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125 W Front St - Building
ELECTRICAL PERMIT ' 0 CITY OF PORT ANGELES 0 360-417-4735 Application Number . . . . . 11-00000380 Date 4/28/11 Application pin number . . . 893780 Property Address . . . . . . 125 W FRONT ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-0-5210-0000- on your excise tax form Application type description ELECTRICAL ONLY y Subdivision Name . . . . . . to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Relocate heater Owner Contractor CAPOS PETER J STRAITS ELECTRIC 217 W 4TH ST PO BOX 2914 PORT ANGELES WA 983622807 PORT ANGELES WA 98362 ------ - ---- (360)------- ------ -------- ----------------452-9104 --'[157m_P779l- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit pin number . 184556 Permit Fee . . . . 73.50 Plan Check Fee .00 Issue Date . . . . 4/28/11 Valuation . . . . 0 Expiration Date 10/25/11 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL-BRANCH CIRCUIT WO/FEEDER 73.50 ---------------- ------------------------------------------ Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 P DN 8 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN ` 3 FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING Apr 26 11 09:08a Christie Tucker 360-452-0741 p.1 City of Port Angeles Permit Application 0j PORT.4V, Building Divislon/Efectrical Inspections R E C"E I V E C RFs 121 East Fifth Street- Bax 1150 Port Angeles Washington,96362 APR 2 6 211 �_ Ph:(360)417 \ 4735 Fax:(36014174711 V� ELECTRICAL nom) _1&2 Single Family Dwelling INSPECTIONS �/ Mulli-Family or Comnercial' Commercial Addition I Alleration I Remodel!Repair' 'Plan Review May.Be Required,?IWe Complete Electrical Plan Review Information he 1 Job Address: �� Building Square Footage: Descrip,ion of�bov >r`Y �)C ' ( �iY�.:l {,L. Owner InfoLwalion, / �� Con'[a for Ino aeon m Nae: 1"C, l_, Name: Ill Mallin , fess: Mailing A s: 02 City_ ity State: Zip: City: tate: Zip Phone: Fax: Phone: Fax; License it I Exp. License#1 Exp. Una Charge Q�t Total(Qty Multiplied t:y Unit Charge/ $119.90 $ ServiceFeeder 200 Amp. $145.50 $ ServiceiFeeder 201-40C Amp, $204.60 S Service!Feeder 401.600 Amp. $262.20 S Service!Feeder601.1000 Amp. S 372.50 $ Service!Feeder over 1000 Amp. $ 2.60 $ Branch Circuit W/Service Feeder S 73.50 $�Branch Circuit W/O Service Feeder S 2.60 S Each AddAroral Branch Circuit $ 92.70 $ Temp.Service/Feeder 200 Amp. $110.30 $ Temp.Service/Feeder 201,400 Amp. $148.70 $ Temp.Service/Feeder401-600 Amp. $167.90 $ Temp,Service/Feeder 501-1000 Amp. $ 95.90 S Portal to Poral Hourly $ 8620 $ SigrVOudine Lighting S 95.90 $ Signal Circuiti Limited Energy-Commercial.Additional 1500$5.00 $ 63.90 $ Signal Circuit/Limited Energy-1 d 2 Family Dwelling $ 63.90 $ Signal Circuit/Limited Energy-Multi-Farniy Dwelling $119.90 $ Manufactured Home Connection $102.30 $ Renewable Electrical Erergy-5KVA System or Less $110.30 $ First 1300 Square Ft. $ 35.20 $ Each Additional 500 Square Ft.or Portion of $ 73.50 S Each Outbuilding or Detached Garage $110.30 $ Each Svdmming Pool or Hot Tub S 56.00 $ Thermostat $ Total Owneras defined by RCYY.19.26,261:(7)Owner will occupy the structure for two years after this elacfricar perrrur is finalized.(2)Ownerrs required to hire an electrical contractor If above said property Is for sale,rent or tease.Permit expires after six months of lest Inspection. After reading JM above statement,I hereby certlty that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in ompllance with the electrical laws,N.E.C.,RCW.Chapter.19.26,WAC.Chapter 296.468,The City of Port Angeles Municipal Code,and Utility Specifications. nR bgnature, (ow lectrical contractor or electrical administrator 0 Cash +I i O Check Date: Credit Card X CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5' Street, Port Angeles, WA 98362 Application Number . . . . . 08-00000070 Date 1/16/08 Application pin number . . . 651610 Property Address . . . . . . 125 W FRONT ST ASSESSOR PARCEL NUMBER: 06-30-00-5-0-5210-0.000- Tenant nbr, name . . . . . . CITY OF PORT ANGELES Application type description FIRE ABANDON TANK INSPECTION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 1800 Owner Contractor ------------------------ ------------------------ EFFIE COLOMPOS TTE 3 KINGS ENVIRONMENTAL INC 217 W 4TH ST PO BOX 280 PORT ANGELES WA 983622807 BATTLE GROUND WA 98604 (360) 666-5464 ---------------------------------------------------------------------------- Permit . . . . . . UNDERGROUND TANK COMM Additional desc . . ABANDON 1500 GALLON TANK Permit pin number . 119289 Permit Fee . . . . 100.00 Plan Check Fee .00 Issue Date . . . . 1/16/08 Valuation . . . . 1800 Expiration Date . . 7/14/08 Qty Unit Charge Per Extension BASE FEE 100.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 100.00 100.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 100.00 100.00 .00 .00 11161-0 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisionscKdaily`tate or local law regulating the work specified in the permit. Signature of Contractor or Authorized Agent Date Signature of Owner(if Owner is builder) Date Q' FIRE PERMIT INSPECTION RECORD -A .J Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate (� or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection (� Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test 41 Above ground piping inspection/pressure test Piping pressure test psi Time initiated � Tank (container) inspection Test 42 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final II-Is-os Kfl PERMIT OTHER(specify) permit final GENERAL COMMENTS: 5 2/15/00 w PORT ANGELES FIRE DEPARTMENT Abandonment or Removal of Commercial Underground Tanks Permit Attachment Date Initial Section I - Information Required Applicant is required to furnish the following information before a permit may be processed. Q �c� N.�-•�sSio�� �� p1r�c� 4- 1. Size and number of tanks to be red. `I CIA i 5ov ,/-L6— 100 2. Fill out tank closure work sheet (attached). 3. Submit diagram of tank location. Section II - Requirements and Limitations Issuance of permit subject to compliance with recognized standards, listed requirements and approval by a field inspection from the Port Angeles Fire Department. �f b 10 1. Provide one fire extinguisher with a minimum rating of 40-B-C. 1)Iib DO -J- 2. There shall be no welding or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tank requires a permit from the Port Angeles Fire Department. 111 0 00'�- 3. Removal of all flammable or combustible liquid from the tank and all connecting lines shall be pumped out. Use a hand pump or other means to remove remaining flammable liquid as far as practical. Liquid shall be placed in a tank truck or suitable containers for removal. 1 11b Dh�' 4. Disconnect the suction, inlet, gauge, and vent lines. Cap or plug open ends of lines which are being removed and those which are not to be used any further. FP -25 (Revised 2/22/00) Page 1 of 2 Date Initial 1 - Y) �- 5. When capping or plugging all tank openings, use screwed plugs and leave 1/8 inch vent hole in one plug to allow for temperature expansion. 1C 4Dp-j- 6. Tanks should be conditioned and flammable vapors removed by adding dry ice in the amount of 1.5 pounds per 100 gallons of tank capacity. The dry ice should be crushed and distributed evenly over the greatest possible area to secure rapid evaporation. NOTE: Removal of ignition sources from the vicinity of the tank or container before venting operations are started shall be considered including all electrical equipment in the vicinity. 1Q, -09�" 7. This process does not ensure a gas free tank and the tank shall not be welded upon unless certified by a qualified engineer after a test. b �d� 8. If the tank must be stored on site, the tank shall be placed in a secure location and blocked to prevent movement. The tank would also be required to be inerted a second time before being allowed to be transported. 1 1 b Dh 9. Refill hole with suitable material (earth, sand, etc.) I f 4 N ) 10. Tank is to be inspected by a Fire Department inspector prior to being transported. ljk_P� 11. If the tank is to be abandon in place, remove all flammable and combustible liquids, fill the tank completely with an inert solid material. Cap remaining underground piping. Additional comments and/or requirements I have read and understand the requirements of this application. Applicant's signature. 11 Date: tj To be completed by City of Port Angeles l (P/bs- Permit# FP - 25 (Revised 2/22/00) Page 2 of 2 r TANK CLOSURE WORKSHEET Tank Owner J-/ o P6"-4- Address 6"-4-Address 1zS Phone No ba 6!' ,� ' Lv Regulating Agency(ies) Notified Permit Issued Department of Ecology 1-800-826-7716 [ ] [ ] Port Angeles Fire Department 360-417-4653 [ ] [ ] P. A. Public Works Dept. 360-417-4803 [ ] Contractor name(s) Job '3 (,c r/-j�5 (excavation, de-gassing, sludge disposal,tank disposal, cleanup, transport, other- describe) Tank closure start date Tank closure completion date l e b TANK CLOSURE INITIAL PROCEDURES: ABANDONMENT IN-PLACE Follow safety measures (see below if tank is removed) [ , tain recommended safety equipment [ void contact with product [holes in tank top if necessary []✓Bond or ground equipment [Dean and inspect tank [� rain product from piping [ Fill tank as full as possible with inert [disconnect, then cap or remove piping ixture until filling overflows tank opening [ ernove product and residuals from tank [ Pi rl cap all openings [ Eate to tank top [ Disconnect and cap or remove vent line [ Remove drop tube, fill pipe,gauge pipe,vapor [ Diagram of tank location recovery tank connections, submersible mps and other tank fixtures Site specific requirements: [ Temporarily plug all other tank openings except the vent line Purge tank of flammable [ ) vapors [ ] [ ] OATH: I certify that the information concerning the removal or abandonment of tank(s) is true to the best of my f and knowledge. t 16-3 - e � Name Date J 1 L iv S f-r,v Z v L l� PREPARED 9/12/07 8 52 28 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/12/07 ADDRESS 125 W FRONT ST SUBDIV TENANT NBR ZAK S BUILDING CONTRACTOR AMICK CONSTRUCTION PHONE (360) 477 9535 OWNER PETER J CAPOS PHONE (360) 457 6660 PARCEL 06 30 00 5 0 5210 0000 APPL NUMBER 07 00000926 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL 1 REQUESTED INSP DESCRIPTION \ TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/11/07 JLL BLDG FINAL 09/11/2007 08 14 AM LPANGRLE '1 BILL 670 6175 BLDG FINAL CALL SCOTT AT 477 9535 SO HE CAN MEET YOU THERE BL99 02 9/12/07 LL n BLDG FINAL TIME O1 00 09/12/2007 08 24 AM LPANGRLE BILL 670 6175 BLDG FINAL AFTERNOON INSPECTION CALL ONE HOUR AHEAD OF TIME SO BILL CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 9/11/07 9 56 56 INSPECTION TICKET PAGE 22 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/11/07 ADDRESS 125 W FRONT ST SUBDIV TENANT NBR ZAK S BUILDING CONTRACTOR AMICK CONSTRUCTION PHONE (360) 477 9535 OWNER PETER J CAPOS PHONE (360) 457 6660 PARCEL 06 30 00 5 0 5210 0000 APPL NUMBER 07 00000926 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/11/07 JLL BLDG FINAL M 09/11/2007 08 14 AM LPANGRLE BILL 670 6175 BLDG FINAL CALL SCOTT AT 477 9535 SO HE CAN MEET YOU THERE COMMENTS AND NOTES WOO S °`mow CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00000926 Date 8/14/07 Application pin number 873558 Property Address 125 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 5210 0000 Tenant nbr name ZAK S BUILDING Application type description COMM REMODEL Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 6000 Owner Contractor PETER J CAPOS AMICK CONSTRUCTION 217 W 4TH ST 805 DURRWACHTER PORT ANGELES WA 983622807 PORT ANGELES WA 98363 (360) 457 6660 (360) 477 9535 Structure Information 000 000 REMOVE & INSTALL STAIRS Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc REMOVE & INSTALL STAIRS Permit pin number 108563 Permit Fee 151 75 Plan Check Fee 98 64 Issue Date 8/14/07 Valuation 6000 Expiration Date 2/10/08 Qty Unit Charge Per Extension BASE FEE 95 75 4 00 14 0000 THOU BL-2001 25K (14 PER K) 56 00 Special Notes and Comments 08/07/2007 02 44 PM KDUBUC Enclosures under stairways There shall be no enclosed usable space under exterior stairways unless the space is completely enclosed in 1 hour fire resistance rated construction The open space under exterior stairways shall not be 0 used for any purpose Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due X0 Permit Fee Total 151 75 151 75 00 00 Plan Check Total 98 64 98 64 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 254 89 254 89 00 00 4 QX J 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. � � ///. . 1g ter n r or or Au orized Agent Date Signature of Owner(if owner is builder) Date T\Policies\I 102_15 building pennit inspection record05 wpd[1/4/20051 BUILDING PERMIT INSPECTION RE COED CALL 417-4S15 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,IA'SULATE OR CONCEAL AN3'WORK-BEFORE � INSPECTED 4ND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND.APPROVED PLANS AT.JOB SITE. INSPECTION Tl'PE DATE ACCEPTEll COMMENTS �V YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRATNAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACs:FLO'A'/WATER AIR SEAL WALLS N CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DPYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL 0 ROUGH-IN 1 HEATPUMP/FURNACE/DUCTS T GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCY.ING&BOLD DOWNS SKIRTING ��5 PLANNING DEPT SEPARATE PERMIT#'s SEPA. (� PARKING/LIGHTING ESA. Cil LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY[USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHTDEPT 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 BUTLDING 417-4815 1 BUILDING T\Policies\l 102 15 building permit inspection recordO5.wpd(1/4/2005] _f PORT ANGELES FIRE DEPARTMENT Q PLAN REVIEW Project Name Zack's Exterior Stairs Address 125 West Front Street Plan# 07-20 Com ® Residential ❑ Date 08 07.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1 Enclosures under stairways. There shall be no enclosed usable space under exterior stairways unless the space is completely enclosed in 1- hour fire-resistance-rated construction. The open space under exterior stairways shall not be used for any purpose. NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by- Date 8 7 y 7 [�{] Building Department Copy ❑ Contractor/Owner Copy ❑ Fire Department Copy ya :1�`r FOP.OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION PeM:dtDate . Permit�' 1{iL out COMPLETELY and in INK_Your aPPlieation and site plan NILNST B Date APproved COMPLETE to be accepted for review If you have any questions,call ate Issued: . 7 pERMITS (360)417-481 FAX(360)4I7-4711 A4u1P11W'fj 5 Phone: Applicant or Agent: �.-.� _ Cv�&D � Phone: Owner• �, 2(7 W g`I' City' �A ZiP- Address: 4Z' �( � e � Phone: tS Architect/Engm.eer• Contractor G� �,t)N �4� State License# AIS C/ CXP Phone: zip Address: �®J W A AG City' ZONING �970 PROJECTADDRESS. k 2 ;r Vt �-kzowT LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK SIZE[VALUATION O�D 047❑ Stove SF @$ /SF =$ ❑ Residential 1:1New Constr. E] Re-roof SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Move❑ Garage — /SF =$ Commercial o Remodel 13 Demolition 13 Deck _SF @$ RepauX ❑ Sign1-rN❑ Other TOTAL VALUATION $ d® a 1 BRIEF DESCRIPTION OF THE PROJECT 1 5 i7wl Lv N COMMMI;BRCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type. 2 Existin S Ft. " &Proposed Sq Ft. .� =TOTAL Sq Ft. No.of Stories:_ Lot Size:___ g q Total lot coverage APPROVALS PLANNING USE ONLY PLAN BLDG DPVI U FIRE. ESA/Wetland(s) ❑Yes o No SEPA Checklist required? ❑ Yes❑ No Other- 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 at 417-4515 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 ms Issued within 180 days of the date of application,the application will expire. The Bg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section uildiR105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I.hereby certify that f have read and examined this application and know the same 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 required not the City's, and that I must obtain such permits prior to W9 k• 7 �U 0 1 Date: T•\FORMS\B1dgPernitf0rm.wpd Applicant: , / .l 1 O 124 I Ex►erlvr i� 125 ,140 ro jyp R✓ \ � \ d City of Port Angeles Public Works Engineering Division PO Box 1150 Port Angeles,WA 98362-0217 TEMPORARY CONSTRUCTION EASEMENT The Grantor(s), -° i /g , r!Vz� , for and in consideration of mutual benefits, grant(s)to the City of Porn Angeles, a municipal corporation (hereinafter referred to as the "City"),a temporary construction easement over and along the full width and length of the premises situated in Clallam County, Washington, and described as follows: Tax Parcel Number 0630005052100000 125 West Front Street, City of Port Angeles, WA The temporary construction easement hereby granted shall include the right,privilege and authority,to said City and its contractor(s), of ingress and egress to and over said described premises during the construction of water main, sidewalk, fire sprinkler piping, and related facilities as part of the Downtown Water Main Project, Phase III. The City or its contractor shall, upon completion of said facilities, restore the premises of the Grantor(s), which are disturbed by the City or its contractor,to as good condition as they were in prior to any such construction of facilities. The City and its contractor shall indemnify the Grantor(s)against,and hold the Grantor(s)harmless from, all claims, damages, and lawsuits related to the construction of said facilities. In consideration of the City's construction of fire sprinkler piping for the benefit of the Gramor(s), which the City is undertaking in the interest of public safety and to take advantage of the cost effective opportunity made available by the Downtown Water Main Project,the Grantor(s)hereby agree that the City shall have no legal responsibility or liability for the fire sprinkler piping constructed pursuant to this easement. Grantor(s) further agree to indemnify the City against,and hold the City harmless from,all claims,damages, and lawsuits related to the operation of the fire sprinkler piping following completion of construction. This mporary construction easement shall expire one year from the date of signature of the Grantor Grantor Date Grantor Nptatyp . JDateft"WONAMMSTATE OF WASHINGTON) W"Lss. s�rAPt I County of Clallam ) I On this date, before me the undersigned Notary Public in and for the State off)< <hinnirn personally appeared r 7S ,to me known to be the individual(s)who executed the foregoing Temporary Construction Ea emen and acknowledged to me that they signed the same for the uses and contents therein mentioned. DATED this day of /V ) (/ 07. Y PUBEI in d for the State of Washington,residing at ,g 1) MES commission expires:-! N:\PROTECTS\00-19 DONT'TOWN WATERMAIN PHASE 3\09 RIGHT OF WAY\EASEMEnTSU25 WEST FRmisC 4"C'°P �� CITY OF PORT ANGELES Imo' DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 06 00000363 Date 4/27/06 Application pin number 004675 Property Address 125 W FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 0 5210 0000 Tenant nbr name ZAC S TAVERN Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 525 Owner Contractor CAPOS PETER J VISION BUILDERS INC 217 W 4TH ST 3705 CRITCHFIELD RD PORT ANGELES WA 983622807 PORT ANGELES WA 98363 (360) 452 1186 Permit SIGN Additional desc 24 SF METAL SIGN Permit pin number 75051 Permit Fee 47 00 Plan Check Fee 00 Issue Date Valuation 525 Expiration Date 10/24/06 Qty Unit Charge Per Extension 1 00 47 0000 PER S SIGN LES THAN 25 SF 47 00 Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 red lj � 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. )�tL q-- 1 Signatuf of Contr ctor or Authorized Agent Date Signature of Owner(if owner is builder) Date T•\Policies\l 102_15 building permit inspection record05 wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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 YES NO FOUNDATION: l FOOTINGS SHEAR WALLS/WALLS ` `{ FOUNDATION DRAINAGE/DOWN SPOUTS + PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDER FLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) r— GAS LINE FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 4174815 ��"Z �d BUILDING / T\Policies\l 102_15 building permit inspection record05 wpd[1/4/200 P �G FOR OFFICIAL USE ONLY BUILDING PERMIT — APPLICATION Date Ree. 3-c7L .X. Peet#-DG— 36,1 Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved. COMPLETE to be accepted for review If you have any questions,call Date Issued: PERMITS (360)417-4815 FAX(360)417-4711 Applicant or Agent: nyl. - AEL4M� Phone- 4G o-t o-3 Owner- o S Phone. 4s-7 -c-6 H U Address: City ?j'0 Pfa Zip 4 9-3 6 2_ Architect/Engmeer• Phone: 8J"a� Contractor �J I �F� -i— m— r^ State License# Exp Phone: Address: City" Zip PROJECT ADDRESS 12-5- F-Q o,-� S� Z4�S ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 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 -P .ign ❑ Other TOTAL VALUATION $ S:15-1 m BRIEF DESCRIPTION OF THE PROJECT Fes- x (0 � MFr8j;L-- StGti) wkly+ COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type- No. of Stories.` Lot Size: Existmg Sq.Ft. &Proposed Sq. Ft. =TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY ��L �� `� � "- APPROVALS PPRO Vy 1 ©" BLDG DPWU ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE.IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tune 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 RI 05.3.2 of the International Building/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 responsibility to determine what permits are required not the City's, and that 1 must obtain such permits prior to w��� T-\FORMS\BIdgPermitform.wpd App lic Date: El c.aiwoa�� � Poo fz— ate' r CITY OF PORT ANGELES A Z� FEE R 1640 IUMB ER DEPARTMENT OF LIGHT PERMIT NUMBER APPLICATION AND ELECTRICAL PERMIT • TOTALFEE - /" CONT.LIC.NO, TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY nn ELECTRICAL PERMIT ON Y NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address CORRE DDSS ISR SPONSIBI LITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE GANGELLED,� Owner /(,(L:' ,C/. V l Installation By Owner's Address z.25 ! moi✓ Installers Addresses Day Phone Installers Phone� Z� - Application is hereby made for Permit to install Electricpl Equipment as follows: Wiring Method NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 1 0OR FEE - USE OF CIRCUIT PER 1 0OR FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT - 50 VOLTS OR LESS CONVENIENCE MOTOR - CONVENIENCE MOTOR APPLIANCE _. ,. I MOTOR DISHWASHER , `ikl 4 FIRE ALARMS DISPOSAL BURGLARALARM ® 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 ZOO AMP /0 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 co Lgrmance with the N.E.C. E ical Code. Date Application made -19� By������� 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. B�. DIRECTOR OF CITY LIGHT .DIRECTOR OF CITY LIGHT • Date Permit Issued PL SS APPROVED 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 OLYMPIC PRINTERS,INC. i REPORT OF INSPECTOR DATE OF VISIT MADEBY REMARKS Z Q Q N_ F 2 W F® Q 3 F 0 z 0 0 SZ O.K.FYNB6VERIMC - fMMFB Y CITY OF PORT ANGELES SG DEPARTMENT OF LIGHT A N �` FEE RECEIPT NUMBER PERMIT NUMBER APPLICATION AND ELECTRICAL.PERMIT TOTALFEE - // 0C'/"YP'\ v _ (Y0/ 11 AA ' �J CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address [ J V- F/1 oN7 - CORRECT ADD ADO RE SIS RESPONSIBILITY OF APPLICANT .PERMITS WITH-WRONG ADDRESSES ARE CANCELLED Owner Pe T2 ( - J�-�© S Installation By 4 zy J ai G FLec-T Owner's Address - -✓ A' 'e - Installers Address - Day Phone AIS-7 — Z 45d 0 Installers Phone Application is hereby made for Permit to install Electrical Equipment as follows: T-? )q 9v7- W,.fr1- R CI, Reu77 CRA A1,0 & TeL wiring Method P/ Pe NUMBER AMP 120V 240V NUMBER AMP 720V 240V USE OF CIRCUIT- PER 1 00R FEE USE OF CIRCUIT PER 1 00R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT - - 50 VOLTS' OR LESS CONVENIENCE - MOTOR CONVENIENCE MOTOR - - APPLIANCE MOTOR - DISHWASHER FIRE ALARMS _ DISPOSAL BURGLARALARM RANGE MISC. ® OVEN WATER HEATER p r LAUNDRY DRYER - ' REINSTALLATION LIGHT FIXTURE p FURNACE - SUB TOTAL FEE - GAS-OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT _ TOTALFEE DO 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 Q 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 ,19 By 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. D E PL r ITY LIGHT Date Permit Issued r / By PLANSA P OV 0 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 OLYMPIC PRINTERS,INC. REPORT OF INSPECTOR 1 OATEOFVISIT MAOEBY REMARKS ife- Ale re cc Fc a , rn { f Z W _ l H - I,t D i y i O.K.FORCOVERINO O.K.T000NNECTSERVICE lFINALO.K.-'� ,� - ' CITY OF PORT ANGELES No- 17549 LIGHT DEPARTMENT ELECTRICAL PERM`IT ` Port Angeles, Washington.....:J.�- -- ------------------- 19E- t In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address �l C c!- '%n.. qe - Occupancy �i . - -f-'•-----•-------- ------/- ---- -------------------_--- Owner •= ,/------- �� '---. -� Tenant - - - - f /.G-C://.&.o /. pp -- -------------------------------------------- Wiring Contractor------ ------=- ..... By..-.-_.__. Light Outlets.............................. Service, volts/-_�--., ------J./(..... Type of Wiring: ....................-.._..... Q Receptacle Outlet ......._1.--I .__...------- y�P-"No. wires ._✓..._............._.../_......... Armored Cable .............-._........-... Dryer, KW...-..... i./ Slze wires.,% //r// Non-Metallic ................................ .......... ........._.. U Knob & Tube................................. Range, KW....-/.... --------------------------- Main fuse ......!/r)U /r_ .......... .� Rigid Conduit --------....................... Water Heater: / Enclosure ._� C/ Metallic Tubing .......................... . �� KW.........,/./�.........._- ........... Type of wiring: Raceway ......................._............. . Heat: KW...................................._.------- Entrance Cable ............................. Circuits, Light....................................... Motors, `size, volts and phase, Rigid Conduit ............................... Utility ........................-...--.---..... ... /ul'�`� Z/," �SY/i' Metallic Tubing ..................._...... Heat ..................------------------..._..---- //� i ..............................................j�[....--- y Fr!u �,, Current transformers: Range ............................................. /i_ty: �. ........................._ ._....Lit.':.'.... Il' yy No. & Size....................................... Water Heater ............................... .............._._..;.;........-........ 2 � '-----t, .. ......nD Ser. No.........................._................... Motor ---......................................... �w Ser. No.-'........................................... ........................................................_ Furnace................................ Ser. No.............................................. TotalLoad............................. Ser. No....:..-------------------------------------- Total ....................................... Remarks: G F.''/- "r�r -----� - ------ -------- -•--------------------- ------------------------------------------------------------••--- •---------------------------•---------------------------------------..--------•---.............---------------...------•----------•---------------------------•----- --------------------------------------------------------------------------------------------------------------------------------------=--------------------------------------- Permit Fee '- Tress. Receipt ��� $ No. By ------------ ------------------------ NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY' PERMIT NUMBER WHEN READY FOR INSPECTION No 17549 ELECTRICAL PERMITi, Address ...................................................._::.............. Date...-......_--_..-.................................... ' Owner ------------------ - - - ........................................................... Tenant.....------------------------------------ WiringContrakor....................................................................................................................... By.............................................................. i NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work to to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ' N° 17507 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERM'IIT Port Angeles, Washington..-------J -/ -------------------------------- in ----------------------------In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do ectrical�y�wwork as listed below. Address .- ..GGY. ----------------------- it � -- . ------------------ - - Occupancy_...- A ----------------- Owner --- - - ---- - - Tenant-----------------------------------••---------------------------•----- Wiring Contractor............... ...� By_-------------------- ....................... - ,�dj� G (,�rLightfFe^t4..........................r..._.._.-... Service, volts ............/'.......... ...... Type of Wiring: Receptacle Outlete.l32!« �– No. wires ....:� Armored Cable .............................. " Non-Metallic ................................. Dryer, KW............................."........... Size wires--1C..': -....... 9e y,�i• Knob & Tube................................ Range,KW.........................._...------._.. Main fuse ----f7..1G�1._!............ Rigid Conduit ............................... Water Heater: / Enclosure ....�.......................... Metallic Tubing ........................... KW.........C..�................................ Type of wiring: Raceway ......................................– Heat: KW......Z-.............................. Entrance Cable............................. Circuits, Light ........ R Motors: size, vol(t/'%�and�p�ha le:� Rigid Conduit ................._............ Utility ............................................. V /YGtJ'' Ck%C�tz:wr4J•: <Y'! -. Metallic Tubing ................... Heat ............................................... Current transformers: Range ............................................. No. & Size....................................... Water Heater .....-......................... Ser. No............................................... Motor ............................................ 9 . ....... _ ... ......... ................ �7 , Dryer..............................................__ ..................._....................................– ornate................................._........... Ser. No.............................................. TotalLoad............................. Ser. No.............................................. Total ....................................... Remarks: ........... ---------•----------------------------------•----------------••--•---------------•---------••--- •------------I----- ---------------------------------------------------------------------------------------------------------------------------------------------------------- ......I .... -------- - -- ---- - - ------ --------------------------------••-- Permit Fee Treas. Receipt t No............................. By- ----------- ••----------------------••--------------------`�� NOTIC1rCurrent must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N° 17507 ELECTRICAL PERMIT Address ..................._................................................................................................................... Date...............................................1------ �" Owner ----.............._.._... Tenant............--------...............---'----...... WiringContractor.........................................................._............................................................. By.............................................................. NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- t cealed due notice must be given the Inspector so that work may be inspected before concealment. / ` f �// F Im Olympic Printers, Inc. 2007-1212370 Page 1 of 2 Easement Port Angeles City Of Clallam Countylt Washington 11/20/2007 09133 I38 PM RETURN ADDRESS : City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 DOCUMENT TITLE: Temporary Construction Easement GRANTOR (S) : Peter J. Capes GRANTEE (S) : City of Port Angeles STREET ADDRESS : 125 West Front Street ASSESSOR' S PROPERTY TAX PARCEL 0630005052100000