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203 E Front St - Building
01/06/2014 15:50 FAX 11001/002 RECEIVED y �. jJAN 7 2011 41' CITY OF PORT ANGELES PERMIT APPLICAIJO)`" N� �� � Building Division/Electrical Inspections , 117 321 East Fifth Street-�-P.O. Box 1150/Port Angeles Washington, 95362 OWSPE'CTIONS 1111 Ph; (360) 417.4735 Fax: (360) 417-4711 l Date.��,� i_ _Mufti-Family a mmerciar r— "Plan Review May Be Reire aseCompie I ctrical PI eview Inf tion She Job Addressd ► � C�a' -� `f`—"! "` G Bueldirg Square Footage Description of above � ----- z__', �rc�l 1 Owner Informdtlon rr .wry l (r14 1 Contra r nformatf n ' Name .l Girl f. iGhICc I J !darns' �— Ma t A res . Mails AM-re Gry late; Zip City' D late. ip; Phc el Fax Phan - Fax ,t )� License#1 Exp._ , License I xp _ . P"r Item Unit Charge 9tA TotaUgjg Multiplied by Unit Chargel ServicelFeeder 200 Amp $132.00 Service/Feeder 201-400 Amp S 160.00 $ Service/Feeder 401-600 Amp 5225.00 Service/Feeder 609-1000 Amp $288.00 $ ServicelFeedw over 1000 Amp S410.00 5 Branch Circuit W/Servios Felder S 500 R S Branch Circuit WIC Service Feeder S 74.00 $ Each AMoval Branch Circuit U0 6 Branch Circuits 1.4 $ 86 00 $ Temp.Service/Feeder 200 Amp, $10200 Temp,Service/Feeder 201-400 Amp. $121.00 $ Temp Servica/Feeder 401-500 Amp $164M $ Temp,Servicelreeder 601-1000 Amp $185,00 Ponal to Portal Hourly 98,00 Sign/Cutllne Lighting 88.00 $ Signal Circuit!Limited Energy-MuIli-FaI y $ 64.00 $ Signal Circuit/Limited Energy f First 1500 sf—Commercial S 9600 Mote $5 00 for each additional 1500 st Renewable electrical Energy-5KVA System or Less $11300 5 Thermosial S 56.00 Note:55 00 for each additlenal T-Stat D 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 eleotrioal Contractor If above said property is for sale, rent or lease. Permit expires after six months of last inspection, After reading the above Statement, !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,KEL,RCW.Chapter 19,28,WAC, Chapter 296-466,The City of Port Angeles Municipal Code, and Utilfty Specifications and PAMC 14.05.050 regarding Electrloal Permit Applications, Si atur Of owner, electric ntractor or a tr+cat administrator © cash ❑ Check radIt Card 9 ; X � �Dated: 101!20 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000921 Date 1/08/14 Application pin number 746171 Property Address 203 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0193-0090 AppliCation type description ELECTRICAL ONLY oil your excise tax Dorm Subdivision Name to the City of Port Angeles Property Use Property zoning . , , . . , . CENTRAL BUSINESS DISTRICT Location Code 0502) Application valuation , . . , 0 Owner Contractor KOKOPELLI GRILL f SHAMP ELECTRICAL CONTRACTING C/O CANDY MCQUAY PO BOX 383 203 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 96362 (360) 452-1599 -- --------------------------------------__---_---- ----------- ! Permit . , , . . . RL7EC7ZICAL ALTER COMMERCIAL Additional. deaf . . Permit Pee , , . , 147.00 Plan Check Fee 00 Issue Date 1/08/14 Valuation 0 Expiration Date 7/07/14 �J Qty Unit Charge Per Extension 3.00 5,0900 BCH EL-ECH ADDNT BRANCH CIRCUIT 15,00 1.00 132,0900 ECH EL-COM 0-200 SRV FEEDER 132.00 ------------------------------- -- - Fee summary Charged Paid Credited Due ----- ---------- -------- Permit Fee Total 147.04 147.90 .00 ,00 Plan Check Total ,09 ,00 ,00 .00 Grand Total 147,00 147.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE }o. ROUGH—IN , FINAL I COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST STH STREET PORT ANGELES, WA 98362 Application Number 11 00000824 Date 8/03/11 Application pin number 455944 Property Address 203 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 5 0 0193 0000 Tenant nbr name KOKOPELLI GRILL on your state excise tax form Application type description PLUMBING PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 600 Application desc BACKFLOW PREVENTION FOR THE SODA DISPENSER Owner Contractor KOKOPELLI GRILL PRECISION PLUMBING C/O CANDY MCQUAY P O BOX 2910 203 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 1850 Permit PLUMBING PERMIT Additional desc BACKFLOW PREVENTION Permit pin number 190405 Permit Fee 57 00 Plan Check Fee 00 Issue Date 8/03/11 Valuation 0 Expiration Date 1/30/12 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL BACKFLOW PROTECTION <OR=2 7 00 < OO&A Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 'x\/ Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction _ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD C)O -- 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 Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-inb� 1 i,� lw h Waterr Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date v Accepted b D� AIR SEAL. Walls V" Ceiling FRAMING (� Joists/Girders/Under Floor Shear Wall/Hold Downs Walls!Roof/Ceilra Drywall Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts �1 Rough-in Gas Line 1 Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parking/Li htin ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYI USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW /Engineering 417-4831 Fire 417-4653 0 O Planning 417-4750 n Building 417-4815 l}�— T-Fnrmc/Ri ilriinn nwi,inn/Ruildina Permit et +oF voRrgyeF�� Official Use Only o� a Assem.# Backflow Assembly Test Report Received $ �y City of Port Angeles Nb, ANu Public Works and Utilities Department f� Water/Wastewater Collection Division NAME OF PREMISES. 1\Q Z- L / FP\I L G SERVICE ADDRESS ._IG _ A� GN 1 LOCATION OF DEVICE. � � )-C M E* �/�� �R Awl / ASSEMBLY �° 11 T 7T t/ / I M Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES @'NO O IS ASSEMBLY INSTALLED CORRECTLY' YES Q-NO O DATE OF INSTALLATION ✓ U�� UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA 0 DC ❑ DCDA 0 PVB 0 Air Gap 0 DOUBLE CHECK VALVE ASSEMBLY SVB ❑ AVB ❑ CHECK VALVE#1 CHECK VALVE#2 RELIEF VALVE PVB/SVB Initial Leaked 0 Leaked —0 Did Not Open ❑ AIR INLET / Closed Tight Its Did Not Open ❑ Test Held at j/J/ psi Opened at psi Held at psi Opened at psi Repairs Cleaned 0 Cleaned 0 Cleaned ❑ CHECK VALVE Leaked ❑ Held at psi Replaced ❑ Replaced 0 Replaced ❑ REPAIRS Cleaned 0 Details Replaced 0 3 psi Butler YES❑ NO 0 Final Closed Tight ❑ AIR INLET Opened at psi Test Held at 1i/1 CHECK VALVE Held at psi (/ psi Held at psi Opened at 2. 2psi BACK PRESSURE NO❑ YES❑ AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES ❑ NO ❑ TYPE OF HAZARD 511P,4 A/ COMMENTS Line Pressure 7G psi It�5��� y-r C ra Held Backpressure YES Ll NO ❑ r #2 Shutoff Held YES e NO ❑ Relief Valve Exercised YES O NO ❑ Date-'rime Tester Signature Cert.# Test Kit Passed Failed Initial , ❑ Test l 1 'e`C���' t/ /�1 W,fT Repairs 0 0 Final Test � 91 �� 3`?! /1 '� y"f /� j�91� E e 0 WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY CITY'DF:PORTANGELES D EPAIRTMENT DF COMMUNITY&ECON 0MICDEVELOPMENT BUILDING-DIVISION _321_-E-AST:5TH.STREET PORT ANGELES,:WA-99362 ,'Application'Number 2:1 ,000,00824 :Date ',8/,03/11 ;Application'pin number 41559,4A 'Property Address :203 E 7RONT :ST REPORTSALES UX -ASSESSOR PARCEL_-NUMBER 06 3'0 .00 5 0 '01,93 '0000 '.Tenant ribr -name -_KOKOPELLI GRILL -on- -fon I yourstate excise tax., .77' Application .type -description 1PLUMBING 'PERMIT ,Subdivision'Namd to the LityOfPort Angeles Property Use I(Location Code,0502) 'PropertY Zoning CENTRAL 'BUSINESS DISTRICT Applicat-ionwaluation, 16,00 Appl-ication,desc BACKFLOW :PREVENTION'FOR THESODA,MI-SPENSER 4L_7 +Owner -Contractor YOKOPELLI :GRILL i,,PRECI!STON PLUMBING C/O :DANDY MQQUAY -P O:BOX .2:910 ;203 'E,;FRONT- ST- ;PORT.ANGELES :WA=583'62 PORT ,ANGELES WA 983i627 -(1601) 452 1850 Permkt PLUMBING.,�PE, RMIT' FAddkfion&1- -desc _,BACK-FLOW PREVENTION Permit.-.]pTH:humbe'r .1-904'05' 'Permit 'Fee '57_ -,0.0 Plan,Chedk-rFee 0 .1-ssue,.Date Valuation .'E)cpi'ratioh'Ddte, v3:0/12 :,Qty "Tidit :Charge ',Pet 'Extenskorr, ?BASE 'FEE; 5'0,10:0, I1'-001 '7'ZH:6 -fEA -T -BAcKFLow :PR6tECTION tOk-i7 ,0.0 ee.,1summarY 'Charged --Paid flfredited I'Due ',Permit'`Fee"Tbtal' '57 .0,0 t57 TO 00. 0:0` P14h -Total 1=' 010 ;�U'D iCheck' � 4 'Grand-"Total i57 ;00, '5'7 .0,0 0,o 0:0 J, "A)!,c Iv _4 7 k e, 4, ir V YA 'N V �k, A Ct..0 6 41- Ze Arate-Pdrmlt� SA,-LitilitieS.��Pti�Eit :and�Odbli6impr.ovem6ntt.*This7 ermitibecornet,, ,ar;e5reqUired,.f6'r"e'le*dtr,ic Lwork.ZlEPA,thordlinb E 'if --tonstrudtion.'a '-"constru6iion'or-'wotk.isisuspendedior abando6edITA InLiWandv.oidl,� )v�ofk,er As- uth6eiz.&di ,n6tzcommenced�withinA:80,,d�ys,,,.ii ',,fot,a.,Ppei6d:of l,8D�dayi5,,after tfiE�,Wbrk"has�6ofntn6nc6d,�or41f,,re'q' d7' -L 180 daysJrom,Ahe, I wre Anspedtioh6lhave-Ji h -_T� ereby;der `6wr6idjL6nd1',exarnin_ed-, stInspection °true and correct. �.isiongf All pro �and,ordinances,-goV&rnihg,this,tYO6'�'bf Workwill�be'-,eotplied;,,Withtwheither.-specjfibdh6faiin,or-not. 'The grantin g.of a permit�does' -construction or theperformance�df, 1�ncit�.,t)resume,,t6-dive:6Uthority-:to-,vicil6te, cancdktheprov 0 regulating' , Al 'Date- 7- Print'Name n Si ature ofContract6r or AUthofted Agent -Signature of Own6r, bdilder) 9 . (if owne�is Permit �o,.?OKr, BUILDING PERMIT APPLICATION Print in ink /'►�•�-- CITY OF PORT ANGELES Attn BuildingPermit Technician For City Use Only - Date Date Received S-3Lt 321 E. Fifth St. Port Angeles WA 98362 Permit# It-532 (360)417-4815 fax.(360)417-4711 Date Approved Applicant u..�� a� �y � Phone Property Owner A Phone Property ner's Address Contractor ; Phone Contractor's Add s ,c� 2_q It License # ^�-e C�D �!`f t�, , Expires E-mail PROJECT ADDRESS Y,61<00 k Parcel Number Lot Zoning Proiect Type & Brief Description. ❑ Residential ❑ Multi-family Xcommercial ❑ Industrial Check all that apply ❑ New Construction ot�J Y`QV '0 1(' 566" A15 S2N' . . ❑Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @$ per sq ft. _ $ 151 Floor 2nd Floor 3f' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ 6,00 , 00 Total footprint of structures sq ft. T Lot ize sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on pa el including structures paved drivewa ewalks patios and other impervious surfaces (see PAMC 17 94 13 r exemptions) Sit o rage Max. height of proposed structures ft Occ ancy group #of bedroom Will a lawn sprinkler system be installed? Occupa d #of full baths Will a fire sprinkler system be installed? Construction type #of half baths I have read and completed this application an know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are re'quire'd, and to obtain permits pri to working on ects. Date � Print Name J�,e L 1 ��ti Signature T Forms/Building Division/Building permit application Clallam County Assessor& Treasurer - Property Details - 31758 KOKOPELLI GRILL fo Page 1 of 1 Clallarn County Assessor&Treasurer Property Search Results > 31758 KOKOPELLI GRILL for Year 2011 2012 Property { Account Property ID 31758 Legal Description: RESTAURANT Geographic ID 4176000 Agent Code Type: Personal Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code Open Space: N DFL N Historic Property N Remodel Property N Multi-Family Redevelopment: N Township Section: Range: Location Address: 203 E FRONT ST Mapsco: PORT ANGELES,WA 98362 Neighborhood: Map ID Neighborhood CD' Owner Name: KOKOPELLI GRILL Owner ID35269 Mailing Address: C/O CANDY MCQUAY %Ownership: 100 0000000000% JI; 203 E FRONT ST PORT ANGELES,WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/03/2011 Amount Due if Paid on. ' NOTE If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due Click on 'Statement Details' to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 133986 $173.99 $173.94 $000 $000 $173.99 $173.94 1 Statement Details 2010 22199 $12502 $125.06 $000 $0.00 $250.08 $0.00 Values Taxing Jurisdiction Improvement/Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with N/A Website version.9 0 32.2200 Database last updated on:8/3/2011 3 50 AM ©2011 True Automation,Inc.All Rights Reserved.Privacy Notice http.//websrv8 clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=31758 8/3/2011 CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Ra� Application Number 10 00000194 Date 2/26/10 Application pin number 208764 Property Address 203 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 0193 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Use sidewalk to paint Bldg RUP#10 06 Owner Contractor BORK WILLIAM C OWNER 518 VASHON ST PORT ANGELES WA 983626315 Permit RIGHT OF WAY Additional desc USE WALK TO PAINT RUP#10 06 Permit pin number 161513 Permit Fee 75 00 Plan Check Fee 00 Issue Date 2/26/10 Valuation 0 Expiration Date 8/25/10 0 Qty Unit Charge Per Extension BASE FEE 75 00 Special Notes and Comments Follow attached permit conditions Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature o Owner(if owner is builder) Date T'\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS 1'ES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies\1102.15[10/081 ti pOR7 - RIGHT OF WAY USE PERMIT �L APPLICATION �RKS AWO�y n' NAME OF APPLICANT DATE MAILING ADDRESS ,�03 E S i e-r— w. e LAS WA 9k3<," Z PHONE NUMBER36'0-14S 7'(,20 ` O (J STREET ADDRESS OF PROPOSED STREET USE Q DESCRIPTION OF REQUEST (include drawings required for clarity) (11,�l Jeet closure is requested,plIase state the name of the street and limits of closure together with the duration f 1z,ire].�� ti _ «ju �- I ovitc RoOv-and Ugc r,1 IS THE USE TEMPORARY OR PERMANENT?i i'�QD�►�1 �� HOW LONG WILL THE OBSTRUCTION BE IN PLACE? t z e %/lA u i llP-r -ND eS 4'Z yl�e�S WHAT ARE THE HOURS OF OPERATION?J 1.x ,5 `" SPrI.tl ,Z 94 m —�,i- HOW IT WILL BE LIGHTED? 9'—(— T EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COU,I-9-BE USED? /3 � t S'YCr T'e ©+�r —t t4R, 51,0,9 K 7.64€ a( (n5:5 ' q�r7�S7Fk 45e 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 hims0'6Hdf1Jrihj,ss successors in interest, hereby agrees to indemnify hold harmless and defend the City of Port Angeles agai.F`sl I�y�cI ,3 flr wsuits for personal injury or property damage arising out of or in any way connected with the placeme'rlf� e4s�,K.$,b*�iction on the City street, sidewalk, planting strip or right f way 4TAR DATED this 3 day of F z-A 20 l t✓ r--------- -03/0/12 t = -- 1[ ` '°UBIC. ,tom t �Y/ �l LCY�C� Sell \�c, of WASH NOTARY PUBLIC for Washington ���fffritiiit►t������ residing at '�yW;T ."isu, & ' 4 My commission expires '5 -- ------------ (This permit, if approved,may be terminated by the City of Port Angeles without cause and at any time) 1 (OFFICE USE ONLY) Date application received Z(z3l ID Fee paid $ Receipt# Date Certificate of Insurance per PAMC 11 12 140(B) received 2 z-a t o Agreement to Remove Encroachment signed and on N/A and recorded on N/A Application reviewed and recommendation by City Engineer Date 2- 2 5 I o is to approv and with the following conditions a c o w y6c.{I Applicatioa� by the Dire?tor of Public Works Date--�! 2 C2 b a Approved copies to: Applicant O Fire O Police J Street O Other O Address file o RUP# a�p NAUrban Services Standards�Ch112009 ROW Use Perrnit.doc, last updated March 12,2009 Conditions for ROW Use Permit 10-06 • Maintain 4 foot wide clear zone for pedestrian travel • Work to be restricted to weekdays between the hours of 7 AM and 7 PM. • Cover sidewalk with drop cloth under any painting, scraping, sand blasting or paint mixing work. • Permittee is responsible for all paint and material testing, as well as minimizing airborne dust and other particulates and meeting all applicable ORCAA requirements during removal of material. • Do not spray paint during windy conditions • Wipe up paint spills with a rag instead of washing down the area with water • Clean paint brushes with water based paints in indoor sinks (that connect to the sanitary sewer system) • Clean paint brushes covered with non water based paints in a manner that allows for collection and proper disposal of cleaning solvents (pain thinner, turpentine, xylol, etc) • Any scaffolding used for this work is to be installed and maintained as required by the manufacturer and/or designer and meet all WISHA requirements. • No wash water,paint chips,paint, solvents, or material of any kind shall be allowed to enter the storm-drain. 1 i r r 0 \v t t w CERTIFYC -�►TE 0 OCCUPANCY City,of,P.ort Angeles=-- Building Division This certificate is issued pursuant to the requirements of Section I16of.the 2006 International Building Code certifying that atdhe:aime.:gf issuance this structure was in compliance with the various ordinances of the City regulatingtbuilding,c"_`onsti-ti honNor;use for the fo.11oiving.Y. Business name XKokope`Ili Grill: N(O,w—p°Qah-d M,cQua.y) Business address 2Q3 aE` Ftont'S't Property owner , William 0%1110:ork w Property owner s,�raddre`ss, 518 Vasho'n St'; Pgrt Angeles �VVA-.9'8'3;62-6315 Automatic fire sprinklert§ystem Per,l'B'C�` << . t Use & occupancy classifcation. Assibrhb`I- Building permit nuinbor 09-1,123r4 Type of construction Rerf�C Occupant load. °PCa- i,q,. ,.. . ;� :, °, 40, ;. rW r �§. 01/11/10 ©Herd;' n 141 Date Post on the premises in a conspicuous place 'This,certicat „shall4not be removed except by the Building Official. N a �Y\ 1 - I - o V ELECTRICAL PERMIT -CITY-OF PORT ANGELES 360-417-4735 Application Number 10 00000004 bate 1/05/10 Application pin number 337636 *Property Address 203 E FRONT -ST ASSESSOR PARCEL NUMBER 06 -30 00 5 0 0-193 0.000 Applicati-on type description ELECTRICAL ONLY Subdivision-Name,--- Property Use _Pir6perty- zoning -CENTRAL -BUSINESS DISTRTCT Application valuation-_ 0 Application desc Security System Owner Contractor --------- BORK WILLIAM C SECURITY SERVICES NW 518 VASHON- ST PO BOX 660 PORT ANGELES WA- �68 .98 3 62 63 15- PORT WA 983 (800) 8S9- 3463 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit-pin 159053 Permit Fee 95 90 Plan Check Fee Issue Date 1/05/10 Valuation 0 Expiration Date 7/04/10 Qty Unit Charge Per Extension --T 1. 00._ 95 90,0_0 ECH_ EL LIMITED. IST 1500 ;;�Q_FT 95. 3,0 4Z- Fee summary Charged Paid Credited Due- Permit'Fee Total -9-5 90 '55 90 _00 00 Plan Check Total 00 00 00 00- Grand Total 95 90 95 90- oo 00 -INSPECTION-TYPE—= DATERESULTS INSPECTOR._ DITCH SERVICE ROUGH IN FINAL fto COMMENTS Signature olfoWner or Electrical X_ Date 01104/2010 10 49 3607978482 SSNW PAGE • 01 `^ RECEIVEW .4 City of port Angeles Permit Application JAN - 4 Building Division/Electrical lnspectiorrs 2009 321 East Fifth Street–P.O.Box 1150 Port Angeles Washington,98362 .ELECTRICAL Ph:(360)417.4735 Fax:(360)417.4711 INSPECTIONS Date: O' _1 &2 Single Family Dwelling I _Multi-Family or Commercial' Commercial Addition f Alteration 1 Remodel 1 Repair" Plan Review May Be Required,Please Complete Electrical Plan Review information Sheet Job Address: 2D Building Square Footage: Description of above Owner Information Contractor Information Name: �C�� Name: Mallin Address: Mailing Address: Ci : VrT S �tate: PQ� Ci ty State; Zip: Fax: -87- Phone-_S6522_—_�_eq-g_Fax: License#f Exp. License#1 Exp, Unit Chatoe (�yt fora!((�tv Multirslied Unit C arpel by U $ it Ch $ Service/Feeder 200 Amp. $113.75 $ ServicefFeeder 201-400 Amp. $16000 $ ServicelFeeder 401.600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $29125 $ SerVicelFesder over 1000 Amp. $ 2.00 $ Branch Circuit Wf Service Feeder 50 $ Branch Circuit W10 Service Feeder $ 57. $ 2 50 $ Each Additional Branch Circuit $ 72.50 $___._._—Temp•Service/Feeder 200 Amp. $ 86.25 $ Temp.Service/Feeder 201400 Amp. $116.25 $ Temp.ServicefFeeder 401-600 Amp. $131.25 $ Temp.SenrioeiFeeder 601-1000 Amp. $ 75.00 $ Portal to Portal Hourly $ SigniOulline Lighting $ 69.00 ! �$ Signal Ciroultl Limited Energy Commercial $ 75.00 $ Signal Circuit!Urnited Energy 1&2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Mutti-Family Dwelling $`50.00 $ Manufactured Home Connection $ 93.75 $ _ Renewable Electrical Energy 5KVA System or Less $ 80.00 $ First 1300 Square Ft. $ 86.25 $ Each Additional 500 Square Ft.or Portion of $ 27.50 $�_Each Outbuilding or Detached Garage $ 57.50 $ Each Swimming Pool or Hot Tub $ 86.25 $ _Thermostat $ 43.75 $ q L Total owwas defined by RCW.19.28,26f:(1)Owner will occupy the strocurre for twoyears atterthis electrical permit is rumlized.(2)owner's rr quired to hirean electrical contractorifabove said propertyis forsale,rent orlease. Ager reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C. RCW.Chapter 19.28,WAC.Chapter 296.468,The City of Port Angeles Municipal Code,and utility Specifications. Signature of owner,electrical contractor or electrical administrator ❑ Cash ❑ Check � CERTIFICATE OF OCCUPANCY APPLICATION Permit# 0 — l IZ3 t CITY OF PORT ANGELES FEES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $ 00' Certificate /Inspection r (360)417-4815 fax (360)417-4711 0:100.00 Parking Business Improvement Area(PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS 3E F yo 6:L Zoning C Bp Business mailing address /f" _ T. Phone# u'/ Opening date i/ ' Das & hours of operation S—,r c; 14-1 el S Washington State Tax I D # If known list t e name of the previous ��� business at this location Brief description of proposed business e,5 -�- Business owner's name L c 0 il, I I&V Phone# Business owner's home address /;L-i11 PLEASE NOTE. 457— O(a A Business License is also.required for the following businesses. Taxi Peddlers Second-hand dealer Pawnbroker Dance Hotel- Motel, Fireworks,Ambulance Tattoo shop .Contict.the City Clerk at 417-4634 for additional-information. ACTION ✓ WILL THERE-BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT Electrical changes Electrical Dept.at 417-4735 New business New or relocated signs Ai lv :Lt L e Build-ing Div at 417-4815 Construction changes Transfer of business Mechanical changes(ventilation, heating,cooling,etc. location from a Plumbing changes c/ PBIA location Firesprinkler system changes Fire alarms stem changes Transfer of business New or relocated sewer or water service Public Works at 417-4807 location from a Excavation or filling of lots non-PBIA location Work done in the City right-of-way New driveway openings Change of ownership Grading site drainage(parking lots,downspouts,etc.) Landscape irrigation system(backflow devices) Water Dept.at 417-4886 . Remodel Is this a home occupation? Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parking for this business?S How many spaces? Is the street in front of this business paved? , Change of use Is there a sidewalk in front of this business? Is there a curb&gutter in front of this business? (/ Call for Certificate of Occupancy inspections before opening business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections 1 hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledg Date_�����Y�� S7 Print Name/�ir� ��a;_./"* Signature For City use only- Approved Rejected Comments/Conditions Ini�als&dat Initials&date Building 1Qa9 Type of construction Occupant Load Fire I-n-oq Automatic fire sprinkler system required no yes PBIA 10 ZAICA K) Planning I I AIM SK, City Clerk Q zq Public Works 16 0.1,10 _ T:Forr s/Building D! is,onrCc!if Cate of bccupancy Application Je' e FT " cs ��>,-. „ds. "T.'wgcq r.` Z�j}fti,q`�,".” WY�6�: �- f ,J"t.•°t+ 3 x�'!•� .;� akar;, d»�;• ,�i ' �a$. ,� ",,•:'':&: •' �i 41 04 RA Oil ell -tw/ l je �xl soh t •qua..,, �'Y .ce,: ,w' '�' S� .a° lam` �. N AN c - p,., ayll .8 /`��. ",a„,.Al ., ', w• �,." •j. , .ry 4'. R ,,���-mow ,�.5,� ,G,. �♦ 1 Q'+ P CERTIFICATE OF OCCUPANCY u City of Port Angeles Buildin Division This Certification,.issued pursuant to the requirements of Section 301 of the International Buildirig'Code certifying that at the time of issuance this structure was in compliance with the'various ordinances of the City regulating=Building constructionror use. For the following- Use Classification: Business Build— uildPermrt'No. 06-430 Busines9�Name:,Kokol2elli Grill ` W AGroup: B ;R Type of gu7.qWs»e:k2�..o.n: e: CBD f`,.,, n Port•Aneeles, WA. 98362 Owner of Business: Rita Erdmann Address: 203°E'. Frorif'Street' Building Address:203 E. Front Street Port Angeles, WA. 98363 k "al NA June 20, 2006 Pla ng Manager Date Poston the q;premises=.in a:°cons icuous place p No.119 Shall not be removed except by Building Official it- 6 is ROUTING SLIP °- °F Certificate of Occupancy -$SU-0—Certificate/Inspection Fee DATE ���4� New Business ( ) Address of Propo d Business Transfer of Business Locationko ( ) EdP Change of Ownership ( ) Applicant New Building ( ) Address A 0. BOX 61 Al 14A o2 /:. F/a Remodel ( ) D/ Temporary Business ( ) Phone business`'Z,S'ZL/ home -7 Change of Use ( ) Brief description of proposed business Fire &4)e iCG✓ Legal Description Lot Block Subdivision Current Use of Property- Zoning Classification of Property- WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes —1 , PERMITS BUSINESS LICENSE Electrical changes V-1 1) Building 1) Taxi Mechanical (heating,cooling,stoves) ✓ 2) Plumbing 2) Peddlers Plumbing changes —1✓ 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way 10) Water meter installation 10) Other Is there sufficient off-street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage =06 13) Sign (parking lots,downspouts,etc.) 14) Shoreline Are the existing streets paved? _ 15) Home occupation Are there existing sidewalks? ✓ 16) Conditional use Is there curb and gutter? 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date information I have supplied is correct to the best of my knowledge Signed � i APPROVED REJECTED Comments/Conditions Jy Building Section Public Works Department 5 q-c�G,-SOZ Planning Department Fire Department 5-9-0(, 1;0 City Clerk PB I.A. ♦ CERTIFIGA-TEm0E -0,C,PUPANCY City-of Port Angeles",, Building Division This Ce'r4tfi' i,c tionlissue4 pursuant to the requirements of Sectioh,109 of the UniformBuilding Code certifying that at the time-qf-Tissuance this structure was in c9&pjiaAee'With the,v'-ariousord1Ahces,9f the'!60,regulating Building fi V. constrii&ioh, Use Classification: Restabrdl -b'dilding Permit No.64t',1`54 husiness,Nafti6: Kbko�elfi��Qrillffnc. Group: B a T_ 6,oftonstruction: V=NX ',Use zone". cx� Owner of Business: Chandra Huston Address:13 I,Apple.Lane; Port Angeles, WA 98362 U Building Address: 203 EasVFfont Street, Pbft Angeles, WA 9'8362 F g,r" f V F IR 77 a ,7 .......... '�7 I MISIP 2004 Uw.'_,,�,'bate 7 1,rp: Buis ;cial 'WI SPIC'UOUS P0 'n, place Shall notbe gy"60uI1". lding Official L lux , ROUTING SLIP by Certificate of Occupancy �� $47 00 Certificate/inspection Fee DATE /V/V New Business ( ) Ad ess of Pro osed Busin ss Transfer of Business Location ( ) T/ Change of Ownership ( ✓) Applicant C_,ha in d rAt LL StU YI New Building ( ) AddressYi N Remodel ( ) O lF s khek el fl to Temporary Business ( ) Phone business ome YT,2 -61116 Change of Use ( ) Brief description of proposed business enlaurd'm /' WIW S'ekyle e ,Oar` Legal Description Lot q Block Subdivision Current Use of Property- C-40-se Zoning Classification of Property, e' WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED- Construction changes ✓ PERMITS BUSINESS LICENSE Electrical changes ✓ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ✓ 2) Plumbing 2) Peddlers Plumbing changes V/ 3) Electrical 3) 2nd Hand Dealer New or relocated signs ✓ 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots ✓ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ve- 10) Water meter installation 10) Other Is there sufficient off-street parking? ✓ 11) Fire New driveway openings ✓ 12) Occupancy A grading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? T✓ 15) Home occupation Are there existing sidewalks? ✓ 16) Conditional use Is there curb and gutter? 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date / 7 information I have supplied is correct to the best of my /. knowledge Signed (� APP OV D REJECTED Comments / Conditions Building Section Public Works Department X325-N� Planning Department DID Fire Department �� City Clerk PB I.A. Polaris Engineering & Surveying, 206 South Uncoln Street Sulte 201 DATE °• Angeles, • • • •2 • 61 • •1 • • SHEET OF ■� 0000■err■. ■ ■ii-'��riiii� ■. � Vi IF MLS L.' .' 'u'�i '? ■■■■■Ea ■�■■ ■.■■■■mom ■■■■■■■■■�■■..■��■.�■■■■■. 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VERIFY IN FIELD ` LINCOLN STR r=T / /41 REMOVE CONCRETE FLOOR AND REPLACE WITW NEW 4 CONCRETE SLAB Y EXISTING 8X BEAMS A50VE —— l F —1 F 7 NEW 4 CLEAN GRAVEL FILL. OVER L—�J L--J L--J L L--J EXISTING 8XS COLS.t0 REMAIN �EXISTW_s FOOTINGS 11'-6't il'-6 t FOR COLUMNS TO REMAIN CRACK CONTROL JOINT IN 35-O"t CONCRETE SLAB. !�U PARKER PAINT STORAGES V� D EXISTING STAIRWAY t0 BE COMPLETELY REMOVED / Q / / U- AND REBUILT c / / di 3 UP / / /'`/ CMU STOP-ArGE W� / i i / lj ! I '!✓. ADDITION ABOVE N 9 / / / / / NOT A PART Or- OF=FICE THIS PROJECT m ORE W CR /LA CAS-ITA RrEsT,, URANT ;' STORAGE P�o� WASti,,�o i Cn M N NEAT SAWCUT EXISTING SLAB AT 12"t FROM EXISTING WALL sOrJQ �� 4T'-O"t ��,�$TEREO sS�ONAL ENG STRUCTURAL TRUCT IR Jl I FLAN: 1/0II I ' - 0 " :t I - 0 " :t EXPIRES 10-2-96 * TITLE RECONSTRUCTION AT LA CASITA /PARKER PANT Revisions: SCALE SHEET * * STRUCTURAL Pl.. AN ,/s" olar� FlLE - � JAG E:/AGAR/ CLIENT e5010/010-I-Dw6 Polaris Engineering & Surveying, Inc. CITY OF PORT ANGELES - DEPT OF PUBLIC WORKS 106 S.IlNC01N ST, it WE 201 it PORT MIGEIES *-!ll SIM 321 F_FIFTH STREET JOB: PINE. (360)452-5W * FAX (360)457-9319 PORT AW-BE ES,WA 98362 S5010 OF 3 t EXISTING 8X8 SIMF'SON C588 COL TO REMAIN Ib SQR PEDESTAL ROTATED 45 TO '5LTOTAL OF 4 FOOTIWz I g. NEW SIDEWALK OPTIONAL BY CITY COLD JOINT NEW CONCRETE M SLAB d v .♦ i (I I � e T. to STRUCTURAL < ON RETE GRAVEL FILL I � +----'-�-i-��-�- + � i A 1' EXCAVATE ALL LOOSE — I I - v ' v d <- LEAN CONCRETE BACKFILL AND DISTURBED EARTH ! 5-"5 X 42' _ AS DIRECTED BY THE i— NEW BACKFILL IN EWaINEER _I f _ .. ° d v (-I EACH WAY ROW BY CITY EXISTING CIF` I CONCRETE WALL UNDISTURBEp EARTH 4'-O' SQR c Sr=CtION r5_"\ I�IT'8 I { I NEW 4X4 POST r NEW 4 CONCRETE SLAB AS SHOWN ON PLAN C 2 45 X IS' SIMPSON BP44 m EACH WAY 4 CONCRETE SLAB Z I _ a �9TRucTURAL coNCr�TE C_ oR WAS ti I _ �• -til I � f � � -! � — � '0' e � � ��, Q�OF O =I ! I �_� ►=1 I GRAVEL FILL -- I-, 4 ! i- GRAVEL FILL = Q GRAVEL FILL d v 4 d I + --I I I_� I - --� I �--' - - `' — I LEAN CONCRETE BACKFILL .'-.-I LEAN CONCRETE BACKFILL EXCAVATE ALL LOOSE UNDISTURBED EARTH A - I-- - 50 i AND DISTURBED EARTH - I ( -- 2'-O' SQR G� �Q AS DIRECTED BY THE I -_ I 1-- . — I ----III----- STER ENGINEER --- i 111 I- I _i i UNDISTURBED EARTH S/ANAL ENG -! ==i ! SECTION rC Nt8 2 EXPIRES 10-2-96 SECTION TITLE RECONSTRUCTION AT LA CASITA /PARKER PAINT Revisions: SCALE SHEET NT82 (�olar�s SECTIONS 4 DE' A LS FILE JA' C E : /A CRD/ CLIENT- 950I0/010-2DUr6s Polaris Engineering & Surveying, Inc. CITY OF PORT ANGELES - DEPT OF PUBLIC WORKS 106 S.l9iM ST. * SME 201 * PORT IU MES * Ill 98362 321 E.FIFTH STREET JOB; PHONE: (360)452-533 it FAX (360)457-9319 PORT ANGELES,WA. 98362 55010 OF 3 CONCRETE SLAB CONSTRUCTION GENERAL NOTES WOOD FRAMING NOTES I. All framing shall be Douglas Fir (North)as follows: 1. Crack control jointing shown may be altered at the 1. These plans are for the structural portion of the work required to contractors option provided the,Joints are spaced at repair the damage resulting from the water main break only. Damage to a. Studs,cripples and miscellaneous vertical framing and blocks shall approximately 25 intervals in both directions. The finishes, fixtures, and non-structural portions or the building shall be stud grade or better maximum spacing shall in no case exceed 30' be made as directed by the City of Port Angeles. b Joists and rafters shall be No 2 or better c. Headers and beams shall be No I or better 2. Crack control joints may be made by cold joints, embedding 2. It is the intent of this project to restore the structure to conditions an approved insert such as Zip-Strip or Ke -Kold in existing prior to the water main rupture. No improvement of the structural d. Glulam Beams shell be combination 22F-V4. the concrete,or by sawcutting the concrete as soon as ,system or building Is intended. practicable after placing. 2. All wood structural panels shall be APA plywood or O.S.B. of the index p p g 3. ENGINEERING DE51GN LOADS and thickness specified. Plywood shall be installed according to APA Specifications with the nailing specified. Staples shall not FLOOR LOADS: 100 PSF (Assembly without fixed seating) be used to install structural panels. SOIL BEARING CAPACITY 1500 par 3, Holes for bolts shall be the bolt diameter plus 1/16" 4 All parties should be aware that this building did not conform with 4 All bolts shall be tightened on installation and retsg htened before current UBC requirements for seismic or wind design prior to the water closing In or upon completion of the job main break Damage resulting from this incident did not appear to aignificangly affect these lateral Force resisting systems which 5 All bolts, lag screws and threaded rod shall be provided with washers w(I be unaffected by this project. where the nut or head bears on the wood. Washers shall have a minimum 5 Construction shall conform to these plans and all applicable codes and dimension of at least two times the diameter of the bolt. local ordinances including the 1994 Edition of the Uniform Building Code. 6 Anchor bolts shall be provided at a maximum spacing of six feet or as 6 All excavations shall be inspected and approved by the shown on the plans. Each section of muciplate shall have at least two Engineer prior to backfilling or placing any concrete. Inspections bolts with one bolt not more than 12' from each end. shall be arranged by contacting Polaris Engineering and Surveying 1. The minimum size of anchor bolts shall be 1/2" diameter by 10' long. at 452-53W at least 24 hours in advance. The minimum embedment shall be l" into the concrete and no anchor bolt shall be located closer than 2 from the edge of the concrete. All bolts shall conform with ASTM Standard A-301. MATERIAL QUANTITIES 8 All nails for structural work shall be common wire nails as indicated on theplana or IGBO approved mechanically driven fasteners of 1. Contractor shall provide iump-sum cost for project as shown. Due to equivalent holding strength Nail size and spacing shall be as required uncertainties about the extent of erosion under the existing walls and by UBC Table 23-I-Q where not specified on these plans. floor the contractor shall also provide a unit cost figure for excavation, gravel fill and lean concrete fill to be used in computing payment for 9. All horizontal wood framing shall bear on beams,plates or ledgers with extra work if such is required. a nominal width or at least two inches or be supported by sheet metal connectors as manufactured by Simpson 10 All straps,hangers, light-gage metal connectors and holdowns specified shall be by Simpson Manufacturing Co Nailing shall be the maximum number and size listed In the manufacturer's catalogue unless REW CR STRUCTURAL CONCRETE NOTES specified otherwise. Holdowns shall be installed with bolts to the Q�pE WA �ti0 holdown stud and anchor bolts as specified by the manufacturer y 1. Concrete shall be a commercially available transit mix properly proportioned and delivered to the site in ready-mix N 7- trucks. trucks. Aggregate size shall be a maximum of 1-1/2" in FILL MATERIALS foundations and 3/4 at all other locations. Slump shall not exceed 4" 1. Gravel Fill shall be a natural gravel (not crushed)conforming to the 26050 requirements of the Washington State D.OT Standard Specifications for 2. All cement shall conform to ASTM Standard C-150 All aggregates Gravel Backfill for Drains,Section 9-03.12(4). shall conform to ASTM Standard C-33. All reinforcing bars shall ENG conform to ASTM Standard A-615 (Grade 40) 2. Lean Concrete Fill shall be "Controlled Density Backfill (COF)" conforming NAL to to the Gtty of Port Angeles Standard Details. 3. Concrete shall have a minimum 28-day compressive strength of EXPIRES 10-2-96 2500 psi.and shall not contain less than 5 sacks of cement per cubic yard. Provide for 5% entrained air at all exposed locations- 4. Splices in continuous reinforcement shall lap a minimum of 32 TITLE RS~CONST1s"'UCTION AT LA G.ASITA / PARKER PANT Revisions• SCALE SHEET bar diameters or as noted. * * (VOTED 5 Unless shown otherwise,the minimum concrete cover reinforcing NOTES FILEJAC E:/ACAD/ shall be 2" except when concrete is to be placed directly against Po ons CUE NT- e5oloioio-3=ra earth where it shall be 3 CITY OF PORT ANGELES - DEPT OF PUBLIC WORKS Polaris Engineering & Surveying, Inc. [206S.LAdW ST. * SH 201 * PORT ANGELES * Ill 9!1162 321 E.FIFTH STREET OB: PHONE: (iso)452-5393 * FAX (36o)451-9319 PORT AW3ELES,WA. 98362 95010 OF 3 Of p� F� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITYST 5TH DEVELOPMENT OTPMEE T321 W BUILDING G DIVISION 362 Application Number . . . . . 04-00000148 Date 2/20/04 Pin number . . . . . . .814276 Property Address . . . . . . 203 E FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0193-0000- ` Tenant nbr, name . . . . . . KOKOPELLIS GRILL Application description . . . SIGNS / Subdivision Name . . . . . . Property Use . . . . . . . . !� Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 1500 Owner Contractor - ------------------------ ----------------------- BORK WILLIAM C MILLER SIGNS 518 VASHON ST 30 CHILDERS IN PORT ANGELES WA 983626315 SEQUIM WA 98382 (360) 683-6790 ---------------------------------------------------------------------------- Permit . . . . . . SIGN Additional desc . . Permit Fee 85.00 Plan Check Fee .00 Issue Date . . . . 2/20/04 Valuation . . . . 1500 (�) Expiration Date . . 8/18/04 Qty Unit Charge Per Extension 1.00 85.0000 PER S- SIGN WALL 25 SF+ 85.00 Fee summary Charged Paid Credited Due - ---------------- ---------- ---------- ---------- ---------- Permit Fee Total 85.00 85.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 85.00 85.00 .00 .00 _ Q Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construc' A ig ature of Contr04- aI or or Aut onze Agent to Signature of Owner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15[11/14/2003] FOR OFFICIAL USE ONLY: BUILDING PERMIT — APPLICATION DateRee.:Z- 6—a' Permit#:�'y=N8 d - Fill out COMPLETELY and in INK.Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions,call Date Approved: (360)417-4815 Date Issued: Applicant or Agent: / / ( Phone: Owner: / / Phone: Address:_ s� L t-r v„` 5 f City: v --T G'��L� �C �� Zip: '_ {; L� Architect/Engineer: /(/V' Phone: Contractor U/ c >` r S � State License#: Exp: Phone: (r (o Address: City: Zip: PROJECT ADDRESS:,-_-�C ZONING: C�_h LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. _$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF. _$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. _$ ❑ Repair 1P0 Sign ❑ Other TOTAL VALUATION $ y( S c� BRIEF DESCRIPTION OF THE PROJECT: FLysr-/ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq. Ft. TOTAL Sq.Ft. c=c Existing lot coverage %&Proposed lot coverage %=Total lot coverage % APPROVALS: PL ING USE ONLY - �^ PLAN����, s BLDG: DPWU• FIRE: ESA/Wetland(s): ❑ Yes 12No SEPA Checklist required? ❑ Yes a-No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the/City's, and that 1 must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd ApplicaT /"/ ��� - Date: r- v � gn Building side is 2250' sq ft 1 210" 116' sgft 00 80„ r► Sign is made of 2" polystyrene foam. Each element will be adhered to the building with silicone adhesive glue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bj.ng . . . . . . . . .. .. .. . .. .. . . . . . dild" u . ll::.... . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 co CD (D Q- =7 6 CD 0) 3 CD iLl lux . ROUTING SLIP Certificate of Occupancy rw'v $47.00 Certificate/Inspection Fee 5 DATE a-��a lU New Business . . . . . . . . . . . . . . . . . . . . . . ( ) Add ess of Proposed Business < ,� Transfer of Business Location . . . . . . . . . . . . . . . ( ) 0 3 �S �rd N S t 7' Change of Ownership . . . . . . . . . . . . . . . . . Applicant ( 'J%q 1114"rr' U S to k New Building . . . . . . . . . . . . . . . . . . . ( ) Address 131 ga elC h N Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) d .<<'S moll Q( �4 Temporary Business . . . . . . . . . . . . . . . . . . . . ( ) Phone: business _ - ome ,5� &1416 Change of Use . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Aealzza a i'1 A01- Legal Description: Lot C� Block Subdivision f�� Current Use of Property. &-S e Zoning Classification of Property: ro G WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. '� PERMITS BUSINESS LICENSE Electrical changes ✓ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ✓ 2) Plumbing 2) Peddlers C,` Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs ✓ 4) Mechanical 4) Pawn Broker New septic tanks .. . . .. . 7— 5) Sewer 5) Dance New sewer service ✓ 6) Sidewalk installation 6) Hotel-Motel n Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots ✓ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way 10) Water meter installation 10) Other Is there sufficient off-street parking? ✓ 11) Fire New driveway openings ✓ 12) Occupancy A grading plan for site drainage ✓ 13) Sign (parking lots, downspouts, etc) 14) Shoreline Are the existing streets paved? ✓ 15) Home occupation Are there existing sidewalks? '� 16) Conditional use Is there curb and gutter? .... . '� 17) Other Other 1 hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: r�� 7 information I have supplied is correct to the best of my knowledge. Signed: APP OV D REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A.4A CERTI FICATE40-F-OCCU PANCY City of Port Angeles`; Building Division This Certification issued pursuant to the requirements of Section1109 of the Uniform$tiilding'Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use:'F'or the following: Use Classification RestaUrarit"Building Pernut No 04-151 `Business Name: Kokopelli-GrllliInC. Group B w Type of Construction V.-N Use Zone CA +F% Owner of Business Chandra Huston Address.131 AD e Lane, Port Angeles WA 98362 Building Address 203 EastTront Street, Port Angeles, WA 98362 s,627, 2004 Bui Oficra ;Date Po laep,ren'ises in a conspcuous place. Shall not be re oxcept byilding Official. � . eVO" CITY OF PORT ANGELES LIGHT DEPARTMENTS++321 E. Fifth Street ANNED Port Angeles, WA 98362 Datessto s (206)457-0411 Inlfra�yT��'-L� Y LIG fo ELECTRICAL PERMIT DATE Site Address: 20 r ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ' X COMMERCIAL )K OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUNP SERVICE ❑ HEAT PUMP KWREMODEL VOLTAGE: ElFAN/WALL KW ❑ ADD/ALTER CIRCUITS 1 ❑ 3 ❑ SERVICE UPGRADE/REPAIR ERVICE SIZE X2.0 AMPS II ❑ TEMPORARY SERVICE FEEDER SIZE AMPS ! Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE t ❑ INSTALL SERVICE POLE ❑ OTHER F 4 ❑ Ditch Inspection O.K. Rough-in/cover O.K. O.K. to connect service Final O.K. b ISite Address: o � � Permit/ReSeipt No. Installer: New Meters Date 7� W Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered ® before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buildi ermit. PHONE 457-0411, EXT. 224. oL� �f NOOCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical inspector� ,/ Permit Fee WHITE—File by address PINK=Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS ING. OF PORT qt,C CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 021S 3 ELECTRICAL PERMIT DATE ® Site Address: r-20 / ❑ READY FOR WILL CALL FOR r INSPECTION INSPECTION Installed By: License Number: Phone: C It rN .¢s> OwnerlBusiness: C45;747; Phone: OwnerlBusiness Address: Sq. Ft. ❑ Residential ❑ New Construction Overhead Heat KW X Remodel ❑ Underground e? ❑ Baseboard ❑ Furnace/Boiler Service update/alter/repair Voltage ❑ Heatpump ❑ Other 1 P1 ❑ 3 Commercial/Industrial load ElAddlalter circuits Service size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) 3 — .200 Total Motor load ❑ Special equipment Y / (attach breakdown) (list below) Details/Description: / maxis ;��a y00 C I �O/W -PO W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service ❑ Fire Department notified of inspection Final O.K. ❑ Plan Review approved/pending ��/ Site Address: Permit/Receipt No. X0,3 c�. 60011 9s3 Installer: New Meters Date: a �s ® Notify the Department of City Light Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. -7a-141 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /Q 4:110 Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN —Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. OF PORT ytic . CITY OF PORT ANGELES pC�� LIGHT DEPARTMENT PERMIT NO. crT < ELECTRICAL PERMIT DATE Site Address: pp ,� ❑ READY FOR Sir WILL CALL FOR (� G, INSPECTION INSPECTION Installed By: r/ License Number: Phone: Owner/Business: G Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction Overhead Heat KW ❑ Remodel ❑ Underground ro ❑ Baseboard ❑ Furnace/Boiler ❑ Service updatelalter/repair Voltage ❑ Heatpump ❑ Other 10 ❑ 3 /1�'� ❑ Commercial/Industrial load Add/alter circuits Service size - Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: n � � � W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation O.K. to connect service ❑ Fire Department notified of inspection F' al O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. 020 3 F. 7A4�4- �� Installer: New Meters Date: D Notify the Department of City ght by treet Address and Permit Number when ready for inspection. Work must not be covered or electrically ene gized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OIYM PIC PPINTERS. INC. OF PORT 4NC ��,mm CITY OF PORT ANGELES r`-� LIGHT DEPARTMENT / 6 �� PERMIT NO. 17 / o,T ELECTRICAL PERMIT DATE3 Site Address: ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: License Number: Phone: Owner/Business: Phone: �LQ L Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW k?f emodel ❑ Undergrou d ❑ Baseboard ❑ Furnace/Boiler ❑ Service update/alter/repair yoJ1tage ❑ Heatpump ❑ Other 10 ❑ 30 C2'Commercial/Industrial load A Add/alter circuits ervice size Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description: Ida ao� W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Signed up for service/meter R`nugh-in/ .nvPr O K ❑ Meter Department notified for installation �Md a�6K. to connect service ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: / Permit/Receipt No. Installer: New Meters Date: ® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. / ,& a NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT �./�. © 0 Irfspector CJ4 Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall OLYMPIC PRINTERS. INC. IS CITY OF PORT ANGELES / /0 FEE RECEIPT UMBER DEPARTMENT OF LIGHT ^ tv PERMIT NUM BER APPLICATION AND ELECTRICAL PERMIT ® TOTAL FEE I // f� CONT.LIC.NO. I TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 3 F- Site Address 2"0 I_/Lb N F / - CORRECTf D�ORESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ASSES ARE CANCELLEp Owner Z,4 rte Installation By 0C`/f f irj. CI /C- Owner's Address Installers Address Day Phone `}S L— 2-2-11 Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: Ad71EA- C12i Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 1 0 1 0 OR FEE USE OF CIRCUIT CIRCUITS PER 10 1 0 OR FEE CIR 30 CIR 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER REINSTALLATION LIGHT FIXTURE k FURNACE SUB TOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTALFEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A W G SUB-TOTAL 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 s/ 3 / �.� ,19 By T&A 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. / ;MRCITY LIGHT Date PermitBy Issued /� b ® PLANS AP OVED Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE Original CANARY-Duplicate PINK Tr,plicate WHITE CARD-Inspector's Report VReJTFRC INr. 1 REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS S /3 TAttf VJ)7* L ACLfd f 1 N So aL£ wo2lL N0 2P cn ®A-fnac T. a. Aup L A- I 'P%Lml8enL L/1% S t . LS o $ •-+ L Q rt �4 S w A-/r/ r 0 u J I Z f7 a N S F 2 W r F- O Z O 0 S / 1516L O.K.FOR COVERING CON 1'Va Gly BA/ l{4 SA IoffT_3 CITY OF PORT ANGELES *:� _ FEEREDE,PTNUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER i APPLICATION AND ELECTRICAL PERMIT ®- TOTAL FEE 2.950I / i�� fY CONT.LIC.NO. I TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY ELE CTRICAL PERMIT ONLY r NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address V C• �f�!//v CORREg ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED _ Owner ��LL t�12✓✓la C Installation By 6%_7c it c'i JF4gcrrI C% Owner's Add ress ) "9 p Installers Address �(Q-�7 4-/ AfC,5�-Al Day Phone �li � L.li� / Installers Phone ��✓' -/ ���� Application is hereby made for Permit to install Electrical Equipment as follows: (-OV?Y)l Wiring Method L'7JNDIII'r NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 10OR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS ,CONVENIENCE - MOTOR - CONVENIENCE - MOTOR APPLIANCE MOTOR DISHWASHER FIREALARMS DISPOSAL BURGLARALARM ® RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER - REINSTALLATION LIGHT FIXTURE It FURNACE SUBTOTAL FEE GAS-OIL FURNACE ENERGYFEE ELECTRIC - - BASIC FEE ELECTRIC HEAT - TOTALFEE ELECTRIC HEAT - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT .AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE - A.W.G. SUB-TOTAL 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 Appl icationmade �/ /0 , ig� By cr Vf7`i -7—(f C�. ,u— f2-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. - V, - DIRECTO OF CITY LIGHT Date P$$$fffmilt Issued - - By - ® PLANS APPROVED Q 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 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 I GATE OF VISIT MAOEBY REMARKS z a a x z LU I.- go O z O 0 O.K.FOR COVERING O.K.TO CONNECT SERVICE FINALO.K. ELECTRICAL PERMIT CITY OF PORT ANGELES � 360-417-4735 Application Number , . . . 15-00000455 Date 4/29/15 Application pin number . , . 126820 Property Address , . . , , . 203 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-Op-5- 1-0193-D000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision game . . . . , . to the City of Port Angeles Property Use Property Zoning . , , . , . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . . , 0 Application desc 600 amp service change ---------------------------------------------------------------------------- owner Contractor KOKOPLLLI GRILL SHAMP ELECTRICAL CONTRACTING C/O CANDY MCQUAY PO BOX 383 203 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452-1699 ----------------------------------------------------------------`----------- Permit , , . . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee , . . , 225.00 Plan Check Fee Da Issue nate . , . , 4/29/15 Valuation . , . , 0 Expiration Date 10/26/15 Qty Unit Charge Per Extension 7.100 225,0000 ECH EL-COM 401-600 SRV FEEDER '225,00 ------------------------------------------------------------------------ Fee summary Charged Paid Credited Due Permit Fee Total 225,00 225,00 ,00 .00 Plan Check Total .00 .00 .00 .04 Grand Total 225.00 225,04 ,00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAEXCI-IANGF_1BUILDIKG ?OitTq* ELECTRICAL INSPECTION- WIRING REPORT *6RKS 417-4735 DATE: PEHMIT# INSPECTOR 0VVNEH CONTRACTOR ,-5/-7 ADDRESS APPROVED NOT APPROVED 0 . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . - 0 . . . . . . . . . . . . . . - , . SERVICE . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . . . FtNAL . . . . . . . . . . . . . . . . . . . . 13 CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE - gagsh &.c CITY cm, MnAPMELF'S PERMIT Am'10-ATION E VY RE SAM 321 Fifth Street—VO� Box 1150 Pori Angdes WaddngfvAq 98362 7 qp\ flit, (360)417-47.3,55 Fax. (360)4 1?-471 7 Plan Review A806,ROqljifp/j pk-�a'-Q Q' G R M OVI . - 'Pr We Be tj I P1 R iew Inforrnation Stjoril �Jfy .............. MK q Blom R Mg:' .......... Contreopf lnfonnq�i� Now MIT"! Maitill rev, h1a swam WTF '!'P� .-',P S&01' Phu ' Mim L:��Asv 40ExpI i L' ........................... gild b IMI, hr Mt2nc qjy MWeNfemy 205 Amp A"DIO s-------- Servim,'F oervr 2DI 400 Awf; 1 1110.J10 grit rtF.r QI-Mr;Arrqt $! "0 SowssFeekv 6MOM)Amp. SUM IMISSO OVM 1000 Amp, $4VAO Ponclr CirCs0047 SlurAm Feo'("r $ 510 R,anuf�CkLijf WK I 8r;VAM,1'r-edef $ SAO Fadi Adj,V�ial ftnc�Onn 1 $ 5S)II, Womb CkA%1.4 Mr) .crnp 2M An UM 'Tenp. 701-460 Arrip, ID LIU 1 ornp,Servkx)Fcemf 401.FM krip. TCOP GAKfica,Ffiowlal MM J(Ou Amp PMO M RvW Hmrjy D3 eAgufoulllne U'qMnp S 28MA Sign, S Lig ked EwqF I Firtl 15',M uf,-Commc-rcial Rermtemble Fnery-5K',/.A SyArw, or Las s 11110A IMMM s solo N-Ae:$Uju fw ex'b xdft'na.l 7-stal Ovioertv,do.,linod by RCO)1 .28,261:(1)Ovmer WO occupy lbo Slrurturefof lvm yuxoru ofter thi8 electrical perm' fjna1jzf;d.(?i Qvmeris feqjimd to flirty lf�ek; CW ONcontractar if above sa:fj Property i'5 fcmle reap or ti.Naso,Periviit expires after pix ninths aftst jna,,4pe6r)n. Aftw goadilwi0t,abon,Statement,1 here-by certiij thpi I am Me Oviler of the abom,nosv�l property or a licensed contr@oor, I lmmakvg flip'; Ran ifl rompfianopM11i the Of�aflcal Ww%KEZ.RMV Chaptnr 19,28,WAC,GhapMr 296466, The C31 rd Marl --x , �Ijr Ang'alkes ImicipD1 Code, rdv0ty;5paq'A 'ons and PAPAIC 14.05-050 rep,I'ding Edecfrk"M pv-Irlit 1�)PAo ji(� n 'W Sin gatu e"6f Ow er,�.'l- I tor contr o cm� F.1 ohack per- oro O --`� . �.�..._. �___ f" ., '� _ fir' .� ra�te�: ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 15-00000455 Date 4/29/15 Application pin number 126820 Property Address . . 203 E FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-0-0193-0000- 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 600 amp service change --------------------------------------------------------____. . r___-_---_--_-__ Owner Contractor KOKOPELLT GRILL SHAMP ELECTRICAL CONTRACTING C/O CANDY MCQUAY PO BOX 383 203 E FRONT ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452--1689 __-_---.__-_ -_------_-_____ _--_- -_------------------------------------------- Permit , . , , , . ELECTRICAL ALTER COMMERCIAL Additional deet . . Permit Fee . . . . 225.00 Plan Check Fee .00 Issue Date . . . . 4/29/15 Valuation 0 Expiration Rate 10/26/15 Qty Unit Charge Per Extension 1.00 225,0000 BCH EL-COM 401-600 SRV FEEDER '225.00 ----------------------------------_-----------------L------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 225.00 225.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 225.00 225.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL, COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: GAIEXCI IANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number I6-COOODICI Date 1/22/16 Application pin number . , . 479555 Property Address , , , , . . 203 E FRONT ST ASSESSOR PARCEL, NUMBFR, 06-30-00-5-0-0193-0000- REPORT SALES TAX Application type description ELECTR.TCAL ONLY on your excise tax form Property Name to the City of Port Angeles Pro ert Use Property Zoning . . . . . . . CENTRAL BUSINESS DLSTRICT (Location Code 0502) Application valuation . . , , 0 ---------------------------------------------------------------------------- Application desc Kitchen remodel ---------------------------------------------------------------------------- Owner Contractor KOKOPELLI GRILL SHAMP ELECTRICAL CONTRACTTNG C/O CANDY MCQUAY PO BOX 383 203 E FRONT ST PORT ANGELES WA 9$362 PORT ANGELES WA 98362 (360) 452-1689 ----------------------------------------------------------------------------- Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc . Permit Fee . , . . 99,00 Plan Check Fee 00 Issue Data . , , . 1/22/16 Valuation 0 Expiration Date . , 7/20/16 Qty Unit Charge Per - Extension 1,00 74,0000 E.CH EL,-COMM BRANCH CIR WO/ SIF 74,00 5100 510000 ECH EL-ECH ADDNT BRANCH CIRCUIT 25,00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 99,00 99,00 .DD 00 Plan Check Total ,00 00 00 .DO Grand Total 99,00 99,00 .OD .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IGXCHANGMBUILDING CH VOV PORT AN ' .l io; hllvwmnAvi,j,RWHONNEC � fart��srrh� p�r�t�€+�E�r1;��e��ta•�t°tat Irr�;l���:t�a�aiaVEO.,"' 21 Ea.0 ` r11:h Str•�l - P,O, B)N 11501 Porl �%nlr;(ac� Wa 11.lrat ton. 98361) VAN 2 � M6 rf,Mil ,r Cwrim r°t.hl;g 1R.e"do'b t'.'1 v'l' Rl*�,qij#Err pj- se CoTnuu GW Plan Buds,! ly U3 ,,--irx k,do;4.3 _ Owner It tea on Contrjpj f Inforniatioi . � ....._,... I#tey '1lr. .,:., s It W f i)-_� _ - -- UrR Item OnitCh4l,go Ply T,t,�t200 Ail-it) �11..,� FAr,9cf,YFeede�210'.1-05)Amp, JCAML, J r 4 0 t-b0C Amp 723.0 €1,MOO.Am - Se p.,-,u;rw.q&OVK '11311'Amp Brtiir It 'ir ait Mrvic rVlor $ IVI Atl a r�<1irr,r>nil�r��€rtr;ta���rrulr. �� fcir°�.harlt. l Eimp. `, rvimll FrG4v sill rlrm GO,CO I fni° t,.3,(�MrAvF }CJS€r 2fl 1493 Al'up 122.01) Tc tai. Evi;r' n wlf r X101- GCO h€lat,; 1CAN . .... rSa..,_....._,...._..._......_. 1 imp.$c-i Me.l='.,4 dot GAO" KDO Air'i Y' ilul to Ffjn;�l Ifim dy7.€�1€ ..__...—.�..... Y._....._.._..____.,,..... •• r -will oodte"gy-- a.ltJ �iypal Cif .01 ._... .. ;:10mi Cirm"I')'bi k6dEnergy f RISC 111-500 51 x;malf!1da", S 9 G,r t;eoevmble i;re wl {c..a€FnKo3-511 V A e�4smrr€Q=iX c 1 11*3 i Itolmt,,Iai P• _.,._....___ .. .°Total {l;wIter;1 4h fined bV RrW"19,21,1 81: Owr er%,.11 OWUPV tv€� ni,11dore,x1r,N,%>years aUr this Pl tr ra. mit is 4n. fizOd ( i 0,,mor r wirer #u Iwo il-I 6'rr •icol wntradw it 3hove idrqj; -,Yty Ts for oIc,fen or l,uric, 1"rrrtrr t�,xpirwr;Ael 5i�roGatti b of last it sjw,,�li:iatI, Mer reading thp above rt t r @�TR, 1 hereby cork,61„hat 1 rr1 Wif"GV.j!ic of tttc att7r,�v Ii,vmad pru emy(ma keit ale€,drat contrador.t dam m akinq tho, l a,tri l iflsta atioia r I r P r in c�. Banco-, i 0-, clef1rlcal IIvos,P1•E..C,i, RCW Gha 1&�r 19,2&WAC Chapwr 2H-4,513, Tim 'ilv of Purl. Argok MurlidjuI COO all Wilily ped icartions and PAW.31 I4•Vjf):.05 G rep.,di lig Elea;lrical Porn€it dace°parrs. Signutum of ownur,abl rtrical contractor or dmtdc l administr'Am: chuck vOIRTqV a, ELECTRICAL INSPECTION WIRING REPORT " MAW7 417-4735 KS DATE INSFEGTC-'� V & -3VVNrR CONTRACTOR D DRESS APPROVED NOT APPROVED Cl . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . 0 0. . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . 11 . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . CORRECTIONS NEEDED: 51. irJ—k —"T� f1r, S. HQ, rZA6,,- ALS t-4���tlj �- ez,jtJ - s NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE