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105 E Front St - Building
o 8 This certificate is issue Code certfing that a of the City regulatin Business name Business address Property owner Property owner Ci o. 'P'or't Angeles ing,Dw ision .,.,..,r :s ursuant to the requirements of Section 11 <&af 'the 2T6 International Building he time ofiissuance this structure was in compliance with the various ordinances uildan or; g onstructzuse f wan or the follo Via' t w Eaddre nrzpg UPANCY CERTIF Automatic fire sprtnkIsystem Use occupancy eiggfr,•ation. Building permit numb._..... Type of construction. P :e B Occupant load. 'F 'fir u bckedeodaelpoughnuts LLC) Front St v D6044 re I City of Porn PO Box 115 WA9836201 Perbald Busines 0744.6616-,. k doodle Dour' anag,E 05/29/08 Date Post on the premises in a conspicuous place. h cer Ica u,hal1 ►ibt be removed except by the Building Official. d6 -03-08 r0 PREPARED 5/19/08 9 48 30 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/19/08 ADDRESS 105 E FRONT ST SUBDIV TENANT NBR COCKADOODLE DOUGHNUTS CONTRACTOR MILLER SIGNS PHONE (360) 683 6790 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 08 00000261 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/19/08 BLDG FINAL TIME 01 00 May 19 2008 8 25 55 AM 1pangrle DAYNA 477 9698 BLDG FINAL SIGN PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE THANKS COMMENTS AND NOTES PREPARED 5/19/08 9 48 30 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/19/08 ADDRESS 105 E FRONT ST TENANT NBA COCKADOODLE DOUGHNUTS CONTRACTOR WANT ACTION CONSTRUCTION INC OWNER CITY OF PORT ANGELES PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 07 00001486 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS FFNL 01 3/20/08 KDD 3/20/08 AP BL99 01 5/19/08 PL99 01 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME2 01 2/26/08 JLL MECHANICAL HOOD DUCT 2/25/08 AP February 26 2008 8 57 31 AM 1pangrle DAYNA 477 9698 HOOD DUCTWORK February 26 2008 2 36 52 PM pbarthol ME2 02 3/20/08 JLL MECHANICAL HOOD DUCT TIME 01 00 3/20/08 CA March 20 2008 8 29 01 AM 1pangrle DAYNA 477 9698 HOOD INSPECTION AFTERNOON March 20 2008 3 10 33 PM jlierly inspection has been approved prior/j11 ME99 01 5/19/08 .f( MECHANICAL FINAL TIME 01 00 May 19 2008 8 28 28 AM 1pangrle DAYNA 477 9698 MECHANICAL FINAL PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE THANKS PL2 01 2/20/08 JLL 2/20/08 AP 5/19/08 J 1k PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV FIRE FINAL March 20 2008 2 35 10 PM kdubuc March 20 2008 2 35 31 PM kdubuc Fire final 3 20 2008 BLDG FINAL TIME 01 00 May 19 2008 8 27 35 AM 1pangrle DAYNA 477 9698 BLDG FINAL PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE THANKS PLUMBING ROUGH IN February 20 2008 8 40 41 AM 1pangrle MARK 477 0626 PLUMBING ROUGH IN February 20 2008 4 11 20 PM jlierly PLUMBING FINAL TIME 01 00 May 19 2008 8 29 08 AM 1pangrle DAYNA 477 9698 PLUMBING FINAL PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE THANKS COMMENTS AND NOTES PHONE (360) 681 3992 PHONE PREPARED 3/20/08 10 54 26 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME2 01 2/26/08 JLL 2/25/08 AP ME2 02 3/20/08 105 E FRONT ST COCKADOODLE DOUGHNUTS WANT ACTION CONSTRUCTION INC CITY OF PORT ANGELES 06 30 00 5 0 0080 0000 07 00001486 COMM REMODEL tL-4- MECHANICAL HOOD DUCT February 26 2008 8 57 DAYNA 477 9698 HOOD DUCTWORK February 26 2008 2 36 MECHANICAL HOOD DUCT March 20 2008 8 29 01 DAYNA 477 9698 HOOD INSPECTION AFTERNOON SUBDIV PHONE PHONE COMMENTS AND NOTES (360) 681 3992 31 AM 1pangrle 52 PM pbarthol TIME 01 00 AM 1pangrle I T lepprwAIV3 PAGE 3 DATE 3/20/08 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 Application Number 08 00000246 Date 3/19/08 Application pin number 242718 Property Address 105 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0080 0.000 Tenant nbr name COCKADOODLE DOUGHNUTS Application type description HOOD /DUCT SUPPRESSION SYSTEM Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1000 Application desc INSTALL FIRE SUPPRESSIONS SYSTEM FOR FRYER Owner Contractor CITY OF PORT ANGELES P 0 BOX 1150 PORT ANGELES WA 98362 LISENBURY FIRE PROTECTION PO BOX 508 PORT ANGELES WA 98362 (360) 452_1143 Permit HOOD DUCT SUPP SYSTEM Additional desc HOOD DUCT SUPP SYSTEM Permit pin number 121855 Permit Fee 40 Plan Check Fee 00 Issue Date 3/19/08 Valuation 1000 Expiration Date 9/15/08 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 Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 0.0 00 00 Plan Check Total 00 '00 00 1_, 00 Grand Total 4,000 4Q 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 examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Re 1q SignatidAy6fr,ont6ior or Authorized Agent. Date Signature of Owner (if Owner is builder) Date a 0 Call 360- 417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover insulate 1 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 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 Ho 4 buck so ppresston Sys— GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD UNDERGROUND STORAGE TANK (UST) ABANDONMENT Date Passed I JJ 3 20-08 K� DD Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated Comments Completed by Contractor psi psi Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000261 Date 3/07/08 Application pin number 225713 Property Address 105 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0080 0000 Tenant nbr name COCKADOODLE DOUGHNUTS Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1345 Application desc TWO SIGNS ONE 9 SF PROJECTING ONE 17 5 SF WALL Owner Contractor CITY OF PORT ANGELES MILLER SIGNS P 0 BOX 1150 30 CHILDERS LN PORT ANGELES WA 983623003 SEQUIM (360) 683 6790 Permit SIGN Additional desc 9 SF PROJECTING 17 5 SF WALL Permit pin number 121913 Permit Fee 94 00 Plan Check Fee 00 Issue Date 3/07/08 Valuation 1345 Expiration Date 9/03/08 Qty Unit Charge Per 2 00 47 0000 PER S SIGN LESS THAN 25 SF Special Notes and Comments March 4 2008 4 05 17 PM sroberds The proposal will allow a single building mounted with with an additional sign in window /door for a total of 18 sq ft in the CBD No land use issues anticipated Charged Paid Credited WA 98382 Due Permit Fee Total 94 00 94 00 00 00 Plan Check Total 00 00 00 00 Grand Total 94 00 94 00 00 00 Extension 94 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 D Cana Date Print NaJne J Signature of C tra for oruttorized Agent Signature of Owner (if owner is builder) T.Forms /Building Division/Building Permit (10 /01 /07).wpd CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED. KEEP PERMIT CARD INSPECTION TYPE DATE FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /0I /07).wpd BUILDING PERMIT INSPECTION RECORD TIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION AND APPROVED PLANS AT JOB SITE. ACCEPTED YES I NO G1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING COMM ENTS FINAL DATE ACCEPTED BY. FINAL DATE. ACCEPTED BY. DATE ACCEPTED YES I NO I I I I 1119108 11 I BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Ott gY1Q, PQ.. k4C /2 h9u Owner 0.0 nG Paa, Owner's Address j '73 oco fd Pr/ ki L& Contractor /Engineer Roh ILI ller .9e3tt Contractor /Engineer's Address 30 Cl Titate r L� S2�'vrm License bQ2- 0S 22. L./A 80 dsfj_gi,s LiCerlSh PROJECT ADDRESS b, Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Residential Commercial Multi- family Industrial A Sians I Lwi4) Inc Grid I wt$1, Lusrrers Warne s;pe(k ova I) .e;sind blaiffeerectrvecl to rt] Sf v) 1-e_-1- X -ream--( Mini/ *rnrn Frorrf Vi f Srdv: c P S (9 ,6) t 21 If .i. A L to g or 1 door- off' /5" -hi It RI' foria (I a S sa -P-i- an to gcre s4 Urn uo c .n tr _A ©6 `3 b o C, `3 657R' o ,w ounted J projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) r /s2 Total footprint of structures sq ft. T Lot size ft. Occupancy group Occupant load Construction type ?hoe 3b0 7S(40711,2) 3& (4ar►1� hoe tr27 76fe 6 Phone 3AO 4 Expires Lot Zoning per sq ft. For City Use Only Date Received (9g Permit 0 gr= Z(D. j c ate Approved of bedrooms of full baths of half baths TOTAL VALUATION 3 sq ft. Lot coverage 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. Date 3 Print Name Dii nct P(j(.i Signature T Forms /Building Division /Bldg Permit Appl. -2406 Code.doc 123: s e I.' ,y :;,i 'F` i i `�ti: f' .�4,e, y,r. r n� =.9'A'n*�`�_ ‘1141144444444144. 141.1144 11114441411144111 walaitskitimaihataimitik iti4i4,45ii11711 Viutodoo Or‘ oc8 Lo he_ive__ tAtv 04 bt)( r h rid- (0011 lapocki swi he placed o1 --rirby4 koft e/a. 100. 4ir-- i-46k,r) 4t7ii_o 5 by:A S Avecor rne,fa, rok. 4--0 Mint rwif.. 6u-A n (n ft e)1 k o vii&le A RKS DATE. a 2 2 g_6 FIRE DEPARTMENT )4 PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY Li ENGINEERING POLICE DEPARTMENT ADMINISTRATION CITY CLERK \k" RISK MANAGEMENT FROM. PUBLIC WORKS/BUILDING DIVISION CJ RE ADDRESS 1 (3' E Fvz S+ NAME /CONTACT 1J 0.I no, Pa-li -P v J PHONE q J 2 L(-- 37 PERMIT NUMBER. G 24 (o PROJECT DESCRIPTION 'n 5 1 a Nand S'v 0P ASS o h V v NEW CONSTRUCTION ADDITION /ALTERNATION COMMENTS /CONDITIONS J +o lei- fil E 1 e 1 X 0 n Q `f u su ad (1/ DY0 -PX' az ri f_ i I oh r► Cc�. I d o is s S do w i 4e 5 l i e sold 'fits r y a- i) sk-e, h a s REVIEW/RETURN Li FILE Applicant or Agent boa UIYI a R( Ctxk.Gdoo 1te, I rviv l'� Property Owner U Da Pciac J Property Owner's Address I R' (e j2d Contractor /Engineer L 5e k c Contractor /Engineer's Address Po—J8 SOB PA l 9s36� License ab 5'7( (o0? /0606 Uf PROJECT ADDRESS /o Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential Arommercial fr5 /1 4l Off 11r c- 5Operc wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area sa ft. Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) g- Total footprint of structures sq ft. T Lot size ft. Occupancy group Occupant load Construction type Phone Phone Phone y 919 4? Expires Lot For City Use Only Date Received ,2 Permit #_03-2. Date Approved Iiwa -4 .JA me_ b 3(Q L Ufa n- °3/19 306 h/ rn -9 wp /07 Zoning Multi family Industrial `J J per sq ft. TOTAL VALUATION Q0 Ott sq ft. Lot coverage of bedrooms of full baths of half baths OA have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. c/ Date '2S'd 0 Print Name Da m in G Pa fine- Signature J J TForms /Building Division /Bldg Permit Appl. 2006 Code.doc Fire Suppression System- Cockadoodle Doughnuts Lisenbury Fire Protection 360- 683 -5132 360 -452 1143 Range Guard Tank 71 Globe ML 450 Fusible Links Hood PLENUM 96982 fryer duct to roof I ADP 96981 ADP 96981 ADP 96981 60' Control Head PREPARED 2/26/08 9 02 38 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/26/08 ADDRESS 105 E FRONT ST SUBDIV TENANT NBR COCKADOODLE DOUGHNUTS CONTRACTOR WANT ACTION CONSTRUCTION INC PHONE (360) 681 3992 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 07 00001486 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME2 01 2/26/08 JLL MECHANICAL HOOD DUCT 2 February 26 2008 8 57 31 AM 1pangrle DAYNA 477 9698 HOOD DUCTWORK COMMENTS AND NOTES PREPARED 2/20/08 10 23 30 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/20/08 ADDRESS 105 E FRONT ST SUBDIV TENANT NBR COCKADOODLE DOUGHNUTS CONTRACTOR WANT ACTION CONSTRUCTION INC PHONE (360) 681 3992 OWNER CITY OF PORT ANGELES PHONE PARCEL 06 30 00 5 0 0080 0000 APPL NUMBER 07 00001486 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 2/20/08 J PLUMBING ROUGH IN February 20 2008 8 40 41 AM 1pangrle WV MARK 477 0626 PLUMBING ROUGH IN COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001486 Date 2/13/08 Application pin number 187898 Property Address 105 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0080 0000 Tenant nbr name COCKADOODLE DOUGHNUTS Application type description COMM REMODEL Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1000 Application desc TENANT IMPROVEMENT CONVERT TO DOUGHNUT SHOP Owner Contractor CITY OF PORT ANGELES WANT ACTION CONSTRUCTION INC PO BOX 1150 P 0 BOX 1425 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 681 3992 Structure Information 000 000 TEN IMPRVMNT DOUGHNUT SHOP Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TEN IMPRVMNT DOUGHNUT SHOP Permit pin number 117648 Permit Fee 65 25 Plan Check Fee 42 41 Issue Date 2/13/08 Valuation 1000 Expiration Date 8/11/08 Qty Unit Charge Per Extension BASE FEE 50 00 5 00 3 0500 HND BL -501 2K (3 05 PER C) 15 25 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 120717 75 15 Plan Check Fee 00 2/13/08 Valuation 0 8/11/08 Qty Unit Charge Per BASE FEE 2 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME HOOD /DUCT SYSTEM Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT N nainna ace_ i hate Print Nan Na4 Signaturk Of Co T.Forms /Building Division/BuildingPermit (10 /01 /07).wpd Extension 50 00 14 50 10 65 120725 57 00 Plan Check Fee 00 2/13/08 Valuation 0 8/11/08 Qty Unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction or Authorized Agent Signature of Owner (if owner is builder) 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. FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T Forms /Building Division /Building Permit (10/0 I /07).wpd BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO PLANNING DEPT SEPARATE PERMIT H's SEPA. PARKING /LIGHTING I I ESA. LANDSCAPING I SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I I I I I I I I I FIRE DEPT PLANNING DEPT BUILDING COMMENTS I FINAL DATE ACCEPTED BY. I FINAL DATE ACCEPTED BY. DATE I ACCEPTED YES I NO Page 2 Application Number 07 00001486 Date 2/13/08 Application pin number 187898 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL -OTHER BACKFLOW 2 OR LESS 7 00 Special Notes and Comments December 14 2007 4 57 59 PM sroberds The proposal will result in a tenant improvement in the CA resulting in a donut shop use No land use issues anticipated Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review January 3 2008 11 41 51 AM rbecker If you are installing a fire sprinkler system you will need a backflow assembly Ron Becker 417 4886 February 8 2008 2 48 30 PM rbecker A double check backflow assembly will be needed on the fire sprinkler system If you have any question please call Ron Becker at (360)417 4886 January 10 2008 11 23 54 AM jyoung This establishment is being planned for the Combined Sewer area of town Per Jim Lierly Have your plumbing contractor contact the Building Inspector Jim Lierly at 417 4816 to ensure that the grease trap is sized right February 1 2008 12 45 39 PM jyoung I talked to Dayna on Jan 30th and mailed her the City WWTP Fats Oils and Grease (FOG) Best Management Practices (BMP) for the installation and maintenance of the grease trap at this establishment Other Fees Fee summary Permit Fee Total 197 40 197 40 00 00 Plan Check Total 42 41 42 41 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 244 31 244 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 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 (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 STATE SURCHARGE 4 50 Charged Paid Credited Due 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 I INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED FOUNDATION- FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS 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 SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 ENGINEERING FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T Forms /Building Division/Building Permit (10 /01 /07).wpd YES NO 2- 2O-O$I ;I'LL, 1 L� G� —n FINAL .J 11 -.1) v V DATE ACCEPTED BY. SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W 417 -4807 PW ENGINEERING FINAL 19 02 DATE ACCEPTED BY. FIRE DEPT PLANNING DEPT BUILDING COMMENTS IgTh DATE ACCEPTED 1 YES I NO M 1 P- I I I IS -(q -a3 [I L-1.-- I I----' Application Number 08 00000090 Date 1/22/08 Application pin number 759000 Property Address 105 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0080 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Owner Contractor CITY OF PORT ANGELES P 0 BOX 1150 PORT ANGELES Fee summary' Permit Fee Total Plan Check Total Grand Total WA 983623003 DOUBLE D ELECTRICAL PO BOX 957 PORT LUDLOW (360) 385 1130 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 119511 Permit Fee 58 00 Plan Check Fee 00 Issue Date 1/22/08 Valuation 0 Expiration Date 7/20/08 Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Charged Paid Credited 58 00 58 00 00 00 00 00 58 00 58 00 00 WA 98365 Due Extension 58 00 00 00 00 INSPECTIO1\ TYPE DITCH SERVICE ROUGH IN FINAL COMME1\ TS FLECTRICAL DATE RESULTS INSPECTOR 34)De lty PORT ANGELES FIRE DEPARTMENT 4 0 0 PLAN REVIEW 61 Project Name Cockadoodle Doughnuts Address 105 East Front Plan 07 -35 Corn PI Residential n Date 12.17.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) Provide a 2A -10BC fire extinguisher for the business 2) Provide a "K" class fire extinguisher near the fryer 3) Provide separate hood and duct fire suppression system plans NOTE Prior to the issuance of a Certificate of Occupancy compliance with the above conditions must be met. Reviewed by 9LQc J Building Department Copy n Contractor/ Owner Copy Fire Department Copy Date lZ Ii 0 7 1% c RKS AND FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ADMINISTRATION Li CITY CLERK RISK MANAGEMENT FROM. PUBLIC WORKS/BUILDING DIVISION RE ADDRESS I 05 E Fr s-4 NAME /CONTACT lIctU n C Pa q e PHONE 4 1 1 4 PERMIT NUMBER. 0 �p PROJECT DESCRIPTION Tpr} Orb toekrme f Eck ek.at9OALP bc341511 n NEW CONSTRUCTION ADDITION /ALTEROATION COMMENTS /CONDITIONS )1I EVIEW/RETURN FILE Applicant or Agent ba Q 90 Ccd(6 Ntlhntlk Owner Owner's Addre s I' Contractor /Engineer A A I Ci-w i e, N 5 r Contractor /Engineer's Address P 0, B0x142 License WA NTAGigof 2.-13. 3 Heat System '(Other Floor Areas BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PROJECT ADDRESS Inc E 1-Ty p 4- Parcel Number Lot Zoning Project Type Brief Description. Residential X Commercial Multi family Check all that apply New Construction inc ft 44 p( LJ e,pmrl -1 S ❑Addition -6N d Art 1 �r .y YQ Remodel J Repair frW If1 lvi' TYi44 J- aye_ n o Re -roof Demolition Sign Basement 1 Floor '7 wi 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood- burning stove gas fireplace o pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Other N l.(Ll. 2i2Q`�ZT ►2C u�pp,z,e I D c3q pTH Et2S Total footprint of structures sq ft. Lot size 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 For City Use Only I Date Received t Permit D te Approved Pho e 1 ,n 4S Phone 3w) 411 Phone 0(1 Expires o Qom/ Q per sq ft. of bedrooms of full baths of half baths o Industrial TOTAL VALUATION 000 00 sq ft. Lot coverage 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 12.- 12- Q Print Name 14 CA P, Signature .For ns /Building Division /Bldg Permit Appl. -20 Code.doc f U 12. zl Xo9 f ‘06 r►�,Ie -h 0 P. a 1544 S S A Apt...if, pro,A0 g- �w C) 1 X. CI- 0 CO a CO n (11 eD 0 C C 11 3 v 0 0 .4 a °Pc&I"i: "jiaA din ib Li L .504.ga- _e fi= obi. /w to/ b" C0)0 E. 6,--ileoui %AA fy 0 t 9 *mow To A-- too:› 0 0 ID C CD o DATE (zC7u7 CD CD C) w 0 C m 1'3_ANS AHEM ED I3Y i'Uft J. CELLS FIRE DEPT FILE S t t u fi 0 0-- 0 0 53 C CD A 0 0 0 0 0 0 CD 0) 00 U, rn -n 0 rn 0 N 0) w S 4/1 4-1 ti)49- Pte' c 3 0 sigt 0 41 of 00 0 CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official 'row therp,fter requiring the correction of errors in said plr specifications and other data, or from preventing built operations being carried on thereunder when in vine: Pion of all codes and ordinances of this jurisdiction. (SECTION 303(c) Uniform Building Code.) Approval Date By PAGV: AFTER Downtown Hotel 1 electrical outlets 2. sink grease trap (hand 3 compartment) 3. toilet 4 convection oven 5. fryer 6. hood 7 fire sup. system 8. refridgerator 9. prep table 10. display case 11 cashier 12. floor mixers 13. storage shelves 14.electrical panel 15 water heater 16. vent for fryer 17 wall heater/fan 17 9 396' 0 r 12 A 11 12 144" t 0 223' Door smoke decor 2 2 0 ?abut oE. CXi%NGw 105 E. Front Street 13 90" 4 7 0 16 5 145" 14 0 13 13 Storage (not for our use) A 8 68" ti Door ff� i 111). 257" 10 2. �v 4 1 5 .4 4 1 14 Front Door v`DE. ZPr t0' 4C FtR6 e v s Cockadoodle Doughnuts Dayna Page 360 -477 -9698 Budget Garage t L E BEFORE 1 electrical outlets 2. sink 3 toilet 4 electrical panel 5 water heater 6 wall heater /fan 68" 396" 63' 2 4 r vent �I Door Downtown Hotel 144" s 0 2 Door 2 Front Door 105 E. Front Street 90' 0 Storage 145" (not for our use) 0 4 83" U A 68" Door 257" Cockadoodle Doughnuts Dayna Page 360 -477 -9698 Budget Garage Q 3 AFTER Downtown Hotel 1 electrical outlets 2. sink grease trap (hand 3 compartment) 3. toilet 4 convection oven 5 fryer 6 hood 7 fire sup. system 8 refridgerator 9 prep table 10. display case 11 cashier 12. floor mixers 13. storage shelves 14.electrical panel 15 water heater 16. vent for fryer 17 wall heater /fan 63' 2 3 68' 68" I I vent 144" 17 12 12 'Q.pV cif. K� O 4. CArciaS 4 Budget Garage Cam' Storage 1s 5 145" (not for our use) 396' NM smoke detector 0 V 11 Door 2 2 2 10 105 E. Front Street 0 13 90' 6 Q1 7 partition 14 0 13 13 83" (j) 9 8 .1 0 223' Front Door %LIMA ps. k0' 4L QXT4 tt&u tS Kew v Door 257" Cockadoodle Doughnuts Dayna Page 360 -477 -9698 18(1 P0■6,e, 319 0 LA 71 t0ct vFROM R EXHAUST )0F C TOADJACENT pross,UNES, r KWIC MOS, RAIN Sfil RESTAURANT HOOP free air Naas FAN •1 4. 1 3p0 I 4,2 GAIAR-Ice tosvacA-1-100 vi) evetly 1.-1,€A4 a )h 1)(4-cr-S 4-air- Cq-6) Virii-AAG'r i 0") e HOOD Aier6A:SIEEL zedn. sulfa-ea *--22166A. STEEL ON I" MINERALWOOL INSULATION WIRE MESH REINFORCED. .5Y$TE 0 r 0 1\-- Cr- 7 4- ALL HOOD a pUttJOINTS AND SEAMS:TO i3E -EXTERNAL. GREASETIGHT WELD. It TIC FIRE EXTINGUISHiNGSY'STEM HOODAND OVER COOKING DEVICE utevENTitinso-p,m ;AS .r 4 t'S■ 4#? ..r. t ...-r... t .....fr.:- 4 A w A. r 47: 'CM" I t 4 f 2he -piiivieioSS listed below are some additional require- Dts afe _shown on the diagram on Page 2 --x,‘.... r Trough* or gutters are not permitted except beneath the An underp ten! Laboratories Inc... listed grease extract .i 417eferS or ma- installed as an option to the approved automa- -c ti operated fixed-pipe extinguishing system for It- protection of the duct and enum areas. 44 Cooktn*equipment, such s fat fryers, ranges, griddles and broilers, require protection by approved extinguish- r: ing 1EWstems. 2. AL_ The Operation of any extinguishing system must automati- off all sources of fuel and heat-to cooking:. equipment according to type ot fue3 and cooking equipment as specified in N.F.P A. Pamphlet No.. 96. Note. ii requirements for proper installation and maintenance are contained in N.F.P.A. Pamphlet No. 96, titled "Vapor Removal from Cooking Equipment". Copies of N.F.P,A. No. 96 are available from the National Fire Protection Association, 470 Atlantic Avenue, Boston, Ma. 02210. 4 T..- 5. An inspection and servicing of the extinguishing equip- sent is required every six months by properly trained and qualified personnel. Certificates of inspection and main- tenance performed are to be forwarded to the Bureau. 6. A signal light is required to be installed in -t he kitchen. area to indicate when the fan is operating. 7. Ducts must extend above the building and with at least 40 inches from the duct outlet to th sit roof surfade. DOW.. biltrot is considered as Vitba:ser of the fan, or blowe_r;:ka: housing, unless construction of this housing is equi*alent to construction of the duct.. 8. An approved fire extinisig4'Arith a Ilk r,ating, as 4~,aied in Pamphlet No. 96, is reit:Jared in the ki.tch6t area4The mul re ti-purpose types are, nded. 9. Hoods, grease-removal devices, fans, ducts and other apr purtenances are to be- cleaned at _frequent intervals. FORK 214-1977 d oable Doui hru *01 -13(45 cc) cI &otoc. t.. roa DATE _id 0 Address of Proposed Business Ins" E. Fro 44 S Applicant l U U 1161 Pa ac Address !7 Rd v►-�t- f n AA g Phone business e I I 1 4 1"1 R(AR Brief description of proposed business. JOU Legal Description Lot Current Use of Property VG Ca rl Zoning Classification of Property en/ 11 M P KY' .I WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off- street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other ROUTING SLIP owner, will °Wahl O ln Q Certificate t f O m e ICa e o ccu Q �r pancy b vi �l dt n�o_ fe Vnif 4 home 5C q3 3Z. Y� X \4.00& S ys''t bluer er X aC ertificate /Inspection Fee Block NO THE FOLLOWING WILL BE REQUIRED APPROVED REJECTED, .0- 0. l'i$ 51 c AMOS 41-05 OW— ihok4 4eff Building Section Public Works Department C1- 01 Sit P g Department 3-2-o _O I4 Fire Department tk_70 -67 U City Clerk Z0 o'1 PB I.A. New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date information I have supplied is correct to the best of my knowledge Vlero itb■z, Peh^vm r 2J-jb K`naLP Signed Sim 1). r►mi� 0$ -261 F'nn1 5 119 log PERMITS 1) Build 2) Plumbing •3 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy e73T Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other 1I 19 -off a Comments Conditions r ge i nsp-e,cffeh s as iveettre (k Subdivision o peen f ours BUSINESS LICENSE 1) 2) 3) 4) 5) 6) 7) 8) 9) 10) Taxi Peddlers 2nd Hand Dealer Pawn Broker Dance Hotel Motel Fireworks Ambulance Tattoo shop Other ah or FeAD 20GS Scull tern 6 sovvia dosed Diin(\ �Q9e When you are almost ready to open your business, please call for Certificate of Occupancy inspections: Call 417 -4815 for a Building Dept. Inspect. Call 417 -4653 for a Fire Dept. Inspection Please provide a minimum 24 hour notice S (O CK a c\ vcAe Dbycihntils 1f 0, 1 f i 1 DATE Address of Pro Business )5 E. i 1 u i J Applicant )c I i<e Ri m t I r Cr Address f t4. t Phone business home t c_ 4 if 1 f Brief description of proposed business r`ljti /}il L f" a a f r Legal Description Lot Block Current Use of Property V ,a Ca 1 1 It Zoning Classification of Property. dl t )r t? i r7' Pt, t WILL THERE BE ANY OF THE FOLLOWING? Constructibri changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs F. New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other APPROVED REJECTED `At r% r.N n ROUTING SLIP t- et W16 i otAeo n c 4 n) Certificate of Occupancy bt)l 16 n6 p rn 1. 6 `0() $50:00.Gertificate /Inspection Fee t fe. `u00 M., df,t on pansy;+ i l !I %::„Te cl-soin j New Business City Clerk (PBIA I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department Transfer of Business Location Nii3n,G, of Oeie`13tpt'.� j 4� E. rj New Building Change of Use Remodel Temporary Business Date Signed PERMITS 1) Building,,,) 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11.) Fire 12) Occupancy 13) Sign T4') Shoreline 15) Home occupation 16) Conditional use 17) Other Subdivision NO THE FOLLOWING WILL BE REQUIRED t f f r y t- f' (JO r) (am) o BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) .Dance 6) 7) 8) 9) 10) Hotel Motel Fireworks Ambulance Tattoo shop Other J cUaik /4< E or r:5: L 2008 ir Comments Conditions 1 o M A n 118 6 This Certification issued pursuant to the requirements of Section109 of the Uniform ?B certifying. that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. F'o`r the following y Use Classification: Ret ail Building Permit No. Business Name: Art Snace Group: M CERTIFICATED C,CUPANCY City of Port Angeles Building Division 1 Owner of Business: Scott Johns/Taylor .1-ermines Type of Construction: V -N Building Address: 105 East Front Street. Use Zone: CBD Adams: P. 0. Box 07. Port An'4eles. WA 98362 Port Angeles. WA98362 uaust-27, 2004 ,Mate Post ';pre'mises19,aaco,nsc place Shall not be reTh excep�byBuilding Official -o Pe I\1 o�! L ST Dt~eC§J^NSCCp2J C grneor/N-TS 5v DATF 6 7 o 3 Address Cro of Business r r \-)C Applicant 6 tihw s LT�-A Address A Q k 6 9 6 Phone business Brief description of proposed business WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other A9P OVE REJECTED 1!v O Vv../ Vim,, td f /o3 _Af1�' joA o3-6) /0 03- Q ROUTING SLIP 1�. S f c E g Certificate of Occupancy $47 00 Certificate /Inspection Fee 2 home 1i £q Legal Description Lot Block Current Use of Property re-' Aare- Zoning Classification of Property' 6- 'Sp I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section ?Q Public Works Department Planning Department Fire Department City Clerk PB1.S New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use art o 6M 4- C\ SSA Date Subdivision THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other 1� 3 Signed ll Comments Conditions 0 Group: M Owner of Business /Residenc Building Address: 105 East CERTIFISATEOFOCCUPANCY �t.of'ort A ngeles Buildiig v s 1)1 vember 20.2001 Date ous place Shall not be rem v►eexcep Building Official Man Address 32 1antocl€ Po t Antdle VAR98362 9.8362 This Cer'tiicatio. "n. issued pursuant to the requirements of Section 109 of the Uniform' Building Cod certifying that.at the time of uance this structure was in cQmpltance.,with the various` 'rdi nances Of the Ci tyyrcg u lating Building ,const e n se For the follotit3t 4 U Use Classification: Retail_ 4 ui Permit No A' (sr O f N©v 1.. T7a A DATE /6 Address of Proposed Business /OS t F-4) S a, eig36.-a R4 ,9 s Applicant J Address 32-s /GNLG(ik 44 /1 -e 14Lef 1'1136-7 Phone business Brief description of proposed business Legal Description Lot I t. Current Use of Property tea/ Zoning Classification of Property CB 1) WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service Admission charged to patrons Is this a home occupation? Excavation of filling of lots Work done in City right -of -way Is there sufficient off street parking? New driveway openings A grading plan for site drainage (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? Is there curb and gutter? Other AP O D REJECTED home ROUTING SLIP a Certificate of Occupancy A $47 00 Certificate /Inspection Fee ;do ys2 -ysz- Acer4,/ G /4,iJCI J YES X X x Block NO X' X I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Building Section Public Works Department Planning Department Fire Department City Clerk PBI.A. ?k J- 10-1 New 0-I— New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use Date Signed Sire Comments Conditions Subdivision 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) "Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire (2) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4)_ Pawn Broker 5) Dance 6) Hotel Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other /0 /(--O/ W ,v1/4 a '" cY P R.- "l f\J 0\1' I ::> I " D~st\.sc~ CP~0S."br-o\ \f\.(~ DATE 16 I 0 i 10 '3 Address of Proposed Business (05" r'O~ Applicant 0 . h Address .::r.O ROUTING SLIP ~ ~:J Certificate of Occupancy $47.00 Certificate/Inspection Fee f\\"-\\ S"f\GE :W~ ~qqe i.Z-. Phone. homey/1 qL(,~-.f) business New Business ... .... . . . . . . .. . ...... Transfer of Business location .. ... ........ Change of Ownership . . . . . .. ... .... .. New BUilding . . . . . . . . . . . . . . . . . . .. . .... Remodel .. . . . . . .. ... ........ ..... . Temporary Business ..... . . .. ... ..... '" Change of Use. .. ........... . . . . . . . . . . . Brief description of proposed business: OI'\- ~ ~ e ~'-/J +- c \u..ss..er legal Description: lot Current Use of Property: ye:;f-,,',' Zoning Classification of Property: Block ~ c... '~D Will THERE BE ANY OF THE FOllOWING? Construction changes Electncal changes Mechanical (heating, cooling, stoves) Plumbing changes New or relocated signs New septic tanks New sewer service AdmiSSion charged to patrons Is thiS a home occupation? Excavation of filling of lots Work done In City nght-of-way Is there sufficient off-street parking? , . New dnveway openings ,A grading plan for site drainage (parking lots, downspouts, etc ) Are the eXisting streets paved? Are there eXisting sidewalks? Is there curb and gutter? Other YES N s:~e.... SubdivIsion L/ (X) ( ) ( ) ( ) ( ) ( ) ( ) THE FOllOWING Will BE REQUIRED: PERMITS BUSINESS LICENSE 1) BUilding 1) TaxI 2) Plumbing 2) Peddlers 3) Electncal 3) 2nd Hand Dealer -. 4) Mechanical 4) Pawn Broker \C 5) Sewer 5) Dance Cj 6) Sidewalk Installation 6) Hotel - Motel 7) Dnveway Installation 7) Fireworks 11\ 8) Curb Installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter Installation 10) Other 'r1 11) Fire d 12) Occupancy ~ 13) Sign -( 14) Shoreline 15) Home occupation 16) Conditional use 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge Signed: ~~REJECTED BUilding Section r:;, Public Works Department Planning Department Fire Department City Clerk P.B.I.~;:';).. ~/ro3 Comments / Conditions 4: ...,;: ~ Use ClassIficatIOn Group M Owner of Busmess BUlldmg Address CE RTI FIC,AT;~OiF""-(lCCU P ANCY t!-_"'<t.~ ....,(.1' ,(\./'11..-" City of Port Angeles<';;":::.;,.. ,{d??-' Building Division <~~:CJ\ )7F ~. I'.) ~ This C~r~ification issued pursuant to the requirements of Secti~~/ 09 of the Unijorm?;Building Code certifying that at the time of issuance this structure was ;< , in cr/mplian,ce with the various ordinances of the City regl!:lating Iluilding f construction or use. For thefollowing:.-. _. \. Retail. BUlldmg Penmt No Busmess Name Art Space V: !\! , t, l!\ II, ~I, !ype.ofConstruction: V-N Use Zone Cg'D fit - - i' 1~ U , l ~t Scott J0hnsfI'aylor Jennings Address' P. O. Box 07. Port AITgeles. W A 98362 105 Eas~~roiir Street. ". .. - Port Angele!;. W Ai99~362 ~ N ~, s/27 2004 "-~'Da te 1,~jV /.'1/ Post "'~ ,j nSe,!,s;mous place. Shall not be re'm~ -. - p" . ,y;;B'uilding Official. .w~i<1'l_~~ar:~11"'''''' /'" ';';~ORT",-\: /,e-~~~ ~ __ -=..:or ~ "l.O;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00001123 Date 11/21/03 105 E FRONT ST 06-30-00-5-0-0070-0000- ART SPACE PLUMBING REPAIR CENTRAL BUSINESS DISTRICT 1165 Owner Contractor NIICHEL RICHARD J 7349 E SIERRA VISTA DR SCOTTSDALE AZ 85250 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 68.00 11/21/03 5/20/04 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 21.00 \J \1'\ BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.00 68.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.00 68.00 .00 .00 TIT T/ 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 certlf hat I have read and examined this application and know the same to be true and correct. All provISions of laws and ordinances gov nlng thiS type of work Will be compIled With whether speCIfied herem or not The grantrng of a permit does not presume to e auth y Violate or cancel th pro isions of any state or local law regulating construction or the performance of constructi -\ Date Signature of Owner (if owner IS bUilder) Date T \PLANNING\FORMS\1102 15 [11114/2003] BUILDING PERMIT INSPECTION RECORD ... ", ... CALL 4] 7-48] 5 FOR BU]LDING ]NSPECTIONS, CALL 4] 7-4735 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 DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT' # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeerlng DIVIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA- LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 J - fo...cLl \ LL.. BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] r. FOR OFFICIAL USE ONLY '/ BUILDING PERMIT - APPLICATION Date Rec Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. !fyou have any questions, call (360) 417-4815 Perrmt # Date Approved Date Issued C' .......1:1 _ 'v \. *-.s~ ~Lo1 ~f'.(\.,~ -on / \ ApplIcant or Agent: <.Y. lJ"tl1-' )--v'-.Joh,y Phone: Lt /1 -OJ Y ~ -, (fA ) Owner: /1 3~ Phone: Address:_' DS- 81 ~ ;yh CIty: f ~ ZIp: 1 ~J b ~ Architect/Engmeer:~ ~ 4~ Contractor ,:t..u <{ ;~~6 (?WIB{f!fate LICense #: Address: CIty: PROJECT ADDRESS: l b s- Et t=fUJ\-- S 1l Phone: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdIVIsion: Credit Card Holder Name: Billing Address: () Credit CardType VISA TYPE OF WORK: o ResidentIal 0 New Constr. 0 Re-roof ~o MultI-farmly 0 AddItIon 0 Move CommercIal ~emodel 0 DemolItIOn o RepaIr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: 11 II ~S- ~~ COMMERCIAL/RESIDENTIAL: Occupancy Group: City: SIZEN ALUATION: o Stove SF. @ $ /SF. = $ o Garage SF. @ $ /SF = $ o Deck SF. @$ /SF. = $ ~~~Sl~;.7)it~~~::.~o:,~~ }/.U1-7Y2 Occupant Load' ConstructIon Type. No. of Stones' Lot SIze. EXlstmg Sq. Ft. & Proposed Sq. Ft. EXlstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The BUlldmg DIvIsIOn can proVIde you WIth mformatlOn on the applIcation and plan subrmttal requrrements 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 Buildmg DIVisIOn to comply with current fee schedules. Contact the Perrmt Coordinator at 4 I 7-48 I 5 for aSSIstance. PLAN CHECK FEE: IF a plan check fee is due it must be subrmtted at the trme the bUlldmg permit applicatIOn and constructIOn plans are subrrutted. AIl other perrrut fees are due at the tIme of perrrut Issuance. EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued wlthm 180 days of the date ofapphcatIon, the application will expire. The Building OfficIal can extend the tIme for actIOn by the applIcant up to 180 days upon wrItten request by the apphcant (see SectIOn 1074 of the Uruform BUlldmg Code, current edItIon). No apphcatlOn can be extended more than once. T \FORMS\APPS\BuIldmgpenmt wpd ApplIcant. Date: i /,., '2-1 --O~ I hereby certify that I have read and examined this appltcation and know the sa to be and correct I am authonzed to apply for this permit and understand that It is my responSibility to determine what permits are required ,n he Ci s an hat I must obtain such permits pflor to work. PREPARED 11/24/03, 12 49 27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 11/24/03 ---------------------------~-------------------------------------------------------------------- ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 105 E FRONT ST ART SPACE ANGELES PLUMBING NIICHEL RICHARD J 06-30-00-5-0-0070-0000- 03-00001123 PLUMBING REPAIR SUBDIV PHONE PHONE (360) 452-8525 --------------------------------------------------~--------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL99 01 11/24/03 ~ PLUMBING FINAL TIME 17 00 -------------------------------------- COMMENTS AND NOTES ------------------____________________ . BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at iO~ - 1= p~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: LFZ~/'L Ji?f;O'> +c ~e r:~d-0t:_JQcl ~ i2--t>pjl'~~ ?lu,'Y}b/~(.Q 6~ .J(~ J- F'A.J0 1- ...) L-E"~ r'- II These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call l' - IJ I for inspection. Date J!J~u.t ~ DO NOT REMOVE THIS TAG I I PREPARED 1/06/04, 12 27 36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 1/06/04 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL . APPL NUMBER 105 E FRONT ST ART SPACE ANGELES PLUMBING NIICHEL RICHARD J 06-30-00-5-0-0070-0000- 03-00001123 PLUMBING REPAIR SUBDIV PHONE PHONE (360) 452 - 852 5 PERMIT, PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL99 01 11/24/03 JLL PLUMBING FINAL TIME 17 00 11/24/03 ~A plumb ok flnd leak and repalr/]lffi PL99 02 1/06/04 JLL PLUMBING FINAL TIME 17 00 --------------------- '-- -- --------- COMMENTS AND NOTES -------------------------------------- " VORT ~ lO~ ,. '- w::::::;.a :;:;; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000998 Date 12/10/03 105 E FRONT ST 06-30-00-5-0-0070-0000- ART SPACE CO- CHANGE OF OCCP/USE CENTRAL BUSINESS DISTRICT o Owner Contractor NIICHEL RICHARD J 7349 E SIERRA VISTA DR SCOTTSDALE AZ 85250 OWNER Structure Information Construction Type . . . . Occupancy Type . . . . . ART SPACE TYPE V NON-RATED MERCANTILE Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL COMM. 2 ADDED CIRCUITS HALVORSEN ELECTRIC 59.40 Plan Check Fee 12/10/03 Valuation 6/08/04 .00 o ~ "^' t" ~ ;>; "- '\ Qty Unit Charge Per 1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS Extension 59.40 Other Fees CHANGE OCC/USE FIRE DEPT PBIA 23.50 100.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59.40 59.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other 'Fee Total 123.50 123.50 .00 .00 Grand Total 182.90 182.90 .00 .00 \;\ ~ . " - (...:~ ': :-' ~ :~-:' cc;:-:.~:,-'f -',.....~...-.. . ": ~-I..,...... ...... ....~_. r- ":............,.... 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 penod 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\1102 15 [11/14/2003] 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 COfVCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPD SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (EnglOeenng DIVIsIOn) SEPARATE PERMIT #'5. WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTlNG ESA LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL ~/of ,4t6 LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W 7 -, ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\1102 15 [11/14/2003] ~~ORT~ A.4.0~~~ ~~~ "--~ ~ 'l.9i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000808 Date 117128 105 E FRONT ST 06-30-00-5-0-0070-0000- SIGNS 8/29/05 CENTRAL BUSINESS DISTRICT 200 ~p~ 4/~-r ( Ub- Owner Contractor NIICHEL RICHARD J 7349 E SIERRA VISTA DR SCOTTSDALE AZ 85250 JACKSON'S SIGNS & GRAPHICS 472 MOUNT PLEASENT RD PORT ANGELES WA 98362 (360) 457-3703 58891 47.00 8/29/05 2/25/06 Plan Check Fee Valuation .00 200 ~ IJ1 c) rn ,.-- \.\ +- 1\ N ~. Z. ~ \/) -\ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SIGN Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extension 47.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby ce' that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances g rnin this type of work will be complied with whether specified herein or not. The granting of a permit does not presume t give auth Ity t v" late or cancel the Pro7i ions of any state or local law regulating construction or the performance of constru9 n. /1 ~ /'0 Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS I WALLS FOUNDATION DRAINAGE / DOWN SPOUTS 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 I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT - APPLICATION Fill out COMPLETELY andinINK. Your application and site plan .MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent:3t""y':;7F"" So tiki.;5 Owner: R..JL.U 4~.}) )vI tiTc-J.l?-L Phone:c114 - 9'-/51 Phone: Address: City: Architect/Engineer: ,.;ffi Phone; -Contractor~\c;,..~s --~t~--;' __ -StateLicenseIEet J3.J~~~bEiJ:~/'d ..., Address: 4-7"2.. ,f-1(-7~1'r"S~ f2-J.. City: PtDrr4-u6e~1 ( PROJECT ADDRESS: / 0 .s- E.. r:-i<D,(j';- Zip: Phone: 457"3703 Zip: cr l/"?C,;.z- ZONING: GPD LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: 0036 Clo.5DCC>~O Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: D Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D Move D Garage D Commercial D Remodel D Demolition D Deck D - Repair ")(_. Sign D Other BRIEF DESCRIPTION OF THE PROJECT: Z - 5 , nE=-" (~ ' .x. t./ / .". 1'2...- c/:z. -+ '6u'U::.i"JU /ttooNT/3;:l) COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % City: Exp. Date: MC # SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ LvoO'[) IM~-rA-L S r -6JlJ . -II lll......altl 3,/ .x 10 -::: I ']G.)7A L 2 tll- 21m Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes DNo SEPAChecklistrequired? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. -- --.. EXPIRATION-OF-PI:,:A:N-REVlEW-:--If-n0-permitis-issuedwithin-1-80days-of the-date-ofapplication;the -applicationwill-expire;---The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildinglResidential 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 e d correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, the City' , a T:\RVESS\BLDG-forrns-brochures\2004-Buildingpennit.wpd Applicant: " "" " t _ (-~. ,,' Ai' ~,1 --- -.-r .'- , 4--T"' \. -1. 11/\.i\1G\ ) 1\[ C1 t ! . .'),_, Ai:. J-E.. /" i -, I . j'- -...... ,- ,...-....,' \,..- -- T("q- r\ L ^'~ r ! -r t liT r-<=<a~,"' t I 'Ii . I; , 1:- Ii i I , I.i _________ , 1 I I I 1. f: ! t ------+"1 "'-~-'-'-'---- --...1---. ~'~."'-- ,-' t--.... lJ...... / r.: j(')C c= [~'---~.J-.{ ~ ! -;" 50,-"""1 I)........ r I ~,Q -j-'- f:f=/\.. ~::: ~ I ::::/i) --r f '- /'. - ;( , ~.:..J-.._y...~^ _~ . /'. i ----J r I ! .. ---------, I z::: , I I I I' I 1 I I --~---~ .---} -I , ; I ------,.. ~~'5 22 24 21 16 15 il Ii Ii '''''jl 13 I, 12 'i -u ~ j - 'I ., 8 7 6 4 3 2 J ~w ~-, r --..-.......-.."",..--.. ,.'--'" I I ! 1- ~t=-"] t ) I , .. .._-~~. ..,~ -----~-""----~~ , VJ ! ~ W ~/' ~~~: 't 'H - l. cr ~ \\ ~ @) -~ i Ii I I' 'J--:=:' ..-",.--.-- .../,,-- /.// /'" ../0_' /,/ lElECTIR~CAl ~NSIPECTION W~IRING REPORT 417-4735 l'G-C- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . _ . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . .. . . . .. . . . . .. . SERVICE.. . . . . . . . . . . . . .. . . . 0 D.....................RN~....................~ CORRECTIONS NEEDED: ,. , {"'Vr.e...." r<!'>1Z.... ~ACX. , '. UL -rrz.. tf Eyz ~L 9lAW ~ I TJaJrJ iTT "F"'iZ 11 3E. - IJi"Jl2. NQTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Jan 21 08 02:08p Double D Electrical Inc 3603855761 p.1 . o~-ro4 D 5- . j ~~...;j' ELECTRICAL WORK PERMIT APPLICATION Fa-){: 3/tJD - q) 7-Lj 71/ Job wired by )dEItctricalContractor a Owner Installation description ;e(...Comme1'cial a Residential D~I~:b r~I5c~r;~:tKlc_td PuJt:/1ascr's mailillG address P. D, e,OX q 5 7 City HMloc.k. \)0 R~ T~Tphone ~u~bC[ .:J~D.o ....55 -II 3D Licr:nsc number Date Eltpires "Dou.e,LDe 19 ap j) aNew a Altered/AdditioD State ZIP IA,>R 98339 FAX number 3/PD-.38 S -57 "" Ad J ej R.C''' ;-1::; j~, .k;+ ch. Po 'VI .eO L! ,Ip j~ ~ i1'i-- Pre~es owner's r.,me _, ~~ r:~l- Address or InsprelloD ~ Q...L 105 G-. I=-RDfIX -.).- Clly C'I (\ , I"OR.:\ H-V\..Clr>Jes Phone number to schedulJ""i::pectloll: 3 {pO.- '177-96 '1 S Owner as defined by RCW./9.28.16/:(I) Owner will occupy J"t'.1II'NCll/r~/br /wo yenrS after tlli~' elect,.;cal pernul is finalized. (2) Owlfer;s requlrnJ 10 hire Qn de<:tricat corrffactor if abal~ .laid property ;s for .late, rent or lease. After reading tbe ~boYC: slalement. I hereby CCJ1ify thai I am the owner of the above named property or a licensed c1~tric2l1 contractor. 111m making the electrical instal. lation or ultera1ion in compliance Wilh the electrical laws, N.E.C., R.CW. Chapter 19.28. WAC. Cha.pler 296-46B, The City of Port Angeles Municipal Code. and Utili!)' Specifications. SIJ:n~rr owner. elcC~c"_nrn?,r or electrical admlDlsCrator X t/td.!:z:t, ( ~ '7/. - Date: Ele-tlri d 4rirlitinns,""nA or subt~Aions o r;o lOAD CHANGES D Baseboard KW [J ~umace KW o Heat Pump _ Ton _ LAA a Fan-Wall _I<W o Cash 0 Check # ~CreditCard Visa Mastercard Discover CarH __O.R..ECLC- _0____ Expiration Date of card (Insp;:ti.on fee \.$....S/~ Service Information a Overhead Service o Temp Servioe o Underground Service Voltage PhaseD 1 03 Service Size: _ Feeder Size: SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 . F ROUGH-IN THERMOSfAT SERVICE :!2fiots -wJ> ",PtllQvcd By DI'~ Approved By .." Approved By ANAL DITCH r FEEDER :!/Zb!d') ..E- o,,, Oil': '- O~l<: Approved, By Approved By '- APPruv&dBY/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Dale IJlspeetor - - . 0 " J ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY DalelR.ec: Permit': Dale ApprO'o'ed: 0-- The Electrical Permit Application must be filled out comoletelv. Please type or reprint in ink. If you have any questions, please call (360) 417- 4735 Fax number: (360) 417-4711 f-/77L -It 9?B . I . REQUEST INSPECTION 0 Owner or EleC'. Contractor Agent: Phone" Fax: Address:-., ,PO J::l/9'y '7 Electrical Contraclor: ;.!/JL V,y/?:iE' IJ 's FlfCTR Ie Address:-.JI1~X :P/f)CFi RD City: Pb FIT IJ Nt; sJ r::c; IfJiL Vr>EJIYi L} CL License #: Exp: a/l!'l/01 I Phone: 41'7 - 91, tfIJ Zip: 3.17 :;1, (, ? Phone: 1t;r'-,/1?10 3 Zip: 'l'1l ., j, ;7, Property Owner: 5'('oT ,ioJiAJ'i City: P,?I?T /JA/;::;E/r:S INSTAlLATIQN WIRED BY: DOWNER ;2l1=lECTRICAl CONTRACTOR Credit Card Ho/der Name' 1141 voR!;/;a.J5' EtECfRIC Exp, Date: . Zip: 9133&3 V/SA- v MC:-- Credit Card Number' 2'442 J7McE }1 D (jJJ n tE: City: PeST /JMCEIE5 Billing Address' PROJECT ADDRESS' if) 1:) , PA.S r F'RD/J, TYPE OF WpRK: Check all that apply: 0 New Jl11 Alteration/Addition o Residential 0 Multi-family !i Commercial 0 Mobile Home Sq. Ft Remote M~!ter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: 2- DESCRIPTION OF THE ELECTRICAL PROJECT: E /JDDII!D/l/fi L ("I !leu/,5 PERMIT FEE; .IL 1fd J v i 59, '0'0 Service Information Electrical Heat Load Additions I I o Baseboard. o Furnace : 1 o Heat Pump o Fan-Wall I ! lRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: _KW _KW _TON _KW I hereby certify that I have read and examined this application and know that same to be true and correct, and / am authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: t4f1RA,fJ! &L"'--tA~ Owner or Elec. Cont. Signature; ,#:''''''-' 1!f ~ C :lELECTRICALPERMIT APPLICATION Date: /;;/7' /;; :3 Date: 12)40' M c ~ fz-h/o=t. /~f,fO 'I 6-04-207 8,' 3AM FROM ANGELES ELECTRIC INC 360 452 9265 P. , G--I~b . Job ,,'ired by S. t.l ~~-'i 'is........ ELECTRICAL WORK PERMIT APPLICATION . a Owner Electric:.!l contrll.ctor n3me License number Date Expires o New o Residential ~ed/Addition City M~GEL[S ELECTRiC, II/e. 524 EAST FIRST POI\! }Jj~~L[S, 'I!^ 9B3G2 tatc " }1urch~r'l; n'l.ailing address FAX number ~Z~ ~ eI1ftMeL l'elepnonc rl''.1mber I?~ I Pn:mi!ies olt'ner's name , f-/~~ t!J]J $ ?6-..o ,,/ .aid.... ---.. Address of' Cit}' OW'lU a.~ d~fincd by RCW,i ,Z8.26!:(I) Owner will occupy th(' strtl-ctUl'c/f)' twO yt'C~ a.rt(~r: !J1is dectrical permit is finc:Uzcd. (2) Owner i.~ requiro:d to Iti": an der:lrh,,-al contl'ar.ll:lr f ahqve said property is Jut' ~.l1h~, renl or lease. AIler reading. the above swtement, I hc:r~by ctllify th:lt I am tne owner of the above named propcny or a licensed eleclrtcal contT3cror. I am milking the dectrical il\~taJ- lation or <llh:ratioll in cQmpli:mee with the elt:l:trieal laws., N.E.C., RCW. Chapter 19.2~. WAC. Chapter 296-46'3. Thl: City of Port Angeles Municipal Code, and Utility SpCCJfil;iJlionSo, ;). tfO) A- ;:j vc. J- - JrrV rL:Af.<Jkds:. r/~m 9'6 ~.2 :: 183 Date: 6. " ~ 7 x IL o LOAD CHANGES o Baseboard KW o Furnace _ KW Q Heat Pvrinp Ton o Fan-Wan _ KW LAR ~d s~rvice D Temp Service CJ Underground Service Service Information Voltage /(:(IZ~() ~hase i:i"1D . Service Size: ~ Feeder Size: _~ ~ SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE D;ll<, ^Pf'l"oved Dy [)~'c:. Approved 8y Dille ^P1Il'OvC'<l Dy DITCH n:WER Co< D:l.le ~Al"I'''''Hrtl'll'' [1"1<: Allf'rove(I l~y JnspeC1ion .. Da!~ I.a-~ +p7 II II &;./ /)h s / Electrical Inspector Area, Building or Equipment Im.-pccted AClion Taken ..REe