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Home My WebLink About920 E 1st St - Building:)wner Application Number icat ion pin:mutt:Ibex Troerby Address. :ASSESSOR ',PARCEL NUMBER- °Tenant nbr :name :Application -type' Idescr.iption :Subdivision t"Name "Property 'Use 'Property ::Z Appl'ication Application rdesc, 'BACKELOW 'TREVENTION:DEVTCETOR. :TLANDSCAPE 'TENDY :DENG 32;0 "E 1ST :ST TORT :ANGELES (3'601) 4 452, J'32; Permit Addrfional: desO 4 :Permit :pin ;nuMbei Termii Tee :Issue :Date 'Expiraticin !Dat'e GITOFTPOtt .ANGELES DEPARTMENT; ",,ECONON4la'.DEVE120.P.MENT BUILDING IDIVISION :32LEAST 5TH..STkEET PORTANGELES,.WA79,8362. Qt qinist Charge :Per i. ,0,0 7, 4=56 4A, .47 :Fee :summary' 4Charged. :Permit Tee 'Totaq: 4: I57 voi. 'Plan' CheOk Total 'GrandTOta:I :1- 'I' 757' c6,0 .2:. :Contractor, AkNpse.1uEaNc •=r0 -•;,•t• .21.1CRAiG.AVENDE WA .96342 _SEQUIM. '(6,(5„) :683 .1 5 .1A3YIETN01 4 3 •E2NIV 4•; 'LANDSCAPE. ::BACK.FLOW r.pi*v "P1an4Check *.Ree 71;21 al 1 :Forms/Building Division/EiadMg Permit; ai- '09000756 6.7,24 00- :320 'E :1ST, ‘,ET ,39 :0:0 ".7' :2- ;oars '0'00:0 TENDY ;S PLUMBING ;COMMERCTAL ARTERIAi 'EASE' TEE!' 1Ain/NLOTRUkLiz BCKELW PREV. 21,-\ ir •••t Mate '7/21/7:1 MA. iikreriSiOn '30' :0 09 oir co Daie Print Nai 'ignature.bf Contractor Ailitkoi#ad'Abert,, 0. ,REPOR,TSALES ,TAX Druour*ate 1 forrn 1OftheLitrof.Poni Ange'‘S- fLocatiOnfcodeozoz: )i 44. Signatui of OWner (if owner-is builder), tr, 4, •Lx 4 0 7 ',4' .V• ,;,,p‘ 4 .;..t.„,,,...„. 4,. 1.. .,:4,4r,N l i i,...., .A .i:-f-Li,4i404 .,-1. t ,i, 4 "4- 7 7 --4 ,C ,4... L.- i 1'-'1 i•itt 251r *'••'f V- '-'g- <0. i=,• ,je.- r :=LP .4t-A4a .....0 4 F. 4 5.: 1 16 4 yi .,..-5-- ....1., 4: -'•q' ,1.,- •Ik- i .f• P q, 1 `,7 4" .4t. ,i■ ,Sq mp*y Arlo' oliticarAy,'oills.pRN:$1r!ofelifi.p,r,Sku.41.1itieg, 041.5liql.enproVemqqtt T' ,J iir6.1j.;'4i,744,010.j.WOPKtA0,17i*h.,?dtt'417#4_,Lit,Itti4esditi Ai i7krA *•1 0.`4,4,41_?L abanitiondd .4,t.ifi 'if0r4,0q0.:4006K6fir10,0,-Cqay-44#0;:407;,,,Ii.iolti4tiaszOtiiii:e.:f5-04iCtere„coraltvtos140ctiiiiislhaiii,iniOnbaeliocilagfe6i.w.ittiirtgito,43alisJeofblii6 r- ..A114proii.idionS;. .9tIONs.,ancli.;OnlirianCeS ,th b Spedifiadherein,or_not: the,'granting.of.a,perrnitxfoes,1 I f. not;iiresuitiexAodbive..bOthOrijj'i.'AO *jot* ofdanper thecptVisr s 'Of a6y,2state' or-ToCarlaw tag Ulating .construction or performance of 1. ::cOristrUction. .77, .4 kr- 4 ,,,i- ,r NAME OF PREMISES SERVICE ADDRESS LOCATION OF DEVICE. ASSEMBLY /'t/ r /A/5" Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES B CIO IS ASSEMBLY INSTALLED CORRECTLY' YES 0-NO DATE OF INSTALLATION A O UNKNOWN Initial Leaked Test Held at 6 psi Repairs Details Final Closed Tight Test AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMMENTS A/ 5Pec i t s i t f i e 5 1 1 S`S6 /9 r r (Test Test r �7 Repairs Cleaned Replaced I Date'Time Tester Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division E S* TJe REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 CHECK VALVE #2 I Leaked Closed Tight 0/" Held at 6 psi Held at psi Final p Test T 7, ee �r tF i'C �/i WHITE CUSTOMER COPY Cleaned Cleaned Replaced Replaced Held at psi Opened at RELIEF VALVE Did Not Open Opened at psi 3 psi Buffer YES NO Signature Cert. psi 3 RP DC PVB SVB Test Kit YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assc n.# Received RPDA DCDA Air Gap AVB PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced TYPE OF HAZARD L 4 w4 Line Pressure 76 psi Held Backpressure YES Q' NO #2 Shutoff Held YES La' NO Relief Valve Exercised YES NO LidAr 7 G M 1 3$47a,„)/ AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Passed Failed nv e-Si 0- O D t' 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc BACKFLOW PREVENTION DEVICE FOR LANDSCAPE Owner TENDY DENG 920 E 1ST ST PORT ANGELES (360) 452 3322 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 11 00000756 672400 920 E 1ST ST 06 30 00 7 2 0318 0000 TENDY S RESTAURANT PLUMBING PERMIT COMMERCIAL ARTERIAL 250 Contractor PLUMBING PERMIT LANDSCAPE BACKFLOW PREV 189555 57 00 7/21/11 1/17/12 O N A LANDSCAPING INC 21 CRAIG AVENUE SEQUIM (360) 683 5741 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL -LAWN SPRNKLR BCKFLW PREV 7 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 1 (2 -A l� v T:Forms /Building Division /Building Permit 57 00 57 00 00 00 00 00 57 00 57 00 00 Date 7/21/11 WA 98382 Plan Check Fee 00 Valuation 0 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or. not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping 1 SHORELINE. Comments .Ba -0°w FINAL Date c3'- U t I Accepted by t p Wh FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Total footprint of structures Site Coverage the amount of imp and other impervious surfaces (se 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 CDkN, 1uM t\mt,0 Phone Property Owner Property Owner's Address ch 2� Contractor •_■,p,. Phone c QACuZ Contractor's Address 2\ CS2rc\Co License C\M AA^.> 022Z.p Expires-\7 /\Z E-mail PROJECT ADDRESS sz: VZ Q Ten is Res- t- euiran-(- Parcel Number Lot Zoning Project Type Brief Description. Residential Multi family (Commercial Industrial Check all that apply New Construction L dsac bax.kf doe,) A- eve (40n Addition V Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sa. ft.) Basement I t 1 Floor 2 Floor 3 Floor V Garage Carport Covered Porch Deck Shed Other e sq ft. T Lot size s surface on a parcel including stru AMC 17 94 135 for exemptions) Max. height of proposed structur ft. Occupancy group Willa lawn sprinkler system b- nstalled? Occupant load Will a fire sprinkler system b installed? t Construction pe TOTAL VALUATION For City Use Only Date Received Permit Date Approved Phone ASz.322. per sq ft. q ft. Lot coverage paved driveways side ;Iks •atios Site coverage of bedro• s #of full. -ths of ha baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it. is my responsibility to deterrnine what permits are required, and to obtain permits p workin on Nr ts. Dated 12 Print Name Q �`rdu&-A Signatu r T Forms /Building Division /Building permit application NAME OF PREMISES TEND 1' 7 PO/ SERVICE ADDRESS p I S t CL LOCATION OF DEVICE. v y /)E ,e c U//N R1 l 56 /?�9 ASSEMBLY A 4 6-- wC /l 1 `1 4- ii Manufacturer Model IS THIS AN APPROVED ASSEMBLY? YES NO IS ASSEMBLY INSTALLED CORRECTLY" YES NO DATE OF INSTALLATION UNKNOWN❑ Initial Test Repairs Details Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I CHECK VALVE #2 I RELIEF VALVE Leaked Leaked Did Not Open Clo Ti Held at Z'e psi Opened at(2 psi Cleaned Replaced Held at psi Cleaned Replaced Cleaned Replaced 3 psi Butler YES NO Final Closed Tight Ig/" Test Held at? psi Held at psi Opened at psi Size r WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# Received I 7 V T e Serial No RP ILI R P DA DC DCDA PVB Air Gap SVB AVB PVB /SVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES AIR GAP INSPECTION :REQUIRED MINIMUM SEPARATION YES NO TYPE OF HAZARDSBAA /VS ftXs 6' COMMENTS Line Pressure psi 4 s' EC 1 E Tes 7E p fA cr J7 Held Backpressure YEStO NO #2 Shutoff Held YES /NO Relief Valve Exercised YES m/ NO I Date 'Time Tester Signature Cert. Test Kit Passed Failed Initial �J f ,Q Test 1 d P. /;&/C eg £`i J7 i+I. ,z2 i C- n /F14 Repairs Test t/ Final T /6 i 1 C C iet /r X.4.-4.... 14' m w f 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 Application desc BACKFLOW PREVENTION FOR BEVERAGE MACHINE Owner TENDY DENG 920 E 1ST ST PORT ANGELES (360) 452 3322 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary 7 0000 EA T:Forms /Building Division /Building Permit WA 98362 PLUMBING PERMIT BCKFLW PREV BEV 170183 57 00 7/27/10 1/23/11 Per Charged Permit Fee Total 57 00 Plan Check Total 00 Grand Total 57 00 10 00000783 173897 920 E 1ST ST 06 30 00 7 2 0318 0000 TENDY S GARDEN PLUMBING REPAIR COMMERCIAL ARTERIAL 580 Contractor BROTHERS PLUMBING INC PO BOX 2136 SEQUIM (360) 452 3259 MACHINE Plan Check Fee 00 Valuation 0 BASE FEE PL- BACKFLOW PROTECTION <OR =2 Paid Credited 57 00 00 00 00 57 00 00 Date 7/27/10 WA 98382 Due Extension 50 00 7 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 7� 7// 'j Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING- Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting T /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date O 1 Accepted by//��'`O,,,��h,' FINAL Date Accepted by Date Accepted By PROJECT ADDRESS Parcel Number Repair Demolition Re -roof Heat System Other Floor Areas Basement 1St Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 S' Property O(ivner 7,z/ Property Owner's Address Contractor oro 'S Contractor's Address License Expires 920 7:/i7 Phone Phone Phone E -mail iJ/ 5'4 Lot Project Type Brief Description. Residential Multi- family Commercial Check all that apply New Construction Addition h S ;tom Remodel Zoning /^e �7 or o e .m q v (YI a CA, i YL House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft) Proposed (sq. ft.) Total footprint of structures sq T Lot s Site Coverage the amount of impervious surface on and other impervious surfaces. (see PAMC 17 94 135 •r exemptions) pa Occu. ncy group Occupa load Constructs. type Date 7 7Ao Print Name j Z7e-- T Forms uilding Division /Building permit application per sq ft. TAL VALUATION sq ft. Lo Signature el including structures pave driv ays sidewalks patios Site coverage o .edrooms #off baths of half -ths For City Use Only Date Received '1 '1 Permit# 10 —'7R3 Date Approved coverage "lo I 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. !'sa 3 Industrial -A4n. is N +0 'Cash Adjustment I G C Application 1 0 5.3 5 Receipt# 0 512-2-o Fee Type V Amount Paid- 57 ©0 Adjustment Posted Fee e,c.sh er New :Fee SEND TO c� n AA k/ C rez*- cr J 1 Cos Refund Amourit Cashier info Payment Type .Check 5 7 00 bf3o'to -)ale Br ut +z Plan -,b; r) re tues pom it+ o 5 r) s+a- l H b Gkf o aev oe aft Li de. Fjr ire-Fund PREPARED 7/01/10 13 36 12 CORRECTION RECEIPT CITY OF PORT ANGELES 321 E 5TH STREET P 0 BOX 1150 Receipt Application number 10 00000535 Date 5/28/10 Correction option Adjust with G/L Time Correction description canceled job Number 0057220 Corrected by KEMERY Cashier PERMITS Before After Fee Amount Credit Reduced Amount Credit Structure Permit Ins° Paid Remaining By Paid Remaining PERMIT FEES 57 00 00 57 00 00 00 000 000 PL 00 Totals 57 00 00 57 00 00 00 5 Application ,Inquiry- 0N2001001) File° .Edit 'Commands ^Hal SuE1OAR0'PUBLICSECTOR �Na'vtlirre Y #y, Application :10- 00000f F In-Bonds NJ escrow Fees Ell balance du!„ Inspection history IE Miscellaneous Into Names Permits FE Plan tracking Receipts. 11 Square footage cal IE Structures Valuation calculatit P- Property Information. Address 920,E 1ST=St PORT ANGELES, :WA 98362 12 Location ID• 1050 0,vner name TENDY'DENG 'ASSESSOR:PARCEL 06- 30. 00 -7 -0319 -0000- II ALTERNATE ID: '063000720320 7I Contractor Intormation Cr. Contractor Name -ANGELES- PLUMBING INC. Cdntractor;Numbei' '139 TYPe PLUMBING Status. ACTIVE -Contractor RegUirements 441 5726410 0057220 Doc Number I m c* 1.41 111. :0, PLUMBING•UNDER 0, PLUMBING GAS LI. Q ,PLUMBING. 'Total 1. 57 00 li :00- Application Information, 3 3. Application dun -INSTALL:BACMFLONz-DEVICE ON E'_ Application status PERMIT ISSUED- Status Date 5/27/2010 A.pp h.cetion type PLUMBING Application date 5/27/2010 Tenant name/number: TENDY'S GARDEN Outstanding Inspections Insp Schedule Contirmatior i Type ID -Date 'Number Recei 3 date Rei:ei)t time Number Cashier Pa rmentti.e Received Paid with credit Rernai PERMITS 06/30/2010 10 38 3604528583 ANGELESPLUMBING PAGE 0202 June 30, 2010 Attn. Linda Pangrle City of Port Angeles Re: Application No 10- 00000535 Tendy's Garden We obtained the above permit to install a bacow device on a Pepsi machine for Tendy's Garden. Tendy Deng has advised that he will not be usmg Angeles Plumbing, Inc. to install this device. We hereby request a refund of the $57 00 fee. Sincerely, Carol eGUI-t& Offs o 6 Office Manager VW-C(1\ft' c� 1" k e,,k0 Angeles Plumbing, Inc. 917 W 8 St PO Box 1151 Port Angeles, WA 98362 360 -452 -8525 Fax 360- 452 -8583 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 Application desc INSTALL BACKFLOW DEVICE ON PEPSI MACHINE Owner Contractor TENDY DENG 920 E 1ST ST PORT ANGELES (360) 452 3322 WA 98362 10 00000535 009030 920 E 1ST ST 0318 '000 06 30 00 7 2 O,3.1 (5 TENDY S GARDEN PLUMBING REPAIR COMMERCIAL ARTERIAL 485 ANGELES PLUMBING INC PO BOX 1151 PORT ANGELES (360) 452 8525 Permit PLUMBING PERMIT Additional desc BACKFLOW DEV FOR SODA MACH Permit pin number 166603 Permit Fee 57 00 Plan Check Fee 00 Issue Date 5/27/10 Valuation 0 Expiration Date 11/23/10 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL- BACKFLOW PROTEC ON <OR =2 7 00 Fee summary Charged Paid redited Permit Fee Total 57 00 57 0 00 00 Plan Check Total 00 %0 00 00 Grand Total 57 00 5 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 5- /DIo Cm-01 Kel /vvv) �1�eiihedei T:Forms/Building Division/Building Permit Date 5/27/10 WA 9836 Due 13° (0' c(\° n cO pp )Z■kNei \ic e C I Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES. Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping SHORELINE. T:Forms /Building Division /Building Permit Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 05/27/2010 10 27 3604528583 ANGELESPLUMBING PAGE 02/02 c<NZF if Parcel Number 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 or Agent ANGELES PLUMBING, INC. Property Owner TENDY r S GARDEN (TENTIX DENn) Property Owner's Address q ?f) E First _5r. Contractor /Engineer ANGELES PLIJMMINr. INC. Contractor /Engineer's Address P o BOX 1151, Port License ANGELPI077I(P PROJECT ADDRESS q 20 E I s-t- 9t Phone 452 -8525 Phone 4 5 2 33 7Z Phone 452 -8525 Angeles, WA 98362 Expires 5 -15 -2010 TerA -1 ReS4' Lot Zoning Proiecf Type Bjjef Description= o Corrr!mencraf n if tllaLfamily Check all that apply n New Construction o Addition Remodel o Repair o Re -roof o Demolition o Heat System o Heat pump a wood burning stove o gas fireplace u pellet stove o other *Other Install backflow device on Pepsi mach__ne Floor Areas Ex/stino ism 1Li Proposed fsa. ft.) Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq_ ft Lot size Max. height of proposed structures \MII a lawn sprinkler system be installed? VW( a fire sprinkler system be installed? ft. Occupancy group Occupant load Construction type For City Use Only Date Received 5-Z7 Pernik lC) Date Approved per sq. ft. of bedrooms of full baths of half baths o Industrial >tQ€r ,L TOTAL VALUATION "f, g 5 00 sq. ft. Lot coverage have read and completed this application and know it to be true and correct I am authorized to apply for this permit and understand that It is my responsibility to dele,mine what permits are mquired, and to obtain permits prior to working on projects. Date 7- Print Name DALE BRUNTZ T :ForrrmsJBuilding DIvlslonBldg Parmit Appl 2006 Code -doe Signature ��i Clallam County Assessor Treasurer Property Details 62355 TENDY DENG for Yea. Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 62355 TENDY DENG for Year 2010 2011 Property Account Property ID Geographic ID Type Tax Area: Open Space. Historic Property Multi Family Redevelopment: Township Range Location Address. Neighborhood: Neighborhood CD Owner Name Mailing Address: Taxes and Assessment Due Year 2010 2010 2010 2010 2010 2010 2010 2010 2010 2009 '2009 2009 2009 2009 2009 2009 Statement ID 44977 44977 44977 44977 44977 44977 44977 44977 44977 623552008 623552008 623552008 623552008 623552008 623552008 623552008 62355 0630007203181000 Real 0010 N N N 920 E FIRST ST PORT ANGELES WA Cycle 5 Comm 20953140 TENDY DENG 920 E 1ST ST PORT ANGELES WA 98362 Property Tax Information as of 05/27/2010 Amount Due if Paid on. Taxing Jurisdiction ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 WSMET PK DIST WILLIAM SHORE MET PARK WEED CONTROL WEED CONTROL 2010 44977 TOTAL. ST SCH STATE SCHOOL CC -GEN COUNTY PORT PORT PORT ANG PORT ANGELES SD #121 SCHOOL DISTRICT #121 NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 Legal Description. Agent Code PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Section. Mapsco Map ID Owner ID Ownership Exemptions. First Half Base Due $325 30 $173 11 $24 33 $400 82 $421 36 $50 30 $71 02 DIST $22.60 $0 82 $1489.66 $379 64 $192.15 $27.22 $421 43 $469 50 $55 83 $78 80 WILLIAMS CRAMERS SUBDIVISION LOTS 4 -6 BL 3 08 LOT COV 46 N N 21213 100 0000000000% Second Half Base Due !Penalty Interest Base $325 31 $0 00 $0 00 $6: $173 13 $0 00 $0 00 $34 $24 33 $0 00 $0 00 $4 $400 82 $0 00 $0 00 $8C $421 36 $0 00 $0 00 $84 $50 31 $0 00 $0 00 $1C $71 01 $0 00 $0 00 $14 $22.59 $0 00 $0 00 $4 $0 81 $0 00 $0 00 $1489.67 $0.00 $0.00 $297 $379 64 $0 00 $0 00 $7E $192.12 $0 00 $0 00 $3E $27.21 $0 00 $0.00 $E $421 42 $0 00 $0 00 $84 $469 48 $0 00 $0 00 $9C $55 82 $0 00 $0 00 $11 $78 79 $0 00 $0 00 $1E http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =62 5/27/2010 ELECTRICAL PERMIT AND INSPECTION RECORD_ CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001512 Date 12/11/08 252760 920 E 1ST ST 06-30-00-7-2-0315-0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL o Application desc 2 signs Owner Contractor MAUREEN R/RICHARD P CONNIFF PO BOX 185 PORT ANGELES WA 983620027 HANSON SIGN CO. PO BOX 928 SILVERDALE, WA. SILVERDALE (360) 613-9550 WA 98383 Permit ELECTRICAL SIGN PERMITS Additional desc Permit pin number 138826 Permit Fee 51.00 Plan Check Fee Issue Date 12/11/08 Valuation Expiration Date 6/09/09 .00 o Qty 1.00 1.00 Unit Charge Per 35.0000 ECH 16.0000 ECH Extension 35.00 16.00 EL-COMM-1ST SIGN EL-COMM-ADD SIGN Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51.00 51.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 51.00 51.00 .00 .00 --S) N a ~ ~ ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: tZ)~ chJ? 12/08/2008 09: 42 FAX 3606139515 U6; ~ 'lJ: 0- DEC/09/200B/TUE 08:37 AM DEPT OF COMM DEV DEe ~~OW' 3604174711 141002 P,001l001 8, , ELECTRICAL WORKPERMl'I APPLICA110N UGHT DEPT. JDb wi1'etl by 0{ Electrical Contractor 0 qwner Blecmoal coutraCtOr nsmD 0 J (l:~cr::'re JllZlDber Pate Blcplres I fa tl F.()~ ..:S La t1 0 1.itii\l~(jS~1 n~ 1A. 7 7b.7/,~ .l>>'"New ~er'_ .....m.,g sd~~ (J D I 'Boy 9 a8 , ell)" , ' Stare ZJP .~: ILJ€ vda f-e I w~ q B.~3 ~ ~lcphov.D ~umber PAX II.UIDber 3 0 '.. I - SSO to D -Ie I 3 - q S I S" P:remislI ClWBer1, "D- ~g~a\ :-f!h .~:L:t_-''4~~\e.s I VJ ~ q ~3lb ~ PbOJlIl BQmber '0 sc'h1lhale iJupectioa: tallatiOI1 dcsc:ription t:r Commercial lJ ~tial [:I AltendIAddltiOD ~ - vJa.11 ~; ~ " U um ~ f1al~ - roles~~11 1 \\"'oHi~ckcL - ~ - ~ Ow~" as 'ufilUJi b)I RCFr.19.28.26J:(1) Own.,.. will ODDIipY the ~ fO,. two JlMTS erfi87 rJo~ ~a1 pt!171Iit is jtna1fud. (1) 0wnIr Is ~t1d /0 htrs tm Bl,,,trt,,,,r """rra~ if abuvc .aitl p1'DJHR'fY i8 P $a1~ 1'U1t or r.41e. ('\ftcr ~ l:b.e ~ve ~""t, I hereby ~ 1hst I 11m tAc own=r qf tho above AamecI. prop~ !If . U~ 1l1alUioal eo~ I an making the elettrioal msw. lation or alteratiOll. in COll1p~C with the clocmcal laws, ~..E-c., R~, Chapter 19.:ll!. WAC. ChAplet 296-46B, The City of Port AAgclc, MlI21iolpal Code, an4 Utility DCli5eatiom. SlpJ,tlu'e or ow,er, electrical oontractor or o~cetrica) B41D~i~tor C Cash 0 Check # JVc;..ditc..l (~ Mastercard bIscov.. cw#CaD_ ~-~---~---- . . ~ Date: la Expiration Date ofoard C NO LOAP CHANGES, C Ela$eboard _ 'f<MI [J FUI1lIIOG _I<JN lJ I'teat Pump _ Ton _ LAR o Fen-Wall _ KW o Overhead Service (;I Temp Servioe [:I Underground Sel\lloe Voltage Phlise C 1 [:I 3 Service Slza: Feeder Slza: SAME nAY INSPECTION:r ~A.LL 'REFO"R.E "I~f)n AM 360..417-4735 i I. I ~ " ( 'lBEBMOSTAT ""') ( mMC$ J " ?:! bfj ~ .)' '- n:ue ~.- >>Y ./ \... Dm Al'~ By .) FINAL " ( DIOCH J ( :m;:pER '""\ )21~~!rEf ~ /1 "- Dal. ~:By ./ '- p.., ^",.v...4'" / lDspcction Axea, 'B-\Ulding or Equipmen1lnspected Action Taken ElClCUical Date Inspeetor I f"OAT~ ~O~<'( ()~~ 1!:. -- 'If<-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00001303 Date 10/21/08 390759 920 E 1ST ST 06-30-00-7-2-0315-0000- TENDY'S GARDEN CUISINE SIGNS COMMERCIAL ARTERIAL 9000 Application desc 45 SF ILLUM. WALL SIGN & 51 SF ILLUM F/S SIGN Owner Contractor TENDY DENG 920 E 1ST ST. PORT ANGELES WA 98362 HANSON SIGN CO PO BOX 928 SILVERDALE (360) 613-9550 WA 98383 permi t SIGN Additional desc 45 SF WALL & 51 SF F/S Permit pin number 136242 Permit Fee 200.00 Plan Check Fee Issue Date 10/21/08 Valuation Expiration Date 4/19/09 .00 9000 Qty 1. 00 1. 00 Unit Charge Per 85.0000 PER S- SIGN WALL 25 SF+ 115.0000 PER S- SIGN FREE OR PROJ 25+ Extension 85.00 115.00 Special Notes and Comments October 10, 2008 4:06:20 PM sroberds. (1) bldg mtd sign = 45 sq. ft. (2) free stdg sign = 51.23 Total signage 96.23 sq. ft. in CA zone Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 200.00 200.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 200.00 200.00 .00 .00 lihf: <?Qy:/ '-2, Y-o J> Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it 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. 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 417-4807 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TION. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By: Comments FOUNDATION: Footinqs Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab RouQh-ln Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date: Accepted by: AIR SEAL: Walls I Ceiling I I FRAMING: Joists / Girders Shear Wall/ Hold Downs Walls I Roof I CeilinQ Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab I Wall I Floor / Ceiling I MECHANICAL: Heat Pump / Furnace / Ducts Gas Line Wood Stove / Pellet / Chimnev Commercial Hood / Ducts FINAL Date: Accepted bv: MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: ParkinQ / LiQhtinQ I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE RESIDENTIAL DATE Accepted By: Commercial Date Accepted By: Electrical 417-4735 Electrical Construction - R.W. Construction - R.W. 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" .~ ~ ~ =='-'-' ~~~a5 v./ ~ (Y) ~ cS E2~:; -'-0 I- C") C") =<""<"" ,p 5 % % IJ" =E it: "" cV ~8c:5 I,.. t:u >= :5 d ~~~ 3 ~;;S~ $=!:::=E8 u..J3:C".Ic::. !<L..L..IC""o.lc.:::: ~~OC5 C" ~~gJ~ cr7 =:! ~ %_ ~ _ L..L..-lO~ :n d~~c.:::: 5:::i:~~ 6 ~~~o J.- ~iEaKl -. =::J-(Y)~ o L..L.. V") C"'-..I::::::; r ~S!%.... ~ -- ~...""'" T," , .~~'... A<.: , ~ a;~'F ~.. " "". ~-,"~'.ii:'.' . "... ~ t . . ... .,.' - .:" .. . .' 'Olio', .&.~ . ..... ....; " 'IIIl- IIr '). "'';:,.. ... . .' ~ .. ~_ -~<Jt-.'~ ..( <~ f ~.. ,,:_~ /7 ~, ::" ~{ff " ......... ... )~ '1.;;' ... "- ,~.-, ~ if.---~' - ~ ~ .-.:~; -'" --...' .~~fSlt~~ ,- ,. ""'- .fit ","" ~ .... ~~~1N'~ '~ ... " j~:.,. ~, -->" /~" ~... _ N.. .. .:. ,. .. iJ()i \ \ f;'v( ~t ~ , ~ A..: , ~, (" ~ 1l.. <I;:'~ tt~ t 'f '. s \ ; "-~ p~ 5 ~~. t SIGN PERMIT APPLlCA T10~ Print in ink CITY C?~ PORT .ANGE.L.ES I For City Use Only: Attn: BUilding Permit TechnicIan Date Received .---o~ 321 E. Fifth St., Port Angeles, WA 98362 II Permit # (360) 417-4815 fax (360) 417-4711 Date Approved Applicant or Agent Property Owner Property Owner's Address Contractor/Engineer Contractor/Engineer's Address . License # ~f\~~OT ad. \~ , Project Address ~ ~ ~~T ~~ Business Name ;;: Y'\~ I~ ~ of ~V1 Parcel Number 0 1 5' CD ~u.\\~'tt"l~ Lot Zoning C(\ Submit an 8 % "x 11 " site Dlan & three sets of Dlans that include: · Type of sign (wall-mounted, projecting, freestanding, illuminated, other...) · Placement and sq. ft. area · How the sign will be securely attached (Engineering specs may be required for freestanding signs) · Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. SiQn TVlJe & Brief DescrilJtion: (Type, location, sq. ft.) ~:~~: ~!.L~~~:,~~f ;1f~: ~~~~n~ib~~~A\ Sign #3 Sign #4 ~ 5 ~r: --\-D eX is tna-fo~,. S/.J3 SF Totals (Unit charQes Unit Charae Quantitv multiolied by Quantities) TVlJe of Sign Sign(s) Valuation $ CJ,O 00 $47.00 x $85.00 x $115.00 x I I = $ = $ = $ "XS.O eJ 1\ 5- 00 All signs less than 25 sq. ft. Wall or marquees, over 25 sq. ft. Freestanding and projecting, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 2.() O. 0 0 Credit Cards (Except American Express) are accepted W \ \ \ b~6..... ~e~\o.ceCl 0 I '\:l Existing sign(s) area ~r.?jt'\O sq. ft. + Proposed sign(s) area ~ sq. ft. = Total sign(s) area -, /I).~ sq. ft. Building fa~ade area (height X width) Cf5 &, sq. ft. Maximum allowed sign area / DO sq. ft. I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Dare/DI.rlD'l Print Name tMfdP~ ~ Signature &~W{(l Ma jf'r T:Forms/Building Division/Sign Permit Application.doc Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000679 Date 478275 920 E 1ST ST 06-30-00-7-2-0315-0000- ELECTRICAL ONLY 6/05/08 COMMERCIAL ARTERIAL o Application desc Low voltage Owner Contractor MAUREEN R/RICHARD P CONNIFF PO BOX 185 PORT ANGELES WA 983620027 ANGELES HEATING 2114 W. 8TH ST. PORT ANGELES (360) 457-0111. WA 98362 Permit ELECTRICAL NEW COMMERICAL Additional desc Permit pin number 127860 Permit Fee 35.00 Plan Check Fee Issue Date 6/05/08 Valuation Expiration Date 12/02/08 Qty Unit Charge Per 1. 00 35.0000 EC EL-LOW VOLTAGE .00 o ~ g Extension 35.00 ~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 ~ ~ I 1- , . SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN 6 b De FINAL 1 OMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000535 Date 512425 920 E 1ST ST 06-30-00-7-2-0315-0000- ELECTRICAL ONLY 5/06/08 COMMERCIAL ARTERIAL o Owner Contractor MAUREEN R/RICHARD P CONNIFF PO BOX 185 PORT ANGELES WA 983620027 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477-1764 126011 58.00 5/06/08 11/02/08 Plan Check Fee Valuation .00 o ~ t5 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL Qty 1. 00 Unit Charge Per 58.0000 ECH EL-COMM ALT <5 CIRCUITS Extension 58.00 f' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 58.00 58.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 58.00 58.00 .00 .00 k J\ ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ~ Y7f/ If pORT ""'" e:.4.0~~~ ,(j~- r ~-=....JIr ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000391 Date 810056 920 E 1ST ST 06-30-00-7-2-0315-0000- TENDY GARDENS REST. COMM ADDITION 4/24/08 COMMERCIAL ARTERIAL 120000 Application desc 1,240 SF ADDITION & 80 SF COVERED PORCH Owner Contractor TENDY DENG HOCH CONSTRUCTION 920 E. 1ST ST. 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 452-3322 (360) 452-5381 Structure Information 000 000 1,240 SF ADDITION, 80 SF COV. PORCH Other struct info . . . . . HARD SURFACE AREA Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL 1,240 SF ADDITION, 80 SF PORCH 123901 1132.25 Plan Check Fee 4/24/08 Valuation 10/21/08 735.96 120000 Qty Unit Charge Per Extension 1020.25 112.00 BASE FEE 20.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 124628 Permit Fee 64.80 Plan Check Fee .00 Issue Date 4/24/08 Valuation 0 Expiration Date 10/21/08 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.8000 ECH ME- INSTALL 100- FAU 14.80 124636 79.00 4/24/08 10/21/08 Plan Check Fee Valuation .00 o 0: I-Jq;;. // ~ 1'<9 ....... o~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT Qty Unit Charge Per BASE FEE Extension 50.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of y s te or local law regulating construction or the periormance of construction. Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) I>LUMIlING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE I 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. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit (10/0I/07).wpd '. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 08-00000391 810056 Page Date 2 4/24/08 Qty 2.00 1.00 Unit Charge Per 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 15.0000 ECH PL- EA. BLDG SEWER Extension 14.00 15.00 Special Notes and Comments April 15, 2008 4:15:59 PM sroberds. Parking plan needed to provide 35 spaces. April 8, 2008 3:00:34 PM kdubuc. Provide panic hardawre and lighted exit sign at new east door. April 15, 2008 3:24:28 PM sroberds. The proposal will result in a dining room addition and covered porch in the.CA zone for a total of 4328 sq.ft. of usable area. 34 identified on site parking spaces are required for the use. April 17, 2008 2:02:15 PM sroberds. Site development requires 34 off street parking spaces. The site plan identifies parking on the adjacent lot that is owned by the applicant. A Zoning Lot Covenent is needed to allow the parking as proposed on the site plan. April 23, 2008 4:11:45 PM sroberds. A Zoning Lot Covenant has been filed tying the subject lots into one building site. Parking can therefore be accommodated on site. No land use issues anticipated. 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. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1276.05 1276.05 .00 .00 Plan Check Total 735.96 735.96 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 2016.51 2016.51 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the periormance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building DivisioniBuilding Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. I " INSPECTION TYPE DATE ACCEPTED COMMENTS 0 YES NO FOUNDATION: fblln t!.d1 Crn V-.h...l \ 5-1-0~ :n_L- OQ \ FOOTINGS 4-ZQ-D g :ILL,., vJ SHEAR WALLS / WALLS ~ - FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) I'LUMBING UNDER FLOOR / SLAB ROUGH-IN t)-\-6g -r(.1 ~-\-O2. Rov~,",- h.\ PL\1~b~nj Tt.L WATER LINE (METER TO BLDG) GAS LINE FINAL q-~t(-og; DATE JL-L- ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING o6.Y+\~\ fnVV1~()Cl ~/51 f\~ JU..... Find\ fYa-"'i~ liz/Oft re JOISTS / GIRDERS \ .J ~ ~tnj l/o& 'Jl...l- -S) SHEAR W ALLIHOLD DOWNS ~ WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR III INSULATION ~-q-O?> "S \... L, - SLAB 5-(11 - O~ :)(.,L, '4- WALL / FLOOR / CEILING I MECHANICAL ~ HEA T PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL C(-2,Lf -0& DATE "JLL..- ACCEPTED BY: COMMERCIAL HOOD / DUCTS ~ MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS . SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEI'A: ~ PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE ~ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED 0 YES NO ~ , ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEI'T ';f-- CONSTRUCTION R. W. / PW/ CONSTRUCTION. R. 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UI>:U '" al .-< .-< ... 0 0 0 H 00 ~ ...... 0 '" '" M >< ...1 ...1 '" E-o al al When recorded return to: Lindberq & Smith Architects 319 S Peabody Street Suite B Port Anqeles, WA 98362 2008-1219883 Page 1 of 1 Protct Covenant Lindberg & Smith Rrchitects Clallam County Washington 04/23/2008 04:06:27 PM 1111 Wi'\~'~~",~~~~~~,~~~,HI',~~11 ~lrII~t~l~ 1IIII ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (Insert legal description here) Lots 4 & 5 block 3'/:,\\" IIams & Cramers subdivision and lot 6 block 3 Williams & Cramers subdivision ~ o...',^lV"\~d}2S O~3ooo1 "1.0 3"'ZC:; 0000 A'-O Ov3000/20~' 'OOO()l') do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "l" ofthe Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s),' assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir( s), assign( s), and successor( s) iri interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this 23 April day of ,2008. Deng Tendy ~ - - ~er - (Owner) (Owner) STATE OF WASHINGTON) COUNTY OF CLALLAM ) ~ ifr" JJIMt.,,,'ill that on thi~ day of 4012.. . ss . Notary Public in and for the State ofwash!DfQ,n, do he~ertify , 2008, personally appeared before me ~ I.1f ~d ro me ~ to be the individual(s) described in and who executed the within instrument and acknowledged that signed and sealed the same as free and voluntary act and deed for the purposes herein mentioned. GIVEN UNDER MY HAND AND OFFICIAL SEAL this ;}3 /lp/ltL 2008. day of Vl N TARY PUBLIC in and for the State Washington residing at POlt Angeles. This the Clallam County Auditor's Office and a copy returned to the City of Port Angeles . ~. o r::R . \ V -5J ...-- -0 ~ o f\) v; ~ ~ Parcel Lookup Page 1 of 1 Parcel Number 0630007203250000 Site Address: 920 E FIRST ST PA Print I Quit I Back I Taxpayer: DENG TENDY 920 E 1ST ST PORT ANGELES, WA 98362 920 E 1ST ST PORT ANGELES, WA 98362 Title Owner: DENG TENDY Description: WILLIAMS & CRAMERS SUBDIVISION L T 6 BL 3 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 119,000 Improvements Value: 1,000 Total Assessed Value: 120,000 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 4600 AUTO PARK Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg # for more details.) l Bldg. TYRe Bldg. Style Total S.F. BD BA House Tax History Sales History Print I ~ Back I 111,702,64811 http://apps.c1allam . net/we bsi tel si tis -p. pgm ?parcel=063 0007203 250000 4/22/2008 Parcel Lookup Page 1 of 1 Parcel Number 0630007203150000 Site Address: 920 E FIRST ST PA Print I Quit I Back I Taxpayer: DENG TENDY Title Owner: DENG TENDY 920 E 1ST ST PORT ANGELES, WA 98362 920 E 1ST ST PORT ANGELES, WA 98362 Description: WILLIAMS & CRAMERS SUBDIVISION L TS 4&5 BL 3 Value Summary: Note: Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties). Land Value: 238,000 Improvements Value: 0 Total Assessed Value: 238,000 Property Characteristics: Note: Use Code is for Assessor's purposes only. Contact the appropriate planning or building departments for Zoning and allowable usage of property.. Use Code: 9120 COMMERCIAL Land Size (acreage): .00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status: Taxable Tax Code Area:: 0010 Note: Zoning and zoning codes change constantly. Verify all zoning with the appropriate planning or building department. Building Characteristics: (Click on Bldg. # for more details.) -1L Bldg. Type Bldg~yle Iotal S.F. BD BA Tax History Sales History Print I ~ Back I 111.702,64911 http://apps.clallam.net/website/sitis -.p. pgm ?parcel=063 0007203150000 4/22/2008 .::L +n l & C ~li-rlle ~x\-- 0.. -Z-o Y"\ ~ v:J \ ()\t- Co Ve.,hOJ,\ +- t 5 V\ eeJ.eJ . 08 - 391 PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name: Tendy's Garden Restaurant Address: 920 East First Plan # 08-12 I Com lSJ Residential D I Date: 4.8.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) Provide a lighted exit sign at new east exit. 2) Provide panic hardware on doors at new east exit. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: ~I...9.Q-=.r;) Q ~ Building Department Copy D Contractor/ Owner Copy D Fire Department Copy Date: &.t.~. Zoo e "/~ ... !-- 1-.--~ IfOl~MNSW. J:.I1JwU ,.itooon .."...,,"'" VAl 'S9t98uy l-Iod '"1St ls-e:i Oa6 SUapJ-e~ S /{puaJ, :.xo.!l t9pomaa pug UOnlPPV uy 113111HJl:V~ \ l \ OJlHJIl:HlJ ~ .Ul "ON 10'100 ~:cmswm :a.J.Ya t1M)I.-29t' (OSG):zv.i 9JJ9-29t' (09G):8UOl:(d 39G98 YJl 'aialay 1oIOd B8\JIlS '1S ilJOCl.1Ied qp10S 8IG SJL::)ElJL][lH[::)lUV ~lllE[ar<C][N[1[ o ~bd r--- - -- --------- -------- , ~- ------ ----- --- -- --- --- , , , , _______________________J : L __ _ _ _ _ _ _ _ _ _____ ____ _ _ _ _ _... 311:1 ~;-~~~~~~~~~~~~~~~!.:::.-------:.------------------------.r:::.-:.-:._:._:._:._:._:._:._:._:._:._:._:._:._:.,;~ It I, II I, i , lD l: " " " " " " " " L______ =FF= ==== ===___JI- t-_ I 1 l' -.... II II...., I J II" II II' II 11 \ II II \ L~=======;==={ ~oooooo, \ II lit \ II HI \, :L--lI: !: .... ./11 III r 1 ....,.:.._)1. II t I I I 11111 I 1111' / III It , , " " '~ " />' " : : fTl '" '" '" '" '"' '" '" '" '" r , , , , : i , i , , , , , , , " , , , , , , , i , , , , , : i l , , , DO r ~ n u = r" ~~ o o o ~<J *- cN- ~ ,\ + i- x - r' '0-\ L" a a a o o o Vf\~ \~ s$; \b~~ r.:r< I f!; S ~~ Al...LEY 51'-8" 41'-3" . r- I ~ .S) -l-..-..-..-..-..-..-.. i : I~ ! , 14- ',a i : I 'Z ! . '/I i EXISTI~ i'OP~ :e, ! o ~ Cl'l I :r~ ~ . i.., I !(P er. I ~ .S) ~ -' . '.u ! is i fiS10YE EXSITI~ :t. OUTDOOR DlNm I : \ Cl'l -' iil co -' EXIST/N::rr pl.,ANTm AREA 41'-3" &1'-4. FIReT STREET STFaJCTURE SITE PLAN RECEIVED I APR 1 7 20~ CITY OF POR-t ANGELES BUILDING DiVISION ISO'-O. 24'-0. 10'-&" 0'-0. 14'-0. 31'-4" 31'-0. ..-.. ..- .-..-. -..-..-..-..-. -..-..-..-..-..-1- o ()' vv <> ?D ~I 6Z :,!J C) 6"" VJ o - U g. -J ~ N 0"' I> ~ a '36 - ~ 10'-1" 24'.4. lSO'-O. 31'-8. 36'-8" t~ ~\O'v)I~ ~~ "'.. SCALE: I" . 20'-0" ~:/O C?h1 2/-p ~ 0- \:FJ ~ .J> ~ ~ 0 1'\ EXISTING ~ PAfilKI~ ~ ExiSTING CONCRETE SIDEWAL.K EXISTI~ CU~ CUT VERIFY l.1NE OF EXIST/N::rr CONCRETE CUIe PRESCRIPTIVE APPROACH~SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: Address: "120 E. I ~,/ ~ City: ft>~ AtV~ State: rv jJ. Zip: "'J'/;~I;1- Contact: C,.-JJA/'Z.LB? SMI nJ j Phone: ~$t,... ~J I ~ Phone 2: FAX: ..4-5"2. - )O~ Permit # () 8- s 9~ Notes: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMA TE ZONE 1 (Unlimited Glazing Option Only) III Unlimited Group R-3 Occupancy Onl 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 This Project complies with the following: ....; The project is a single-family residence or duplex. ....; The project is a wood frame OR all of the insulation is interior or exterior of the framing. ....; All building components meet the requirements listed in Table 6-1, Option III. ....; The project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception 1. One door, that is 24 ft. or Jess, that does not meet the standards allowed. Location of the door taking this exception: 0602.6 Exception 2. Doors with a V-Factor of 0.40 allowed without calculations, Option III only. . Location of the door(s) taking exception: Type of Heat Source: ~\:5P..r P1.A )'V..\~ BUILDING PERMIT APPLICA TION 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 ('i It, For ~ity Use Only: ;1 '! ;\~ate Received ?, - 3 \-0& I It, \ ; ermit# ()&'- ~l~ \.:, Date Approved 'a r PhYne +5Z-epll ~ Phone' +52 - ~~ 2 2 WA cq~ ~'Z- Phone 4-52. - 5~b' ~ ~ POfZ..1 A/'J::.J,~'r!JS; Ex ires Applicant or@f L I ~ J:;. ?Ml ~ ,AlzG+lt-ren.,-,,=; Property Owner jer'tJCL1 ~? Property Owner's Address ~:2D e. 19T'/ -sr. p"rzr A~" Contractor/Engineer .(-Jc:::ah GoN~G<"1'1orV Co~tor/Engineer's Address. +~Ol IU~ TtzLA v~ License # J..Ja~C.1I..f. I ~ON'" ~1.0EA'5T' l-err. '?~ P~AIV~s Parcel Number PROJECT ADDRESS Lot Zoning Proiect Tvpe & Brief Description: Check all that apply o New Construction 't Addition o Remodel o Repair oRe-roof o Demolition )'Heat System o Other o Residential ~ Commercial o Multi-family o Industrial Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other Floor Areas Existinq (Sq. ft.) Proposed (sq. ft.) .~ Basement @.$ per sq. ft. = $ 1 st Floor ~2\ \q J :24-0 q~, 'i 1 rlO. () (I /::J . Ut:I 2nd Floor 3rd Floor , Garage (~o.iI\S) "- Carport 9;'3Q 'L\~4- ) Covered Porch -~ I Z '75 -SO. Fr'. &0 - / Deck OF: &:/7/' "'-Gj / Shed GA.12 pot'---\' IN \ vL.. ~ 121fl'YI(.J\lbD. " " Other I <la.L per t TOTAL VALVA TlON $ 12.0 \000. Total footprint of structures ~'::. ..,~ 2r:sz.~ Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. l \ "tD(::Wi}...{,,, ~ Sr() 1\)13 A'f2V~ Print Name ~\..J..6,~-s. 0, '7M l'fP sq. ft. -:- Lot size ~ sq. ft. = Lot coverage ~ % ::;2\ ft. # of bedrooms # of full baths # of half baths Occupancy group Occupant load Construction type Division/Bldg Permit Appl,-2006 Code.doc Signatur~~, / e:g -Ob 7~ <f.'O~':~~<> ~~ ./', -' ,~(.. ~" "-~'! "!..\~'i ~1>~J'<" """"" ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner o Residential Electrical contractor name License number Date Expires ~)6~U"/( J-klr.,-iVer--/lj.uJaU?('} :'[ "Purchaser's mailing address A!rAJ~)J J '16/ C. ?-III.{ /.-" gO- Citv /J.vJ ~/'r. ~..(M-'\ Td one number, /'O'ff,l> ~ o Altered/Addition ~ State ZIP q f'3 6 7 \ 0' I. th' cf' ~vv -J Alrf<- r-S I-.#-r ..J ---s RECEIVED City JUN 0 5 2008 Phone number to schedule inspection: Owner as defined by RCfY/9.28.261:(l) Owner will occupy the strllcture/or two years after this electrical permit is finalized (2) Owner is required to hire an electrical contractor if ahove said property is fi)r sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. lation or alteration in compliance \\lith the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signatll o Cash LIGHT DePT. ~ o Credit Card Card # Visa Mastercard Discover x , electrical contractor or electrical administrator Date: " / r; .. Expiration Date of card ~nsP~or~ Se(viceJntormalion ElectricaLLoa_d)"ddiJiQns_and_or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW CJ Heat Pump Ton LAR o Fan-Wall KW D Overhead Service D Temp Service D Underground Service Voltage Phase CI 1 0 3 Service Size: Feeder Size: SAME_D-AY INSPF.CTION~CALL_BEFORE 7:01LAM 360-4J1-=-4_'Z.l5 ~1~iP b\ /' THERMOSTAT SERVICE "- Date Approved By Date Appn"ed fly /' DITCH FEEDER "- Date Appro\'edBy.-/ ~ Date ApprovedRy/ Inspection Area, Building or Equipment Inspected Action Taken Ele'Nrical Date Inspector \ \ ROUGH-IN b/-/;'-tfO Date ~ FlNAL 11hl~ ~ \ -' en ::r III :J o 0 -:J CT (I) ~, I,., ,.,~ (I) 'th , [0- 3 ..... /(1)" 0" '< 3 '- ,; ".", J.T..",' :(D-'\",-~,;:,' o:"Uk. 1<:,/.<O-t1,< ,1 CD~':' (I)'!.', ,~.. )('<'><''>?_'' (')':;; " (I).', "-,,ki!';'o.: </;;:;>, I>>"'~' ~~:.:n1-,;',':~' 'CTI'O~.:' '< ':J~",~ , 1/1'- ai, "O~. : c: -. -,n Q:C -, oy :J C co 1/1 0"0 =iii n'n -, (I) Ill' '" 0 Cl f E. , 3 0: " c " o' Q ? () '" s, ~ ,. 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'.0 - ~ ~ :; r >;:~ be. ~:t~;:;;" 53 (') r;;" n:. ~ :::s V It'''' '> . ,i <e ,i;' ~ ::!. ,~. rCll" ~(-'''''::: ;: r.., L,., en; ~r/~,";(D~;:S ~ ~ a 0,' ." .-1' ...,-,.::>\~ " ;:: "" ' C1l' ~. fI> l-";t~ .~," Q..:~ QQ ~ V) :,}.... ~. '>:~..' ~" '\" . rr..---e-\ S ~ a " ~ 8. 'D! ~ ~f ,~("".t' r-\' ::;.~. 5' t- I ~ ?f ,'~OO >k. n' ,'I,;l.J ~ 1:.:1 .;:S}' W ,~-,,-..-e;- - .., 0\ ,-.......... . ,,'tx:I~""'- N N OO!;. ",'.' ~~,. . ':;;:: F:; ~ o W ::3 -..... Ri F;~~ N ;:: n:. .... 8 ere ~ ~ N " '" o m J] -I - "T1 - m'O t:;I:l';;'. )> - . C ,<-'"I _.~~, .""""":71 s:.~' '. _.._~.m = ."..... ."~ ~ (JQ :'~c:O .;.....'~:::t,:;". . ....,,~,. . ~ , tMf.'; '< . ~. >'. ' -..= .' '" r,n'o: '::--~ _.I~< ~"l'D 0 .=..- ;."l'D 0 '~. :f.I) c: "tJ )> Z o -< y ~" ' ROUTING SLIP Certificate of Occupancy , v--- . Certificate/Inspection Fee DATE Add ~ .O"'~... ~o~~ <J1*,--_"';. :t~ ~~ ~ '- ~;;;;.> New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership. ' . . . . . . . . . . . . . . , . . . . . New Building ...................".......... Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . , . , \AI _ '2- Temporary Business ....................... business ~~-7 -1~")"2.home /l'1:]){h7-ft< 8;hange of Use........................., ) ( ) ()<.) ( ) ( ) ( ) ( ) Phone: Brief description of proposed business: -~ legal Description: lot (r:> Current Use of Property: Zoning Classification of Property: Block GA WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . Electrical changes. . Mechanical (heating, cooling, stoves) . . . . . . . . . . Plumbing changes... .............. New or relocated signs. . . . . . . . . . . . . . . . . . . . New septic tanks. . . . . . . New sewer service ........ Admission charged to patrons. . . . Is this a home occupation? ... Excavation of filling of lots Work done in City right-ot-way . . . . . . . . . . . . . Is there sufficient off-street parking? . New driveway openings.................. A grading plan for site drainage. . . . . . . . . . . (parking lots, downspouts, etc.) . . . . . . . . . . . Are the existing streets paved? ........... Are there existing sidewalks? . . . Is there curb and gutter? .............. Other...... .......... ~ NO ,--.L.. ----;7 2- ----;7 ~ -~ -~ ~ 7. 7 =/ ~ I hereby apply for a Certificate of Occupancy and acknowi- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. ~ REJECTED Building Section Public Works Department Planning Department Fire Department City Cierk P.B.I.A. ~2~ -kro 11. -1(0-02.-6\) :2 VJ. It. 0.......5 'It ~ .-.,..... Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Dat;:;{ Signe~ Comments / Conditions " , , L .- 2:06 - 6J-zs-~oo ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE Cj. L CJ - 0 () Address of Pr'2.l?osed Business <17. 0 t::.. I s-/ ')-t Applicant :"')ll.-i ("f),.J U 6 A t-J6 Address '3 f)C; F. L......<=\' <:::JT Phone: home 7 - 2:7.33 business New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: f:.cest r-a..U"- legal Description: lot Current Use of Property: Zoning Classification of Property: Block Subdivision ~ iL- ("'l.O fZ.. Y ~ ')l P r -e. '3 S rA WIl.L THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . Plumbing changes ............. New or relocated signs. . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . New sewer service ...................... Admission charged to patrons. . . . . . . . . . . . . . . . . Is this a home occupation? .............. Excavation of filling of lots . . . . . . . . . . . . . Work done in City right.of-way . . . . . . . . . . . . . Is there sufficient off-street parking? New driveway openings. . . . . . . . . . . . . . . . A grading plan for site drainage. .............. (parking lots, downspouts, etc.) . . . . . . . . . . Are the ex.isting streets paved? Are there existing sidewalks? . Is there curb and gutter? Other........................................ . YES N~ ~- -~ -L_ -~ /' -- -~ _ -JL. -~ - ---;.L. --t.L - - ,.../ -~ -~ V_ ~- ---l.L - THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical ,~) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Sign 1 oreline 15) Home occupation 16) Conditional use 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Dilte: information I have supplied is correct to the best of my knowledge. Signed: REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. q _?I-CA> "1_ JO-1.-0b0f.\? p:,\ ) ._ORT_>I' ~o~~'" i'1,___~ ~~ 1:--- - '-"';;;.> (::;...:( ( ) ( ) ( ) ( ) ( ) ( ) -oc> Comments / Conditions eft ,ORT ~ f:~~ ,..~ L~ ~ 'l.ti:.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Laserea CED Application Number Applicat10n p1n number Property Address ASSESSOR PARCEL NUMBER: App11cat1on type descript10n Subd1v1s1on Name Property Use Property Zoning . . . Application valuation 06-00000284 Date 073540 920 E 1ST ST 06-30-00-7-2-0315-0000- RE-ROOF 3/27/06 UNKNOWN 4100 Owner Contractor MAUREEN R/RICHARD P CONNIFF PO BOX 185 PORT ANGELES WA 983620027 DIAMOND ROOFING ENTERPRISES P. O. BOX 2963 PORT ANGELES WA 98362 (360) 452-9518 Permit . . . . . Additional desc . Perm1t p1n number Perm1t Fee Issue Date Exp1rat1on Date BUILDING PERMIT - NO PR FEE REROOF PITCHED PORTIONS ONLY 73510 137.75 Plan Check Fee 3/27/06 Valuation 9/23/06 .00 4100 Qty Unit Charge Per Extension 95.75 42.00 BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 -~ ~ \) Fee summary Charged Pa1d Credited Due ------------ ---------- ---------- ---------- ---------- Perm1t Fee Total 137.75 137.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 142.25 142.25 .00 .00 11\ .......... Q~ k- 72 ~ ~ ~ ~ ~ ~ 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 cons ction. Date Signature of Owner (if owner IS builder) Date T \Pohcles\1102_15 bUlldmg pennlt mspeCtIon 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING '1 MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. P ARKINGILIGHTING 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 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 , PLANNING DEPT BUILDING 417-4815 '1/itJlh7 r I~ BUILDING T IPolIclesl II 02 15 bUlldmg nmtms ctlOn record05 w 1/412005] pe pe pd[ PREPARED 9/06/07, 9 18.52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 4 9/06/07 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 920 E 1ST ST DIAMOND ROOFING ENTERPRISES MAUREEN R/RICHARD P CONNIFF 06-30-00-7-2-0315-0000- 06-00000284 RE-ROOF SUBDIV PHONE PHONE (360) 452-9518 Lasered CED PERMIT, BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/06/07 JLL BLDG FINAL 09/05/2007 04,56 PM LPANGRLE ~ ~~ LINDA (TO COMPLETE AN OLD PERMIT) It ~ I'~ BLDG FINAL - RE-ROOF (PITCHED PORTIONS ONLY) -------------------------------------- COMMENTS AND NOTES -------------------------------------- r;,v r;-"L/ tj r- C"")m rnm ,......,CD '-'Qj 0. J~d~ Da - ELEC ~CAL PERMIT CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98,(,2 Issued: 5/01/98 Permit No: 6300 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ARMORY EXPRESS PIZZA 920 1ST ST E 920 E. 1ST STREET Lot: 4,5,6,7 Port Angeles, WA 98362 Block: 3 Long Legal: 360/000-0000 Sub: WMS & CRAMER T: S: Parc No: CONTRACTOR-----------------------------DESIGNER---------------~----------------- SEQUIM ELECTRIC 682 RIDGEVIEW DR. SEQUIM, WA 98382 360/681-2939 , 000/000-0000 PROJECT INFO-------------------------------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Baseboard KW: Furnace KW: Heat Pump Kv,: Fan/v,all KW: Service Type o Riser o X Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- WIRE PIZZA EQUIPMENT INTO OLD A&W BUILDING PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $52.00 Temp service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 C01\lMENTS/ACTlON NEEDED A ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMlT CARD AND APPROVED PLANS AT JOB SlTE INSPECTION TYPE DATE ACCEPTED COMMENTS Y<S 1 "0 ulTcH R()]]( ..-iN I CUVbK SERVICE . FlNAL L";-//2 / 9KI fl2~ 1 . GENERAL COMMENTS: PW-II02.l5(4I96] ~ .~'~ .=- ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 ELECTRICAL PERMIT Issued: 4/16/98 Permit No: 6283 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ ARMORY EXPRESS PIZZA I 920 1ST ST E 920 E. 1ST STREET I Lot: 4,5,6,7 Port Angeles, WA 98362 I Block: 3 Long Legal: . 360/000-0000 I Sub: WMS & CRAMER T: S: I Parc No: I CONTRACTOR-----------------------------DESIGNER--------------------------------- ELECTRIC SERVICE I 92 4 DRAPER RD. PORT ANGELES, WA 98362 360/452-6424 , 000/000-0000 PROJECT INFO------------------------~------------------------------------------- prj Type: COML.REMODEL prj Value: $0.00 Occ Type: Cnstr Type: ADD CIRCUITS Occ Grp: Occ Load: Land Use: Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o X Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- WIRE HANDICAP BATH IN OLD A&W BUILDING PROJECT FEES ASSESSMENT------------------------------------------------~-------- . Service: $0.00 Additional Feeders: $0.00 circuit Wiring: $52.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $52.00 $52.00 --------------------------------- --------------------------------- TOTAL FEE: $52.00 Balance Due: $0.00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT lNSPECflON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEll, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPJtC110N TYPE DATE ACCItPTED COMMENTS YES I NO UUU1 ~ -IN I COVER 411&/'15 -pv- ~VICE , , Il//FL/qrf I I . GENERAL COMMENTS: PW-I 102.15 14"96l ~ Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. fJ/p >;L J //</,/ to / DATE Installed By: o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone; Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodei o Service update/alter/repair o Overhead o Underground Voltage 010 03.0' Service size o Temporary o Add/alter circuits o Auxiliary power (iist below) o Special equipment (list below) Amps DetailslDescription: (lrlAdhfo ~dh'1 4// R I ~ I!)[e:.<-- (/ v . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough.in/cover O.K. /0, O.K. to connect service ~ Finai O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Permit/Receipt No. . c9 cb~ d--- Installer: New Meters Date /" /. $. )?'if/d Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~/ ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :;).:;-: 0 C) Inspe tor Amount paid WHITE - file by address YELLOW - file by number PINK - Top' Eng, Bottom Customer GREEN - Top: Inspector, Bottom City Hall ~ CITY OF PORT ANGELES ",.. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION ~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 - ~U11 ntNG eERMlT 188YCB. p~Rr.llTIJ€l. \31363 I Lfi),l.':'':'l. OWNER/APPLICANT T. DONG 920 E. 1 ST STREET Port Angeles, WA 98362 360/000-0000 T: S: PROPERTY LOCATION 920 1ST ST E Lot: 4,5,6,7 Block: 3 L><J Long Legal Subdivision: WMS & CRAMER Parcel No: 063000720320000 CONTRACTOR DISCOVERY BAY SHEET METAL WORK 145 FAGER HILL RD PORT TOWNSEND, WA 98368-0000 360/385-3949 PROJECT INFO Project Value: $2,700.00 Project Type: HOOD/DUCT Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: CA ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 Commercial: 0 SFD sa FT: 0 Industrial: 0 Garage: 0 MFD Units: 0 MFD sa FT: 0 ~ '6 " PROJECT NOTES REPLACE OLD SYSTEM WITH NEW LARGER 10' HOOD RECEIPT#9941 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $34.15 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: \\l $0.00 $0.00 $0.00 ~ '- TOTAL FEE: AMOUNT PAID: BALANCE DUE: $34.15 $0.00 $34.15 \C Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. /! 1\ 7~/i;1 It~ ,/;2- Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 {4/20021 90 -tf61-/.foj BUILDING PERMIT - APPLICATION FOR OFFl IAL USE ONLY, Date Rec.: -.Q--- P~t#: L Date Approved: Date Issued; Applicant or Agent: 1) / f:Go 1/ ~ Y -;C:: ( Owner: '7 7):;y D Y Pat:::! Address: 9 J-o (~ I SOT fT The Building Permit Application must be filled out completely. Please type or print in ink. Uyou have any questions, please call 417-4815 8/1 Y DtfU(It}UN. V'ffilol.e: ~.H;-~P:1!'1 I Phone: d'...G/J - tkf:? -u:]-$ lA//! Zip: %f'/,.{" ') - City: Ptrr7 A1hfetks ! Architect/Engineer: Phone: Contractor License #: Exp: Phone: Address:/{,IS- l-A4er 11',,/1 Pelle:( City: j)Or'/ ~v-/v?/ q//rj Zip: J.I?~j? PROJECT ADDRESS: 9.J-o [; / Sl S7 ,9D//- A/1.-ge~ W11;NING: LEGAL DESCRIPTION: Lot: Block: I ' Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZENALUATION: D Residential D New Constr. D Re-roof D Wood-stove SF. @$ /SF. ~.$ D Multi-family D Addition D Move D Garage SF. @ $ /SF. = $ ~ommercial>ff Remodel D Demolition D Deck SF. @ $ /SF. = $' / DRepair D Sign 0 TOTAL VALUATION $ BRIEf DESCRIPTION OF T~ PROJECT: . _~J:, '1:. R e /71 <O/~/ '-:t ~ ff{T{)!) ---j/w. all) ~d J <Z!z> ~;/:~ c......--. q;(t{o ~ "r~~. COMMERCIALIRESIDENTIAL: Occupancy Group: ") " Occupant Load: Construclton Type: ;?- ,7.MPt ---- 7;;,0 ~ u..;- %- Isq. ft. ~TOTALLOTCOVERAGE: AI'PROV ALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? DYes 0 No Other: OTHER BUILDING PERMIT AI'PLICA TION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for addilions) and building construction pians are to be submitted to the Building Division. No. of Stories: Lot Size: Existing Lot Coverage: PLANNING USE ONLY: Notes: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by lhe 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. / hereby certify that l have read and examined this appiication and know the same to be true and correct, and l am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what penn its are required and to obtain such. T:\FORMS\APPS\Buildingpermit Applicant: ---- c -cC&-~E9"~ji-' '\/ Date: ,,~/ ~ '--- FROM I I ~3"1 1-" ,-,.;:==-'--:-,) ~ {7~~'- 5" PHONE NO. Feb. 262000 03: 18RM P2 "Ii' ---.-.,.---.-.......,.---.,.,.--- s" V(e,-<::''j.I';:>1-INC,-, Q.-\fI':?S 1 \-ICOD c..hA~WAV SIz.E~ ~'1"d.H:4~J( \ - 'Led ~I I loo~7o " \1- J_ .~ -------.._- --. -\-Ioo\::>- 1i-D"l<-yi'l<. 1&" 123" _n.i _ 3~ "'-- - I -------~ -. '~-"-~J I ' ____________. i ______--.. 9 II ! ~' 1._--;6:''f-"'L.. _ .J.______.____.L-.-- 4 , i i i I L ",,---"-" (~O()'{,.\t0';-", -:=::.0"R'f"Pl_'[ ::D.&l.llli... -+ Q__St:.A.,\f.. hl)l"<;t \i.ew-- 92-0 E /S:/ ",-'--",,_,____, _.......lo-.--.. ,__.._.."""___ --- 3,/'-1" so:>-Ie fd ifoT r-- \'6" L FROM : ~,. "'V- \'{.. r"\ ::'-j;'- "9/.. '(,> y..., -" /. ( "C, ,,~-:..,~,... 'c..::-- ':~',':::. ';?:2(",\.r'."c'" PHONE NO. ~ (b \ tt ~ 't.-' -- ~ y ~ ~ C), lr ~ ~:; V' ~ Y v" L I I I I I I N I o , t , , :t: Ig 1" II I l~- I . I I L___ ._ Feb. 262000 03:18AM P3 t; -. I "\ rP' t i I I l___ \<' ",-. '-" Lj \ / ~\ I ,_=-Y,-- "'~ 00./ \ / ,;, I I ~ I 11\.. i i i I II it:. ~ 1- ~ I~ ~ I~ I~ f.!Q '... , I , 9zu E /V FROM : PHONE NO. : Feb. 252000 03:18AM P1 . .~ ," :. f,-.::,;' ; '- - _ .. "on.:',;,: "<'. . .:;.:.. . .7..~ -, ;':::.~:: L ','j::.r ;;_ OISCOVERY BAY ~HEETMETALWORK~ 145 Fager Hili ~oad . Port Townsend, WA 98368 (360) 383..3949 FAX (360) 379.3139 10 . 'L...{)l) IPROPOSAL I ~() (II ~e-\-\~~"( C~i 0;0 \l:: \Tf\ Y\\l\1 '" b7e~0 le.~\ " O"c;RWTlON TOTAL ~ '7~ *'""" :;:1M .,'" t;l,5)i"'1' ~ "70 &-.t ~ p.4. '7"" 1\,.~,~fi ""'-llMlf_ectt'_ tK/llN>> 1. 9C ~.. tn flC fYtPltIMU OIleowarr.'" i'1.....~/:le1... (c''''''';Q'(\~\Il1nl}ltl.L~ '"~ ~...~........ er""'--""I;1 ffWI'l It\. ...ottlicl DIGDWI. aTOT,r.l. 'ru TOT,r.l. ptlE .;jl'o"r~ ~ L~ ~ ....<~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 OWNER/APPLICANT T. DONG 920 E. 1ST STREET Port Angeles, WA 98362 360/000-0000 T: s: ISSUED: 12/13/2002 PROPERTY LOCATION 920 1ST ST E Lot: 4,5,6,7 Block: 3 L><J Long Legal Subdivision:,' WMS & CRAMER Pa~eINo: 063000720320000 PEKMil NU: l::ltlll4 BUILDING PERMIT CONTRACTOR L1SENBURY FIRE PROTECTION 470 MONROE RD PORT ANGELES, WA 98362-0000 360/000-0000 PROJECT INFO Project Value: $2,800,00 Project Type: FIRE SUPR. SYS. Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: CA ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: SFD sa FT: o o Commercial: Industrial: Garage: o o o --i: \'- Q MFD Units: MFD sa FT: o o \t S) u' -t PROJECT NOTES INSTALL NEW EXAUST HOOD FIRE SUPPRESSiON SYSTEM RECEIPT#10002 ~ FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PLAN REVIEW $15.00 Plan Check: $0.00 Misc Fee 2: INSPECTlTEST $25.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 TOTAL FEE: $40.00 Sign: $0.00 Plumbing: $0.00 AMOUNT PAID: $40.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for eiectrical work, SEPA, Shoreiine, 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 appiication 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 cons~tion. ) - . --62-- Signature of Owner (if owner is buiider) Date T:\PLANNING\FORMS\1102.15 [4/2002J BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE , ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # . ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATERLINE , GAS LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS! ROOF (CEILING DRYWALL I-BAR INSULA liON SLAB I WALL I FLOOR / CEILING I I MECHANICAL HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'5: W A TERLlNE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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. 1 PW 1 CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING i FIRE 417-4653 FIRE DEPT. f fi) Ireft- 7JJl PLANNING DEPT. 417-4750 PLANNING DEPT. Cl? -(7-0(. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] ~O'PORT""",~ $" ~ hIi ~~ 'tiii:1C~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY, Date Rec.' i~-5-0Z- Permit ", ( P-8 'I Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please ca11417-481S ~ 'tD " Applicant or Agent: 5::- c> -# Owner: ~t/1=0/ On 1'1 .5 Address: 920 F I r/ -,.~ L~redL~",)/ , Phone: 4?<; 7 - / / 4L Y L/-5"2- ??2:2- Zip: Vrs6"2 City: h,r/ Phone: ~f ~ ~:j Architect/Engineer: Contractor.t;5eb1b'c.......-v R ,~ "' Address: .:.'~'70 ,U,.,V1,o.A... PROJECT ADDRESS: 92 (7 ~ LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: Phone: K';/ City: 1(7<- Block: L/A Phone: ~~~-//0'j( Zip: C/F.5 tI"? License #: /Sr~ Exp: A'~<"L.) ZONING: Subdivision: Credit Card Holder Name: City: Exp. Date: VISA MC TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Additiou 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign SIZEN ALUATION: o Wood-stove SF, @$ /SF. =.$ o Garage SF. @ $ ISF. = $ o Deck SF.@$ ISF.=$' e-- TOTAL VALUATION $?-BCO ~ Fit<!. J~//,'rflc', 01-- ,.<'a,..,J<' 6a.~__,/ 6 6J/"",,,,, H F<: ~"J/"'d4 , BRIEF DESCRIPTION OF THE PROJECT: COMMERClAURESlDENTIAL: Occupancy Group: Occupant Load: Construction Type: Isq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW FIRE ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befllled out completely to be accepted/or review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed appiication, site plan (for additions) and building construction plans are to be submitted to the Building Division. No. of Stories: Existing Lot Coverage: PLANNING USE ONLY: Notes: Lot Size: % Lot Coverage: /sq. ft. + Proposed Lot Coverage: % /sq. ft. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must he 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of pennit issuance, EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of appiication, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. J hereby certify that J have read and examined this application and know the same to be true and correct, and J am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibilIty to determine what permits are required and to obtain suc>> ~ 4- Applicant ~ --:z~ Date: IZ;5 h.? T \FORMS\APPS\Bulldmgpenmt I / ELECTRICAL INSPECTION WIRING REPORT 417-4735 C€ -Cf7 DATE 10 e d!J OWNER/CONTRACTOR PERMIT # ADDRESS 420 ':J1Z...l, c. lL J 5/ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . U D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . : ~ D. . ... . . . . . . . . . . . .. . . SERVICE. . .. . . ... . . . . .. . . ..0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: k.ovJL /'tU- l't"E..M <7 I ~ F"~I'-f"l OF" ~L<lE.c..TlZ...Lc.....AL "V",t-...L,J!;:! c:,.. ~ I"U:... 1 I 0 . '2. 6, . r\O 1I~ J-toT '-VA-TlE...P wofZ. k IN'=- c./...I€.A~c-1E- Ai /'Z...C- liD ~ z(o ) ~~1 1<.... \)~M'f'>t{.. ~ -&IIE..I'.L DbHT Fq::"I-. 1=0 jZ.., \20::;, t=" ':(' A No ~ Ng ~ UO,) -z.. C- R"1U"\.Ov~ 12>t.~NSID1'-r Co R.\:7 .,N.~ 5QO. '3 'IT ~ N I<.. ;:;; f7--. ?A ,,(l'F_ <..S- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452.1381 r o -D5"3S:- ....~~<,. '-- ,,- \-~ 1.\~'! "tt-~..l"'" -... ELECTRICAL WORK PERMIT APPLICATION Job wired by DOwner Electrical contractor name License number Date Expires NO'<'\-\" ~e.'(\\"-"U\A r-~d('~<.. \... \"A\...fG/'\ '300\ '"L- Purchaser's mailing address 'IloD ~e~~hW~ '(?CY('~ City State ZIP YD'<" '\\.,,(""~ S \)J"\ ~ <e, 3 Le:3 Telephone number FAX number r '--\ \. '-_ \\.\..0'-\ --\ s""" - '-\ ~ '0.s- o New o Residential ~Addition ~ A- \ \q-e_5~ C.\ Vc..\.\.\ ( ~ 6 ~ \01 Premises owner's name \-e",A~..s G,A'--~~ Address of inspect'to'h L Q,l.-() \:0.... \U. City '-?Or' 'f\.'I\...<=<- \e.S I)hone number to schedule inspection: '-\. '- '" _ \ '- V '-\ Owner as defined by_RCWI9.28.261:(J) Owner 'will occupy the structure for two years after this electrical permit is finalized. (2) o..vller is required to hire an electrical con/raclor if above .<iaid properly is for sale. rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapte 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature or owner, electrical contractor or electrical administrator Expiration Date X ) ~ ~ Date: <:: -""L- D 1r: of card MAY 0 5 LUU~ UGHTDEPT. o Cash 0 Check # \fJsa ~astercard Discover ~--- Card# ____._OY"L_- Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW Inspection ~ $ 6'0- Service Informalion o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 D 3 Service Size: ._ Feeder Size: SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 - , /' ROUGH-IN THERt'HOSTAT SERVICE Dale Approved By Dale Approved By lhle Approved By ( FINAL ( DITCH ( FElIDER ~ AP~BY/ "- Dale Approved By/ Dale Approved By -.J J nspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector bNlce C.-v~~ Dl"-l \ >---lb On" ...., e:.>-rrl2-4' ?\--"Y 'nI..b . . -""a,,, d t' ~'lS \0188 ex/I ELECTRICAL INSPECTrON" WIRING REPORT 417-4735 DATE ----Tp""fRMIT # J/l~,,,~ 1-. ::-,-:<0' OWNER/CONTRACTOR C~~lOR .~~': ----' i I " ...::: - -_ ____---l i, ADDRES& '-' APPROVED NOT APPROVED o . . . . . . . . . ." . ..." , .. DITCH. . . . .' . . ~?:~'.-:-:~:'rr-' -c" "';"_li': O. . . . . . . . . . ."> . . l1~ehMNJ99VER . . . . . . . . . . . . . . )::1 0,0.......... .\.~". ~.:,.:>.S~RVICE....... ............0 ,S:? . . . . . . . . . '/'\'>~:)'" FINAL. . . . . . . . . . . . . . . . . . ,;-.0 .,,:" C~CTIONS NEEDED: ,- ~,.,-_ ',,\' 1'->. ~ ' , ---- 1 r t~!-1 /. I ''- L !-: ~"i ;:.- .c \. f' ,- ,"- , 0=-.-TI- I~\ rf C !/ ....---;0 ( ".J '-_ '__ , :/..-J"'_' ~(_--r ': ~_.I:; -~ p;- -~ s ' --. j' ~ !<. ~ fY , {f-' /...;...., ;....._c V r- t":'.. j'-.. t< ;-'." .~::: /I//'~: ~ / t- ..... ,?f:~";"''; " c-~\." 0' - . 'i! .~ .~- \ r-," , L ,. d" k::- ,.. . - .~ a~~t1!H: JtQ~ ; ':.J J \ ; ;~ :;::;)::.-- ,~ . "'" . -i'l N -'" " \ d nONS -::;"'\11f !U -_J',___oQd i/:j'=::~S