Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
118 E 1st St - Building
PREPARED 8/03/11 8 08 55 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/03/11 ADDRESS 118 E 1ST ST SUBDIV TENANT NBR BELLA ITALIA RESTAURANT CONTRACTOR HUTCHINSON CONSTRUCTION LLC PHONE (360) 417 0575 OWNER NEIL CONKLIN PHONE (360) 460 6929 PARCEL 06 30 00 5 1 3120 0000 APPL NUMBER 11 00000170 COMM REMODEL --- ----------- -- --- PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 8/03/11 LL BLDG FINAL August 2 2011 1 52 30 PM 1pangrle NEIL 460 6929 (I CALLED HIM TO FINAL THIS PERMIT ) BUILDING FINAL SKYLIGHT AT BELLA ITALIA HE REQUESTED YOU INSPECT BEFORE 3 30 PM BEFORE THEY START SERVING FOOD HE REQUESTS THAT YOU CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES (\ 4�)-k 0 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION a� e� = 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A NEW SKYLIGHT Owner 11 00000170 Date 2/23/11 132610 118 E 1ST ST 06 30 00 5 1 3120 0000 BELLA ITALIA RESTAURANT COMM REMODEL CENTRAL BUSINESS DISTRICT 1500 Contractor NEIL CONKLIN HUTCHINSON CONSTRUCTION LLC PO BOX 612 P O BOX 1161 CARLSBORG WA 983240612 PORT ANGELES WA 98362 (360) 460 6929 (360) 417 0575 Structure Information 000 000 INSTALL A NEW SKYLIGHT Construction Type UNKNOWN Occupancy Type ASSEMBLY Permit BUILDING PERMIT COMMERCIAL Additional desc INSTALL A NEW SKYLIGHT Permit pin number 181800 Permit Fee 80 50 Plan Check Fee Issue Date 2/23/11 Valuation Expiration Date 8/22/11 Qty Unit Charge Per 10 00 3 0500 HND Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged BASE FEE BL -501 2K (3 05 PER C) STATE SURCHARGE Paid Credited 80 50 80 50 00 52 33 52 33 00 4 50 4 50 00 137 33 137 33 00 52 33 1500 Extension 50 00 30 50 4 50 Due 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 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 perform nce of construction. J 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 /N CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough-In "'-- Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING: Joists I Girders i Under Floor l Shear Wall / Hold Downs Walls / Roof / Ceiling t n Drywall (Interior Braced Panel Only) T-Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting (PLANNING DEPT Separate Permit#s SEPA. Parking / Lighting ESA. Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit L/ 'OR'A,1,r.... BUILDING PERMIT APPLICATION Print in ink I CITY OF PORT ANGELES Attn. Building Permit Technician For City Use Only- Date nlyDate Receivedi -2�--� L '•-=�' 321 E Fifth St. Port Angeles WA 98362 Permit # - (360) 417-4815 fax (360) 417-4711 i' ate Approved R123, 1 IL Applicant C b ti 1< ' h ,� Phollie Property Owner _So ve Po box +� (�px�5R�, Phone Property Owner's Address I H q i A IL Fl or--c—L4�r pk ;? 1 Contractor L.i v'I'c),N %k -,S 0 � C oIx S-iY�C,+s*0t-t LLC Phone JcO - 416o 4is1 Contractor's Address p d 6 or I I G 1 Por,- Am s d +J, i.✓A- lib3G i License # 14 vtc.l, e -L q 6 b M A Expires rh / i.L E-mail !,l„+c{ Q (/l�►°ti'+ «` PROJECT ADDRESS Parcel Number I 1,q Ewa* Proiect Type & Brief Description. Check all that apply ❑ New Construction, 64 c,tt ❑ Addition 4k e+ )eRemodel & u yt- ❑ Repair ❑ Demolition l e S+re o+ Pie I lc, ❑ Residential ❑ Multi -family ht,✓ 5 k 15t - A rtvc(c s4a,s IVtI -i e G w S le -v 1 s tv,i i Lot Zoning XCommercial ❑ Industrial LYSE yj 1=rc�tl opY"% h/'tw-ltvrc-t �v�1. ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq (sq. ft.) Proposed (sq,, ft1 Basement , 15' Floor / 2nd Floor 3rd Floor / Garage Carport Covered Porch / Deck Shed / Other / Total footprint of structures sq ft. Site Coverage = the amount of impervious urface of and other impervious surfaces. (see PAM 17 9,4” Max. height of proposed structures Will a lawn sprinkler system be installed Will a fire sprinkler system be installe . per sq ft. = $ TOTAL VALUATION $ a � 5-CiU G� —7 Lot size s ft. = Lot cover ge % va parcel including stru ures ved driveways side alks los 35 for exemptions) Site coverag Occupancy group # of bedr ms Occupant load # of fu aths Construction Pe # of alf baths I have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understan that it is my responsibility to determine whatermits are required, and to obtain permifs prior to wor ing rojects. Date �l� lj Print Name 1- �� ' `j r`t 0,"Signature T Forms/Building Division/Building permit application t l g jF4S -/- / 51- St' e 104 O" P GSe L Etc f S t' L, 54� i1.c 1( / Y � t 5 �,! 1't � � �' � e e ti �Y `' �-c � `� v' U ✓f c ti 11.E f s. CITY OF PORT ANGELES -- Construction Plans The issuance of this permit based upon these plans, spFcifl- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said I K ,y plays specifications and other dati, or from preventing building operations being carried o i thereunder when in v violation of all codes and ordinanc% of this jurisdiction. y `-Ulm .orfr— C Approval Date hly �r ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000235 Date 3/17/11 Application pin number 186230 Property Address 118 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3120 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Relocate existing cond-zit Owner Contractor NEIL CONKLIN APS ELECTRIC PO BOX 612 546 BENSON RD CARLSBORG WA 983240612 PORT ANGELES (360) 460 6929 PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 18?683 Permit Fee 73 50 Plan Check Fee 00 Issue Date 3/17/11 Valuation 0 Expiration Date 9/13/11 Qty Unit Charge ')er Extension 1 00 73 5000 E=H EL BRANCH CIRCUIT 410/FEEDER 73 50 Fee summary Charted Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 D H S /z9 INSPECTION TYPE I DATE. DITCH SERVICE I ROUGH IN FINAL f COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION I Signature of owner or Electrical Contractor X G-\EXCHANGE\BUILDING REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) RESULTS INSPECTOR. Date: i CP 11 1� �' 11Y OF PORI' ANGELZ PE R.tV a AIPPLYWA'1'10'V t Building DiA,ision/Elert.riculfa . f ons 321 East Fifth Street — P.0 Boz 1150 / Port Angeles Washingto+►, 983 62 Ph. (360) 417-4735 Fax. (366) 417-4711 Date. Z ~ 16 � d 1) 14g, 11 1 & 2 Single Family Dwelling' )<. Multi -Family or Commercial" !m6rclal Addition I Alteration I Remodel I Repair* T •Plan Review Ma Be Required, Please Complete Electrica ICAL Ian Review Informatiorl�Q ICIyS Jcb Aadress: --_,)-1;, (�!ti_11�.. � �. ��I ► Building Square Fooiage. -L ,A LA A..n`T rv-► A110 el& Owner Information I , (_i C� 11 Contrapr Information , Name: A 4 , Name: �' �, �I _!� 111 Mailing Address. l City State: _ ZiP: Mailing Addess: C+!y r► q _Stale: S,Zi Phone' `k_ ' 16U*Fax! _ Ph^nc: Fax: License # / Exp. I License # / Exp. Item Unit Charge Total IQW Mukiolied by Unit Charqel Service/Feeder200 Amp. $119.90 $ ServicelFeeder 201-400 Amp_ $145.30 $ Service/Feeder 401-600 Amp $ 204.60 $ Service/Feeder 601-1000 Amp. $ 262.2.0 $ Service/Feeder over 1000 Arty. $ 372.50 _ $ Branch Circuit W/ Service Feeder $ 2,60 $ Branch Circuit W/O Service Feeder $ 73,50 Ste- ii Each Additional Branch Circuit S 2.60 3 Temp, Service/ Feeder 200 Amp. $ 92,70 Temp. Service/Feeder 201.400 Amp, $110.30 $ Temp Service/Feeder 401-600 Amp_ $14870 $ Temp. Service/Feeder 601 1000 Amp $167 S° S Portal to Portal Hviirly $ 95.90 _ $ Sign/Outline Lighting $ 88.20 $ Signal CircuiY Limited Energy, / First 1300 sf - Commercial $ 95.90 $ f Note: $5,00 for each additional 1500 sf Signal Circuit' Limited Energy 1 & 2 Family Dwelling $ 63.90 _ $ Signal Circuifl Limited Energy Mufti -Family Dwelling S 63,90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 5600 $ NEIN CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft, or poi tion of S 35.20 Each OutbuiMfng or Detached Garage $ 73.50 $ Each Swimming Pool or Hot TubS 110.30 $ 3 �3e'SO Total Owner as defined by RCW 19.28261 (1) Owner will occupy the structure for two years after (Itis electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale rent or !ease. 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 em making the electrical installation or alteration -in compliance with the electrical laws, KE -C RCW Chapter 19.28 WAC Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Apprications. Signature of owner, electrical contractor or electrical administrator, ❑ ❑ cash % credit C3ro r Check o ►'l X Dated: 0901/2010 W PREPARED 6/11/10 8 21 06 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/11/10 ADDRESS 118 E 1ST ST SUBDIV TENANT NBR BELLA ITALIA CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029 OWNER NEIL CONKLIN PHONE PARCEL 06 30 00 5 1 3120 0000 APPL NUMBER 10 00000241 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 6/11/10 MECHANICAL FINAL TIME O1 00 En June 10 2010 3 01 23 PM 1pangrle ANDY CELL 460 1937 MECHANICAL FINAL BELLA ITALIA PROPANE TANK SET ETC AFTERNOON IF YOU HAVE ANY QUESTIONS CALL ANDY HE IS SCHEDULED TO BE WORKING NEXT DOOR WHILE YOU INSPECT BELLA'S COMMENTS AND NOTES & ASSOCIATES I N C O R P O R A T E D March 12, 2010 Mr Andy Slack APS Electric 546 Benson Road Port Angeles, WA 98362 `'. �<GNI: ENGi1]EERINGw `. AND'.:URVEI'ING. 301 East 6th Street, Suite 1 Port Angeles,Washtngton 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovic@olympus.net DE -C E I MAR 12 2010 CITY OF PORT ANGELES Dept. of community Development Re: Propane Tank Installation for Bella Italia, 118 E. Front St. Port Angeles Parcel No 06-30-00-513120 Dear Andy - As requested, I have inspected the site proposed for the installation of a 250 gallon propane tank for Bella Italia Restaurant. As I understand the situation, the tank will be located at the top of the marine bluff to the south of the existing building Based on my discussion with City staff and review of the permit application, an existing common use tank on property to the south and east of the proposed site is to be removed, the new tank will be for Bella Italia's sole use. An existing underground gas line that runs from the current tank down the slope behind the restaurant will be used, so no disturbance to the face of the bluff is proposed The marine bluff behind the restaurant is classified as a Locally Unique Feature — Marine Bluff pursuant to Section 15.20 070(B) of the Port Angeles Municipal Code The nominal setback from a Marine Bluff is 50 feet; however, this setback may be reduced by the Director of Community and Economic Development with appropriate analysis and mitigation. This letter is intended to provide the required analysis and mitigation. The shoreline of the Strait of Juan de Fuca and, in this case, Port Angeles Harbor is generally comprised of very steep bluffs that generally terminate on the shoreline. In typical situations, the shoreline bluffs tend to fail due to the impact of wave and tidal action at the toe of the bluff and surface erosion caused by the bluff being oversteep or from storm water discharge over the face of the bluff As the area at toe of the bluff is protected from any wave or tidal action by the existing development within downtown Port Angeles, this impact is not of concern. Site topography and existing storm drainage infrastructure prevent any runoff other than incidental localized runoff from running over the face of the bluff My site inspection and review of available topographic maps indicated that the slope of the bluff is generally at the angle of repose of the native bluff material, so mass movement of the bluff is not of concern. The bluff is covered with dense native vegetation; no surficial erosion was observed and none is anticipated. It is my professional opinion that the bluff formation adjacent of the proposed tank installation site is stable. Page 2 Mr Andy Slack — Propane Tank Installation for Bella Italia Restaurant March 12, 2010 The site on which you intend to install the tank is generally level; the tank is proposed to be located not less than 5 feet from the top of the bluff This setback is reasonable and appropriate. I understand that you intend to place the tank of concrete blocks on the existing ground and place concrete "ecology blocks" on each side of the tank to protect it from potential damage from vehicles. No excavation is proposed to complete this work other than incidental ground disturbance to allow the tank to be set level. Disturbance of the dense sod layer should be limited to that necessary to complete said leveling, stripping of the sod layer should be avoided Please give me a call if you have any questions or if you need further information. Sincerely Zenovic & Associates, Inc. t hen M. Zenovic, P E. Principal Engineer Cc: City of Port Angeles Department of Community and Economic Development Bella Italia RestaurantlKim 7il Conklin Fc: JN 1006 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 10 00000241 Date 3/12/10 128079 118 E 1ST ST 06 30 00 5 1 3120 0000 BELLA ITALIA MECHANICAL APPL PERMIT CENTRAL BUSINESS DISTRICT 0 Application desc 250 GAL PROPANE TANK SET & ECO BLOCK BOLLARDS Owner Contractor NEIL CONKLIN FERRELLGAS LP PO BOX 612 1 LIBERTY PLAZA CARLSBORG WA 983240612 LIBERTY (360) 683 9029 Permit MECHANICAL PERMIT Additional desc 250 GAL PROPANE TANK SET Permit pin number 162230 Permit Fee 50 00 Plan Check Fee Issue Date 3/10/10 Valuation Expiration Date 9/06/10 Qty Unit Charge Per BASE FEE Special Notes and Comments March 12 2010 10 42 49 AM Scott Johns Geotechnical engineering report submitted and reviewed Earth disturbance shall be minimized to leveling the tank base and location of the piping connection All areas of disturbance shall be revegetated Use of course native vegetation is recommended but not required March 10 2010 9 34 36 AM BLARSON OK AS PROPOSED KEEP THE PROPANE TANK AT LEAST FIVE FEET FROM THE POWER POLE Fee summary Charged Paid Permit Fee Total 50 00 50 00 Plan Check Total 00 00 Grand Total 50 00 50 00 Credited MO 64068 00 0 Extension 50 00 Due 00 00 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance o on truction -� l'2 - l0 A t) )y -5/0'Ck //Y?j :a2 Date Print Name Signature of Contra or or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date I Accepted By I Comments FOUNDATION - Planning 417-4750 Building Footings I Stemwall Foundation Drainage / Downspouts I Piers I Post Holes (Pole Bidgs) I PLUMBING Under Floor / Slab I Rough -In I Water Line (Meter to Bldg) I Gas Line I Back Flow/ Water (FINAL Date Accepted by AIR SEAL. Walls Ceiling I 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 I ( DAccepted Commercial Hood / Ducts I FINAL Date ( byw MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs 1 Skirting (PLANNING DEPT Separate Permit#s SEPA. Parking / Lighting I ESA. (Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T - Form s/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION W 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000241 Date 3/10/10 Application pin number 128079 Property Address 118 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3120 0000 1 Tenant nbr name BELLA ITALIA Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc15 �.� 250 GAL PROPANE TANK SET & ECO BLOCK BOLLARDS e Owner Contractor NEIL CONKLIN FERRELLGAS LP PO BOX 612 1 LIBERTY PLAZA CARLSBORG WA 983240612 LIBERTY MO 6 068 (360) 683 9029 U Permit MECHANICAL PERMIT Additional desc 250 GAL PROPANE TANK SET \N VV Permit pin number 162230 Permit Fee 50 00 Plan Check Fe 00 Issue Date 3/10/10 Valuation 0 Expiration Date 9/06/10 Qty Unit Charge Per Extension BASE FEE 50 00 Special Notes and Comments March 10 2010 9 34 36 AM BLARSON OK AS PROPOSED KEEP THE PROPANE TANK LEAST FIVE FEET FROM THE POWER POLE 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 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. v� Date Print Name Signature of Contractor or Auted Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit c N 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments Inspection Type Date FOUNDATION: Footings I Stemwall R W PW I Engineering 417-4831 Foundation Drainage / Downspouts I Piers 417-4750 Post Holes (Pole Bldgs) I V PLUMBING Under Floor/ Slab I Rough -In I Water Line (Meter to Bldq) I Gas Line I Back Flow/ Water IFINAL Date Accepted by AIR SEAL. Walls I Ceiling I I I FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs I J 1 Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) I T -Bar I INSULATION Slab I Wall / Floor/ Ceiling I I 111 MECHANICAL. Heat Pump / Furnace / FAU / Ducts In Gas Li Gas Line I Wood Stove / Pellet / Chimney I Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting I IPLANNING DEPT Separate Permit#s SEPA. (Parking / Lighting ESA. (Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 V T.Forms/Building Division/Building Permit 0%°t +�BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician For City Use Only,Date Received'- ID `- LO 321 E Fifth St. Port Angeles WA 9$362 (360) 417-4815 fax (360) 417-4711 W� Applicant P,n C/ I Property Owner N e i Property O,,�aIner's Address Contractor f' 4 r l_ ' ( A' a Contractor's Address v License # Dermit # t0 - Zate Approved S��t^ P na C0i1l_11' h Phont PO box 6I2- Car-ls60k-j WA 983z..0-0612 � Phone SSa` �753L� l �160�5i3 Expires PROJECT ADDRESS k3 157 Parcel Number Proiect Type & Brief Description. p 5_0 (amential ❑ Multi -family Check all that apply L ❑ New Construction Re l o c 1��-T propane -�Q ak ❑ Addition r 2 r4 - E -mail do d) dem e r-� �P -Pu. ff. ,. Lot Zoning Commercial ❑ Industrial -I-a 0tuner5 ❑ Remodel ��/ma" C/ !�/ i 7Z <s-, � l%S 6 s h f ❑ Repair %r�a L�a�o�c�c l�/a/L�" ❑ Demolition - /eld �rr-,o .n n EX' S' A UQ L) �h ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove o gas fireplace ❑ pellet stove ❑ other 5@ Other Floor Areas Basement 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Existinq (sg. ft.) Proposed (sq. ft.) per sq ft. = $ Deck Shed Other 1 / TOTAL VALUATION Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths /have read and completed this application and know it to be true and correct. lam authorized to ply for this permit and understand that it is my responsibility to determine w t pe its are required, and to obtain permits prior to rki go proje s Date.—S-/0--16int Name 1 r /P S 2Otic Signature T.Forms/Building Division/Building permit applicatio41- /Axe, I coil �Z� n Permit # 10-7-2�Lh NOTES X15.- s /101to OL ,k5 P�"PasEJ -` 5 f / "� Pare po U -JO-td 24101 10i 10 Q ` r � owl r j J ♦1 r i •,l i l,1i :� ► l �,� i r T Fo ns/Building Diviswn Notes C.xr a ;�p in A • 4, A ^441Istz / ' r / ' ~ A 1A y; Al IC,4 w! to Vol TO, NJ Cj, 41, X Z�y K V, UP I qs4 el lod� �qe �k i.` I JVY WIN V/4�, Clallam County Assessor & Treasurer - Property Details - 65 NEIL CONKLIN for Year 2 Page 1 of 5 Clallarn County Assessor & Treasurer 61565 NEIL CONKLIN for Year 2010 2011 Property Account Property ID- 61565 Legal Description SMITH NORMAN R LOT 5 BL 31 Geographic ID- 0630005131200000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code Open Space. N DFL Historic Property N Remodel Property - Multi -Family Redevelopment: N Location Address: Neighborhood: Neighborhood CD Owner Name Mailing Address. 118E FIRST ST 120 PORT ANGELES Cycle 5 Comm 20953140 NEIL CONKLIN PO BOX 612 CARLSBORG WA 98324-0612 Mapsco Map ID - Owner ID- % Ownership Exemptions: Taxes and Assessments Due Property Tax Information as of 03/10/2010 Amount Due if Paid on. M-�. . 58 N N r l rr^ 19078 100 0000000000% First Second Half Half Statement Base Base Base Amoi Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2010 44268 ST SCH STATE SCHOOL $13058 $13057 $000 $000 $000 $26 2010 44268 CC -GEN COUNTY $6948 $6949 $000 $0 00 $000 $131 2010 44268 PORT PORT $9 76 $977 $000 $000 $000 $15 2010 44268 PORT ANG PORT ANGELES $16089 $16089 $000 $000 $000 $32, 2010 44268 SD #121 SCHOOL DISTRICT #121 $16913 $16913 $000 $000 $000 $331 2010 44268 NTH OLY LIB NORTH OLYMPIC LIBRARY $2019 $2019 $000 $000 $000 $4( 2010 44268 HOSP #2 HOSPITAL #2 $2850 $2851 $000 $000 $000 $5' 2010 44268 WSMET PK DIST WILLIAM SHORE MET PARK DIST $907 $907 $000 $000 $000 $11 2010 44268 CITY—STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $000 $7' 2010 44268 WEED—CONTROL WEED CONTROL $082 $081 $000 $000 $000 $' 2010 44268 TOTAL. $63442 $634.43 $0.00 $0.00 $0.00 $1261 2009 615652008 ST SCH STATE SCHOOL $152.39 $152.38 $000 $000 $30477 $( 2009 615652008 CC -GEN COUNTY $7713 $77 11 $000 $000 $154.24 $( 2009 615652008 PORT PORT $1092 $1093 $000 $000 $21 85 $( 2009 615652008 PORT ANG PORT ANGELES $16916 $16916 $000 $000 $33832 $( 2009 615652008 SD #121 SCHOOL DISTRICT #121 $18844 $18846 $000 $000 $37690 _$( 2009 615652008 NTH OLY LIB NORTH OLYMPIC LIBRARY $22.41 $2241 $000 $000 $4482 $( 2009 615652008 HOSP #2 HOSPITAL #2 $31 63 $31 63 $000 $000 $6326 $( 2009 615652008 CITY—STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $7200 $( http.//vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=61 3/10/2010 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 QQ Application Number 08 00001477 Date 2/23/09 Application pin number 984777 Property Address 118 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3120 0000 Tenant nbr name HUTCHIHSON CONST Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Close sidewalk for awning repair RUP#08 46 Owner Contractor RICHARDSON RANDALL L HUTCHINSON CONSTRUCTION LLC PO BOX 403 P O BOX 1161 KINGSTON WA 983460403 PORT ANGELES WA 98362 (360) 417 0575 Permit RIGHT OF WAY Additional desc CLOSE SIDEWALK AWNING REPAIR Permit pin number 138347 QQ Permit Fee 70 00 Plan Check Fee 00 Issue Date 2/23/09 Valuation 0 Expiration Date 8/22/09 I \ Qty Unit Charge Per Extension I BASE FEE 70 00 Special Notes and Comments No heavy equipment on sidewalk secure area for safe pedestrian walkway—� Fee summary Charged Paid Credited Due V Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 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 ca I provisions of any state or local law regulating construction or the performance of construction ou�� r�C ctor or Aut orized Agent Date Signature of Owner (if owner is builder) Date T-\Po1icies\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 INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY I 1 STORM SITE DRAINAGE I I I I SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W / PW/ ENGINEERING FIRE PLANNING DEPT BUILDING T\Policies\1102 15 [10/08] FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL CONSTRUCTION R.W 417-4831 PW / ENGINEERING 417-4653 FIRE DEPT 417-4750 PLANNING DEPT 417-4815 BUILDING DATE ACCEPTED Y ES NO FpORrgN `moo -7 FN RIGHT OF WAY USE PERMIT OS_ % 7 �1 APPLICATION A copy/ �RKS ANO i "1 S U `� L.l, "� ,� L `� DATE NAME OF APPLICANT (� L� � �- t � � � 1 d MAILING ADDRESS r (` (i, 17 g .S t Gj W N_ Ci ' 1�6Z� PHONE NUMBER Li STREET ADDRESS OF PROPOSED STREET USE 1 i- 4`� �YTr cf r rt =' .5 c ( u DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state the name of the street and limits of closure together with the duration of closure ] �\.j \r 1. 2r P'.tv- t,; IC r IS THE USE TEMPORARY OR PERMANENT? Te,,., f'c (if answer is PERMANENT, do not use this form use Riqht of Way Permit apolication form) HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? Y'. HOW IT WILL BE LIGHTED? hl "- vN -e I EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? -[) ctv i t1} - HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with the placement of the use or obstruction on the City street, sidewalk, plaribna strip or rig f„W DATED this day of 20 • SOT Q U �n5 a , Shea Ai• co ao12 a BLIG O NOTARY tPfor W Kington residing a.U I �r� T.� OA,'•• �� My commission expires. --2,-x WA `\���t- (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) S [OFFICE USE ONLY] � Date application received /�''���00 Fee paid $_700'� Receipt # Date Certificate of Insurance per PAMC 11 12 140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on AIA _ Application r v nd recommendation by City Engineer is to4eRr pprove nd with the following conditions JUa 'heIJ Application roved r de � b the Director of Public Works ' pp pP � Y �.•� RUP # �— Date "L2-3(-'5 Date 1L` �k Approved copies to: Applicant O Fire O Police O Street O Other O Address file O N:\Urban Services Standards\Ch1\2008 ROW Use Permit.doc, March 19 2008 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000531 Date 6/02/09 Application pin number 652424 Property Address 118 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3120 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 1 circuit exterior lights Owner Contractor RICHARDSON RANDALL L APS ELECTRIC PO BOX 403 546 BENSON RD KINGSTON WA 983460403 PORT ANGELES PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 147298 Permit Fee 57 50 Plan Check Fee 00 Issue Date 6/02/09 Valuation 0 Expiration Date 11/29/09 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50 Fee summary Charged Paid Credited Due Permit Fee Total 57 50 57 50 00 00 Plan Check Total 00 00 00 00 Grand Total 57 50 57 50 00 00 INSPECTION TYPE ' DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date s 'City 6tPort Anglo .Permit APPI140on Su.qd'p0.D".'DrdEMcbftdIn pedions:. i�tlastfffth-gtreii--'. WSox IIW 9m.. 7Ph:;(360)A174735 Fax: (300)4174711 t29q bate. t r-o amilytr Cdinmerdar :Cbinmerdidi-Addition./After6fioh I'RemodbIT Rdimir* 115 -c -El -l-'D JUN 12009: Wc7. I I Tut Unit ghordd- $13,75' t- Sw*dFeederl" An 4.113.75 :$1.60.00: 'ServioelFeeder441-MAhip. '44205°00 -Servic~etbot-IMAM P. p $ SqMce/Feederqverl0Q0A"- mp: 100 •• V ..B*ch Circuit Wt SeMoef4i 6 der $;51.50' , ' &ahchrCirduftWI0'SeMcdf6eder 4b :2.00 $42.50: $ e �:S i ee&rM:ArM. Te -iiiiWIT 4615 UhO. Service/Feeder 201.400 Arrio; T64. S0rv"ederr40V600Ani0; $131:25 75.'00.- $ M.00, S" mg, , .00pudine LfgW 7$7'06 $Si§md'dki4LkhW - Commercial Comme- 50,00: $ 'A C6uW.L66d'tn4jy :l Family NON I io.00r c IrmiYUmbd-I na.W'' Mult,Warnily Dwelllngz $'1175 -nn ion� Connection: A 'Rede'Ekfi ical Energy :E fty 5KVA:$y*fn or Lets Fffstl* Square Ft 'Ad'dMoineI500Squape $ 21;50- Each ft or Portion of $ -$T% Each bi6uiWihg or. etac ame D $16.15 Eb6h S�Oiihj FW& �.Hoifub Thermostat: Total Owner as deflneai'by RCW I.9 28 261. 0) hW:S6- Above named property O -- a Wjjjj�" aii� cim1hadotJ am inamnoibetledrimit r 4t suhktldfi, or. aftehirbon IniminpNOce wfthlha,deculcil laws NEC, ftw. 0apt.a—.i0.*--WAq. C *40% the City Of Port ftd j:Codi a isind Signatpre df owner, ile.dricalvontmaW orWktrkW itr6tiin9sb�a6or et Check. ttedftCwd# . V PREPARED 5/07/09 8 17 30 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/07/09 ADDRESS 118 E 1ST ST SUBDIV TENANT NBR NEIL CONKLIN CONTRACTOR HUTCHINSON CONSTRUCTION LLC PHONE (360) 417 0575 OWNER NEIL CONKLIN PHONE (360) 460 6929 PARCEL 06 30 00 5 1 3120 0000 APPL NUMBER 08 00001470 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/0,7X09 JLL BLDG FINAL TIME O1 00 May 1 2009 8 54 07 AM 1pangrle NEIL 460 6929 BLDG FINAL AWNING (BELLA ITALIA) AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000250 Date 3/19/09 Application pin number 032500 Property Address 118 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3120 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 200 amp service change Owner Contractor RICHARDSON RANDALL L APS ELECTRIC PO BOX 403 546 BENSON RD KINGSTON WA 983460403 PORT ANGELES PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 143206 Permit Fee 187 50 Plan Check Fee 00 Issue Date 3/19/09 Valuation 0 Expiration Date 9/15/09 Qty Unit Charge Per Extension 2 00 93 7500 ECH EL 0 200 SRV FEEDER 187 50 Fee summary Charged Paid Credited Due Permit Fee Total 187 50 187 50 00 00 Plan Check Total 00 00 00 00 Grand Total 187 50 187 50 00 00 INSPECTION TYPE DATE RESULTS DITCH SERVICE i1 /t5 ROUGH IN 7' FINAL q1 ''16 COMMENTS %//I �Gd9 'ice-r—v Rtrcc +F-- ISP Signature of owner or Electrical Contractor X Date i 10 INSPECTOR. Im N a FROM A.P S. ELECTRICAL CONTRACTOR FAX N0-3 7Q. ' V el) 2009 07-12AM P1 C 01 Pec Aug"Ahgsles Permit AOgdieatiurh 32t East Finn ah«7-P.O.9ex 1178 321EWF"1e`°" ' MAR 1 9 2009 _` Timor` r Pert Arryde wunmgmn,8a762�,t Ph: (760] 417.4775 Fmr:17B01477J711 I Dale: 3 - � % -abOq ` 7 & 2 Single F i UQHT DEPT ,g Multi•Fmnily mama'' Comerdal Adddan / Rernw el li a r• 1 �Lm Y, 1. , ' Plen Rev)ww May Be Required, Pr Carlpkia Eleddml Plan Review Inbmaton Shoe Job Address: J,(�Q F . 1 S`_ �t Pec. A .. Building Square Footage: ` �lV�► Desxipfionafabave��P, 1Qi�. .11Q 21 WI �00�, Owner W metlon m�hxhrhaSD'on Name: nr_i( COY7� � �'�% = 1a GleCr'CIC� CcA+'i-do Mali Address: 115i' 1 MWTmg Adder; $A - city. W. Sft._Zip: Phow-T-O aQ Far Phots Far L cenlie 11/ E1gl Ucer se weep unitC /(5 o�I(0h�M� 5 9115 S OSevly x200 kq . 571175 -T� S mFeeder21d00AW $160.00 $ SenowmWeede40140DAmp. $205.00 S SaviWFeedar601-1000Arm. $291.25 S Ser-dFooderouer11000Aap. $ 200 $ Drench CteuBwl,Saeioe Feeder S 57.50 $ Brmhcr cirmwo Sen lea Feeder $ 200 _ S Each AddmmW Branch CDawt $ 7260 S 9625 S Teary. SenrcdFeeder 2001.400 Amp. 5016.26 S Temp. SerAmfeadc/01-00 Amp. $13115 ; Terry. Senomweeder601-1000Amp. $ 75.00 $ porwie Petal Howly 169.00i SgMW-Lghtng 175.00 S Wall CftW I bibd Eoegy-Camme iai 150.00 S Steel ChW Bailed Eriergy- 1 d 2 F6m4/ Dwelling S 50.00 $ Slgnel CFaw UWW Etregy-Mhdti-Fs d Daeling f 9375 f MmndriWrad Homo CormarJiotr $ 50.00 S Reneeenle ElechW SwW-5KVA Syslem or Leu $ 8625 $ Fm1300Sgrmhe Ft $ 27.50 $ Each Additional 500 Square Ft hx Paton of $ 57.50 $ Each Oubu8ding or DemmedGtrage $ 6625 $ Each Saunrrnrg Pool or HaTrb $43.75 $ Thmwmt Sy Total 50 ArmOt-rn o man: mmwalaalpmwham&MMoQ itnyb0dtoh0ew .t«hka,6amaamrrathemaedp6prgsa.aalr reYertaaaa Alter reeGngarea6.veshdmrerd, t WN1r mrOrytlW Iam7heaeeva7Meahe„•g�y glgggtgl gta G0ta7e0dr�flala1e8onhr lam rr aiv BnehctrloM recmba.a oraMatl.nm mmpear tlr6akaViwlhn6.NEc RCK Gr r'M.28.1ANe etiap(erZlUW7na CftY fPmtAopr.a Nwu*al G6da..ad UBMY Spev�lntletx. Slgnatiftalowlla elamelefaraoWorelawfolamidma1 ❑ cub Q {p7� � �� �� ❑ Geee ,�,QQ xi r`G Q4�e.t.• 3-��`% C -0C ds 5, Cc ,- �1�� 19 19 Y, 1. 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 08 00001470 Date 12/19/08 301460 118 E 1ST ST 06 30 00 5 1 3120 0000 NEIL CONKLIN COMM REMODEL CENTRAL BUSINESS DISTRICT 9000 Application desc REPAIR FRONT AWNING & ADD CANVAS AWNING ABOVE IT Owner Contractor NEIL CONKLIN HUTCHINSON CONSTRUCTION LLC PO BOX 612 P O BOX 1161 CARLSBORG WA 98324 PORT ANGELES WA 98362 (360) 460 6929 (360) 417 0575 Structure Information 000 000 REPAIR & REMODEL AWNING Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc REPAIR & REMODEL AWNING Permit pin number 138271 Permit Fee 193 75 Plan Check Fee 125 94 Issue Date 12/19/08 Valuation 9000 Expiration Date 6/17/09 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Special Notes and Comments November 25 2008 3 49 24 PM sroberds No land use issues anticipated See permit #08 1477 R/W 08 46 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due � / Permit Fee Total 193 75 193 75 00 00 / Plan Check Total 125 94 125 94 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 324 19 324 19 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 1 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 ns of any state or local law regulatin construction or the performance of construction. L� //D 7 �► /"° c7�►,�So Date Print Name Signature of Contractor or Authorized Agent Signature of Own owner is builder) T.FornsBuiIding DMsionBuilding Permit I 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 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 T-Forms/Building Division/Building Permit �-- Inspection Type I Date I Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers I Post Holes (Pole Bldgs) 1 PLUMBING Under Floor / Slab Rough -In �— Water Line (Meter to Bldg) j Vim' Gas Line Back Flow / Water l FINAL Date Accepted by AIR SEAL. Walls Ceiling l FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar I INSULATION Slab I / Wall /Floor /Ceiling I MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts 1 FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / LightingI I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit �-- *1y OPORT I S1 I S`�ir BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Onl ff yy • Attn Building Permit Technician ate Received ��— 2'IsO 321 E. Fifth St. Port Angeles WA 98362 �\ (360) 17- 81 fax 60 417-4711 ermit # (j$- l %D, I � � 4,L) � v Y�C� , � S o yL`W ��-�� ate Approved ./ /7 ;vim; AGO -GfZ9 Applicant or Agent ,< «-.- �. Pho ` Property Owner Alfre_ C6nilCliN 9.911.Qn1yPQa hone VGo - 6 f Z 5 Property Owner's Address 5-t- 5tre0 orf" A,�t,(r_% w !Il- -1S� c Contractor/Engineer 1+U-t`�I �/S 0h LD t, s•+ -vc}-Juti Phone y' d - a--1 Sl Contractor/Engineer's Address P O (j o,,w i/ G1 PoV-t /4-10iP_j_ W 7, J�( License # L).r;: �cL 61 4C 1.4 �,�_ Expires �Z f / , L () 1,0 PROJECT ADDRESS S,�--Stvr4-- (JvY� +►,sLl �� �,� ��- 1'1� Parcel Number Sa) Lot Zoning Protect. Tvpe & Brief Description. ❑ Residential XCommercial ❑ Multi -family ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ��t�Pk��f �rv~� Ev.✓L►, h_5 �h� �i�0;� Repair ❑ Re -roof (� cr �2 �� S ,� ( Xa U+ &t ❑ Demolition } , v -z S y i:: -u �� s ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existinq (sg. ft.) Proposed (sq. ft.) Basement 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? CGS per sq ft. = $ TOTAL VALUATION $ sq ft. T Lot size sq ft. = Lot coverage % ft. Occupancy group # of bedrooms Occupant load # of full baths Construction type # of half baths /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 workrng on projects. r rr Date_k/'_/OT Print Name T Forms/Builr ng Duision/B!-,g PermitAp1.-2006 Code dor 11I2�t oc,/ � � bJ 0 a Frame materials 1" X 1 " X 125" aluminum- tUbe except as noted on frame Nem A,,4 �,,1 1-\j 13eIha Italia Left end train - _� -1 1 I ►ILI 44-, ;--- II ?III li I I�I I II 111 II I �' VIII I j III Ilil ill i II` 4 ►1 L4,; I --I A4t c, ulI 1 j i I It`. 1 i+ SGreJ-t f3 oils LI I I i►! I I i l� I ILE Eli _ �__:s e14-10- — I_._-CtP�LOFPORTANGELES— Constcucimn,,I"Ianp I- �-' ---- ----'—'— - _IThe lssuanca of this permit based upon (these Ipfanslspeci cal+ons-arid other data sha!l�not-prevent_the.kuilding afficiat - RECEIVE® DEC 19 2008 4,2 - CITY ,CITY OF PORT ANGELES BUILDING DIVISION Bella Italia Frame mounting detail Site specific mounting detail concrete/brick/stucco Top mounting detail as shown per location Bottom mounting brackets face down to lock frame W x 4-3/4' Powers #6934 Power -Bolt 1 I I I I I I 1" 7' thick brick wall I stucco I I % I Pillars project 4" >< past face of stucco 8" Continuous 1' x t' x.125" 1 xi x 125' see frame iso for frame notch 12 thick Concrete pillar 2' 3" width 0 Continuous l' 1' .125' 3/16' x 1' MIT zinc plated steel mo nting bracket (side ew) 34' O.C. withi 4' of an rafters @ top. 68' O.C. within 4' of bottom projections #10 1 Steel Tek Screw through mounting bracket �. and horizontal frame tubing 3/8' 3-3/4' 47415 Powe -Stud zin, plated steel wedge anchor at concrete pillars 4 �N RIGHT OF WAY USE PERMIT o8-" 1,47 l APPLICATION CORKS A NOJ C 4J ff V1 t �i NAME OF APPLICANT ; ; L' I "\ 5 7 (.L �\ tV 4L i' iU i` DATE i MAILING ADDRESS n (S' QJ 0) (° }� ( �, �- / .`1 t (oi PHONE NUMBER q STREET ADDRESS OF PROPOSED STREET USE �� �- �� 1 ' �Sfi c t DESCRIPTION OF REQUEST (include drawings required for clarity) [If street closure is requested please state the name of the street and limits of closure together with the duration of closure ] CIO e i Li IC r IS THE USE TEMPORARY OR PERMANENT? Te,, Pc (if answer is PERMANENT, do not use this form use Richt of Wav Permit application form) HOW LONG WILL THE OBSTRUCTION BE IN PLACE? WHAT ARE THE HOURS OF OPERATION? ?i' 3 4-1 0'1 HOW IT WILL BE LIGHTED? EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD BE USED? J HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersigned for himself and for his successors in interest, hereby agrees to indemnify hold harmless and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, plaribno strip or rig fw,ay DATED this 20 615 ko EXP SO ?24.2012 = / �',�.�� A 2 r NOTARY PU IC for Wf�ington � .� ,` \ residing at. � � � y�i OP ' ��O `��` My commission expires -?Z, -j> '�l/�i/�� �\`\\\� (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONLY] Q Date application received 11-25--08 Fee paid $ 10 "-- Receipt # Date Certificate of Insurance per PAMC 11 12 140(B) received Agreement to Remove Encroachment signed and on N/A and recorded on /A / Application rev' nd recommendation by City Engineer Date / I/�6g is to a prove )ind with the following conditions M,9 .013 -'aimuvAk- 40 etTtc -,,A Application pproved r det by the Director of Public Works .D,,, l Date [ �� Approved copies to A-clicant O Fir- O Police O Street O Other _-I) Address file O R P # N:\Urban Services Standards\Ch 1200 RCIM Use Permit.doc March 19 2008 7 A -3 V14 ROUTING SLIP "" Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE,/G f New Business ............................ ( ) Address of Proposed Business Transfer of Business Location ................ ( t/ ) 11A 4. 1S-1 5•Y• Change of Ownership Applicant _A1,11 L Cbruk6New Building ( ) Address Remodel ................................. ( ) ,�,�.,, �,��,, Temporary Business ....................... ( ) Phone: business_ home 4Lo (o929 Change of Use ............................ ( ) Brief description of proposed business: �2Sf10v��4H'tr Legal Description: Lot S Block 31 Subdivision A//Z SM/tH Current Use of Property: %Z£s-r4v4m/'T Zoning Classification of Property: T) _ WILL THERE BE ANY OF THE FOLLOWING? Construction changes .............. .... Electrical changes ................. ............ Mechanical (heating, cooling, stoves) .. ........... Plumbing changes ................... ......... New or relocated signs ............... ......... New septic tanks .............................. . New sewer service ...... . .................... Admission charged to patrons .................... Is this a home occupation? ..................... Excavation of filling of lots ............... ... . Work done in City right-of-way ................... Is there sufficient off-street parking? ....... ....... New driveway openings ................ ... .... A grading plan for site drainage ................... (parking lots, downspouts, etc.) .................. Are the existing streets paved? ...... ......... Are there existing sidewalks? .................... . Is there curb and gutter? ........................ Other.................... .................. YES NO I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. gPP�Q ll REJECTED 1 5K 5-Z`1-ol KDD ? N 5-I�-OI Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: -6 8/O/li Q Signed: % `4*.r "" "— Comments / Conditions CERTIFICA This in compliance_with>th cons Use Classification Restaurant,. ai Group: A-3 pe of Cot Va-.k<. Owner of Business/Residence. l"Ne11iCOnlChn Building Address: - 118 Post on the, Shall not be re OF -OCCUPANCY iig,I)ivisionTl 4 Y to the requirements of Section 109 of the at at the timef ofiswsuance this structure was dinances of the`_CiQ regulating Building s.,.,..'y'. �[iuildiug=PennifNo:;t�.'V��°�. '. XV 017+x` �" V �� t „� fr gUe ZoneCBD `?I-1'8-East'l'-'PortcAngeles,� WA 98362 eeh-s. WA 98362 r . June 28. 2001 t Bate Ina c `picuous place. ;xcept-by"Building Official. q 44VL' BUILDING PERMIT OWNER/APPLICANT BELLA ITALIA 118 E. IST Port Angeles, WA 98362 360/000-0000 T: CONTRACTOR CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ISSUED: 5/18/2001 PERMIT NO: 12662 PROPERTY LOCATION 118 1ST ST E Lot: 5 Block: 31 ❑ Long Legal Subdivision: NR SMITH S: Parcel No: 063000513120000 LISENBURY FIRE PROTECTION 470 MONROE RD PORT ANGELES, WA 98362-0000 360/000-0000 PROJECTINFO Project Value: $2,000.00 Project Type: FIRE SUPR. SYS. Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 Commercial: 0 SFD SQ FT: 0 Industrial: 0 00 Garage: 0 {`n MFD Units: 0 MFD SQ FT: 0 V PROJECT NOTES INSTALLATION OF FIRE SUPPRESSION SYSTEM FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: FIRE INSP $40.00 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: $40.00 Plumbing: $0.00 AMOUNT PAID: $40.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 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. '\ nl^/`--'-' Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date -�"wr FOR OFFICIp USE ONLY: Building/Uti6ty/Elechic(FimPermit Application Datesm: /9-01, Petmitt. Please 811 out completely. Type or print in ink If you have questions Pc ArO Cemphft S1MIM: i= --N please call (360) 4174815 or Fax: (360) 417-4711 Leaaorwmptaemesc__ e-mail: www.d.port-angdes.vmua RM%Panit Appl: B.P. Ioue& i_ Applicant aid/or Agent: 5e&1-1,,, ✓ IC,,, /n fir[ L ,, Phone: ' 52-16-J Owner: Phone: Address- '�" 70 City. f o s /% ,. /> -r Zip: ArchitectMaginew/Designer:r s <on Phone: Contractor �! License#445S- Exp: /6 3Por Phone: Address City. lip: PROJECTADDRESS: // h /:. < ZONINt= LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Ctedit Card Bolger Name: Billing Address: City; / Zip: Credit Card # Exp. Date: VMA__MC__ TYPE OF WORK: SIZEIVALUATION: 0 Residemial 0 New Constr. 0 Reroof 0 Stovdlnsert SF. @ $ /SF. = S 0 Multi -family 0 Addition 0 Move 0 Garage $F. @ S_ /SF. = S 0 Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. — S o Elecnicrl 0 LP -gas a Sign 0 UST TOTAL VALUATION ,. S BRIEF DESCRIPTION OF TBE PROJECT: � r 4, COMMERCIAIMUIDENTIAL: Occupancy Group: Occupant Load: .. Construction Type: No. of Stories: Lot Size: %Lot Coverage: % . . Existing La Coverage: _Jsq. R + Proposed Lot Coverage: /sq. S = TOTAL LOT COVERAGE :_/sq.R PLANNEW USE ONLY: APPROVALS: PLAN Permits Required: Notes. BLDG Max. Hcigkt: Setbacks: Zoning: DPW Site Plan aid Use Approved by. Date- FIRE__ ESA/Wetlald(s): 0 Yes 0 No SEPA Chexidist required? 0 Yes 0 No Other: OTHER_ PRE-APP11CATION SUBMITTAL: Your application end site plan must beJUled out completely to be accepted for review The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUB.DING PERMIT APPLICATION SUBMITTAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALUATR)N OF CONSTRUCTION: In all cam, a valuation amoont must be entered by the applicant This figure will tie reviewed and may berensed by the Building Div. to comply with carreat fee schodulei. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK 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 Oficial can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Sectios 107.4 of the Uniform Building Code, currant edition). No application can be extended more than once. I hereby certify that I have read and examined [kiss application and know the same to be true and correct, and I am authorized to apply for lids permit I understand t & not the City's legal responsibility to determine what permits are required, it remains the applicant's responsibility to determine what permits are required and to obt n such, PW -1102_13=.6/001 Applicant: _ � ���� 'z5 SLCTION IV - SYSTEM DESIGN UL EX. 3470 7-15-92 Page 4-18 REV. 2 ! NOZZLE PLACEMENT REQUIREMENTS (Continued) Nozzle Application Chart The following chart has been developed to assist in calculating % .. the quantity and type of nozzle required to protect each duct, AI, plenum, or appliance. Nozzle Tip Maximum Hazard Nozzle Nozzle Stamping - Hazard Dimensions Quantity Part No. Flow No. Duct or Transition Length - Unlimited 1 56927 1W (Single Nozzle) Perimeter - 27 in. (67 cm) Diameter - 8.5 in. (22 cm) Duct or Transition Length - Unlimited 1 78078 2WH (Single Nozzle) Perimeter - 75 in. (190.5 cm) Diameter - 24 in. (61 cm) Duct or Transition Length - Unlimited 2 78078 2WH (Dual Nozzle) Perimeter - 150 in. (381 cm) Diameter - 48 in. (122 cm) Electrostatic Precipitator Individual Cell 1 56929 1/2N (At Base of Duct) Plenum Length - 8 ft. (2.4 m) 1 56930 1 N (Horizontal Protection) Filter Height - 20 in. (51 cm) Plenum Length - 4 ft. (1.2 m) 1 56927 1W (Vertical Protection) Width - 4 ft. (1.2 m) Fryer' Longest Side - 36 in.91 cm) 1 56930 1N Area - 6 sq. ft (.56 m4) Griddle Longest Side - 48 in. (122 cm) 1 56927 1W Area - 10 sq. ft. (.93 m2) Range Longest Side - 48 in. (122 cm) 1 56927 1W Area - 10 sq. ft. (.93 m2) Chain Broiler" Longest Side - 34 in. (86 cm) 2 56927 1W (Overhead Protection) Area - 7.6 sq. ft. (.69 m2) Chain Broiler Length - 43 in. (109 cm) 2 56930 IN (Horizontal Protection) Width - 31 in. (79 cm) Gas -Radiant Char -Broiler Longest Side - 24 in. cm) 1 56930 1N Area - 3 sq. ft. (.28 m L61 Electric Longest Side - 34 in. (86 cm) 1 56930 1N Char -Broiler' Area - 4.7 sq. ft. (.44 m2) Lava -Rock Longest Side - 24 in. (61 cm) 1 56930 1 N Area - 2.2 sq. ft. (.20 m2) Natural Charcoal Longest Side - 24 In. (61 cm) 1 56930 1N Broiler Area - 2 sq. ft. (.19 m ) Lava -Rock or Natural Longest Side - 30 in. (76 cm) 1 76782 3N Charcoal Char -Broiler Area - 5.0 sq. ft. (.46 m2) Mesquite Longest Side - 30 in. 6 cm) 1 76782 3N Char -Broiler Area - 5 sq. ft. (.46 mg Upright Broiler Length - 32.5 In. (82.5 cm) 2 56929 1/2N Width - 30 in. (76 cm) Salamander Length - 32.5 in. (82.5 cm) 2 56929 1/2N E? oiler Width - 30 in. (76 cm) •Fa low pmximhy applications from 10 — 28 in. (25 10 66 om) abm'a he7arU surface, use a JW noale (Pen No. 58927), Mh tip 1 W. "Minimum chain hrwlar exhaust opening — 12 in. x 12 in. (31 cin x 31 inn), and not less Men e0% W IMemal timilar eine. SECTION IV — SYSTEM DESIGN UL EX. 3470 7-15-92 Page 4-16 REV. 1 NOZZLE PLACEMENT REOUIREMENTS (Continued) Lava Rock (Ceramic) Char -Broiler Protection The R-102 system uses the 1N Nozzle (Part No. 56930) for all lava rock char -broiler protection. The nozzle tip Is stamped with 1 N, indicating that this is a one -flow nozzle and must be counted as one flow number. One IN nozzle will protect a hazard which has a maximum length of 24 in. (61 cm) and a total hazard area which does not exceed 3.2 sq. ft. (.2 m2). The nozzle must be located 18 to 40 in. (46 co 102 cm) above the hazard surface. When using this nozzle for lava rock (ceramic) char -broiler protection, the nozzle must is positioned anywhere along or within the perimeter of the max- imum hazard area and angled to the center. See Figure 46. 13 IN. � - I (M cm), 24 IN (61 cm) MAXIMUM I 40 INJI 02UM cm) }, I I i I I I I i I I i I i i I i I I I I I I I J j I J I I ff( I MAXIMUM �) I � 1 I 16 IN. (46 cm) I t r MINIMUM I} } I ' � I i ¢ FIGURE 46 Natural Charcoal Broiler Protection The R-102 system uses the 1N Nozzle (Part No. 56930) for all natural charcoal broiler protection. The nozzle tip is stamped ►with 1N indicating that this is a one -flow nozzle and must be counted as one flow number. One 1 N nozzle will protect a hazard area which has a maximum length of 24 in. (61 cm) and a total hazard area which does not exceed 2 sq. ft. (.19 m2). The nozzle must be located 18 to 40 in. (46 to 102 cm) above the hazard surface. When using this nozzle for natural charcoal broiler protection, the nozzle must be positioned anywhere along or within the perimeter of the max- imum hazard area and angled to the center. See Figure 47. The coverage of such appliances only applies when the depth of the charcoal does not exceed 4 in. (10 cm). I � - I I I 40 INJI 02UM cm) MAXIMUM / I r 1 I 1 1 / \ I / 18 IN (46 cm) I / r MINIMUM 41N (16 cm) MAXIMUM DEPTH I FIGURE 47 SECTION IV - SYSTEM DESIGN UL EX, 3470 6.1.91 Page 4-2 REV. 1 NOZZLE PLACEMENT REQUIREMENTS (Continued) Duct Protection (Continued) ►The I and 2WH nozzles will protect the following: 4. Single Nozzle (2WH) Duct Protection: One 2WH nozzle will protect ducts with a maximum perim- eter of 75 in. (190.5 cm) or a maximum diameter of 24 in. (61 cm). The nozzle must be installed 2.8 in. (5-20 cm) into the center of the duct opening and positioned as shown in Figure 4. 2-B IN (5-20 F210T3�ffl7 5. Single Nozzle (2WH) Transition Protection: One 2WH nozzle will protect transitions at the point where the perimeter of 75. in. (190.5 cm) or the diameter of 24 in. (61 cm) or less begins within that transition. The nozzle must be placed in the center of the transition opening where the maximum perimeter or diameter begins as shown in Figures 5 and 8. FIGURE 5 FIGURE 6 6. Dual-Nozzte Duct Protection: Two 2WH nozzles will protect ducts with a maximum perim- eter of 150 in. (381 cm) or a maximum diameter of 48 in. (122 cm). The nozzles must be installed 2-8 in. (5-20 cm) into the duct opening and positioned as in Figure 7. PUCT LENGTH FIGURE 7 NOTICE in installations where a UL listed damper assembly is employed, the duct nozzle can be installed beyond the 8 In. (20 cm) maximum, to a point just beyond the damper assembly that will not interfere with the damper. NOZZLE PLACEMENT REOUIREMENTS (Continued) Plenum Protection (Continued) For a plenum, either single or "V" bank, with a linear extension longer then 8 feet (2.4 m), each bank may be protected using one 1 N nozzle every 8 ft. (2.4 m) or less depending on the overall length of the plenum. See Figure 28. The nozzles may point in the opposite directions as long as the entire plenum area is pro- tected, and the 8 ft. (2.4 m) limitation is not exceeded. See Figure 29. The nozzle positioning shown in Figure 30 is not an accept- able method of protection because the plenum area directly under the tee is not within the discharge pattern of either nozzle. i 28 : 29 SECTION IV — SYSTEM DESIGN UL EX. 3470 7-15.92 Page 4-9 REV. 1 Fryer Protection The R-102 system uses two different style nozzles for the pro- tection of fryers. The maximum length of the hazard can be no longer than 36 in. (91 cm) and the total hazard area must not exceed 6 sq. ft. (.56 m2). 1. High Proximity Applications: 20 to 50 In. (51 to 127 cm) above the liquid grease surface. See Figure 31. The 1 N Nozzle (Part No. 56930) is used for high proximity applications. The nozzle tip is stamped with IN, indicating that this is a one -flow nozzle and must be counted as one now number. When using this nozzle for fryer protection, the nozzle must be positioned anywhere along or within the perimeter of the maximum hazard area and angled to the center. I I ' M XUcm) MAXIMUMM i IN. M)y \1 !/ MINIMUM FIGURE 30 FIGURE 31 jr_LA IlALZA i 14f 5 i 3 r p,gk-I- A/✓G=L£.S, I.✓A g836.Z 360- 4467-5442 I I I I P. ffSVL � I f� LZSSN13llRY FIRE PF.o7c Gr; G;. .470 Mofvig0E P-0 P.9F71 Al✓UELFS, WA 98'62 X 60- H52.- /till OF- 360 lo, a., FROR}T VIEW ons S N✓' -OF; I SYAYCt i v pU TA TION Toes' I I L or ATFO ACROSS FROM /{00X? .NEAR FKZT" I Ii 6 AIVSUL A40I 2- 3 6AL _12 FiOLVROZ Ar S STEM__- , w OMT I1r02Z.EL_.2Wf1 - "_l1 'AMIEX�MAX — -- `I p�-E•'N_GNJ_ Ma22LE 5PACFO E,'F,.—AOARr 7"FRora Fjy,rcJj JV CN44-BROILER AIOZZGF 2N 35"-FAOM-Sugr=Ac£__ �pTN RAMS /VozzLES IW 35"FROM SWVF(C.E EN4 VIEW TO77-- --- Il% PORT ANGELES FIRE DEPARTMENT HOOD & DUCT FIRE SUPPRESSION SYSTEM PLAN REVIEW Project Name: Bella Italia Address: 118 E. First Fire Suppression System Installer: Telephone: 683-5132 Permit 401-12662 We have checked this plan and find that it conforms to the requirements of our ordinance. Additionally: 1. If plans have not previously been submitted to an insurance rating organization, 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. 2. A fire suppression system diagram in conformance with U.L., Inc. 3. Before final acceptance of the system, an inspection will be conducted by the Port Angeles Fire Department to insure systems comply with NFPA 496, UMC Chapter 20 and UFC Article 10. ® Building Department Reviewed By Il vK�vc �Q Y21 ❑ Fire Department Date 5 • n • 01 FP - 12 Page 1 of 1 IDATE: g p I I TO: FIRE DEPARTMENT ❑ PLANNING DEPARTMENT ❑ PUBLIC WORKS/ENGINEERING DIVISION ❑ LIGHT DIVISION ❑ ENERGY ❑ ENGINEERING ❑ POLICE DEPARTMENT ❑ ADMINISTRATION ❑ CITY CLERK ❑ RISK MANAGEMENT FROM: PUBLIC WORKSIBUILDING DIVISION RE: ADDRESS: ( ( g C Ff o,) ( -'311 NAME/CONTACT: PHONE: PERMIT NUMBER: 2 -Z- PROJECT DESCRIPTION: I'� s f� (f A{ row o� f re, f S X02. a s ttJ `�iCiS�t/vCa t:f�� U�NBVIF-eONSTR GTICN /ADDITION ALTERNAII N COMMENTS/CONDITIONS: RFVIEW/RETURN ❑ FILE FOROFFI _ USE ONLY: carr 0 Batlding/1Jb'tity/KbMdFIre Permit Application � e; 19-0 L 2.( Please 811 out comphtdy. Type or print in ink Wyou have questions Pw'� 8!81724: Y N please can (360) 4174815 err Fax: (360) 417-4711 t �IcoaQkl.oe. amad: www.dpart-lagdeLvnLvs err.lanes Applicant mWorAgmt: z, rr�, iii ✓ Fisc c><a Phone• 'VS2-103 Owner Phone: Address: �f7v /t/iDit//ld s� l City: ,fir A��.. / r rp- %r -��e7 Architec/Fatg;neQ/Dadp ns, 7S` L; .�._ -,� VPharr. Caohacta: r� �• License #1051CO� i gap /o o Phare Address: City: bp-. PROJECTADDRFSS:: //� C ZONNG LEGAL 1ESCF"MN: Loot: Black: Subdivision: C LALLAM CDUNTY PARCEL NUAIEZI : "wedk card Halder Name: BBM&Adhvm- t'Ny: I Tip Credit Card # EW. Date: VIS4----MC TYPE OF WORK: SECENALUATION: o Rrsideadd o New Constr.- o Rea" o Stovdlosat SF. ® S_,_ E = S o Multi-fonily o Addition o;,Nlove o Garage o Commercial o Ranodd o.,Dtgsolitian a Deck o Electrical o LP -gm o' SVi . o UST TOTAL VALUATION' ., . S BRIEF D88CR1PiTON OF THE PRQECTs/J/l✓�/ CO : y Group: Occapakit Leie1C i Caaetrudios Type 140. ofSbaim: Lot Size: 4y Lot Coverage w-... . Foisting Let COVQsge: Esq. 8.4- Ptopoaed Lot Coverage ft & = TOTAL LOT COVERAGE:_/aq.tt PLANNDG USE ONLY: APPROVALS: PLAN Permits Required: Notes BLDG Max. Hd& SetbwJ®: Zoning: DPW Site Plan ad Use Approved by: Date FIR$_ ESA/Wet ad(s): o Yea o No SEPA Checklist required? o Yes o No Olber. OTHKR� PRE-AWWAMON SUBMMA La Yaw appileadva and sdnr plan mad be ftHed oat cvxWk#* is be eccepred fw relent The Budding Division cast provide you with more detailed mAnnation on the application and plan submittal requirements, BUUA)U4G PBF IT APPLICATION SUBMITTAL Your completed application, site plan (for edditions) and building constructiou plans are tr be submitted to the Buibbag Division. VALUATDN OF CONSTRUCTION: In all cases, avabowitim amount must be entered by the applicant This figure will lie reviewed and maybemdadbytheBoikhogDiv to comply with current fee schedlda. Cmtmd&ePermitCoordinmwa1417-4815fwas PLAN CUM FEE: Your plan check feeis 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. EXPIRAMN OF PLAN REVIEW: Uno permit is issued within 180 days of the date of application, this application VAN expire by husitatioa. The Budding Olfsial cm extend the time for action by the applicant up to 180 days, on mitten request by the applicmt (see Socia 107A of the Uniform Building Codec current edition). No eppiiestim can be extended more than once. I hereby coo drat I haus read and examined this app/kadon and hraw die same to be his and came& and I am andiariked u apply for 161st permit I understand It is net do Cky's legal respenafWBh' to determine what permits are required; ir remadrav du d"Bcant'srespaadbiUty to deanrmine what permits are required and to aafib(/fir suck G PW-11a2_13imv.6lae] Applicant: Date: O O StCTIl:1V Iv - SYSTEM DESIGN UL EX. 3470 7-15-92 Page 410 REV. 2 NOZZLE PLACEMENT REQUIREMENTS (Continued) Nozzle Application Chart The following chart has been developed to assist in calculating =+;; the quantity and type of nozzle required to protect each duct, plenum, or appliance. Nozzle Tip Maximum Hazard Nozzle Nozzle Stamping - Hazard Dimensions Quantity Part No. Flow No. Duct or Transition Length - Unlimited 1 56927 1W (Single Nozzle) Perimeter - 27 in. (67 cm) Diameter - 8.5 in. (22 cm) Duct or Transition Length - Unlimited 1 78078 2WH (Single Nozzle) Perimeter - 75 in. (190.5 cm) Diameter - 24 in. (61 cm) Duct or Transition Length - Unlimited 2 78078 2WH (Dual Nozzle) Perimeter - 150 in. (381 cm) Diameter - 48 in. (122 cm) Electrostatic Precipitator Individual Cell 1 56929 1/2N (At Base of Duct) Plenum Length - 8 ft. (2.4 m) 1 56930 1N (Horizontal Protection) Fitter Height - 20 in. (51 cm) Plenum Length - 4 ft. (1.2 m) 1 56927 1W (Vertical Protection) Width - 4 ft. (1.2 m) Fryer' Longest Side - 36 in. 91 cm) 1 56930 1N Area - 6 sq. ft (.56 mz) Griddle Longest Side - 48 in. (122 cm) 1 56927 1W Area - 10 sq. ft. (.93 m2) Range Longest Side - 48 in. (122 cm) 1 56927 1W Area - 10 sq. ft. (.93 m2) Chain Broiler" Longest Side - 34in. (86 cm) 2 56927 1 W (Overhead Protection) Area - 7.6 sq. ft. (.69 mi Chain Broiler Length - 43 in. (109 cm) 2 56930 1N (Horizontal Protection) Width - 31 in. (79 cm) Gas -Radiant Char -Broiler Longest Side - 24 in. (61 cm) 1 56930 1N Area - 3 sq. ft. (.28 m Electric Longest Side - 34 in. (86 cm) 1 56930 1 N Char -Broiler* Area - 4.7 sq. ft. (.44 m2) Lava -Rock Longest Side - 24in. (61 cm) 1 56930 1 N Area - 2.2 sq. ft. (.20 mA Natural Charcoal Longest Side - 24 in. (61 cm) 1 56930 1N Broiler Area - 2 sq. ft. (.19 m Lava -Rock or Natural Longest Side - 30 in. (76 cm) 1 76762 3N Charcoal Char -Broiler Area - 5.0 sq. ft. (.46 m2) Mesquite Longest Side - 30 in.6 cm) 1 76782 3N Char -Broiler Area - 5 sq. ft. (.46 mz) Upright Broiler Length - 32.5 in. (82.5 cm) 2 56929 112N Width - 30 in. (76 cm) Salamander Length - 32.5 in. (82.5 cm) 2 56929 1/2N Broiler Width - 30 in. (76 cm) chainbbroileri 212 nl x n. 311 M�� � �n w% at internal broiler Sli 1, lip 1 W. • Minimum exhaust opening 12 l�ia� SEP,TtON IV — SYSTEM DESIGN UL EX. 3470 7.15-92 Page 4-16 REV. 1 NOZZLE PLACEMENT REOUIREMENTS (Continued) Lava Rock (Ceramic) Char -Broiler Protection Natural Charcoal Broiler Protection The 8-102 system uses the IN Nozzle (Part No. 56930) for all lava rock char -broiler protection. The nozzle tip is stamped with 1 N, indicating that this is a one -flow nozzle and must be counted as one flow number. One 1 N nozzle will protect a hazard which has a maximum length of 24 in. (61 cm) and a total hazard area which does not exceed 3.2 sq. ft. (.2 m2). The nozzle must be located 18 to 40 in. (46 to 102 cm) above the hazard surface. When using this nozzle for lava rock (ceramic) char -broiler protection, the nozzle must 3e positioned anywhere along or within the perimeter of the max- imum hazard area and angled to the center. See Figure 46. Ici � I I ! I I I I i I I I�f l 40 XI 102 cm) MAXIM JM I 8 I I 1 I ( \ 1 } em MINIMUM I i r � MINIMUMUM I I � } f ¢ FIGURE 46 The R-102 system uses the 1N Nozzle (Part No. 56930) for all natural charcoal broiler protection. The nozzle tip is stamped ►with 1N indicating that this is a ona-flow nozzle and must be counted as one flow number. One 1 N nozzle will protect a hazard area which has a maximum length of 24 in. (61 cm) and a total hazard area which does not exceed 2 sq. ft. (.19 m2). The nozzle must be located 18 to 40 in. (46 to 102 cm) above the hazard surface. When using this nozzle for natural charcoal broiler protection, the nozzle must be positioned anywhere along or within the perimeter of the max- imum hazard area and angled to the center. See Figure 47. The coverage of such appliances only applies when the depth of the charcoal does not exceed 4 in. (10 cm). 12 IK 24 IN (61 Cm) MAXIMUM 1 I 1 a i mow,` I i I i 1 I I I I j i I I ! 1 I I 1 / I I I Cm) 1 A MAXIMUM �77 / 1 \ I / 1I IN. UMUM cm) MINIMUM 4 cm) MAAXX IMUU M I ! DEPTH T� , FIGURE 47 S zcT1ON IV - SYSTEM DESIGN UL EX. 3470 6-1-91 Page 4-2 REV. 1 NOZZLE PLACEMENT REQUIREMENTS (Continued) Duct Protection (Continued) *The 1W and 2WH nozzles will protect the following: 4. Single Nozzle (2WH) Duct Protection: ► One 2WH nonce will protect ducts with a maximum Perim - star of 75 in. (190.5 cm) or a maximum diameter of 24 in. (61 cm). The nozzle must be installed 2-8 in. (5-20 cm) into the center of the duct opening and positioned as shown in Figure 4. 2-8 IN IE -20 FIGURE 4 S. Single Nozzle (2WH) Transition Protection: One 2WH nozzle will protect transitions at the point where the perimeter of 75. In. (190.5 cm) or the diameter of 24 in. (61 cm) or less begins within that transition. The nozzle must be placed in the center of the transition opening where the maximum perimeter or diameter buns as shown In Figures 5 and 6. M N 71 FIGURE 5 FIGURE 6 6. Dual -Nozzle Duct Protection: ► Two 2WH nozzles will protect ducts with a maximum perim- eter of 150 in. (381 cm) or a maximum diameter of 48 in. (122 cm). The nozzles must be installed 2-8 in. (5-20 cm) into the duct opening and positioned as in Figure 7. Tr2 ' DUCT DUCT LENGTH LENGTH FIGURE 7 NOTICE In Installations where a UL listed damper assembly Is employed, the duct nozzle can be installed beyond the 8In. (20 cm) maximum, to a point just beyond the damper assembly that will not interfere with the damper. NOZZLE PLACEMENT REOUIREMENTS (Continued) Plenum Protection (Continued) For a plenum, either single or "V" bank, with a linear extension longer than 8 feet (2.4 m), each bank may be protected using one 1 N nozzle every 8 ft. (2.4 m) or less depending on the overall length of the plenum. See Figure 28. The nozzles may point in the opposite directions as long as the entire plenum area is pro- tected, and the 8 ft. (2.4 m) limitation is not exceeded. See Figure 29. The nozzle positioning shown In Figure 30 Is not an accept- able method of protection because the plenum area directly under the tee is not within the discharge pattern of either nozzle. 28 i 29 SECTION IV — SYSTEM DESIGN UL EX. 3470 7-15-92 Page 4-9 REV. t Fryer Protection The R-102 system uses two different style nozzles for the pro- tection of fryers. The maximum length of the hazard can be no longer than 35 in. (91 cm) and the total hazard area must not exceed 8 sq. ft. (.58 m2). 1. High Proximity Applications: 20 to 50 in. (51 to 127 cm) above the liquid grease surface. See Figure 31. The 1 N Nozzle (Part No. 58930) is used for high proximity ► applications. The nozzle tip is stamped with IN, indicating that this is a one -flow nozzle and must be counted as one flow number. When using this nozzle for fryer protection, the rmzzie must be positioned anywhere along or within the perimeter of the maximum hazard area and angled to the center. WIN. , I � 1 1 1 1 i I IID M)} MAXIMUM 1 11 1 MINIMUM I FIGURE 30 FIGURE 31 pdAl- AA16F1-ES, IATA 9fr36.2 360- 457-5442 ('~HuNs�L 1 yQ.loz � I �..�— `f. LZSfATuRY FIRE .G70 MONROE AD PVFT AM&ELES, WA W362 360-H52-NY3 OR, 360 683-sw Io a' f—� i FRONr v1Ew 4z" = +'- O" vAS SMY�-OF= � Swlnx� 3c" PULL STATXON TO 8E L OCAT¢'O ACROSS FKOM g ooD A/EAQ jerXiT j ANSUL 12-10 Z a_ 6AG _/2 ECO.. LNr_ s7kTr d— DMT NOZZEc= 2 wN_- _PILENGLAII—fLQ.��,1-E Sp!>�FILS FEET APART JAI CpR,N NASROXLFR O7.2LF IN 35"_FROM_St/AF13GE u OT4 RANGE A/O?ZLES I w 3.5" FROM 5uArK.E' _ IOUTAL FbNW—ROZNZ 7 PLti\S ��'t'tiQVEl� lly Fvi.T .1\G?SLt;S FINE UFPTL DATE: IZYz' S 0, END VIEW i +Of ,ORT 4,,"" CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 A Q� ® oil -1 (206) 457-0411 PERMIT NO %3Ov DATE vZ /2dfZ ELECTRICAL PERMIT Site Address: ❑ READY FOR E) WILL CALL FOR mo ! ZD C /� INSPECTION INSPECTION Installed By: r I � '� License Number Phone: Owner/Business: � n Q� Phone: Owner/Business Address: t C Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE OVERHEAD SERVICE �K COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROU�f�}DSgRVICE ❑ BASEBOARD KW El NEW CONSTRUCTION VOLTAGE: /20. 241 �< FURNACE KW �9 REMODEL 4d C] SINGLE PHASE THREE PHASE ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE S 1001—Z610 AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT I (LIST BELOW) Details/Description: S / c rM h{ slw�C//C£ S /o?D F IeO 444 20 D R+#yO /s Kt J 4.4em*c4t, j00WUJ 444wt ;� W.S. No. SERVICE SIZE CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE. DATF ENGR. ❑ CHANGE SERVICE WIRE ❑ OTHER ❑ Ditch Inspection O.K. 7 Rough-in/cover O.K. ❑ O.K. to connect service /%nom Final O.K. �(�' _Site Address: / / Permit/Receipt No. mo /z� /sem 3s0 9 Installer: � New Meters Date: Notify Port Angele City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildin ermit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Q C 2 1 Electrical Inspector Permit Fee WHITE — File by address YELLOW — file by number PINK — Top: Eng, Bottom, Customer GREEN — Top: Meter Dept., Bottom City Hall OLYMPIC PRINTERS INC ' FEE RECEIPT NUMBER fa- TOTALFEE CITY OF PORT ANGELES DEPARTMENT OF LIGHT v ® /o -3 PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT �f V945293 0 CONT LIC NO I TIMETOCOMPLETE NO. STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address //8 Fx4sr /sr CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner /f'AA/Dy 'jCNA. 1(/ Installation By #AZ1✓4C535 IS L�LF67it7/G Owner's Address /��� - BOV 40.3 Installers Address a,,�. W / Day Phone – 26 - Installers Phone 95.7— 7)90.74 Application is hereby made for Permit to install Electrical Equipment as follo � Wiring Method{ USEOFCIRCUIT LIGHT LIGHT CONVENIENCE (CONVENIENCE APPLIANCE DISHWASHER (DISPOSAL (RANGE (OVEN IWATER HEATER (LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT FEEDER SERVICE NUMBER AMP 120V CIRCUITS PER CER 10 ISUB -TOTAL 240V 1 0 OR 30 FEE USE OF CIRCUIT NUMBER AMPCIRCUITS PER CIR SIGN I50 VOLTS OR LESS MOTOR MOTOR I MOTOR I FIREALARMS I I ((BURGLAR ALARM MISC. II I I 11 I I II I I II REINSTALLATION LIGHT FIXTURE N II SUB TOTAL FEE II ENERGY FEE BASIC FEE TOTAL FEE 120V 240V 0 10OR FEE 30 - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER I;No AMP PHASE I III SIZE OF SERVICE ENTRANCE CONDUCTORS I I I 1/2 Al-te,014 A W G II I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the Installer and in conformance with the N.E.C. Electrical Code. Date Application made AIS 1/ CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR 6F'CITY LIGHT ' Date Permit Issued PBLANS ® Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457.0411 Ext. 158. WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE -Original CANARY -Duplicate PINK - Triplicate WHITE CARD- Inspector's Report DATE OF VISIT REPORT OF INSPECTOR MADEBY REMARKS l�-1 s -`r� Al fL r ChMf eel( O.K.FORCOVERINO CAA( B(LL O.K. TO CONNECT SERVICE 41 FINAL �L� FINAL O.K. 1 11 r Ll CITY OF PORT ANGELES FEE RECEIPTNI BER DEPARTMENT OF LIGHT A � Jy/ / PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT c TOTAL FEE I / O4a/iLVOG CONT. LIC. NO. I �4.t:�-r. : '� tl i=-y=:-�.,, I �•. �' '.':,� TIMETOCOMPLETE NO STORIES I1 LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address L"yST /ST - - CORRECT DDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner / Installation Sy ///9LI/O.PSF_7V 1S Owner's Address- /"� 0 ,L_Icr� / Installers Address /'9zTO 1�✓<=ST // Day Phone' J.5''7 Installers Phone / 4S7 -780.3 J/ Application %hereby made for Permit t all Electrical Equipment as follows: Wiring Metho� USE OF CIRCUIT NUMBER AMPCIRCUITS PER CIR LIGHT LIGHT CONVENIENCE INCONVENIENCE APPLIANCE DISHWASHER DISPOSAL (RANGE ® (OVEN WATER HEATER ILAUNDRY Irl �J DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.C. UNIT 30 120V 240V 0 1008 30 it I I I I lI I FEE I USE OF CIRCUIT NUMBER CIRCUITS SIGN I50 VOLTS OR LESS MOTOR I MOTOR / H MOTOR I IFIRE ALARMS I IBURGLARALARM I I L I I MISC 1�II I I REINSTALLATION LIGHT FIXTURE p II SUB TOTAL FEE AMP 120V 240V PER 1 0 1 0 OR FEE CIR 30 ENERGY FEE BASIC FEE �{ 1 I I TOTAL FEE G� SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE FEEDER I I I I I SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE -I I I I - I AWG. ISUB -TOTAL I / I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application mads 19 g �/j%1Aa y ;y"" vv CONTRACTOR OR OWNER IDR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. DIRECTOR OF CITY LIGHT Date Permit Issued By ov Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. I WARNING I r PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE. Original CANARY -Duplicate PINK -Triplicate WHITE CARD- Inspector's Report REPORT OF INSPECTOR REMARKS 'k, O.K. FOR COVERING .. O.K.TO CONNECT SERVICE - 'FINAL DATEOFVISIT MADEBY Ir I r :` S a. REPORT OF INSPECTOR REMARKS 'k, O.K. FOR COVERING .. O.K.TO CONNECT SERVICE - 'FINAL 0f 9 T 1X0 4 �1\`"t�, FOR OFFICIAL USE ONLY: ELECTRICAL PERMIT APPLICATION Date Date Approved: The Electrical Permit Application must be filled out Completely. D"` tsn,ea. MZ Please type or print In ink If you have any questions, please call (360) 417-4735 tt Fax number: (360) 417-4711 Applicant and/or Agent: Iq P.s CS -:`CC t j Phone: Z -6;7S_,3 Fax # Property Owner: Phone: Addresp • City: Zip: Contractor License #: Exp- Phone: Address- City: Zip: Credit Card Holder Name: e511 e- 2 e o eR, c51rir /C Billing Address: A4VS6J/tV /V. city A01 -4e Credit Card Number S -y17 7 8 700 bol O 2-80.9 Exp. Date: o O VISA MC4— Permit Fee: z� PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: TYPE OF WORK: J Residential ❑ Multi -family o Commercial ❑Mobile Home T// 4NING Electrical Permit fees are based on WAC 29646910 �% BRIEF DESCRIPTION OF THE PROJECT: / jj c."ec tl Electrical Heat Load Additions ca.,,ter Infnrmation ❑ Baseboard _KW ❑ Riser Voltage: n Furnace _KW ❑ Overhead Service Phase: ❑ 1 ❑ 3 ❑ Heat Pump _KW ❑ Temp Service Service Size: ❑ Fan -Wall _KW ❑ Underground Service Feeder Size: Comments: I 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 permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine whatpermits are required and to obtain such, Date: 5" � ""o�Gl:?c� PW -1102 23 Imltt.001 Credit Card Holder's Signature: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000478 Date 4/03/18 Application pin number . . . 506100 Property Address . . . . . . 118 E 1ST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application -type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Contractor 14$I1+.NIN, SIMPSON ELECTRIC PO BOX 612 243036 W HWY 101 CARLSBORG - WA 983240612 PORT ANGELES WA 98363 (360) 460-6929 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 4/03/18 valuation . . 0 Expiration Date . . 9/30/18 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ROUGH-IN?r�, FINAL lCOMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X a, --4 REPORT STATE SALES TAX on your oxcise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR 4W Date: MULTI -FAMILY/ COMMERCIAL ELECTRICAL PERMIT APPLICATION ��w:ll Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits@.cityofpa.us Project Address: 118 E 1 st Street Port Angeles WA. 98362 Project Description: Hook up HP ❑ Multi -Family Residential LI Commercial / Industrial / Public Building Square footage: Name: Bella Italia Email: Mailing Address: 118 E 1st St. Port Angeles, WA 98362 Phone: 360-457-5442 lkv Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: PO Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2019 Email: dlsimpson51@gmail.com Phone: 360-457-9270 Ism Unit Charae Quantity Total (Quantity x 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 1-4 $86.00 1-4 $ 86.00 Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi -Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 $ (Note: $5.00 for each additional 1500 so Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $56.00 $ s 86.00 TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 4/2/2018 Andrew P Simpson bidnw �',Siwv,roli Date Print Name Signature (❑ OwnerElectrical Contractor / Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] CD 3 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 0 Application Number . . . . . 18-00000478 Date 4/03/18 Application pin number . . . 506100 Property Address . . . 118 E IST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 0 ---------------------------------------- ----------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ NEIL CONKLIN ------------------------ SIMPSON ELECTRIC PO BOX 612 243036 W HWY 101 CARLSBORG WA 983240612 PORT ANGELES WA 98363 (360) 460-6929 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 4/03/18 Valuation . . . . 0 Expiration Date 9/30/18 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged ---------- ---------- Paid Credited ---------- ---------- Due ----------------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MITHS FROM LAST INSPECTION RESULTS: INSPECTOR: Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001885 Date 2/28/18 Application pin number . . . 838820 Property Address . . . . . . 118 E IST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Trane air handler and filter rack ---------------- — ---------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEIL CONKLIN AIR FLO HEATING CO INC PO BOX 612 221 W CEDAR ST CARLSBORG WA 983240612 SEQUIM WA 98382 (360) 460-6929 (360) 681-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 56.00 Plan Check Fee 00 Issue Date 2/28/18 Valuation . . . . 0 Expiration Date 8/27/18 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 00 INSPECTION TYPE DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL �1 1�. COMMENTS: PERMrr WILL EXPIItE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPORT STAMULES TAX on your excise farm to the City of Port Angeles (Location Code 0502) 1 INSPECTOR Date: 12/21/2017 THU 11:22 FAX 360 683 3971 Airflo Heating copier CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical-Inspections 321 East Fifth Street — P.O. Box 1158 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (368) 417-4711 Date: � Zi 2-1 lu)N-i 1 & 2 Single Family Dwelling 0005/006 * Plan Review� i ui Co lee kcal P�an`g�vi tion Sheet Job Address: t, Y' ��r�llt"`� SIV f �t Building Square F Description of above fl1'(1V1f fit Y 1-Ia!`anoI a i Nit" k -\l �f=If L�iiC� Item Unit Charge Service/Feeder 200 Amp. $120.00 ServicelFeeder 201.400 Amp. $146.00 ServioatFeeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 -- $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp. Servic elFeeder 20t400 Amp. $110.00 Temp. Service/FeWer 401'600 Amp. $149.00 Temp. Servioe/Feeder 601-1000 Amp. $168.00 Portal to Portal Houdy $ 96.00 Signal Circuit! limited Energy -1 &.2 Family Dwelling $ 64.00 Manufactured Herne Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T•Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming. Pool or Hot Tub $110.00 Contrwor i Name: MW .11M .11 1{��}c� Maifrr Address: 1Zt ti�.� �uttt__`i� W. 1 lYl(1 State: zip: Phone: t Fpx• License # / Exp. FAILAI 2wak 21 Total (Qtv Multtclted by Unit Chamel, $ $ $ $ $ $ CID $ $ DU ' -U Total Owner as defined by RCW.19.28.261: (1) Owner will oocupy the structure Lure for two years atter this electrical permit is finalized. (2) Owner is required to hire an electrical contractor K above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCK Chapter 19.28-, WAC. Chapter 296466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit ications. Sig ure of owne lectrical contractor or electrical administrator: ❑ cash - 3 o CmditCarasnil -�- ,/ x Dated: 1� 21 UAA-A 01101012 ELECTRICAL PERMIT MY OF PORT ANGELES 360-417-4735 Application Number .pin number . . . 18-00000478 Date 4/03/18 Application . 506100 Property Address . . . . . . 118 E 1ST ST ASSESSOR PARCEL NUMBER; 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESSDISTRICT Application valuation 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ----------------------- ------------------------ NEIL-COMMIN SIMPSON ELECTRIC PO BOXX-432 , 243036 W HWY 101 CARLSSORG WA 903240612 PORT ANGELES WA 98363 (360) 460-6929 (360) 451-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . - 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 4/03/18 valuation . . . . 0 Expiration Date . . 9/30/18 Qty Unit Charge Per Extension BASE FEE 86.00 --------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total $6.00 86.00 .00 .00 INSPECTION TYPE DATE- RESULTS: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical_Contractor X a. : I REPORT STATE SALES TAX on your excise tax form to the City of Port AnX46s (Location Code# 2) i INSPECT0&- Date: I MULTI -FAMILY / COMMERCIAL ELECTRICAL PERMIT APPLICATION §; Public Works and Utilities Department 321 E. 5th Street, Port Angeles, WA 98362 360.417.4735 j www.cityofpa.us I electrical permitsCa;cityofpa.us Project Address: 118 E 1 st Street Port Angeles WA. 98362 Project Description: Hook up HP ❑ Multi -Family Residential 91 Commercial / Industrial / Public Building Square footage •r�� •• •� Name: Bella Italia Email: Mailing Address: 118 E 1st St. Port Angeles, WA 98362 Phone: 360-457-5442 ELECTRICAL CONTRACTOR INFORMATION 6. Name: Simpson Electric LLC License: SIMPSEL973RQ Mailing Address: PO Box 1086 Port Angeles, WA 98362 Expiration Date: 12/11/2019 Email: dlsimpson5l @,gmail.com Phone: 360-457-9270 Item Unit Charae Quantity Total (Quantity x Unit Charc 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 1-4 $86.00 1-4 $ 86.00 Temp. Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp. $121.00 $ Temp. Service/Feeder 401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $96.00 $ Sign / Outline Lighting $88.00 $ Signal Circuit/Limited Energy - Multi -Family $88.00 $ Signal Circuit/Limited Energy/First 1500 sf - Commercial $96.00 $ (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less $113.00 $ Thermostat (Note: $5 for each additional) $56.00 $ $ 86.00 TOTAL Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 19.28, WAC. Chapter 296- 466, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. 4/2/2018 Andrew P Simpson Mok,w iiwv,ro;r Date Print Name Signature(E] Owner of Electrical Contractor /Administrator) [Electrical Permit Applications maybe submitted to City Hall or electricalpermits@cityofpa.us or faxed to 360.417.4711] ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000478 Date 4/03/18 Application pin number . . . 506100 Property Address . . . . . . 118 E 1ST ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - tax form Application type description ELECTRICAL ONLY on your excise Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEIL CONKLIN SIMPSON ELECTRIC PO BOX 612 243036 W HWY 101 CARLSBORG WA 983240612 PORT ANGELES WA 98363 (360) 460-6929 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 86.00 Plan Check Fee .00 Issue Date . . . . 4/03/18 Valuation . . . . 0 Expiration Date . . 9/30/18 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 86.00 86.00 .00 .00 - Plan Check Total .00 .00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS: INSPECTOR: Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 17-00001885 Date 2/28/18 Application pin number . . . 838820 Property Address . . . . . . 118 E 1ST ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Trane air handler and filter rack ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEIL CONKLIN AIR FLO HEATING CO INC PO BOX 612 221 W CEDAR ST CARLSBORG WA 983240612 SEQUIN WA 98382 (360) 460-6929 (360) 681-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . . . . 56.00 Plan Chdck Fee .00 Issue Date 2/28/18 valuation . . . . 0 Expiration Date 8/27/18 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- -------------------- ---------- ---------- Permit Fee Total 56.00 56.00 00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL COMMENTS: DATE: RESULTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPORT STAM,$ ALES TAX on your excis W,, M to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: % REPORT STAM,$ ALES TAX on your excis W,, M to the City of Port Angeles (Location Code 0502) INSPECTOR. Date: 12/21/2017 THU 11:22 FAX 360 683 3971 Airflo Heating copier CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical.Inspections 321 East Fifth Street— P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: \ 2-11-1 lw\-1 _._..1 & 2 Single Family Dwelling 0005/006 * Plan eW. , t j ?aMyuimd, P1�e� rr�le)e�ie�c l P an F3�vie,�y iniQrrry�tion Sheet Jeb Address: , t � `iY i'ur Prrt 1t ��� f �t �l`��L Building Square F Description of above l n5t-Wl Q1nt�ttjr yVi 1t -Y {ly1L Ly r k-\ t fico(XLJ Owner�inftttt, n Name' �X�1\ Mails t� City: zip., Phone: L ar license # / Exp. License Item Unit Chame Service/Feeder 200 Amp. $120.00 ServicelFeeder 201400 Amp. $146.00 ServicelFeeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp $ 262.00 ServicelFeeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 14 -. $ 75.00 Temp, Service/ Feeder 200 Amp. $ 93.00 Temp. Service(Feeder 20t400 Amp. $110.00 Temp. Service/Feeder 401.600 Amp. $149.00 Temp. SeMc:e/Feeder 601-1000 Amp. $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 &.2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical l Energy - 5KVA System or Less $10200 Thermostat $ 56.00 Note: $5.00 for each add-&" T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft $120.00 Each Additional 500 Square Ft or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming. Pool or Hot Tub $110.00 Con or Inin Marne lY vim MaT A cess: 2Zt �F City: t ftte: Zip: Phone: ax license # 1 Exp. 1 1 X.Ai?, Total fQty Multiolied. by Unit Charge) $ $ $ $ $ $ $ $ S Total Owner as defined by RCW.19.28.261: (1) Owner wilt occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor fi 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,14.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Spedficatlons and PAMC 14.05.050 regarding Electrical Permit ications. signature of owme , lectricat contractor or electrical administrator: 0 Cash, awK- ' o CreaK Card e 0/101012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 18-00000410 Date 4/23/18 Application pin number . . . 961970 Property Address . . . . . . 118 E 1ST ST-Ife ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc HP T STAT ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ NEIL CONKLIN AIR FLO HEATING CO INC PO BOX 612 221 W. CEDAR CARLSBORG WA 983240612 SEQUIM - WA 98382 (360) 460-6929 (360) 683-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56..00 Plan Check Fee .00 Issue Date . . . . 4/23/18 Valuation 0 Expiration Date 10/20/18 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ---------------------------------'------------------------------------------ Fee -------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- -------------------- ---------- Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 REPORT STATE SES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN / 2� FINAL COMII£S: L � PERMIT WILL EXPIRE SIX(6) MOMM FROM LAST INSPECTION Signature of owner or ElectriW,C©ntractor X Date: 03/22/2018 THU 14:41 FAX 360 683 3971 Airflo Heating copier G 11 E CIE I IV E D 1 - 2 SINGLE-FAMILY ELECTRICAL PERMITAPPLICATIOI4IA Public Works and Utilities Department UEMICAL 32.1 H. 5th Street, Port Angeles, WA 98362 INSPHTlt1; mS 360.417.4735 j w5W ,cityofpa.us j e1ectricalpermits0o)cityofpa.us Project Address: 118 E 1st Street PortAngeles WA 98362 Project Description: Install One Trane Heat Pump 0003/004 ❑ Single -Family Residential 0 Duplex/ ARU Building Square footage: ....._. ..._...._..._......:.....: .. . OVNER IN47OR A ION Name: Neil Gonklin _ ,- " _ , . Email,, -. . _ Malting Address; PO Box 612 Carlsborg WA 98324 Phone,: 360-460-6929 ri „, I�..: r :lull„ Vii.. pl qLLL i 0 Name: _ Air Flo Heating Company Llt enSe: AIRFLI'206DG Mailing Address: .221 vrCedar Street/2 Date: D4 018 k alrfloheati ; ; ` '=;;...:. Email:. tY Phone:.- 360-683-3901 . PROJECT n : a e I NIPdoh rg ) Servlcoffieedei,266 f5ijs Service/Feeder 2pl�iO�Amp :. Service/Feeder 401-4.0 -Arp.. ;(20 a,AO Service/Feeder 60t-100UAmp- Service/Feeder over.;1t3 QAmp Branch. Circuit 1Nt S$rariqe Feeder Branch Circuit W/O Sefviee Feeder -' ` $Bt fl:O $ -Each Additional Branch Girmdt $5.40: _ :Brand Circuits 1=4 TOmp. SefvicefFees &2DQAmp. 'AO $. Temp. Service/Feeder201-40OAmp. V0.00 $ Temp.. ServieetFeediW40.4-1006Amp:' "Portal to Portal Hour[. .Signal Circuit/Limited Energy -=7& Manufactured Home Conrion.o:Q Renewable, Elec. Eer9A_:..b..Q.A%.. -� : _k.1.::_..:=:>:..:•>:: :=-_ ::.:.:.:. _:::.:... ;_,._ Thermo tat.{Note $6.foreaehaddltr?q=-r'r:=:€;:< AR -0 Owner as defined by RCW.19.28-261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E:C-, RCW. Chapter 19.28, WAC. Chapter 296- 468, The City off P�ngeles Municipal Code, Utility Specifications a PAM 050 regarding Electrical Permit Applications. 1 V [rcpt ioy'(ens A _ bate "Printme Signal (❑ Owner Electrical Contractor/Administrator} [Electrical Permit Applications may be submitted to City Hall or electdcalpermits@cityofpa.us or faxed to 360.41.7.4711] a ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . 18-00000410 Date 4/23/18 Application pin number . . . 961970 Property Address . . . . . . 118 E IST ST -lel. ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -3120 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc HP T STAT ---------------------------------------------------------------------------- Owner Contractor ------------------------ NEIL CONKLIN ------------------------- AIR FLO HEATING CO INC PO BOX 612 221 W. CEDAR CARLSBORG WA 983240612 SEQUIM WA 98382 (360) 460-6929 (360) 683-3901 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 56.00 Plan Check Fee .00 Issue Date . . . . 4/23/18 Valuation . . . . 0 Expiration Date 10/20/18 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 ----------------------------------------------------------------------------- Fee summary ----------------- Charged -------------------- Paid Credited -------------------- Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL Cobovfl :NTS: DATE: RESULTS: NWIF2:41 ' PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Ele oI:_Ocintrwtor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0542) Z P INSPECTOR: G Date: 03/22/2018 THU 14:41 FAX 360 683 3971 Airflo Heating copier 1 - 2 SINGLE-FAMILYRECHVED ELECTRI CAL PERM IT-APPLICAT 10,WAP Public Works and Utilities Department IECTRICAL 32.1 E. 5th Street, Port Angeles, WA 98362 INS- PR`TTRI 360.417.4735 ( www.cityofpa.us I electricalpermitsvcityofpa.us Project Address: 118 E 1st Street Port Angeles WA 98362 Project Description. Install One Trane Heat Pump ❑ Single -Family Residential ❑ Duplex/ARU Building Square footage: _.:_..:.....:.:............. N Name: Neil Conklin. _ _ , . , Email:. _. Mailing Address, PO Box 612 Carlsborg WA 98324 Phone;: 360-460-6929 r Al wi,i i,i ilio ir d*�Ia1 qii�� i, ••o ill 'Ir �.�i fir, Ali€I o iSi,�i.ipIi 6 Dame: Air Flo Heating Company(16@i!$E: AIRFLr206DG Mailing Address: 221 }rel -.'Cedar. Street Expiration Date. 04t201$ Email: katy@airfEoheatiraaiit ;= :_;-=:.: 360-G83-3901 Phone,_ w r OJEGT DETAILS IWIR ServicelFeedee2iN fijs: Sorvice/Peeder204-4WAmp. Service/Feeder 404-600 Amp: 2P��.D0 5 Service/Feeder 60t-100UAmg - SorvicefFeeder over'it3iEffkAmp. Branch: Circuit W?, Sei i&& Feeder -. x:00: $. Branch: Circuit W/O Seiiilde Feeder :fl0 $ Each Additional Branch Circuit Sratrc h Circuits 1=4 MAD $. .. '?emp. ServvicefFeoder2,00Arnp: SWIM $ Temp. Service/Feeder201-40aAmp: $410.00 Temp. Service/Feeder,401. .Arnp Temp. Se celFeede 01- I;f Am.P: Po I o Port I Hourl. ` :=. -^ - sr; -_z ::::_ °-.:.<;:::;:::-:_ a a :..::.:.:. Signal: Circuitlt iraited Erit+ag --:...... ~=$_.>:;: _: ;;•;: . Manufactured HomeCanneoti9n- Renewable, elec. Energy KVA%$�ez�Ot:�;�_::�<.:��::::_=�-�<i��.Q6.:: .::........�,._...:-,•:.:::_�_�.:::::I�.,_. Thermostat (Note: $5°.foreaeh addrrpet} 56.00 0003/004 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of(Port Angeles Municipal Code, and Utility Specific}tions a d P �O60 arding Electrical PermitAppliaations. (/ L Date Print me Signat { ❑ Owned Electrical Contractor /Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermitss@cityofpa.us or faxed to 360.417.4.711] F