Loading...
HomeMy WebLinkAbout535 E 1st St - Building N ELECTRICAL PERMIT R CITY OF PORT ANGELES 360 417 -4735 \Al Application Number 12- 00000539 Date 5/08/12 -+U Application pin number 908860 Property Address 535 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 2065 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc RANGE CIRCUIT Owner Contractor SERENITY HOUSE OF ELECTRIC SERVICE CLALLAM COUNTY 82 DRAPER RD PO BOX 4047 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -6424 (360) 452- 7224 \V► Permit ELECTRICAL ALTER COMMERCIAL Additional desc EL. SVC/ RANGE CIRCUIT Permit Fee 74.00 Plan Check Fee,. .00 Issue Date 5/08/12 Valuation 0 Expiration Date 11/04/12 Qty Unit Charge Per Extension 1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ S/F 74.00 Fee summary Charged Paid Credited Due Permit Fee Total 74.00 74.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 74.00 74.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN S iefe A FINAL 3-.. /o i 2 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 4 MAY -4 -2012 06:31A FROM: ELECTRIC SERVICE 4526424 TO:4174711 P.1/1 CITY OF PORT ANGELES PERMIT APPLICATION t Building Division/Electrical Inspections J I (f 321 East Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 IW Ph: (360) 41 -47 5 Fax: (360) 417 -4711 I Date: i r z Multi-Family or Comrcial' Plan Review May Be R quired, Please Complete Electrical Plan Review In h nation Sheet Job Address: Es r— 4 e— it Building Square Footage: L-t o0— Desaiptlon of above J .t'Asirl r Ay- c'v J Name: Informs r Contractor In Rrtetlon Name: L me: lam 'Th. J .0... --4. MallinMddress: P. d 1.5 4 4 0 7 i b ill ddress: 2- 1) .S City: fit z r r Q State: t a,Ztp: Q$36 State: _Oar_ 4 ga..c h` Phone: Fax: i" one: L1 I,— '.-'ax: 1;c.4..4 Ucense#lExp. I.• se IExp. pv. r.- 6.- c_1 r '32 a Rem Unit Charge I gtC Total (Qtv Multiplied by Unit Charnel ServicelFeeder 200 Amp. 132.00 ServicelFeeder 201.400 Amp. 8160.00 ServicelFeeder 401 -600 Amp 225.00 1 ServicelFeeder 601 -1000 Amp. 288.00 ServicelFeeder over 1000 Amp. 410.00 1 Branch Circuit W/ Service Feeder 5.00 1 Branch Circuit W/O Service Feeder 74.00 1 -1---- I Each Additional Branch Circuit 5.00 1 Branch Circuits 1-4 86.00 1 Temp. Service/ Feeder 200 Amp. 102.00 1 Temp. Service/Feeder 201 -400 Amp. 121.00 Temp. ServicelFeeder 401-600 Amp. 164.00 -I Temp. Service/Feeder 601 -1000 Amp 185. Portal to Portal Hourly 96.00 Sign /Outline Lighting 88.00 4 Signal Circuit/ Limited Energy Muld- Family 64.00 4 Signal Circuit/ Limited Energy 1 First 1500 sf Commercial 96.00 Note: 85.00 for each additional 1500 sf Renewable Electrical Energy 510/A System or Less 113.00 .1 Thermostat 56.00 Note: $5.00 for each additional T -Stal lq D a Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two yil after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Perrnl I xptres after six months of last Inspection. After reading the above statement. I hereby certify that I am the owner of the abo r med property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., W. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding 3 ectrical Permit Applications. Signature of owner, elect !contractor or electrical administrator: Cash Chrlh 6-2),- Credit I Zi&, x one& �etie4uo4: 1 ELECTRICAL PERMIT CITY OF PORT ANGELES V.1 360 417 -4735 d Application Number 12- 00000373 Date 4/03/12 Application pin number 277503 Property Address 535 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 2065 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Camera system Owner Contractor SERENITY HOUSE OF HI TECH SECURITY INC CLALLAM COUNTY 723 E FRONT ST �v PO BOX 4047 PORT ANGELES WA 98362 v PORT ANGELES WA 98362 (360) 452 -2727 (360) 452 -7224 LiCZ$c6.0 Permit 'ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 96.00 Plan Check Fee .00 Issue Date 4/03/12 Valuation 0 Expiration Date 9/30/12 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 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN Li/ 71 Z FINAL q 7 COMMENTS: G 7 b I PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING FROM H I —TECH ELECTRONICS FAX NO. 360 452 85E �r� 0 !�y� CE Apr 02 2012 09 44AM P1 EVEI- 4 1 o w CITY OF POR'I' ANGELES PERMIT APPLICATION ELECTRICAL tw a I Building Division/Eteetrieal Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles 'Washington, 98362 INSPECTIONS t; Ph: (360) 417 -4735 Fax: (360) 4.17 -4711 a;;e'<, Date: 47 -12 J7. Multi- Family or Commercial* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: rss Ent 1:4 Building Square Footage: Description of above mcroa cunNOwncc auncro:yaan Owner Information Contractor Information Name: Swaney Hare Hourng Rrz.rutes center Name: 1G Ted sera/64y, Inc Mailing Address: 05 eea, it Mailing Address: 123 East From st City: won Angelo: State: WA Zip: e8362 City: PanAnoeiew State: WA Zip: oti:u Phone: =.O.1n -167, Fax: Phone 2 E0 Fax: 360- 452•0460 License Exp. License Exp. riiTECrsecaes Item Unit Charge gty Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $132.00 Service/Feeder 201 -400 Amp. $160.00 Service/Feeder 401 -600 Amp 225.00 Service/Feeder 601 -1000 Amp. 288.00 Service/Feeder over 1000 Amp. 410,00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1 86.00 Temp. Service/ Feeder 200 Amp. $102-00 Temp. Service/Feeder 201 -400 Arne- $121.00 Temp. Service/Feeder 401.600 Amp. 164.00 Temp. Service/Feeder 6011000 Amp 185.00 Portal to Portal Hourly 96,00 Sign/Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi- Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 1 caw Note: $5.00 for each additional 1500 sf Renewable Electrical Energy SKVA System or Less 113.00 Thermostat 56.00 V Note: $5.00 for each additional T-Stat woo Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that i am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW. Chapter 1928, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14- 05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check CTedlt Gard on rile x Mike Shirley Gary Politika Dated: 43 01/01/2012 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION r... ,.r 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001196 Date 10/24/11 Application pin number 506768 Property Address 535 E 1ST ST q ASSESSOR PARCEL NUMBER: 06- 30- 00 -5 -1- 2065 -0000- REPORT SALES TAX' Tenant nbr, name SERENITY HOUSE OF CLALLAM your state excise tax form Application type description RE -ROOF on Y Subdivision Name to the City of Port Angeles Property Use Property Zoning COMMERCIAL ARTERIAL (Location Code 0502) Application valuation 4000 Application desc RE- ROOF: LAY OVER ONE LAYER Owner Contractor SERENITY HOUSE OF LARRY'S ROOFING CLALLAM COUNTY 352 AVIS ST. PO BOX 4047 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -2215 (360) 452 -7224 Structure Information 000 000 RE -ROOF Permit BUILDING PERMIT NO•PR FEE Additional desc RE -ROOF .Permit pin number 195149 Permit Fee 123.75 Plan Check Fee .00 Issue Date 10/24/11 Valuation 4000 Expiration Date 4/21/12 Qty Unit Charge Per Extension BASE FEE 95.75 2.00 14.0000 THOU BL- 2001 -25K (14 PER K) 28.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 123.75 123.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 128.25 128.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This 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 wit -ther specified herein or not. The granting of a permit does s' not presume to give authority to violet cancel the provision :ny local law regulating construction or the performance of constructia 1 0 fl\ o "agg k* Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Bullding Division /Building Permit BUILDING PERMIT INSPECTION RECORD ---g PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOP 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 A 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 C`1! FRAMING: V" 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 EAU Ducts Rough -In 0 Gas Line Wood Stove Pellet Chimney fi 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 L Building 417 -4815 4• (D' 1 'a' 01A- N 0 I 0 w w E 1 S a w (n H N 1 N N N N N lf1 (0 C 0 o 0 1 D 0 N N H 0 w u H 0 .0 H 0 z z X (0 I a 0 0 xw .o xx a E u X 0 H f N z H0 0 z Oxl N 0 I V1 0 E E- I H n (0 U U z H PI w. w N z a n w (0( w z o ff H H H I 1 O O U N N 0 H� z u aa (n 1-I10N a a .n a 000 0�+� .0 0 x (0 o w w ,-7 a o I 0 (0 CO FC E U o w wo O E o HH O [7 o x 0. a E 10 (0010 w a a N V7 H fn I (k a (n E0 w0. 2 E M (0 0 0 0 1 10 (.7 H w a xO0nm Z (0 H a H H m En N H H 10 c HH n HOO H a w z Z 0 o 010 0 G N w w (x 10 0 0 Gl H H H H ulfxxx cnw 0 4 1 4 1 4 0 0 0 47 I7 10 40 N(0 0 U] o ff 0 0 a o 0 E a w O a 0 w Z a z o W G7 0 E w 44 I (0 U (0 H IZ O (n HH Ft a z E. 0 o w o Z Z z z a a c a m a u F 0 U o a a W a E w BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review. Rya Date Received �6 -2- u Permit l City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 98362 360- 417 -4815 fax: 360- 417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone OM b),ocie p Property owner: n u_ f I1 1 i E� j'0(, e/ olii) CGA A Phone: Property owner's mailing addres 5: Contractor's business name: ag 1 g /o ()C Phone: 1 z (or property owner's name if he /she is doi verseeing the work Contractor's mailing address: 32, �01--S Contractor's L &I license number: C r Co ��n Expira� r/ I te: Project Address: .5-- Project Type: o Residential N Commercial o Industrial D Multi- family Project Business Name: (for commercial, industrial, or multi family projects) Se-PA A- hoUa The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re roof: house garage other tear off re- roof ''lay over one layer Licensed contractor: S,q�bmit a copy of your re roof bid. Project Valuation J (labor materials, not including sales tax) Re side: house a garage other Project Valuation *.(labor materials, not including sales tax) Repair: ex•lain the •r ""ect 1 Oti 1 014 J r 4 eXi (on 6 ,c6- 00 Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your. property. Cost'of materials x 2 Project Valuation T: Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011) Page 1 of 2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the protect) Project Valuation Mechanical Permit: (explain the project) Project Valuation I I have read and completed this application and know i to true and correct. I am authorized to apply for this permit and understand that it is my responsibility determi e at permits are required, and to obtain permits prior to working on projec s. Date 1 -11 Signature Print Name Ian Page 2 of 2 Clallam County Assessor Treasurer Property Details 61462 SERENITY HOUSE 0... Page 1 of 1 ClaHam County Assessor Treasurer Property Search Results 61462 SERENITY HOUSE OF CLALLAM COUNTY for Year 2011 2012 Property Account Property ID: 61462 Legal Description: LOTS 17& 18 BL 20 OF NORMAN R SMITH Geographic ID: 0630005120650000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 69 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township: Section: Range: Location Address: 535 E FIRST ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner Name: SERENITY HOUSE OF CLALLAM COUNTY Owner ID: 51687 Mailing Address: PO BOX 4047 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/24/2011 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due et Statement D ails 2011 155892 $469.32 $469.25 $0.00 $0.00 $469.32 $469.25 Statement Details 2010 44168 $475.10 $475.13 $0.00 $0.00 $950.23 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 10/24/2011 3:47 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8.clallam. net/ propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =61... 10/24/2011 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 3 circuits remodel Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 2 00 Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 Unit Charge Per 73 5000 ECH 2 6000 ECH INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 192021 78 70 9/02/11 2/29/12 Signature of owner or Electrical Contractor X G \EXCHANGE\,BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 11 00000956 236936 535 E 1ST ST 06 30 00 5 1 2065 0000 ELECTRICAL ONLY Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation EL- BRANCH CIRCUIT WO /FEEDER EL -ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 78 70 78 70 00 00 00 00 78 70 78 70 00 DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 9/02/11 RESULTS WA 98362 0 0 Extension 73 50 5 20 Due 00 00 00 INSPECTOR. t zlli PsV 111Q ai1�1�.� REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date. SEP -1 -2011 11 01A FROM ELECTRIC SERVICE 4526424 QTY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections ELECTRICAL 321 East Fifth Street P.O. Box 1150 /Port Angeles Wealthier, .1' 983621SPECTIONS Pb: (360) 17-4735 Fax: (360) 417 -4711 Date; T 1 .SIngle Farnily Dwelling. .Mu1li- Family or Commercial` Commercial Addition I Alteration Remodel f Repair" Plan Review May Be R uired Please mpiete lectrical Plan RevieK h ,formation Sheet JohAddress: t c�C Buflding Square Footage: So I t I Description of above I I I CJ✓�+�ti II IIi Owner inform pn Q Contractor Informgl o n Nerve; 6 r Name: 1 MaNt��g tl/dress: aY 4 46 .4 Mai6 d s; City _Y� •w l''t"* State: CO* Zip; T a> (i City: r State: Li-ice ZIp: 9 7'3 �L Phone: Fax Phone; j 3 101 2 -1'Fax: License rk I Exn License N l Ex 14 C _TS I 7Za" Item Unit Charge Service/Feeder 200 Amp. $119.90 Serylce'Feeder 201-400 Amp. .$145.50 Servtce&Feeder 401-600 Amp S 204.60 9ervice/Feader 601 1000 Amp. 262.20 .$en!icalFeeder over 1000 Amp. 372.60 Branch Circuit W/Service Feeder 2.60 Brandt Circuit W/O Service Feeder S 73.60 Each Additional Branch Circuit S 2.60 Temp. Service/ Feeder 200 Amp. S 92.70 Temp, ServiceIFeeder 201 Amp. $11030 Temp. Service!Feeder401-600 Amp. $148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.93 Sign /Outfine Lighting 8820 Signal Circuit/ Limited Energy I First 1500 at Cammerdel 95.90 Note: $5.00 for each adttitional 1300 er Signal Circuit! Limhed Energy 1 2 Family Duelling 83.90 Signal Circuit/ (united Energy Multi Family Dwelling 63.90 Manufactured home Connection 119.90 Renewable &O bit Energy 6KVA System or Less $102.30 Thermostat 66.00 NEW CONSTRUCTION 0I; First 1300 Square Ft. $110.30 Each Additional 500 Square FL or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each &rimming Pod or Hot Tub $110.30 Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for to tire an electrical contractor If above said property is for sate, rent or lease. After reading the above statement, I hereby certify that I am the owner of the the electrical Installation or alteration in compliance with the electrical laws, N. Angeles Municipal Cede, and Utility Specifications and PAMC 14.05.050 re Signature of owner, eI ca1 contractor or electrical administrator 'RE EVE sty i zo„ TO 4174711 P 1'1 (�t rr Total (Qty Muiialied by Unit Charge —7' •J z °7 Total /ears after this electrical permit is finalized. (2) Owner is required tit expires alter sac months of last Inspection. e named property or a licensed electrical contractor. I am making Q RCW. Chapter 19.26, WAG. Chapter 296 -46B, The City of Port Electrical Permit Applications. ash O caedr Credecanle 0110112010 PREPARED 3/29/11 8 21 51 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/29/11 ADDRESS 535 E 1ST ST SUBDIV CONTRACTOR AMERICA S FINEST INC PHONE (360) 452 9129 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 11 00000206 COMM REPAIR PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUI. RESULTS /COMMENTS BL99 01 3/29/11 BLDG FINAL TIME 01 00 March 29 2011 8 16 47 AM 1pangrle ROBERT 460 4209 BUILDING FINAL BASEMENT CEILING WALLS REPAIR AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPAIR DAMAGE FROM SEWAGE BACK Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Qty Unit Charge Per 3 00 14 0000 THOU Other Fees Fee summary 11 00000206 397338 535 E 1ST ST 06 30 00 5 1 2065 0000 COMM REPAIR BUILDING PERMIT SEWAGE OVERFLOW 182238 137 75 3/18/11 9/14/11 137 75 89 54 4 50 231 79 COMMERCIAL ARTERIAL 4669 UP BASE FEE BL -2001 25K Charged Paid Contractor AMERICA S FINEST INC 542 N OAKRIDGE DR PORT ANGELES (360) 452 9129 COMMERCIAL DAMAGE REPAIR (14 PER K) STATE SURCHARGE 137 75 89 54 4 50 231 79 Credited 00 00 00 00 Date 3/18/11 WA 98362 Plan Check Fee 89 54 Valuation 4669 Due Extension 95 75 42 00 4 50 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required forelectrical 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. pp 1 3) blt Ruff 5 ea, D� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By O 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 IFINAL Date Accented by FINAL Date Acceoted by PREPARED 3/08/11 10 30 12 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/08/11 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR TEMPEST BUILDING CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452 3154 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00001387 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/07/11 PB BLDG FRAMING TIME 01 00 1/07/11 CA January 6 2011 2 19 00 PM 1pangrle JOSEPH 477 8853 FRAMING NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON PLEASE CALL HIM 20- MINUTES BEFORE YOU GET THERE YOU CAN ALSO GO TO THE OFFICE ENTRANCE AT ALBERT ST THE ALLEY AND SOMEONE WILL BE THERE TO LET YOU IN January 7 2011 4 18 35 PM pbarthol electrical rough inspection not complete BL3 02 1 /10 /11 JLL BLDG FRAMING 1/10/11 AP January 10 2011 8 32 56 AM 1pangrle JOSEPH 477 8853 FRAMING PLEASE CALL JOSEPH 10 MINUTES BEFORE YOU GET THERE HE D LIKE AN INSPECTION AS EARLY AS POSSIBLE January 10 2011 4 57 07 PM jlierly BL99 01 2/22/11 JLL BLDG FINAL TIME 01 00 2/22/11 DA February 18 2011 3 12 29 PM 1pangrle JOSEPH 477 8853 BUILDING FINAL NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON February 22 2011 4 11 32 PM jlierly install paddle handles on ada door per code/j11 BL99 02 3/08/11 BLDG FINAL March 8 2011 9 26 20 AM pbarthol \I\ V Joseph 477 8853 COMMENTS AND NOTES Applicant fIC 5 1' a n s4- Dv c. Property Owner S24-9 oA.,.Se Property Owner's Address 5'35E I, I- 54- Contractor IA k 1 -1 s k Lk- t Contractor's Address 542- N Oa lc tom' A License {A In ER 15 19 203 T txpires 4- 201 PROJECT ADDRESS 5:15 Parcel Number Lot Proiect Time Brief Des Check all that apply New Construction Addition ,t Remodel Repair Jir Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 1 (O,(pq 1 44 Total footprint of structures I sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures, paved driveways sidewalks and other impervious surfaces PAMC 17 94 135 for exemptions) Site coverage 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 I have read and completed this applicl tion and know it to be true and correct. l 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 projects. Date I' Print Name 1 `T Wh-4 S Signatur T Forms /Building Division /Building permit application 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 cription. Residential Multi family %Commercial _bS Q f_c' �C_ L Existing (sq. ft.) Proposed (sq. ft.) For City Use Only Date Received ermit ate Approved CR. ok) Souk- InS PP ne 452- 912 Ph ne P.. ,ra 98 3C. 2- Phone ca E -mail at+tiw -tics e 'tiirics zo09 `tue Zoning Industrial 1�. 6,5 211n..e.V\4" CLL.k, 1 hQ e) -k- Ce id_ c t) al.L 4.-i p d. iro.4A. I 14-41 5 0.4."-c4. GQ4-6.�) l S tkav i) I4e44 House jarage "(other 66,5e knek.k tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other per sq ft. of bedrooms of full baths of half baths patios 1 KeyBeam® 4.506a kmP,eamEngine 4.508e Materials Database 1180 Member Data Description: Standard Load: Dead Load: 10 PLF Live Load: 40 PLF Other Loads Type (Description) Replacement Uniform (PLF) O '11 Bearings and Reactions Location Type 1 0' 0.000' Wall 2 7' 1 750' Wall Maximum Load Case Reactions Used to applying point loads (orli loads) to allying members Dead Live 1 874# 3323# 2 874# 3323# Design spans 7' 1 750' Begin 0' 10 00' Product: 5112 x 9 Rosboro Glulam Arch 1 ply Component Member Design has Passed Design Checks.** Design assumes continuous lateral bracing along the top chord. Design assumes no lateral bracing along the bottom chord. Actual Positive Moment 7497 It Shear 3316.# Max. Reaction 41196.# TL Deflection 0 1146' LL Deflection 0 0907' Allowable Stress Design Control: Positive Moment DOLs: Live =100% Snow =115% Roof =12 Wind =160% Member Type: Beam Top Lateral Bracing: Continuous Bottom Lateral Bracing: None Moisture Condition: Dry Deflection Criteria: L/360 live, U240 total Deck Connection: Nailed Filename KYB1 Trib. End Width 8' 0.00' Allowable 14850'# 8745.# 21450.# 0.3573' 0.2382' 8 0 0 8 0 0 Dead Start 233 Application. Floor Input Length Min Required Gravity Reaction Gravity Uplift 6.000' 1.500' 4196# 6.000' 1.500' 4196# Capacity 50% 37% 19% L/748 L/945 Building Code IBC IRC Member Weight: 12.0 PLF Location 3.57' 0.01 0' 3.57' 3.57' Other End Start 930 All product names are trademarks of their mapecbve owners KeYill al Copyright (C)1989 -2005 by Ke L rk Enterpnses, LLC. ALLRIGHTS RESERVED. 'Pa sing Is defined wire the membe Ho rjo st, beam rgi,dec shown thi drawing meets appli able de ign rite for Loads Loading Condito and Span listed thi sheet. The design must be reviewed by a qualified designer or design professional as reaui red for approval. This design assumes product installation according to the manufacturers specifications. rr Loading Total load D +L Total load D +L Total load D +L Total load D +L Total load L 3- 2 11 10:38am 1 of 1 End Category Live Message Ke vin lAiie9e! Contractor Services Estimating HARTNAGEL BUILDING' SUPPLY A division of 'Lumber Traders Inc. main (360) 452 -8933 direct (360) 417 -8380 cel (360) 808 -5505 httv.//www.hartrzagels.com Employee Owned and Operated CONFIDENTIALITY NOTICE. This message is for intended addressee(s) only and may contain information that is confidential, privileged or otherwise exempt from disclosure under applicable law 3/3/2011 Page 2 of 2 Message Kevin From Ingham Chad [cingh,im ©Huttig.com] Sent: Wednesday March 02, 2011 1050 AM To Kevin Subject: RE. BEAM SPEC Hello Kevin, Linear loading figured. From Roof 580TL (25LL /15DL) From 2nd Floor 725TL (4OLL /10DL) From 1st Floor 510TL (40LL /10DL) Total linear loading applied to 8';span beam 1162.5T1 Beam size is 5 -1/2' x 9' GLB 24F -V4 (Calc attached) Thanks, Chad Ingham Huttig Building Products HUMITIG tiiOn3 Rt7 PRODUCTS' 525 'C' Street NW Auburn, Wa 98001 (253) 941 2600 From: Kevin [mailto kevinw @h Sent: Wednesday, March 02, 2011 8.38 AM To: Ingham, Chad Subject: BEAM SPEC here's a challange. I need to spec a beam to replace the two bearing walls on the first floor There will be posts supporting it at 8' oc. The interior walls on the 2nd 3rd floor are the bearing walls. Second and third floor joists (green) are 2X12 DF 16" oc. Roof rafters are 2X6 DF 12" oc (orange), over 2X10 Df; 16" oc (blue) The drawing is not to scale, and the perspective is off, but hopefully you can make sense of it. thanks. 3/3/2011 Page 1 of 2 hX c -rICAY=e f L r owla De V 19 NA ir %I 4. 1 17.100 a q 6g." 4-..0 OIL 1 Estimate *Structure /Contents Combined America's Finest Inc. 542 N Oakridge Dr Port Angeles, WA 98362 Phone: (360) 683 -2933 FAX. (360) 681 7297 License AMERIFI920JT Email. americasfinest2008 @live.com Job: 1102 Estimator Robert E Bourns Customer Company Serenity House Of Clallam County Customer Name: Address 1 Address 2. City, State, Zip: Home Phone: Business Phone: Fax Number. Insurance Co: Address 1. Address 2. City, State, Zip: Business Phone#• Business Fax Email Address: Adjuster. Brad Collins 2203 West 18th-PO Box 4047 Port Angeles, WA 98363 (360) 452 1439 U► (360) 452-0806 Insurance Information Evergreen Adjustment Service, Inc. PO Box 30088 Seattle, WA 98113 -2088 (800) 933 -4235 (360) 275-1045 rharster@evergreenadjustment.com Structure Detail Structure Total SubTotal Overhead (10 Profit (10 Amount Taxable Tax (8.60 Structure Total Site Contact: Site Address 1 Site Address 2. City, State, Zip: Location Phone Location Bus Location Fax Type of Loss: Policy Type: Policy Number. Deductible: Date of Loss: Claim $5 119 49 $5 119 49 $511.95 $511.95 (994.61) $85.54 $6,228.93 $6,228.93 Estimate: Serenity House structur Job Location Joseph Albert rd Port Angeles, WA 98362 U_ U— U Policy Information Sewage Backflow 0.00 1/14/2011 C102284 Policy Effective Dates 1 Job: 1102 Basement SFF 0.00 SFW 0.00 SFC 0.00 Item Item Description 1 Permits for repairs 2 Plans for repairs Drawings made for permit process with the city of port angeles Beam needed to to replace 2 bearing walls on the first floor The Interior walls on the 2nd and 3rd floors are bearing 3 Replace wall framing- materials 1.00 TOT estimate of materials needed walls Estimator Robert E Bourns Estimate: Serenity House structure CF 0.00 PER 0.00 Units U/M Unit Cost Ext. Cost 1.00 TOT $0.00 $0 00 100 TOT $450.00 $450.00 $1,350.00 $1,350.00 6x6 pres treated 8' -96 units Glu- Lam -Beam 5 1/2 x 9' R/L 1/20 -20 LF needed cbsq66-sds2 H.D Galv post! base 2 the end (ecbsq66hdg) --4 units ZMax abu66z adjust. postbases ---4 units Wedge All Anchor 5/8 x 4! 1/2 --4 units misc. parts etc. 4 Remove 2" x 4 stud walls 12r o.c. 16.00 HRS $55.00 $880.00 demo work for basement area 2 men 8 hours 5 Labor for installation(carpentary work) 32.00 HRS $55.00 $1 760.00 2 men 16 hours 6 Replace 6 mil plastic moisture barrier on ceiling 567.27 SF $0.53 $300.65 19 1 x 29 7 basement measurement material and labor 7 Hauling minimum charge 1 1.00 M/C $136.84 $136.84 8 Dump charges fee for dumping 2.00 EA $121.00 $242.00 2 loads estimated Total for Basement items: $5,119.49 Total for Basement: $5,119.49 Date Printed 3/8/2011 Report Structure Contents Combined Page Number 2 PREPARED 2/22/11 8 07 40 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES NSPECTOR JAMES LIERLY DATE 2/22/11 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR TEMPEST BUILDING CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452 3154 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00001387 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 1/07/11 PB BLDG FRAMING TIME 01 00 1/07/11 CA January 6 2011 2 19 00 PM 1pangrle JOSEPH 477 8853 FRAMING NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON Y CALL HIM BEFORE YOU GET THERE YOU CAN ALSO GO TO THE OFFICE ENTRANCE AT ALBERT ST THE ALLEY AND SOMEONE WILL BE THERE TO LET YOU IN January 7 2011 4 18 35 PM pbarthol electrical rough inspection not complete BL3 02 1 /10 /11 JLL BLDG FRAMING 1/10/11 AP January 10 2011 8 32 56 AM 1pangrle JOSEPH 477 8853 FRAMING PLEASE CALL JOSEPH 10- MINUTES BEFORE YOU GET THERE HE D LIKE AN INSPECTION AS EARLY AS POSSIBLE January 10 2011 4 57 07 PM jlierly BL99 01 2/22/11 BLDG aIyAL 2IM1 O1 00 February 18 2011 3 12 29 PM 1pangrle JOSEPH 477 8853 BUILDING FINAL NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/22/11 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL TIME 01 00 February 18 2011 3 13 44 PM 1pangrle JOSEPH 477 8853 MECHANICAL FINAL NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON PL2 01 12/20/10 PB PLUMBING ROUGH IN 12/21/10 AP December 20 2010 9 17 19 AM 1pangrle RACHEL 670 5330 PLUMBING ROUGH IN December 21 2010 8 41 32 AM pbarthol PL99 01 2/22/11 JLL PLUMBING FINAL TIME 01 00 CONTINUED ONTO NEXT PAGE G L ct'D PREPARED 2/22/11 8 07 40 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERjY DATE 2/22/11 ADDRESS 535 E 1ST ST TENANT NBR TEMPEST BUILDING CONTRACTOR ALPHA BUILDER CORPORATION OWNER SERENITY HOUSE OF PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00001387 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV February 18 2011 3 14 08 PM 1pangrle JOSEPH 477 8853 PLUMBING FINAL NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON COMMENTS AND NOTES PHONE (360) 452 3154 PHONE (360) 452 7224 PREPARED 1/10/11 8 55 01 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1 /10 /11 ADDRESS 535 E 1ST ST TENANT NBR TEMPEST BUILDING CONTRACTOR ALPHA BUILDER CORPORATION OWNER SERENITY HOUSE OF PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00001387 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 02 1 /10 /11 4 SUBDIV BL3 01 1/07/11 PB BLDG FRAMING TIME 01 00 1/07/11 CA January 6 2011 2 19 00 PM 1pangrle JOSEPH 477 8853 FRAMING NEW BATHROOM IN THE EMPLOYEE LOUNGE AFTERNOON PLEASE CALL HIM 20 MINUTES BEFORE YOU GET THERE YOU CAN ALSO GO TO THE OFFICE ENTRANCE AT ALBERT ST THE ALLEY AND SOMEONE WILL BE THERE TO LET YOU IN PHONE (360) 452 3154 PHONE (360) 452 7224 January 7 2011 4 18 35 PM pbarthol electrical rough inspection not complete BLDG FRAMING January 10 2011 8 32 56 AM 1pangrle JOSEPH 477 8853 FRAMING PLEASE CALL JOSEPH 10- MINUTES BEFORE YOU GET THERE HE D LIKE AN INSPECTION AS EARLY AS POSSIBLE COMMENTS AND NOTES \D"` i a PREPARED 1/07/11 8 13 13 CITY OF PORT ANGELES ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER 535 E 1ST ST TEMPEST BUILDING ALPHA BUILDER CORPORATION SERENITY HOUSE OF 06 30 00 5 1 2065 0000 10 00001387 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV COMMENTS AND NOTES PHONE (360) 452 3154 PHONE (360) 452 7224 PAGE 5 DATE 1/07/11 BL3 01 1/07/11 JLL BLDG FRAMING TIME 01 00 January 6 20 1 2 19 00 PM 1pangrle �l -J "(yam JOSEPH 477 8853 FRAMING NEW BATHROOM IN THE EMPLOYEE LOUNGE 1 AFTERNOON 0 PLEASE CALL HIM 20 MINUTES- BEFORE YOU GET THERE YOU CAN ALSO GO TO THE OFFICE ENTRANCE AT ALBERT ST THE ALLEY AND SOMEONE WILL BE THERE TO LET YOU IN SoS 2 Nor\Y erg A/\(\a\e- Oo PREPARED 12/20/10 9 23 05 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/20/10 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR TEMPEST BUILDING CONTRACTOR ALPHA BUILDER CORPORATION PHONE (360) 452 3154 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00001387 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 12/20/10 JLL PLUMBING ROUGH IN /1 December 20 2010 9 17 19 AM 1pangrle l GC, v RACHEL 670 5330 PLUMBING ROUGH IN COMMENTS AND NOTES Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10000 Application desc NEW BATHROOM IN THE EMPLOYEE LOUNGE Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES WA 98362 (360) 452 7224 Structure Information 000 000 NEW BATHROOM IN THE EMPLOYEE LOUNGE Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 8 00 14 0000 THOU BL -2001 25K (14 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 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 BUILDING PERMIT COMMERCIAL NEW BATHROOM IN LOUNGE 178046 207 75 12/08/10 6/06/11 MECHANICAL PERMIT 178053 72 05 12/08/10 6/06/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 7 25 1 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 14 80 PLUMBING PERMIT 10 00001387 019776 535 E 1ST ST 06 30 00 5 1 2065 0000 TEMPEST BUILDING COMM REMODEL Contractor ALPHA BUILDER CORPORATION 105 1/2 E 1ST ST PORT ANGELES (360) 452 3154 Plan Check Fee 135 04 Valuation 10000 Plan Check Fee 00 Valuation 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 178079 86 00 Plan Check Fee 00 12/08/10 Valuation 0 6/06/11 h et* r±/l Date 12/08/10 A V ice a jai Print Name Signature of Co ntr for r Authorized Agent WA 98362 Extension 95 75 112 00 0 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall 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 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 (FINAL Date MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping 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 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By Application Number Application pin number Qty Unit Charge Per 2 00 1 00 1 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 0000 EA 7 0000 EA 15 0000 EA T Forms /Building Division /Building Permit 10 00001387 019776 BASE FEE PL PLUMBING TRAP PL -WATER LINE PL -SEWER LINE STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 12/08/10 Due 365 80 365 80 00 00 135 04 135 04 00 00 4 50 4 50 00 00 505 34 505 34 00 00 Extension 50 00 14 00 7 00 15 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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) FOUNDATION Footings Stemwall 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 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 Date Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In 7 -20- O 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 1 Blocking Hold Downs 1 Skirting 1 T Forms /Building Division /Building Permit 0 I1 Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Accepted By Comments FINAL Date Accepted by TJLL PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. 22,11 SLti FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By -I I c�LL Project Type Brief Description. Check all that apply New Construction Addition "(Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures I s Site Coverage the amount of impervious surfac and other impervious surfaces. (see PAMC 17 9 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? T:Forms /Building Division/Building permit application BUILDING PERMIT APPLICATION Print in ink CITY/ OF PORT ANGELES Attn: Building Permit Technician 321 E1 Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant AL:iPM :GU :_L_ .C©K.I Property Owner SE RN 7 y lilot.v5e Property Owner's Address F 6. 4e 4 7 Contractor p j4 A a� L u <d<<f� Contractor's Address io 5 Yom r PO1.t License ,e L p 4 j _0 c' g y Expires PROJECT ADDRESS 5 t Parcel Number evAr t r j� t,n g, Jet w I N 7 I Residential House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing -(sq. ft.) Proposed (sq. ft.) Print Name r<` 1�,c p Phone 9r7 AVi$ t .5 t_ /4 t4B,5g E- mail L_(�? CP)nacliteDso, ¶e es*- BulWoo. Multi- family Occupancy group Occupant load nstruction type Signature 2 )avi For City Use Only: Its Date Received Permit i0— pate Approved Phone Phone Pub) Lt y ANA Ar Lot it+, /Of U113 ft. T Lot size sq. ft. on a p- el, including structures, paved or exemptions) Zoning Commercial Industrial per sq. ft. mo TOTAL VALUATION lrf� r7 Lot covera e veways, ewalks, patios overage of b- 'rooms #offullb hs of half bat 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 wo ng on projects. Date, Clallam County Assessor i Treasurer Property Details 61462 SERENITY HOUSE 0 Page 1 of 8 Clailam County Assessor Treasurer Property Search Results 61462 SERENITY HOUSE OF CLALLAM COUNTY for Year 2011 2012 I Property Account Property ID. Geographic ID Type Tax Area. Open Space. Historic Property Multi- Family Redevelopment: Township Range Location Address. Neighborhood* Neighborhood CD Owner Name: Mailing Address: Taxes and Assessment Details Property Tax Information as of 11/29/2010 Amount Due if Paid on i 1 Year i Statement ID 2010 44168 2010 44168 2010 44168 12010 44168 1 2010 44168 2010 44168 2010 44168 2010 44168 2010 44168 12010 44168 2009 ;2009 2009 614622008 614622008 614622008 61462 0630005120650000 Real 0010 PA 121 PORT ST CNTY H2 L WMP N N N 535 E FIRST ST PORT ANGELES WA 98362 Cycle 5 Comm 20953140 Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY CLALLAM PORT PORT OF PORT ANG ELES PORT IANG CITY OF PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSPI #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK CITY STORMWATER CITY STORMWATER WEED_CONTROL WEED C_ ONTROL 2010 144168 TOTAL. ST SCH STATE SCHOOL CC-GEN COUNTY CLALLAM PORT PORT OF PORT ANGELES Legal Description. Agent Code Land Use Code 69 DFL N Remodel Property' N Section Mapsco Map ID sry SERENITY HOUSE OF CLALLAM COUNTY Owner ID PO BOX 4047 Ownership PORT ANGELES WA 98362 Exemptions. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due $475.10 $94 42 $47 80 $6 77 First Second l Half Base Amt. Half Base Amt. LOTS 17& 18 BL 20 OF NORMAN R SMITH 51687 100 0000000000% Penalty l Interest Base Paid A $80 91 $80 91 $0 00 $0 00 $161 82 $43 04 $43 07 $0 00 $0 00 $86 11 $6 05 $6 05 $0 00 $0 00 $12.10 $99 69 $99 69 $0 00 $0 00 $199 38 $104 80 $104 80 $0 00 $0 00 $209 60 $12.51 $12.51 $0 00 $0 00 $25 02 $17 6 6 $17 67 $0 00 $0 00 $35 33 DIST $5 62 $5 62 $0 00 $0 00 $11.24 $104 00 $104 00 $0 00 $0 00 $208 00 $0 82 $0 81 $0 00 $0 00 $1 63 $475.13 $0.00 $0.00 $950.23 $94 43 $0 00 $0 00 $188 85 $47 78� $0 00 $0 00 $95 58 $6 77 $0 00 $0 00 $13 54 http. /vpn.clallam.net. 8084 propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =6 11/29/2010 DA' •E 13ft 47 ft Yrzb Orb 1cr'$ 69':sf T4f N5.w BAT AREA Butt P1 ANS kPPRCr. FD 13Y P01 ANC it,I,E S FIRE DEPT 5+ Zci ti 4q 2010 81 Ds.� \MLrme LrM frt 45 A CITY OF PORT AN E. Plans The Issuance of this pe it bas upon these plans, specifi- cations and other data all 3revent the building official from thereafter requiri g the orrection of errors in said pia s specl.lca 1 data, or from preventing building operations being carried on thereunder a +hen in violation of all codes and ordinances of this isdictiq de.) OD Approval Date By uo" 41.11. AM, l, 4-0 4- Avow+. ID /NU EY L OU N(6 F. C3ru I Lig ji PLUM tO UT' WAs EJN. L.4.)ING ,N.RECE DEC 02 20 CITY OF PORT AWL —S BUILDING DIVISION jfib 45(x.rvI Project: Tempest Bath Designer/ Contractor Alpha Builder Corporation 105 1/2 East First Street Port Angeles, WA 98362 Phone: 360-452-3154 E-mail:alpha@olypen.com N o Date 'Page. 12/2/2010 revision 1 B D 105 1/2 East First Street Port Angeles, WA 98362 Phone: 360-452-3154 E-mail:alpha@ olypen .corn -4_ RestrOOnrACCe.s.sOrYLegenct -ManigaCterrarBiliriCk GRABBAR 42'tONG #8-6106 Series GRAB BAR 36° LONG #8-6106 Series ro3 SEAT COVER DISPENSER #84221 a TOILET PAPER DISP #43,4221 Eli PAPER TOWEL DISPENSER/ DISPOSAL #8-43944 RECESSED T PAPER DISPEN M-3094 grAtieg.:±ffemast Bath AK_ Data: Page: Designer/ Contractor 10/24/2010 1 of 1 Alpha Builder Corporation 1Noio: Provide 18 GA SM Blocking SOLID BLK'G WOOD WALLS all toilet accessories. C.4 :Grab Bar EL !El I C ToilerSeat 4 I I Paper ToWe Dispenser 0 RECESSED T PAPER:DISPENSER #B-4388 (Men's) WASTE HOT WATER PIPE INSULATION KIT SOAP DISPENSER #04142: [K SANITARY NAPKIN DtSPENSER (25 cents) #0,43500 MIRROR W/ SS FRAME #8-290 :Series 1M HATA COATHOOK 4607 MIRROR/SHELF WISS#RAME-1113,‘292 SUGGES*DiFIXTUl*S,ONLy 7CONTRACTOR TO SELECT 1E F C *El (NI T.Ija per Dispenser/ Napkin Disposal K kem Napkin I M r Hat/Coat Dispenser HOW( 5 CLR WHEEL CHAIR TURNAROUND 41S kit m irror Lavatory 7-t- K6, iS °°P. ;T. ..t Toilet sAG !JD W ALL-5 sc. A C. D 105 1/2 East First Street Port Angeles, WA 98362 Phone: 360-452-3154 E-mail:alphagolypen:com Project: Tempest Bath Designer/ Contractor Alpha Builder Corporation ,m Access Legend Manufacturer Berbrick Ej GRAB BAR 42' LONG #8-6106 Series B GRAB BAR 36" LONG #B-6106 Series Q SEAT COVER DISPENSER #B-1221 a TOILET PAPER DISPENSER #B-4221 LI PAPER TOWEL DISPENSER/DISPOSAL #B-43944 RECESSED T PAPER DISPENSER/DISPOSAL #B-3094 Date Page. 10/24/2010 1 of 1 •Nola: Prpvide GA SM 13locIdng (g toilet accessorie. SOLID 13IX'G WOOD WALLS r Grab Bar 1] RECESSED T PAPER DISPENSER #B-4388 (Men's) WASTE HOT WATER PIPE INSULATION KIT SOAP DISPENSER #8-411 SANITARY NAPKIN pi$PENSER (25 detit4 #43 f MIRRORW/SS FRAME 10290': $6110. tM HAT.& COAT HOOK#BH8E127 MIRROR/SHELF Wl.SS SUGGEStEDFIXT11140, ONLY CONTRACTOR TO SELECT c i r 5_ es4 1 Toilet Seat Cover Djsp p Paper Towel' Dispenser 1E l F ?e C T.Flaper Dispenser/ Napkin Disposal K kem Napkin Dispenser 7 zo 8 0 Mr Hat/Coat Hook fr EL CHAIR OUND Insulation kit mirror Lavatory soap SAG _zoz, D F‘r F-L 9ORTA F NO' 'tRKS b DATE 1 hi ft) OWNER/CONTRACTOR APPROVED 0 0. CORRECTIONS NEEDED: ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT )0 -D3 ADDRESS lc c 7 NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE INSPECT 1 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DAT PERMIT 1 7 1 1 P-0331-- OWNER/CONTRACTOR ADDRESS s I._ /S DO NOT REMOVE INSPECTOR 'A i APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL .t c CORRECTIONS NEEDED: 1 )4-5 g C_7-` A✓L 1 ?PL c- 1 Y14/ 6 K-S? CAS V 1 k 4..S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 10 00001355 Application pin number 897355 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Fee summary Permit Fee Total Plan Check Total Grand Total WA 983630997 Signature of owner or Electrical Contractor X Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Permit ELECTRICAL ALTER COMMERCIAL Additional desc EL SVC EXIT SIGNS Permit pin number 177600 Sub Contractor ELECTRIC SERVICE Permit Fee 78 70 Plan Check Fee Issue Date 11/17/10 Valuation Expiration Date 5/16/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20 Charged Paid Credited Due 78 70 78 70 00 00 00 00 00 00 78 70 78 70 00 00 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS 2 )�3 /IL 2[ Date 11/17/10 WA 98362 00 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date• JAN -6 -2007 07 46A FROM ELECTRIC SERVICE 4526424 City of Port Angeles Permit Application Building Division/Electrical Inspections 321 East Fifth Street -P.O. Box 1150 Port Angeles Washington, 9B362 Ph. (360) 4174735 Fax: (380) 417.4711 Date: t 1 1 2 Sin e Family Dwelling L-Mti Family or Commercial* Commercial Addition Alteration t Remodel Repair* *Plan Review May Be Required, Please Complete Electrical Plan Review information f tit Job Address: 1\S 15 Building Square Footage. iron C.) 1, li Description of above y S C r 1,'1,111 I'I (I I Owner Information Contractor if mation Name: S h ef e,v. L --_A. Q� Name:. I I✓.t c.' rrz. c .,,.r Mailing Address:, p C p--,r r_ /1,, Mailin di ',1:0 f''.- t'J L).1.3.4...4 `1S.' City' 4 bb `.l„'. Stat►?:L Zip '11 City d,..' IA State:I.0c Zip: 4N 31.:L Phone: Fax: Phone: i f- 4 -'yt'r Far .c6-► --4) License Exp. License Wit_ a c. r•.> r 1- 2 -1 Unit Charm 93.75 5113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 ply Signature of owner lyrica ctor electrical administrator „c o, o ,-t x Total (Qty Multiplied by Unit Ct 3i Service /Feeder (i 2 np, Service/Feeder 21) 4 )0 Amp. Service/Feeder 4 '1 -q )0 Amp. 5 Service/FPeder 6 'I 000 Amp Service /Feeder c Ei "DOD Amp. 5 Branch Circuit W f t ,ice Feeder s c Branch Circuit W trvice Feeder eJ 'D 5 ...L v Each Ado.:ional 1 sI fl h Circuit j ,2 0 Temp. Service A l r 200 Amp. Temp. Service /F t :I`i r 201 -400 Amp. Temp. Service /F i 1 i 401 600 Amp. Temp. ServicelF Ei it i t 601 -1000 Amp. Portal id Porta! F pi 1 Sign /Outline Ligi l'ii; Signai Circuit/ Li ir Energy Commercial Signal Circuit/ Lii Energy 1 2 Family Dwelling Signal Circuit/ Li tit Energy Multi Family Dwelling Manufactured H !.i Connection Renewable Elec -;i n Energy 5KVA System or Less First 130D Squa Each Additional I: J Square Ft. ur Portion of Each Outbuiidin )etarhed Garage Each Swimminc_ or Hof Tub Thermostat l.ci Total .??78, Cast CI c, D Crec TO 4174711 Owner as defined by RCW 19.28.261 (1) Owner wdl occupy the structure for two years after h: 4ectrical 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 I c r rty 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, 1 If, Chapter 296.469, The C. of Port Angeles Municipal Code, and UlilJly Specifications. c>✓ P 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Washer Dryer Hot water revised expired permit9 274 Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 4 00 1 00 3 00 Fee summary Permit Fee Total Plan Check Total Grand Total Unit Charge Per 2 6000 ECH 73 5000 ECH 2 6000 ECH INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983630997 163386 91 70 4/08/10 10 /05 /10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 10 00000332 695392 535 E 1ST ST 06 30 00 5 1 2065 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 4 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation EL BRANCH CIRCUIT W /FEEDER EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 91 70 91 70 00 00 00 00 91 70 91 70 00 DATE RESULTS Li 7h d 1/40 f k Date 4/21/10 WA 98362 00 0 Extension 10 40 73 50 7 80 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P O. Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Owner Information Name: Mailing Address: City Phone: License Exp. State: Fax: vs� Zip: Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note: $5 00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Unit Charae 119.90 145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 110.30 148.70 167.90 95.90 88.20 95.90 63.90 63 90 119.90 102.30 56.00 110.30 35.20 73.50 110.30 RECEIVED' APR d 'f' 2009 ELECTRICAL INSPECTIONS Date. 1 2' inglE Family Dwelling Multi Family or Commercial* )C Commercial Addition Alteration Remodel Repair* Plan Review May Be Required Please Complete Electrical Plan Review Information Sheet Job Address: art'' Building Square Footage: Description of above k)F Q V `c' t,011t-}'f i i 2c?-117 -r 9 -p"t cl 7 5l Contractor Infor ation Name: E/ v +r Mailing Addre s: 80 i— IJA1/, L4? City 11. State: a_ Zip: e s b Phone: yC'' i 2.0 Fax: 4 5 License Exp. r L 'F C r s r 13 2 c 177 -7 to Signature of owner electrical contractor or electrical administrator Cash Check r i El Credit Card# 1/L, `f X �,J Dated: 'die/ D 0110112010 �pC7Rrt t c tif IS— UV J Total filly Multiplied by Unit Char! 8) Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease Permit expires after six months of last inspection After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14 05.050 regarding Electrical Permit Applications. T� 2 ADDRESS OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT h_.rz.rz.11 LTk' t7 STS. 2s 417 -4735 PERMIT INSPECTOR g 71 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: JIMA L I» USPEP 09F.14 t e{, c s ?AN ft s Lo19#2. ate, 1J(i) v-t av rr_. ALL v, VS 1> ui.D,rt3 l 14 t t (44-11 5 5#-! R LL i31 'yo f2-'z' �Fc N I P.b'Pm x D I L t PL L, io e t _ftig4,- 1 410A 5 worz. i 'E. /oxy pF_4f Hirt. UV U NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE February 16 2010 City of Port Angeles Building Division 321 E 5 Street Port Angeles WA 98362 Serenity House of Clallam County P 0 Box 4047 Port Angeles, WA 98363 Re Authorization to Sign Building Permits for Serenity House of Clallam County Dear Building Division Joseph Johnson Facilities Mainte lance Supervisor for Serenity House of Clallam County is authorized to sign building permits on behalf of our agency Sincerely, 3 r Brad Collins Deputy Director for Resource Development and Capital Projects cc Kathy Wahto Executive Dir actor RECEIVED Brando Blore President r FEB 16 2010 CITY IDING DIVISION PORT V A United Way Agency PREPARED 7/16/10 8 18 20 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/16/10 ADDRESS 535 E 1ST ST TENANT NBR HOUSING RESOURCE CENTER CONTRACTOR OWNER SERENITY HOUSE OF PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00000178 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/16/10 SUBDIV BLDG FINAL July 15 2010 11 30 23 AM 1pangrle JOSEPH 477 8853 (I CALLED TO FINAL THIS PERMIT BUILDING FINAL SIDING COMMENTS AND NOTES PHONE PHONE (360) 452 7224 PREPARED 7/16/10 8 18 20 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/16/10 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR SERENITY HOUSE OF CLALLAM CONTRACTOR PENINSULA HEAT INC PHONE (360) 681 3333 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00000293 MECHANICAL APPL PERMIT PERMIT ME M00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 7/16/10 JLL MECHANICAL FINAL July 15 2010 11 28 28 AM 1pangrle JOSEPH 477 8853 (I CALLED TO FINAL THIS PERMIT MECHANICAL FINAL TWO DUCTLESS HEAT PUMPS IN THE BALLROOM THE UNITS ARE ON THE ROOF ABOVE THE BALLROOM YOU CAN ACCESS THE ROOF THROUGH STAIRS AND A DOORWAY COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 2 Ductless heat pumps 4 circuits Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452. 7224 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 73 5000 ECH 3 00 2 6000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983630997 ELECTRICAL HEATPUMP 163394 81 30 4/08/10 10/05/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 10 00000333 787848 535 E 1ST ST 06 30 00 5 1 2065 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 DATE Contractor ANGELES ELECTRIC 524 E 1ST ST PORT ANGELES (360) 452 9264 Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 81 30 81 30 00 00 00 00 81 30 81 30 00 Date 4/08/10 WA 98362 Extension 73 50 7 80 Due 00 00 00 RESULTS 00 0 INSPECTOR. Signature of owner or Electrical Contractor X Date 1 03/25/2010 11 43 FAX 360 452 9265 Angeles Electric City of Port Angeles Permit Application Building Division/ Electrical Inspections 321. East Fifth'Street -P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 41747 Fax:. 4174711 Date: 3 al# 1 2 Single Family Dwelling amdy or Commercial* Commercial Addition 1 Alteration 1 Remodel Repair" Plan Review May Be Require El dcal�p Review Information Sheet Job Address: 3 5 f�j CS Building Square Footage: Description of above A)l icoaX, A 1z Owner liarillifqpf Name: 7 Mailing Add City: State: t. 91162_ Phone: Fax License Exp. Unit Charge 5 119.90 x 145.50 204.60 26220 372.50 2.60 5 73.50 2.60 92.70 110.30 5148.70 5167.90 95.90 88.20 95.90 63.90 63.90 5119.90 102.30 110.30 35.20 73.50 E .110:30 56.00 Signature of owner, electrical contractor or electrical administrator REEI E MAR 2 5 2009 ELECTRICAL INSPECTIONS A/MC ContrAotor fn` niiarri Name: Malting dress �f� City Jr State: Zip: Phone:. 915 Fax: _gait. License Exp. 40„49&-e.,/ Vf Total (Qty Multiplied by Unit Char* Service/Feeder 200 Amp. Service/Feeder 201.400 Amp. ServlcelFeeder 401.600 Amp. Service/Feeder 601.1000 Amp. Service/Feeder over 1000 Amp. Branch CIrcud W1 Service Feeder 7°46v Branch Circuit WI0 Service Feeder "'7$W Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. SeMoe/Feeder 201-400 Amp. Temp. Service/Feeder 401400 Amp. Temp. Service/Feeder 601.1000 Amp. Polito Poi al.Houily Sign/Outline Lighting Signal Circuit/ Lifted Energy Commercial. Additional 1500 55.00 Signal Cirard/ limited Energy 18 2 Family Dwelling Signal Circuit/ Llmded Energy MAD Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft or Portion of Each Outbuilding or Detached Garage Each swimMng or HotTub Thermostat Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire an electrical contractor it show sold proopergr Is for soh, lento r lease. Perm* expbes after slx months of last Inspection. After reading the above statement, l 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 compliance with the electrical laws, N.E.C. RCW. Chapter 1928, WAC. Chapter 298.468, The City of Port Angeles Municipal Code, and Utility Specifications. Credit Card 8 to/1/ /'It O Cash lj0001/0002 r 03/25/10 07 54 FAX 3606812086 Peninsula Heat Applicant &it, /a/ /6 ,Iriders Phone Property Owner reh, {6.he //QIv (a?lt Phone Property Owner's Address f1 „c Z7(6 f7 IPc Contractor ?Sty i� 7 Phone Contractor's Address z jv d License J9 /U i/l/ /r; [./(�ih" 1/ Expires E -mail 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 535 E BUILDING PERMIT APPLICATION Print in ink 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 r 57 7' Parcel Number 6 A Lot TOTAL VALUATION 926 Total footprint of structures sq. ft. Lot size sq. ft Lot coverage Vit 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 of bedrooms of full baths of half baths 1 have read and completed this application and know it to be true and correct, 1 am authorize q ip Apply for this r- that ai sm r n /J Date3 /G� //G Print Name chat �Q f {ISOY! Signature T ;Forms/Building Division /Bldg Permit.doc 6g 333 `123(3 -0193 l 333 Zoning l 1 02 For City Use Only Date Received `i -25- la Permit# If) —Z93 Date Approved 2 7 ek /G Proiect Time Brief Description: o Residential o Multi- family bf mmerclal o Industrial Check all that apply o New Construction o Addition o Remodel o Repair o Demolition o Re -roof o House o garage o other o tear off re -roof o lay over one layer System o Heat pump o wood burning stove o gas fireplace o pellet stove a STher bwerfher �2-� /+'l!r�, S f Ji .51.44 L ei'i4 5 r Floor Areas Existing (so. ft.) Proposed (set. ft.) Basement per sq. ft. 1' Floor 2" Floor 3 Floor Garage Carport Covered Porch Deck Shed Other it end understand ■Xe■Z-Cf--,J;T: SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Fee summary Permit Fee Total Plan Check Total Grand Total T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000293 Date 3/25/10 Application pin number 631951 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000 Tenant nbr name SERENITY HOUSE bF CLALLAM Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 9500 Application desc INSTALL TWO MINI SPLIT HEAT PUMP SYSTEMS Owner Contractor WA 983630997 Charged Paid Credited PENINSULA HEAT INC 782 KITCHEN DICK RD SEQUIM WA 98382 (360) 681 3333 Permit MECHANICAL PERMIT Additional desc 2 MINI SPLIT HEAT PUMPS Permit pin number 162842 Permit Fee 79 60 Plan Check Fee 00 Issue Date 3/25/10 Valuation 0 Expiration Date 9/21/10 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 14 8000 EA ME FURN /HP /FAU OR 5 TON 29 60 79 60 79 60 00 00 00 00 79 60 79 60 00 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 BUILDING PERMIT INSPECTION RECORD 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T:Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by 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 1 Ia I Q of pONTA Arift W Sig Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RUP #10 05 Scaffolding Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Special Notes and Comments Maintain 4 clear area for pedestrian travel coned Fee summary Permit Fee Total 75 00 75 00 00 Plan Check Total 00 00 00 Grand Total 75 00 75 00 00 T' \Policies \I 102 15 [10108) on sidewalk WA 983630997 BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000269 927812 535 E 1ST ST 06 30 00 5 1 2065 0000 PUBLIC WORKS UTILITES COMMERCIAL ARTERIAL 0 Contractor OWNER RIGHT OF WAY RUP 10 05 SCAFFOLDING 162578 75 00 3/19/10 9/15/10 Plan Check Fee Valuation Charged Paid Credited Work zone to Date 3/19/10 Due Extension 75 00 00 00 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES 1 NO RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417-4815 T \Policies \1102.15 [10/08] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT I BUILDING COMMENTS 1 I 1 1 1 1 1 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 10 00000178 Date 2/22/10 Application pin number 363916 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000 Tenant nbr name HOUSING RESOURCE CENTER Application type description SIDING Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 4000 Application desc SIDING HARDY PLANK PANELS Owner Contractor SERENITY HOUSE OF OWNER CLALLAM COUNTY PO BOX 4047 PORT ANGELES WA 983630997 (360) 452 7224 Structure Information 000 000 SIDING HARDY PLANK PANELS Permit BUILDING PERMIT NO PR FEE Additional desc SIDING HARDY PLANK PANELS Permit pin number 161281 Permit Fee 123 75 Plan Check Fee 00 Issue Date 2/22/10 Valuation 4000 Expiration Date 8/21/10 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This 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 performance of nstruction. 22 —JofebL ))vl LtS6 v� T:FormsBuilding Division/Building Permit Date Prin!Name Sign ire Contractor or Authorized Agent 6q0,4 7-l6 -l0 Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By "1-16-10 Ll_ Applicant si°ITe //1 r r/ Uu o /Zwi Property Owner �evPti r;��s a Z Property Owner's Address pQ f3 y� p 1 w A 2 3 3 Contractor ceteji f, gotic,0 j Phone Contractor's Address License PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Het System ther Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount of impervious and other impervious surfaces (see PAM Max height of proposed structures Will a lawn sprinkler system be insta d? V !il a fire sprinkler system be !nst ed? T I s/B bion/Puilding pe mit app!.�f n 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 cription. Expires 53. a Residential Multi- family CO r s f 5 9Si 0 7 bide/ House garage other Heat pump wood- burning stove gas fireplace pellet stove other S,rr', a 4 i Existinq (sq. ft.) Proposed (sq. ft.) k A l i \ft. Occupancy group Occupant load Construction ty 7 1 have rear d cn- npleted this application and knu to be true and correct. I am that it is my re, »ons:b to detPrnine what permits are reqlr' ed and to obtain permits prior to Print N re L &Ai S'GGti Aare Phone L/.c_2 _7zz Phone E -mail ,a5 qi Lot Zoning tear off re -roof lay over one layer TOTAL VALUATION Commercial Industrial For City Use Only Date Received Permit V I/ Date Approved 09X17 4 /7?— S 3 per sq ft. 1 o. ri a)S L.oLk or •f bedrooms o full baths of h-'f bath 2 000 2 O C'° sq ft. T Lot size sq ft. Lot coverage e on a parcel including structures pave driveways ldewalks patios 7 94 135 for exemptions) S coverage author 'ed to a;. ply for this permit and undr wort un -dro of ts. 9nd x K od --cr( 7i 5/a ve A /-hly 53 X Z 1 \r-1 Aa1' I. v LQ J J j''21? P r4/11'y' ^1 ac kon-ct' PREPARED 3/10/10 9 21 38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/10/10 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR SERENITY HSE TEMPEST BLDG CONTRACTOR CLIFF SMITH CONSTRUCTION PHONE (360) 457 6950 OWNER SERENITY HOUSE OF PHONE (360) 452 7224 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 10 00000048 COMM REPAIR PERMIT BPC 0 0 BUIL DING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 3/10/10 JLL BLDG FINAL March 10 2010 8 37 03 AM 1pangrle JOSEPH 477 8853 BLDG FINAL NEW RAFTERS 3 TAB FINISHED ROOF THE PERMIT IS ON THE EAST WINDOW Application Number 10 00000048 Application pin number 451280 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000. Tenant nbr name SERENITY HSE TEMPEST BLDG Application type description COMM REPAIR Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 1627 Application desc NEW RAFTERS 3 TAB FINISHED ROOF Owner SERENITY HOUSE OF CLALLAM COUNTY PO BOX 4047 PORT ANGELES (360) 452 7224 Structure Information Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 12 00 Other Fees Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 983630997 000 000 NEW RAFTERS 3 TAB ROOF BUILDING PERMIT COMMERCIAL NEW RAFTERS 3 TAB ROOF 159541 86 60 2/16/10 8/15/10 BASE FEE 3 0500 HND BL -501 2K (3 05 PER C) 86 60 56 29 4 50 147 39 Contractor STATE SURCHARGE Date 2/16/10 CLIFF SMITH CONSTRUCTION 3249 REGENT ST PORT ANGELES (360) 457 6950 WA 98362 Plan Check Fee 56 29 Valuation 1627 Extension 50 00 36 60 4 50 Paid Credited Due 86 60 00 00 56 29 00 00 4 50 00 00 147 39 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. /6 v 5e,0 G n Ltd Date PrilName Signat of oactor or Aorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor 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 I Roof I 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 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 Date Accepted By FINAL Date IFINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments Accepted by Accepted by Date Accepted By 3 to to 0 OQ Fri T:Forms /Building Division /Building Permit L February 16 2010 Serenity House of Clallam County P 0. Box 4047 Port Angeles, WA 98363 Cliff Smith Construction L 3249 Regent Street c..1 2 o� Port Angeles WA 98362 RECF.'VE®' FEB 1 6 2010 CITY OF PORT ANGELES BUILDING DIVISION Re Small Works Project for Vestibule Roof Structure at the Tempest Building (535 E First St.) Dear Mr Smith Attached is a signed okay on your cost estimate for the roof framing per the plan and structural notes and section for the vestibule roof structure at the Tempest Building 535 .E First St. Port Angeles WA 98362 The small works project will be performed by you and is subject to the requirements for prevailing wage rules to the extent that such laws apply Accordingly please provide Serenity House with certified copies of your payroll records for your time on this project with any itemized invoice Thank you for undertaking this project for Serenity House a nonprofit homeless agency Sincerely Brad Collins Deputy Director for Resource Development and Capital Projects cc Kathy Wahto Executive Director of Serenity House of Clallam County A United Way Agency PREPARED 2/16/10 13 16 11 CITY OF PORT ANGELES APPLICATION NUMBER 10- 00000048 535 E 1ST ST FEE DESCRIPTION BUILDING PERMIT COMMERCIAL STATE SURCHARGE Please present this receipt to the cashier with full payment Z-1 50 Vc.1 vo +l h Yr1 11 4 fib ,o dv^Q 0 5 it-r7 3 R TOTAL DUE n i�y Ho uS -e_ AMOUNT DUE 71 55 4 50 76 05 PAYMENTS DUE RECEIPT PROGRAM BP820L -><c) o ,0° S AppBcation.Inguiry (UPN20))1001 File Edit Commands Help SeMQARD' PUBLIC SECTOR Na rUse 5 Application 1D 00 Bonds 1- I0 .,onh fur escrow! Fee ED Gimbal balance dus I0 Inspectinn history t ID Misc ellanaous iron Efl Name ID rerr0115 OD Plan tracking V Receipts Ej qua footage Cail 50 Str red ID Valuation calculahr Pr nt Cancel Y Emit Refresh Lard Inquiry Documents Property Information Address Location ID• Owner same ASSESSOR PARCEL NUMBER: ALTERNATE ID [t L Contractor Information 0 Contractor Name CLIFF SMITH :ONSTRUCTION Contractor Number 2527 Type GENERAL Status ACTIVE Contractor Requirements 1/19/10 2/16/10 2,'16,10 0 535 E 1ST ST PORT ANGELES, WA 98362 99620 SERENITY HOUSE DE 06- 30- 00 -5 -1 2065 -0000- 1 063000512065 0005992 0018086 0018086 PBRMITS ISCORLERY ISCORLERY I' Doc Number Application Intormation Application desc Application tatus Status Date Application type Application date Tenant name /number Outstanding Inspections Type No outstanding inspections exist P _71 34 11 0 1 I' 109.75 J I Total I; 185 59 f NEW RAFTERS TAB APPROVED 1/20/2010 COMM REPAIR 1/15/2010 SERENITY HSE TEMPEST BLDG 00 00 no on 1.? FINISHEC i 9 Insp Schedule Conti rmatior 1 ID Date Number Recei It data Recei it time Nlsrnher Cashier Payment tr e Received Paui with credit Eternal -1 S AppI cation !nyuIry {BPN7O01001,]:*. File Edit Commands Help SUNCIARWUBUCSE&OR N WILinC Applination 10- 000000 4 Bonds m .ontraaoi esciuw v e Fees E l ;10591 halanr duo Rr:p Ann h M a inn Rao ie Ej volt 'Ian to rking El :oceipts El qu. footage 0 Sir duo El Valuation ilculatir Prnt Cenoel "X Exit Refresh Lard Inquiry Documents Property Information Address 535 E 1ST ST PORT ANGELES, W 99362 Location ID 9967n Owner lame CERENITY HOUSE iF FOR PARCEL NUMBER. 06 -10 -00.5 1 2065 -0000- ALTERNATE ID 063000512 Contractor Information Cuntractor Name CLIFF SMITH CONSTRUCTION. Contractor Number 2527 Type 3ENERAL Status ACTIVE Contractor Requirements Doc Number Y, PC PLA CHECK FEES P I PP {PERMIT FEES ST (STATE 11R∎11ARGP I I Tc 1.32_ f -1 Application Information Application dens Application status stats Date Application type Application date Tenant name number Outstanding Inspections Insp Schedule Type IC Date No outstanding inspections exist 56 86 60 4 50 147 39 71.55 4 50 76 05 FINISHEC NEW RAFTERS TAB APPROVED 1.20/2010 COMM REPAIR 1'15(2010 SERENITYHSE TEMPEST BLDO r- I Confirmation Number Class TY. Desert Mon Transaction amount Amount due Amount billed 00 000001 00 1000000 00 00 CUSTOMER'S ORDER NO. NAME: ADDRESS: CITY STATE, ZIP RECEIVED BY AM- ?u3-6 z- 1 SOLD BY- CASH 0 C.O.D. CHARGE ON ACCT. MOSE RTD. PAID OUT QUANTITY PRICE AMOUNT 10 11 12 13 14 15 Cliff Smith Construction 3249 Regent Street Port Angeles WA 98362 (360) 457 -6950 DEPT DESCRIPTION DATE: 2./3// 2971 s 't.-) 3 11 Z en 5 4 6 v ?L4 &w9L /�Z 1 Yt✓. 7 I 9 KEEP THIS COPY FOR YOUR RECORDS ©2004 REDIFORM' ,L320/51320S Applicant s Property Owner S�t�+ 4-1, use -F t^ 2ou Property Owner's Address P P O Contractor C jvcf .VIA Co t-„ mPhone 9 57- 6750 i u. IJ J Ln Vz C7 PROJECT ADDRESS Parcel Number Project .Tvoe Brief Description. Check all that apply New Construction Addition Remodel /Repair Demolition Re -roof Heat System Other BUILDING PERMIT APPLICATION Prnt 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 J l% SL1.�1nT t �oI 10 Residential Floor Areas Existing (sq. ft.) 1 posed (sq. ft.) Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Multi- family Lot w,t o g 3 --Fab h i s N,eAt alaf 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 Date Received H 510 Permit i 0— J i Date Appro ved Phone Phone 452 122Lf �s363 69.67-7 /I. a Commercial. industrial sr+yu: Zoning gtiay House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet.stove other per sq ft. ‘X, of bedrooms of full baths of half baths TOTAL VALUATION :cc? Total footprint of structures sq ft.._ .Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a: parcel; including structures paved driveways, •sidewalks patios, and other impervious. surfaces. (see PAMC 17 94 135.for exemptions) Site coverage I have read and completed this. application and know it to be true and correct. I am authorized to apply for this permit d understand that it is my re ponsibility to determine what permits are required, and to obtain permits prior to working on projects. Date tc) Print Name ra C Signature T.Forms /Building Division /Building permit application \-0 .1:i 1 le 0. C. 4.4 AI" P 3.0/) 1 /4.4.,« 4 1 j -.4_ 4;1 f ta 1 25 511 4 _L a OS PC I Le 5 t 7 /612,1 1 te 1 2 1 Le. 7c; *L I4AC tcPA210(4_____ CIF) 963 f' GENERAL NOTES 1 Engineering Design loads: Roof live load: 25 psf (snow) Wind loading based on :100 mph/Exposure "C" Seismic Zone: D per I.B.C. 2. Construction shall conform to these plans and all applicable codes and local ordinances including the 2006 Edition of the International Building Code. 3. Permanent truss bracing is beyond the scope of the work by Zenovic Associates. Refer to truss manufacturer or BCSI publication "Guide to Good Practice for Handling, Installing, Restraining Bracing of Metal Plate Connected Wood Trusses for permanent bracing of manufactured trusses. SOIL NOTES 1 Foundation design is based on: soil bearing capacity of 1500 psf with increases per I.B.C. Table 1804.2. 2. All footings except where noted otherwise on plans shall be set of least 12" into undisturbed earth or certified compacted fill. 3. Any unusual soil conditions such as organic soils, cloy pockets or uncertified fills shall be brought to the attention of the engineer prior to construction. WOOD FRAMING NOTES 1 All framing shall be Douglas Fir/Larch as follows unless noted otherwise on the plans. o. Studs, cripples and miscellaneous vertical framing shall be stud grade or better b. Joist and rafters shall be No. 2 or better c. Headers and beams shall be No. 2 or better 2. Plywood sheathing shall be grade C —D, exterior glue or Structural II, exterior glue in conformance with IBC standard 2304. Oriented strand board of equivalent thickness, exposure rating and panel index may be used in lieu of plywood. Sheathing fasteners shall be driven flush to face of sheathing with no countersinking permitted. Nailing shall be per IBC Table 2304.9.1 unless noted otherwise on plans and /or in shear wall schedule. 3. Timber connectors called out by letters and numbers shall be Simpson Strong Tie Connectors. Provide the number and size of fasteners as specified by the manufacturer s recommendations. Where connector strops connect two members, one —half of the nails or bolts shall be placed in each member All bolts in wood members shall conform to ASTM A307 Alternate joist hungers and other hardware may be substituted for items shown provided that they ore ICBO approved for equal or greater load capacity. All joist hangers and other hardware shall be compatible in size with members provided. All connectors used with pressure treated wood shall be ZMAX, Post Hot Dipped Galvanized, or SST300 (Stainless Steel). Use only stainless steel fasteners with stainless steel connectors. Use only Hot Dipped Galvanized fasteners with ZMAX and Post Hot Dipped Galvanized connectors. PROVIDE VENTS AT NECESSARY AT ENDS TO MEET CODE EXISTING CANOPY FRAMING TO REMAIN EXISTING BUILDING ,E i ATTACH 2X6 LEDGER TO EACH STUD WITH (1) TIMBERLOK TLOK06 SCREW PER STUD, ASSUMED EXISTING STUDS AT 16" O.C. LSU26 HANGERS (TYP) 3 IN 12 INSTALL 2X4 FRAMING AT 24" O.C. BETWEEN EXISTING ROOF FRAMING AND NEW BEAM EXISTING WALL TO REMAIN INSTALL 2X4 BLOCKING BETWEEN NEW FRAMING, ATTACH TO BEAM WITH 2 -10d NAILS BUILDING SECTION Scale: 1/2" 1' COMP OR METAL ROOFING OVER LAYERS OF FELT AS REQUIRED BY MANUFACTURER OVER SHEATHING OVER 2X6 D.F.g2 RAFTERS AT 24" O.C. H2.5 TRUSS CLIP 12" EAVE .FACIA BOARD INSTALL 4X8 D.F.#2 INSTALL TMBERLOK TLOK06 AT 12" O.C. AND WITHIN 6" OF ENDS THROUGH ALUMINUM FRAME INTO BEAM FILE CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, spe :ifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plar specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 2gp(p TM_ 10 By Ja L. 4N \vas .S j w 4 1 0 e i u-m- 41- 4 Approval Date .FULL DEPTH VENTED BIRD BLOCKING EXISTING ALUMINUM FRAMED WALL TO REMAIN SCALE. AS NOTED 1/1 FILE. 09198 —S1 09198 SHEET OF SI 1 i _61,1 c.-61 FAr.t/s NZ N EN RO 0 F SCALE: 1/41 I GM -GrN,^1 :=Cr:27KAP 1 c F r•r■ TAL AabiALINt 4724:41 '57 4 -41 4 37 *4. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor Application desc Work on sidewalk for residing /painting RUP #09 49 SERENITY HOUSE OF CLALLAM PO BOX 4047 PORT ANGELES WA 983630997 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00001009 513907 535 E 1ST ST 06 30 00 5 1 2065 0000 PUBLIC WORKS UTILITES SOME GUY ROOFING PO BOX 2431 PORT ANGELES (360) 797 4142 Permit RIGHT OF WAY Additional desc RUP 09 49 Permit pin number 154427 Permit Fee 75 00 Plan Check Fee 00 Issue Date 9/30/09 Valuation 0 Expiration Date 11/30/09 Qty Unit Charge Per Extension BASE FEE 75 00 Special Notes and Comments See attached conditions for ROW use permit 09 49 and site drawing Permit period shall not exceed 11/30/09 Fee summary Charged Paid Credited Date 10/05/09 WA 98362 Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con struction cam c7 Date Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T\Policies\1102 15 [10/08] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 TA\Policies \1102 15 [10/08] PERMIT INSPECTION RECORD 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number 09 00000889 Application pin number 483739 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Place dumpster scaffolding on sidewalk RUP #09 43 Owner Contractor SERENITY HOUSE OF CLALLAM PO BOX 4047 PORT ANGELES WA 983630997 Permit RIGHT OF WAY Additional desc PLACE DUMPSTER ON SIDEWALK Permit pin number 152652 Permit Fee 70 00 Plan Check Fee 00 Issue Date 9/15/09 Valuation 0 Expiration Date 3/14/10 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 Special Notes and Comments Place dumpster per attached drawing Maintain minimum 42 wide pedestrian access through work area flager to be stationed during work hours to warn /escort pedestrians Insurance required from applicant and /or applicant s scaffolding contractor Charged Paid Credited 91/1 5/o9 Date 9/15/09 Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 00 00 Extension 70 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 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 SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T \Policies \1102.15 110/081 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE I DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc washer Dryer and Hot water 3 circuits Owner SERENITY HOUSE OF CLALLAM PO BOX 4047 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983630997 ELECTRICAL ALTER COMMERCIAL 143602 61 50 3/30/09 9/26/09 Charged 61 50 00 61 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000274 506160 535 E 1ST ST 06 30 00 5 1 2065 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 61 50 00 61 50 DATE Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 6424 Plan Check Fee Valuation Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 2 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Paid Credited 00 00 00 Date 3/30/09 WA 98362 00 0 Extension 57 50 4 00 Due 00 00 00 RESULTS )/e/i0 ).)ci? fzEP Signature of owner or Electrical Contractor X Date INSPECTOR. j7 Job Address: Building Square Footage: Description of above Unit Charge 93.75 $113.75 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131.25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 x Qty Signature of owner electrical contractor or electrical administrator RECEIVED MAR 3 p 2009 uoKC�r YOUN- City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 F x: (360) 417 -4711 Date: 3 1 1 2 Single Family Dwelling Multi- Family or Commercial* +cCommercial Addition Alteration Remodel Repair* Plan Review May Be Required, ,lease Com_ plete Electrical Plan Review Information Sheet A r+ K. '"71)t2r1 I. re v rt dr r�G Owner Inform ion Contractor Inf rmatio Name. .J ""a Y1n 4\ J 6 sr e. Name. 1 rtn CJI r., I Mailing Address: 5 �7 E 1 s Mailing Address: 8 2 (-k r- 14044,v City' State. WWI Zip '3 g 3 S City' rl fl� 9' ff tate. WA Zip 3V2 1Phone. Vol 1 Fax: Phone: Q0- Fax: -1Yz4 License Exp. License Exp E Z„ C_1S 113 771 (4 Total (Qtv Multiplied by Unit Charge) Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp Branch Circuit W/ Service Feeder S'7 Sa Branch Circuit W/O Service Feeder 4 Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp. Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat Total Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. Date: 2/2-5 C9 Cash Check t Credit Card 3 c4rcLJ)) 11.1 c,shLr, Dey<,v` Fl rt Finance Department October 21, 2009 Some Guy Roofing Leon Bracey PO Box 2431 Port Angeles, WA 98362 RE Insufficient Funds RETURNED CHECK for Building Permit #2009 -1026 Dear Mr Bracey Sincerely, Kathy Emery Sr Customer Service Representative The City of Port Angeles Your check in the amount of $128.25, received by this office on October 6, 2009, has been returned by your bank for insufficient funds. 15-1- Your Building Permit #2009 -1026 for 535 E Street has been revoked. We require that you redeem this check at our office with cash, cashier's check, or money order, and pay a $40.00 service charge, if you wish to reapply for the permit. If you have already redeemed your check or made arrangements for payment, please accept our thanks and disregard this notice CC Building Department RT y GELES If you do not redeem the NSF check, or make satisfactory arrangements to do so, your check maybe turned over to the Port Angeles Police Department for collection, without further notice from this office Please pay careful attention to this matter, to avoid possible legal action. Phone 360- 457 -0411 Fax 360- 417 -4609 Website www cityofpa.us Email information@cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -02 7 PREPARED 10/02/09 1 00 22 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/02/09 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR SERENITY HOUSE TEMPEST CONTRACTOR SOME GUY ROOFING PHONE (360) 797 4142 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452 1439 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 09 00000887 RE ROOF BL99 01 PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/02/09 INSPECTION TICKET PAGE 2 BLDG FINAL October 2 2009 9 58 28 AM jlierly COMMENTS AND NOTES PREPARED 10/12/09 8 37 21 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/12/09 ADDRESS 535 E 1ST ST SUBDIV TENANT NBR SERENITY HSE DREAM CTR CONTRACTOR SOME GUY ROOFING PHONE 360) 797 4142 OWNER SERENITY HOUSE OF CLALLAM PHONE (360) 452 1439 PARCEL 06 30 00 5 1 2065 0000 APPL NUMBER 09 00001026 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/12/09 /12 BLDG FINAL LO i� October 12 2009 8 25 59 AM 1pangrle LEON 797 4142 BLDG FINAL RE ROOF (DREAM CENTER) COMMENTS AND NOTES m) 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 COMMERCIAL ARTERIAL 3800 Application desc TEAR OFF RE ROOF THE DREAM CENTER (UPSTAIRS) Owner Contractor 09 00001026 Date 10/06/09 019164 535 E 1ST ST 06 30 00.5 1 2065 0000 SERENITY HSE DREAM CTR RE ROOF SERENITY HOUSE OF CLALLAM SOME GUY ROOFING PO BOX 4047 PO BOX 2431 PORT ANGELES WA 983630997 PORT ANGELES WA 98362 (360) 452 1439 (360) 797 4142 Structure Information 000 000 TEAR OFF RE ROOF DREAM CENTER Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF DREAM CENTER Permit pin number 154633 Permit Fee 123 75 Plan Check Fee 00 Issue Date 10/06/09 Valuation 3800 Expiration Date 4/04/10 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 128 25 128 25 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This 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 c ction. b-6--09 I or 2 Cw i z_au Date Print Name Sifinaturebfontiactor.or Authorized Agent J Signature of Owner (if owner is builder) 7:FormsBuilding Division/Building Permit keV /6_, oy FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T•Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 IFINAL Date PLANNING DEPT Separate Permit #s SEPA. Parking I Lighting I ESA. Landscaping I SHORELINE. FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Accepted by Date Accepted By 0 4_. PROJECT ADDRESS Parcel Number Project Type 8 Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Date ,b (e? T Forms /Building Division /Bldg Permit.doc BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 600/NQ,_ 49n t v Phone 79 `Z '-0 14 7_ Property Owner sr Z-6 fr .e C zi,V`am Phone �2 t Property Owner's Address Q j -±d 9 7 Ph LoPPs g363- O 94 Contractor (.s2-cv rSam 604 Rego-Rot 7 i4 1 C 2 Contractor's AddressPp 9,E a_c-1 A`t 1 »j 9 "S3 e Z License r>��fLa�3D� Expires`= t E -mail House garage Xother Heat pump wood burning stove 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 Print Name l l V) APPLICATION Print in ink. For City Use Only Date Received t6 61 --tr1r Permit nt-t Date Approved fri Lot Zoning (695• t -S) Residential Multi family Comm rcial Xtear off re -roof lay over one layer o. gas fireplace pellet-stove other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor G arrage Carport Covered Porch Deck Shed Other Mcckexict _)Ino.kied -4 o r Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount'of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage TOTAL VALUATION Signature Industrial of bedrooms of full baths of half baths have read and completed this application and know it to be true and correct 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 goo 4e,D vV PREPARED 10/21/09 13 13 33 CORRECTION RECEIPT CITY OF PORT ANGELES 321 E 5TH STREET P 0 BOX 1150 Receipt Application number 09 00001026 Date 10/06/09 Correction option Adjust with G/L Time Correction description nsf check Number 0104009 Corrected by KEMERY Cashier SCORDERY Before After Fee Amount Credit Reduced Amount Credit Structure Permit Inso Paid Remaining By Paid Remaining STATE SURCHARGE 4 50 00 4 50 00 00 PERMIT FEES 123 75 00 123 75 00 00 000 000 BNOP 00 Totals 128 25 00 128 25 00 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000887 Date 8/28/09 Application pin number 930767 Property Address 535 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 2065 0000 Tenant nbr name SERENITY HOUSE TEMPEST Application type description RE ROOF Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 27000 Application desc TEAR OFF RE ROOF THE SINGLE STORY BLDG Owner Contractor SERENITY HOUSE OF CLALLAM SOME GUY ROOFING PO BOX 4047 PO BOX 2431 PORT ANGELES WA 983630997 PORT ANGELES WA 98362 (360) 452 1439 (360) 797 4142 Structure Information 000 000 TEAR OFF RE ROOF SINGLE STORY BLDG Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF SINGLE STORY BLDG Permit pin number 152629 Permit Fee 437 95 Plan Check Fee 00 Issue Date 8/28/09 Valuation 27000 Expiration Date 2/24/10 Qty Unit Charge Per Extension BASE FEE 417 75 2 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 20 20 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 437 95 437 95 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 442 45 442 45 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 c uction. Date Print Name Sigr>'ature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building 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 Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By to oz- 09 l Applicant 3cs `44 Phone 3(O Property Owner t{ -esc�s o-F- Cl Phone 5 Z ['-I 39 Property Owner's Address Pb b 4647 P.-, t„ P 18363- M9:1 Contractor ,i. S f (5o01� Guy Rcwtin6 Phone y,© 7 C' Z Contractor's Address ep o c 2 —c-6 ;1 J C 9 ;03 1 2 License Expires3_5_70 E -mail Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch De Shed Other Max. height of proposed st Will a lawn sprinkler syste Will a fire sprinkler syste T Forms /Build ng DivisioniBlag Permd.doc 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 .t..; PROJECT ADDRESS 7 2 -2 Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel air Demolition e -roof House garage X other Heat System Other Heat pump wood burning stove Existing (sq. ft.) Proposed (sq. ft.) res e installed? stalled? Residential Total footprint of structures sq ft. T Lot size Site Coverage the amount of impe ious surface on a pare- including and other impervious rfaces -e PAMC 17 94 135 for exe ft. Occupa Occu C p nt load struction type For City Use Only Date Received 1 .aS-01 Permit oq Date Approved Lot Zoning Multi family p Commercial Industrial hi-- 4 HG o Se Te- vykvia t;± Atzi G f�l ,`n4e (3i& w'0. r rA G`A s %J') .e -fear off re -roof lay over one layer gas fireplace pellet stove other per sq ft. TOTAL VALUATION l r 000 sq ft. Lot coverage ructures paved driveways sidewalks patios Site coverage of bedrooms of full baths of half baths cre— I have read and completed this application and know it to be rue 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 prio 0 working on projects. Date9)75/11 Print Name Lll.Or/ l Signatu,�-�. (Lc9-t4( ADDRESS Mkhrlozici with pa a D8118 xdams MADE IN MEXICO JSAL -c- 74 4 1 4--3 0 Gex z-c-e 5 PTA Ttt r5t-C) '1 d tc: be rr.tuR a. trlk.ms Any alteration or deviation from above specifications involving extra costs will be executed only upon written order, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, ac cidents. or delays beyond our control. Date szs-k- LOA- 9:32 "3 Respectfully submitted PROPOSAL WORK TO BE PERFORMED AT Tht at DATE OF PLANS ARCHITECT BY f4 I Sigha,ut: .:PROP0A(2:1)1p:'' :DATE. Wc f 6 ill hereby pro. bke niPterlai, ?rid ije bor ne0s— the ..;omp Q 1UT `WA---4-0 -1( e4A!‘. 6 0 0, ..c2:7CA:5 eL? Ou44. c! _tkekki IVA 1 kit r) 1kv 2- l e ti .449,p_e_A _IYIttba__ Qs24/A*61 _3(1.5_ _meta -rao 7.12,1ei Olfe_-4=k+ .411■1-5A 9 tv.tkyaCX, th_as? 44,YlaatZ5 _17- Ati d-va‘7_.z.L17 "T} Vaer I- I r er 1 /114- te,5 -3 s -t Evarl 6 3 5ADe-rvvukal- eAfcti. 00AL eat. -ft= pa-m Fc,c‹ An-ciAk tr_f_vyk.cv) i/Vt ••74 VItC4-5+-Ce1, C.Q._ 5 por b12, 1 _1 vx riffk 6 t e e-61- ONT 0477 WC21RA Aein-P-- 4 s IAA- 04/0.41 .„3 y e.1\( D <s 2 iii246ut,e„ Per 0-1. 45 s 'f ,c Note ‘es proposal may be withdrawn by us if not accepted within days. AcQgPIANcE OF PROPOSAL '714...4bove atVsatiSfaCtory and are hereby accepted db.the work as:specified' 'Payrhents made as outlined above :Signature Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001356 Date 10/28/08 318336 535 E 1ST ST 06-30-00-5-1-2065-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Application desc Emergency lighting Owner Contractor SERENITY HOUSE OF CLALLAM PO BOX 4047 PORT ANGELES WA 983630997 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 136911 Permit Fee 46.00 Plan Check Fee Issue Date 10/28/08 Valuation Expiration Date 4/26/09 .00 o \f\ ~ \J\ Qty 1. 00 Unit Charge Per 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 r Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.00 46.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 "1\ - r ~ ~ ..; .'" 'I ~ T .. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH . SERVICE OUGH - IN FINAL OMMENTS: RECEIVED OCT'2::~7 2008 ELECTRICAL WORK PERMIT APPLICATION -.' Dg -1~6 Installation description ~ o Commercilll ~sldcntial Job wired by DOwner Electrical contractor name ~ll!-L ~lL License number Date Expires tz..Li~.C.,-s., I ~.v-... o New o Altered! Addition fP 9V~(, l..... ~ ~ L",u~ vJ <S'\ (S' Premises, ~ner's n8~ '~.JLl"_' Address o!.1nspcctlon ~~S- E'- ~ r.:-"'r-t .. City ~A Phone number to schedule Inspection: Owner as de/illed b}' RCW /9.28261:(1) Owner will occupy the slruClUr(! for two years afler (his electrical permit is finalized. (2) Owner is required to hire all eleclrieal cemlraclor if above said properly U' for sale. relll or lease. Aller 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 alteraliol1 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 Specifi lions, SiG"atur of o Cash Cl Check # o Credit Card ~st:rcard ~~ --~------------- VISa Discover Card # x Date: /0 ~l1sp~tbn!} Service Information Electrical Load Additions and or subtractions lJ NO LOAD CHANGES a Baseboard _ KW a Furnace _ KW a Overhead Service lJ Heat Pump _ Ton _ LAR 0 Temp Service a Fan-Wall KW a Underground Service SAME DAY INSPECTION, CAL.L BEFORE '7:00 AM 360.4]7-4735 Voltage Phase (J 1 (J 3 Service Size: _ Feeder Size: __ ROUGH-JN "\ /' THERMOSTAT "\ / SERVlCE ""'\ P1~ I~ ~ I I I '=. Ou'e Approved Oy ./ DIJ.I~ Approved Dy -/ "- Dote Approved lIy ./ /' "\ /' "\ / FEEDER , FINAL ^~d Oy ) DITCH I I ~ '- 031C Approved By -/ "- Date Approved By ~ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 1/1 d HLbL1b :01 b2/792S/7 3JI~~3S JI~lJ3l3:WO~~ ~92:80 /7002-[I-J30 ~.." -"., "". .'''-, .jv..~;.~r'."".-"E~."~~".' k';:' bt~-i:U ~ ~ CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 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 08-00000911 Date 551086 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE FIRE ALARM SYSTEM 7/29/08 COMMERCIAL ARTERIAL 6535 Application desc FIRE ALARM SYSTEM UPGRADE, SINGLE ADJ. LOOP Owner Contractor SERENITY HOUSE PO BOX 4047 PORT ANGELES (360) 452-7224 OF CLALLAM WA 98362 GUARDIAN SECURITY 9435 PROVOST ROAD SILVERDALE (360) 692-3738 SYSTEMS INC. NW, STE. 204 WA 98383 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE ALARM SYSTEM FIRE ALARM SYSTEM UPGRADE 130963 150.00 Plan Check Fee 7/29/08 Valuation 1/25/09 .00 o Qty 1. 00 1. 00 Unit Charge Per 100.0000 ECH FIRE INSPECTION & TESTING 50.0000 ECH FIRE ALARM PLAN REVIEW Extension 100.00 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .00 .00 Fihq~ 7--;2 '-OJP 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 examiner! 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 ofthis permit does not presume to give authority to violate or cancel t):?)ovisionsof any state or local law regulating the work specified in the pennit. aQ~~~ {-~c,~O~ Signature of Contractor or Authoriz~gent Date Signature of Owner (if Owner is builder) Date --':'."..u.;~",",*,",,",-,+'r;..;.;"', ."" o Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulateoQ or conceal any work before inspected and accepted. Post permit in a conspicuous location. -1 FIRE PERMIT INSPECTION RECORD .-- KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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 ROllgh- in inspection Alarm final 9 -I Ze- 0 <'6 k.f. D LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments tJl vJ U1 f\l \I) -r ~ 2/15/00 :D (J ~ - ~ "'" 3 d{\ r, GENERAL COMMENTS: 1f t5DOJ> BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth S1., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use on~: Date Received 1'- Z- ~O g Permit # 0&- '1/1 Date Approved Applicant or Agent Gxur~'::e~_~hone i::~;;l~ Properly Owner ~~_~.. - - - ~hone 3W- O{~. : ~'l- Property Owner's Address ~ ;._ _ _ _~~ _---.2 _2::lL- _ __ _ '3 Contractor/Engineer &.n.vli l~ ~~one ?loo -t.d:t';). -3(~~ Contractor/Engineer's Address Ll%' ... V1 <t:iu..'uuviflh 0 u.h Q~ 3 License # GuA(2...DSSZ~~'c::...S;- Expires . PROJECT ADDRESS S3'5 a~ H~-=-.., Parcel Number Lot Zonin Proiect Tvpe & Brief Description: 0 Residential tl!:i Commercial 0 Multi-family 0 Industrial Check all that apply o New Construction o Addition ~emodel o Repair oRe-roof o Demolition o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove other o Other Floor Areas ExistinQ (SQ. ft.) Proposed (SQ. ft.) Basement @$ per sq. ft. = $ 1 sl Floor 2nd Floor 3rd Floor Garage . Carport Covered Porch Deck Shed Other TOTAL VALUATION $ (0 .S'3e>~ Total footprint of structures sq. ft. + Lot size Max. height of proposed structures / ft. Will a lawn sprinkler system be inst~ _ Will a fire sprinkler system be installed? _ sq. ft. = Lot coverage % Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for 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 -r2q~2a)BPrintName S1ltvJY\ee ml>JY\ Signature l~ ~~ T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc f "ORT ~ lO~~"r. ha 1!" -- ~WS<P CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . . . . . Application valuation . . . . 08-00000564 . Date 029112 535 E 1ST ST 06-30:00-5-1-2065-0000- PUBLIC WORKS UTILITES 5/12/08 UNKNOWN o Application desc Install fire line Owner Contractor Serenity House of Clallam Coun POBox 4047 PORT ANGELES WA 98362 RJ SERVICES 514 IRVING JACOBS RD. PORT ANGELES,WA PORT ANGELES WA 98362 (360) 457-1420 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY INSTALL FIRE LINE 126391 50.00 Plan Check Fee 5/12/08 Valuation 11/08/08 .00 o m u0 Ut \ (\) Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 -- if: 1- ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not 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:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL-- - DATE-' - ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [1/05] CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 o ,..J I Q() ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000827 Date 008042 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE FIRE SPRINKLER SYSTEM 7/31/07 UNKNOWN 14500 Owner Contractor SERENITY HOUSE OF CLALLAM CNTY PO BOX 4047 PORT ANGELES WA 98362 (360) 452-7224 Structure Information 000 000 KNIGHT FIRE PROTECTION INC 2509 WEST 19TH STREET PORT ANGELES WA 98363 (360) 417-0505 RESIDENTIAL FIRE SPRINKLERS permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date. FIRE SPRINKLER RESID INSPECTION & TESTING 106922 50.00 Plan Check Fee 7/31/07 Valuation 1/27/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 U1 VJ 01 Permi t . . . . . Additional desc . Permit pin number Permit'Fee Issue Date Expiration Date FIRE SPRINKLER RESID INSPECTION & TESTING 108225 . 50.00 Plan Check Fee 7/31/07 Valuation 1/27/08 .00 o (\) Qty Unit Charge Per BASE FEE Extension 50.00 Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. v'\ +. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 Fii10 Ix 00 L f5le/ { --I 2U<f VI -to "3 c - ::i-. 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 examine:! this application and know the same to be true and correct. All provisions ofrecognized standards, laws and ordinances governing this type of work will be compied wit' hether specified herein r not. The granting of this permit does not presume to give authority to violate or cancel the v' sions of an st r local law regulating the work specified in !he p~rm it. I ~ 3 .:(\ ~ Date Signature of Owner (if Owner is builder) Date v", -V :J. I ~. ~ ...~.: , Signature of Contractor or Authorized Agent _~:.l..~:;::..;~:'~~.~~::....._.....!,..;:.J.:.', ..:.... :'. "'" " ~,"".. ... .' ..... ,..."",.:.~,..". r",.. .... _ ~"".~.,~. _"_ FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 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 R~~I--()~ \~\)~~ FIRE ALARM ROllgh- in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 ~ Ol- g 2-1 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Serenity House Address: 535 East First Installer: Knight Fire Protection Installer Telephone: 417-0505 Type of System: Wet 130 13R[gJ 13DO .. ........ Date: 7.27.2007 PAFD Permit #: 07-24 We have checked this plan and find that it conforms to the requirements ofthe code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified. company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. o Contractor ~ Building Department o Fire Department Reviewed by: \&C'J.:.{)Q Date: -r.Z1'Cl BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: Date Rec.: ~"( - ,~--cs Permit #: () 1- &2-; Date Approved: 7 - 31 - 0 Date Issued: I ( Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: t:;~flM1At"-1 L~~\?"" &\;.- Address: t;; ~ ~ ) (t- Phone: l-r~.J t.f II ~S- c.k II":,,, Llv~ Phone: '-In- 1~2..lf S""l City: P~/1 ~ab..( Zip: ArchitectlEngineer: Phone: Contractor ~ lV1~trn~ )>~ State License #: lLtu l~ ~u( Exp: Address: z,~t\ W~,- \'1-\h Sr City: t>tyZ..r ~~ l.1JA- ~ \ ~-r \ ~+ <;;r- ,; PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: <"\06 Phone: ~11~ Zip: ~~!'s ZONING: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: lJ b 3D h"> C1 t.O L.r- TYPE OF WORK: o Residential. 0 New Constr. 0 Re-roof 0 Stove D",Multi-family 0 Addition 0 MoveD Garage ~ Commercial 0 Remodel 0 Demolition 0 Deck o Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: ~~\l?~,.v ~~ "<;"rlA~S SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $=:8 ~OL' I Nl - mu 1+1-~U~ . COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 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 submi tted. All other permit fees are due at the time of permit issuance. EXPffiATION 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 Rl05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and e amined this application and know the same to be true and correct. I am authorized to apply for this permit and understand t 't is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wo . Date: 1\\~0 T:\FORMS\BldgPermitform.wpd Applicant: f~\) 01- Vi I ~ VORT ~ S'4.0~t<(~ '..~ 1\:0 -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 07-00000155 Date 137980 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE COMM REMODEL 3/26/08 UNKNOWN 260000 Application desc Interior Remodel .~-oY-\1> X- ---------------------------------------------------------------------------- 0D~ Owner Contractor 'X'~ 0~vV - - - - -- - - - - -- -- -- -- - h - _ ~ ~~~'f\ G.,'( w.t- 7\vblO?' KANDU ENTERPRISE ~ ,v 714 WEST 6TH PORT ANGELES (360) 565-8383 --------------------- Structure Information 000 000 ---------------------- ZZTYPE V NON-RATED . . . . . ZZHOTELS, APARTMENTS . . . . . NUMBER OF UNITS SERENITY HOUSE PO BOX 4047 PORT ANGELES (452) 7224 OF CLALLAM CNTY WA 983630097 WA 98363 Construction Type Occupancy Type Other struct info 1.00 Permit BUILDING PERMIT - COMMERCIAL Additional desc INTERIOR COMM REMODEL Permit pin number 95356 Permit Fee 1916.25 Plan Check Fee Issue Date 3/23/07 Valuation Expiration Date 9/25/08 1245.56 260000 Qty Unit Charge Per Extension 1020.25 896.00 BASE FEE 160.00 5.6000 THOU BL-100,001-500K (5.60 PER K) permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 97055 144.25 Plan Check Fee 3/23/07 Valuation 9/25/08 .00 o ~/1/ ~lo/ /0'-2 ;'0 (f Qty Unit Charge Per Extension 50.00 94.25 BASE FEE 13.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 97063 401. 00 3/23/07 9/25/08 Plan Check Fee Valuation .00 o 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 whe pecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any 0 ocallaw regulating construction or the performance of construction. Signature of Owner (if owner is builder) T:Forms/BlIilding Division/BlIilding Permit (10/01/07).wpd 1----- - I ----- BUILDING PERMIT INSPECTION RECORD t 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 SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING I'LANNING DEPT. SEPARATE PERMIT #'s SEI'A: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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:FormslBuilding Division/Building Pennit (10/0 1/07).wpd ,-- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page 2 Application Number 07-00000155 Date 3/26/08 Application pin number 137980 Qty Unit Charge Per Extension BASE FEE 50.00 47.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 329.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 Special Notes and Comments 02/22/2007 10:07 1) A fire sprinkler system is required for this building. Separate fire sprinkler plans will be required for review. 2) A monitored fire alarm system will be required. Separate fire alarm plans will be required for review. 3) A KNOX locking keybox is required. Contact the Fire Department at 417-4653 for ordering information. 4) The door at the south end of the second floor hallway does not show on the plans. This door must remain in place. 5) All doors leading out of the smoking area through the hallway must be openable from the inside at all times. AM KDUBUC ----------------------------- 03/09/2007 02:43 PM SROBERDS --The proposal is an interior remodel only, adding amenities to existing short term residential units. No increase in the number of units is proposed or approved. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Construct Curbs, Driveway Approaches and Sidewalks to City Standards along Albert street from existing curb at 1st Street north to existing curb at alley. Replace damaged/patched asphalt along Albert. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete or paving. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2461.50 2461. SO .00 .00 Plan Check Total 1245.56 1245.56 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3711.56 3711.56 .00 .00 Separate Permits are required for electrical work, SEP A, 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 DivisionlBuilding Permit (10/01/07). wpd 1-- --- 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE' INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 0 ...J 1 INSPECTION TYPE DATE ACCEPTED. COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS R .,0_ t;-' L-t-I-08 :rLL FOUNDA TION DRAINAGE / DOWN SPOUTS ]{: -0 PIERS ~ POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN 3-2-(0-0& -:rL.L.- WATER LINE (METER TO BLDG) ~B GAS LINE FINAL ~-2- 5"--1J8DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS Lt...9;-08' PB CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP/FURNACE/DUCTS I I GAS LINE WOOD STOVE / PELLET / CHIMNEY ill!A~J 0 ...1- 0& DATE ;;sLL- ACCEPTED BY: 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 I'RIOR TO OCCUPANCYIUSE 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 110 -ll-()~ 1:1L1- 07 VI \J\ uJ V( m .-- ~ ~ ~ 3 f ~ T:Forms/Building Division/Building Permit (I % 1/07). wpd \ ~,ORT~ f:4~"';" Ordi" 1\..-- ~.,WF' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES 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 07-00000155 Date 13 7980 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE COMM REMODEL 3/23/07 UNKNOWN 260000 Owner Contractor SERENITY HOUSE OF CLALLAM CNTY PO BOX 4047 PORT ANGELES WA 983630097 (452) 7224 OWNER construction Type Occupancy Type Other struct info . . Structure Information 000 000 TYPE V NON-RATED HOTELS, APARTMENTS NUMBER OF UNITS 1. 00 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date RIGHT OF WAY CURB,GUTTER, SIDEWALKS 97782 50.00 plan Check Fee 3/23/07 Valuation 9/19/07 .00 260000 Qty 1. 00 Unit Charge Per 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Special Notes and Comments 02/22/2007 10:07 1) A fire sprinkler system is required for this building. Separate fire sprinkler plans will be required for review. 2) A monitored fire alarm system will be required. Separate fire alarm plans will be required for review. 3) A KNOX locking keybox is required. Contact the Fire Department at 417-4653 for ordering information. 4) The door at the south end of the second floor hallway does not show on the plans. This door must remain in place. 5) All doors leading out of the smoking area through the hallway must be openable from the inside at all times. AM KDUBUC ----------------------------- 03/09/2007 02:43 PM SROBERDS --The proposal is an interior remodel only, adding amenities to existing short term residential units. No increase in the number of units is proposed or approved. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Construct Curbs, Driveway Approaches and Sidewalks to City Standards along Albert street from existing curb at 1st Street north to existing curb at alley. Replace damaged/patched asphalt along Albert. No concrete with exposed aggre~ate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to 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. -/~J ~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) (f) 3,A)'/CJ/ ( Date T:\Policies\1102.15R [1105] ~ -l PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417.4815 BUILDING T:\Policies\1102.15R [1/05] .. f ,oreT ~ J:"'O~~~ rta 1b. -- ~lC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000155 Application pin number 137980 Page 2 Date 3/23/07 Special Notes and Comments prouring concrete or paving. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 54.50 54.50 .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:\Policies\1102.15R (1/05] r c. PERMIT INSPECTION RECORD CALL 417-4807 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILOING 417-4815 BUILDING T:\PoliciesllI02.15R [1/05] ""'~''''-';~.- " !:.~.,"'~' ~'-'..;..'" 3/2SloB -C' L1Z- ' ---- A?p~}c,q pot.-. -:/J-- 0 -J ~ . 00000 /55 AGG ) 12::> i2B0^D () fi- L TD" C IT,! op- ~V1:- \ f\'t-J4:fi- G'F ~ g0( L IJ} tU6 b~~J r l2DM \ \4~0- p~~'2?\2.-lSE (}--rKXj;,c~1 (;0 Wb'-'I 71 Ll yJ (77~ S ( '?<T 1-\ Y~(L\ rf\.~E:f{L'F"5 ~(JA- SbS~ - ~,8) 4bO ~ 36/7 165b ~ ~'2-- ~?- L \t'Kl~ ) CoIJT~6.C1 ~ 2.. U~~ Sl~N~~ ~ ~ii.J ''''-/ I-!o->~ .oF- C.U1LLAJ'Vl 010 z (zJ 65 C6 <.J IU 1'--t " COJfVI(2ACT :/:l z (r/L~ ~ 7v!2IJ Kp...y - Oe>t30B') 1"5 4- LCJtP.:::rfi.'-1 W P-I TTIR U pfiefl>tZ WI. A. #..JC'rL.. COKfr /2.ACJ fbe.... ~ ~'- ~PA112'? ,0 ~ A-Lpf!!-fl, 5Tf!.fff..f-T Pc>JLTI~ oF- 1tIt- 1i-";(~J I p..)Cb A:::6Ip~ aibJ7$L I 7Hrz- ?~W'\ ~ J (6 ,Hf.-- ~5>~/~/t.-)/) C> r -r~ (!> l.c.:>1U /U2... ~ b I t-ff;...1 AtZ-'fL ~/2.0 ~~ /),VJ1J HA-v 12- lJo WlDj{J~l' ?t.DA~1L- p--f.Tt:;tu() 7~ !Z-~{Srl;Jb Coz,../jt2-I4.Cr- ~ 012-- cAtu ~ OCCvp~/;Vc..'1 PolL- CLALL-~VV'-S t-lt>tAAfLL$S<'" ~:l~5cC 7ffo C;;4~ ~1.11 r ~t-f2- ~f(ZL';:ro k..-- .pd'-~ N\ \1- ~ 11 -? S-O<6 <.vQ,'fl" \_ oyv \ ~'(()\l3 p. RECEIVED MAR 2 5 2008 CITY OF PORT ANGELES BUILDING DIVISION (W15~ jf Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: - Tenant nbr, name . Application type description Subdivision Name Property Use Property Zoning . . . Application valuation SERENITY HOUSE OF CLALLAM CNTY PO BOX 4047 PORT ANGELES WA 983630097 (452) 7224 .~ ~,,:;;c;iiI" Owner Construction Type Occupancy Type Other struct info . . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST Sill STREET, PORT ANGELES, WA 98362 07-00000155 137980 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE COMM REMODEL ~ 3/23/07 ~,,~(l..Y\.,~ r\u\'"f\\q\nj Go..<J . '~\$ \ <b ~ 0\;7 '?> \ 'Z- ~ 0 ?O-- \ Cl' €. 10 Ie ~ cov\~ CCki~~tL ~ ~OJ If'f-L +-f7i2p{2-~&s Lf&O -' 3'1, ., Structure Information 000 000 TYPE V NON-RATED HOTELS, APARTMENTS NUMBER OF UNITS 1.00 ()\L\~ --.. ...... ~\~~n5.,fu~? ,.-- ~t" C6V'~- ~rr .~ ..~~ ~e.r" ---------------------------------------------------------------------------- Permit.. ".., . ",'_.' Additional desc . Permit pin number Permit Fee Issue Date Expiration Date , BUILDING..PERMIT '-' COMMERC~AL-.,"' INTERIOR COMM REMODEL 95356 1916.25 3/23/07 9/19/07 Plan Check Fee Valuation .~~ . ~., ." ..1245.56 260000 Qty Unit Charge Per Extension 1020.25 896.00 BASE FEE 160.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . MECHANICAL PERMIT 97055 . 144.25 ' -. -. -- Plan- Check "Fee 3/23/07 Valuation 9/19/07 .00 . o Qty Unit Charge Per Extension 50.00 94.25 BASE FEE 13.00 7.2500 ECH ME-VENT FAN ---------------------------------------------------------------------------- Permit . . . . . Additional desc , Permit pin number Permit Fee . . ..Issue Date Expiration Date . PLUMBING PERMIT 97063 401.00 Plan Check Fee 3/23/07....Valuation.. ., 9/19/07 .00 ...... ,0" ._._ Qty Unit Charge Per BASE FEE 47.00 7,0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER Extension 50.00 329.00 7.00 15.00 ---------------------------------------------------------------------------- Special Notes and Comments 02/22/2007 10:07 1) A fire sprinkler system is required Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements, This permit becomes null and'vold 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 comm'enced, or if required Inspections have not been requested within 180 days from the last Inspectlori, I 'hereby certifY that I have read and examined this application and know the same to be true andc6rfect. All provisions of lciws'andordiminces govemingthis type of work will be complied with. whether specified herein or not. The granting.of.a per.mjtdP~~,IJ.o.t presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date \ 'If) '-'f 'r" -- ~ .-'"'......-<..1.. c_L",_ .j' [A /l Signature of Owner (if owner is bui~der) {} 7 /;; 3 /0 7 Date Signature of Contractor or Authorized Agent T:\Policies\1102_15 building permit inspection record05,wpd [1/412005] fPORT ~-\o; rS"'O~~~ ,. "- -=-:or ~ '1.0;", ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 07-00000155 137980 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE COMM REMODEL 3/23/07 ~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner SERENITY HOUSE PO BOX 4047 PORT ANGELES (452) 7224 construction Type Occupancy Type Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . Date - OF CLALLAM CNTY '\,\4 , \> \\)(<'0'9\ :J vX"~' 1 L G ~1 01z..~IOYl~>l~ ~) o , ~ fb 11 ~ ~~ oQ.)(' \?'f"~ (aD _0 .Y~'" ~~"'~ ;;., \ ~J), 6-" ,~~ \,.., ~~_h_~~~&~_ f~'oriS<2.s l7~~~ G:~~ \>~ i,~ -r r l.f 'vJ bfu Sf-\ 0 ~ L/60 - 3 "It) ro....t-Ih1ye.ie. 000 -------h~r_(i-60)ij65" _ 83:-sWf/ 923~;3 ~ UNKNOWN 260000 Contractor WA 983630097 Structure Information 000 TYPE V NON-RATED HOTELS, APARTMENTS NUMBER OF UNITS 1. 00 BUILDING PERMIT - COMMERCIAL INTERIOR COMM REMODEL 95356 1916.25 Plan Check Fee 3/23/07 Valuation 9/19/07 1245.56 260000 Qty Unit Charge Per Extension 1020.25 896.00 BASE FEE 160.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 97055 144.25 Plan Check Fee 3/23/07 Valuation 9/19/07 .00 o Qty Unit Charge Per Extension 50.00 94.25 BASE FEE 13.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT ~ 0) 97063 401.00 3/23/07 9/19/07 Plan Check Fee Valuation .00 o Extension 50.00 329.00 7.00 15.00 f\1 Qty Unit Charge Per BASE FEE 47.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER -- ~ O"l =--t- Special Notes and Comments 02/22/2007 10:07 1) A fire sprinkler system is required 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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~:I " /) .y;~/~--- {'! tv 0'-'- /:2 017 ./ / bate I Date - J Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent T:\Policies\II02_15 building pennit inspection record05.wpd [1/4/2005] I I i BUILDING PERMIT INSPECTION RECORD CALL 4 ]7-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOIZ ELECTRICAL INSPECTJONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTJCE. IT IS UNLAWFUL TO COlER, INSULATE OR CONCEAL ANJ' IFORE BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPJCUOUS LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSI'ECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE! DOWN SPOUTS I PIERS I POST HOLES (POLE BLDGS.l PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (rNTERJORBRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR I CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING 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 ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. I 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:IPoliciesl] 102 15 building pemlit inspection record05.wpd [1/4/2005] 1"" .1 ,- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00000155 Application pin number 137980 Page Date 2 3/23/07 Special Notes and Comments for this building. Separate fire sprinkler plans will be required for review. 2) A monitored fire alarm system will be required. Separate fire alarm plans will be required for review. 3) A KNOX locking keybox is required. Contact the Fire Department at 417-4653 for ordering information. 4) The door at the south end of the second floor hallway does not show on the plans. This door must remain in place. 5) All doors leading out of the smoking area through the hallway must be openable from the inside at all times. AM KDUBUC ----------------------------- 03/09/2007 02:43 PM SROBERDS --The proposal is an interior remodel only, adding amenities to existing short term residential units. No increase in the number of units is proposed or approved. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Construct Curbs, Driveway Approaches and Sidewalks to City Standards along Albert street from existing curb at 1st Street north to existing curb at alley. Replace damaged/patched asphalt along Albert. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete or paving. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2461.50 2461.50 .00 .00 Plan Check Total 1245.56 1245.56 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 3711.56 3711. 56 .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:\Policies\l102_15 building pennit inspection record05.wpd [1/4/2005] L ! BUILDING PERMIT INSl)ECTlON RECORD CALL 417-48] 5 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 CO, 'ER, INSULATE OR CONCEAL ANJ' WOFJ\. BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMlT CARD AND APPROVED PLANS AT .lOB SITE INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA nON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LlNE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN / / WOOD STOVE / PELLET / CHJMNEY / / / FOOTING / SLAB / BLOCKING & HOLD DOWNj SKlRTING / PLANNING DEPT. ~PARATE PERMIT#'s P ARKING/L1GHTy(G LANDSCAPING/ / / RESIDENTIAL HEATPUMY/FURNACE/DUCTS GAS LINE MANUFACTURED HOMES DATE ,)U /t._\!,! / ",,/ / / / / / ACCEl'TED YES -4l ,"X "loW' ~/ ~Y n-4./ l,..v :x '/ IX I NO I A/~ (J ., / COMMENTS / ;;/ E AL ~ -2'-) ...-o.8oATE PB FINAL SEPA: ESA: SHORELlNE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ELECmfCAL - LIGHT DEPT. 417-4735 CONSTRUCTION RW. / PW/ ENGINEERlNG 417-4807 FIRE PLANNING DEPT. BUILDING 417-4653 417-4750 417-4815 DATE T:\Policies\1102 15 bUlldmg pennilmspectJOn record05.wpd [1/4/2005] YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BlJILDlNG ACCEPTED BY. DATE ACCEPTED BY: DATE ACCEPTED YES NO ) // --' ....00 o , .... N " o .... MM t?E-< <(<( 0.0 >- ...:I I>: M H ...:I E-< MOO :<:M ~~ E-<':> Z .. 01>: HO E-<E-< UU MM 0.0. 0000 ZZ H H M'" OON MN oor- , III \D III ON \Dill M'" ::- H MM 0 ZZ ~ 00 :>::>: 00 0.0. M .... '" .,. >- E-< 1J ~ ...:I ...:I'M ...:100 <(00 ...:10:>: UoM 'I>: M4.1Il OOO\D:>: H 0:>: MO::MNO U)p..CI).U E-<::OI>:::O.... en 0 MOl ll'l ::r:E-4::r:LIlU"l f-t Z l...-t (1)~M>+oo ......f-t E-too H H 10 MZ::OZOO MOM~o III I>: ~ I>: , , MM M\OC' lflCl) (/)00 00 00 M ....:1 ooM Ot? :::;~ N 'E-< 01>: ....0 0. o M4. 1>:0 <( 0.>- ME-< I>:H o.U I>: 'llll>: ZO E-< 00 .U OOE-<<( ...:IZ ~~~[:jrJ...:I OZZZl>:o. OMO:3;<(o. <(E-<UOo.<( I>: 'M III '13 00 E-< Z M ~Z~ HOO UI ~~ HE-< 1>:...:1 8~~ MM 101>: !-< H ~o.~ "'00::0 ZOO t?HM :z: I>: H 9 HOO ::OMM lllE-<E-< OOM OM...:I 0::00. 0:>: wo UI>:U '" III !-< ~ '" 0000 00 " .... .... 00 " .,..,. o 00 , 0. >- E-< .... o 00 4. III ,... tIl,... "'n ..... '" ., III tIl " <: " '" III " > ., o <: III '0 <: <: "'..... '0 '" III tIl E r-l U U >.. '" "" III . '" E <: .Q.Q ", >.:<0 '".-4 ::S;:j ~ ,..... r-I ~ ,..-414-4 '0 '"d 01 lr-l......~ o ~ ~ C CVnj ;::: .u "'..... .r:: +J .u 0 ~ r-l (lj lr-l ~ :E ~ r-l .,..., C co Cll 0.. ..... en -&~ N N :>: :>: 01~ ~ ........ I./l t"'l 0.. o..~'O Q) .,-i C \0 :Elr-l '<:t' U1 r-l ...-lulU N 0....-1 0 0 M N..c:: r-l CD M.-l '<;t tz.. "0'1 ...-t ...-t N U"l N r--- N........ M N N'.-l(lJ M 0.... N NU ~ Nr-I'O Cl)lfl 00 \0 0 ....-1 00 00 -.-I 00 z~ .-l...-t 0 H ...-t~ 0 0 '<;t '<;t>..> H" LIl OJ,.) 0 0 UO 00 00 '<;t 00 ~ "U N N CO...-t coClr-l OM 0.. CD MID O~ OQJ~ or--- Ooor--- CD~CDr--- CD r--- r-l 0\0 001 N\O E-tO...-4 o~o...-t 0 OOrl COM N N Nrl Nlr-l........ rl Ulo\O oMo\"O 0 0\,,0 0 .--i M I Q) .., NM NCJ)NM N~Ot"'l~O"~ M M~ ..r--...:::l ..E_...:::lrll"...:::l M tp.. I ~NI~N>"~lr-l",lr-l",~\Or--~r--QJlr-l~Nr--~ I>: .00 -I>: _0 -Z oZ 'OZlll<:lll<:Z"'Z OZ"'Z ~...-t:~.-i~CD:~CD~~~~~~~~~~~~~~~~~-C~~~~ r-I r-I r-I Mr-l lr-l W QJ ~M ~'.-lQJ nw 0..-1000-.-10..-10(1)-.-10>"00>" w.uWJJWOOf-too>.uOOf-tO Olr-lM~lr-lOlr-lM~lr-lOr-lMOr-l.u~~lr-l~lr-lO.uCl)O.uoco.uCl)O H~~H~H~~H~H::S~H;:jOHQJ'.-lQJ'.-lHUMHUlr-l'rlHUW~ lll<(t?4.<(lll<(t?<(<(lll~t?lll':>Z4.OO~OO~lllO...:llllO~-lllO...:llll III ,... " 01 <: '" ~ ,... III ", " 01 <: '" ~ ", III ,... " 01 <: '" ~ ", ,... o .c ., " '" .Q ~ >. ,... " III ..... ,... 'n III ,... " 01 <: '" ~ ,... :>: <( :>: 0. :ii :>: 0. ~ ...:I ...:10. ':><( 0 ...:I lllo. lll<( [;l~ ...:1<( 0.<( 0.0 ':>0 0000 0000 0000 OOlXl 00 00 00 00 " " " " lXlOO "'''' NN r-r- 00 00 ........ 00 " " " " .,..,. r-r- "'''' 00 ....", .... ", .... N 0 0 0 0 I>: '" ...:I '" :;: '" Z '" ...:I 4. ...:I III III 4. III , , , , , ~ , OO{ : o , , I .... , N , , , o , .... , , , , , , , , , , , M o '" '" ...:I III 00 M .... o Z o ~ 00 E-< Z M :>: :>: o U MCD o ...... r- o ...... o M , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , .. :~ '0 :gJ 'Ul , , , , , r>lr>l ZZ 00 :x::x: "'''' r>lr>l "E-< .0:.0: "'0 M"" CDN MN CDr- , LIl '" LIl ON "'LIl M"" >< ~ <>: r>l H ~ E-< r>lUl ><:r>l ~~ E-<'" Z .. 0<>: HO E-<E-< UU r>lr>l "'''' UlUl ZZ H H >< E-< o r- M r- o '" :E .0: ~ ~ , OJ ~00 .0:00 ~O:;: Uor>l ,~ r>lr<.LIl ~O~~ OO~lYJNO (J) 0.. en I U E-<::O <>:::0 M (J}OMO. U1 :I:f-t::r:U1U1 f-t Z I r-f CIl~M)-4oo ...-if-t f-too H H 10 r>lZ::OZOO MOMMO LIl <>: ~ ~ , , MW WI.Dt' Lfl(l) 0000 00 r>l -~ CDr>l 0" ;:.-~ o ......E-< 0<>: MO '" o r>lr<. <>:0 .0: "'>< r>lE-< <>:H o.U <>: . Ol <>: ZO E-< Ul -U UlE-<.o: ~Z ~~~gj[L OZZZ<>:o. OOJ03:.o:'" .0: E-< UO 0..0: <>: .OJ Ol .~ Ul E-< Z OJ ~Z~ HOO U1 ~~ HE-< <>:~ 8~~ OJ OJ 10<>: !-< H ~o.~ P<Ul::O ZUl "HOJ Z <>: ~ S~fi1 1%lE-<E-< UlOJ OOJ~ 0::0'" Q1:E OJO U<>:U 0. I%l !-< i 0. '0 Q) rl <U <: . 'rl M ... o .r:... ... 0 ... <: :E :E <U '" '" .03: ~p.. N N ...... LIl M Q) Z:~ '<t U"'l o...~ 0 0 CO rl rl o:;r ~ M N LO N r-- N......... 0.. .. N N U (J)U1 CO I.D 0 .._~ CO 00 ~~ rl rl 0 ~ 8t ~ g ~ CO ~ CO ~ "U N N COr-f 0.. MQ) Or-- OOOr-- CO~CO~ CO ~ ~ 01.0 f-tOrl O~Orl 0 COrl coW N N Nrl WOlD OWOI.D 0 01.0 0 r-f rl I NM NCf.lNC'1 N....:lOM...:lO ""1-=1 rl rlH ..r--....::l tiJ 10.. I ,c:tN I..:CN>.,.::t:~rnlo-4m,:(I..Dr--,:( 0:: ..00..0::..0 "Z oZ 'dZaJl:::QJ!::Z .::rZ ~rl~~rl~CO~~CO~~~~~~~~~~~~~o::~ ~ rl rl Wri ~ ill Q) ~W O'rl~M-rl~'rl~(J)'rlO~O~~ WUQ)UWOOf-tO O~WO::~Q~WO::~QrlWOrlUO::~H~HQU(J)Q H OlO:::H Ol....::l OlO:::H P.l....::l ~O::..J;:l OH (l).rl Q)'MH UW....::l Ol.o:"r<..o:Ol.o:".o:.o:Ol"'''Ol'''Zr<.Ul'''Ul'''OlO~Ol Q) M ... 01 <: <U 0. M u " .0 " '0 ~ Q) >., ....-i ~\~ ~ I ~ M 0. ''-' M M o .r: ... ... <U .0 0. Q) M ... 01 <: <U 0. M :ii :E '" ~ :E '" :ii QI Ul ...... 0. >< E-< ~ P----} 7'w~ ~ Ol.o: ~",er ~'" Ol'" "'.0: "'.0: "'0 .0: CD CD CD CD CD CD CD CD CD 00 00 00 00 0 ............ ............ ............ ............ ...... MM CD CD "'''' NN r- OO 00 00 MM 0 ............ ............ ............ ............ ...... """" """" r-r- "'''' 0 M M M M M N 0 0 0 0 0 <>: '" ~ '" Ul H '" Z '" r<. .0: ~ r<. ~ Ol Ol Ol r<. Ol u " .0 " '0 ~ Q) M ... 01 <: '" 0. M :>: '" N M Ul E-< Z OJ :E Z:E 00 HU E-<...... "'Ul HE-< <>:~ u::o UlUl OJ OJ !-<O<>: i 0. E-< 5~S ZOO HOJ H <>: !-< i P< '0 Q) rl <U <: . .rl rl ... o .r:... ... 0 ... <: <U .03: 0. 0. :E ...... '" Q) :E>-< '" 0.. 'r-i rl r<. N...... M N U "" .. .rl N M H "'" ....:111) HO,U....::l H .0: ..: .. U.o: CD N.o: Zoo ZMWZOr--Z H r-H ...-iHOI..OH ~COrl~CDW~Nrl~ 0\.0 0 I ....::lOMHO "H ..r--....::l ,:(N I,:(N >...t\Ot'p::( U oU 'OU '<tU H ..\.OH ..mHlo-i H ~"'''''~'''~~~gj~ :x: ;>,,, :x:;>, :x: 0 E-< :x: U..-iWUMUUJJ{J)U OJ "<>:OJ"Or>l UOJOJ :E"''':E'''Z:EO~:E CD CD 00 ............ "'''' 00 ............ r-r- QI Ul ...... 0. >< E-< '" '" OJ :E Q) M ... 01 <: <U 0. M Q) M ... 01 <: <U 0. M ~ Ul OJ E-< o Z o ~ N rl Ul E-< Z OJ :E :;: o U Ol.o: 0.0 CD o ...... r- o ...... o N N o N o '" '" r>l :E ""al o "- .... o "- a M WW "E-< <(<( 0.0 ,.,"" al", ,.,'" al.... , LO '" LO >< ..:1 ~ W H ..:1 E-< WUl ~W ~~ E-<>-:J Z .. O~ HO E-<E-< UU WW 0.0. UlUl Zz HH 0'" "'LO ,.,"" > H o gJ Ul WW ZZ 00 ~~ 0.0. >< E-< Z U o ,., '" "" ~ ..:1 ..:1 , W ..:100 <(00 ..:10;:;: UoW ,~ Wr..LO Cl}O\D~ H 0;:;: W~WNO UlOlC/)IU E-<",~",M mowo I U1 ~E-<~LOLO f-l Z I I"""'l U)~~~oo ...-iE-t f-loo H H 10 WZ",Zoo ~Qu:lMO LO~~~' , M~ u:l1.Or-- lOCI) 0000 N MUl W -..:I alW 0" ;::-~ o "-E-< o~ MO 0. o W'" ~O <( 0.>< WE-< ~H o..U ~ ~ . 0:1 P::: . ~ ZO (ll Ul - t . ~ UlE-<<( ..:1Z gJ ~ ~'H:l ~L ozzz~o.. ~~8~~~ Ul E-< Z W :i!z~ HOO U1 ~~ HE-< ~..:1 8~~ WW 'O~ E-< H ~o..~ PolUl", ,,~gj :z; ~ H g SfHl (llE-<E-< UlW OW..:1 0",0. 0;:;: WO U~U Pol III ... ~ Pol '0 OJ .-< '" <:: . .... .-< 4-< o .r:JJ JJ 0 '" <:: ;:;: ;:;: '" 0. 0. .03: 0l0l N N "- LO ,., OJ ~ ~ '<:fl U1 ~'rl 0 0 co M r-i ~ ~ r-I N U1 N r-- N......... Of .. N N () Cl}U1 co \D 0 "'rl co co Z~ I"""'l MOM I"""'lH 0 0 H" U1 o.u 0 0 co ~ co ~ "U N N 001"""'1 Ol co MID or-- OCO~ co....:lcor-. co r-- rl 01.0 E-to~ O~OM a COM co~ N N NI"""'l mO\D OWO\D 0 01.0 0 .-l I"""'l I NM N(J}NM N....:IOMHO.......:I ....-( ..........:1 ..r--H ~ 10l I A:N I..::t:N:>,,,::r:l--Im~m~\Dr---t P::: ...00..0:::..0 "Z 0:;2; 'dZQ.ll::Q)~Z o::f4Z ~M~~rl~CO~~CO~~~~~~~~~~~~~p:::~ rl rl rl ~rl ~ Q) Q) ~W ~'rl~W'rl~-rl~CI}'rlO:>'~~:>' W~Q)UQ)~OE-t~ Ol--l~O:::~Ol--lWP:::l--IPrlWOM.uP:::~l--I~l--IQ.uCl}Q H P4 p::: H D.l H Ol P::: H ~ H ~ P::: H ;J 0 H Q.l'rl Q)'r-i HUM H (ll<("r..<((ll<("<(<((ll>-:J"(ll>-:JZr..Ul4-<Ul4-<(llO..:1(ll ..:1 ..:10. >-:J<( alal 00 "-"- MM 00 "-"- """" o Ul "- 0. >< E-< M o Ul r.. (ll OJ .-< '" OJ <:: '" 0. .-< >, .-< '" OJ .... .-< 'n ~ ;:;: 0. alal 00 "-"- alal 00 "-"- """" OJ .-< '" OJ <:: '" 0. .-< .-< o .r: JJ '" '" .0 0. ~ ;:;: 0. (llo.. 0.<( M o ~ H <( (ll OJ .-< '" OJ <:: '" 0. .-< u " .0 " '0 .>: ~ (ll<( 0.0 o !2~ alal 00 "-"- "'''' 00 "-"- ........ alal 00 "-"- NN HH "-"- "'''' H o '" '" ..:1 (ll H o ..:1 Z r.. r.. u " .0 " '0 .>: OJ .-< '" OJ <:: '" 0. .-< ;:;: 0. H ,., N "" "" ti al o "- .... o "- a H N o '" '" ..:1 (ll ... ~ 0. , , , , , , , , , , , , , , , , , , , , , , , , , '(ll<( :OlCl , , , 'alal '00 '''-''- ''''''' '00 '''-''- ,........ , , , , 'H 0'0 Ul' "-, '" 0. , '" >< , W E-< , ;:;: Ul E-< Z W ;:;: z;:;: 00 HU E-<"- o..Ul HE-< ~..:1 U"' UlUl WW E-<O~ ~ 0. E-< 6~S ZUl HW ~o: WWW :EE-<E-< UlW OW..:1 0",0. 0;:;: WO ~U ~ '0 OJ .-< '" <:: . .... '-<4-< o .r:JJ JJ 0 '" <:: '" .03: 0.0.;:;: ~ "- 0. Ul OJ W ;:;: ;:;: '" '" E-< ~ CLl'~ rl ~ .-l N.......... M M NO '<1' Cl ~ ~ <(::.: <( : H <(: /~-' ~:~i~~i~~i ~ ~ ~ H2;~Hg "'....:I "~...:f ~ ~ ~N 1 -tN >...~\.Or--,.::( 0 .5 U aU "OU o:;t<U U ~~~~~~~2~~ ) ~ >,,, ~ >, ~ 0 E-< ~ - \ U.....-iWU..-l-WU.uoou ~ ~g~~g~~g~~ ~ ~~ if\~ \~ al :......r\:,;;) ~ ~ 1'> i ~~ ~ ) OJ .-< '" OJ <:: '" 0. .-< OJ .-< '" OJ <:: '" 0. .-< ~ Mro o ...... '" o ...... r- 0101 ~E-< ..:..: "'0 >< ..:1 0: 01 H ..:1 E-< OlUJ :<:01 ;::~ E-<':l Z .. 00: HO t;t; 0101 "'''' UJUJ ZZ H H M'" roN MN ror- 1 10 '" 10 ON "'10 M'" :> H 0101 0 ZZ gj 00 :I::I: CIl "'''' >< E-< Z U ... ... ~ ..:1 ..:1 1 01 ..:100 ":00 ..:10:E UoOl 10: 0lr..1O ~O~~ OlO:OlNO CI} PI en I U E-<~O:~"'" mowo I U1 :I: E-<:I: 1010 f-4 Z 1M c:n~W~OO .-if-! f-too H H 10 OlZ~ZOO (ilOWr>10 100:~0: II rrl~ ~l..OC"- U'lUl 0000 ..... 10 o .....UJ 01 -..:1 roOl O~ ~~ o ......E-< r-O: o '" o Olr.. 0:0 ..: "'>< OlE-< O:H "'U 0: 0: 'PlO: '01 ZO Pl UJ -t; '~ UJE-<": ..:1Z ~~~gjtJ..:1 oiHB~g; ~E-<UO"''': UJ E-< Z 01 ::i!z~ HOO lu E~ HE-< 0:..:1 8~f;l 0101 100: ... H ~"'~ ~rn~l t!l('1gj Z 0: H ~ S~~ ~E-<E-< UJOl g[gn: O':E 010 UO>:U II< ~ ... ~ II< QJ >. QJ rl rl rl 0 QJ I-< rl I-< .Q rl OJ I-< OJ '" I-< <:: QJ <:: I-< OJ <\1 'r< <\1 <\1 <:: 0. rl 0. .Q <\1 rl 'n rl 0. 0. rl ~ :E ~ :E '" '" ~ ro rl rl ... ..... N 10 N r- '" N CIllO ro '" 0 Z... ..... ..... 0 ..... H .. 10 ro ... ro ... '" ro Oror- CO...:JCOr-- ro r- E-<O..... 0,.:(0...-1 0 ro..... UJO,", o~a\D 0 0'"' NM N(f)NI""'l NHOI""lH 01 , '" , ":N 1 ..: 0: -00 -0: -0 -Z oZ Hr-i\Df-tI"'"'lHCO\.D...:JCOH _'" H r.. ...UJ ..: .....: ~"'~~ ..-i ..-i rl Ol..-i t:)'r-i ~ W -.-I c..'J.""" c..'J en.r-i c..'J :>,~ ~ 0 1-<010:1-<0 1-<010: HQr-fWQ ..:1 0.0: H 0...:1 0.0: H 0...:1 ;J 0:..:1 Pl..:~r..":Pl":~":":Pl':l~Pl 0' UJ ...... '" >< E-< ..:1 ..:1'" Pl'" ':l": "''': roro roro 00 00 ............ ............ .......... roro 00 00 ............ ............ ...... ...... ..... ..... 0 0 0: UJ H r.. ..: Pl Pl ~ ..... o '" '" ..:1 Pl CIl E-< Z 01 :E Z:E 00 HU E-<...... "'CIl HE-< 0:..:1 U~ CIlCll 0101 "'00: ~ II< E-< "'..:1 5C1l~ ZUJ HOl ~o: 0l0l0l :EE-<E-< CIlOl 001..:1 o~'" O':E 010 O:U ~ ... ~ II< ~ ~ l_~ ~ ~ ~ QJ ~ ..-i I-< OJ <:: <\1 0. ~ ..-i UJ 01 ~ E-< 0 ~ Z ..... ..... Q } N ~ ..:110 ..:1 ..: .. ..: CIl Zro Z E-< H r-H Z tI..CO..-f~ 01 0'"' :E ...:JOC'1H :E ~ N I ~ 0 U oU U H ... \0 H ~"'...~ :>,~ :I: ()rlWU W 0l;J0:0l :E':l~:E t~ *- 0' UJ ...... '" >< E-< ..... o '" '" 01 :E \000 I 0 I ...... I \0 I 1'1 I ...... I '" I I I I I WW I ~" I 0<:0<: I o.Q I I . I I , , , M'" I 001'1 I MN , 00r- I , . '" , '" , \0 , QJ QJ , .-< .-< QJ I ON I-< I-< .-< I "'''' 01 01 I-< >< I M.,. <1 <1 01 ..:l I <1l <1l <1 ~ I 0- 0- <1l W I .. .-< .-< 0- H , ;': .-< ..:l , WW " I Q ZZ :ii :>: CIl WCIl I gl 00 0. :>: W :<:W I :r::r: 0. " 8~ , CIl 0.0. 1'1 '" 0 , 0 .-< 00 Z ,,'" , 1'1 , r- OO Q Z .. . .-< .,. '" ~ O~ , Z .. ~ .. M HO , CIl HOO ZM "" , " I H 1'1 CIl UU I Z :r:cor--l1lco~ r-..:l " WW I W B~~~~~~~~ Z 0.0. I :>: W CIlCll I >< Z:>: ONOHNHDOH :>: ZZ , " 00 ~ I 0. 0.1'1 '0. :>: H H , (J HU -0 0 0 I "...... C>\O\OZ\OCl -'" ~ U o.CIl ZN'<;f'HNZo;t'o;t'Z :ii H" H I H N H ..:l ~..:l P<'<::~:I:'<::P< ~P< ..:l 'W u::> ~U ~U~QJ ~ ..:lOQ CIlCll ~H::>}..j ~H 0<:00 WW ..:l<1l~0<1l..:l"~..:l ..:l0:>: Q~ 0.:>:p<~:>:0."'P<0. UoW I~ I-< Wo.", H UlO\D:E: ~o.~ ~~ H 0:>: '" W~WNO .,. CIlo.oo IU 0.00::> ,,::>~::>.-< ZCIl ..:l 00 CIlOWO '''' ~HW ..:lo. 1'1 :I: ,,:I: \0 \0 :z: ~ t-:>o<: " Z 1M H M cn>tW)-loa ~QQ MCIl M" ,,00 W H H 10 ~ -..:l WZ::>Zoo ..:lWW 0000 OOW ~Ot:lJ(")a 0."" 00 o~ l!l 0:: ~ 0:: I t OOW ............ ~~ M~ Wl"O[' OW..:l "'''' Lll(J) moo 0::>0. 1'11'1 1'1 a:>: ............ ......" WO M M "'~ ~ ~ ~u 0 . P< ~ 'W ..:l 0. ZO P< 0. Q " .~ wo. 00 -U M M ~O CIll-<O<: ..:lZ I-< a 0 0 0<: gJ~~&ltJ..:l H CIl 0.>< ~ ...... '" W" QZZZ~o. 0. 1'1 '" ~H ~W03:O<:o. >< ..:l ..:l o.U "UOo.o<: 0. I-< 0. 0. NlD 0 ..... lD 0 ..... "" t>lt>l ~E-o .0:.0: o.Q M"" lDN 1- MN lDr- , 10 \D 10 Q) >. Q) ON ..-< ..-< \D1O I-< ..-< I-< >< M"" 01 I-< 01 ..:l ~ Q) ~ P: III -rl III t>l U. ..-< U. H > ..-< -n ..-< ..:l H t>l~ E-o Q ZZ ~m ~ 00 ~ :>: ~ ~ :.:~ :I::I: e. E-o ~~ Ul "'''' 0 lD rt rt Z E-o..., rt N 10 0. .. ~ Z .. 0010 lD \D OP: Z"" rt rt HO 00 H .. E-oE-o E-o lD "" lD 00 uu 1il e. E-o ~~ OlDr- CO~CDf' 1il .'0.. 0.. ~Z~ E-oort olc(or-i moo >< mO\D O~O\D ~ ZZ E-o "'00 NM NooNM HH 0 I~~ ~ ,e. , 0 P: -00 -P: -0 U 0.00 Hr-l\OE-t...-iHCO\D....:1 ~ HE-o '" ""00 .0: "".0: ..:l P:..:l rt rt rt ~ ..:l , ~ gu::> C)-ri 0 W-rl t')orl t')en ..:loQ moo QI-<~P:I-<QI-<~P: ~ ;300 ~~ H ~P::: H o..H p,.1l:: H 0:>: 'QP: <Xl.o:~"'.o:<Xl.o:~.o: Uo~ 'P: E-< ~"'1O ... ~o~~ ~o.~ ~~ rt ~P:~NO rt en 0..00 I U llIm E-<::>P:::>rt ZOO ..:l rt en 0 tIl 0 I III ~H~ ..:lo. rt :I:E-o:I:101O i!i P: ...,.0: f-I Z I rot 0 cn>tM)-IOO ~ rtm rtE-< E-ooo ~ H ... , 0 SQQ , ~ -..:l ~1il::>1il:;:g ~~ , lDlD lD~ IllE-oE-o '00 o~ 1OP:~P:' , m~ , .......... -;;':i! MW tIl\Or" ggj~ 'rtrt Lilt/') 0000 , 00 0 Q1:>: , .......... .....E-o uf:l8 ''''''''' ""p: P: P: , 0 . <Xl P: .t>l 1lI I 0. ZO <Xl III , Q E-o , ~'" 00 - U ~ , rt rt ~O mE-o;;i ..:l E-< QI I 0 0 f:l:i!E-ot:ltl..:l ... 00 , 0.>< ~ ..... , P: ~E-o Q1il~~~g; 0. I 00 H P:H >< I '" .0: e.U ~E-oUOo..o: 1lI E-o , <Xl <Xl ltIoo 0 , M 0 , ..,. ~~ OE-o ..:..: 0.0 ""..,. OON ""N 00<'- , 1tI ID 1tI Q) ON .... IDltI ~ >- ""..,. 01 ..:I s:: I>: <1l ~ "" H > .... ..:I H ~~ E-o 0 ZZ en ~en ~ 00 ~ ~ :.::~ :I::I: E-o ~~ en 0.0. 0 00 Z E-o"" M 0. .. ~ Z .. enltl 01>: Z..,. >-<0 en >-< .. E-oE-o E-o 00 en UU &1 0. E-o ~~ 000<'- &1 0.0. 3Z~ E-oOM en en >- en OlD ~ ZZ E-o u88 N"" H H t3 ~ ,0. 0 ~E-o' I>: -00 U 0. en Hr-4l.OE-t j.~ HE-o f>. ....en 855 .... O-rl 0 ~ ..:100 en en O~~I>: jOO ~~ ....l o.~ H ol;; '01>: Ill": Of>. Uo~ '1>: E-o ~f>.1tI H ~o~~ ~o.~ ~ 0 ~I>:~NO M Cl)p,.C/)IU 0. en E-o::>I>:::>.... zen 0 rnQPIlOllll OH~ 0 :I:E-o:I:ltIlt1 :I: I>: &;~ffi)4~8 H '" ~ en ME-o E-ooo ~ H H , 0 SOO -..:I M~::>ra~~ ~~ 00 oo~ i%lE-oE-o 0 00 1tI ~ ~ ~ , , en~ , :::.-~ t"')f11 Ml.OC"- gf:J~ M lllC/) (J)oo 0 0 Ol;; , 'E-o ~~8 .... ..,.1>: ~ ~ 0 . III I>: .~ 0. ZO III i%l 0 E-o .~ ~f>. en -u M ~o enE-o;:! ..:I !-t 0 0 H en 0.>- ~~E-ogjtl..:l ~ , ~E-o o&ls~~g: 0. en I>:H >- f>. o.u ~E-ouoo...: 0. E-o III ""00 0 '- 10 N '- "" MOO elE-< <(<( 0.0 """" OON ""N 00.... I '" 10 '" Q) .-< ON >< 10'" en >< """" .:: ..:I III I>: Po 00 .-< H :> ..:I H MOO E-< 0 ZZ ~ en Men g5 00 00 ~M :Z::Z: E-< 8::; en 0.0. N 0 0 Z E-<'" .... 0 z .. .-< ~ 01>: Z " el HO en HOO Z E-<E-< E-< I H en uu Z ::I:'cor--1Il E-< MOO 00 gg~~ Z 0.0. Z~ 00 en en >< ONOH :.: ZZ E-< 00 I>: '0. :.: H H 0 HU -0 0 E-<'- CJ\O\OZ U 0. en ZNo:;fIH ~ HE-< H , ..:I 1>:..:1 <'1'5~6 ..:I 1M U::> ..:100 en en 13><H::> <(00 MOO ..:I III I>: 0 ..:10:': 01>: 0.:':<'11>: UoM II>: E-< M~'" H enO\D:': ~o.~ H 0:': 10 MI>:MNO "" CJ) p.. en I U ",en::> E-<::>I>:::>.-< zen m 000 ~ 0 I LIl ClHM '" ::I:'E-t:I:LllLll :z: I>: E-< Z 1.-< H 00 (I))-l ti!)-l 00 ~OO en '-<E-< E-<oo 00 H H 10 ~t -..:I MZ::>Zoo ..:lOOM 0000 MOMMO "'E-<E-< oel LIl ~ ~ ~ I I enM ~~ Mtil M\Ot' 000..:1 L/1(1) 0000 c::>'" N 0:': '-E-< 000 ""I>: I>: I>: I>:U 0 ' <'11>: '00 ..:l 0. ZO <'1 '" 0 E-< '13 M~ (J) -U .-< ~O gj~;:iI>:r;JZ E-< 0 0 H en 0.>< I>: E-<MU..:I ~ '- ME-< offi8~~g; 0. N I>:H >< ..:I o.U ~E-<UO"'<( a. E-< '" ~ ~i ,O"DiT'.'PJ.'" iN:, IG" 'E" :L' E"S' ; : _." ;'il"- .', .1' ; i I I : : " : \ ,; , , . . WAS H I N G TON, U. S. A. Public Works & Utilities Department March 15, 2007 Serenity House of Clallam County POBox 4047 Port Angeles, W A 98362 Project: 535 E 1 st. Street Plan Review & Conditions of Permit As per "Urban Services Standards and Guidelines" and the direction of the City Engineer the following improvements shall be completed. Minimum standards shall be followed per Chapter 3, Sec 3B.080 for Street Improvements and Sec. 3B.140 for Driveways along with Sec. 3C.030, Sidewalks and Sec 3C.040, Curbs and Gutters. New curb & gutter, along with driveway approaches will be required along Albert Street from the existing curb at 1st Street and north to existing curb at the alley. The existing street asphalt paving along Albert Street will be saw cut, removed and replaced where patched and damage asphalt exists. All existing and new sidewalks at the driveway will have a minimum thickness of 6". If you have questions please contact me at (360) 417-4812. Sincerely, /~V~ \ I Roger Vess Assistant Civil Engineer I Copy to: Engineering, Trenia Funston Community & Economic Development Dept. Phone: 360-417-4805 I Fax: 360-417-4542 Website: www.cityofpa.us I Email: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150 I Port Angeles, WA 98362-0217 ~~ PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Serenity House - Old Aggies Remodel Address: 535 East First Plan # 07-03 I Com rgj Residential 0 I Date: 2.22.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. The following items apply: 1) A fire sprinkler system is required for this building. Separate fire sprinkler plans will be required for review. 2) A monitored fire alarm system will be required. Separate fire alarm plans will be required for reVIew. 3) A KNOX locking keybox is required. Contact the Fire Department at 417-4653 for ordering information. 4) The door at the south end of the second floor hallway does not show on the plans. This door must remain in place. 5) All doors leading out of the smoking area through the "hallway" must be openable from the inside at all times. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ~~~O Date: ;.22.07 ~ o o Building Department Copy Contractor/ Owner Copy Fire Department Copy 1- ---- -------_._-----~ 100 -0 I 99'-0" 47-0" 5'-0" 47-0" ALLEY AGGIE'S MOTEL 9 2:: :2' ~ 2602 sq ft + 1 14'- )"- D 2'-9"- UJ ...J UJ D 0 ::; UJ III UJ 9 to 8 ~ ~ z cs ...J 5 to S? en l1) 9 ~~ 9 9 zz en i=:;Z en b ~ me.: ~ ;! x<( WI)... N W z ::::i ~ to e.: W :::I I)... U 0 e.: I)... 9 en tc) AGGIE'S RESTAURANT 6'-3" 8224 sq ft 9 in = f 82'-6" ';- ~ TOTAL AREA 9 10826 sq ft ~ T CURB FIRST ST. i It =: 2-0 1 ;..: m l- e.: W to -' <( iN -- FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION l ~::::~.: ;;;~~ 'Of Fill out COMPLETELY and in INK. Your application and site plan MUST B~I D,w APP,::i~ r,,7 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$e r ell; 7 hoar: p ,,~ (/"j;". ..,;H>hon~ IV; ~ ... 7 'l,s- '7/3 <7 Owner: Phone: '50 0 '1 t;;"2 - 7:) ::< CI / Address: !Y.7) ~ I 5/ .c;r City: I?a/-'/ A7t>hr Zip: 9''&] ~2 ArchitectlEngineer:c.Vt:'S/cIJ! // ~-'/7()c/i-L- y/o t;/7-()CJ()/ Phone: .7~~ '15-7- 34/0 Contractor State License #: Exp: Phone: Address: City: PROJECT ADDRESS: 5"3) es / I s r LEGAL DESCRIPTION: Lot: /7 d- J ~ Block: '? 0 CLALLAM COUNTY PARCEL NUMBER: (!J 6J 3 t)(!) 0 Zip: ZONING: Subdivision: (V t> r JA/Jrn-J ,R S rn I ih-- &;;{2()'~ TYPE OF WORK: SIZEN ALUATION: D Residential D New Constr. D Re-roof D Stove SF. @$ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ .erCommercial ~model D Demolition D Deck SF. @$ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ f} "(J 4>'''.' .~- BRIEF DESCRIPTION OF THE PROJECT: . .5"....~7/?:Pck. /' I'/V.ni'-h~J 1./l/1'nJ",p(' J!:'~c.r#'f':4"/_ tJ~lnl rcrpe;: (7('. / / COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: & Proposed Sq. Ft. ..- (!J - = TOTAL Sq. Ft. ~ , (J ?-- No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESNWetland(s): DYes D No SEPA Checklist required? 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 PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 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 iUs my responsibility to determine what permits are required ,not the City's, and that I must obtain such pennffs prior to ~ork"j A~ T:\FORMS\BldgPermitform.wpd Applicant: ~ G - aM Date: C!J.;J. - 15-- C) 7 ~ pORT ~ ~..O~~~ "~. L -=..r ~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 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 05-00001163 520541 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE COMM REMODEL Date 12/02/05 ~Jt -(') ,~\~g{ (} .(V) (/f ~~r ,-\11 -' \bll ~\J~ ^ ,,\1ll"{?,~ 7~\ ~ SD\\~e ')..rJJ9.> . . 5. to- l~ ~() ,(".~ 0\\. (1'1'~ ,\" .Y ~eS7*( ~ -\t>\~\ S >> ~c~~ ;.o~{2JC\- . f\ (}. ~ \ 1.1 o.-~,l" \~ ~ , c~'(\~eJJ '"'1;" .-\0 M~ ' ~ aQ>f11 . ~\e-t\ t C0-~(R; lA. yIb \7--\'V ~ ~~ $:::\Y' 5,'" UNKNOWN C-A 3000 Owner Contractor REED JOHN / KAREN 49 N EVERGREEN DR PORT ANGELES OWNER WA 983639512 Construction Type . . Occupancy Type Structure Information 000 000 TYPE V ONE HOUR BUSINESS:OFF/PRO/MED/REST Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 66514 109.75 12/02/05 5/31/06 Plan Check Fee Valuation 71.34 3000 z:. \'I. \\P. f1 Qty Unit Charge Per 1.00 14.0000 THOU BASE FEE BL-2001-25K (14 PER K) Extension 95.75 14.00 ~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 66522 78.00 12/02/05 5/31/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 28.00 .00 BASE FEE 4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP .00 7.0000 ECH PL- EA. INSTALL WATER PIPE Special Notes and Comments 12/02/2005 01:21 PM BEFORE ANY OCCUPANCY CAN OCCUR THE USE SHALL BE APPROVED AND DETAILED IN WRITING TO THE PLANNING BUILDING AND FIRE DEPARTMENT BEFORE ANY USE. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 187.75 187.75 .00 .00 Plan Check Total 71.34 71.34 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 263.59 263.59 .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 truction. JX- q~ l:t-Dl..OS Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\11 02_15 building penni! inspection record05. wpd [1/4/2005] ~ 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 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 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. 1 PW 1 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] I ~ 1 J ~ ,~ J ~ cY - ..,.ll1 (J ....0 ...... .... cr N ...... N .... >< ..:l \.J Z H t>lt>l 0 (il ClE-o ..:..: Ul 0..0 H Z 0 H E-o J U t>l It 0.. Ul Z H Ul H :I: E-< >< ..,. ..:l 'N (f 0: !3t>lN t>l !3.... J) H ..:l O~~~ :> OUlXU"l 0 ..:l H t>lt>l ..lC(H~ E-o 0 ZZ ....><r<. Ul t>lUl gJ 00 ....0 t>l "'t>l :I::I: Cl:I: E-< fJ ~~ Ul 0..0.. Zo.. 0 t>l~H Z E-ot-) :>: ala E:: ~H 0 z.. I ~ -;. 00: "'..:l0: HO Ul ll1o.. E-oE-< E-o '" Ul JJ uu Z ~.-IOU E-o t>lt>l t>l ..:....t>l::> Z 0..0.. :>: Z U:I: t>l - UlUl Z:>: H ..:U :>: ~~ 00 r<.ll1..:l :>: HU 00.. 0 E-<...... (!)otIJE-i U o..Ul ZNO:": HE-o H...... :I: J) ..:l O:..:l 11l0P:e-. 't>l U::> ~~~p:: 00 UlUl I' I~ -.J 00 t>lt>l ~N~O 0:>: 00: p....-IQtI.. ot>l . .. ~ -> '0: E-< Zll1 H ~ t>l\O:>: ap..~ ~ 0:0:>: ..,. t>l ;;iNO 0 Ul 'U Po.Ul::> E-o::> .... ZUl '" UlO ...... "., ~Ht>l M :I: ll1\O :z: 0: E-o Z 0 .... H ~ N Ul>< :I: 0"" ~Or:l ....Ul ....E-o 000 t>l H t-) , 0 It 0 -..:l t>lZ 00 ..:It>lt>l ll1t>l t>l r:lMO Po.E-oE-o ~ OCl ll10: t>lo , Ult>l ~~ Mt>l t>l\Oll1 Ot>l..:l lJ'l ll1Ul 0:00 opo.. N 0:>: -- ......E-< t>l0 NO: 0: 0: O:U - ....0 . al 0: .t>l ... 0.. ZO al 0.. r:l E-< t>lr<. Ul - U ~ .... 0:0 UlE-o": ..:l E-< 0 0 ..: ~~~ra[L H Ul 0..>< ~ ...... '" t>lE-o 0f:11H~g; 0.. '" O:H >< ..:l o..u ~E-<UOo....: Po. E-o 0.. I I _ _uu __~ December 14, 2005 [R1~(G~~Wl~~ ~:_16~J CITYOF i"C:-::.~.~;~ELES Dep!. of C~.f!1m~n~tY_Dev.:ll)pment City of Port Angeles Department of Community Development Building Division 321 East 5th Street Port Angeles, Washington 98362 RE: Building permit #05-00001163, pin #520541, permit pin #66514 Serenity House The following is the proposed use of the space: The premises shall be used for general office uses, and providing services to homeless and at-risk1outh, including case management, individual and group counseling, use of shower and laundry facilities, food pantry access and provision of snacks. Thank you all for your help in this project. If there are further questions, please do not hesitate to contact me. aJ.' erely, C) , 1 tiLQ. '--.... ~ Chuck Rich Facilities Manager Serenity:House /~?I 360-477 -t6tT- a!. tJ o .-J lJ.. ~ ~ 1 o o n< .~ 'f t "" ~ J lo ~ cO v ~ f o (1 (, ~ + OJ rF o .f 0.- j o --l'. Q.. d ~ f/J > d ~ \fl cC~ J + 6 '(j' /r j -(j -0 .-(J 0 ~ ~ 1 ....J \) 0- (., r5 -0 - - ~ c!J ... 0 ---- .2 f-l, J 0 ~ -' 3 .,/ -' -\ ~ j ~:t-l 01 VI <"i Q S 0 V / ".... - 1/1 6J ~ ~ J 8 x Q ('G - + 0- ---' <=! /, 3"- ~s: r-c ~/ v j o l.- ....J 3 Lb c:: ~ \) Y'<r 1 [ c ~ 8 ~ 3 rY j v- ~ 1 J ~ J o ~ ~ Q t .,...."'\ ~ Cj Q ~ ~ '-S'- 2- E - VI; '.f) I.;, ] ...... s ji J3 '7- ~ \l>I '> :1' ~~ ~\f) "---' '.J -e ~ ci) ..3 :1 ~ ~ -:1 - I - 1/ (}I .-/ .... t , $ j , u \P ~ ..... J., d V rY ~ ~ 1- r .-/ k ~ 8 -0 'J o J 31 d J 3 r- J .J .: 4 -!. ~ - ,-- -d 1 ~ ~ ~j ~ ~ -5 -- V-' V1 vi rJ tJ J - d ~ =- /' t ~J~ q 'A --' ~ ~ I ~ 3 ~ J ~ tJ ' ...-J ct ~ 0- f j J c ~ J o;rxJ . c1' , ,j, t i- '3 <I' ...J j I ~ tfl J \ () ~ ~ T J, 0 c;: L <J 0 -.-/ ~ V ...... -d ~ to ~ ~r -<. - y~ \..L :c-~ ~ -Z '1 /' J OJ f .-, 1i -:; ~ '("l \J .J 1 f . ..J "" +- tV v'1 .-J .~ ~ l- .l<'. (j \JJ a... \) ~ ~~ ) v .J v ~ 6 ~ CC ~G- -' ~ OJ + 17 ti~ V\ III -- - x 7> 0j ~~ ::>- d r- -.I~ 0 -- j( \p ~ ~ \J j 3~ 1 o~ 0 ~ ~ <./7 ~ ,/ . 3 <J> ~ i:J I} & ~ ~ ~ g -" o lQ,;) ~~ 1 ~ c\ 0 J ] \1".- oJ Z. 1\1 S' ... '2~ ll~ \}J f!] - 'B\;z. ~ ill i.J 3!';{ q,,-r 'l.l ... rL-\fl ( o !>~~\ -1 o J ;- '3J a".. _ ./ -=- r -+ 35 I..J ~~ ") Q 5. ~ ('.,. ~ ~ .,:s- ~\[' COve("" G:> 0 b "0 \Z lc:oG' r; LV / '-l\ ~ e 0 ~ C C-.<t- Q e.-\ ~Cb.. '^- -\- v\.. ~ -'2..t<2_~ cu- e. ""- S r- \ L. Q' 8 /" l- ~...r r1 'L. 3 ~ '- ~r\\e ..:>.::. .() Q.. ,IF- --- , I.. 0- J f'f 1 ~ r:!.--' _ f d;\lJ t- t I H.cHI F{ 0U(f' ocxr~1 ~ ?( 'j WV':>t;:> L.. .9 :J .9 -'f 0f-J.- ,./ .5 / ~ d~ 0{ :s :J ~ IJtV ~ L J' ~ C:;' ~ ~ -' ~ -t- 0 j1 'J ~ .-' ^ u... IjJ '~ s u:.\ C(. -\ -e Cc IA. J C c:> \)e r 0.... -\ '-\ Cl r.Q.. V\ L-UC<.. \. \. 'S,,, .~ ~ 'S\"'" e €- 1" 'f ocv, ;) '-f- l.. ~ ue.-\ \ '5 I, ~ ..... I, J. J(" L "C:...u-ev ~ .,.( '1 6 F F 'S~ '\ r 1 \ V,," ?l~'~ 9' Q <.J e.-', -+ \ o-~ f' 0 T1\ Rl }) C 3~'- ~ l Remodel Narrativ= 535 East 11>.. Port Angeles Washington Suite B 2nd. Floor Building: I.repair and bring existing to level floors, main room, bathroom, shower, hall. 2 insulate and cover all existing walls as needed. 3.replace existing sinks in bathroom and shower room 3replaceexisting shower in shower. 4.tile all floors Mechanical: All plumbing will use the existing water, drain and vent pipes and hook up valves. w.lt .cfS ~ cuI fZ1lsl-} \/0..1'1.'& ~ ~ Cosmetic: 1. paint all wall surfaces Prescriptive Approach-Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Lot: \ '1 Site Information of \ ~ Building Department Use Only: Permit # Address: '3 ~ S e.. \ 'Sj'- -& ~ City:'\) e>..... -\ ~ f,..), ~\QS . ~ Notes: State: l.LJ ~. Zip: Contact~t..l c..JA '\={ \ c'o } S-'? r@{A \,J" ~lUe , { ~ Phone: 'i7 ( l <a r\ Phone 2: -t....t C; ';;;). -I d. ~ 4- FAX: ~ ~ "2- - 0 8Cl(o Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 ( Unlimited Glazing Ootion Only) Option Glazing Glazing V-Factor Door Wall Wall Wall Slab Area % U- Vaulted Above Interior Exterior on of Floor Vertical Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited III Group R-3 OAO 0.58 0.20 R-38 R-30 R21 R-21 R-10 R-30 R-10 Occupancy Only This Project complies with the following: tI The Project is a single family residence or duplex. tI The Project is wood frame OR all of the insulation is interior or exterior of the framing. tI All building components meet the requirements listed in Table 6-1, Option III. tI The Project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with aU-Factor ofOAO allowed without calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: tr:'c.X"c.. e ~ . 'W ~ ~tJ 1- ~l\I;j\\ 0' ~~ \>...~ ~\~J't''') BUILDING PERMIT - APPLICATION '~,; Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be llc.c.epted for review. If you have any questions. call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: J.e/relV~./j,wk Owner: t-<.J Ci,bolNf>_ Address: J).o-, tU, /g~ NA II A . CIr.Q.uJ \,Vt::.>..<.M.iewu.ce State License #: 6 tIa (/~~ ~"l City: PI)[" ~ v& ) Phone: ]j, () 36c) 'trd -7J-~if , l{J"J.- 7,}.J. Y 1J-.36 S t;ll- tlD-,r Phone: Architect/Engineer: Zip: Phone~"~ti<\ Contractor Exp: Phone: Address: City: Zip: PROJECT ADDRESS: i".3S- i /5}:: 51 LEGAL DESCRIPTION: Lot: \ '1 ~ \ ~\ Block: !;t 0 CLALLAM COUNTY PARCEL NUMBER: 0 b- ~D- DO -$ "Z. CbS ZONING: Subdivision: ~O~ M~ ~, '5 Lt.A. \ ~ \> 1 c......--+ \ II\. U () \. u.....uc. ~ \( D~ DR:-ds vA TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family ~/Addition 0 Move o Commercial li! Remodel 0 Demolition o Repair 0 . Sign BRIEF DESCRIPTION OF THE PROJECT: \<pLA-\{)cL\-e ~VJ1 \=lL?o,"" o Stove o Garage o Deck o Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ '"3 0 C:>D . !! \.=-\..<=1<;:)\ ~ c..<..+V.. c L.,,..,u .,t".... ) ~ )C.6 \}~ ~<.;u..\.Cc...""...oV\ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: . & Proposed Sq. Ft. Construction Type: No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft. = TOTAL Sq. Ft. % ESA/W etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: AFPROV ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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 tin1e the building permit application and construction plans are submitted. All other permit fees are due at the tin1e of permit issuance. EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days oftl1e 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 Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responSibili~y to determ~ne what per~~ ar~ required ,not the City's, and that I must obtain such permits prior to work. T'IP,J;,i~\BL-1l0'-'3.wpd Applicant -#/1,) hPI.. /. Date, d-' 1\Ir- .}ro-( 1I1~f)' NEW ~tk ~~~ t Wo..hto f pORl" ""4: l'O~~~ ha "-~ ---- "t;j~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use property zoning . . . Application valuation 04-00000134 .840818 535 E 1ST ST 06-30-00-5-1-2065-0000- TEMPEST CENTER FIRE SPRINKLER SYSTEM Date 3/09/04 -e,0*~/ , ' ~~J fI'()-> ,3 eYl~ \ \~~ S~ , ~ ;Jf"," , v\ ouSe . ~J(t ~\-\j 16':;0 ~'{'f' ,. \ 101 \ ,...("1(\ 1cPe.,\\ ~~ 1A -l ~\~ x-<"E!. ~,L, Y ~ ?J.- -'\.... ('<'1\'\ \-e/7 . {' oS" \A^\<' ~VC ~ e,.1. \""\~' '1l'A G~'(0 . .r>Pcft-' t:; ~C\' J ~C ~.fl"~_ ~"e>J~\s ~yOJ 0.(> ~ W' \\ A ~().-'0~e,\~~S ~ ,~ 'Y G ~\'\' , \.~'(\ .~~~ ()~ \i)\~' S {(~\~S ,\-0 \,1/\ ~l.\ log. .00 o \f'( \flJ 0'r COMMERCIAL ARTERIAL 1500 Owner Contractor REED JOHN / KAREN 49 N EVERGREEN DR PORT ANGELES WA 983639512 LISENBURY FIRE PROTECTION 470 MONROE RD PORT ANGELES (360) 683-5132 FIRE SUPPRESSION SYSTEM TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST WA 98362 Structure Information Construction Type . . . . Occupancy Type . . . . . Permit Additional desc Permit Fee Issue Date Expiration Date HOOD & DUCT SUPP SYSTEM 40.00 3/09/04 9/05/04 plan Check Fee Valuation Qty 1. 00 1.00 Unit Charge Per 25.0000 ECH 15.0000 ECH HOOD/DUCT INSPECTION/TESTING HOOD/DUCT PLAN REVIEW Extension 25.00 15.00 rrr 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 ~ 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 th' type of work will be complied with whether specified herein or not. The granting of a permit does not presume to '"lie authority to . ate or cancel the provisions of any state or local law regulating construction or the performance of constructio 'i I '-'" Ie: !e; Date Signature of Owner (if owner is builder) Date \ \. \ T:IPLANNfNGIFORMSIl102.15 [11/1412003] \ L- ,---- 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 DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE I 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 #'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:\PLANNINGIFORMS\1102.15 [11/14/2003] I SUHQARO'puauc SECTOR HTE NaviLln(:!' \~< Application ~scellaneous ;\=- o ...c: \ vJ L Application Miscellaneous Information Maintenance Application number: ASSESSOR PARCEL NUMBER: 04 00000134 06-30-00-5-'-2065-0000- 535 E 1ST Address: 10/25/07 10/25/07 10/25/07 10/25/07 October 25, 2007 4:01:01 PM lpangrle. PER KEN DUBUC, THIS JOB WAS NEVER FINISHED. IT IS IN LIMBO UNTIL THEY DECIDE TO FINISH THE PROJECT. Highlighted 'Code' field indicates the line is not available for List selection. '" OK ')( Extt ~ Cancel Add " Gl l5{ IJ)uJ w: ~ ~ _.' [\l ~ct- ~ l::r: ("')0 ~~ ~ If) 't I I :D ~ V) \I) Lc-V y.., ,. f~ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Fire alarm Owner REED JOHN I KAREN 49 N EVERGREEN DR PORT ANGELES Permit .ll.dditional desc Permit pin number Permit Fee Issue Date Expiration Date WA.983639512 . 08-00000916 Date 537596 535 E 1ST ST 06-30-00-5-1-2065-0000- ELECTRICAL ONLY 7/31/08 COMMERCIAL ARTERIAL o Contractor GUARDIAN SECURITY 9435 PROVOST ROAD SILVERDALE (360) 692-3738 SYSTEMS INC. NloJ, STE. 204 NA 98383 ELECTRICAL ALTER COMMERCIAL LOW VOLTAGE SYSTEM 131052 54.00 7/31/08 1/27/09 Qty Unit Charge Per plan Check Fee Valuation .00 o BASE FEE Extension 54.00 Fee summary Charged Paid Credited Due ------------- - - - - - - - ~ - - ---------- ---------- Permit Fee Total 54 .00 54. 00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54 .00 54 .00 .00 .00 \J\ \j'l cJ\ ~ 1-4 ~ ,',' ".. SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN q FINAL OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 08-00000270 Date 332240 535 E 1ST ST 06-30-00-5-1-2065-0000- ELECTRICAL ONLY UNKNOWN o Owner Contrac~or Serenity House of Clallam P.O. Box 4047 PORT ANGELES WA 983630097 (360) 460-2589 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 Permit Additional desc Permit pin number Permit Fee Issue Date E:xpiration Date ELECTRICAL NEW RESIDENTIAL PORTAL TO PORTAL PEMIT 3 TRIPS 122002 207.00 3/05/08 9/01/08 plan Check Fee Valuation Qty Unit Charge Per BASE FEE Fee summary Charged Paid Cl-edi ted ---------------- ---- --- ---------- ---------- Permit Fee Total 207. 00 207 00 .00 Plan Check Total .00 .00 .00 Grand Total 207. 00 207 00 .00 ." 3/05/08 WA 98362 .00 o Extension 207.00 \Ii \}J 01 Due .00 .00 .00 ~ ~ ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: cf ~QRT.....C ,-J,~~( ~r..a~ ~~ ~ ''''"'''''' CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32! EAST 5TH STREET, PORT ANGELES, W A 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 06-00001096 Date 10/04/06 555464 535 E 1ST ST 06-30-00-5-1-2065-0000- SERENITY HOUSE RE-ROOF UNKNOWN 13100 Owner Contractor . REED JOHN I KAREN 49 N EVERGREEN DR PORT ANGELES WA 983639512 LARRY'S ROOFING 352 AVIS ST. PORT ANGELES ' PORT ANGELES (360) 452-2215 WA 98362 Permi t BUILDING PERMIT - NO PR FEE Additional desc Permit pin nwnber 88351 p~rmit Fee 263.75 plan Check Fee .00 Issue Date 10/04/06 Valuation 13100 Expiration Date 4/02/07 Qty Unit Charge Per Extension BASE FEE 95.75 12.00 14.0000 THOU BL-2001-25K (1' PER K) 168.00 Other Fees STATE SURCHARGE 4.50 '. Fee sununary Charged Paid Credited Due ----------------- ~--------- ---------- ---------- Permit Fee Total 263.75 263.75 ,00 .00 plan Check Total .00 ,00 .00 ,00 Other Fee Total 4.50 4. 50 ,00 .00 Grand Total 268.25 268.25 ,00 ,00 ~, 0~ ."'l" 0'7 CCIcq '"' ~~:. . '/ ~ 1-..-. . /O~ r'f - , ... / 0) i+ " Separate Permits are required forelectricaJ 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 1 80 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 go~sning this type of work will be complied with whether. specified herein or not. The granting of a permit does not presume ~uthO ity 0 violate or cancel the provisions of any state or iocal law regulating construction or the performance .of ,construct;o' .1J I j ,.. , '\(J "/"':::., \u---3-ob Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~T:\T'o1icies\ll 02 _J 5 building pcrmil inspection record05.wpd ! 1/~/2005) Buu,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT lN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FGUNDA nON: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRATNAGE! DOWN SPOUTS PIERS I POST HOLES (pOLE BLDGS.l PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS I CEILING I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS! Roor I CEILING DR YW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I WALL! f-LOOR/CEILlNG I I I MEGIANICAL BEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED nOMES FOOTING I SL~B BLOCKING &. I-lOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SErA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSI'ECTlONS nEQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERC1AL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWl CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNlNG DEPT. 417-4750 PLANN1NG DEPT. BUILDING 417.4815 BUILDING 1l19/011rq }LL- ~ , ~ ~ ... T;\Policies\1 102_15 bt.dldmg permil inspectIOn record05.wpd [\/4/2005J ~~ ~~ ~\ ~ \~ ~~ ~ .\ ~ ~ c: ~ m "'- "" o - " o - m ~~ ~e << .0 ~ " N N N ~ ~ ~ ~ " ~ ~ e ~m ~~ ~~ eo z 0" "0 ee uu ~~ .. mm ~3 o W M > 8 " o m ~~ zz 00 "" .. o " o o o 0" '0 Z~o ~w" o a:: 0 1 ~S~~~ E-<~~ .-I UlOO"'W :to LflcJ\ E-< rl::Z,o UI>< ::I:O.-i .-!E-<UlOoo H - I-J 0 r..3Z>< 00 W~ClMO Lfl p;< P;< W I I <'It:iJ~[iI\D''' lfl(l) f-4C::O 0 . " m m ~ ,~ "~ o~ ;:O~ o _e m" o . o ~" "0 < .> oe "H .U " " '111p;< .[il zo " Ul,C . ~ i3E-<~a::~Z a::~E-<WU..:1 ClZZZa::o. ~~85~~ m e z ~ " "Z" "00 "HU e_ ".m .He "~ ouo =mm ~o '0" e - ~o.~ .mo zm ~HO = " !l _00 ,,~o ~ee mo O~~ 0". 0" .00 O"U ~ e i . ~ m ~o eo H" " ~"~ ~~e ".H ~ Z ~g~Ul o.OOOZ ~ mH m,~ ~" 0 ~E-<u. 00 \O~~~ M~' .....:l1A coo.n:[J) 0" ~ 0' z U H ...:Ir- ..:l::r: o<t;OO<l;Ul ZoE-<ZO<>:: Hl'l~H...:l u..-.... o.r:.. "< l'Jor::1l'J...:l O.......ZCl....:l ...:ImH...:l>t iIlo..:.liIl3: , , , .~! , ~ , , " , , , , , .~t ,- , m o m - . > e " o m m ~ " '4' , m Z 8 e u ~ m e m < o " e " o z m o e o z o ~ m e z o " " o u >;',";' f; " 11- Itril)cles &ren,ft1 hoUoe_/oldQCl9;I2cS b(1;(cl;l)l\ S3S .t, ..:1 sf- . J . , . J (:, T IQIJt( r-D I Bact- t rt1 iQ~(ll( T-O 85 - (0 CfJ . SQ, e-.. ,~:- 30 - {s) I 400_- , i T~fott -4 cltanup ~ ISo.- ~~<r- OUffip' ~ 1 ton e-'l8,- " '=.39,- PCil1\ I't "67$:- I (olb I~~id o~ wClIl,se SOD.- C/~- . 12- - p:rs ':f~~ ~'3",-~o.- Vj)' wClI1 Q~hi~ n e f-, I ~s;- . . 3 ~~Il \C$5 cln~ln:s \sJ 1- o&d~f .JO~- . ), ~13 3fS-:- I ttiX ,( c<... (,k, I ore- 14/+-97.-a; J- WAoJ ~- <X ~fm'I+1 ~OL~~ ,{;~Jcr f( (,:s -;)-1/11 ttWl tlS -'I\3~ cell ~ / < BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Uyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner:'~-e~I' - (,0 i Phone: $C- C2J.S Phone: Address: City: f. Zip: q8~G Contractor , Q Ci~; rr OJ::; 6 S3S Phone: State License #:~,rr \.1 (offiLl') ~xf 11 -.610 Phone1$( CZ1S . J:tY:~()f~d(:$ Lt.)C\. Zip: qB3bL j, ZONING: Address: PROJECT ADDRESS: L LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: D Residential D New Constr. D Re-mof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DES RIPTlON OF THE 1Il0L)Q... (lOI ) . \(l n /RESIDENTIAL: SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. ~ $ SF. @ $ /SF. ~ $ TOTAL VALUATION $ tJ)~, ~ C~OO ObJl( Construction Type: No. of Stories: Lot Size: Total lot coverage ' % Existing Sq. Ft. & Proposed Sq. Ft. = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU:' FIRE: OTHER:_ ESAlWetland(s): DYes D No SEP A Checklist required? 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 cbeck fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLA1'< REVIEW: Ifno permit is issued witIlin 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 cerlify 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 unde'rstand:tt itis m e ponsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wor~ T:IFORMSIBldgPerrnitfonn.wpd Applicant: . ~ Date: \ 0. -:5 -' ofo MEMO FIRE DEPARTMENT Daniel K. McKeen Fire Chief [4651] Kenneth D. Dubuc Fire Marshal [4653] Coral Wheeler Administrative Assistant [4650] L. Keith Bogues Training Officer [4652] Shift Captains Jamie Mason Duke Moroz Terry Reid [4680] ~.'..' ~O? .R. 'T..~'..' N,. rGf '.E:'L.' .E:'S' 1 C' ", '. . j, ,; ,. i I J; I . . j ; I. WAS H I N G TON, U. S. A. DATE: October 24, 2006 lR1~~[EHW1E~ ) OCT 3 0 2006 I CITY OF PORT ANGELES Depl. of Community Development TO: Sue Roberds, Planning Manager FROM: Ken Dubuc, Fire Marshal ~. RE: Serenity House at Tempest ,:J-.3~ .E. /~r S1:. Sue, Last week I met with Kathy Wahto and Mike Svec at the old Tempest Building. Kathy is with Evergreen Family Village and Mike is with the Dream Center. There are two planned uses for the old Tempest Building. The Dream Center is currently using a portion of the second floor over the restaurant for a daily drop-in center. Kids can come in, get something to eat, use a computer, take a shower, etc. The center. is only open during very restricted hours. I was there in order to conduct an inspection for a new proposed overnight shelter that would be opened in the old restaurant section. Mike indicated that they would allow up to 12 persons spend the night in the building. I conducted the inspection and sent a letter to Kathy Wahto outlining the conditions required by the Fire Department for occupancy. (See attached) I feel confident that this use can be allowed safely, primarily because there will always be three staff members present, and at least two of them will be awake at all times. The Dream Center use is a completely different use from the proposed long-term housing proposed by Kathy. The long-term housing would take place in remodeled rooms in the old Aggies Motel (essentially the center section of the building). For many months, I have been very upfront with Kathy and others working with her, emphasizing that the proposed use (long term housing) would constitute a change in use that would increase the life safety risk in the building. Based upon the change of use and increased risk, the Fire Department will require that the entire building be equipped with a fire sprinkler system. (An alternative would be to provide fire sprinklers in the housing areas and divide the building with an approved fire separation wall.) I have discussed this at length with Kathy and she is well aware of the requirement. I hope that this explains the situation. Please contact me if I can provide further information. Thanks. Ken Dubuc, Fire Marshal Pc: Address file Attachment \S1 \}\ \Y' :TIt ~ . , '. .. p'ORTANGELES. -,. -, ..'.....,- .-..... WASH I N.G TON,U.S.,A. ''',:' ',,"." ".' FIRE DEPARTMENT October 17, 2006 .... ......[ffiT~ ((b ~~ ~~[~~ . ..... .... '" 'OC1302006>/.'. KathYWaJito '. . .. Evergre.en;FamilyYillage 2201WesLi8th street' ........ PortAngeles,W A 98363 . . ..... . 6IT~OFPORTANGEt~S, .... .' 'DepL Of(;oniinunity Development:. Dear}(athy; '@ ':: --.' /;:".",",> It >yas a pleasure to ineetwithyou at the T ei11j;~di;bh1id1ng\lah.W66~.:rtsoUjld~:r&~:i~h''';/i "~~.' . have great plans for the9iiildiIlg;~(1 as Tmeritionid~h~nwe'Ihet,JWJj;eWat.):ou;y;illl1ot;. .... .' j.. hesitate'tocoritaCt me iftcanhelpii1thepr6cess~.;'-':" ".: ""; ......,..//. d;,'<'< ...... ..' ....'. " ::,. -~;. " -;",-" '. .' r:. . ...;' ,.", . '<: . '." ..~:':,~' " , , .. .. . .' - . .' . '.' .' : ,;,',.~.. .:.-' .'. ,--'> "', -- " , ," .' ,.,...' .. " "., " '.. ',. ",.' -' : ,":'~' . .. , - ': As I indic~t~d when I met bothwilhyou andM"itIiMike S~e6;.t4~reareifew.riIDior'it..iIlls'~L: -:' , " ' '. "-.." .:' . .' -, '.,' -. - - ,:.,. " ,:-' - -- , - -., ' --, -'- -, " :..- " . ',.' -,. , ' ," -;. "': '-' -' ',.: ~ -':, ." that will need to be addressed before thebilllding'couldbeciccupiedfoffue@ve'rmglitand" . . . .... . Outreach Shelter: . ...... ..........,.. ...... ,.., <....................>:>>........,...:.";:.,, ;".:.>(;'.......i..;.,. ..' . . '"q' _. .~:.- 'j ',-'" '..'f. .,1 J', . .,' , . " .- I, ,,,,,.-, '-':, i',:' "',. . ,,:.- ", ',- .",;-,,". . ':":""" .;",.~; ,,'" ,~_<'-" ,.'l". 6. c...TcTh.urr'h.~'er:n.."ta.al..n..yl.,s:c..~...rletOw.~ebodO':S'.'h'~.mu~td.~). ..:. f,....,;~tt~~;:t10~~.t. ti.;te~%lt~i~~~i~,,~~m.,~';~~,:~~td~'(l~!.i~t':;;!';c<.,:;.!.:.'.'..,............'.:.'...:..'.,..'. . . '. . .. .. .','.;;'-: "<' . ,.. .:..if.,:-,li,'-,':<:;~.';:..r.y. ';-"J.;'-:.f ;,/,"',' '~""""-_'~".-", .... . '.... '.,,". '. " ,,,,' ,"--." :',,;,' "-. : - . In addition; the fcillowii)g scinditi~ns mu~t be m~t;. . , . ,. .- ,... .!' - , - '.. ., ,," . o The fire. ,!larm.8.yste1l1miIst!be maintained' [] The fireextinguishers1l1ustbemamtained' '.' . .... ..... ". .... .... '>. ." 'oNocooki~gMnb~aIl6wed '(~ciife~ machilie~andl11i2rowayeskeOK) . .. .... . '_ :'''_', '...._'" ",--' '. ." "', .,.... "....,-.... - , :', ': "'--_..,,_~_'... '.'i,'. '-c: .'. -"..:'_,....':". ''''''.'' "','.''' -',' ,:"., '.","''''\': ,.,' '."':""'-.-"" ,.",-'-" ''-,;'+.L'_' "'-"_'" ,"""''-'''_:_ 'f.. ':-:." ,"c"--'" ,.; .0' AUeastthree staff ?=!embers mustbepreseIitafilltiInes,aildtWo milstbe .<i.'iyglce . o NocanclIesor;Otheropen flarnes.wiUbe aJIowe-d . .... . .. . . );".,' ':'i , - '. .' ","" '. -'. '." ""..' .',"," '''--.',. .... - '.' .':-" . If you have any questions or would like furfuerclarifi.caticlll,pleas(do n?t hesitate to ; ". .contact me. . . . . " '. .... ". '. ';.. Sincerely, ~Q~ Ken Dubuc, Fire Marshal POrt Angeles Fir(':_A~partment...;~_ . .- .._..~,:.....,,~-~-:......_.--,. '~'". -,' ',.,' ---"7"."'.",.....~.,..~:::"'" '. ~~~~dress file - Teil1pest, 535 East First .~). ..'-,~_":",+""""""__"~==,::,,,;;:~~~:,::~,:~.:;,,,-,,:;;,,;,-,,:,;,,'c,~,-,:",':--''''''''- :.: . . ,,', . , ,...- . ' '. (., . ,', ' ,102 EAST FIFTH S-TREET. PORT ANGELES, WA 98362-3'0 lA' . .' .' . .' . .PHON E;3 60'417'4.6550 FAx, 360.4.1 7'4659 0 E.MAI L,pafire@cityofpa.us . . .... CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to.the requirements.of Section 301 of the International Building Code cer!?fying that at the time (~riSSllal1Ce this struc/ure was in compliance with the various ordinallces of the City regulating Building , construcrion or lise, For lhefollowinng Classification: Business Group: --.lL Bu;ld;ng Penn;l No.: 05-1261 Bus;ness Name: Serenity House of Clallam Ctv. i Owne, of Bm;ness: Serenhv.House ofClallam CtV. . 'Type orColIstruction: V-N UseZone:..::CA. '" t Addres", 535E. First Street Port Angeles. W A. 98362 Building Add,ess: 535 E. First Street .~~. 7l/~~ -.., /It B'ld' Offi' I '\~":;,._;. .~J: UI mg ICla ~ T r.., :{iXI-~' ,_.~ ~ Port Angeles. W A. 98362 -. .~,o:1anuarv 24. 2006 :>:'_te;:~. '<c- :~r:!{:,:&y"" Date ...,.,'- '>>, ," ';7f(~~~\!j:~~~~~~'~~~~ig}!~~' . .' . , < ,'---., - ." '-"-'. "- .,':>--~' Post on the premisesJh:a;conspicuous place. Shall not be removed exce t b Buildin Official. 'lt1C{ .:ftr OG-l 2.01 ROUTING SLIP ~rO"r ~~ lO~Q"(", Certificate of Occupancy ~~j" "--~ $50.00 Certificate/Inspection Fee ' iiiiii; 't,."<Jcwo"~" DATE \ 'h - ?^f\ - ()~ New Business. . . .... ..., ...... ........ .., ( ) Address of Proposed Business Transfer of Business Location . . . . . . . ........ ( ) '5 =? -S E. ~ <S.+cee.t Change of Ownership . ..... .. ........ . . . . . ( x. ) Applicant 'Se(en\ 1 \\()u.~e r..f C:\a\\'Wl-Co. New Building .... ..... . ......... ...... ... ( ) Address \),D. Q()-{. 404'1 Remodel . . . . . . . . . . . . . . . . . . . . . . . ......... ( ) Temporary Business. . . . . . . . . . . . . . . . . . . . . ( ) Phone: business 'is ?-'1"Z.'2."\ home 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 -IT Electrical changes ........ ....... ........ -- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) -~ 2) Plumbing 2) Peddlers Plumbing changes. ............................ v' 3) Electrical 3) 2nd Hand Dealer -~ New or relocated signs ............ ... ....... - ---;;T 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 ....... ... y 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 ......... ............... =/ 12) Occupancy A grading plan for site drainage ..... ....... ....,. v' 13) Sign -- (parking lots, downspouts, etc.) ....... ...... ~ ~ 14) Shoreline Are the existing streets paved? . ........ ~- 15) Home occupation Are there existing sidewalks? ... ... ........... ---;r - 16) Conditional use Is there curb and gutter? . ........ ....... -- 17) Other Other. I hereby apply for a Certificate of Occupancy and acknowl- \'}...,'l..D-OS edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signe~SI"'O <;:Q.L\\\ \,.,., ~ k.. knowledge. Li'l '7 ~ 1I~-" I , A'!R~~Re'ec'eo Comments / Conditions It 7:- OJ Building Section \:, ~"'~\,^\M' ~ i-.\"'-+\~"1 Public Works Department (e,w..\~c:-.6 l q~ e. Planning Department J<Di) Fire Department 12-20 -os f,v City Clerk P.B.I.A. .., .~ :";." . ,tJ . .'. " ,J... (i..> i ~~I l ------ tea""" ROUTING SLIP (;""O~Q",<;.. Certificate of Occupancy ~j;!/'" "--~ ~ , $50.00 Certificate/Inspection Fee -' 'tG"c~" DATE \ '2, ''}A'. . I, '" New Business. . . . . . . . . . . . . . . . ...." ...... ( ) Address of Proposed Business Transfer of Business Location . . . .... . ....... ( ) CS:;;-S E. ( -'f<s'+fe""t Change of Ownership . . . . . . . . . . . . . . ...... . ( >Z ) Applicant 'Re< E'\rll t,-\ \\0\ \\(- "r,; C:\ a \ \ CU"-. Co. New Building .. ..... ..... ..... ....... .... ( ) J Address V.("). -.........()~, 4 C,LI'1 Remodel. . . . . . . . . . . . . . . . . . .... ..... . .... ( ) '(, Temporary Business. . . . .... . ..... ...... -.. ( ) Phone: business"'''; ?/7Z,'l'-\ home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief <;Iescription of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: r1\ Zoning Classification of Property: . THE FOLLOWING WILL BE REQUIRED: ., WILL THERE BE ANY OF THE FOLLOWING? YES NO '- V Construction changes ..... .............. ....... -- PERMITS BUSINESS LICENSE Electrical changes . V 1) Building 1) Taxi ..... ..................... -- " Mechanical (heating, cooling, stoves) - --"'-- 2) Plumbing 2) Peddlers Plumbing changes. . ...... V 3) Electrical 3) 2nd Hand Dealer ........ ......... -- New or relocated signs .( 4) Mechanical 4) Pawn Broker .... ... ...... .... .. ..... -- New septic tanks ./ 5) Sewer 5) Dance ................... -- New sewer service. ........ -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons V .. -- 7) Driveway installation 7) Fireworks V , Is this a home occupation? . . . -- 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) 01her / .... ...... - - Is there sufficient off-street parking? . ... ....... .,/ 11) Fire New driveway openings ........ .. = ./. 12) Occupancy A grading plan for site drainage .......... ........ II 13) Sign -- (parking lots, downspouts, e~c.) ............ ...... .; 14) Shoreline ----:T - Are the existing streets paved? . ..... ......... -- 15) Home occupation Are there existing sidewalks? v 16) Conditional use ......... ..... ... ~- Is there curb and gutter? . ............. -- 17) Other Other. I hereby apply for a Certificate of Occupancy and acknowl- \')..-').,0 ,oS edge that I have read this application and state that the Date: information I have supplied is correct to the best of my o - -- knowledge. Signed;.. ~ Ll \~l ~ Q '-u(,\,..t,p\ \I-Ct:<.. y. '11- ~ l.,I'1 , APPROVED REJECTED Comments / Conditions \0 c..OIf\ 4: '\.\. ......he.. I' Building Section -r -I. ,<.;4 .'-< '" , Public Works Department -: (.J ~ J.A \ tec-oJ \q~e -.. 12./ ~~ W /~ Planning Department- J I V}j ~ 0.-1 J! ,ru) ~ .Lj ...J2k-.- Fire Department i'JI,,,-h~rv-... ~+~o VI IT, ~ ^ n J,,-., .~ ~ )) , ~'- (I j) '. )-~ ^ .. .-fl'. .y City Clerk .~ , -:t !:,rJ' ) , ' f-c..1- ('.,p I I, / ' PB.I.A. ~,~ '1/1, , - ". f1 '. JJ.. rO, .. "..-17 n l , ~ '---n.~ . >' , ~ [ffi~~~~W~~ ~~6_~ J CITY O~ ,.:;~T .'.~;;;'ELES Deot. of Community Devet~pment December 14, 2005 City of Port Angeles Department of Community Development Building Division 321 East 5th Street Port Angeles, Washington 98362 RE Building permit #05-00001163, pin #520541, permit pin #66514 Serenity House The following is the proposed use of the space: The premises shall be used for general office uses, and providing services to homeless and at-risk;louth, including case management, individual and group counseling, use of shower and laundry facilities, food pantry access and provision of snacks. Thank you all for your help in this project. If there are further questions, please do not hesitate to contact me. ~ere1Y, , ChU~k"'Ri~h~ ~ Facilities Manager Serenity;House /67/ 360-477 --t6Fl-- 63~ E \"~t :3EaRJ l1'i H LOLl s-=<- }:D.vtU STA-IIL,c;. - 1l{t.y ~r 'S~ TV ~t>okll~_? -mr.. b ~c 5: 8\t:.- ~s A<..rrt.4..J..JITmJ"'z-.- ~HSC60L.1 ~'i) 1L[ \(WlRvd 't> 0 CLW;$Ci:--S <:,1'4 'tI>-uLL ~U'>OIL_ \JP~TAlrz--, . C~M~ ~ ~~-- ') ~(J- \4'LL- 1310 0""-b 01 ~,.y Wel"=.- rfo OF-P\GE- fOil- ~ (4SIr-! r[oML\.LSS '1oum' ,,":~,p 6~1IZ'^"" .fI>li> LoCUJ.U<-< '^'" J MeET' N' N.LIL OJ"" ol~':lA ~ ~ Do". v/ y>\ ~tJo ~ ~~ -n\-k\ ~ 1M A. ~... W\J I uJ q a u iA-e..~s. - 'vJ I ,L-\.- Co t"lL ko A l....ATE../L L)AIi I':- . - , )lPf~r -:VMT of T-lIc:. 13Lh..J)'6--LGJ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15770 " " Port Angeles, washington_____i_____.":"___s2Y_____________m___..._.._________, 19~ In accordance with the City Ordinance to regulate the installation, extension. or repair of elec- trical equipment in, on. or about any building or other structure in the City of Port Angeles. per- mission Is hereby granted to do electrical work as listed below. Address -'JL-~:.?:-----f.-!~--~-?T:::fF:.....---m--'i"---'-----"-- occupancy_..__/~"".~."!--m.__.....-------------- Owner ~1 (p ,......, ""'.LA.'\ ~..! k:i';-"'":;j;;<-,"'~nant....-m.----m-------.m----.-.----.-.------m--...--n----------___ Wiring ~-~~~~~~~~.Zl:::::.~;)t~:2:--.t?k'1?,l'!!..rE.-- By..._________....._.......__.__..m___.___.__._______..._____.________ ) , c,p; Jlr Light Outlets........___.......................____... Service, volts ./.C.:/...:::......~....... Type of Wiring: R t I Outl t No wir.. "3 Armored Cable .............................. , ecep ac e e s......._....................... SIZ'. wlr........~...~.~.T......-.ct;f.~.:,~...'.Ci....--....-...'. r......-." 1/ Non-Metallic .................-............... Dryer, KW __uuun..nn..................... (J"'- Knob & Tube.................................. Range, KW...d...n.....m......... Main fuse ...... ,'... ...~.~~.. ..~._......... .s Enclosure ......................_................ Rigid Ccmduit .....___................._..... Water Heater: ./ KW.______..~__?______mm........m Metallic Tubing ........_m............... Heat: KW.......................oo....................oo.... Type of wiring: Entrance Cable .........00 Motors: size, volts and phase: &~~:f?~lp;.,.~......... Pr~~x.a.=JI':::::...... t...............................-.....-........-..--....... Rigid Conduit .......m...... Meta1l1c Tubing ................. Current transformers: No. & Size.............................. Raceway ............__...................._..._ CIrcuits, Light.................................._.... Utility......_.................................__... Heat ............................................... Ser. No........._...........___.____._.....__....___. Range ........................____....______.______ Water Heater ............................... Motor ............_.__............................. SerA No..____..________.u__.....__................... Dryer...................._............._............... Furnace .........................,~__.__......_....... Ser. No...__......______............................. Total Load............................. Set. No. .n...u..................................... Total....................................... Remarks: ..____..mm_m__mm__.__...____....__.....______.__...__......____m_mmm______m_m__m_m___n______.___m_mmm___m___m_m_m Permit Fee Treas. Receipt NO._m___________m_____.____ By .J(J!<:Jt~~'&z~_:~n'e.._'--'.-~ $..._.mm______m_m__.....mm. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15770 Address.__........._......................................__.__............................................._..................................Date..._......_.._.._.._.........._......_......__........ Owner ..........__.__..__.____......___n..__........_......_......__._..........___..._____..____..........h...............__.__ Tenant......h...........__.____n.n____.__.n__.____.........__.h...... Wiring Contractor ..........................._...................................................._............_........_................... By........__........................................_..._....._. NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. 1M 01vmoi" Print..,.",_ Tn" CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANO~.F~, WA 98362 BUILDING PERMIT ISSUED: 8~25~2000 PERMIT NO: 12152 OWNER/APPLICANT PROPERTY LOCATION 535 1ST ST E JOHN & KAREN REED Lot: 19 & 20 49 N. EVERGREEN DR Port Angeles, WA 98362 Block: 20 [] Long Legal 360/452-1538 Subdivision: N R SMITH T: S: Parcel No: 0630005141800 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206~000-0000 360/000-0000 PROJECT INFO Project Value: $5,000.00 SFD Units: 0 Commercial: 0 Project Type: COMM/REMOD SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES . YOUTH CENTER INTERIOR/EXTERIOR REMODEL ADD ROOF DECK/STAIRS/ADD ADDRESS 6"NUMBERS/COMPLETE KNOW BOX APPL/ INSTALL FIRE ALARM SYSTEM/INSTALL FIRE SUPPRESSION SYSTEM IF ADDING A HOOD & DUCT/FIRE EXTINGUISHER'S LOCATIONS PER FIRE DEPT FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $72.31 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $188.06 Plumbing: $0.00 AMOUNT PAID: $188.06 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electhcal work, utilities, pdvate and public improvements. This permit becomes null and void if work or :constmc~on authorized is not commenced within 180 days, if construc~on or work is suspended or abandoned for a period of 180 days after the wod(es commenced, or if required inspec~ons have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this applica'don and know the same to be t~ue end correct All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the ~rovisions of any state or local law regulating construction or the performance of c struc~. ~(~;~A ~/ <~/, ~'*-'~//~ .~ O Si~lnature of Contractor or Author[zed A~ent Date S~natur'~ of Owner (i~ owner s bui'der) / I~ate/ BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDll~O INSPECTIONS. PLEASE PROVIDE A MII~MIY/d 24 HOUR NOTICE. IT IS I]NLd WFUL TO COFER~ INSUL,4TI; OR CONCF~L ANY ff/ORI[ BEFORE INSPECTF~ AND ACCIgPTED. POSI' PERMIT IN A CONSPICUOUS LOCATION. ::o I I I BUILDING PERMIT- PREAPPLICATI #: Pre-Ap C~pI~?' ~ The Building Pe~it - P~applicatJon must befil~d out completely. ~t~ Ple~e type or print in in~ ffyou have any questions, please call 417~815 Applicant and/or Agent: ~'~ ~LY~m- ~v~ ~'~ ~ ~ Jv ~, ~(-e v Phone: ~. ~ner: ~/a ~ ~ ~m~ ~ ~ ~ ~ Phone: ~bO*-q6-~-/~ ~c~tectmn~cc~. Phone: · Contractor O ~ ~ e~ / q ~ ~ License ~: Exp: Phone: Address: Ci~: Zip: TYPE OF V/ORI(: SIZ~.~.~LUATION: ~--~ o Residential [] NewCon~r. o Rcroof o Woodstove SF.~$. /SF.=$ C)C) ""---- r~ Multi-family n Addition [] Move c~ Garage SF. ~Commcn:ial ~ Remodel ~l~ Demolition ~ Deck ~, q'O SF. ~ $ /SF. = $ [] Repair ~ Sign [] TOT,,P~` VALUATIOI~ $ BRieF DESCRIF~ON OF TI'IE PROJECT: P._P.4~b~'~z_ ~ COMlVl~RCIAL/RF.,SIDF~ITIAL: Occupancy C,~oup:. Occupant Load: __ Construction Type:. No. of Stories: C~ Lot Size: /q, tO 0 t9 % Lot Coverage: % Existing Lot Coverage: /sq. tt. + Proposed Lot Coverage: /sq. fl. -- TOTAL LOT COVERAGE: /sq.fl pI.,ANNI~G USI~. OIN-LY: APPROYALS: .-: - ' - . - DPW ESA/Wcfland(s): rn Yea~2.,No SEPA Cffecklist reqmred? O Yen~xNo Oreck. ~~,~/ PREAPPLICA'FION SUBMIi'i'AL: Your applK-'a~on and s~a, plan ~ befiiled ot~ complet~ to be accepted for review. The Building Division nun provide you with more detailed information on the application and plan submittal requirements. BUiLDli, qG PERblIT APPLICATION SUBMITYAIa Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, s valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div. to eemply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistaace. PLAN CHlgCK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Ofl[i~ial can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 304(d) 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 and correct, and I am au thorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determ#ne what permits are required and to obtain such PW-I 102_ 13[r~v.2/961 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~' //~//~ ~ Time /.,'1i~ ~)~, Il) Received by ~,/.~.~-~- {phon ,e,e~rso_~ Date/ _ / _ Location of Work to be inspected ~-~ ~ ~ / = ~ Name of person requesting inspection ~)/~, I }~ ~ ~ Address of person requesting inspection Phone No.~-~ - Type of Inspection (circle appropriate one): -~ ~ Permit No. Sewer Foundatio~~ Frami~ Chimney' P~umbing Fina~ Sewer Excav. Other INSPECTION NOTES: , ~ Inspected: Date // ~ / ~" :~ ~ Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt [~PCC {~Other [] Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~.'-~ - ~'-~ Time Received by //~V (phone, person) ,ocation of Work to be inspected .-,_~- ~-- /~7- Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date =~ Time Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [-]Gravel I~Asphalt r--IPCC []Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE} pORTANGELES WASHINGTON, U.S.A. PLANNING DEPARTMENT DATE: August 21, 2000 TO: Linda Childers, Permit Coordinator FROM: Sue Roberds, Planning Specialist SUBJECT: 535 East First Street North Olympic Youth Center The proposal by John Reed to convert a restaurant/meeting use to a youth center should be issued with the following information: The conversion and operation as proposed by Mr. Reed in his letter to Planning Director Brad Collins dated May 3, 2000, indicates the youth center would not be a significant change from the past use as a restaurant/meeting area. Therefore, the use would be considered nonconforming and could begin operation with the 12 on-site parking spaces that are provided. The use MAY NOT be expanded without additional parking. The May yd operation plan identified by Mr. Reed and used in making this determination is contained in the Building Department files. ~u~;b~r~s, P'l~g-Specialist ]pORTA c; L s W A ~t H I N G T O N, U.S.A. DATE: August 8, 2000 M E M O To: Dan McKeen, Fire Chief PUBLIC WORKS FROM: Lou Haehnlen, Building Officialff~ & UTILITIES RE: North Olympic Youth Centers, 535 E. First Street DEPARTMENT Glenn A. Cutler O~rmor [430t1 I haVe reviewed the application and drawings submitted for the above mentioned project, Phyllis Rasler this project is located in the old Aggies building at 535 E. First Street, the previous use of Administrative Assistant [48001 the building was a restaurant, meeting rooms and motel. The Uniform Building Code Cate Rinehart recognizes theses uses as h and R Occupancies. Administrative AssistantThe new use for the entire building will be an A Occupancy and the following list of [4700] ' changes that will be made, will make this new use, less hazardous than the previous use. Ken Ridout Deputy Director [4802] (1) Removal of the restaurant and liquor Ga~ Kenworthy (2) Addition of a stairway to provide a legal second exit from the upstairs meeting room Deputy Director (3) Reconfiguration of the main floor exits and addition of exit signs and emergency and thru-out. City Engineer [48031 ngnung Scott McLaln (4) Rewiring of the electrical system. DeputyOirector147031 (5) Addition of handicap restrooms Jim Harper Electrical Engineer [47021 I am recommending that the building permit be approved based on the above mentioned Lou haehnlen information. Building Official [4816] Tom Sped]ne Sr. Electdcal Inspector [4735] Doyle MeG]riley Water, Wastewater Collection Superintendent [48551 Pete Bur~ett Equipment Se~/ices Superintendent [48351 Light Operations Manager [4731] Jeff D. Young Treat. Plant Superintendent [4845] Tom McCabe Solid Waste Superintendent [4876] Steve Evans Landfill Supervisor [4873] Mike Horton [4825] PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Olympic Youth Center Address: 535 East 1st Street Plan #00-12 Com [] R-1 [] Date: August 21, 2000 We have checked this plan and find that it conforms to the requirements of/our codes and ordinances with the following exceptions. 1. Please ensure there are outside address numbers plainly visible from the road. Address numbers shall be a minimum of six inches in height and contrast with their background. 2. A security key box (Knox Box) will be required. Fire Department will identify the exact location of the Knox Box for the contractor. Please pick up an application for the Knox Box at the Fire Department. 3. A dumpster shall not be located within five feet of combustible walls or roof eve lines. 4. 2A-10BC fire extinguishers are required throughout the building within a 75-foot travel distance. Fire extinguishers are to be mounted no higher than five feet and plainly visible at all times. It is recommended that wall mounted extinguisher cabinets are used. Contact the Fire Department for recommended locations. 5. A fire alarm system will be required. Please submit plans to the Fire Department for review and approval prior to installation. 6. If appliances are used which emit grease laden vapors, they will be required to have a hood and duct system to capture the vapors. An automatic fire suppression system will be required for the hood and duct system. Submit fire suppression drawings to the Port Angeles Fire Department for approval. Also, the fire suppression system shall be connected to the building's fire alarm system. NOTE: Prior to the Occupancy Permit being issued, compliance to the above conditions w~he~met. Reviewed by ~t ~ Date ~3] ~ I / tZrO ~ Building Department [] File Copy FP- 22 Page 1 of 1 PORT ANGELES FIRE DEPARTMENT ADDITIONAL COMMENTS from UBC Project Name: Olympic Youth Center Address: 535 East 1st Street Plan #00-12 Com[] R-I [] Date: August 21, 2000 We have checked this plan and find the following areas which need review by the Building Department: 1. Required exit signs shall also be provided with battery back-up to assist with safe exiting in the event of a power failure. 2. Emergency lighting shall be provided to assist with exiting in the event of a power failure. See the Building Department for recommended locations. 3. All exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. Manually operated edge or surface-mounted flush bolts and surface bolts are prohibited. 4. Panic hardware may be required in the assembly areas. Revised By ~'~,~ ~ Date 8 / ~ I/~ ~ Building Department [] Fire Copy FP-22A Pagelof 1 WASHINGTON, U.S.A. DATE: August 21, 2000 MEMO TO: Lou Haehnlen, Building Official FIRE FROM: Dan McKeen, Fire Chief DEPARTMENT RE: North Olympic Youth Center, 535 East 1~ Street Lou, I agree with your assessment that the proposed changes of use and occupancy of the building Daniel K. McKeen located at 535 East 1st Street are no more hazardous from a life safety perspective than the Fire Chief building's previous use and occupancy. I My agreement is based upon the attached drawings [4651] and information submitted by John Reed, the building's owner. It is the Fire Department's understanding that the "Youth Center" to be located at 535 East lst Coral Wheeler Administrative Assistant Street, will not routinely serve occupants under the age of thirteen. The Fire Department also [4650] understands that the occupants will be supervised at all times by one or more adults. Even though the building's new use involves primarily youth as compared to its previous use L. Keith Bogues involving adults, other significant changes have been made to offset the building's life safety Training Officer [4652] hazards as compared to its previous use. These changes include: · The elimination of a commercial kitchen David R. Chastain · Discontinuing the serving or sale of alcoholic beverages Medical Officer · Eliminating the residential use (R occupancy) [4665] · The upgrade of the building's fire alarm system to provide the occupants appropriate notification in the event of a fire. As the buildings change of use does not increase its life safety hazard, the Fire Department cannot require a fire sprinkler system. It would however, recommend the installation of a fire sprinkler system to provide the building with the highest degree of life safety and property protection if a fire were to occur. If you have any questions regarding this memo, you can contact me at extension 465l. DM/cw Attachment pc: file - 535 East 1st Street Memo from Lou Haehnlen to Dan McKeen dated August 8, 2000 ]pORTANa L] S WASHINGTON, U.S.A. DATE: August 8, 2000 M E M O To: Dan McKeen, Fire Chief PUBLIC WORKS FROM: Leu Haehnlen, Building Official~ ~K/' & UTILITIES RE: North Olympic Youth Centers, 535 E. First Street DEPARTMENT Glenn A. Cutler Director [4801] I have reviewed the application and drawings submitted for the above mentioned project, Phyllis Rasler this project is located in the old Aggies building at 535 E. First Street, the previous use of Administrative Assistant [4800] the building was a restaurant, meeting rooms and motel. The Uniform Building Code Cate Rinehart recognizes theses uses as A and R Occupancies. Administrative AssistantThe new use for the entire building will be an A Occupancy and the following list of [470Ol changes that will be made, will make this new use, less hazardous than the previous use. Ken Ridout Deputy Director[4802] (1) Removal of the restaurant and liquor Gary Kenworthy (2) Addition of a stairway to provide a legal second exit from the upstairs meeting room Deputy Director (3) Reconfiguration of the main floor exits and addition of exit signs and emergency and thru-out. City Engineer 148031 ngnung Scot1McLain (4) Rewiring of the electrical system. Deputy Director [47031 (5) Addition of handicap restrooms Jim Harper Electrical Engineer [4702] I am recommending that the building permit be approved based on thc above mentioned Lou Haehnlen information. Building Official [4816] Tom Spedine Sr. Electrical Inspector [4735] Doyle McGinley Water, Wastewater Collection Superintendent [4858] Pete Burrett Equipment Services Superintendent [4835] Dave Ireland Light Operations Manager [4731] Jeff D. Young Treat. Plant Superintendent [4845] Tom McCabe Solid Waste Superintendent [4876] Steve Evans Landfill Supervisor [4873] Mike Ho[ton Street Maintenance Supervisor [4825] PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION [~l ENERGY [~ ENGINEERING POLICE DEPARTMENT ADMINISTRATION ~l CITY CLERK [~ KISK MANAGEMENT FROM: PUBLIC WORKS/BUILDING DIVISION RE: ADDRESS: NAME/CONTACT: PHONE: PERMIT NUMBER: ~l NEW CONSTRUCTION [~ ADDITION/ALTERNATION COMMENTS/CONDITIONS: [~ REVIEW/RETURN [~ FILE j FOR OFFICIAL USE ONLY: ~o.~ Building/UtilitY/Electric/W~ Permit Application ~ R~: Please fill out completely. Typo or print in ink. Ifyou have questions ~ pleese call (360) 417-4015 or Fax: (360) 417-4711 Ld~r of Compl~,~ Address: City:.. Zip: Architeet/Engin ear/Deaign er:. Phon~ cant o .. 7 c ssv Eap:*/ol -- ZONING LEGAL DESCRIPTION: Lot: Block: Subdivision: C~I~I.AM COUNTY PARCEL NUMB~: .C£edit Card Holde~ Name~. Cre~t Card #. ~xp. Date: VI~A MC ~ elf WORK: $ I z.g~/ALIJATION: o P~idmfial o New Cm~str. o Re.of [] Stovedase~x SF. ~ $ /SF. -- $ [] Multi-family ~3 Additfo~ [] Move [] Garage SF. ~ $~F. = $ [] Comme~gial E3 Remodd [] Demolition [] Deck SF. (~ $ /SF. -- $ ~'l~lectric~ n LP-gas n Sign [] UST TOTAL YALUAT[ON BRieF DESCRIPTION OF Til~ PROJECT: COMMERCIAL/R~IDENTLAL: Occupancy Group:. Occupant Load: Comtn~an Typ~., , No. of Stmies: __ Lot Size:. % Lot Cov~ag~ % Existing Lot Coverage: /sq. iL + Proposed Lot Coverage~ /sq. iL -- TOTAL LOT COVERAGE: PLANN~O USE ONLY: API*ROVALS: PLAN Pwmi~ Roluired: Notes: BI. DO__ Max. HeiSt: Setbacks: Zoning: DPW Site Plan md Use Approved by:. DSt~. FIRE_ ESA/Wetlmd(s): [] Ye~ [] No SEPA Checklist required? o Ye~ [] No Other: PIe-APPLICATION SUBMITTAL: Ymw ~q~ldicatlan and slteplan must be filled out corapletely ta be accepted far review. The Building Dh~ision can provide you wflh more detailed information on the application anti plan submittal requirements. BUILDING P]g, ILMII APPLICATION SUB1MITI'AL: Your completed applicati~, site plan (for additions) and building congtruction plans m'e to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valusfian ~mmmt must be mtered by the applic~mt. This figu~ will be r~viewed and may be revised by the Building Div. to comply with currmt fee schedales. Contact the P~m~t Coordinator at 4 i 7.48 ! 5 for assistsuce. PLAN CEff, CK FEE: Your plan check feels due a~ the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit is~umce. EXPIRATION OF PLAN REVIEW: fine permit is issued within 180 days of the date of application, this application will e~ire by limitations. The Building Official can extand the time for action by the applicant up to lg0 daya, on writXan request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extanded more than once. · hereby certify that I have read and examined this application and kno~ the same to be true and correct, and I am authorized to apply for this permi~ · understand it is not tke City's legal responsibility to determine ~hat permits are required; it rera~i~s the applicant's responsibility to determine ~,kat permits are required and to obtain such. PW-llO2_l~lr~'.*,OOl Applicant: ~ Date: ,~/(ti/..vt Mr. Brad Collins Planning Dh'ector City Of Port Angeles 321 East Fifth Street Port Angeles, WA 98362-0217 Dear Brad, May 3, 2000 The purpose of tlds letter is to la5' out to thc best of our cun~nt ability, the uses, thnes of use and parking loads proposed al 535 East First Street, the former Ao~gies restaurant/lounge/motel (also lmown as lots 17 and 18, Block 20, Norman R. Smith's Subdivision). The general use w/ll be as a teenage youth center. It might best be characterized as a combination of an Elks or Moose Club and a Rotary or Kiwanis Club; i.e., social, recreational and community service oriented. This particular youth center will be one of several (eventmally) under the auspices of the North O15nnpic Youth Centers, a Washington State nonprofit corporation seeking IRS tax exempt status. This particular center will be named at a future date by the teen members of this youth center. The character of this youth center ~vill be def'med by the folloxving operating principles. 1. For All Teens. Ihe youth center will welcome and be designed to accommodate all peer groups. This will promote inclusion and connection of all elements of the teen community, and all teem will have a vested interest in the success of the youth center. 2. Membership Is A P~/vilege. Although youth center membership will be open to all, continuing memberslfip will be a privilege based on appropriate behavior, achievement at school and at the youth center, and service to the youth center and the communih.,. This Prfl~ciple will promote accountability and self-discipline among the members, with serious consequences for poor choices. 3. A Safe Place. The youth center will be a physical' and emotionally safe place. Tlfis will be accomplished through; a) an intensive 3-4 day orientation for all new members, that models the behavior and attitude that will be required for continuing membership, and promotes respect, trust and teamwork; b) a sufficient number of well trained, adult volunteers and staff present al all tiraes; c) appropriated relafionslfips and working agreements with Po~ Pmgeles public safely agencies; and d) the threat of loss of memberslfip ff teens are unwilling to follow the rides. 4. A Teen/Adult Partnership. The youth center will be planned, built, operated and governed through a teeny'adult cooperative relationship. This will promote teen "ownership," leadership, respect for the facility and the surrounding businesses, and a personal sense of responsibility for the success of the youth center. 5. Job Creating,'Incom¢ Generating. The youth center will be partially self-supporting thi'ough teen operation of income generating and job creating enterprises. These enterprises will promote responsibility, independence and a strong sense of teen "ownerstfip." 6. Collaboration. The youth center will actively collaborate with other youth serving organizations to share its facility and programs. It will make its facility available to conununity organizations, promoting community service and cooperation, and discouraging duplication of facilities and programs. 7. _Quality. The youth center will have high quality facilities, equipment and programs. This will promote pride in the youth center from teen members and the community at large. 8. Mutual Support. Youth center members will support cacti other in maintaining the privilege ofmembe~lfip. This will promote friendship, trust, respect, cooperation, compassion, and teamwork among members. The facility includes about 12,912 square feet of useable interior space, of which 9.670 square feet are on the first floor and 3,242 are on the second floor. The uses will bc shnilar to the previous uses of the building; i.e., social, food and beverage service, recreational games, dances and meetings. The youth center will have a lower intensitx, of use for thc following reasons: 1. No overnight motel guests. 2. No alcohol served. 3. No dinner type food service. 4. No gambling. 5. Many fewer hours of full use operation. 6. A lighter occupancy load in normal operation. 7. Trained adult supervisors/security. 8. Control over members' behavior inside and outside the building tIu'ough membership requirements. 9. Approximately 17% of members w/ll drive to the youth center. The interior building space will have the following levels of usage: (see attached floor plan) 1. Level one - constant nsc by members during normal hours of operation. Examples of level one activities are socializing, snack food service, pool tables, foozball, chess. 3,278 square feet - colored yellow on the attached floor plan. 2. Level two - intermittent tcse by some members during normal hours of operation. Examples of level two activities are studying, internet access computer room, music practice room, special interest meeting room, martial art.s practice, laser tag, art room. 5,096 square feet - colored green on attached floor plan. 3. Level flu'ce - used only for special events. Examples of level tlu'ee are a dance, music or &ama pe~formance, arl exlfibit, large meeting, mox./e night. 1,982 square feet - colored pink on attached floor plan. 4. Level four - storage or unused. Examples of level foul' are storage of meeting chairs and tables, storage of outdoor recreation equipment such as sleeping bags, tents and kayaks, and the fenner main kitchen wlfich ~ve have not current plans to use. 1,443 square feet - colored blue on the attached floor plan. 5. Level five - office space. Examples of level five activities are bookkeeping, volunteer management, counseling, director's office. 1,113 square tbet - colored orange on the attached floor plan. Wc expect that normal hom~ of operation will be as follows: Monday - Thursday 2:30 - 6:30 Friday 2:30 - 11:30 Saturday 2:30 - 12:30 We will open the fac/liD: for community use for classes, meetings, performances, etc. at other hours, but the overall Lrapact of these uses ;viii be very. small. We will have occasional special events such ms dances, plays, or musical performances that will bring in additional people for a tlu'¢e hour period., usually in the evening. ,Membe~lfip in tile youth center will be yeD' Ibnited when ~ve open, and ~411 expand slowly as we perfect our systems and procedures so we know we can safely and effectively handle the numbers of teens. We anticipate ope~fing in September or October of 2000 ~vith appro.ximately 45 members. Memberslfip w'fll grow slowly as projected below. Clearly all members will not be in the facilily al any one time. We project that approximately 33% of 9'h and 10"' grade members, and 25% of 1 l'h and 12~ grade members will utilize the youfl~ center at one tinge during normal daily operations. We also estimate that none of the 9th and 10tn graders will be legally able to drive and only 50% of the 11ta and 12t~ graders will have regular access to a car. We further assume that each adult staff/volunteer wSll drive, and lwo Msitor parking spaces are necessary.. Based on these assumptions we have projected the number of parking spaces needed (C-cars), and teens (T) and adults (A) present at different times and days over the next thi'ee 5'cars. M[on-Fri Sat Fri-Sat Total 2:30-6:30 2:30-8:00 8:00-12:30 Date Members C / T / A T A T / A 9t00 45 6 /20 3 15 3 30 / 3 3/01 75 7 /25 3 20 3 40 / 3 9/01 105 10/32 3 25 / 3 50 / 4 3/02 135 13/40 4 30 / 3 60 / 5 9/02 lgO 17/55 4 40 / 3 $0 / 6 3, o3 240 18/70 / 5 50 / 4 lO0/ 7 Thc property cun'ently has 11 off street parking spaces, one of which ks designated handicapped. We plan to reconfigure the tlower planter around the base of file sign to add one more space for a total of 12. Bob Lovell, owner of the Chevron station across Albert street, has verbal, agreed to allow us to use 5 parking spaces on the back of his property near the power pole. They could have east'west access. First Federal Sa~ings and Loan still owns thc property on the southwest comer of Albert and Front streets. They are not interested in a tempera .fy parking arrangement with us. However, as soon as the property. is sold, we ~vill approach the new owners regarding a lease of space. In addition there arc 10 rarely used on street par'king spaces on First anti Albert in front of om' property., and many more within one block. The chart above clearly shows that our parking needs for the ftrst two years will be ntinimal because our initial membership is ,Artually all 9th and l0th graders who cannot drive. In addition, our hours of operation will be late afternoon and evenings, we are on bus routes, we are convenient to downtown where teens can often get a ride, and we are witlfin walking and bicycle distance for many teens. In the third and fourth years our parking needs wSll increase, but not proportionate to the percentage of 11 th and 12th gJ'aders in the memhemhip mix, because the younger teens will always be the heaviest users of the youth center la'ecisely because they cammt drive. When thc youth center is in operation (we arc planning for September or October of 2000), and our commitment to be a "good neighbor"' is more than just words, we will approach nearhy businesses (particular.ly those bem'een Front, Fh'st, Albert and Eunice as well as Swain's), regarding use of some oftheh' parking spaces in the evening hours. Most of these businesses have "9 to 5" hours. In addition, we will approach the city regarding use of Civic Field par ~king for our evening special events, when they do not conflict with Civic Field or YMCA events. We would like to make it very clear that the youth center is a membership organization ~vith considerable influence over thc behavior of members. If it should become necessary. we can require our members to display par'king permits when visiting the youth center, x~Ve are committed to take ~vhatever measures are necessat3, in the long run to ensure that we Imve adequate parking and are "good neighbors" in the business community, even if that means the lease or purchase of additional space and/or valet parking for our peak use during special events. The youth center clcm'ly cannot accommodate all of the teens in the area who may potentially want to become members. Wc view this faclli .ty as a prototype. If after 2 to 3 years of operation and careful evaluation, the concept proves successful, then we ~x/ll pursue additional facilities so we can accommodate all potential members. We sincerely appreciate the cooperative attitude your office has shown toward this project. We intend to reciprocate in any way we can. We will be happy to provide more back-up data, a tour of the facili .fy and answer an3' questions you and your staff may have. Sincerely, John Reed North Olympic Youth Centers 49 North Evergreen Drive Port Angeles, WA 98363 360-457-0453 j ohnreed~,olypen.com L 535 E. First Street Exterior 1. Remove steel mansard facade 2. Recover soffit and facia 3. Recover First street wall (first floor) and Albert street kitchen wall (first floor) with smooth sheet siding 4. Paint exterior 5. Construct 13' x 50' roof deck at First street edge of one sto~ building · supported on existing 6" x 19' steel 'T' beams that supported facade · decking of pressure treated 5/4" wood on 24" centers · 3' kmeewall at First street edge of deck of pressure treated dimensional lumber · 3' glass windbreak above kneewall supported by pressure treated 4" x 4" posts and beams · shed roof on east half of deck of corrugated fiberglass roof sheathing supported on 4" x 4" pressure treated posts and beams 6. Enclose cantilevered porch/walkway and roof on east facing motel rooms (for security purposes - unheated) · pressure treated 4" x 4" bottom plate · 4" x 4" continuous studs from bottom to top plates · 3' kneewall at first and second floors · galvanized metal cap on top of wall · minimum 36" east facing door at south end - swings out with panic bar · minimum 36" north facing door at north end - swings out with panic bar Interior 1. Construct new interior stairwell, to exit on First street, per attached drawing 2. Remove 9' x 32' raised concrete slab in ballroom/dance floor (former dining area) 47'-6e 47'-2 20 -5' , / 47'-~ 20~ 5" J \ Boo~c CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 3/21/2001 PERMIT NO: 12553 OWNER/APPLICANT PROPERTY LOCATION 535 1ST ST E OLYMPIC YOUTH CENTER 535 E 1ST STREET Lot: 19&20 Port Angeles, WA 98362 Block: 20 [] Long Legal 000/000-0000 Subdivision: N R SMITH T: S: Parcel No: 0630005141800 CONTRACTOR ARCHITECT GUARDIAN SECURITY N/A 19158 JENSEN WAY PAULBO, WA 98370-0000 , 98360-0000 360/779-5453 360/000-0000 PROJECT INFO Project Value: $13,000.00 SFD Units: 0 Commercial: 0 Project Type: FIRE ALARAM SYS SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES FIRE ALARM SYSTEM FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: FIRE ALARM $170.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $170.00 Plumbing: $0.00 AMOUNT PAID: $170.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits ara required for electricalwork, 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 f~om the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All previsions 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~jve authority to violate or cancel the provisions of any state or local law regulating construction or the performance of _ ~ignatura of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVF~R, INSULATE OR CONCE.4L .4NY WORK BEFORE INSPECTED ~4ND /ICCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE [ DATE I YEsACCEPTED[ NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOODSTOVE ! PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Englnee~ng Division) SEPARATE PERMIT #'s: WATERLINE ! METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PEP. MIT #'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. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R,W. ENGINEERING 417'4807 PW / ENGINEERING f~//~/~ /~//[ FOR OFFICIAL USE ONLY: Building/Utility/Electric/Fire Permit Application D.~ ~: ~ ~_~.~_~__ Please fill out completely. Type or print in inl~ If y~u have questions Pm-Appl Compl~ -- please call (360) 417-4815 or I~ax: (360) 417-4711 ~ of Complot~a~z Address: City:. Zip:. Co,,,~to~: ~ ,~,<~.~ r....~,'*7 u~,~ #:c'~ z'~ ~.~,: */ol ~o~ Zip:. RO CT V SS:: 9 / ( J* 5 / s . ~ ~O. LEG~ DESC~ON: ~: Bl~k: Su~on:. ~ALL~ ~ P~ ~: C~t Ca~ H~ N~-. Billing Ad&~s: C~: ~ ~p: C~t Ca~ ~. .~. ~te: ~A MC ~E OF WO~: S~Zg~UA~ON: ~ ~dm~M ~ N~ C~. ~ g~oof ~ Stov~s~ SF. ~ $ /SF. = ~ ~mm~ 5 ~odfi ~ D~lifion ~ D~ SF. ~ $. /SF. ~1~ = ~-g~ ~ Si~ ~ UST T~ V~UATION B~ D~C~ON O~ THE PRO.CT: CO~RC~E~: ~ ~: ~t ~: No. ofStofi~: ~ ~t S~e: % ~t ~e: E~g ~ ~ /sq. fl. + ~ ~ Cov~ /~. ~ = ~ L~ CO~GE: /~.fl P~G USE O~Y: ~ROV~: P~ p~ ~: No~: BL~.~ ~ H~t: S~: ~g: D~. Site Pi~ ~d Use Ap~o~ ~ D~ ESPied(s): = Y~ = No SEPA ~ ~r~? ~ Y~ ~ No ~: O~~ P~CA~ON S~TT~: Y~u~ ~lica~on ~ site ~1~ ~ 6efl~d o~ c~m~te~ B~l~g ~on c~ pro~dc ~u ~ m~c d~l~ i~on on ~e ~li~fion ~d pl~ ~ B~D~G P~ ~CA~ON S~'I'I'~: Y~ ~l~ ~ ~pl~ (for ~s) ~d pl~s ~e ~ ~ ~tt~ to &c ~ng ~sion. V~UA~ON OF CONS~UC~ON: ~ ~ ~ a v~ ~t m~t ~ mt~ ~ &e ~p~c~t. ~is ~d ~r~ ~c~l~g ~v. m ~mply~ ~mt ~ ~c P~t ~ator ~ 417~15 for ~s~cc. P~ C~K ~: Y~ pl~ ~ ~ is duc ~ ~c time ~c ~l~g p~t ~ii~on ~d ~ns~ction pl~ ~c ~b~. All o~ ~t f~ ~c ~c at ~e ~me ofp~it is~cc ~ON OF P~ ~W: ffno p~t is i~ ~in 180 d~ys of~e ~e of ~pli~on, ~is nppli~on ~H ~ire ~ ~. ~e ~g ~ ~ ~md ~e ~mc f~ ~fion ~ ~e ~pSc~t ~ to 1~0 ~y~ on ~m r~u~ ~ ~c ~li~t (s~ S~ion 107.4 of~e Unifo~ B~l~g C~ ~mt ~on). No ~ii~i~ ~ ~ ~tmd~ more ~ onc~ I he,by cemfy t~t 1 ~ve ~ead ~nd ~ined th~ ~p~c~on ~nd ~o~ the same t~ be ~e ~ co~ect, ~I ~ ~utho~d t~ a~ly fo~ this ~e~iC I u~e~ta~ it is ~t the ~'s legal ~s~o~tli~ t~ ~em~ne ~hat pe~ts ~re ~quired; it applica~'~ ~esp~n~btl~ to dete~i~ wh~t pe~its a~e requieed ~nd to ~btain suc~ g/t / t FOR OFFICIAL USE ONLY: Building/UtilitY/Electric/Fire Permit Application ~'* ~: Hease flH out completely. Ty~e or print in ink. If you have questions rr~Avvt CompJ~: · please call (360) 417-4815 or Fax: (360) 417-4711 Le~er of CompletLmas~ e-malh www. ci.port-lmgeles.wa.us Bldg~ Permit Appl: Applicamt and/or Agent:. Phone: Owner: Phon~ Address: City:. Zip:. Archit ect/~gine~/Designer:. Phone: Conlractor:. Licmse #: Ex'p; Phone: Address:. City:.. Zip:. PROJECT ADDRESS:: ZONING. LEGAL DF~CRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBLY: C[edit Card Holder Name: Billln~ Address:. City: ~ Zip: Credit Card # Exp. Date: VISA MC TYPE OF WORK: SIZFJVALUATION: ~ Residan~ial El New Constr. r~ Rcsuof [] Stove/Insert SF. (~ $ /SF. = $ CI Multi-family E1 Addition [] Move ~ Garage SF. (~ $ /SF. = $ r~ Comme~ial ~2 Remodel El Demolition ~ Deck SF. ~ $ /SF. = $ [] Elech-ical [] LP-gas o Sign [] UST TOTAL VALUATION $ BRIEF DF$CRIPTION OF THI~ PRO,lit, CT: COMMERC~I~ENTIAL: Occupancy Group:. Occupant Load: Con,stmcfion Type: No. of Stories: __ Lot Siz~ % Lot Cov~'age: % Existing Lot Cov~age: /sq. ft. + Proposed Lot Coverage.' /sq. fl. = TOTAL LOT COVERAGE: lsq.fl PLANNING USE ONLY: APPROVALS: PLAN.__ P~rmits Required: Notes: BLDG, Max. Height: Setbacks: Zoning: DPW Site Plan and Use Approved by:. Date:. FIRE ESA/Wedand(s): r~ Yes El No SEPAChccklistrequired?El yesr~ No Oth~: OTHER PRE-APPLICATION SUBblITTAL: Your applicution and siteplon mu~t be filled out complete~ to be accepted for re~ie~. The Build'rog Division can provide you with more dc~ailcd information on thc application and plan submittal rcquircmcms. BUILDING PERMIT APPLICATION SUB1VI[i-rAL: Your completed applicati~ site plan (fur additions) and building construction plans are to be submitted to the Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amo~mt must be tutored by the applicant. This figure will be reviewed andmaybcrevisedbydicBuildingDiv, to comply with currant fccschcdulca Contact the Pcrmit Coordinator at 417-4515 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All oth~ permit fccs ore due at the time of permit issuance~ EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can eatand the time for action by the applicant up to 1 $0 days, on writtan request by the applicant (see Section 107.4 of the Uniform Building Code, currant edition). No application can be cxtanded more than once. ! hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permiL · understand it is not the C~ty's legol responsibility to determine whet permits are required; it remains the app~cant's responsibility to determine what permits are required end to obtain such. PW-1102 13lrot.6/O0] Applicant: Date: PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review Project Name: Olympic Youth Center Address: 535 E 1st Installer: Guardian Security Systems Telephone: 779-5453 Type of System: Addressable R-3 [] R-1 [] Corn [] Date: March 19, 2001 Permit #00-02 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: 1. Provide smoke detection in all bathrooms. 2. Replace the heat detectors in the "kitchen" with smoke detectors. 3. Provide a manual pull station at the south exit (door by the foot of the stairs). 4. Provide a horn/strobe device in EACH of the music listening rooms. Additionally: 5 The system shall be installed as prescribed in applicable NFPA 72. 6. A final field acceptance test shall be conducted to ensure compliance with applicable codes before final approval is given. 3. Fire alarm wiring to be done in accordance with PAMC and Washington Administrative Code. 4, An installation inspection and acceptance testing fee will be invoiced after final testing is completed. The fee for this project is $170.00 which includes $50.00 for plan review. [] Contractor Reviewed By [] Building Department [] Light Department [] Fire Copy Date 3' I~l - FP-6 Pagel of 1 GUARDIAN SECURITY SYSTEMS, INC. P.O, Box 2037 * Poulsbo, WA 98370 Ofc: 360-779-5453 · Fax: 360-697-5888 Port Angeles Fire Marshall Port Angeles, WA 98362 March 14, 2001 Dear Fire Marshall, The following submittal is for a fire alarm system at Olympic Youth Center on Is' Ave in Port Angeles. Please find encl6'~s~l-lhe submittal package including: a) List of Protection b) Wiring diagram c) Symbol Legend d) Battery Calculations e) Cut sheets f) Plans for locations If you have any questions please feel free to call me at (360) 779-5453. Submitted by: Jeff Judy "Dedicated to savin$ lives and protectin$ properO4.'  Olympic Alarm Systems wor~ O~d~r # Oft: 360-779-5453 Fa.x: 360-697-5~ Ao~t. # ~U~ ~: ~ ~ ZO37 C.~. ~ ~O. · SCHEDULE OF PROTECTION ~o~h Olympic Youth Cente~ ~st~ll- Fire Alarm System 1- Fire Alnrm Control Panel 1- Annunciator 1- ~xternal ~or~ Strobe ~ Strobes 1- Board Room 4- ~ach bathroom in main buU~ng 9- Pull Stations 3- 2nd floor ~ 1~ floor 13- Heat Det~tors 2- 2nd floor 7- 1" floor ~ Basement ]8- Horn/Strobes ~ 2~d floor 13- 1~ floor 5~ Smoke Detecto~ ]6- 2nd floor 3~ 1'~ floor Purcbas~ $13, 849/ $28 mo. for fire · Securi~ Alarm included (except monitoring) '1 yr. War~n~ · Based on Fire ~a~haU approval · Lift not included if r~uir~ ~d~lX TE~PHONE IN~RFACE (ClACK(S) TO BE INST~ ~ ~0 ~ TELEPHONE COMPLY OOMPANY APPROVED: CIl~t a~no~edg~ a copy of the SCHEDU~ OF PROTE~ION. DATE: P~E SIGN AND RETURN WHITE COPIES ~ ~ ~ ~ ~ bi~ing ~ ~mp~ u~ ~ ~ w~ by ~ WITH DEPOSIT CHECK FOR $ of ~m~y s~l ~ ~ re~ ~ subsc~t ~ ~u~ ~t h~ ~en ~d m TH~K YOU lGUARDIAN SECURITY SYSTEMS, INC. P.O, Box 2037 · Poulsbo, WA 98370 Ofc: 360-779-5453 · Fax: 360-697-5888 - 14~ / ~Dedlcated to savin$ lives and protecfln$ proper~." GUARDIAN SECURITY SYSTERaS, INC. P.O. Box 2037 · Poulsbo, WA 98370 Oft: 360-779.5453 · Fax: 360-697-5888 "Dedicated to saving lives and protecting proper~z" C-,,,.,. Totnl Current DevOe ~/pe ~ ~ ~e~. (~) ("~) SD~ [ ] X 0,~ - M3~ [ ] X 0.~ - M3O~ BO- tO~ ~ [ ] X O~ - ACM-SRF [ A~-3~X [ ] A~-3~ A~-I6A~ [ ~-32F ~ Su~sl~ R~lsy [ ] X [ ] ~imum ~w X 0.2~ 0.2 S~by ~ ~ui~ S~dby ~ in Eoun Cu~nt (~ps) X (~ or ~ Ho~) = /~, AI~ ~ad Cu~nt (amps) R~UJ~ [ ] Add S~dby ~d AI~ ~d for R~ui~ Am~m Ho~ B~ = MuldpIy by PORT ANGELES FIRE DEPARTMENT Fire Alarm System Plan Review Project Name: Olympic Youth Center Address: 535 E 1st Installer: Guardian Security Systems Telephone: 779-5453 Type of System: Addressable R-3 [] R-1 [] Com [] Date: March 19, 2001 Permit #00-02 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: 1. Provide smoke detection in all bathrooms. 2. Replace the heat detectors in the "kitchen" with smoke detectors. 3. Provide a manual pull station at the south exit (door by the foot of the stairs). 4. Provide a horn/strobe device in EACH of the music listening rooms. Additionally: 5. The system shall be installed as prescribed in applicable NFPA 72. 6. A final field acceptance test shall be conducted to ensure compliance with applicable codes before final approval is given. 3. Fire alarm wiring to be done in accordance with PAMC and Washington Administrative Code. 4. An installation inspection and acceptance testing fee will be invoiced after final testing is completed. The fee for this project is $170.00 which includes $50.00 for plan review. ~] Contractor Reviewed By ~] Building Department ~] Light Department ~] Fire Copy Date FP-6 Pagel of I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEll, 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 ACCEPrED COMMENTS YFS NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (UGIIT DEn) ROUGH-IN I PLUMBING T UNDER FLOOR / SLAB ROUGH-IN WA1ER liNE BACK FLOW / WA1ER AIR SEAL WAlLS CEIliNG I FRAMING JOISTS / GIRDERS SHEAR WAll. WALLS / ROOF / CEIliNG DRywAll. T-BAR INSULATION SLAB WAll. / FLOOR / CEIliNG I I MECHANICAL ClllMNEY WooDSTOVE / PEllET DUCTS PW 1.JTJLlTIFS / SITE WORK lEn8ineering Division) WA 1ERUNE / MElER SEWER CONNECTION SANITARY STORM SITE DRAINAGE / EROSION CONTROL PARKING OTIIER FINAL INSPECTIONS REQUIRID PIlIOR TO OCCUPANCYIUSE RESIDENI1AL DATE YFS NO COMMDl.CIAL DATE I ACCEPTED YFS NO ELECnuCAL - UGlIT DEPT. 417-4746 ELECnuCAL UGIIT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE (MULTI-FAM. ONLY) 417-4654 FIRE DEPT. BUILDING 417-4815 BUILDING GENERAL COMMENTS: PW.II02.I~ [4/96) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: ll_ \ l\-t.' Time Date Received by (phone, person) Location of Work to be inspected ...."J;.J 0' I. (. '5 3 5' E- I s1- ~:::s:f :fe~:::::~~::::t~ni;:~:::~t~on Pllh \ ~ l?~ {)><:hone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~ INSPECTION NOTES: Inspected: Date Time Remarks: C-U +- vt"yt d ~ )-e V U I ~ --e j2VdYV\. l- -€c\_k By J C. C"-~ D / (';1 UJt 0~ ~ S3)' ;;1 5 + lj(.J-f:.... +(") RESTORATION REQUIRED . . . . . . JX'} j), \. , L L . f' <>,\6' \" l\ J\ <. 0- b ~V ~ // YES 1/ NO 1 ;\it, -~ ~r ~ t_ J'5~ :> \. r;.:. Pv & {ran +- ? ~ ( ,A t-Lf '! ) 7} 5}, SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Repaired by City [] Repaired by Permittee [] No Damage Found ~It 0 PCC, ~ Other Work Order # ~ o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) LIty 01 IJort Angeles Pu blic '" orks Departnlent H- t-~ * 3D ~ Co '" ater Distribution Repair H.eport IWork Order No: 3D b~ fCrew: 7/Cf DATE REPORTED: .. LI-IQ- 0/ E1v1ERGENCY 0 ROUTINE 0 CITIZEN COMPLAINT / LEAKAGE SURVEY 0 OTHER 0 [1-- / (1- 03 TIME: CONDITION: REPAIR LOCATION: ADDRESS: IJ (( TYPE OF MAIN: a!:::" / ~A.M. DP.M. ~3S- -F 15+ SIZE: )--f? JrU, 2' --c. DATE OF REPAIR: DEPTH OF MAIN: CLOSEST VALVE DEPTH: COMPONENT REPAIRED: MAIN: JOINT 0 CIR. BREAK 0 SPLIT BELL. 0 / :tNG BREAK 0 I HOLE 0 CLA1vlP 0 OTHER o. u A) ,} 5 ~ c: SERVICE: TAP 0 CORP. STOP 0 PIPE t:;,/ CURB STOP 0 FIITING 0 1v1ETER SETTER 0 METER 0 /) PfV,2 C LINE VALVE: FLANGE NUTS/BOLTS 0 STEM 0 BONNET 0 HYDRANT: BRANCH 0 VALVE 0 BARREL 0 OTHER: COMPONENTS OF REPAIR: CLAMPO DRESSERO OTHER I Y,/ p/UJ- SITE CONDITION: GRAVEL 0 ASPHALT 0 SIDEWALK 0 CURB 0 TOP SOn.. AREA 0 SOn.. TYPE CUTS: ASPHALT CUT _FT. CURB CUT _FT. SIDEWALK _FT. DRIVEWAY CUT _FT. MAIN CONDITION: INTERNAL LINING TUBERCULATION-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE 0 CHLORlNE RESIDUAL SAMPLE I 2-1 P.P.M. WATER OFF: FROM /,30 M. TO 9" /6 M. / 8u lIef ((1 four- Lif r e rrJ/1 Z,-< FROM M. TO M. APPARENT C1SE OF LEAK: :r ~ " f J- eel k 5 ("l ; A. , XI I ~hl ;' 5 yPJrOfJ-P v 4(1)AJ A.J-e v 7 ~ -e -0 /V' s ,b) /.." .-_ ___ __~_.__~ ---...---L-... ~ _ __~_______ _____ ______ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . REQUEST: Date ? ,.. } I - ? 7' Time (phone, person) Location of Work to be inspected 5 3> r:;- Name of person requesting inspection )1 p r t:. c- Address of person requesting inspection I 7 ~ i- 5 Type of Inspection (circle appropriate one): Sewer Foundation Framing / Received by P Il r ( € /,,0 I J'f I f I.- l'-Hi 1 ; e <; 7?~5T ) " Phone No. Permit No. 1't~ ~ \f\ tit ~ ~ Chimney Plumbing Final Sewer Excav. Other P tv ,;l tiC 5- INSPECTION NOTES: q ":"J.. )- 9 , Inspected: Date Remarks: Time I (I .: Jp t? /"1 By ;(~tf/ 2il SPI1SUS c... ~7:3 (-:J (J F i6,f?ZIS1 \j", I 1, ._-__1 ~ I~ I -+ "" '. RESTORATION REQUIRED . . J'€f( IF/(../? j-I"~(C -v~ -- l__ \~ ALdEI<T J-L f SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Repaired by City [] Repaired by Permittee D No Damage Found NEEp /f' TlJ 13 C (Continue on reverse side if necessa ) YES / NO r>. 17 ~ r r ~ -(' .'" Eii I< "\ ~ ~ "<.. -...( z~ I X . ;;, '1:. <,:. ~..... ~ ~ I 1';>1 - - - 0 []}ASphalt 0 pcc 0 Other Wo~der # ) Y <f r- lJ%'COMPLETE1:> vV 'I \ CO \ qc; [g'INCOMPLETE 'fr-e -e ~ ./- ~ STREET SUPERINTENDENT oS ~~~ AGREEMENT TO REMOVE ENCROACHMENT within PUBLIC RIGHT-OF-WAY WHEREAS: We, the undersigned owners in fee simple of the following described property: 6315 E, Rrs+ ~freet-) COMWlOlI.ILf kl1o~)v) 4..5 II ~~ie5 II do hereby acknowledge that private improvements have been or will be constructed in the next the adjoining public street or roadway described as days by us within NOW, THEREFORE: We do hereby agree that said encroaching private improvements including, but not limited to,_ and associated appurtenances shall be expeditiously demolished, removed, modified, rebuilt or restored at the undersigned owner's expense within sixty (60) days of receipt of written notice from the City Engineer with work to be' done in accordance with the requirements and conditions deemed necessary by the City Engineer or his designee at such time as the City finds that it is necessary to modify the use thereof. If the required work is not done in a timely fashion and/or if the work does not meet the requirements and conditions set forth, the City is authorized to have the work done and the cost thereof including reasonable overhead and attorneys fees shall become a civil debt of the property owners and shall be a lien against the property. We do also hereby agree that the City Engineer may, without notice, remove the private improvements as necessary to repair utilities or other public facilities and that the City has no obligation to reconstruct or replace such private improvements. The property owners agree to indemnify, hold harmless and defend the City, its employees, agents and assigns from and against all claims or lawsuits as alleging injury or damage to persons or property as a result of the construction and location of the private improvements as provided herein. It is agreed that this agreement shall run with the land and shaJl be binding on the undersigned owners, their heirs, devisees, successors and assigns and all owners now or hereafter of the land described ahov DATED this& day Of~, l~. ST A TB OF WASHINGTON ) ) ... COUNTY OF CLALLAM ) On thi. date, before me the undenigned Notary Public in and for the Slate ofWuhington, penonally appeared ~/~1/1 G-r4.H.4 aJf<,c0 10 me known 10 be the individual. who execuled the foregoing Agreemenl to Remove Encroachmenl within Public Righl-of-Way and acknowledged 10 me thaI they signed the lime for the uaes and conlenla therein menlioned. DATEDthi..23~daYOf ~ t~~q. ~"\\"" lI1';;,'A ". ~ \-EftS,.... ~~ ~ ..Q .. ~ ~ .. ~ fit 01'AIt ~ ~ ::: + ~ ~ 141-- z:: ::~ 0$ ~ ~ ~U8\.\O "i ) ... ~ .,.~ ~0 ~ COUNTY OF CLALLAM) % ~ 0... t!!.,~'" ~ "//, ,.. W,,~ ~ '1//,,,,, \\\\\'\ t ! f T I On this date, before me the undenigned NotaryWJW In and for the Slate of Walhington, penonally appeared' 0 I e ~o ~ '-'IS 0 J-1 10 me known 10 be the individuals who execuled the foregoing Agreemenllo Remove Encro.chmenl within Public Righl-of-Way and acknowledged 10 me thaI they sianed the lime for the uaes and conlenlltherein menlioned. DATED thl. !).J-iy of CJor Washington, re.idillJ al U::> . My conunis.ion expires:7.:U~.;70tl.;L J/j &fS ;)e STATE OF WASHINGTON PW~.IlI (1219:1) ~ .1~"I11""",,, /J /J ~ ~" ~ LEP8/ ~~ ~ ~ ,..Q...... Jf-~~~ NOTARY PUB C for Washington, ~ / OTAIt~ ~ sldillJ al a.-.~ ' == ! ~ :My conuni.sion expire.: 7-d.-7-.)..O-c;L ~ en i 7-27-2002 z:: . % ~~\ ,oU8\.\0 E i .:::, ,,\. ,- s '/. ~ '-.. .3.."" ~ ~ 0 - .~ * ~"'/I/, P WAS ~\\~ 11111111 lilt \\ \\\'1. ] ] - (I:, - (11 04: 35?M : ~OM MO B I L E MU S I CNt. V_._.__._1.Q-.Y~L~.lL"_''''''''i''''''''''''''''I......".,.,.P,.9g I,:'~.~I,~:~,2. ""'"'' " ,., ~~rG~~\W~~ SEP oJ 7 2004 ) 0- 5-200 J To whom it may concern; Nurth Olympic Youth Center has contacted us, and explained their plans for dances for teenagers at the facility at 535 East First Street. It has been explained that some teens may wunt to park in our parking lot after we are dosed. I have no problem with this, and as long as there are no problems, they have my perm~ssjon to park here. John Munso, owner '.':.., Mobile Music Unlimited 1420 Roosevelt, See 112 Mount Vernon. WA 98173 Phone 360.770-9998 Fax 360.416.8285 \ I r f I. t: t" i PORT ANGELES FIRE DEPARTMENT HOOD & DUCT FIRE SUPPRESSION SYSTEM PLAN REVIEW Project Name: Tempest Address: 535 E 1 st HID Installer: Telephone: System Installer: Lisenbury Telephone: 452-1143 Permit #04-02 We have checked this plan and find that it conforms to the requirements of our ordinance with the following exceptions: 1. The addition of any other cooking appliances under the hood will require the addition of more nozzles. Additionally: 1. A hood and duct plan or diagram in conformance with NFP A #96 shall be submitted to the Fire Department. 2~ - If plans -have nof previously -beeri- submitted to -an insurance r'atirig 6rgariization~'i~e.,- Washington Surveying and Rating Bureau, Factory Mutual, this Department strongly recommends such submittal to seek the most favorable insurance rate from the carrier. 3. A fire suppression system diagram in conformance with D.L., Inc. 4. Before final acceptance of the system, an inspection will be conducted by the Port Angeles Fire Department to ensure system comply with NFP A #96, UMC Chapter 20, UFC Article 10. D System Installer ~ Building Department Reviewed by _~.~ D Fire Department Date 2.\~.fb<'{ FP - 12 Page 1 of 1 --r-- I I I ~I [ I I I I J_ \ i \ I \ \ j ! } ~ ~I I 1) ,;1 '\ 1 ,\ \Jj 1) 1 i i\] j' ~ ; I ( j.. \ \ ~ < ~ki~~ ~l1~~ \l ' 1 '4i l\41 l~~~ N' ~ .\n1, ~ l~ ~ ~j ~\,' ! \..J ~),', . \J) ''V, ~\ rr-;,' ~,',' ''^: '-41 ,. r :.\:). ""} r---i \Ji, ~1~ I --- :> w ;;- r- Z o r e!- lL. ~'~'"'''''''''''''-'''''~-';'''' , . 1- -.0 \\0 ~ ~ '0 ~ ;... io.. ..... l:) q <:> ::r. ,. \7 .~._. ..._--;:::- I t 1- ,/ il ;/ ~:..-- Ii ~(\I <:1'1 I ! -~ 119:t: ~ lr:T it ~ - ~ "'~) ~ ~ . -< "" I ~...:) ~ I - I ,j l.- it ~~ ...1 -\1'" ~ .., / -b ~'" ~ '~ ~~~ Vl -J<::il ...... ~ 5..~ / / ~~ Q J.:/ /~ t ~ o ~53 a~ ~Cf)' '\) > ~ ,~~ 0 ~ ,," ~ ~ ~ -.... C) ,... :l... Z ~ -- ,_ "0 _ '_' "", ~ SPc-- Z ,-4 -< ~~ I ~o I ~ Pol I ~I aLii. ii'S ~ / / / i ! .... .. ~$ ~ t. ' ~.,J ~ - - / C> Z lJ...1 ~ ~ N~~' .~ \C ~ ~ ~~~eg~ !:)~ cs-~ ~~~\!iOi !:U~t::>-~~ \;: I:: \.. 9C ~-.s~ l::l gg ::.-. ~ ~ ~ '-=- \;: . I::i:-. ";f "'"I ;::t fi2 1::""'"1 ~ ~__~'";'l!:U ~ ". ~'\ ~ 8; '.:3 ~ ~ N ~ e:i ~@ ~ ~" ~ \ ~ 4 ~. I~ l~ ~ ~ I! ~l ! 'ii !~ ~i \ ~ l~ \sf i ~ 1'" \,(i \ i 14l ' ; i, \~ l~ '"'1, )~" i' " I ! 1 " lr !~ ~" {~ j~. j N: 1, S lN' ,.!,,','~" i ~ I~J ';~ ~i,i j ~ ] ~! ~ tj r :~~ t:l ~ \\' \! ~ ~~' )~ j ; } ~l i~ !~ 1~1 i.~ ~ t';1 (~ I~ ,:\ Wet Chemical Instruction Manual AD-2 Designing for Plenum Protection A singleADP nozzle (P/N B120011) will protect a single filter or 'V" filter bank plenum with the follow- ingmaximum dimensions: Plenum Length Plenum Width 10 Feet {3.0 mJ 4 Feet (1.2 mJ When no filters are present. the nozzle protecting the plenum is used to discharge the wet chemical on the underside of the hood. In this case, the hood may not exceed a length of 10 ft. (3.0 m) or a width of 4 ft. (1.2 m). A plenum with either a single filter bank or "V" filter bank and a length of 10 ft. (3.0 m) or less may be protected by one ADP nozzle. The nozzle shall be LisenbUt'!} !fire Protection 470 9vfonroe 1(a. Port !lLngefesJ W.9l. 98362 (360) 452-1143 or (360) 683-5132 To[[!Free1 (888)91o-!FI~ located at one end of the plenum. ,Longer glen.ums-may . be-similady-pr~tect,.,rl with a sinl!;le ADP nozzle being used for each 10 ft. (3.0 m) of plenum length and each 4 ft. (1.2 m) of plenum width. ADP nozzles may be used in combinations (see FigureAD-2). Multiples may be installed facing in the same direction. and/or at the ends of the plenum pointing in. Each nozzle shall provide a maximum of 10 feet of coverage. ADP nozzles must be centrally located in the plenum with their discharge directed along the length of the plenum and located in relation to the filters as shown in FigureAD-2. Note: All Range Guard systems are listed by UL for use with the exhaust fan either on or off when the system is discharged. 4 FT. (1.2 M) PLENUM WIDTH NOZZLE LOCATED AT EITHER END OF PLENUM LENGTH AIMED DOWN' LENGTH OF PLENUM ~20 F,EET1 \ 10 \ 10 \ p. <l ACCEPTABLE NOZZLE POSmONS FOR MULTIPLE NOZZLES aj. Hl_ T H i "V" FILTER BANK COVERAGE ADP NOZZLE 1 FLOW NUMBER - . 113 wi. I I 1- T" ~. . H ~~'I> _..:f j+-W~ SINGLE BANK FILTER COVERAGE r !rnative Method: Ducts 0 to 75 inches lerimeter wo ADP nozzles can be used in ducts with a meter of 0 up to 75 inches (155.1 to 190.5 em). ratio of the longest to shortest perimeter sides 11 not exceed 3 to 1. )ne of these nozzles 1s pointed into the duct ltheother1~inte~ - The tip of the upper nozzle, of the pair of nozzles uired for each duct, shall be positioned in the Iter of the duct opening and above the plane of the ld-duct opening between 1" (2.5 em) and 24" (51 ). The duct length is unlimited. (See Figure AD-7). NOTE: WHEN A DAMPER IS PRESEN I AI I nr:; n""""~ DUCT OPENING THE DUCT NOZZLES ARETO BE LOCATED ABOVE THE DAMPER AND SHOULD NOT INTERFERE WITH THE OPERA- TION OF THE DAMPER. Note: AU Range Guard systems are listed by UL for use with the exhausl fan either on or off when the system is discharged. DUCT f 24" MAX, 1"MIN,+ HOOD Figure AD-7. Optional Duct Nozzle Placement December, 1997 AD1-9 3-21 Nozzle Summary Table 3-2. Nozzle Summary Perimeter Diameter Nozzle I Hazard Max. Max. Length Flow No. ~c1 b 50 (165.1 em) 15.91 (39 em) . UnlimIted. ADP /1 OO~r2S4cm .. 0' ~~1~',2318\\{6m~rc:m1~UnUmltea;r;V;;t~iL::2':'~bP7i:i::: , . . "" Length Width Nozzle / Hazard Max. Max. Filters Flow No. Plenum -------. 10 (3.0 m) 4 (1.2 m) V Bank or Single ADP /1 Hazard Size Nozzle Height Notes Nozzle! Hazard Inches/em Inches/em Inches/em Flow Four-BumerRange 28 X 28 (71 x 71) 201042(5210107) Wllhln 9 (23) rad. ~,~_.__.w,^._~~~~~~.__~._____,,_..,,~_O:~i~y_~i~~_.,,"_o<....._~L~.C?.b." ..~.. 2Xaa(1 OTx76)~1~l1DCyi1atCl48,(~.tq1~mj!t{;if!)ii3<r:~LC?!f~}j&S:t~i:&t~!~~.~~Ji~,~.;:::.~I;fkf,:., 18X18(46x46) 271045(69\0114) 45"1090" F/2 :3.(L211q:~?t(f.~f'~~ET~~:r3BI~i~~~E~;;t4~i~~f; 27(69)1045(117) 45"t090" FI2 JI41[@'.~I(~~)1!:l1]li~~H~~!~~1l~~~Qe[tt]JG10k~@!l~ wilhin 2 (5) 3 \08 (8 \0 20) Deep 35 to 56 (8910 142) 01 mid point. GRW /1 :~~K3,5JflF8~0~'~"~}ii~~~f~i,~'['€&~&~Efi}Ipi1]1~)~!:~I€~T~ij)e~:~~~i~N10fi;!;' 28X29 (71 x 74) 8ee3-12 8ee3-12 AOP/1 ,~~~.~;J?;;1L c', ,^,,2:!%[~NR~~~!~Q~J11I~~j~1tt5 22 X 23 (56 x 58) 24 (61)t048 (122) 45" to 90"; 2 Layers 01 rock F/2 .~ ~l'g3()k1Q~~Ufface:t&~. Single Vat Deep Fat Fryer (Drip Boards 1 to 6 [2.5 t018]) Sffigle}\faf :;'.....N_..~.......; Split Vat Deep Fal Fryer S;SilNarOeep~FafFriiefl ~L~-.-~-l~ Woks Qii~~g!i~~T~YfSaJ~'" Closed Top Chain Broilers Q~ilI2P=~li8i Pumice Rock (Lava, Ceramic) Charbroiler Electric Charbroiler (Open Grid) ~~'"'''''''''"'''''''''M'~'''''''_''' Mesquile Charbroi\er (Chips. Wood. Logs) 24 X 21 (61 x 53) 24 (61) 1048 (122) 45" to 90" GRW / 1 ";:,,,_,~L.Rl:~:~I~mlll!~jl~!I~I)I~I!t.Mi~ir~!E:r~~q~~I~I~fif;@BY.i}}~~~B1~~ 30X24 (76x61) 24(61)1048(122) 450 to 90"; 10 (25) Fuel depth OM / 3 Tilt 8killet and Braising Pan 24 x24 (61 x 61) 27.5 in (70 cm) 10 46 in (117 cm) wilhin perimeler F/2 Nozzle Nozzle Part Identification No. Flow No. ADP (Appliance-Duet-Plenum) w;;TE'-'("~ ;:,~.:~;~': ;- r: ~-2,...'_:,,, GRW (Gas Radiant-Wok) ,JJ}'9.. OM (Mesquite) 1 B12oo15 3 U.L.1. Ex 2458 3-21 Manual Part No. 9127100 (9/97) Badger Fire Protection ~r..;.:.,'_::---':'::':-::=;":~:::C~=:" .'-- lt1, ~Jt' ~J ~ ~.,': ~l. J\:, ~ ~. ., 'I ~i ~:$' :~{ . II~:. r~, br, Ilil' j . If: ~ ~~\ ' ii,r', \'1111;' lMf tlf!~..: ~\'('" lH+ "<il~i" :Di1jl.:[ 'tl't'~ih :.Ul:f!p' il.tqt ,g:r~ if ~'~lll~! · . :',.rh, ::ll:.;j!ri ~1 ~ tr I:~ 21.,' .1. ~ l' i !~ ~ I: .~ 1\ "1" .1' :, 'iit1li ~~llll ~!ij\rl~ ii~i'.1 ,i.~ I :11:;q:,: { :I!~l"~ ~. ,: ;!! ~. b 1'1 ~ [ij1~1 I 'iJI ~:!l rl ',.,(ll':: I ~~!t .j.. I,. ,-:' i;\ I ~ I ~:Iili I::i liS '\I )'1 ;~i , I" ~lli: ,JIlt RANCE GUARD The Wet Chemical Fire Suppression Syste 3-22 Cylinder Sizing After rmding how many nozzles of each type are required for a system. the sum of all the nozzle flow numben used to determine the number and size of the cylinders required. in accordance with the cylinder flow number limits given below. Table 3-3. Cylinder Flow Number Limits Maximum Flow Numbers of Cylinders Cylinder Flow Number RG-1.25G(4.7L) 4 Single cy.linder Only (Cannot Manifold) RG-4GT or RG-4GS (15 L)(Long or Short 1 cylinder 2 Cylinders 3 Cylinders 4 cylinders 1;~"" 12 24 Can Manifold * 36 Up to 4 cylinders 48 .Only like cylinders can be manifolded (ie, four RG-4GS, two RG-6G.) The system can be actuated through various controls. in accordance with Table 3-4. To actuate a single cyllI system. use either the Mechanical or Electric Control Head or the A+ Control Box with pressure operated act\ To actuate two or three cylinders, use either one or two Tandem Control Heads and a Mechanical or Electric Control Head or the A+ Control Box with 1-3 Pressure Operated Actuatorls). To actuate from 1 to 5 cylinders A+ Control Box with Pressure Operated Actuator{s) must be used. For applications requiring 5-10 cylinders 1 BMCS-1 nitrogen releasing system is recommended. Larger systems. 10-100 cylinders, the BMCS-7 nitrogen releasing system is the recommended means of cylinder actuation. For complete details of the BMCS-I and B: 7 systems. refer to each respective manuals, PIN B900002 and PIN B9000003. Table 3-4. Actuation Controls Mechanical or Electric Tandem A+ Control System Size Control Head Control Head Box BMC5-1 BMC! 1 Cylinder ,/ ,/ 2 Cylinders ,/. ,/ "'... 3 Cylinders ,/.. ,/ ,/... 4 Cylinders ,/** ,/ ,/**. 5 Cylinders ,/** ,/ ,/... 5~1 0 Cylinders ,/.. ,/**. 10+ Cylinders ,/** '/.** ,/' . Requires both a mechanical or electric control head and tandem control head .. Requires a mechanical or electric control head and multiple tandem control heads ...ou",c .,...ri..", rAnllirAS a mechnical or electric control head to actuate. ~ ~~ .... !;: e )If 8 ..., lSt!Fo~ A. "-t ) C~J O~L- cy O~l- {.~e ~~ At-.\ 0 f-l ,:.. N r't) rT ~-l,QI. ~~ ~ ~~ 'i-o ~l" '.:'t. \ ' r .&u N I ~. ~o\[l .' << c<<...(. J ~ h {l~ ..1:,. ;:l l>c ... )II 8 ..., "', ~l ~ f' . 6~~ ~ . lJ\ ~ N t.1 )( :i N ~ t1 Q '"' Q N . M '"' Q ~y Vb~. ,,",- ::.~ CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based ~o'n"ti1~srplani. S\i'&fl2. e. r cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. ~lanl8N aB3(v}~nrl~1 Zoo':b Approval Date 12.. '2.. 0 By..tl L.L - . ~ ~ ~ ~ r e ~ ~ ~ r+ '" ... - .... ~ ~ ~ ~ ~ ~ . - -.... ,.. " ... r+ . . /oJ )( :0: :;:~ S ~ .... ... '" ~5 :::~ ...~ I:ll ~ ~ - " ~ ~.~ ~ "\ ...r=oa:tll ~~3c;'l~ Vl "'l s: ' ~~Q~R' :::(} .1)8: 3 ~ ::~ :A) ~;:l 0- ~ ~ <P~ a: .. ~ ::! ~ .. )Il ..., .. 0 ... '" ..: 1"1 j b '"' 0 ~ s: " ... '" ~ "l .... t, ~ ~ :t:6L ~ '''1'' :1 r '" ~ ~-1 ... "" ... '"' o r. ": (/) H CT1 CT1 8 ~ z CT1 Cl (/) H F'.:. e 112)';' dl:.A!."~ ~ lP:!l':~lIJ ~~.;} ~,.~."" ~ F\ ~ ~ ~ ~ "'1 t-I o o ~ Itl t-I .' ~ ::::, r- Cb RJ ~ -! '^ 'i >.:. ('I (b ..... I L.\~ '\:~ ~,~ ~q-- ~~ l'. ;:.. "\ \t' , ~ 1'- 1\~ ~ ~ ~, I;) _ ~ \"'~t ~ ~ ~ ~ ~ "" ~ ~~ ~~ 't ..3' l' \ ~ 'B\~ ~ -1 o T r ~ a".. _ ...- -=- /- -+ 3~ ---'..9 JI}; ? \J .., - ~~ ~ .j' ~\(' 91 I.J ~';{ ~i' 0.,. $ I ~ ~rz;' \ \ l.:! H.d.ll 8 ~ F(our ~ ...f ocxr~l.j -fl ~!~ ~.!- 'T\~e -0 Q.. "!~ / :--T - 0- j 1f 1 ~ f:!.... _ f c;.tIJJ t- t / COve(" u..:> Db ~ ~ lcoG'" ~ LVI ---\\ \. e. or C C<t- Q e..-\ ~o...,-,^- -\- V\.~~-'2..~ C:U-e.~S L. j :J !) -'f G1J.. ../' .5 .....- ~ 01\( ~ j :J ---" ()l\J :3 ~J' t7 ~ -' !., *- 0 J'l 'J ,.. ....; '..,., lJ.. \}J ~ SL.(..\ o..~-e ~V\.~ C -.::> \)e r 0.... --\ ') c;> r Qv'\ u.)Q \. \... ~" ~ ~ $\.--. e e.t foc.....V, :;)...;.... l.. ~ u.e r--\ \ 'D I, ~ :t 7<.. ~ cc..~" ~ ~ 'i I, C> F F 'S~ t" I' "" , Que...- ~ ~O<<)I ~ VB ?l '-\ ;(... g Ti, Rl }J C 3~'- \jJ I fA BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:2 -- rz...-6L{ Permit #: cg - 1,7?l.f Date Approved: 7- ~/3-oL{ Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Applicant or Agent: .L:~- )'C".h~----/ 0', G -- / / Owner: ,/e~,P~ r.t- C.p/<1'/"--- Address: <5"" f'.5 ~ J. .r/ .J/ City: /10 tc I. VA Phone: . L;L )' 7 - //'-/J Lr'.r 2- 2 iT;;? 1A-.4 Zip: Architect/Engineer: Contractor L; J.... L~ ... , Phone: ,/dty-;I ~4:;~~, Phone: Address: ill () j.:;. '-<. ;;.'" k<.J.~L,State License #:1; f..1.... ~,/! 1) 7) Exp: A /tJ v M /) II'! r7>-~ ;(/# City: ~ r l . ~/-<."/k r 2.0J7?f Phone: Zip: f./'JfZ-- PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: ZONING: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: t':Jh:5 OOC~ I "2 6?. <: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: h-""~ 5";J ~,.,~ r /: d" V'/ City: MC # Exp. Date: SIZEN ALUATION: SF.@$ /SF.=$ SF.@$ /SF.=$ SF. @ $ /SF. = $ TOTAL VALUATION $ /5 0 O~ ~)'~ Lr' L /~ t<;/... COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING 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: lfno 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 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 and corre t. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not t it ' , and that st obtain such permits prior to wor> nFORMSIAPPSIB,;1d"gpmn;'.wpd AppJi"nt Da'" <././L/ Cl '7 . / o qverhead Service o Temp Service o Underground Service -. . Og --0910 Job wired by 5(Electrical Contractor 0 Owner Electrical contractor name License number Date Expires . . '11\"-" t"IJJt;~ll~<,;\g".~ lV'lL. ("v"R.pS<;,Z3~'t> Purchaser's mailing address I Cll{~ 'Pr-O\Jer.,1- laJat\ I\)l() S-\e..2DY 25.\V-Wlhll- ~ Stqg~~ 3 FAX number () .(P1.J- '&<"66-=1 Telephone number '1-. .(pC1;). 373 Premis('s owner's name 3;;!!;H:::t}:!USf, 0/ C)p/LMVl &a~. 03S e~I\ST ~\rS1-S\yee..... I'dV' -\- ~'W1el-e> lA:P q ~ u,,).. Phone numb 'r to sche ule inspection: .( 0- D Owner CIS de)7ned by RCW/9.28.76L(I) Owner will occupy the struct!'u"e for two rears after this electrical pemli! isjinaJi::.cd" (2) Owner is required to hire an electrical COII/rac/or if" ab(wc said property is for sale, relll or lease. After reading the <Jbove statement, I hereby certify that I am thc owner of the above named property or a licensed electrical contractor. ] am making the electrical instal- lation or alteration in compliance with the eledrical laws, N.E.C., RCW. Chapter 19_28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specil'ications. Signature of owner, electrical contractor or electrical administrator X WVL.. Date: -.)'1~ ClS" Electricall.oad Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW RECEIVED ELECTRICAL WORK PERMIT APPLICATION JUL ;j U 2008 Installat;rVlli'Hi'6'lD..... ~ conbLWcldl 'Cj!] Residential ~Altered/AdditiOD o New ~ivf' ~ ~, _+;;NOO ~ 'SU?-"-knn . ~ .- ~ 0<<e~ W \2Ul~ 'YRo -(o'1?- - (0<:651 o Cash WCheck # ~ll;;l. S o Credit Card Card # Visa Mas tercard Discover Expiration Date of card Inspectil1t:1c $'sCI- Service Information Voltage /.:ow PhaseD 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 / kOUGH.W / THERMOSTAT SERVICE rc/b [),J!C \. DM" i\pprovedBy D3(C Approved By Approved By ~FfJ\lAL / orrclI FEEDER D,," ~y Date Approved By Dale Approvc<.lBy/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector . ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE INSPECTOR ~ ADDRESS 6~<7 .1."'7-; APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: $~L. tJII'lu7LD o-Y'~NI Nb$ vOW 'VOW"" J'.wA.e.M ~)l.A ~lI.LL~v.l\\'c..~1 N1K...1I0.lZ- , j6~billL~- t)~ 'Y7"'ii'C..17 ~, ttr..-Tfl-tLAL ~1l1"r- "J\-jZ.l!:.- CM.C JLj .IY6"./7n.$ ~ll;::T n[Dl r...)Oi2.)<;'INb Ib--( arFl C~ ~:..Ll6 ~)('\"€-lL.1Dg.., L."i ~g-n\..)lg:LP ~~c..l:::""' yon \L rJ ru.... '2.10. { t..lbHltN.b "FcC" :s-rI'\\\Z.~<;"E:... NU 2-[D.70 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. {360} 452-1381 ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR QWNERlC NTAACTOA ADDRESS ~~t-!L~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . .~ CORRECTIONS NEEDED: f\~ ,f"'WLl giE..~01 ~lf.D FO/Z.... Z. D \ ~\.2.J>. NiZ-C..-- 2[0. l'Z C'-IZ-AfJ. IH> Y'HON~ <?l?~Trc:..-0 NlU-lL 0 51",^ 17_ 62>C-k L.bv~ tJ.~c- ~lo NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 06-027 d~""'l'.o .~~"'~r.. '~. .- "- =.lJ.. \~? ""'.. Job wired by Electrical Contractor 0 Owner ~+tra~tor n~l1lc. License number Date Expires nc.- .1>\k'V\~1n-v El-ECTS1 )'?,WlYl Purchaser's mailing a~j\1:\ss ) h-- r;}jJ ~2.... U~U (OA.r Y CV 'f City ID _' + R ~ State ZIP ~r f\ ee) 'WA 0- ~3 b-:L Telephone number FAX number 'i S 'l-(pi-J 2.- Premises fwncr's name. .:, ilX -e . Address of inspection ,,--, S3v City f~ E Ll-t\ l'\. ,-/0'17 "it3<>JoCff1 Owner as defined hy.RCIV19.28.26/:(1) Owner will occupy the strucrure fur two years after this electrical permit is finalized. (2) Owner is required /0 hire all elee/rical collfraCfOr if abm'l! said property is for sale, re1ll or few"c. Aftef 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 of ~ x Date: 3 (, ELECTRICAL WORK PERMIT APPLICA \ \ " " Installation description o Commercial Residential o & \ N I C Altered! Addition 1~(}tn-3 .3 \'?,lY'S '?olZTAL-.... '70 j<::Tj,L 3>< 1:,4 ~ o Cash 0 Check # o CrcditCard Visa ~st~d Discover Card# __---DJ:\__i~-____-____ Expiration Date of card Inspection fee $ 07f,!.2. Service Information Electrical oad Additions and or subtractions ){ NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump. Ton _ LAR 1l Fan-Wall 'fJ). KW - Ye..r I q c.v 0 f\I, SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Voltage \~'/'L-...c Phase,il 10 3 Service Size: Feeder Size: 10 0 A .)( ~ o Overhead Service o Temp Service o Underground SeNice ~UGH-IN / THERMOSTAT / SERVICE Lte c6 .~ "- Date Approved By ./ "- Dale Approved By / FEEDER ~-INAL DITCH ~ }W- "- Dale Approved By ./ Dale Approved By Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 31/2,/'0<'(9) 7'Pt?.,ll'\L. \c>'Y -rL"DO R. ~ 1<W -. . , . ---