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Home My WebLink About1135 E Front St - Building• CE RTI F - T� aUFA.,-0C� !! PA N Cly City%&<?aort Angele ?, :u .i -un— Diarision ti . ,xAl This certificate is issue pursuant to the requirements of Section 171,6f1he 2"009 International Building Code certifying that aflihMiMtbf ance this structure was in compliance with the various ordinances of the City regulating bu(VWj g:.consiruct ofiWVe for the follo vang Business name l'Flta' f171exican Gri11 Owner Nturo. Moreno ..! Business address' .1° 5-E FrontgS: Property owner* Joy G Siemiow ., rP Property owner ss address 1135E F{roritSt;, Y �l?:ort_X ng:e16§ fiVVA. °98362 Automatic fir p'` e s Yinkler�system. Not�i`equi�ed`;��-� Use & occupancy ildssigzcation. Business;- Building permit nu hers; ems11-3;36 11=:3.62' ,.x . Occupant load.i. Type of construction. "V A 07/08/11 „ ger .. Date Post on the premises in a conspicuous place "M be removed except by the Building Official. n �i PREPARED 7/06/11 8 23 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/11 ADDRESS 1135 E FRONT ST SUBDIV CONTRACTOR PHONE OWNER JOY C SIEMION PHONE (206) 941 6617 PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 11 00000336 CO CHANGE OF OCCP/USE -- --- --- -- PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 7/01/11 JLL BLDG C/O FINAL TIME 03 30 7/01/11 DA OVERRIDE TAKEN BY LPANGRLE DATE 07/01/11 TIME 08 41 20 July 1 2011 8 40 31 AM 1pangrle ARTURO 912 2237 C OF 0 FINAL FITA S MEXICAN GRILL LATE AFTERNOON 3 30 July 1 2011 4 33 40 PM jlierly Chain LPG stove to wall or provide wheel stops per code/ remove a/c wall unit on north side of building or move LPG tanks 10 away from point of ignition/steam hood over D/W /health department final/jll C099 02 7/06/11 BLDG C/O FINAL TIME 01 00 v� OVERRIDE TAKEN BY LPANGRLE DATE 07/05/11 TIME 14 52 08 July 5 2011 2 50 47 PM 1pangrle ARTURO 775 8014 C OF 0 FINAL FITA S MEXICAN GRILL AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES Ca PREPARED 7/06/11 8 23 47 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 1135 E FRONT ST TENANT NBR PITA S MEXICAN GRILL CONTRACTOR COUNTER INTUITIVE CONSTRUCTION OWNER JOY C SIEMION PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 11 00000362 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 7/01/11 JLL 7/01/11 DA BL99 02 7/06/11 SUBDIV PHONE (360) 477 1408 PHONE (206) 941 6617 PAGE 4 DATE 7/06/11 BLDG FINAL TIME 03 30 July 1 2011 8 37 56 AM 1pangrle ARTURO 912 2237 BUILDING FINAL PITA S MEXICAN GRILL LATE AFTERNOON 3 30 July 1 2011 4 33 40 PM jlierly Chain LPG stove to wall or provide wheel stops per code/ remove a/c wall unit on north side of building or move LPG tanks 10 away from point of ignition/steam hood over D/W /health department final/jll BLDG FINAL TIME 01 00 July 5 2011 2 52 12 PM 1pangrle ARTURO 775 8014 BUILDING FINAL PITA S MEXICAN GRILL AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 7/01/11 JLL 7/01/11 DA PL99 02 7/06/11 PLUMBING FINAL TIME 03 30 July 1 2011 8 39 06 AM 1pangrle ARTURO 912 2237 PLUMBING FINAL PITA S MEXICAN GRILL LATE AFTERNOON 3 30 July 1 2011 4 33 40 PM jlierly Chain LPG stove to wall or provide wheel stops per code/ remove a/c wall unit on north side of building or move LPG tanks 10 away from point of ignition/steam hood over D/W /health department final/jll PLUMBING FINAL TIME 01 00 July 5 2011 2 52 43 PM 1pangrle ARTURO 775 8014 PLUMBING FINAL PITA S MEXICAN GRILL AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 7/01/11 8 45 39 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/01/11 ADDRESS 1135 E FRONT ST SUBDIV CONTRACTOR PHONE OWNER JOY C SIEMION PHONE (206) 941 6617 PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 11 00000336 CO- CHANGE OF OCCP/USE - -- - --- -- -- ----- PERMIT CO 00 CHANGE OF OCC-UP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 7/01/11 JLL BLDG C/O FINAL TIME 03 30 OVERRIDE TAKEN BY LPANGRLE DATE 07/01/11 TIME 08 41 20 July 1 2011 8 40 31 AM 1pangrle ARTURO 912 2237 C OF 0 FINAL FITA S MEXICAN GRILL "LATE AFTERNOON 3 30 COMMENTS AND NOTES �rLo o Yv'� vv PREPARED 7/01/11 8 45 39 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LI£RLY DATE 7/01/11 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR FITA S MEXICAN GRILL CONTRACTOR COUNTER INTUITIVE CONSTRUCTION PHONE (360) 477 1408 OWNER JOY C SIEMION PHONE (206) 941 6617 PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER it 00000362 COMM REMODEL ----- -- -- --- -- -- - PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 7/01/11 BLDG FINAL TIME 03 30 _ July 1 2011 B 37 56 AM 1pangrle ARTURO 912 2237 BUILDING FINAL FITA S MEXICAN GRILL LATE AFTERNOON 3 30 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 7/01/11L PLUMBING FINAL TIME 03 30 July 1 2011 8 39 06 AM 1pangrle ARTURO 912 2237 PLUMBING FINAL- FITA S MEXICAN GRILL LATE AFTERNOON 3 30 COMMENTS AND NOTES CERTIFICATE OF 0 CCUPA NC Y A PPLICA TION Permit# %/�.�� 4 FEES CITY OF PORT ANGELES , Attn. Permit Technician $50 Ce icate /Inspection 321 E. Fifth St. Port Angeles WA 98362 111 $100 Parking. Business Improvement Area (PBIA) (360) 417-4815 fax (3.60) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK _ Check one. New business in P.A.? ❑ Change of ownership only? ❑ Moving location from)I wrthm P.A.? IJZon)1?g r, BUSINESS NAME �c, 5 r\ <, l C(r G, ^_ � t 1 I 1 Business address 5T'_ Mailing address � �_l c3 Sc�.r tom,. r� Atie, Phone number12-- ? Z3 Opening date Days & hours of operation -7 Business owner's name 4,., L__ r 0, o (r,— Contact phone Z — Z Z 7 Business owner's address 1 qu Se cYM�r r`� t,•�-r Vhf �r� y_-, ii"'� , `W �,_._ Brief description of business \J. Property owner's name G3Je1V\ rC-,n Contact phone [ZJ�6 Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on I Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No IX Construction changes planned (moving walls, adding/enlarging windows or doors roofing, siding foundation work, adding/altering stairways, ramps bathrooms, electrical heating/cooling/ventilation systems etc) Work planned�,�T � j�nc� ,� ��li- T' �, t (Yt � � �' r ..n n �. t- 4�-n -r� ✓tom S f rl � � r + FIRE DEPARTMENT phone 417-4653 Fire approval by A/jt , on , Changes to a fire_sprink ystem r fire alarm system? -N OX W�[planned �— 14 P,;,.,., ,� , , 01 a O � �t�-a � .JJ` -moi '��"► PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? -t I?' 3 3 Is business moving within .the PBIA? Yes ❑ No ,ITYCLERK phone 417-4634 1 PBIA notified on City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No CEJ` Will there be dancing at this business? Yes ❑ NOIX A City of Port Angeles.Busrness License is required for* Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 ,�fftAk w 'i8 R22 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (A.parking_plan maybe required,) Signs? (wall -mounted, freestanding projecting awning A -frame, etc?) Signs planned: t ` -17O1 «/� AX -5,J v\ �r r so r.-�il^C ,V c`� ['P n i r,_ L,.) Yler_. Ut PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles PWE annrnva/ by on PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings, site drainage parking lots, downspouts irrigation system backflow devices, etc ) Yes ❑ No V Work planned PUBLIC WORKS WASTEWATER phone 417-4845 I PWWapproval by on Will waste other than domestic household waste, be discharged into the sewer system? Yes 'I No ❑ If yes what will be discharged. \�,C_ C_ C__ Call for Certificate of Occupancy inspections BEFORE ooenina business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I 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 knowledge Incorrect information may result in revocation of permit. Date Date 7 ^ �� t Print Name A f � r�' `"`J Signature _ T-TForms\Building DivisionlCertificale of Occupancy Application (2010).cloc Page 2of2 SEH,, 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 11 00000362 Date 5/05/11 574858 1135 E FRONT ST 06 30 00 5 3 1260 0000 FITA S MEXICAN GRILL COMM REMODEL COMMERCIAL ARTERIAL 2000 Application desc RESTAURANT REMODEL INTO A MEXICAN GRILL Owner Contractor JOY C SIEMION COUNTER INTUITIVE CONSTRUCTION 1135 E FRONT ST 2183 OBRIEN RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (206) 941 6617 (360) 477 1408 Structure Information 000 000 Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc RESTAURANT REMODEL Permit pin number 184267 Permit Fee 95 75 Plan Check Fee 62 24 Issue Date 5/05/11 Valuation 2000 Expiration Date 11/01/11 Qty Unit Charge Per Extension BASE FEE 50 00 15 00 3 0500 HND BL -501 2K (3 05 PER C) 45 75 Permit PLUMBING PERMIT Additional desc Permit pin number 184366 Permit Fee 100 00 Plan Check Fee 00 Issue Date 5/05/11 Valuation 0 Expiration Date 11/01/11 Qty Unit Charge Per Extension BASE FEE 50 00 4 00 7 0000 EA PL -PLUMBING TRAP 28 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments May 2 2011 5 38 48 PM sroberds Use is permitted in the CA zone with on site parking at 1 125 sq ft of service area REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction ✓�/1 /.."pro e'40 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms/Building Division/Building Permit r BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor/ Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water AIR SEAL. Walls Ceiling FRAMING Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION• Slab Wall / Floor/ Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Date I Accepted By I I FINAL Date FINAL Date SEPA. ESA. SHORELINE. Comments Accepted by Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit n J-Q:r CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 11 00000362 Date 5/05/11 Application pin number 574858 Special Notes and Comments MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review May 4 2011 3 21 58 PM jyoung Staff met with owner and informed them of needed Best Management Practices and cleaning schedule Also that they need a grease trap for their 3 bowl sink Plumber has sized the correct unit and it is on order Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 195 75 195 75 00 00 Plan Check Total 62 24 62 24 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 262 49 262 49 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 performance of construction Date Print Name Signature of Contractor or Authorized Agent T Forms/Building Division/Building Permit Signature of Owner (if owner is builder) r BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 , V" Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 64 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED ` POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By I Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough -In I Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date Accepted by AIR SEAL. lTl Walls I Ceiling I 1 FRAMING Joists I Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: I Slab I Wall / Floor / Ceiling I I I 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 I Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parking / Lighting I 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 "r PREPARED 5/03/11 8 24 17 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/03/11 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR FITA S MEXICAN`GRILL CONTRACTOR PARSONS CONTRACTING PHONE (206) 617 2393 OWNER JOY G SIEMION PHONE (360) 452 2995 PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 11 00000346 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/03/11 Jtl l\ BLDG FINAL TIME 01 00 May 2 2011 3 34 33 PM 1pangrle KEN 206 617 2393 BUILDING FINAL RE ROOFED THE RESTAURANT COMMENTS AND NOTES --ra ROJ W CERT/FICA TE OF 0 CCUPA NC Y A PPLICA TION Permit# %/'�.��- � CITY OF PORT ANGELES FEES $50 Ce ticate /Inspection Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area ,(PBIA) (36D) 417-4815 fax (3.6D) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one. New business in P.A.? ❑ Change of ownership only? ❑ Moving location .from within P.A.? ❑ Zoning BUSINESS NAME 1 Cc.- ✓\ /1� r t 1 I Business address ST- Mailing address \ t_l U SC> Phone number �3r-,o�� ► 2- 7 z-"3 Opening date �u�`S Days & hours of operation '7 Business owner's namejk,, Sr„ ;-) VLo Contact phone i - 2 -2— Business Business owner's address A q u V�,nf(�11_ —, . tti/cl� • Gi Z _� Brief description of business �\I. ,' -r)0,/ Property owner's name 2:�� . G3�ZY� hC'>✓� Contact phone (76)`^1 �l ► - (p G Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No IX Construction changes planned (moving walls, adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms, electrical heating/cooling/ventilation systems etc) Work planned fdt„`t i r c 1l c o, �ci �1ti� 4; tib; c �- Quo.✓\ cr o ) [� FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire.sprinkl ystem r fire alarm system? -NX W[planned PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of. business? 1 ,3 3 I- PBIA notified on Is business moving within .the PBIA? Yes ❑ No C� .ITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No C Will there be dancing at this business? Yes ❑ No X A City of Port Angeles Business License is required for- Taxi, orTaxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 S' w g8 3.92 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by Number of off-street parking spaces available for employees and customers? t (A.parking_plan may be required.) Signs? (wall -mounted freestanding projecting awning A -frame, etc?) Signs planned' —�G �`. /►J � iC•t� v\ t�T : r s� C� � �C"Cr_�1 �- ('P n 1 r,. � 20 U PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings, site drainage parking lots, downspouts, irrigation system backflow devices, etc.) Yes ❑ No 0 Work planned PUBLIC WORKS WASTEWATER phone 417-4845 l h on L"J/rke:-XJ 3A_<T PWE annrmval by on. y 27 ^ /� PWWapproval by on Will waste other than domestic household waste, be discharged into the sewer system? Yes I No ❑ If yes what will be discharged. Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy / acknowledge that I have read this application and state that the information l have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date y %g- /Print Name 2d� Signature T-Worms\Building Division\Certificale of Occupancy Application (2010).doc Page 2 of 2 Linda Pangrle From Sent: To Subject: Attachments Hi Jeff Linda Pangrle Friday April 22, 2011 2.46 PM Jeff Young C of O Fita's Mexican Grill C of O - Fita's Mexican Grill.pdf Attached is a Certificate of Occupancy application for a new Mexican restaurant. Please let me know when you are done reviewing and approving it, so I can issue the C of O Thanks, Linda OX r°RT,4,1BUILDING PERMIT APPLI997TION Print in ink am CITY OF PORT ANGELES Attn Building Permit Technician For City Us Only1r�, 321 E. Fifth St. Port Angeles, WA 98362 Date Received �l (360) 417-4815 fax (360) 417-4711 Permit # �I-3 Date Approved I Applicant c VkAv o IM car e h ane �3c�a� S t 2- Z Z3 7 Property Owner �d� �. S, �rn , �� Phone Property Owner's Address Contractor � «� , ; � \ � e c%\e Cx,..te l Tilt ►1, v e Phone �3r�o� �t��i► - r qC 3 Contractor's Address 2- t Q 3 pq n License # CouN'��,� cidao';i Expires c74/oZ./ae, E-mail \h\,ee,5 ct4 , c�sn PROJECT ADDRESS \�� s (=. �rc�►�l- Sf, Q A, �l`�Zi`S me'A(uh Gh �I Parcel Number Lot Zoning CA Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family )Q Commercial ❑ Industrial Check all that apply r) r 2� ❑New Construction, Mnu� n� CeS�C-c.�u� kk-��\�a�� i �es C, -5�lr1 ❑Addition ('C,g56 CO Yr- 3rnOv�� ink 10"Ad inC06 cf-rn zvt-� )d Remodel 5/t_"A% ❑ Repair p !�ProM e\ cl ❑ Demolition to c- ct r �nr_ cq,;�F1 r�!oorv� �i R peek F�� k«ke oGA� W�►��ou J ❑ Re -roof ❑ House ❑ garage ❑ other R)wu54 Scri ❑ tear off & re -roof o [a over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ others (.ap ❑ Other Qc9cY-,P- Floor Areas Basement 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existing 2 . ft. 0 0AL1 1 Proposed (sa. ft.) 1911 hh Npec@ $ per sq ft. = $ TOTAL VALUATION $ aotkv 0 p Total footprint of st cture sq ft. - size sq = of coverage % Site Coverage = the unt of impervious surface on arcel including structures paved eways sidewalks patios and other impervio rfaces (see PAMC 17 94 5 r exemptions) it 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. /am authorized to apply for this permit and understand that it is my responsibility to determine what permits are. required, and to obtain permits prior to working on projects. Date '2�— rf Print Name 14, fZ-ry 144, j Signature T Forms/Building Division/Building permit application NOTES Permit # Aoc-r a"d wod� V6A bajyj Nam .:— % am �� , ram ciwe A q— V 9" i T Forms/Building Division/Notes *0, r FT- e�sl; t�,,rv� � Moe silk 8)L.Xk5tA Tc+ 4� PC- r 4- 21 eot1.l V11e? n (— S � A c�c.t � UJa�tXJ :;. ,c�, e - 1z '�A ^ ilI o 3 �- f J CITY OF PORT ANGUES — Construction Plans The issuance of this permit based upon these plans, specifi- cations and other data shaft not preveinf the building official r\ from thereafter requiring the correction of errors in saidr 9 f plans specifications and other data, or from preventing f w ! �� ea 0 buildi%operations being carried an thereunder when in violatiolr of all codes and ordinances of this�..�'uris_dic+tio� �� r✓�k Jam[ � J ApprovM pate L By j �., �--'Ix 2-1 Y . cz..sx z Az U K ` 0 1" A & /f tom--} �0� � � i fJ / s"•,L:G`ih.•.,sy.�','t max: tip .,:., �,4,..�",`��'4+. ✓fit n,t : b��;^1 �k� t�ks,v .. O o. � ,r xh as t �� ! f ' • \'4.., \ w,i: ♦ '<?�+.'kn„utiYtjC_. A'4 vps }:, d�' f ��"� \ / . " � •'*.:a rte, yt , `� ,: •i`i'�.< ..'of.5,.N„sFi,^yY�i+^�'tt'31, "ah.'y %'fes CITY OF PORT ANGELES r `P7 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 11 00000346 Date 4/19/11 316294 1135 E FRONT ST 06 30 00 5 3 1260 0000 FITA S MEXICAN GRILL RE ROOF COMMERCIAL ARTERIAL 5697 Application desc TEAR OFF & RE ROOF THE RESTAURANT Owner. Contractor JOY G SIEMION PARSONS CONTRACTING 1135 E FRONT ST 18505 SE NEWPORT WAY #A205 PORT ANGELES WA 98362 ISSAQUAH WA 98027 (360) 452 2995 (206) 617 2393 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pain number 184010 Permit Fee 151 75 Plan Check Fee Issue Date 4/19/11 Valuation Expiration Date 10/16/11 Qty Unit Charge Per BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees Fee summary Charged Permit Fee Total 151 75 Plan Check Total 00 Other Fee Total. 4 50 Grand Total 156 25 STATE SURCHARGE 00 5697 Extension 95 75 56 00 4 50 Paid Credited Due 151 75 00 00 00 00 00 4 50 00 00 156 25 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 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 PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417.4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date FOUNDATION: Footings Stemwall I Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough -In i Water Line (Meter to Bldg) I Gas Line Back Flow / Water AIR SEAL. Walls Ceiling FRAMING - Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION - Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line I Wood Stove / Pellet / Chimney I Commercial Hood / Ducts MANUFACTURED HOMES. Footing / Slab Blocking & Hold Downs Skirting I PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Accepted By I I I f I I i Comments I (FINAL Date Accepted by I I I FINAL Date 1 SEPA. ESA. SHORELINE. Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type I Date I Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 5-3-111 7U, T:Forms/Building Division/Building Permit C../ BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant V,0,V^ 'P� rS-ov� 5 Phone Property Owner Phone Property Owner's Address t t3 e F rc> ,, f St dos (- � (es, k/4 Contractor „ ?,- rS nv\ S (Pa -50PG Coh+mc�Hn�) Phone Contractor's Address Se-_ License # ? �4spC -v-9/03C Expires /3 / 13 E-mail PROJECT ADDRESS 1\3; G (-r o.,i" Sf, Parcel Number Proiect Tvpe & Brief Description. ❑ Residential Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition For City Use Only - Date Received 4—A -H Permit # 11 -346 Date Approved q,0 —07-2-7`73 360-452- 2 R'S Lot Zoning ❑ Multi -family K Commercial ❑ Industrial 115 Re -roof ❑ House ❑ garage g other �-ee, (-�- ;xtear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1 S' Floor 2nd Floor 3 I Floor Garage Carport Covered Porch Deck Shed Other Existinq (sq. ft.) Proposed (so. ft.) Total footprint of structures sq ft. T Lot size Site Coverage = the amount of impervio urface on a parcel includi and other impervious surfaces (see P C 17 94 135 for exemption per sq ft. = $ (OTALVALUATION $ iv ( 7 - 7 L� sq ft. = Lot coverage,/ % tructures paved driveway��sioe os Max. helght of proposed structures ft. Occupan group Will a lawn sprinkler system be inst�l(led? Occup t load Will a fire sprinkler system be Instpljled? Const ction type Site cox)e qe % # of droom? _ # full -baths # of half baths / have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects Date �` �q ` I/ Print Name K -''v-� ?cc I' S� ir) S Signature T Forms/Building Division/Building permit application Linda Pangrle From Robert Larson Sent: Tuesday April 19 2011 11 54 AM To Linda Pangrle Subject: RE. 1135 E Front St Re -roof permit #11 346 Hi Linda, This is ok. l did not see a place in Tracking to AP it. Have a great day! Robert G Larson Electrical Engineering Specialist II City of Port Angeles PW&U (360) 417-4706 From Linda Pangrle Sent: Tuesday, April 19, 20118 34 AM To- Robert Larson Cc: Terry Dahlquist Subject: 1135 E Front St Re -roof permit #11346 Hi, They are re -roofing the restaurant. There might be electrical issues here Trent wanted to make sure you got a copy of this one Thanks, Linda 1 /.? . Amok— C.— CER TIFICA TE mok_ CERTIFICATE OF 0 CCUPA NC Y A PPLICA TION Permit# /�. ,-& , CITY OF PORT ANGELES s$50 FEES Ce � icate /Inspection Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IA/ INK Check one: New business in P.A.? ❑ Change of ownership only? ❑ Moving location .from within P.A.? ElZon i n.g BUSINESS NAME. \c, 5 ry �1 --!C \ CCS 4) r t I Business address 3 _ �c�� Mailing address �l v c:— .>T- XU e Phone number CL i 2 - ZZ'3 Opening datejj&t`s� Days & hours of operation '7 c�cc� It— R Pi$3Sz Business owner's named tNla u -P ti.> Contact phone c1 c L — 2 2"i Business owner's address t t -( U ,\ I WA • `8 Brief description of business VkICI Property owner's name --=3,--tM t -r, Y-\ Contact phone r2ot ) 9( / 1 - (p i 7) Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 I Bldg approval by- ii'33 . Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No l� b B 9' /�-362 Construction changes planned (moving walls, adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms, electrical heating/cooling/ventilation systems etc) Work planned -=+: ti1G c Q--o►+/l . , Mcg ,n c --v\ Lr T v -'`c. � k �Y1 e v ..> n r. f �-r ✓�� i A e FIRE DEPARTMENT phone 417-4653 �j Fire approval by on Changes tofire sprink stem r fire alarm system? Nox Work planned in 41j rte jurm*vrrJtpr PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? r Is business moving within .the PBIA? Yes '❑ No 1�r CITY CLERK phone 41.7-4634 Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ NoX A City of Port Angeles. Business License is required for' Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 PBIA notified City Clerk approval by_on —2 —U COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? 1® (A parking -plan may be required,) Signs? (wall -mounted freestanding projecting awning A -frame etc?) CED approval by.59 on Signs planned' / CA 77c, cC.,o ;_ r r so C1� �l (1P %i � r L.x%�/ Yi�J, � `� K 2 y n s �2�r4� hcm� call 4 li'I r - � r PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWF_ a_ n_ nrnval by JY on LJ —7-5— 1' PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings site drainage parking lots, downspouts, irrigation system backflow devices etc.) Yes ❑ No kT Work planned ts ha keP' taF�i"g eeerm�'f PUBLIC WORKS WASTEWATER phone 417-4845 __ I ?WWapproval byy' on r Will waste, other than domestic household waste be discharged into the sewer system? Yes X, No ❑ If yes what will be discharged Call for Certificate of Occupancv inspections BEFORE openinq business. Buildiing Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I 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 knowledge Incorrect information may result in revocation of permit. Date y g" r I Print Name Ar L J C 2.dN0 Signature T:\Forms\Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 J�T ek 04 it 44 All -A� If Clallam County Assessor & Treasurer Property Details 61890 JOY G SIEMION for Y Page 1 of 1 CountyClaliam Assessor Property Search Results > 61890 JOY G SIEMION for Year 2010 2011 Property Account Property -1D 61890 Legal Description Geographic ID 0630005312600000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code Open Space N DFL Historic Property N Remodel Property - Multi -Family Redevelopment: N Township Section Range Location Address. 1135 E FRONT ST Mapsco Neighborhood Neighborhood CD Owner Name Mailing Address PORT ANGELES WA 98362 Cycle 5 Comm 20953140 JOY G SIEMION 1135 E FRONT ST PORT ANGELES WA 98362 Taxes and Assessment Details Values Taxing Jurisdiction Improvement / Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version 9 0 30 1013 P S CO-OP COLONY SUBDIVISION S77 LT 18 BL 12 58 N N Map ID 2 Owner ID- % Ownership Exemptions 11 353 52303 100 0000000000% © 2011 True Automation Inc. All Rights Reserved. Privacy Notice http.//wehsrv8 clallam net/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=61890 4/18/2011 Clallam County Assessor & Treasurer Property Details 61890 JOY G SIEMION for Y 1! k TIMMEMMM w Property Search Results > 61890 JOY G SIEMION for Year 2011 2012 Property Account Property ID 61890 Legal Description P S CO-OP COLONY SUBDIVISION S77 LT 18 BL 12 Geographic ID 0630005312600000 Agent Code 2011 Type Real 2011 156303 Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 58 Open Space: N DFL N Historic Property- N Remodel Property- N Multi -Family Redevelopment: N HOSP #2 HOSPITAL #2 2011 Township WSMET PK DIST WILLIAM SHORE MET PARK DIST Section: 156303 Range 2011 156303 WEED -CONTROL WEED CONTROL Location $283.01 2011 156303 TOTAL. 2010 Address. 1135 E FRONT ST Mapsco 44577 CC -GEN COUNTY CLALLAM PORT ANGELES WA 98362 44577 SD #121 SCHOOL DISTRICT #121 Neighborhood Cycle 5 Comm Map ID 2 Neighborhood CD 20953140 2010 /X Owner 2010 44577 HOSP #2 HOSPITAL #2 Name JOY G SIEMION Owner ID- 52303 Mailing Address. 1135 E FRONT ST i % Ownership 100 0000000000% WEED -CONTROL WEED CONTROL 'OORT ANGELES WA 98362 $50 2010 44577 TOTAL. $000 Exemptions. Taxes and Assessment Details $000 Property Tax Information as of 04/19/2011 Page 1 of 2 Amount Due if Paid on "70 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 Year Statement ID Taxing Jurisdiction 2011 156303 ST SCH STATE SCHOOL 2011 156303 CC -GEN COUNTY CLALLAM 2011 156303 SD #121 SCHOOL DISTRICT #121 2011 156303 CITY PORT ANG CITY OF PORT ANGELES 2011 156303 PORT PORT OF PORT ANGELES 2011 156303 NTH OLY LIB NORTH OLYMPIC LIBRARY 2011 156303 HOSP #2 HOSPITAL #2 2011 156303 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2011 156303 CITY-STORMWATER CITY STORMWATER 2011 156303 WEED -CONTROL WEED CONTROL $283.01 2011 156303 TOTAL. 2010 44577 ST SCH STATE SCHOOL 2010 44577 CC -GEN COUNTY CLALLAM 2010 44577 SD #121 SCHOOL DISTRICT #121 2010 44577 CITY PORT ANG CITY OF PORT ANGELES 2010 44577 PORT PORT OF PORT ANGELES 2010 44577 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 44577 HOSP #2 HOSPITAL #2 2010 44577 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 44577 CITY-STORMWATER CITY STORMWATER 2010 44577 WEED -CONTROL WEED CONTROL 13 $50 2010 44577 TOTAL. First Second Half Half Base Base Amt. Amt. Penalty Interest Base Paid Amount Due $216.52 $216.51 $0.00 $000 $43303 $0.00 $119.53 $119.52 $0.00 $000 $23905 $0.00 $283.02 $283.01 $0.00 $000 $566.03 $0.00 $275.94 $275.91 $0.00 $000 $551.85 $0.00 $1682 $1682 $000 $0.00 $33.64 $0.00' $50 13 $50 12 $000 $0.00 $100.25 $000 $4907 $4906 $000 $0.00 $98.13 $0.00 $1492 $1491 $0.00 $0.00 $2983 $0.00 $3600 $3600 $0.00 $000 $72.00 $0.00 $0.82 $0.81 $0.00 $000 $1.63 $0.00 $1062.77 $1062.67 $0.00 $0.00 $2125.44 $0.00 $223.80 $223.81 $0.00 $0.00 $447.61 $0.00 $119 10 $119 10 $0.00 $0.00 $238.20 $000, $289.90 $289.88 $000 $000 $57978 $000 $27576 $27576 $0.00 $000 $551.52 $0.00 $1674 $1674 $000 $000 $33.48 $000 $34.61 $3461 $0.00 $0.00 $69.22 $0.00 $4886 $48.86 $000 $0.00 $9772 $000 $15.54 $15.55 $0.00 $0.00 $31 09 $000 $3600 $36.00 $0.00 $0.00 $72.00 $000 $0.82 $0.81 $0.00 $0.00 $163 $0.00 $1061 13 $1061 12 $0.00 $0.00 $2122.25 $0.00 http.//websrv8 clallam net/propertyaccess/Property aspx?cid=0&year=2011&prop_id=61890 4/19/2011 Customer Specifications Joy Sienmion 1135 E Front St. Port Angeles, Washington 98362 4/8/2011 2:30:50 PM Job: 110329224838 Roof Renovation Phase Category Task Qty Unit General Plans & Permits Plans, Permits and Inspections 1 ea $214.94 Includes preliminary, meetings with client, rough sketches/drawings for city cost of permits and scheduled meetings with inspectors Plans & Permits $214.94 Total: Tear -Out & Demolition Provide for weather protection 1 JOB $412.00 Remove wet insulation from closed ceiling 150 SF $78.00 Remove old three -tab shingles up to 8/12 slope, 2 1200 SF $982.80 layers Tear -Out & $1,472.80 Demolition Total: Roof Framing Repair rotted out framing members and fascia 1 JOB $920.00 board necessary to instal new roof Roof Framing Total: $920.00 Roof Covering, Flashing Composition roof shingles, 300 Ib, 30 yr 4.6/12 1200 SF $1,908.00 pitch Roof Covering, $1,908.00 Flashing Total: Insulation Ceilings R-38, 12' fiberglass batt, kraftback 150 SF $157.50 including Insulation Total: $157.50 Clean -Up Dry gypsum and wet framing 1 JOB $192.00 Dumpster rental 1 JOB $637.50 Daily clean up 10 HR $195.00 Clean -Up Total: $1,024.50 General Total: $5,697.74 Sales Tax: $478.61 Total Price: $6,176.35 1 Copyright c 2007-2009 ELMS Software, LLC All Right Reserved www.elmssoftware.com Page:1 PREPARED 6/11/10 8 21 06 INSPECTION TICKET PAGE 1 CITY OF -PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/11/10 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY SIEMION CONTRACTOR PHONE OWNER THANHEISER HORST F PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 06 00000197 COMM ADDITION PERMIT BPC- 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFW 01 12/22/06 JLL BLDG FOUND FTG/STEM WALL 12/22/06 DA 12/21/2006 02 54 PM PBARTHOL DAN 206 941 6617 12/22/2006 03 25 PM JLIERLY 12/27/2006 10 45 AM PBARTHOL ENTRY ON 22 DECEMBER WAS AN APPROVAL ENTRY SHOULD HAVE BEEN A DISAPPROVAL CORRECTED ON 27 DECEMBER 2006 BY STEVE P PER SUE ROBARDS REQUEST BLFW 02 12/26/06 JLL BLDG FOUND FTG/STEM WALL 12/26/06 AP DAN ANDERSON 206 941 6617 12/26/2006 04 51 PM PBARTHOL BLI 01 8/08/07 PB BLDG INSULATION TIME 01 00 8/08/07 AP 08/08/2007 08 24 AM LPANGRLE DAN 206 941 6817 INSULATION REQUESTED AN AFTERNOON INSPECTION 08/08/2007 03 47 PM PBARTHOL BL99 01 4/02/08 JLL BLDG FINAL TIME 01 00 4/02/08 DA April 2 2008 8 21 38 AM 1pangrle DAN 206 941 6617 (I CALLED HIM TO FINAL THIS OLD PERMIT ) BUILDING FINAL AFTERNOON April 2 2008 4 21 35 PM jlierly impact protection at 1pg tanks 6 000lbs/seal vents at foundation/strap to wall and provide t&p drain line/jll BL99 02 6/11/10 L BLDG FINAL TIME 02 15 June 10 2010 2 58 27 PM 1pangrle JOY CELL 775 9064 BUILDING FINAL JOY S BISTRO PLEASE INSPECT AFTER 2 00 PM IF YOU INSPECT BEFORE 2 00 PM CALL HER ON HER CELL SO SHE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 4/02/08 9 21 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/02/08 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY SIEMION CONTRACTOR PHONE OWNER THANHEISER HORST F PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 06 00000197 COMM ADDITION - ----- PERMIT --- -- -- - BPC 00 BUILDING PERMIT COMMERCIAL - --- -- - ----- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFW 01 12/22/06 JLL BLDG FOUND FTG/STEM WALL 12/22/06 DA 12/21/2006 02 54 PM PBARTHOL DAN 206 941 6617 12/22/2006 03 25 PM JLIERLY 12/27/2006 10 45 AM PBARTHOL ENTRY ON 22 DECEMBER WAS AN APPROVAL ENTRY SHOULD HAVE BEEN A DISAPPROVAL CORRECTED ON 27 DECEMBER 2006 BY STEVE P PER SUE ROBARDS REQUEST BLFW 02 12/26/06 JLL BLDG FOUND FTG/STEM WALL 12/26/06 AP DAN ANDERSON 206 941 6617 12/26/2006 04 51 PM PBARTHOL BLI 01 8/08/07 PB BLDG INSULATION TIME 01 00 8/08/07 AP 08/08/2007 08 24 AM LPANGRLE DAN 206 941 6817 INSULATION REQUESTED AN AFTERNOON INSPECTION 08/08/2007 03 47 PM PBARTHOL BL99 01 4/02/08 JLL BLDG FINAL TIME 01 00 April 2 2008 8 21 38 AM le DAN 206 941 6617 (I CALLED HIM TO FINAL THIS HIM TO OLD PERMIT BUILDING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 8/08/07 9 24 20 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/08/07 ADDRESS 1135 E FRONT ST SUBDIV TENANT NSR JOY SIEMION CONTRACTOR PHONE OWNER THANHEISER HORST F PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 06 00000197 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFW O1 12/22/06 JLL BLDG FOUND FTG/STEM WALL 12/22/06 DA 12/21/2006 02 54 PM PBARTHOL DAN 206 941 6617 12/22/2006 03 25 PM JLIERLY 12/27/2006 10 45 AM PBARTHOL ENTRY ON 22 DECEMBER WAS AN APPROVAL ENTRY SHOULD HAVE BEEN A DISAPPROVAL CORRECTED ON 27 DECEMBER 2006 BY STEVE P PER SUE ROBARDS REQUEST BLFW 02 12/26/06 JLL BLDG FOUND FTG/STEM WALL 12/26/06 AP DAN ANDERSON 206 941 6617 12/26/2006 04 51 PM PBARTHOL BLI O1 B/Op/07 JLL BLDG INSULATION TIME O1 00 08/08/2007 24 AM LPANGRLE DAN 206 941 6817 68 INSULATION REQUESTED AN AFTERNOON INSPECTION COMMENTS AND NOTES PREPARED 12/26/06 9 18 33 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/26/06 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY SIEMION CONTRACTOR PHONE OWNER THANHEISER HORST F PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 06 00000197 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFW 01 12/22/06 JLL BUILDING FTG/WALL 12/22/06 AP 12/21/2006 02 54 PM PBARTHOL DAN 206 941 6617 12/22/2006 03 25 PM JLIERLY BLFW 02 12/26/06 JLL BUILDING FTG/WALL -J/ / DAN ANDERSON 206 941 6617 / /��b COMMENTS AND NOTES -DIVISION -- CITY OF PORTA-NGELES1. -MTv„ Not[ce,.- Job LocaAeO at fnSoectIon of your work revealed that the f di'loWing is not-ih accordance With"the codes dovernin.g 'the wor'k in 'this jur,164[!ption These corrections must be made and are not to be covered until reinspection is made hen 7orrectijons , have been made, please call U54E for inspection IV Date InspXoror Building Division DO NOT REMOVE THIS TAG PREPARED 12/22/06 8 40 15 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/22/06 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY SIEMION CONTRACTOR PHONE OWNER THANHEISER HORST F PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 06 00000197 COMM ADDITION PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFW O1 12/22/06L BUILDING FTG/WALL 12/21/2006 02 54 PM PBARTHOL V DAN 206 941 6617 COMMENTS AND NOTES r— Jo N OF PORT CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THANHEISER HORST F 1131 CAROLINE ST PORT ANGELES Other struct info 06 00000197 615262 1135 E FRONT ST 06 30 00 5 3 1260 0000 JOY SIEMION COMM ADDITION COMMERCIAL ARTERIAL 4000 Contractor OWNER WA 983624203 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit BUILDING PERMIT COMMERCIAL Additional desc Permit pin number 73197 Permit Fee 123 75 Plan Check Fee Issue Date Valuation Expiration Date 11/21/06 Qty Unit Charge Per BASE FEE 2 00 14 0000 THOU BL 2001 25K (14 PER K) Date 5/25/06 32 40 1 00 2088 00 7000 00 180 00 2268 00 1 00 Special Notes and Comments 02/28/2006 04 15 PM KDUBUC An exit must be provided from this enclosure 03/09/2006 04 56 PM SROBERDS The proposal will result in enclosure of a rear deck in the CA zone for total lot coverage of 32% Electrical load calculations and elctrical permits are required Public works electrical engineering has no requirements for this plan review Electrical load calculations and elctrical permits are required Meter must be accessible to meter reader 03/21/2006 04 43 PM GMCLAIN - Public Works Utility Engineering has no requirements for this plan review 80 44 4000 Extension 95 75 28 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 00 Other Fee Total 4 50 4 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any st local law regulatin Instruction or the performance of construction. /r / / A Signature of Contractor or Authorized Agent Date Signature o n r (i owner is wilder) Date T•\Policies\1102_15 building permit inspection TecordOS.wpd [1/4/2005] WELDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE ACCEPTED COMMENTS I` YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALLMOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB I WALL I FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s I SEPA. PARKING/LIGHTING LANDSCAPING ' SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 I PW / ENGINEERING FIRE 417-4653 I FIRE DEPT PLANNING DEPT 4174750 I PLANNING DEPT BUILDING 4174815 ' BUILDING ^- �� ti.:u.�o nnr..,,t ,nmection recordOS.wgd (1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 06 00000197 Date 5/25/06 Application pin number 615262 1Grand Total 208 69 208 69 00 00 `L� I P Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies\1102_15 building permit inspection record05.wpd [114/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING & HOLD DOWNS SKIRTING FINAL FINAL I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ` LANDSCAPING SHORELINE: FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 4174735 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 I BUILDING rn d05-wnd l l/4/20051 DATE DATE DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES NO (,Y-11-10 -ju— BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan 112US� B to,--, -'-cemtu -.9 ev e- " i. ,lA C: ally Unes 4i V31 PERMITS (360) 417-4815 FAV360417-4711 Applicant or Agent: Owner, 112'7J;"—Xe Address -Azelutcot/Enryinecr- n Corttractor n�=tom= go 64 P 3 rl _ Phone 0 FOR DFFIC4L US ONLY Date Rec,&� .V7 0-A& ? Permit -- &- '7-1 Dale Approved. Date issued: ft-44te rt 5+fAUj4q Phone 101A Zip Phone. State License #- Exp Phone. Address. /ot7 City. Zip M PROCT ADDRESS ZONING LEGAL DESCRIPTION Lot: Block. /2 5ubdij7jSjon. CLALLAM COUNTY PARCEL NUNMER. 3 TYPE OF WORK. SIZENALUATION El Residential M New Constr. 0 Re roof 11 Stove SF @S /SF = P Multi -family >eAO'd.dinon E] Move M GaraLye SF @$ /SF = /W—Com-roeTcial 11 Remodel 13 Demolition n Deck SF @$_16Q_ISF =S El Repair E) Sign 13 Oth TO �-V-2 UATlO— N7f$ BRIEF DESCRIPTION OF THE PROJECT 0 Z46/ J02�- Z1114ey' IM1�1-1-00 6OMMERCL4NESIDENTIAL. Occupancy Group No of Stories. f Lot e. Sizxisting Sq -: �-/- 0 Z� Total lot coverage14� % f. - PLANKING USE ONLY Occupant Load.3t/p Construction Type.Y-Md 4: Ft. 21�9111frs" Proposed Sq Ft, `TOTAL Sq Ft. -Z ,_Z ( ESAfWetland(s)- F1 Yes C No SEPA Checklist required? 0 Yes 0 No Other APPROVALS PLAN BLDG DPVVU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at417-4815 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 R105.3.2 of the International Buildmg(Residential Code, 2003) No application can be extended more than once. / hereby certify that I have read and examined this application and know the same to be true and correct, / am authorized to apply for this permit and understand that it is my responsibility2todete '1w at perm* e uired ,not the City's, and that I must obtain such permits prior io work. TAPoliciesM 110213.wpd Applic 1:7- Date V7- 3 /04o V •r � rvrrR-rA. 4�. 77 �L. cnz"<4 YA-190 r. ' T MY - CITY OF PORT ANGELES — Construction glans The issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. (SM'Mio auatc) uauuun Approval Date �� ° By r� L --- FILE i sf �a lid 17 Yo / �,r y - .... � _'•- , 5 .moi X-•----� � - - r-- � �^ �� .__ { ;J��;�,� p ' _ _�_ - - �- � - - _ .-{ter _. _ . :. x sr fife }��it- - rl• ---------;-----f - -p •---}----�-__}_. _..-�____?___ f---�'--�----d---�-----•{—�-�'---9---r--~ - -;--- 1---- c-..._.. �._.,. .. �_...__,_._.._�----�_,_.-z.--_}.___--'_-_.i ! ..... 1 ._,j.-_._,:�:-.s � i � - _ _ _!__.__ _� ? �I.,_►.._ � � . � _ _� t t , PREPARED 9/19/08 9 13 46 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/19/08 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY S RESTAURANT CONTRACTOR PHONE OWNER JOY G SIEMION PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 07 00000723 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 4/02/08 JLL MECHANICAL FINAL TIME O1 00 4/02/08 DA April 2 2008 8 18 02 AM 1pangrle DAN 206 941 6617 (I CALLED HIM TO FINAL THIS OLD PERMIT ) MECHANICAL FINAL AFTERNOON April 2 2008 4 21 35 PM jlierly impact protection at 1pg tanks 6 000lbs/seal vents at foundation/strap to wall and provide t&p drain line/jll ME99 02 9/19/08 J MECHANICAL FINAL TIME O1 00 September 19 2008 8 28 34 AM 1pangrle DAN 206 941 6617 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 7/25/07 JLL PLUMBING ROUGH IN 7/25/07 AP 07/25/2007 08 43 AM LPANGRLE ~ NO NAME OR PHONE NUMBER WAS LEFT REQUESTED A BUILDING INSPECTION FOR JOY S RESTAURANT I M GUESSING THEY WANT A ROUGH IN PLUMBING INSPECTION 07/25/2007 04 26 PM JLIERLY PL99 01 4/02/08 JLL PLUMBING FINAL TIME O1 00 4/02/08 DA April 2 2008 8 19 38 AM 1pangrle DAN 206 941 6617 (I CALLED HIM TO FINAL THIS OLD PERMIT ) PLUMBING FINAL AFTERNOON April 2 2008 4 21 35 PM jlierly impact protection at 1pg tanks 6 000lbs/seal vents at foundation/strap to wall and provide t&p drain line/jll PL99 02 9/19/08L PLUMBING FINAL TIME 01 00 September 19 2008 8 29 20 AM 1pangrle DAN 206 941 6617 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 4/02/08 9 21 26 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/02/08 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY S RESTAURANT CONTRACTOR PHONE OWNER JOY G SIEMION PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 07 00000723 COMM REMODEL PERMIT ME 00 MECHANICAL PERMIT- - -- -- - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 4/02/08 MECHANICAL FINAL TIME O1 00 April 2 2008 8 18 02 AM 1pangrle DAN 206 941 6617 (I CALLED HIM TO FINAL THIS OLD PERMIT ) MECHANICAL FINAL AFTERNOON ----- PERMIT ----- -- -- - PL 00 PLUMBING PERMIT ---- ----- -- ---- REQUESTED INSP t DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 7/25/07 JLL PLUMBING ROUGH IN 7/25/07 AP 07/25/2007 08 43 AM LPANGRLE NO NAME OR PHONE NUMBER WAS LEFT REQUESTED A BUILDING INSPECTION' FOR JOY S RESTAURANT I M GUESSING THEY WANT A ROUGH IN PLUMBING INSPECTION 07/25/2007 04 26 PM JLIERLY PL99 01 4/02/08 JLV•- PLUMBING FINAL TIME O1 00 April 2 2008 8 19 38 AM 1pangrle DAN 206 941 6617 (I CALLED HIM TO FINAL THIS OLD PERMIT ) PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 7/25/07 8 56 56 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/07 ADDRESS 1135 E FRONT ST SUBDIV TENANT NBR JOY S RESTAURANT CONTRACTOR PHONE OWNER JOY G SIEMION PHONE PARCEL 06 30 00 5 3 1260 0000 APPL NUMBER 07 00000723 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 7/25/07 JLL PLUMBING ROUGH IN 07/25/2007 08 43 AM LPANGRLE NO NAME OR PHONE NUMBER WAS LEFT REQUESTED A BUILDING INSPECTION FOR JOY S RESTAURANT I M GUESSING THEY WANT A ROUGH IN PLUMBING INSPECTION COMMENTS AND NOTES J� a CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET 'PORT ANGELES. WA 98302 Application Number 07 00000723 Date 7/13/07 Application pin number 299737 Property Address 1135 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 3 1260 0000 Tenant nbr name JOY S RESTAURANT Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2200 Owner Contractor JOY G SIEMION OWNER 622 ANGELES RIDGE RD PORT ANGELES WA 98362 Structure Information 000 000 MOP'SINR WASHER/bRY9R FRNCE'GAS LINE' Construction Type TYPE V NO RATED` BiJ Occupancy Type SINESS OFF/PRO/MED/REST- FF/PRO/MED/RESTOther Otherstruct info NUMBER OF UNITS 1 00 Permit ELECTRICAL ALTER COMMERCIAL Additional desc ALLEN/ MOVE METER+ CIRCUITS Permit pin number 106872 Sub Contractor ALLEN ELECTRIC Permit Fee 75 00 Plan Check Fee 00, Issue Date 7/13/07 Valuation 0 Expiration Date 1/09/08 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL .COM ALT 0 200 SRV FDR 75 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 5'0 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 0,0 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 79 50 79 50 00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MIND" 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPOMON T"E DATs NO DITCH AICCMIID COt�Frrs f DITCH ROUGH -IN / COVER I SERVICE FINAL GENERAL COMMENTS: 713-e7 dkO 7 -17-0-7 -f -_0 In—/r7 07 1.ol'z01 rw-1102.151W90 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000723 Date 7/02/07 Application pin number 299737 Property Address 1135 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 3 1260 0000 Tenant nbr name JOY S RESTAURANT Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2200 Owner Contractor JOY G SIEMION OWNER 622 ANGELES RIDGE RD PORT ANGELES WA 98362 Structure Information 000 000 MOP SINK WASHER/DRYER FRNCE GAS LINE Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Other struct info NUMBER OF UNITS 1 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 105007 Permit Fee 89 20 Plan Check Fee 00 Issue Date 7/02/07 Valuation 0 Expiration Date 12/29/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 2 00 10 6500 ECH ME OTHER APPL NIR 21 30 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Permit PLUMBING PERMIT Additional desc Permit pin number 105015 Permit Fee 114 00 Plan Check Fee 00 Issue Date 7/02/07 Valuation 2200 Expiration Date 12/29/07 Qty Unit Charge Per Extension BASE FEE 50 00 5 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 35 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL EA BLDG SEWER 15 00 1 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review M CT t Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned 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 me to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr ction 1 ature of Contractor or Authorized Agent Date � Signature of Owner (if owner is builder) Date f T \Policies\1102 15 building pennit inspection record05 wpd [1/4/20051 BUILDING PERMIT INSPECTION RE CORD CALL 417-451 FOR BUILDING INSPECTIONS. CALL 41`473S FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A I14I1.11MUM 24 HOUR NOTICE. ITIS UNLA P FUL TO COYER, INSULATE OR CONCEAL ANF If'OAK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TN'PE DATE I ACCEPTED I COMMENTS YES I NO FOUNDATION: FOOTINGS I ( I I SHEAR WALLS/ WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS I I POST HOLES (POLE BLDGS) PLUMBING UNDERFLOOR/SLAB ROUGH -FN I I I WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I I CEILING I I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING Ik DPYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH -IN HEAT PUMP/FURNACE/DUCTS GAS LINE I WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCIUNG & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT II's PARKING/LIGHTING LANDSCAPING RESIDENTIAL 1 I FINAL DATE ACCEPTED BY, 1 1 FINAL DATE ACCEPTED BY. 1 J SEPA. ESA. 4 SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES NO I ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONS7RUCTIONR.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW /ENGINEERING FIRE 417-4653 I FIRE DEPT PLANNING DEPT 417-4750 I PLANNING DEPT BUILDING 417-4815 _ I BUILDING (, ' T \Policies\1102 15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Other Fees Fee summary Charged Permit Fee Total 203 20 Plan Check Total 00 Other Fee Total 4 50 Grand Total 207 70 Page 2 07 00000723 Date 7/02/07 299737 STATE SURCHARGE 4 50 Paid Credited Due 203 20 00 00 00 00 00 4 50 00 00 207 70 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 T \Policies\1102 15 building permit inspection record05 wpd [1/4/20051 Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 41 7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOIA ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA61 FUL TO COVER, INSULATE OR CONCEAL ANI' if'OP.ii-t;EFORE LA'SPECTE'D AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD kND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ( ACCEPTED I COMMENTS YES I NO I I W FOUNDATION: FOOTINGS I i SHEAR WALLS/ WALLS I FOUNDATION DRAINAGE/ DOVAR,1SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING ` UNDERFLOOR/SLAB J%6jI� 1 l� ROUGH -CN %1 I I I I WATER LINE (METER TO BLDG) I l �^7 -I� GAS LINE I ` FINAL �� /�� DATE �+ ACCEPTED BY. BACK FLOW / WATER AIR SEAL i WALLS I I I I CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I I I INSULATION SLAB WALL / FLOOR / CEILING I ' MECHANICAL ROUGH -IN I f^ HEAT PUMP/FURNACE/DUCTS `V '� GAS LINE FINAL I _' — 0 op JG DATE LI ACCEPTED BY. I WOOD STOVE/ PELLET/ CHIMNEY I MANUFACTURED HOMES FOOTING/SLAB BLOCKING R HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s 1 PARKING/LIGHTING LANDSCAPING RESIDENTIAL 1 SEPA. f ESA. J I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO I COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W /PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT 417-4750 BUILDING 417-4815_ _ 'I.\Policies\1102 15 building permit inspection record05 wpd [1/4/2005] ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING ACCEPTED 1 YES NO I0 I I I 0" BUILDING PERMIT - APPLICATION Fill out COMPLETELI, and in WK. Your application and site plan COMPLETE to be accepted for reviem, If vou have any qUeStio -So 's Re�PTRMITS (360) 41.7-4815 FA -X(360)417-4711 Applicant or Agent: t'- Phone Owner- Phone. Zip Address: 79- Zl-'77, City- Archftect/Eng),meer- Phone: Contractor State License #- Exp Phone: Address: City. zip PROJECT ADDRESS ZONING 6ig;W, LEGAL DESCRIPTION Lot: Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. Ila g�k e�v 7 T17PE OF WORK. SIZE/VALUATION QXra 0 Residential 0 New Constr 0 Re -roof F, Stove SF /SF ,, ; 0"Iti-Eknily 13 Addition 0 Move D Garage SF @ $ /SF Commercial 0 Remodel 0 Demolition 0 Deck SF @$ /SF 0 Repair r, Sign ED Other TOTAL VALUATI PNT V I "Z9 BRIEF DESCRIPTION OFT PROJECT, � /Y- COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type - No of Stories: I Lot size: 7 0 Oa Existing Sq. Ft. & Proposed Sq Ft. = TOTAL Sq Ft. Total lot coverage qq'19 % p '?:Z PLANNING USE ONLY APPROVALS PLAN BLDG DP)VU ESA/Wetland(s) 0 Yes 0 No SEPA Checklist required? 13 Yes 0 No Other- FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases; a valuation amount must be entered by the applicant.5 2 - 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that must obtain such permits prior to T-\F0RMS\B1dgPerrnitform.wpd Applicairt-ae�l a4o�71 Date:,/// �2 FA' I JUO/ J r J 4 l / l J 5 i rc Nv� 17A 12, 77 Z;rz wiz k ,Tin -5�-,� JI 5- 4 z V�_a 6 PORT ANGELES -- Construction Plar13 f',e Issuance of this permit -teased upon these plans, spe•:ifi- cations and other data shall not prevent the building official ft im thereafter requiring the correction of errors in said p' :•,s specifications and other data, or from preventic b-ilding operations being carried on thereunder when irr vi ,lation of all codes and ordinances of this 'urisdRctio A Jprova! Date _;�� -- mo 91!VO d 4:z�� 61v�� wx/"V�- An A I s 7' l7 ZpG_%y�-6E r . o a CERTIFICATE OF OCCUPANCY City of Port Angeles Max. Occupancy Building Division 35 This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following Use Classification. Business sBuildjng Permit No. 05-656 BusinessName: Jov s Wine Bistro Group: B Type of Construction: VN Use Zone: CA Owner of Business: Jov G. Siemion address: 1135 E. Front Street. Port Aneeles, WA. 98362 Building address: 1135 E. Front Street ,Port Aneeles, WA. 98362 log 4i, November 3 , 2005 Building Official- ` * Date Post on the premises yin �a conspicuous place No. 42 Shall not be removed except by Building Official ROUTING SLIP Certificate of Occupancy _?:A � 47.00 Certificate/Inspection Fee DATE/ y ► New Business ( ). Address of Proposed Business Transfer of Business Location ( ) 35� E - Ftic)(Q k ST Change of Ownership ( ) Applicant 30`q C. S�lev'-Xf 0V-1 New Building ( ) Address 3 S C • S 1-' Remodel ( ) Temporary Business ( ) Phone business 2- q 449 home b4to -q_4Z- Change of Use ( ) Wi6-2- Brief description of proposed business ��r'�>A %-A-yL`_ 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 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes_ 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks x 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 A Tattoo shop Work done in City right-of-way la Water meter installation 10 Other,�c� Is there sufficient off-street parking? 11) Fire✓ New driveway openings 12 Occupancy A grading plan for site drainage Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? 15) Home occupation Are there existing sidewalks? 16) Condition I 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 information I have supplied is correct to the best of my knowledge q ROV REJECTED 8-li-vs-sr� y ZS -os �z v Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Date Signed l I J v ' Comments / Conditions OF PORT ANC CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 ® orri (206) 457-0411 PERMIT NO. DATE l0 ELECTRICAL PERMIT Site Address: ' X READY FOR El WILL CALL FOR 1/36/r5rc,7� INSPECTION INSPECTION Installed By: / // )krn /d} A)/,/y� I License Number: Phone: Owner/Business: 7�r, ,s `�� /1 es �LC An )L_ Phone: Owner/Business Address: Sq. Ft. ❑ RESIDENTIAL ❑ TEMPORARY SERVICE ❑ OVERHEAD SERVICE M COMMERCIAL ❑ PERMANENT SERVICE ❑ UNDERGROUND SERVICE ❑ BASEBOARD KW ❑ NEW CONSTRUCTION VOLTAGE: ❑ FURNACE KW ❑ REMODEL ❑ SINGLE PHASE ❑ FAN/WALL KW )< ADD/ALTER CIRCUITS ❑ THREE PHASE K HEAT PUMP KW ❑ SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ SIGN ❑ SPECIAL EQUIPMENT (LIST BELOW) J Details/Description: Aaldl, /g�L°�/JUJYI D 4 SDI— ® /o A'16t_) W.S. No. SERVICE SIZE CAPACITY: ❑ O.K. NOT O.K. ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ INSTALL SERVICE POLE ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect servirP Y4Final O.K. Site Address: Installer: DATE ENGR. ❑ CHANGE SERVICE WIRE ❑ OTHER Permit/Receipt No. 7a. X4At3 e r (n I New Meters Date: 6-lE=9;2- 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 Building Permit. PHONE 457-0411, EXT. 224. b, P NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT EI trical 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 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT -2o6i- PERMIT NO / DATE Site Address: $ ,n ❑ READY FOR 1/3�! G-�• �I&/ INSPECTION Installed By: ,Z'tRA6) Vy /GDA)' I License Number: Owner/Business: N Owner/Business Address: ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: ❑ New Construction ❑ Remodel ❑ Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) IVJ �r"vxJ �us//,3lsi U ❑ Overhead ❑ Underground VoltagA ❑ 10 ❑ 30 Service size ❑ Temporary ❑ WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. Amps W.S. No, Service Si7A -)atp Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Commentq ❑ 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 _%sem Final O.K. ❑ Plan Review approved/pending Site Address: Permit/Receipt No. I I aS �. / /C iiN�aGltSfP` I ';2 U0/ J Installer:/ " New Meters Date: ILVO- NEOAJ I 0 • 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. 1,5n80or EXT. 224. �^ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ^� W 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 �� 6f CITY OF PORT ANGELES - . �� FEE RECEIPT NUMBER - DEPARTMENT OF LIGHT - A - - PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT TOTAL FEE 16, Q a I /.�''�•G C Jx, •:,/, I leF. S CONT LIC. NO TIMETOCOMPLETE + NO. STORI ES I LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO, OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 3 cc / .f RREE DDRESj3 IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AADDD%ESSE/S ARE CANCELLED Owner 4l.1 / A iv ['/ r+ ✓ S '-` a' Installation By J///-- / ..- ,�ii-i u; i. i /.`� /,- r r C Owner's Address -F .S� f �2,7 F� Installers Addresc Day Phone - Installers Phone - _r'% 1 C5 - Application Application Is hereby made for Permit to install Electrical Equipment as follow/s: _ /•_/JCG ui� !%S �i�srG�olf vt� / Wiring Method I USE OF CIRCUIT NUMBER AMPPER CIRCUITS CIR ILIGHT LIGHT CONVENIENCE - CONVENIENCE - APPLIANCE _ DISHWASHER DISPOSAL (RANGE OVEN WATER HEATER LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT (ELECTRIC HEAT IA.0 UNIT (FEEDER ISERVICE 120V NUMBER ( 100R FEE I USE OF CIRCUIT TSI CIR IJ SIGN50 1 LTS ORLESS MOTOR I I IIMOTOR I II I I MOTOR I I I I FIREALARMS I I _ IIBURGLARALARM I I I I MISG II I I 1 II II I I REINSTALLATION LIGHT FIXTURE #' - SUBTOTALFEE ENERGYFEE BASIC FEE II TOTALFEE ISUB -TOTAL 120V 240V 10 100R I FEE I30I I .I I I I I I I I I I I I 1 l - SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER _ _ l AMP PHASE I I SIZE OF SERVICE ENTRANCE CONDUCTORS A W.G. 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 ance with the N.E.C. Electrical Code Date Application made 1g 1 gy /f / - CONTRACTOR OR OOR 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. DIRE/C//T/�O-R OF CITY LIGHT Date Permit Issued eLgrls APPR- 9l�l�s- 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 OLYMPIC PRINTERS. INC REPORT OF INSPECTOR DATE OF VISIT MADE BV REMARKS •• _,....yen wavmllOG' i R 1067 CITY OF PORT ANGELES (�Qj FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT to TOTALFEEL L ISO.ma' I/SZ eS / 4 JI I CONT.UC NO. I TIMETOCOMPLETE I NO.STORIES it LEGALOCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT' Site Addres- 113,5` F �j� CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG AADDDRRESSEEggg APE CANCELLED �aNdPry Owner / /,i P4 A/02& T Installation B�`(�'��'--^'Ati �-5 C/P, 74 if Owner's Address OU eEs-r4,tAPT-45'z- 5617'1 Installers Address es?$" lilJ if %A Day Phone tf%MIL Installers Phone A/.S_i dv�G k 9 Application is hereby made for Permit to install Electrical Equipment as follows: .V O e A -" / .S e R ' i c w erA2 ewi'to a �47z lee /� k' 7` � nJ� 7iir �n...;y A--�''l �5�� ✓ Wiring Method .eX NUMBER AMP USE OF CIRCUIT PER CIRCUITS 120V 10 I 21OV 110OR I FEE USE OF CIRCUIT NUMBER CIRCUITS I AMP PER 120V 240V I 100R 10 I FEE CIR 30 CIR 30 LIGHT I I I I SIGN I(f LIGHT VOLTS50 OR LESS CONVENIENCE I I I l I MOTOR I CONVENIENCE I I I I I MOTOR I I I I APPLIANCE I I I l MOTOR I I I ( DISHWASHER I I I I I FIRE ALARMS I I I __ DISPOSAL I I I I I BURGLAR ALARM I I_ RANGE MISC OVEN WATER HEATER LAUNDRY I I 1 DRYER I I __ I REINSTALLATION LIGHT FIXTURE # FURNACE I GAS - OIL I SUB TOTAL FEE - FURNACE I ENERGYFEE ELECTRIC ELECTRIC HEAT I BASIC FEE I _ ELECTRIC HEAT I I I I l TOTAL FEF A.0 UNIT I I I I I SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER 142 Q d AMP PHASE FEEDER I ( I I I I SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE I I I I II ezSO—�S'O / ',�/o AWG SUB -TOTAL I I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH ,2 d C I certify that the work to be performed under this permit will be done by the installer and! in anceAwith the N.E.C. Electrical Code. Date Application made ii�'e ,19 KWCONTRACTOR OF�OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and socordingto the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of te City of OR 1 ,O �(7 �y DI TORO Y/�IGHT Date Permit Issued `��i/ O PLANSAFAR(fGED N tify 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 OLYMPIC PRINTERS, INC. REPORT OF INSPECTOR DATE OF VIER MADE By REMAREB (�o'UI� I . I{ f H F IZ W I �F 2 I D I I i 1)77U M I N E -n &x *-h ✓ 4)"-11 1A) fm I O.K. FOR COVERING ?!I O.K. CONNECT SERVICE AkL I 444 qua I IV -FINAL O.IL , /� Q&OCA UP Al CIT4 Nell eiftL e(nwif- I l J' . n►�mr Job wired by U ;lectrical Contractor ❑ Owner Electrical contractor name License number Date Expires i�LL�/✓ �Lzr i 2� ,CL£tY -:2 75 d J P aser's mailing address ,Yl, 86.E 176 Lr Q ru City State ZIP Telephone number FAX number .:W-1z83--ZAR4uo 3GL-G0l-y�5� Premises owner's name _ lox/ S / SAA 10,4,1 Address /if inspection 11 5 <. p/LGN i S/ Ira Ri 41v r cL,<3 /0,4 Phone number to schedule inspection: ELECTRICAL WORK PERMIT APPLICATION I 'N/installation description Cummercial ❑ Residential ,Owner as d,fned by RCIV19.28.261:(1) Owner will occupy the structure for urn• years after this electrical permit is funalred (2) Outer is required to hire an electrical comraclor if above said proper(;, is for sole. ren( or lease. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor 1 am making the electrical instal- lation or alteration in compliance with the electrical laws, N E C., PCW Chapter 19 28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. ❑ New ❑ Altered/Addition LI ❑ Cash ❑ Check # ❑ Credit Card Visa Mastercard Discover Card # r�Sigof ow e , electrical contractor or electrical administrator '\-- Expiration Date Dater3, of card ` Electrical Load Additions and or subtractions r ❑ NO LOAD CHANGES ❑ Baseboard —KW ❑ Furnace —KW ❑ Overhead Service ❑ Heat Pump _ Ton LAR ❑ Temp Service ❑ Fan -Wall _ KW ❑ Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ,77-/ e RTHERMOSTATjGH-IN � THERMOSTAT y 1 , tl SERVICEp ea Dy rpro,m nY Dnlc Approved a J Ic C FINAppror cd 6y� DITCH FEEDER \ D D \\ Umc Approved By Dae Approved By In it ee UD Service Information Voltage Phase ❑ 1 ❑ 3 Service Size: _ Feeder Size: Inspection Date MCEII QED JUL 13 20b7 Area, Building or Equipment Inspected Action Taken Electrical Inspector Q i __-CITY-OF PoRT ANGELES PERMIT A-PPLICATIOl,C - - - Building Division/Electrical Inspections 321 East Fifth Street -- P.O. Box 1150 I Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 417-4711 Date: 02/10/2015 WIMulti-Family or Commercial* * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 1 1 35 E Front St Building Square Footega 2000 Description of above WS I ALL LUVV VUL I Al StUUNI I Y SYS I EM VVorK value Z54.00 RECEIV FEB 9 21 ELEcTpICAj. WSPECTIONs Owner Information Contractor Information Name: THANHEISER FAMILY TRl15T- Crazy Miguel Resteurot Name: Al MailingAddress: 1135E Front St Mailing Address: 11824 N CREEK PKWY N, SUITE 0105 City: PORTANGELES State: WA Zip, 99353 City, BOTHELL State: wA zip: 98011 Phone: 360-457-2950 Fax: Phone: 205-774-9499 Fax: 888-400-0353 License # I Exp, License # I Exp. Al DO EXP,3120=2 Item Unit Charae QtV Total (Qtv Multiolled by Unit Charae) 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 WI Service Feeder $ 5.00 $ Branch Clrcuit WIC Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Clrcuits 1-4 $ 86.00 $ Temp. Service/ Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp, $121.00 $ Temp. ServicolFeeder401-600 Amp. $164.00 $ Temp. Service/Feeder 601-1000 Amp . $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88.00 $ Signal Circuit/ Llmited Energy - Multi -Family $ 64.00 $ Signa€ Circuit/ Llmitod Energy! First 1500 sf- Commercial $ 96.00 $��. Note: $5.00 for each additional 1500 sf Renewable Electrical Energy - 5KVA System or Loss $113,00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat %av $ 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, Signature of owner, electrical contractor or electrical administrator: ❑ Cash ❑ Check Di,11,11e"ed 1,1e n1reie ui° MR Credit Card # Jennifer Covello ""-'R°° ""�"e"° °-"°"h-"PR,m` °` °-"`9'°"°'" °°"'M°"a9°` °" X Dated: 02/10/2015 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15-00000110 Date 2/11/15 Application pin number . . . 317430 Property Address . . . . 1135 E FRONT ST ASSESSOR PARCEL NUMBER; 46-30-RO-S-3-1260-0000 Application type description ELECTRICAL ONLY Subdivision Name . . , , . . Property Use Property Zoning . . . , , . , COMMERCIAL ARTERIAL Application Valuation . , . . 0 ---------------------------------------------------------------------------- Application desc Security system ---------------------------------------------------------------------------- Owner Contractor THANHEISER FAMILY TRUST ADT LLC . PO SOX 2935 11624 N CREEK PARKWAY, N PART ANGELES WA 98362 STE 105 (360) 565-6283 BOTHELL WA 9807.1 (206) 719-0347 ---------------------------------------------------------------------------- Permit , . . , . . ELECTRICAL ALTER COMMERCIAL Additional desc , Permit Fee 96.00 Plan Check Fee .00 Issue Pate 2/11/15 Valuation 0 Expiration Date 8/10/15 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL -LIMITED IST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96,00 ,00 00 Plan Check Total ,00 00 ,00 .00 Grand Total 96.00 96.00 ,00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN FINAL DATE: COMMENTS: PERMIT WILT, E)MME SIX (6) MONTHS FROM EAST INSPECTION RESULTS: REPORT SALES TAX on your excise fax form to the City of Port Angeles (Location Code 0502) INSPECTOR: Signature of owner or Electrical Contractor X Date: GAE; CCHANGEIBUILDING 4 CY