T /9#~.//~5 L_" 0-YM=EI.::2B:D1e"I" , 01}< Port Angeles INSTALLATION WIREO BY: o OWNER ~ ELECTRICAL CONTRACTOR CNditc"rrJIIoIdfwN.",.: Charles T. Burkhardt, Olympic Electric Co., Inc. BlUing AtItItwN: Same Credit c"nI Number. City: Exp. Da": Zip: V1$A:~ Me: , PROJECT NlOIIE8': ' /)J,0 ,t11JJ?T.I$ J/J? 7bRr /'JU'~R f/ ~\Ion1Addl\lon TYPE OF WORK: Check BIllhat apply: 0 New o R88ldent181 0 Mulll-f8mily 1IT'C0mmerCial o Mobile Home Sq,Ft. o Remote Meter 0 Detached gerage 0 Hot Tub 0 Swim Pool 0 Septic Pump , '0 Low Voltage [] Tel8com_ 0 Slg Number of ClrcuIlIl edded 0< eltered: DESCRIPTION OF THE ELECTRICAl PROJECT: ,,400 C/ dt!a-/'--r-5 "f- _ J7~-i//~n /.-/6.1-/-rS L T ME-TEl? (ju A L) E.lec::I~' I ftA#I &.oWltlon. and or .ubtr&ctlona Service InformatlCln Cl BaaeboerO ClFIIITI8Cll Cll-loet Pump o Fan-Wall KW KW - TON LAR -KW- o Ovemesd Service o Temp SllIVlce o Underground Service Voltage: Phne: 0 1 0 3 Servk::e Size: FeederSlze:__ . PAMC 14.05.011O(8): For Ind_, comm"rci81, & ......idenliaJ projects latgeI" than a dUllIex. a one - IJne dtawlng 01 the ElecIri<:al Service & F88deI1I.1UIcInll alze 1M!. It.). Icad C8Iculationa. and the ty D8 & of conduc:lonl /II'IdIor _ay Is required and aha/laceom Deny the Elacl1icel Pennlt 8IlllI_n. o ~ JjJ I hereby ceItJfy that I have I'89d and examined this application and know that same 10 be we and correct, and I af authorized /0 apply for this permit. I unden;/end it is not the City's legal responsibility to determine what permits are required; It f8mslns the applicants responsibility t ermine what permits 8re required and to obtain such. I\o[oi-~-.'.- 0~, Owner or Elec. COnI. Sian_lure: Dolo: bU lor 0...: 6/$ /??t( PERMIT FEE; $ ~': 41'- - PW-901917103 1C;~;Z[2J [)i lJC:2.".%7/L!:::/ ;!ct} t. /9 Jot( ~'I-'/58-01 159 /10 . /- S cnt.cu,lr:. ---- BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: I FOOTINGS WALLS I FOUNDA nON DRAINAGE 1 DOWN SPOUTS I PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) I GAS LINE BACK FLOW 1 WATER I AIR SEAL I I WALLS I I I I ! CEILING I FRAMING JOISTS / GIRDERS I I SHEAR W ALLIHOLD DOWNS WALLS / ROOF 1 CEILING I DR YW ALL (INTERIOR BRACED PANEL ONLY) I I T-BAR I I INSULATION SLAB I I I WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB I I BLOCKING & HOLD DOWNS I SKIRTING I I I PLANNING DEPT, SEP ARA TE PERMIT #' s SEPA: PARKING/LIGHTING I I I ESA: I LANDSCAPING I SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE I RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO I ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R,W.I PWI CONSTRUCTION - R.W, ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT, BUILDING 417-4815 BUILDING T:IPoliciesl 11 02_15 building permit inspection record05,wpd [1/4/2005] -- . . FOr->.: OFFIC~~E ~\ILY: BUILDING PERMIT - APPLICATION Dalf::Rec.:~ L os Pennil1l: (J ,ti ;. (, Fill out COMPLETELY and in LN'K. Your applicatior:: and site plan MUST BE Dale Approved: tl { C01\1PLETE to be accepted for review. Ifj'Oll have any questions, call Dale Issued: ~ PERMITS (360) 417-4815 FA.X(360)417-4711 Applicant OJ Agent: -;;; Ie '< /.... ~ ~ Phone: ( S CJ q 1 66 'x-- - 1'-1 J Z- / , -- Owner: Q~ ~\ 'Wo...:c; l..f+"," 'Cl...w\ I ~ C- Phone: (S09) b b 7f -1'1 I c:.- Address: ,r:; 3 ~ tn..:J... VI } V\ t" 0 Y' j City: PC> .", t A I/l J e-I p -~ Zip: 9 7t 3 (b 2.- Architect/El1gineer: fJCW:v~ 5 fJ IlL S iJ \liS + A vJ h \ "'-J ~ Phone:&b D'> L./ L7 - ~fr Contractor 0 W\1. ~ V'" j WI.. ~ h.. \(~ State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: 53' ., 1Yla...., ~ n.L ().... ,\Ie. ZONrnG: .',",,"- ,-"",;,,~,"'''-''--''';.' '""".' . ~'_.-.~ -.-" - ... --' . LEGAl DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: ..__.-, .. ." _. 0__ h _._ .. -..-... .---. .-- . . -....... -. ... --...-....-... -, Credit Card Holder Name: ---- Billing Address: City: Credit Card Type VISA MC # Exp. Date: T1TE OF WORK: SIZE/Vi\..LUATION: o Residential o New Constr, ORe-roof o Stove 1'15 SF.@$J3777/SF.=$ tllJ.{rJj.~ o Multi-family 0 Addition o Move o Garage SF.@$ /SF. = $ ~ .. CU.l.J..W..1ercial o Remodel o Demolition o Deck SF,@$ JSF. = $ -'t o Repair ~ Sign o Other TOTAL VALUATION $ BRIEF DESCRIPTION OF T.t1.l!; PROJECT: ~~ j ~;",-4- i h. r; ~ k- "I f ')l.. /.(' e:,11 ,J:b..~ ~ It fe. ~l.- A) t)..M@ 0,", 13 u~ ~ ~ k,P~~ Uai- k s; J ~ ~ COMMERCIAL/RESIDENTIAL: Occupancy Group: PJ Occupant Load:!f)D -I- Construction Type: V-A) . No. of StoIies: - Lot Size: Existing Sq. Ft. & Proposed Sq, Ft. = TOTAL Sq. Ft. Total lot coverage % PLANNING USE ONLY: APPRO V ALS: ....~. -_..._.._..._._-~----_..._- '""-'" -....--.. ....--------... ..-..----- PLAN: BLDG: DP"\VU: FIRE: ESNWetland(s): 0 Yes 0 No SEPA Checlc1ist required? 0 Yes 0 No Other: o Tl:Ui;R: 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'he: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 RE"\' ill VII: If no permit is issued within 180 days of the date of application, tlle 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 R1 05.3.2 of the International Blli1ding/Residential Code, 2003), No application can be extended more than once, J hereby certify that J have read and examined this application and know the same to be true and correct, J am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that J must obtain such permits prior to work. T:\Policies\BL-l102_13.wpd Applicant: ~1 -;1 - ,Date: 9r' --1- () <:: c:7' - . . . . ! PROPOSAL ~ +-> ~ : P.o. Box 104. Q..li~ WA 98324 : .........- ..~ ~ i - ..- .... .....-. -.-.... WORK 10 BE .. cr.rvRMED A"r. -/3-0~ AIXIABS - - ~ - CITY. STATe . DAtt OF PLANS /; .1., ".led wilNl'I daya. Of$ .... . .:~-_l PaymenIS will i SlGMATURF DATF . SlGNATUflI' ~ 9450 : "- --, . , . . , . Peninsu~ SIGN AWN I , S Port Angeles. WA Phone 360-417-9548 Fax 360-452-6778 I 2.. Mie/!(Jl( (J MlfJk61t (J II\ID~. '11111 I'IITIIII SPORTS BAR & GRILL & GRill j ~ , -I g ~~!~~~ _itlt-B.". .alll ..- .,tIDIR ~n~o:r1Ir'f>(1"N'cra.a.<::Jt) SPORTS BAR li~ & III~~ ' j.' . ~' & GRill '11, ~ 51~ \.\.. : I I I ------- - - --- . - - l 4- ~I - ~ . ~,- 1% ~wi ~ . ~i ~ g ~ : Z n.. J ID ~ II I :.c( rt I t' . .:J '@ ~ 4-~ * ~ : , . - .-..-...... .a:: -... ---..1 ..:--- " /' !;::.:. .. :t~. . ~ ii .. . \: . ! 2- , III z - - 2 I \J ,.! -.J A -I .' I' ...!, i ~ J ii~:r ! ..b ;.I1_~ t ZUl i.~"- t=~ - .. l,iiJ~ ZL - - " u.- -'01- ~::> .\1' .. ~ I 1 +'-.-/ I f II' -r I , j r I .. . I. . .. - 't; CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98:\62 ~ " -'. .. Application Number 05-00000481 Date 6/28/05 Application pin number 839292 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- Application type description MECHANICAL PERMIT Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 15250 Owner Contractor ------------------------ ------------------------ CENTRAL WASH, GAMING LLC, "PENINSULA HEAT 536 MARINE DRIVE 502 W. 8TH ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 ( 36) 417-8114 (360) 457-2775 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc , OLYMPIC EL/ HP, FURNACE Permit pin number 52761 - Sub Contractor OLYMPIC ELECTRIC Permit Fee 61.30 Plan Check Fee .00 Issue Date 6/28/05 Valuation 0 ~ Expiration Date 12/25/05 Qty Unit Charge Per Extension 1. 00 61. 3000 ECH EL-COMM ALT <5 CIRCUITS 61,30 6' ---------------------------------------------------------------------------- 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 ~ ~ ~ ('\ t> f\ '" - . : COMMENTS/ A,(TION NEEDED -- rn I ELECTRICAL PERMIT INSPECnON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I AL,............. COMMENTS YES I NO DITCH ROUGH-IN I COVER SERVICE FINAL I I I lx.fJ/~o I,). ~,;; I -oS j GENERAL COMMENTS: ,PW.II02.I~ 14I96} ~ 4 . - : . ~ pORT ~ CITY OF PORT ANGELES ~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 0 " -=:.:0' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 \Sl '- , ~ I ...t: Application Number 05-00000481 Date 6/22/05 QO - ., Application pin number 839292 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- ..Application type description MECHANICAL PERMIT Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 15250 ,.... Owner Contractor ------------------------ ------------------------ C""uttAL WASH. GAMING LLC. PENINSULA HEAT ...5.36 MARINE DRIVE 502 W. 8TH ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 ( 36) 417-8114 (360) 457-2775 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc . THERMOSTAT Permit pin number 52076 Permit Fee 36.40 Plan Check Fee .00 Issue Date 6/16/05 Valuation 0 , .,.. ..,Expi.ration Date 12/13/05 Qty Unit Charge Per Extension 1. 00 36,4000 EC EL-LOW VOLTAGE 36.40 ---------------------------------------------------------------------------- ~ ' -- - .. 'Pe'rmi t MECHANICAL PERMIT Additional desc . OJ Permit pin number 52068 Permit Fee 72.35 Plan Check Fee .00 ~ Issue Date 6/16/05 Valuation 0 Expiration Date 12/13/05 Qty Unit Charge Per Extension ~ BASE FEE 47.00 .,' .. ...'1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 1. 00 10.6500 ECH ME-OTHER APPL. N/R 10.65 ? ---------------------------------------------------------------------------- ! Fee surrnnary Charged Paid 'Credited Due ----------------- ---------- ---------- ---------- ---------- ~ Permit Fee Total 108.75 108.75 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 108.75 108.75 .00 .00 ,--.... tJ !::: .Jrf/rrJ . /Y/3fos- 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 give authorit',! violate or cancel the provisions of any state or local law regulating construCtion or the performance of con ru tion. ~ 6)t/;S~ Date Signature of Owner (if owner is builder) Date T:\Policies\ II 02_15 building permit inspection record05,wpd [1/4/2005] '- I 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. I ,""ECT'ON TYPE I DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: I FOOTINGS L ,j I WALLS I [ I FOUNDATION DRAINAGE 1 DOWN SPOUTS I PIERS /L'-----I ~ I POST HOLES (POLE BLDGS.) I PLUMBING UNDER FLOOR 1 SLAB I ROUGH-IN WATER LINE (METER TO BLDG) I GAS LINE I BACK FLOW 1 WATER I AIR SEAL WALLS I I I CEILING I FRAMING JOISTS I GIJI""'''' I I I SHEAR WALL/HOLD DOWNS I WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) I T-BAR 1 I INSULA TlON I SLAB I I I I WALL 1 FLOOR / CEILING I MECHANICAL I HEAT PUMP 1 FURNACE 1 DUCTS I I G AS LINE I I WOOD STOVE 1 PELLET 1 CHIMNEY I COMMERCIAL HOOD 1 DUCTS I MANUFACTURED HOMES I I FOOTING 1 SLAB 1 I BLOCKING & HOLD DOWNS 1 I SKIRTING I I PLANNING DEPT, SEPARATE PERMIT #'s SEPA: I PARKING/LIGHTING I I I ESA: LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES I NO COMMERCIAL DATE I ACCEPTED YES NO ELECTRICAL - LiGHT DEPT, 417-4735 ELECTRICAL LiGHT DEPT CONSTRUCTiONR,W, 1 PWI CONSTRUCTION - R.W, ENGINEERING 417-4807 PW 1 ENGINEERING I FIRE 417-4653 I FIRE DEPT, I PLANNING DEPT. 417-4750 I PLANNING DEPT, I BUILDING 417-4815 BUILDING I T:\Policies\1102_15 building pennit inspection record05,wpd [1/4/2005] I I FOR OFFIC!A~USE ONLY: BUILDING PERMIT - APPLICATION 'Date Rec.: &1 10(O~ Permit #: if 0& ~ 4-01 Fill out COMPLETELY and in INK. Your application and site.plan MUST BE Date Approved: h/t5/ Or; COMPLETE to be accepted for review. If you have any questions, call Date Issued: (360) 417-4815 7/ HicJe;f> Gsino_ Applicant otgent:~ Ar-J",~ Phone: L/-t:') 7- 2 77 S- Owner: Ce.v..~.v\ \;\/ I~ d,1t r b-t\ V\'\ I v.~) ,1M {' , Phone: Lf 17 ~)( 1/ 4 , Address: 5 -:'1~ ~vta(u,ti . City: ~(+,4,JPLts ZIp: q&3t, 2- Architect/Engineer: Phone: ContractorYevtl ~m 51 AlIL ~ rState License #:--..f:bu I AJ H1~ Phone:l/.-57-;}. 77, Address: 5D2 W~t!2- City:~~l.P <i zip:3 l?3b' J L1-;S t:, V1 t( r u'\ e D"' v PROJECT ADDRESS: .1, r I v-e ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA _.Me # Exp. Date: TYPE PF'WORK: ~'.l' 'SIZENALUATION: o Re~idential o New Constr. ORe-roof o Stove ' SF.@$ /SF. = $ o Multi-fainily 0 Addition 0 Move 0 Garage .' SF. @ $ /SF. = $ J(Commercial 0: Remodel 0 Dem~lition ,~'D Deck' SF. @$ . /SF,,;=$ " , . . ..ORep.rr. .... 0 '<;1Jl!' ~ --g"T0~~Al1D~ S . I~, a S?J~ . BRIEF DESCRIPTION OF T.tlE PROJECT: ". - .'. ~, '. , cY1' . . , . ' . " .., " "'- I rwv \/t> (lL ..' . . '. . , COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage % & Proposed lot coverage % = Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLD,G: DPWU: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FIRE: o ltiER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. V ALUATIQN OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIlls figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance. PLAN l,;.tlECK FEE: IF a plan check fee is due it IDQ,St be submitted at the time the buildingpennit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: Ifno p~nnit 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 107.4 of the Uniform Building Code, current edition). No application can be e]{tended more than once. I hereby certify that I have read and examined this application and know the sa e to be true a correct. I am authorized to apply for this permit and /J.derstand that a is my responsibility to detelmine what pelm/ls are roqui, ~ ,n the City's an t t usf "1:UCh pelm/ls prior 10 work. . 6 Tt'ORMS\APPS\B'lldl"""~;LWPd. Apphcant ate, ~! S-- _ h ftI Itme tJ K.. ,.J / Jim viti, J)tt.t/ e rR tser rn l'r \"6 ~ - r1~ "ul. tffdYldi Ie!....$ h-ta T Ye(p~ U nrl-k,n~ / ~fzt//r-. . ~ . . " . ======:II .. , .. -~-,.. __ _., .___n __..u_.... ..,... CERTIFICATE OF OCCUPANCY """'~ City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section J 09 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classification: Soorts Bar Building Permit Nci:"" 04-180 'Business Name: Mickies Soorts Bar & Grill Group: B ;,-2"Ipe o~Construction: V-N Use Zone: LI .,..."..... Owner of Business: Central Washington Gaming LLC Address: 536 Marine Drive. Port An!!eles. W A 98362 Building Address: 536 Marine Drive. Port Angeles. W A 98362 ---~~~r,,'~tl;'I.,._1t~ lUll ~Ii>; ~ ~"i'" 'cu, ~otember 17. 2004 -~~,Q. ~.iWl~ NlIO.' - Building.Offici~ ' '0' _ .' ~" .~ob', ", '. Date '- ., ,.. .",,' , . , ,::-~ *',., ,_ ,,_~ 'f'~ _ ,t Post on the~preroises in'3'cQ'l')sp'icuous place. Shall not be re~eCfexcepf6Y'Building Official. I ~WJr c.~ V'\ \. f-; t(:) V\.. (bC\.. W\-" LLG ,/ . ROUTING SLIP ~,ORT...,,", 1=t-o~ - 180 s:-O~Q~I" . iS~~. Certificate of Occupancy L. -=-'" $47.00 Certificate/Inspection Fee "'8t/C";'''' DATE ~3~lJ New Business ,.,.,.,.,.,.,.".,..,.".,.. ( ) Address of Proposed Business ~ Transfer of Business Location, . , . , . . , . . , . , . " ( ) 6~~ /J!ajeW-f7 / - Change of Ownership . , . , , . , . , . . . , , . , . , . , " ( V) Applicant #!fCIC7<:: sP",12i'5 ""Ie .t~rz:Jj New Building ,.,.,.,.",.".,....,.,.,.,., ( ) /ress ~ 3 /J1~/A"..L I)RJ~vE Remodel, . , . , . , . , . , . , . , . , , . , . , . , , . , , , . , " ( ) 7(Jf ~5!Lt<,. i II/A Temporary Business ",."""",.,.,'.',., ( ) Phone: business~? - Wfr(;me!if4-m.v?f-/7 Change of Use. , . , , . , , . , , . , . , , . . . . , . , . , . .. ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. , . . . , , . . . . . . . . , , . . . . . . , , , . V PERMITS BUSINESS LICENSE Electrical changes. . . . . , , . . . , . . . . . . . . , , , . . . . . . , , V 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . , . . . . . . . . v' 2) Plumbing 2) Peddlers ~ Plumbing changes ",.....,.....,......,....... V 3) Electrical 3) 2nd Hand Dealer ~ New or relocated signs. . . . , . , . . . . , . , . . . . , , , , . . . , V 4) Mechanical 4) Pawn Broker New septic tanks, . , . . . . . . . . . . . . . , , . . . . . , . . . . . . . ../ 5) Sewer 5) Dance f New sewer service .."..,.",..,.",.....,..... V 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons, , , , , , . . , . . . . , . . . . . . V 7) Driveway installation 7) Fireworks ~ Is this a home occupation? .......,....."".,... V 8) Curb installation 8) Ambulance \ Excavation of filling of lots ........".....,.,..... V 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . , . . . , . . , , , , . . . . V 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . , . . . . . . , . . . V 11) Fire " New driveway openings , , , . . . . . . , , . . . , . . . . , , . . . . v 12) Occupancy A grading plan for site drainage. . , , , . . , , . . . . , . , . . . V 13) Sign (parking lots, downspouts, etc,) ...."'......",,. V 14) Shoreline Are the existing streets paved? ....., , . , . . . , , . , . . . V 15) Home occupation Are there existing sidewalks? . . . . . , . . , , , , . , , , , , , , , ..; 16) Conditional use Is there curb and gutter? "",.""",.,......... vi 1 7) Other Other".".".......,.,........",....."",. . I hereby apply for a Certificate of Occupancy and acknowl- Shh if edge that I have read this application and state that the Date: .. information I have supplied is correct to the best of my Si9n+? ~ /11~ knowledge. /v APP~ REJECTED Comments / Conditions Ch~~e- 0.\ O\0('-<.~h~p 3}1 / i) f'. J' Building Section 3~'O~ R- Public Works Department Planning Department Kut\ Fire Department 3-P-J'> ~ ~ \J... City Clerk P.B.I.A, / :5 / 61 -1 ,. ~<if~ · CERTIFI .A~I:'O\F-e ~ CUPANCY City of Port Angeles -' Building 'Division +J>~ This ~tiji~i{iiqh~!~fi"'1fur~uant to the requirem~nts of Sectio,\! 09 of the Uniform Ulldmg Code certifymg that at the time 'of Issuance thiS st,ucture was in co.mpliance with the various ordinances of the City regulating Building I construction or use. For the following: 1 Ure C""ifi~ti""' Restaurant B'ildi" "'on;' N,., B"i,,'; N.~, Mickev's Soortj Bar & Grill Gro,p, B 'T""rCo""""'" V-N . u""",,, IL Ow'~,fB"i~" Garv Schoossler A,,"";;,536 Marine Drive,. Port Ansidjlw A 98362 . B'Hdi'gAddre~ 536 M~ Drive-:.,port, An~les,;VA"983 2 ~~ .-.. ... ~5th 2004 '" ;.. -'" ,>.' "'i.c" .,' .~.'~<' anna, . " d~~~.. ..~,.~.r., t ~,",~ ,-,"''11:. S~~~~~~~~:;:~~~~I~~~: g~~~~~1. -.---.-- -0-_. _ ____. ---- ---- -_..._----- -._--+ .--- - --.--- \ . - . .., \.' , SpOi~tS 1$0.....- N\, c. key 5 . ROUTING SLIP \I,OAT <1-'t ~ 'it Certificate of Occupancy o ~:::. . .... -=-->r '7t..: 47,00 Certificate/Inspection Fee ,- ~ ~'Cwcfi"+-<::' DATE J l l"l 03 New Business ,.,.,.,.,.,.,.".,.,.,.".,. ( >< ) Address of Proposed Business Transfer of Business location. , . , . , . , , , , . , , .. ( ) :53!-, mA /2/171 qR Change of Ownership . , . . . , , , , , . . , . , . . , . . ,. ( ) Applicant (74((!:! SC/fwe:,< ~ I..!-n New Building ,.".,.,., , , . , . , . , . , . . , . . , . ., ( ) Address ..c...A;on, '" Remodel. . . , . , . , . , . , , , , , , . , . , . , . , . , , . . , ., ( ) -.. .- Temporary Business ,.,.,."",......".,., ( ) Phone: business L/ /).5611 "'/ home Change of Use. , . , . , . , . . , . , . , . , . , . , , . , , . ,. ( ) Brief description of proposed business: .:5R0/? ts CZ4t? legal Description: lot Block Subdivision Current Use of Property: TL- Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . , . . , , , , . . . . . , , , . . . . . . , , -L PERMITS BUSINESS LICENSE Electrical changes. . . . . . , , . , . , . . . . . . , . , . . . . . . . , , 'X 1) Building 1) Taxi Mechanical (heating, cooling, stoves) , , , . . . . . . , , , , , ---X- 2) Plumbing 2) Peddlers Plumbing changes ..,.,."".,."........".... ---K- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . , , , . , . . . . . , , , , . . . . X 4) Mechanical 4) Pawn Broker New septic tanks. , , . . . . . , , , , , , . . . . . , . , . . . . . . . , , )( 5) Sewer 5) Dance New sewer service ,....,.""....,.."...""" -L 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . , , , , , . . . . . , , , . . -L 7) Driveway installation 7) Fireworks Is this a home occupation? ....."........",.... X 8) Curb installation 8) Ambulance Excavation ot tilling ot lots .....",......."..,... X 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way , , . , , . . . . . , . , , . . . . . , x: 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . , , , , . . . . . . , , -X- 11) Fire New driveway openings. . , , , . . , , , , , , . , . . . . . . . , . , X em. Occupanci ) A grading plan tor site drainage. . . , , . . . . . . . . , , , . . . ( 13) Sign (parking lots, downspouts, etc.) .,."........,.... 14) Shoreline Are the existing streets paved? ,.........",....', X 15) Home occupation Are there existing sidewalks? , , , . . . . . . , , , . . . . . . , , , -X- 16) Conditional use Is there curb and gutter? """,...."""""". -L 1 7) Other Other......."",.."",......"......",.... . I hereby apply for a Certificate of Occupancy and acknowl- Dale: --ll I "t ~ edge that I have read this application and state that the information I have supplied is correct to the best of my Signed',4 , ~_.- knowledge, (' //27/ - - - ~~~~ REJECTED Comments / Conditions Building Section Public Works Department I1-Jt!/03 Sf<... Planning Department j( 0\) Fire Department 1'12'-/0' r,v- City Clerk K P.B.I.A, -------- - l :.L33HS I ~!K86 VAt 'nf86UV ~cI "'5 fJBDIO "S 619 dSr :03>103HO r~or-m (09r) ":JNI 'fJNIY33NI9N3 ~31 VMl V >lIlVW ~O.:l d3' :~8 H41V~O SNOS'r1'3SI? 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I- ~1.a.J~~ o~ +t~O +t~O +t -~O (J lli u 0 ::-"':Z:I.a.JV5 (:)1.a.J ~~ ~Q~V5 ~ :z: . ll:~(J\ . ll:~~ . .1.a.J .Q :5 .it .::>~ ~ ~~::::JU~ ~ ~~:t:>- o~ :5~I.a.J~ ~~ 0 ~~-1~r;; ~ '-1~~ ~!JO ~~~lO ~Ii] ~. ~~~~1.a.J -J ~ 1.a.J:z:~ti:Q) ~:t:iE~~:5t5e:1.a.J Q~~Q) -J5~ a::~ E~~~ ~>< E~~~ ~ . ~~ E~E~ ~ ~g~ E~~ E~E~~~~ ~~~~~ t ~~~~ ~~O:~<3~~~~~ ~~~~ ~~~~~~ I ~"'")U~~~ ,...,"")~~~~ ~~ ""'O::~~(j O~-J ~~~ ,...,Vj~U+t>=~ ~f(l.a.J~ ::>~9:~u '-'O~lO~OI-~(:)~ O~ .<3 5e:~lO~~ ~~i8ig ~~i8ig i~~ ~~;~~ ~~~ i~~ ~~i~~~~ ~~n~ U~i~ ~~I~~~~~!~ ~~~~ ~I~~n~ 8 @ 6)@ @@)8 @ @ @ @@ 1 ~ u) ~ _~ 0 ,. -;tl- PERF PERIt PERF---=. ~ Q as V- ~ '.' '. r ,'...f.",..", ~ ~ U" . , . . . . a:: K"i...'\', ILl '-Y 1.a.J', '. .- .' " ", ~. '.' ~<2:}};, l5 ~ 0::" . . ~lIfN'" .oJ I- :. .' " . . "..'.; If~:;~';';<~~~' VI ;;;: , 0" ',. '. ILl :.~ <<,0 lJ e ~_.~~- '~~~'~. .:2:, ~.:::l~::>.:~ ~ - - ~ loJ~ ~ ~t2:~.~~~2j~~:.;g~a::CL ~": o a:: ~ /... i:..-C It:c,.:'--' 0 It:/. 0:: ~ ~ .>. 0 ': OJ Q ',.>;,... It:\> I Q ~~~~ ....0 15 ;.~.'?< /~~~(~.~~~<~.... ~ ll:! f:l ~ .... ~ l1.:!b:.; ~ '''.'<{'> ,:(<:~<<':' <:,<,~.,<:::.(<:... ~~~ t5 ~~~~ ~ ~~~~ "1 " '-"?'~~';~:::;::~<~~:,0~: ~'OO(1~ ~ ., "I!:Vi \0 ,j, ~l E.~.r.\ IJ .,:::(".,. llJ (,j 1tI - ~ -. , ~..t3j . . :.. 2>>, ...-.-. -: ~... . . ....'....... ~ ')' '.;"':' x:.;.,,\, L ~ ,::1==___." jJ:JVJ, ;'..~"}, ;::~~:> . -",--'-:,---.'. ~- ~ 1-1-; t\ . L /: :>~'.:: ff~~fi~:; I 1 . .. '.. ">,:""-'.. ~ ~ !O;~,::~,' :,X~<:;2~; ~ ~ >< ~/"Y/~."////".":/ -J Q oq; . <'I 2: ti ~>~~))~ 1 ~>?:;~:~:; ~ I.a.J ~ 1L f:l 0 f:l ti ~ 0 ,,'.0,' 1=:. ': ,-,v f.; 0:: ~ ~ :> ~ ci 8 Q.;j;;~?:}b ~(;>~~ ~ - I ~ ~.... ~ ~ CO ~. 1&:.0 ...\.>...,>,,,,,~;,v.;,:> or", 0 10 Q. - ~ ~/ :</':. " "',>"',' Q: ~ >< - -c ~ ~ ,./\).>sa ~:".>\ ",: - (5) ~ 10 & ILl I!:! ILl 0 ~I :?~~>s: ~ ~,:?:~~ ~ ~ ~ . It: :g a:: lrJ !Ii /,'''/''>oc "/~ ~ .. . . ~ ~ ~ Q. m ~ :<i. :z: 15~'~'';::'~\ ~2;~: Q: ~ PERf PEk. PER, \f't.f<r '~.,. p'f1{r 1(1 I'A' 0 .R" ~ ~ ~ ~ H ~ ~ ~ ~ ~ ~~.~.:S:~'~.::};F ~ <3 {; _ li.~- 1 ~ ~ ~ l1.: 10 ~ III i}W'~:);;:Wi~Y ~ 6 iJl- - , ~ ~ ...J 5 ,/,.,; ....';0'.. ....':.:.. ~ ~ -'- C/)~ """';;11.. /.,//"",,,','/0' ~ S< II::' ::IE:< ':;.< '''<'''~'':'''<;' ::> f- , ~ ~ co:s :~:;~?~~~:(:~?~:;:;' 0 0 ---o:;---v ~ ~ ',>"/,,,"';" li.. :c: .. ,}~~~.;~t> J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 911]62 ~ Application Number 05-00001037 Date 10/30/05 Application pin number - 902818 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4930-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning INDUSTRIAL LIGHT Application valuation 0 Owner Contractor ---- --- --- -- - -- - ---- - --- -------- - --- -- - --------- CENTRAL WASH. GAMING LLC. HI TECH SECURITY INC 536 MARINE DRIVE 72 3 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 ( 36) 417-8114 (360 ) 452-2727 -- - - -------- - --- -- --- - ---- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Permit ELECTRICAL ALTER COMMERCIAL Additional desc HI-TECH/ SECURITY SYSTEM Permit pin number 63198 Sub Contractor HI TECH SECURITY INC Permit Fee 42.20 Plan Check Fee ,00 t) Issue Date 10/30/05 Valuation 0 Expiration Date 4/28/06 Qty Unit Charge Per Extension ~ ~ 1. 00 42,2000 EL-LOW VOLT SYS <~2500 SQFT 42,20 ---------------------------------------------------------------------------- ~ Fee summary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- "- Permit Fee Total 42.20 42,20 ,00 .00 ~ ~ Plan Check Total ,00 ,00 ,00 .00 Grand Total 42.20 42,20 ,00 ,00 ~ ~ J~ ~, \..,\ ~ ~ ~ ~ : COMM1~NTS/ ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVFJl, INSULA TE OR CONCEAL ANY WORK BEFORE 11' IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE u ,..., ...cnON TYPE I DATE I ACCEPTED COMMENTS YES I NO DITCH ROUGH-IN I COVER SERVICE FINAL \ II-It. ~/>5'"1 A-67 I GENERAL COMMENTS: ,rw-lI02.U (4196] . : f ,ORT ~ CITY OF PORT ANGELES $-l..O~", r\la DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION "- -=....,,, 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number 04-00001032 Date 11/08/04 pin number .267888 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- Application description ELECTRICAL ONLY Subdivision Name a Property Use Property Zoning . INDUSTRIAL LIGHT ......c:.. Application valuation 0 \ Owner Contractor -......... ------------------------ ------------------------ C3 CENTRAL WASH. GAMING LLC. OLYMPIC ELECTRIC Vv 536 MARINE DRIVE 4230 TUMWATER PORT ANGELES WA 98362 PORT ANGELES WA 98363 {'J ( 36) 417-8114 (360) 457-5303 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL ~ Additional desc Permit Fee 184,30 Plan Check Fee ,00 Issue Date 11/08/04 Valuation 0 ~ , ~ Expiration Date 5/08/05 ~ Qty Unit Charge Per Extension ~Ul I 1. 00 184.3000 ECH EL-COM ALT 201-600 SRV FDR 184.30 Fee summary Charged Paid Credited Due ~ ' ----------------- ---------- ---------- ---------- ---------- ~~ Permit Fee Total 184.30 184.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 184.30 184.30 .00 .00 r ~ ---:.:> r --- N I -- c) J 0. ?\j ~ . Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection, I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMSIII02.15 [11/14120031 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # 1/ - fS -0(( &OCJ n, ~ (/"'- ROUGH-IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I I I CEILING I FRAMING JOISTS / GIRDERS I SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION I SLAB I I I I WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP I I GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKINGILIGHTING I I I ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED /~ NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL 1/2.-I-(J.{ LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE "'_'~3j FIRE DEPT. \ PLANNING DEPT. 417-4750 I PLANNING DEPT. BUILDING 417-4815 BUILDING --, -., T:\PLANNING\FORMS\I 102.15 [11/14/2003] -'. - ~~ORT~ CITY OF PORT ANGELES ~~o~~'" urGii~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION .. -=-::. 32\ EAST 5TH STREET, PORT ANGELES, WA 98362 ~ -,. ~ --- .- - - - - Application Number 04-00000458 Date 5/28/04 pin number .101164 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- Application description COMM ADDITION Subdivision Name Property Use Property zoning . INDUSTRIAL LIGHT Application valuation 1300 Owner Contractor ------------------------ ------------------------ CENTRAL WASH. GAMING LLC. OWNER 536 MARINE DRIVE PORT ANGELES WA 98362 (360) 417-8114 ------ Structure Information ADD COVERED ARCHWAY ----- Construction Type TYPE V NON-RATED Occupancy Type BUSINESS:OFF/PRO/MED/REST Other struct info TOTAL % LOT COVERAGE 1. 00 HARD SURFACE AREA NUMBER OF STORIES 1. 00 EXISTING LOT COVERAGE 1. 00 LOT S,IZE 1. 00 PROPOSED LOT COVERAGE 1. 00 TOTAL LOT COVERAGE 1. 00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- ~ Permit BUILDING PERMIT - COMMERCIAL Additional desc "" permi t Fee 71.40 Plan Check Fee 46.41 Issue Date 5/28/04 Valuation 1300 ~. Expiration Date 11/24/04 J"\ Qty unit Charge Per Extension ~~ BASE FEE 47.00 8.00 3.0500 HND BL-501-2K (3.05 PER C) 24.40 \' ~ ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 l< (\: Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71.40 71. 40 ,00 .00 ~ Plan Check Total 46.41 46.41 .00 .00 \ Other Fee Total 4.50 4,50 .00 .00 Grand Total 122.3] 122.31 .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 specifi herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or 10 ) regulating CO '":~Z';- of construction. ~/ /' ~ "~~ Signature of Contractor or Authorized Agent Date re o}/Jwn r (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11114/2003] '-...:.- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS I I WALLS I I FOUNDA T10N DRAINAGE/DOWN SPOUTS .1 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I ROUGH-IN I 1 1 PLUMBING UNDER FLOOR / SLAB I ROUGH-IN 1 WATER LINE (METER TO BLDG) .1 GAS LINE .1 I BACK FLOW / WATER I I I AIR SEAL WALLS I I I CEILING I FRAMING /Fvamm 1- (-'7 I JOISTS / GIRDERS 1-3 -o...) ~J. L I SHEAR WALL/HOLD DOWNS ,,- './0.., ,r:.. L. WALLS / ROOF / CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) 1 T-BAR I I INSULA TION SLAB k-q-~A JJ. L- I WALL / FLOOR / CEILING I . I MECHANICAL I HEA T PUMP I I GAS LINE I WOOD STOVE / PELLET / CHIMNEY I HOOD / DUCTS I PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER I SEWER CONNECTION I SANITARY I STORM I j PLANNING DEPT. SEPARATE PERMIT #'s SEPA: I PARKING/LIGHTING I I I I ESA: LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE I RESIDENTIAL I DATE YES NO COMMERCIAL DATE ACCEPTED I YES NO I ELECTRlCAL - LIGHT DEPT, 417-4735 I ELECTRlCAL LIGHT DEPT I CONSTRUCTION R,W./ PW/ 417-4807 I I CONSTRUCTION - R.W. ENGINEERING PW / ENGINEERING FIRE 417-4653 I I I FIRE DEPT, PLANNING DEPT. 417-4750 I I PLANNING DEPT, I I BUILDING 417-4815 1 BUILDING I I I T:\PLANNING\FORMS\1102,15 [11/1412003] : ~ ~ ~ ~:~ ~ ~~~8E;:8;g I \.D ~ W l,.o)l"O e:l "O::dZZt:lll-:ltIl I \.D (f} I......... i t'1ntIjl-:l~IK:l"d I I (f] H tI:I ::u ::d D:l I >- 'OOOOI.oloiZt"l::P'(J)IO::d : I-' I-' tv 1-': .. ~. ~ (I) : I'tj ~ :~ : ~ gJ, !ii,: 25 I Inidn:;d ':::O...J I -..,J 0\ O'l 0'\ 0\ 0\ O"l I 0 tI:I .. .. .. .. .. I I-:l........... I ........... ........... ............................................ 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't"' , () , , H , ()X , ;:; 'Ol , 0 , ':u , ZOl '" 't"' , UJ>< , 0 , 0< , o-JH , - , , :UUJ , , C:o-J , "' , (lH , f-' , , o-JZ , ..., , , HGl , , , , 0 , 00 , , ZUJ , f-' , , 51 , f-' , , , "' , UJ , , o-J , , '" , , , c: , (l , , , o-J , , , g , ,a", , ';J>;J> , Ol 'o-JGl , 'OlOl , ." , , , '" , , , ;J> , :;:: , , z , '''' , , '- , Gl , , 0 , , w , , , '- , , , 0 f-' , '"'A FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION DateRec,:S,'~-oL} Permit #: C 4 - i-I S'~ Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions, call DId ate ssue : PERMITS (360) 417-4815 FAX(360)417-4711 APPlicantorA~~t;~~ Phone 417-gl. <I OwnerrlLJ ~,,~ ~ . PhoneC9JV!f5i€I-3s'73 Address:--536 /nIr124Je 1J1l~ city:~s4~s. Zip: 9;rJ>bd- Architect/Engineer: Phone: Contractor CO f J Yl-1.......r-oo' I- State License #: Exp: Phone: Address: ' City: Zip: PROJECT ADDRESS: -53&:; IhAt2/i.J€ OR, ZONING: LEGAL DESCRIPTION: Lot: '1,/V Block: '11' Subdivision: 7Cltdtk ~fl &2'1 k~(~ , CLALLAM COUNTY PARCEL NUMBER: I Credit Card Holder Name: Billing Address: . City: Credit CardType VISA MC # ,Exp. Date: TYPE OF WORK: SIZENALUATlON: o Residential 0 New Constr, 0 Re-roof 0 Stove SF. @ $ ISF, = $ o Multi-family 0 Addition 0 Move 0 Garage SF, @ $ ISF. = $ 1! Commercial )l Remo del 'j2( Demolition 0 Deck SF, @ $ ISF, = $ . -, o Repair 0 Sign 0 Other _ TOTAL VALUATION $:fJ /3 tJ!e) ,~ BRIEF II'ESCRIETIO OF 'Hi'" ~!}OJECT' fIuw:;,,;t~ ~ OJ MOO ~"< - 1'i111l9fl/li&t" fJf2P/tt ~ <.f'NJ ~5f AJH.t) (VAR.Jl~ COMMERC 'ALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: FIRE: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER: J BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 pennit 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 107.4 of the Uniform Building Code, current edition). 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 51 correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits arere .qUiret: t the eit s, a !hat I must obtain such perm!:}'!or to'lrk T:\FORMS\APPS\Buildingpermit.wpd Apphcatit. Date: --5/ /.y?/ f FILED FOR I?ECC.,U :, I "1' f"'''".- j I. 1:_ ~... ;",! .::. :l I GeoVJe tQ; (\ :IF r;.fQig ~-159i.il S310 !llUv,'(1~ OY" 1[CORDED '" r,( I'" - "-.. I. r f' . \. - ~, ;""_ .~l I ~. !'~ f-I t :'_: Po"t A-(\1~ I-ps v0~ 2004 HA Y -3 PH 2: 06 q~L 2004 1132666 Clallam County ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (I..," ~f::; /() ~~ 47; ~/* ,/ iJ,e'Arl5~ Cia. (J,) M~YcAl do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17,08,032 "Z" of the Port Angeles Municipal Code. This CQvenantcreates one inseparable building lotwhich..IDav 0l1]V be r~oveq through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successQr(s) in interest and shall be filed with the County Auditor's Office, This covenant is for the mutual benefit of said owner~~, heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and loea land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance, DATED this ~"<; day of M~'{ , 2ctt::l, r:;::Z~~~ (Owner) ~ ~ (Owner) (Owner) (Owner) STATE OF WASHINGTON) ss COUNTY OF CLALLAM ) IJ~'i'V,..~~ ~\ ,'\,....~~, Notary Public in and for the State of Washington, do hereby certify that on this ~ day of .v r.:l.,.\ . 2~. personally appeared before me ~rtl....F=:, V 'KA\~ and to me known to be the individual(s) desribed in and who executed the within instrument and acknowledged that ~ signed ~~,,_~e same as \....l,\ ~ free and voluntary act and deed for the purposes herein mentioned, "~ AI. ""~ ~~ ......... ~ ~.. e. ~ ~ AArll..l....l . 2CO:j GIVEN UNDE :: :~ . _ IAL SEAL this day of :: : MAR. 1.1DD1 :z= -. 0 .0- ;.~.. "U8~~ :,;;, ~ ~';\I0L ~_,,~~ ~ -V e.. ...r!I $ ~ ~. . ~ ~ ~ d.....~i"~ ~ "" 't: WIi' \\' NOTARY PUBLIC in and for the State of 1111', II '" \\\\ Washington residing at Port Angeles, tUDTIQR'S CERTIFICATE Filed for record at the request of G-eCV<1e... kCl,'..'1 this 3. _ day of YV1 C\ " 201#.-. ; CLALLAM COUNTY AUDITDR By: KV...1-i,\A'?11 )'L~ I PREPARED 5/27/04, 14:05:47 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER: 04-00000458 536 MARINE DR FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- PLAN CHECK FEES 46.41 BUILDING PERMIT - COMMERCIAL 71.40 STATE SURCHARGE 4.50 TOTAL DUE 122.31 Please present this receipt to the cashier with full payment. :=r ~~. ;; Q -;; 0 "~~::1:J~""!:1)~ ,~t 0 "~ ~" ~ ",'~-:g~~~ 0 - I i~H!H ~ .0 C 'A. c."l :..:) ,0 a.. -" -4. ) :".:\ co Con _ 0>> ~ +-,~" '5 .., ~' :;t ~ )II ,~ .. 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";;: 0 r~ p ( CV '--:\- (', --.t j'" f\ u 0: '; C> .... I \) :::s l..,) ~ ....:" P 0 '. -+-- ~ x.'.. f' (',-- Cf'. -;::-. ..... ~ Hl )\ G f~ ' 'y -'-'- ::> -, +- u. .-}-. - -..... ff"' .,.. ... J "- i , .-.-', ..,{;; I .. ...~~._._._,..---,-_. -~.-.---_......,...-- .----.-...-"'. -.,~ ;",----"- roO --..-"--- ,- ::r (3 --- \ fb i I ? I I - + 0- f\\ " "" , , I v, ,~.. --_._=~~--~~- "-~._- '~:::~::~::.:----:::_:::~. ---0 , ,.\.- .Ly MAY-28-2004 FR1 09:12AM 1D: F'AGE : 2 0; I " " l \ ~. iC,,'i t ~;, , ,. ,~ ,Ii ~~ " i! ~M .~ t " . ;0: , r ., jJ .>\ ~ " i ~ ;'1 ~, "j ; li ~} ~ ~ 1 j iJ fl 11 Q ~ ,j ~ ~j ~ a '. \a ,~ ~ " , 1~ ~ tt ~ " ~ ~r \i, . " r ~~ ~ ~ ~ !i ' ~ i ~, ,'/ ~ i ji i l< , :; ~ " ;J lil J; , " 'l ~ H ! f ( it " ; :; " ~ : ~ <? i t ' . . ~ ,. ~ " . l ~ i.J'J':"'iJ-" - . ~_... - .. tF"Ji ~,-- ..... -... > . ~ .~,..(: ,~ .., ,Jc . ..J .. - ~ VORT ~ CITY OF PORT ANGELES ....~o~~ <l'~'" DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 1L -=->I' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 - I ~ Application Number 04-00000458 Date 6/11/04 pin number .101164 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- Application description COMM ADDITION Subdivision Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 1300 Owner Contractor ------------------------ ------------------------ CENTRAL WASH. GAMING LLC. OWNER 536 MARINE DRIVE PORT ANGELES WA 98362 (360) 417-8114 ------ Structure Information ADD COVERED ARCHWAY Construction Type TYPE V NON-RATED Occupancy Type BUSINESS:OFF/PRO/MED/REST Other struct info TOTAL % LOT COVERAGE 1. 00 HARD SURFACE AREA NUMBER OF STORIES 1. 00 ~ EXISTING LOT COVERAGE 1. 00 LOT SIZE 1.00 PROPOSED LOT COVERAGE 1. 00 TOTAL LOT COVERAGE 1. 00 ~ NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit ELECTRICAL ALTER COMMERCIAL Additional desc RE-LOCATE C.T. METER Sub Contractor OLYMPIC ELECTRIC Permit Fee 64.90 Plan Check Fee .00 Issue Date 6/11/04 Valuation 0 Expiration Date 12/08/04 Qty Unit Charge Per Extension 1. 00 64.9000 ECH EL-COMM ALT- REPAIR METER/MAST 64.90 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 64.90 64,90 .00 .00 Plan Check Total .00 ,00 .00 .00 Other Fee Total 4.50 4,50 .00 .00 Grand Total 69.40 69.40 ,00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS I FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN I WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I I I CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS I WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) I T-BAR INSULATION I SLAB I I I W ALL I FLOOR 1 CEILING MECHANICAL HEAT PUMP I I ' GAS LINE I WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS I PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: I WATERLINE 1 METER I SEWER CONNECTION SANITARY I STORM I PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING I I I ESA: I LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT / 1 CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING I FIRE 417-4653 FIRE DEPT. . I PLANNING DEPT, 417-4750 PLANNING DEPT. I BUILDING 417-4815 BUILDING .- ,.-.., ..-.. ." T:IPLANNINGIFORMSII 102,15 [11114/2003] PORTANGELES WAS H I N G TON, U, S. A, ~/SO/1;) f ~f2~/C;/ ~ ~~ 01.). Cf-J,s 1-0-., ,,/ A. IL(~ Q ht L.c.J t.....c.. .kvl. ~ *~~-r- ~ 2-, ro 2.. c,~ .;; r ~ A}' ~T /' t.. (0 C ---~__. ~ N!---- ",;Jj.r ,\., I - ..\ /" ' r ./ OW C-e. "",.. r-d \,\,,] ~s. \\, , , .' ~+O~' .~'".,-,=,u...i;I.'~, L L-'-../ '" RD TI, G SLIP d 180 c"~,~, Certifica e 0 Occupancy ~ 0.. - c~"',,;" $47,00 Certi '. Ilnspection Fee ~ DATE 3/3/1.7 \j New Business"""" " , " " " "" " , "" ( ) I ' Address of Proposed Business :) Transfer of Business location, , , , , , , , , , ( ) 4~0 /J16.f:!t/I/~ .I R I t13 ,Change of Ownership"""""""" (\/ ) A I' 4l'b,.:.,rv< S-P<".?f515....J'1? J6P,"1 N B'ld' ( ) pp Icant , I. = .. ., ew UI Ing ,"""'" , , , , , , , , , , , , ~~,ess ~(mA;ti2t./l...L 1)12/ ,.IE Remodel, , , , , , , , , , , , , , ' , ' , , , , , , , , , , ( ) .. ' (1 t ),/1-(-15' f, c... 'ia-4 Temporary Business ' , , , .. .. .. .. .. .. " ( ) , S-t/7 I ?fl/J.J-. fl1li-Z;V!.v9:1' Phone: business ---4--; - ""me . Change of Use, , , , , , , , , , , , , , , , , , , , , , , , , , " ( ) Brief description of proposed business: legal Description: lot Block C;ubdivision Current Use of Property: 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. _ ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . _ ~ 2) Plumbing 2) Peddlers C:...t- Plumbing changes _ ~ 3) Electrical 3) 2nd Hand Dealer ~ New or relocated signs. . _ --4- 4) Mechanical 4) Pawn Broker ~ New septic tanks. _ _ 5) Sewer 5) Dance New sewer service _ ~ 6) Sidewalk installation 6) Hotel - Mote! Admission charged to patrons. _ ~ 7) Driveway installation 7) Fireworks ~ Is this a home occupation? _ ~ 8) Curb installation 8) Ambulance c;;:- Excavation of filling of lots _ ~ 9) Sidewalk obstruction 9) Tattoo shop , Work done i.nCity right-of-way,.",.,.. ----:r- ~ 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. _ --.L 13) Sign ~ (parking lots, downspouts, etc.) _ ~ 14) Shoreline ;. Are the existing streets paved? , .-.-L _ 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- ? I J 0' edge that I have read this application and state that the Date: ,;)/1/tl.,.. . ~ information I have supplied is correct to the best of my '/ L _ ~- /7/1 knowledge, Signel" ..-o(/~~/? 7':,,//~ ..//kt~?~ APPROVED) REJECTED Comments I Condition:> ~71 Building Section , " VJ./ Public Works Department i Planning Department Fire Department City Clerk P.B,I.A, - '. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section J 09 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use, For the following: Use Classification: Snorts Bar Building Permit No. 04-180 Business Name: Mickies Snorts Bar & Grill Group: B Type of Construction: V-N Use Zone: LJ Owner of Business: Central WashinlYton Gamin" LT r Address: 516 Marine Drive. Port AnlYeles, W A 98362 Building Address: 536 Marine Drive. Port An!!eles. W A 9R162 Sentember 17. 2004 Buildlng9JTid;lt_ Date Post on the Ptcitrnlsesio.a'OGhspicuous place. Shall not be remo\ied~)(6ept by Building Official. N\~c..\::e'y5 Spccts. !SCl-....- v..' ROUTING SLIP '~f -:?. ' Certificate of Occupancy ,.;..c"" .~'ti7,OO Certificate/Inspection Fee "''''~#' DATF ill'~ ()::<, New Business ",...,."",...",..""", (y.. ) Address of Proposed Business Transfer of Business Location. . , , , , ' . , , , , " ( ) .<),-:"1., mA /2/)') f' {)p Change of Ownership, . . .. . . , , , , , , , , . , , , , " ( ) Applicant f...,A(? '-f 80/, hI"; < ~ /,., n New Building ......................., .. .., ( ) ~ - Address SA",? ( Remodel""",.",. ."""".""". ( ) Temporary Business . , , , , , . . , , . , , , , , , ,( ) Phone: business 417.561 i l-cl home Change of Use, ,. .""""..""."""" ( ) Brief description of proposed business: .5R0",t S fu '" Legal Description: Lot Block Subdivision Current Use of Property' Zoning Classification of Property: T 1--- WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. ........ , , - ---L PERMITS BUSINESS LICENSE V'1 Electrical changes. . . . . . . . . . . . . .... ..... _ --X...- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . _ ----X- 2) Plumbing 2) Peddlers 'J.1 Plumbing changes .......................... _ ~ 3} Electrical 3) 2nd Hand Dealer 6' New or relocated signs. _ -L 4) Mechanical 4) Pawn Broker New septic tank,S. . . . . . . . . . . . . . . . . . . . . . . - ~ 5) S~wer.. 5) Dance 3: New sewer service ............ _ ~ 6) Sidewalk Installation 6) Hotel - Motel p Admission charged to patrons. . . . . . . . . . . . . . . _ ~ 7) Driveway installation 7) Fireworks -'$ Is this a home occupation? ................ _ ----A...- 8) Curb installation 8) Ambulance r _ Excavation of filling of lots ......... _ ~ 9) Sidewalk obstruction 9) Tattoo shop ? Work done in City right-of-way. _ ~ 10) Water meter installation 10) Other ro Is there sufficient off-street parking? . -L _ 11) Fire New driveway openings. _ ----X- q:g(Ck~~pancy) t1 A grading plan for site drainage. _ ---t- 13) Sign , (parking lots, downspouts, etc.) ................ _ ~ 14) Shoreline Are the existing streets paved? ........ -L- _ 15) Home occupation Are there existing sidewalks? . . . . . . . . . . ----X- _ 16) Conditional use Is there curb and gutter? ................... ----.X.- _ 17) Other Other. ..... __ I hereby apply for a Certificate of Occupancy and acknowl-. ' edge that I have read this application and state that the Date: ! 1 I 'i () -2, :/ information I have supplied is correct to the best of my A knowledge, Signed:"?;/_ (' //,0, - . -' j,PP.\RO'1f~ REJECTED Comments / Conditions ~\\~ \ "-l{\'\ Building Section Public Works Department Planning Department Fire Department City Clerk P.B,I.A. !:II 0 Cl c: E: ~ g ri s: ~ ~ 0 '; g, I E 0.. g:' I;1j :::1 ~ 5' ~. ~ ~ ~ ~ Cl ::0 ~ 0-...'" -'c'..., 0 701 ....~ ;::Scr~ i:::.. . _, cnai$i."'-"~:'''k" ~~\;;:O", <'l ""l ~ ~JIl""& ~ .~.~.~ m ::> 0 .:j ~ '\:!.~,,\:O - - . '" '" '0 _ -. -..", ... tt~ en f'II t:l -...n _ o Ot," '''>~i I,.; ~ 0 ;:s e: r')." ; -I ... ::3 ,': o..___;;1l"';'; ::1. (1) n g' R;:s a - 1F =:'l:":'."" < ~ 0 -. 00 -. - C'" _ -~_"CJO-<: :-:~~: C1> ~ e; ~ CI ... CD.' ,.0, > "" :::: D .. .. I - -;"!3l~ c <rcl (') ;:-0 '" -. _ '-_ ;pjr!#~. I J ~'~ ~ ;;. ~ ~ '\0. :!S" ~E.'."" G. ,,2, - '" '" ~ ...... .)> ~ i""'l141)~\,,: "f > Z ~ ~ .., ...... ~~ .0. .;,.CD3"~f;.'.,:, '. 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'- 6'1 (()V\':" L- T ::::... \ L' s;.t?I.De-Il- NEI.:...; {o/ PL V ,- !\HWX. t:...1..X::t t{ Sefl-VLCC L:.J/V,)'/E 1- CL-G.-<\V 00"\, (AASTM- LIC) :: I r III f:.- 6i= (0 Q..it... l.: NeW Pd'i> l&i.':-C1.I,.tJ.:.. ~ OF ..... ~ C\J\<.!'" , S..f)E:,-.L:-\LlC r-:-~- , , I ... ..... ,; 51(J i ..' b~ r 2D~~ ,k. ~~J~G rc i pORT ~ CITY OF PORT ANGELES ~ lO~~~ rea DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 'L ~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,- ~ Appllcation Number 04-00001062 Date 12/10/04 Pln number .298524 Property Address 536 MARINE DR ASSESSOR PARCEL NUMBER: 06-30-00-0-0-4940-0000- EXp/~ ~~6~~ Tenant nbr, name MICKEYS CASINO Application descrlption COMM REMODEL Subdivlsion Name Property Use Property Zoning . INDUSTRIAL LIGHT Application valuation 1600 Owner Contractor ------------------------ ------------------------ CENTRAL WASH. GAMING LLC. PENINSULA AWNINGS 536 MARINE DRIVE 410 CARLSBORG PORT ANGELES WA 98362 SEQUIM WA 98382 ( 36) 417-8114 (360) 582-9284 ------ Structure Information 24SF AWNING ----- Construction Type . TYPE V NON-RATED Occupancy Type BUSINESS:OFF/PRO/MED/REST ---------------------------------------------------------------------------- Permit BUILDING PERMIT - COMMERCIAL Addltlonal desc 24SF AWNING Permit Fee 80.55 Plan Check Fee 52.36 Issue Date 12/10/04 Valuation 1600 Expiration Date 6/09/05 Crt Qty Unit Charge Per Extension BASE FEE 47.00 '.)J 11.00 3.0500 HND BL-501-2K (3.05 PER C) 33.55 ~ ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 Fee sununary Charged Paid Credited Due ~ ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 80.55 80.55 .00 ,00 ~ Plan Check Total 52.36 52.36 .00 ,00 T Other Fee Total 4.50 4.50 .00 .00 - Grand Total 13 7.41 137.41 .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 au",only to "ODor cancel the provisions ot any state or local law regulating construction or the performance ot 1t.l\0 ~ 12.-lo~D+ \, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Da T IPLANNING\FORMS\II02.15 [11/1412003] \ FOR OFFICIAL USE ONLY I BUILDING PERMIT - APPLICATION Date Rec J D- "? I~ ot-1 I I p,=". 0Lj- I ()<.~ I : Fill out COMPLETELY and in INK. Your application and site plan MUST B Date Approved 10 ~-;J'd 1)(; : COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Issued , , ApplIcant or Agent: ~e.,v;N.C:;- uLo.. !;'IiN.C, q.... A()JA/rL--aS I Jl~Z q Zg4 I Phone: I - (/ - d v 4/7 qb4~ I Owner: ...C; v9,(MJ L ere ~ M 1 Ke. E/Vl(A.f' Phone: - ' A-J PA I Address: 7:)'/;- L'e-r11 frJ {ftJ CIty: ZIp: 9'lf 3h Z ArchItect/Engmeer: N I k-e.- Emo..J\.J Phone: 0-$3' L cr Z B '-I ContractorLoe..vf1'Jf)v Lr._ .t}l.p)~5 State LIcense #:fe,.vt^,,~ 9'b3 LGExp: Phone:.r_~{?2. -9 2- ~t.t Address: 410 Ca..r- L b .fJ 0"" q R..d CIty: ::; e.q U IN, ZIp: q~3 q "2- -' r PA PROJECT ADDRESS: '-- c:; '3 t, 1M a" (' I IV .(;. DR, ZONING: .:t:L LEGAL DESCRIPTION: Lot: Block: SubdIVlSlon: I CLALLAM COUNTY PARCEL NUMBER: I , I ~ I Credit Card Holder Name: I I Billing Address: City: I Credit Card Type VISA MC # Exp. Date: I TYPE OF WORK: SIZEN ALUATION: I D ResIdentlal ~ New Constr D Re-roof D Stove SF,@$ /SF = $ I D Multi-farmly D AddItlon D Move D Garage SF @$ /SF. = $ I I 'It CommercIal D Remodel D DemolItlon D Deck SF @$ /SF. = $ D Reparr ~ SIgn D Other A()JrJ'jyJ([ TOTAL VALUATION $ /&;OOU;:- , I BRIEF DESCRIPTION OF l.tlJi, PROJECT: J , I I j COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Constructlon Type: I No. of Stories: - Lot SIZe: EXIStIng Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. Total lot coverage % ' - P~ANNING U~NLY,'\>'^;:\'"'~ ~ ~ \i; ., "- <~~~ ~ \"/l< 1=AQ APPROV PLAN: II - BLDG: -"-"" ::J:..L G '-' :1-0 (~~~ 11<.. _i.l'\ \ ~ , L. I _)..LA~+ _ l - DPWU: . ~- ~ \ IIp 1 11 '_ cL" r' '~ F'. ~,... . ~........-vYI- J '-~ J "'E~ etland(s): D Y es~o ~P A ChecklIst equrred? DYes D ~ Other: FIRE: OTHER: i BUILDING PERMIT APPLICATION SUBMITTAL: The Building DlVlsIOn can provide you WIth mformatIon on the applIcatIOn and I plan subrmttal requrrements If you have questIOllS, I VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applIcant. Tlus figure WIll be reVIewed and may be reVIsed by the Bmldmg DIVISIon to comply WIth current fee schedules Contact the Pemnt Coordmator at 417 -4815 for aSSIstance:. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the tIme the bmldmg pemnt appltcatIOn and constructIOn plans are sub111ltted, All other pemnt fees are due at the trme ofpemnt Issuance. I I EXPIRATION OF PLAN REVIEW: If no pemnt IS issued WIthin 180 days of the date ofappltcatIOn, the application will expire. Th~ Bmldmg OffiCIal can extend the time for actlon by the applicant up to 180 days upon wntten request by the applIcant (see Section R1 05,3.2 of the InternatIOnal Bmldmg/ResIdentIal Code, 2003). No applIcatIOn can be extended more than once. I I hereby certify that I have read and exammed this application and know the same to be true and correc . I am authorized to apply for thiS permit an,'d understand that it is my responsibility to determme what permits are reqUired ,not the City's, and t I obla~;:!;ror 10 work. : T \RVESS\BLDG-forms-brochures\2003-Butldmgpenmt wpd Applicant: Date: /0- ;)J) -() t.J .. ., M Jc-ke'l6 I ~ I -.. I Fl<o. yv1~ t)vef'- 6 Clef::- /)oof(~i I 1'1 '->/ ! '( ~) HI ro.cJ...uJ , l3 ('Ov e-I<. .e:r 5 / pJ 7D I ..,- w'Tl-.. 2- 5'.-ru J s ~ I d,.~ , I / ~ ~~~<7 ~~\ ~ lrA)f I ~~ buiL Jf~,vj Fu.. (.. e- o '-.9 ~ 130D Sq. FI: . ~ ...:? I FilE I ? I ~-::J~ ~(1 ! ~ir? .J...... = bl I 1 I '-/ I H19J.-. I p('oj~cT~ I I I I c. - I 6 I UJ{d~ ! I I I M o.d~ /1 we L)'~) I o~ II L uwv ~ I I I I I /1 I cJ-~ 50Lrd ALu;lV\~~ I<OLJtJJ I I I I Clrv OF PORT~NGElES G I I , Th. 1$"'"' ,I<h, ~.,. b - C. ......,." Pia.. - . · I l I <0""' '"' 'I:j" d," 'h,~~~'~fi<e.... '5 / t" I 9 ^ T) &J j 1J... f3 /.f\/d I~ from thereafter reQuiring the' n the be '.:hng official plans, speGIhcatlons and othe~o~etctlon of errors In said bUlldmg operatlilos bQmg c _ d a a, or from preventing VIOlatIOn of all C~dP<: v d a. fie on thereunder when In (SECTION 303(c) - Un:fo~~ 8 o;~~n~n~~~e~f thiS Jur :s- 3 ~ ' ,,,,,,,ID,,. IV' l B, ' ) (; I fv'\. 0--1' 1 J\J E.- b R. Ylt\..8llLl I I . . ~ PC>RT .A.N<=:;.ELES. VV.A.SHIN<=:;.TC>N Phone 360.417.9548 Fax 360.452.6na ------ FR o;;T [)oJR. R -e.. C,o\Je~ I I I I I I I Ex>ck D~ Nev.J _ Ii WrJ'tJ. I i :lit> Sq u ()..J' '€. Fee.l o~ 5; ~/Vo.9-e.. p t,!,. A w "':'j BuL d I illS Fo..tc ~ - !Iff J'-f 00 54' u"I''€- FT.' I I NOV-06-2004 02:36 PM MICKEY~S 1 360 417 8114 P.01 .' . ~~~~~~;~~nvl! ll~ ~.~ n~~n~~ ~fR\\ Mickey's S~orts Bar o ~ :~~-;;\Y=U \ & Casino · \~ il\NGELES \ I =~x ~.~~~~o~~~~_~.: I To: lII,jfj-l.,lrector of Community Prom: George Kain Development MIckey's F.x: 417-4711 ,....: 3 Phone: 417.8114 DIll.: 1 1/5/2004 R.: Signage o Urgent X For R.Ylew 0 Pi.... Co.......nt 0 '1.... R.ply 0 Pi.... Recycl. DINctor CoIIIM, Ita p.r your req....t attached ... Iwo IIcans.. from Ih. 8t... of W..hlngton. One I I shows . F2 Card room Ilcenae and the oth.r showe a public card room-house banked IIcens.. W. offer cenl 88m.. only, T.... Hold 81ft In the poker room end BI_ekj_ck, 8p.nlsh 21, Pia Gow, 3 card poker, .nd T.xa Ihootout In our ho.... bank.d ...... w. aN not allowed gam.. of a-nc., Like elots, roulette, and cnlps _ Ih. InllllUl c.eln_ ..... The te~8. and Is ...ing used elmoat .verywh... hau.. benked c.rd rooms a.. authorlz.d. (In etrect, lllYer Dall.r Culnoa, Royal Casino, Preddl.'. Casinos, and many ma.. throu8haut the state. I Thanlq for the con.ld.ratlon. I 0.0". Kaln ,,-- Own.rlM.n...r ~ ~ , ~~ / ~~~ ~ v5-;~~ ~ ~~~ "t e,6:J;,0 19['-~4(S' o<;~ ),-~"-Y: ~~ ~\?)A~\~ ~ . S; ~~ I .. /_g{){)-3iS-d.-S2 9 ~IO-h- G-f'l"-~ ~/:J;; ~> I c,~ ~ -6LF~- rj(" '1 · "111 :3 /4;;;:-- ~ I , )' . - --- . - ~ N ~ ISSUED: 0813012004 . '; WASh11~GTON STAlt Q. , : '\. GAMBLING COMMISSION v .... ! .... 00 LICENSE FOR: 00-10087 INSIDE UU!. CITY LIMITS r- 7 TABLES - PUBLI~ARD!l_~HOUSE BANKED .... v ~ CLASS: B - PUNCHBOARDIPULL- TAB COMMERCIAL STIMULANT \j) t() .... ISSUED TO: MICKEY'S SPORTS BAR & GRll..L LI!JJ".I..nAL WASmNGTONGAMINGLLC 536 MARINE DR Ul , PORT ANGELES W A 98361 ~ w III1IIIIIIIII ::i u ... L: L: I U'-Lo'UC !I.'UMBER IXPIJlATJON D.\n: Q. DISPLAY AT: r- 67-00U8 1213112004 t() .. MICKEY'S SPORTS BAR & GRILL OS-I9976 1213112004 N ~ 536 MARINE DR Ofi).y v PORT ANGELES W A 98362 ~ ~ N I * T,m-"" "rm'.' ..,.,.,i,.., moL Dxn I .. · · * ATTENTION * * * .. I \j) iJIR~ -' ~ GC5-150A (Rev 5/03) See important notices on reverse side. I > -----..---- - . - 0 z - l(j 08109/2004 IS) ISSUED: - . WASHINGTON STAI.h CL. "- GAMBLING COMMISSION ~ .... .... LICENSE FOR: 00-20087~&-G~ co r- CLASS: - PUBLIC CA!D !!~OM (65) .... ~ CLASS:B - PUNCHBOARDIPULL- TAB COMMERCIAL STIMULANT IS) \0 t(j .... ISSUED TO: MICKEY'S SPORTS BAR & GRILL CENTRAL W ASIDNGTON GAMING LLC 536 MARINE DR Ul PORT ANGELES W A 98362 , )- III 1IIIIIm ~I~II ~ill ~ u ... E E I I.ICfl\SE NillOIDt J!.llPIJIATION DA:ro CL. DISPLAY AT: r- 65~7032 12131120 l(j MICKEY'S SPORTS BAR & GRILL 05-19976 12/31/200 .. N 536 MARINE DR ~ IS) ~ PORT ANGELES W A 98362 IS) IS) * T",~Part Payment Participant I DllJ'-IM]1; N · * .. .. AI I t:NTJON * .. · .. I \0. See important notices on reverse side. IS) I :> 0 z CITY OF PORT ANGELES PERMIT NO /9'ss I LIGHT DEPARTMENT co'-"Y L\G~"\ ELECTRICAL PERMIT DAT" ~h /A'7 . I Site AddreS~ ' -IJ.. /JtMf/AJ f t:4. o READY FOR ?<'WILL CALL FOR I hi, CVS INSPECTION INSPECTION Ilnst~lled By: rvir t. W V\"AM '5 [(u/; I License Number: Phone: I I Own'er/Business: G3G \'Y\ 'H 51../\.u G Phone: " " I own~r/BUSiness Address: Sq, Ft. D Residential D New Construction D Overhead Heat KW D Remodel D Underground o Baseboard D Furnace/Boiler o Service update/alter/repair Voltage o Heatpump D Other D 10 03.0 ,. Commercial/Industrial load ~ Add/alter circuits Service size Amps Total Connected load Auxiliary power D Temporary (attach breakdown) (list below) Total Motor load o Special equipment (attach breakdown) (list below) DetailslDescription' ~('A ~;(h ~~~ ~k.e('~ /'-"V , ~ I,';t) ~iJf! /k~ ~I ~A"( _ ~. F I I . . ^ A 4? ~MAJ1 ~~., ~ P A-v1LtJ k> d/-~L" _. 1 1/ W.S, No ~I~rvice Sizp DatA Hold for: 0 Easement 0 Letter Capacity: 0 O,K, D Not O.K. Comment~ D Ditch inspection O,K. D Signed up for service/meter D Rough-in/cover O.K, D Meter Department notified for installation D O.K, to connect service o Fire Department notified of inspection ~inal O,K. o Plan Review approved/pending ~ I Site Addre~ il 0. ' (l ~ I permit/Rj;~?- ; 's MiM-.CtJE . Ilnstalier: ~L~~<~ ~~J: I New MeteD I Da~~/7 ft,p . Notify the Department of City Light by Street Address and Permit Number when ready for inspection, Work must not be covered or electrically energized before inspection and O.K, for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457~11, EXT, 158 or EXT. 224. I' ~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT 4' I!J..O Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. IftJ 0 V CITY OF PORT ANGELES /13 ~ . . DEPARTMENT OF LIGHT A FE!: FtlECEIPT NUMBER PERMIT NUMBER , APPLICATION AND ELECTRICAL PERMIT t ".. '.c TOTAL FEE 1D~ I 6M#J I CONT. Lie. NO. TIME TO COMPLETE NO. STOAIES lEGAL OCCUPANCY -?1~ ElJVf'GA' PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER TH'S PERMIT Site Address u ~{IlJf- Wt? / ~cr ADOR~SS~ESP~BILlTY OF '1PLlCANT PERMITS WITH WR.ONG ~SSES~AE CANCE(ED ~ Owner ~M \ \ ~'J 1\--"-" , Installation By CI ~ r r s:::' Er' I ( , , . .1- Owner's Addr"ess ' - Installers Addrf><'''' Day Phone 1'- S 7~ - '24 "S :2- Installers PhonD Applicatlon.is hereby '11ad.e for Permit-to"install Electrical Equipment'as fC?llow~. Wiring Methon I " AMP 240V II" USE OF CIA~UIT AMP 240V I t ., NUMBER PEA 120Vu 100R FEE NUMBER PEA 120V 100R FEE USE 9F CIRCUIT CIRCUITS CIR 10. 30 CIRCUITS CIA 10 30 I LIGHT II SIGN I LIGHT I I 50 VOLTS OR LESS I CONVENIENCE 1M ~moA A-dc:lrlz ,~ I I CONVENIENCE ~ OTO'S'EATI/J' A-fl't ." ,..)1) j I APPLIANCE 1t W~lV\ t. /V-r I' 1/---1 I I ~.ISH\'V,ASHER.. -4, I MS I~~~.v.. I I I I DISPOSAL 5', r.14 I !3"'1f.}W1 eJ-AA~ d iJ I L- ilJa-I -.: I RANGE F II MISC. I 1)<,Z.f~~ . 10VEN L/Q. J: I I - WATER HEATER "6,15, I I I LAUNDAy (laD f.te I I "I: 170......;.- DRYER q Aj I REINSTALLATION LIGHT FIXTURE # FURNACE I I SUB TOTAL. FEE I GAS; OIL FURNACE I ENERGY FEE ELECTRJC I BASIC FEE I I ELECTRIC HEAT I TOTAL FEE "10 '?:;:-- I I ELE~TRIC HEAT I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER I A.C. UNliT AMP PHASE I FEEDER II SIZE OF SERVICE ENTRANCE CONDUCTORS I SERViCe: II A.W.G. I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that th'e work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made 19 B'I . ,.. CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) ~erm.lssion is he~~by given to qo tue C!.bove described work, according to the conditions hereon and according to the approved plans and .~o""."."' ~"""'". """" '"'"'' '" oom,,"""" .,,, ". ''"'~"11 '''' " .." ....". ~ ' , ' . ". " '., JECp:;1IT LIGHT ..' Date Permit Issued .c;; / /1 / f 7 ~CANS APPROVED ' ,- - ~ .. Noti-fy Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I I Writing on Permit Placard, A,. Permits Phone: 457.0411 Ex!. 158, WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK-Triplicate WHITE CARD. Inspector's Report OLYMPIC PAINTERS, INC. ---. -- . --~ ----- REPORT OF INSPECTOR I DATE OF VISIT MADE BY REMARKS I .' I I I I . I I I 13A-~ M--v. $', tl., t:>~ ~DOI n<> J OJ{. 11> ("":r- I I &.t- M'iA- S. c,V. o/=. 7D c.. J """-- I I TPrt.lL ':l..P V- <11+ c:>v- >J'i..-'L-- ,>,..;t "--',, (")~ I -r7t-/"''' f "Tll-4- r N H 0 Co iLlL~ C. 1'\ !-<; " I I , I I~ j! I , , I~ , , I -- I~ I I I,~ I It r I~ 0 c I I I I I I I I I I , ~LJ &161 O.K. FOR COVERING A-fl ~UH~ w.l ~Wu..- ~ CD k-! I \ " I O.K. TO CONNECT SERVICE I IWr FINALO,K /)tfc! /tJd /.;r,fLJ - ';*,'1/ ~ Mlfte Ii ,If I ,Mr- I'f'-/ , ' /1q I CITY OF PORT ANGELES CZ 10 DEPARTMENT OF LIGHT A FEE AECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT . TOTAL FEE 5t~ riL1.....-L / ?e.> 7:; '-'~.., A.../'T /-:~SNO TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I . Site Ad~ress ~ ~ Co ~ /.? / ~ e P" / v e . 1 ~ 77ECT AOOREsg ts RESPONSIBILITY OF APP~ICANT PERMITS WITH WRON~~~ARE CANCELLED 1. /--c T Owner I. ,<::: h"l , . <" ~ A./ Installation By ~ ~ .-';4./ A A/ '.J. Owner'~ Address Installers Address --7~)l' L-<---' ~ 7- Day Phone ~s? --2'-,1: ~ ::J Installers Phone 4,<'7 ,S--c"f?'9 - Application is hereby made for Permit to install Electrical Equipment as follows' 3/ .. /e~A /~ . /1/!.../T- <;""""""//C "'" ~ t!,,~~ A ""'J> It!)D /LfIJA/A.... hu.,h. (Jo-'j#{/~ Wiring Mathor! ?#... -, NUMBER AMP 120V 240V II NUMBER AMP 120V 240V use OF CIRCUIT CIRCUITS PEA 10 100R FEE USE OF CIRCUIT CIRCUITS PEA 10 100R FEE CIA 30 CIA 30 LIGHT I SIGN LIGHT I 50 VOLTS OR LESS CONV~NIENCE II MOTOA CONVG::NIENCE II MOTOA I APPLIANCE II MOTOA I I I DISHV\IASHER II FIAE ALAAMS I I J' DISPOSAL ;J r ~~L0RM I ? I /~r;J . AANG~ ~I IS. C I c../ OVEN II I WATER HEATER II I I I I LAUNDRY II I I f:> 17- ~ DRYER II REINSTALLATION LIGHT FIXTURE # FURNACE I SUB TOTAL FEE GAS-()IL FURNACE I ENERGY FEE ELECTRIC I BASIC FEE ELECTJlIC HEAT I TOTAL FEE ELECTRIC HEAT I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT PHASE AMP FEEDEU ",I' , .. -I. SIZE OF SERVICE ENTRANCE CONDUCTORS . ." . " , . . . I SERVICE 1'1 , f " A.W.G. \ I SUB-TOTAL II SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the Installer and.in'L)mance with the N,E,C, Electrical Code, ., ~- ~'.~--7--' Date Ap~)llcation made , A Il./ J ,_ 19 9't;7' 81/ 1. _?...-a.-.:..-~ ; . - CONTRACTOR OR' OWNER (OR AUTHORIZED AGENT) , Perrtlisslon Is hereby gll{en to do the above described w9rk, according to the conditions hereon and according to the approved plans and speciflcE.t1ons pertaining thereto, subject _to compliance with the ordinan""!J.J~r~~~' IT~ LIGHT ,', , ' .\ Date Permit Issued / /1 f! fl By h."" _ 1 . PLANS:AP OVED Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I I Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report I OLYMPIC PAINTERS, INC. --- -- REPORT OF INSPECTOR I DATE OF VISIT MADE BY REMARKS . I , . , z I I~ I - ::E I!!! I Ii: I I~ I I I. I . .[ II- I I~ I 0 c I I I I I I I W- I ~~/f1 . ~f.g IkJrfEc.~ FYJ Irl ~~ A:..C/J(Il.. . 001l..A.M.- tz~ ^-1r> 11 (..(, _ . I I I I I "- I " I I I I .IM- '4..'. ~'.o.'" 4.,:,'.........'" I . I {(~/!7 O.K. TO CONNECT SERVICE I .....--.-.. :. I /4- 5"3 CITY OF PORT ANGELES - iB9 DEPARTMENT OF LIGHT A FEE RECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT . TOTAL FEE :2/0 oy.. I &~ I CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 5-7 (. ft1.M.I"-'L !>/L/ u~ S-'- c~ ADDRESS IS R"((oNSlel~lY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED - Owner 1""'--\ \' V ~_1- Installation By Owner's Address Installers Addrp~~ Day Phone Installers Phone Application is hereby made for Permit to install Electric~1 Equipment as follows: . .\ 5,1'-',+4,') R-~dv/..-~r--T" "'~IIIl.(Tr:-" Ii f/.IrtJ ( ro./N '/ 4Xp/' J,X 1, ... Wiring Me...~hori , - I AMP 240V I NUMBER AMP 120V 240V usa OF CIRCUIT NUMBER PEA 120V 100A FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 I LIGHT I SIGN I LIGHT I 50 VOLTS OR LESS I CONVeNIENCE ..- I MOTOR I I CONVENIENCE I MOTOR APPLIANCE ~ - I MOTOR I I I DISHWASHER I FIAE ALAAMS I I I DISPOSAL I BURGLAR ALARM I I I . RANG~ I MISC, I I I I . OVEN I I I I I I WATER HEATER I I I I I I LAUNDRY I r I I ,I I DRYER -IIREINSTALLATION LIGHT FIXTURE # I I FURNACE II SUB TOTAL FEE GAS. OIL I FURNACE II ENERGY FEE ElECTRIC I E~ECTRIC HEAT II BASIC FEE Ii TOTAL FEE I ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER IA.C.UN;IT AMP ~HASE I FEEDER -I II SIZE OF SERVICE ENTRANCE CONDUCTORS I SERVICE II A.W.G. I SU'B- TOTAL II SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the ins.taller and in' conformance with the N.E.C. Electrical Code. Date Application made ,1Q By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given.to do the above describeq work, according to the conditions hereon an_d according to the approved plans and specifications pertaining thereto, subject to complience With the O:lnanC-:J!1.::!?~CIGHT . Dete Permit Issued . P,"ANSA~PROVED _ ~ Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O,K. for cov.ering or service has been given by Inspect.or in I I Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. OrigInal CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PAINTERS, INC. - -- ----~- ----- -- REPORT OF INSPECTOR ' . '. , I DATE OF VISIT MADE BY REMARKS I I . I I I I I . I \ .' . ',\.' '. . . \ \ I z c:J a: <C ::!! I/) I I! I I~ I- I I~ I I~ I Ig I I I I I I I I I I I I I I I I I I I ("" .........-.. -.;...'.:!..... '" I " 11' ......:::...\ .;.':.~.,.... - I J) Ir I Idtf1 ~' I- I' I ,. 1:f:J-- CITY OF PORT ANGELES ~O3 DEPARTMENT OF LIGHT A FE RECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE :)0, ~ I hl\1 c::-I e.. ~ (p () r-S bn" . I MNT. Lie. NO. TIME TO COMPLETE NO. STOAIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Addr"'''<! ~-:S-3' - Mnr-) A<l...- Q"~iJe. CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner '~ 1M \i::i.'<" Ir~ Installation By ,L:)~ eI<? ,$ 2/....../1'- Owner's' Address - .::r-c?,l< ~;:J,...;r",,<Il. '0.-- Installers Address . :;).(/ E: S"'r7 .....r- Day Phone LL ~J.....,.,. t{ .3 " Installers Phone ~<:J.- #j;}.~.y' Application is hereby made for Permit to install "Electrical Equipment as follows: Q""--",,,-, A pJ , Wiring Method I NUMBER AMP 120V 240V II NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 I LIGHT '-I ~.:: II SIGN I LIGHT I I 50 VOLTS OR LESS I CONVENIENCE :2. '.~IIMOTOR I I CONVENIENCE MOTOR I I APPLIANCE MOTOR I I I DISHWASHER FIRE ALARMS I I I DISPOSAL BURGLAR ALARM I I I RANGE MISC. I I I I I OVEN I I I I I I I WATER HEATER I I I I I I LAUNDRY I I I I I I I DRYER II REINSTALLATION LIGHT FIXTURE # FURNACE I SUB TOTAL FEE GAS. OIL I FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT ~ (!) . fJ!- TOTAL FEE ELECTRIC HEAT ~ eool SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.lJNIT ';}...pO AMP /t1f PHASE FEEDER I II SIZE OF SERVICE ENTRANCEoCONDUCTORS SERVICE II A.W.G. I SUB-TOTAL II SIZE OF GROUND , SIZE OF ENTRANCE SWITCH 2"0 I certify that the work to be performed under this permit will be done by the installer and in conforman~ Electrical Code, Date Application made JfJ.../:?,O/?::;- 1Q By ~ .J - I "CONTRACTOR OR OWNE#(OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved p!ans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. ~ ~'RECT~R OF CITY LiGHT , ' Date Permit Issued BY~' f?/A~4~"-' d,t? /.0/3P /~ PLAN APPROVED \/ . Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must n , be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in I I Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE - Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report 01 YMPIC PRINTERS. INC. REPORT OF INSPECTOR , ..1\.. " ' , , ' " I DATE OF VISIT MADE BY REMARKS 1 ,- ' . - , 1 ill'1I<<t. -/J ,~ '~"-A;;r~ ''1p~j ~: ~.f ,I~ ,\ tt . ;.... - ~ bud- n~{;~tJ I - . . ~~~~~~ f~~'~' L '- U 1 jJ~ ~ I. I ;t, I I - I i\.A.4.J AA.,..." ~,..." /';\.........a..:. ", 1 --r---' - . I I I 1 I I 1 1 . . I I 1 I I I 1 1 I I I z Cl I I 1 'a: .C( I .1 1 :E ~ I I I - . , Ii: I I 1 I~ ,- I I 1 ~ I 1 3= l- I ' I 1 0 z I I I Ig I I I' . I I, I I I I I I I I I I .,1 - 1 j I I . I I I I I I 1 1 . ., I , I \H\~L I~ O.K. FOR COVERING I - . O.K. TO CONNECT SERVICE ., 1 . ....") \ . ..l'__'~ . FIN~Lo.K: ~ . -. ", : " I . I .' -.~ \ . ,., , I I'- L ;", .l\." \...~\ :-! 11/04/2014 12:28 8607978482 SECURITY SERVICES NW PAGE 01 REVIVE" I VE".1 CITY OF PORT ANGELES PERMIT APPLICATION NON) 1Buildilag Aivisiora/Electdcal Inspections 321 )East 1Filfitb Street •- P.O. Box 1150 /,Port Angeles Washington, 98341WRI A Ph: (360) 41,7 -4735 Fax: (360) 417• -4711 � � �� iU� Date, _i - l & Y, Multi - Family or ommerclalx * Plan Revle �i! 8e Required, Phase Coppiete Electrical Plan R�ylew Information Sheet Job Address, r?1 ail'e 1��r'._r_.. � ArrGE� , l�A Building Square Foo e: r✓ bescrlptlon of above c414•dC Owner Information Namc" or Nome; - �- me at uInformation Mall - Mail Address: 0 Oil Stale: Zlp: 6 Cltyiwl &fate; Zlp; Phone; -Far: Phone: Fax', 2... L1mnse # 1 E'xp, 14R License # 1 Exp, D Item Unit Charge Qty Total f4ty Multiplied by Unit Charnel ServlcelFeeder 200 Amp, $ 132,00 $ Service /Feeder 201 -400 Amp. $160,00 $ Service /Feeder 401.600 Amp $ 225.00 $ ServlcelFeader 601 -1000 Amp, $ 46,00 $ ServlcelFeeder over 1000 Amp. $ 410.00 Branch Circuit W1 Service Feeder $ 5100 $ Branch Circall W10 Service Feeder $ 74,00 $ Each Additional Branch Circuit $ 5,00 $___.... . Branch Clrouits 14 5 68,00 $ _ Temp. Service/ Feeder 200 Amp. $102,00 $ Temp. Service/Feeder 201 -400 Amp, $121.00 $ Temp - S9rvlt9iFeed6r 401 -600 Amp. $184.00 Temp. ServicelFeeder 601 -1000 Amp , $185.00 $_ Portal to Portal Hourly $ 96.00 $ SignlOutline. Lighting $ 86,00 $ Signal Circuid Limited Energy — Multi - Family $ 64.00 $ Signal Circuit! Limited Energy I First 1500 sf -- Commerclal $ 96.00 r $, Nola, $5.00 for each additional 1500 sf Renewable Electrical Energy -5KVA System or Less $113,00 $ Thermostat $ 56,00 $ Note; $6,00 for each additlonal T -Stat 9 Oa 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 oontractor if above said property is for sale, rbnt 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 inslailation or alteration in compliance with the electrical laws, N,E,C„ RCW. Chapter 19.28, WAG. Chapter 295 -466, The City of pork Angeles Municipal Code, and Utility Specifications and PANIC 14,05,050 regarding Electrical Permit Applications, signature of or, electrical contractor or alaCirjcat adrrllnistratar: 0 cash 0 cil Credit carte # x sated:` -� �- tt (O j 1 W r..0 ELECTRICAL ,PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 14- 00001344 Date 11/05/14 Application pin number . . . 951808 Property Address . . . . . . 536 MARINE DR ASSESSOR PARCEL NUMBFAR: 06- 30- Op -0 -0 -4930 -0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on 4 our excise tax form SuhdiviSion Name . . . . . . J Property Use to the City of Part Angeles Property Zoning , , . , . . , INDUSTRIAL LIGHT (Location Code 0502) Application valuation . . . . 0 Application desc Security system Owner Contractor RESULTS: MALIK V ATWATER & VIVIAN WAT $ECURTTY SERVICES NW 6421 S. MT, ANGELES RD. PO SOX 660 PORT ANGELES WA 98362 PORT TOWNSEND WA 9B368 - - -- -(360) 477` 519 -------------- ! - - - - -- -(800) 859 -3463 Permit I . , , . , ELECTRICAL ALTER COMMERCIAL Additional desc , . COMMENTS: Permit Fee 96.00 Plan Check Fee ,00 Issue Date 11/05/14 'Valuation 0 Expiration Date 5/04/15 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96,00 Fee summary Charged Paid Credited Due Permit Fee Total. 96.00 96,00 OD ,00 Plan Check Total .00 ,00 ,00 .00 Grand Total. 96.00 96.00 .00 00 M INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ! FINAL COMMENTS: PERMIT WILL EXPM E SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G:IEXCHANGE1$UILDING Date: t FROM FAX NO. Jun, 27 2010 9:54RM P1 __rl RE C E. VE; A g t 0 CITE' Olt' PORT ANGELES PERNIIT APPLICATION [' T Building Division /Elcctrical Inspections 321 East Fifth Street — P.O. Box 11501 Port Angeles Washington, 98362 HNSP WIDAS Ph: (360) 417-4735 Fag: (360) 4174711 Dais, � 3 ,�.�101ulti•Famiiy or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 5'3i,o M � v- < ,n.v- , Building Square Footage; Desaiption of above Owner Informadon Name: A4-%�t"1 -a — Nlalling Address; S"73" 'M-k-0- w City, 6L-7 Y� State: a Zip. ar X34 �. Phone 5�" 3 ss1 Fa: incense 01 E(p. T hem SerWoe/Feeder 200 Amp. ServicelFeeder 201400 Amp. Servlce/Feeder401 -600 Amp ServfoOeeder 601 -1000 Amp. ServicelFeeder over 1000 Amp. Branch Cimuit W1 Service Feeder Branch Circuit W10 Service Feeder Each Additional Branch Circuit Branch Circuits 1.4 Temp. SaMcO Feeder 200 Amp. Temp. ServlowFeeder 20144 Amp. Temp. Ser QWFeeder401-600Amp. Temp, Sentice/Feeder 601 -1000 Amp . Portal to Portal Hourly Sign)Outline Lighfing Signal CircuW Limited Energy— Multi - family Signal Circuit/ Limited Energy 1 First 1500 sf— Commercial Note: $5.00 for each additional 1600 sf Renewable Electrical Energy- 5KVA System or Less Thermostat Una $192.00 $160.00 $ 225.00 $ 288.00 $ 410.00 $ 5.00 $ 74.00 $ 5.00 $ 86.00 $102.00 $121,00 $164.00 $185.00 $ 96,00 $ 88,00 $ 64.00 $ 96,00 $113,00 $ 56 00 Contractor information r Name: - p-k a aT.L —.S -y4 Mairngrreg: a %o= q--' r 01 -- City; Stake L iJ a Zip: _ ci 3 sF Phone: `l V2- 04- Few 5 - Total (Qbi Muklallgd by unit Chem ®1 s r137 �V Note: $5.00 for each additional TStat $ 0U $ Total 1 97 Owner as defined by RCW,%28.261: (1) Owner will occupy the structure for two years aW this electrical permft is finalized, (2) Owner is required to hire an olecbical contractor K above said properly is for safe, rent or lease. Permit expirss alter six months of fast 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 2913.466, The City of Part Angeles Municipal Code, and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner, aleotri , I Contractoror electrical administrator: ❑ can El ct** C] Credit Cmd e � �4— ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . . . . 14- 00001197 Date 10/07/14 Application pin number . . . 946171 DITCH Property Address . . . . 53.6 MARINE DR ASSESSOR PARCEL NUMBER; 06-30-00-0-0- 4930 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . `0 Property Use. . . . . . . . FINAL Property zoning . . . . . . . INDUSTRIAL LIGHT Application valuation . . . . 0 Application desc Service and circuits ---------------------------------------------------------------------------- Owner Contractor --- - ----------- ------- - -- --- MALIK V ATWATER & VIVIAN WAI ---- --- -------- ELECTRIC SERVICE - - - -- 6,121 S. MT. ANGELES RD. B2 DRAPER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 477 -1519 (360) 452 -6424 ---------------------------------------------------------------------------- Permit. . . . . . . FLECTRTCAL ALTER COMMERCIAL Additional desc . Permit Fee , . . . 187.00 Plan Check .Fee 00 Issue Date . . . . 10/07/14 Valuation . . . . 0 Expiration Date 4/05/15 Qty Unit Charge Per Extension 11.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 55.00 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 132.00 Fee Summary Charged ----------- - - - -- ---- - -- - -- Paid Credited ---- - - - -- -- Due --- - - - - Permit Fee Total 187.00 - ---- --- - 187.00 - - -- Play Checle Total 'CO o0 .00 00 Grand Total 187.00 ?87.00 .00 .00 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 `0 FINAL 5- COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCI-TANGEIBUILDING I