Loading...
HomeMy WebLinkAbout229 W 1st St - Building 01 �0 4 1 C E RTITyF CATE4 OF: OCCU PAN CY Fe City'-df-Port Angeles - BLdI ding Di ision ' a .. This certificate is issued pusugnt tg,.the requirements of Section 111 of the 2009,.International Building Code certifying that at the time,Eof ssuaiace this strut ur.,e was in compliance with the various ordinances of the City regulating building constr�ctibn_-br:.use for the fo`Zlo uhg X rs , Business name =bar N9.ne (rOwner. Galen Hamrnond) Business address X229:{1N. 1 St Property owner k; j. r Jerry D Whi#e%'°:Debor`a l H:on enko @ Property owner s address 233 W 1StPortArtJ =98362 _.. gee. ) ��s1NA Automatic fire sprihkler.,system. Not Required Use &occupancy ch'ss cation. Assembly Building permit numbf, Occupant load. Pie t Type of construction. VB°. 02-23-11 3 Manager Date Post on the premises in a conspicuous place. Tbig cerhficate'st a'11 not be removed except by the Building Official. � 1 t� VO T e PREPARED 2/03/11 8 13 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/03/11 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR BAR N9NE CONTRACTOR ANGELES PLUMBING INC PHONE (360) 452 8525 OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE (360) 460 7547 PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 10 00001502 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS _0 PL99 01 2/03/11 L PLUMBING FINAL TIME 01 00 February 1 2011 1 26 29 PM 1pangrle GALEN 775 8484 HE DIDN T SPECIFY THE TYPE OF INSPECTION" SO I AM GUESSING PLUMBING FINAL INSTALLED A 20 POUND GREASE TRAP AFTERNOON PLEASE CALL HIM 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES \e) v O �J� v O� CITY OF PORT ANGELES (ND DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00001502 Date 12/28/10 Application pin number 610598 Property Address 229 W 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Tenant nbr name BAR N9NE on your state excise tax form Application type description PLUMBING PERMIT Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1000 Application desc INSTALL A 20 POUND GREASE TRAP Owner Contractor JERRY D WHITE/DEBORAH HOMENKO ANGELES PLUMBING INC 233 W 1ST ST STE #202 PO BOX 1151 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 7547 (360) 452 8525 Permit PLUMBING PERMIT Additional desc INSTALL A 20 POUND GREASE TRAP Permit pin number 179556 Permit Fee 57 00 Plan Check Fee 00 Issue Date 12/28/10 Valuation 0 Expiration Date 6/26/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL-PLUMBING TRAP 7 00 Fee summary Charged Paid Credited Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 q Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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 r local law regulatin construction or the performance of construction. zJ�/ (d C- - Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD i -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 C Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 \j IT - IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) � '1 Gas Line ��� �� Back Flow/Water FINAL Date Accepted by �Z-� AIR SEAL. N Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall 1 Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in fi Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by V) MANUFACTURED HOMES. Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W PW /Engineering 417-4831 V'\ Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit O�.r"NT BUILDING PERMIT APPLICATION Print In Ink I'"•�.-'�-- CITY OF PORT ANGELES Attn Building Permit Technician Yom"e,�-- For City Use Only Date Received '.'z %?i$-I 0 321 E. Fifth St. Port Angeles WA 98362 Zd Permit# kO— p (360)417-4815 fax (360) 417-4711 �t uX" Date A Q� n� • _� ` pproved Applicant ° \ Phone (Qpq5- Wjq Property bcaner K :k- (p FIco Phone Property Owner's Addre Contractor 6exu,k5, Romb;, Phone Contractor's Address) FIC) Poxl I Mpg �- License # }AJC? E I-PI Expires 15-901Z E-mail PROJECT ADDRESS KI IN L Parcel Number Lot Zoning Project Type & Brief Description. ❑ Residential ❑ Multi-family Commercial ❑ Industrial Check all that apply c New Construction ❑Addition G %' ` LA Sin X Remodel .4 �_ ❑ Repair AW us sa 4/' cs ct ✓ {, j ❑ Demolition o Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ /boo Total footprint of structures ft. T t size - overage % Site Coverage = the amount of impervious surfac n a arcel including structures paved dri w s sidewalks patios and other impervious surfaces (see PAMC 17 94 for exemptions) to coverage % Max. height of proposed structures Oc pancy group #of b rooms Will a lawn sprinkler system be installed? Occu t load #of full aths Will a fire sprinkler system be installed? Construction type #of half b hs /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine what permi s� are required, and to obtain permits prior to workin o p jects Date Z �� Print Name Signatur — T Forms/B ilding Division/Building permit application L�• CITY OF PORT ANGELES 321 E 5TH ST PO BOX 1150 PORT ANGELES, WA 98362 E X TEN S I ON TEMPORARY CERTIFICATE OF OCCUPANCY Issue Date 06-17-10 Expiration Date 12-14-10 Business Name Bar N9ne Property Address 229 W 1St St. Property Owner- Jerry D White/Deborah Homenko 233 W 1St St., #202 Port Angeles, WA 98362 Business Owner- Galen Hammond 803 E 2°d St. Port Angeles, WA 98362 Application Numbers C of O 10-92 /Building Permit 10-208 Specific Condition. Prior to 12-14-10 install a City-approved grease trap, and obtain an inspection and approval from the City's Wastewater Treatment Division. (For details, see the attached letter from Ken Loghry dated 06-04-10 ) Contact the City's Wastewater Treatment Plant Superintendent, Jeff Young, at 360-417-4845 to schedule an inspection or answer any questions you may have Do not discharge any waste other than domestic household waste into the sewer system. Maintain continued construction in a manner that does not endanger the public, by restricting areas still under construction. Maintain exits and fire protection systems from damage or obstruction due to on-going construction. At any time and for any reason, this Temporary Certificate of Occupancy may be revoked by the Building Official All adopted codes apply If you have any questions, please contact the Department of Community & Economic Development at 417-4815 Approved by Date Nathan West, Building Official VOID UNLESS SIGNED BY THE BUILDING OFFICIAL ELECTRICAL PERMIT CITY OF PORT ANGELES Q 360-417-4735 Application Number 10 00000591 Date 6/11/10 Application pin number 311323 Property Address 229 W 1ST ST `= ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 1 circuit dishwasher and TV s Owner Contractor JERRY D WHITE/DEBORAH HOMENKO STRAITS ELECTRIC 233 W 1ST ST STE #202 PO BOX 2914 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 7547 (360) 452 9104 M Lfl Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 167361 Permit Fee 73 50 Plan Check Fee 00 A'1 Issue Date 6/11/10 Valuation 0 \ Expiration Date 12/08/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 V' 2IR111 -4-1 Q -bK 1 /57 /n INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date Jun 09 10 11 11a Christie Tucker 360-452-0741 p 1 �t Qortr{,, City olPort Angeles Permit ApplicaUon HURD JUN ti� rot . Building OiuislonflElectricalInspections JUN ' 0 2009 Uf Q 321 East Fifth Street-P.O.Box 1150 Port Angeles Washington,98362 ELECTRICAL Ph:(360)417-4735 Fax:(360 1 411747111 INSPECTIONS Date: i—9 _18 2 Single Family Dwelling Multi-Family or Comrreraal' _Commercial Addition i Alleration i Remodel/Repair' Pian Review May Be R irej PI ase cor�ple:e EI ^:tical Plan Review Information Sheet Job Address: ZZ 0 IST —PA Building Square Footage! I, Descriplion of above A6 6 0 0ycu C � �r 1 Vl���i� Owner Infor o .n / nr6— `pc&N 7-75--$,�� tr or Inf tml boonn�,^ G Name: l� / /`t Name: T Y' Mailing Ar s. b_ Mailin Address City' , State: Zip: City E State: Zip: 4 Phone: Fax: Phone: L- Fax: License#1 Exp. License#1 Exp. Unit Charge rity Total(Otv Multiplied by Unit Charge) $119.90 S ServicelFeeder 200 Amp. $145.50 S Service/Feeder 201.400 Amp S204.60 5 Service/Feeder 401.GCO Amp. $262.20 S ServicefFeeder 501.1000 Amp. $372.50 $ ServicefFeeder over 1000 Amp. $ 2.60 $ Branch Circuit WI Service Feeder $ 73.5C $ Brano Circuit W/O Service Feeder S 2.60 3 Each AWWOnal Branch Cuaa $ 92.70 $ Terrp Servicel Feeaer 200 Amp. $110.30 S Temp ServicelFeeder 201400 Amp. S148.70 $ Temp.ServicelFeeder 401-6600 Amp. $ ,67.90 $ Temp.ServiceiFeeder601-1000 Amp $ 95.90 $ Portal to Portal Houdy $ 88.20 $ *rVOrd6neLghbng $ 95.90 3_ _ Signal Circuit/-united Energy-Comme.cial.Additional 1500$5.00 $ 63.90 $ . Signal Circuit/Limited Energy 1&2 Family Dwelling $ 63.90 3 Signal Cxcuitl Limited Energy tAWLWamiiy Dwelling $119.90 S Manufactured Home Connection $102.30 S Renewable Electrical Energy SKVA System or Less $110.30 S First 1300 Square FL $ 35.20 $ Each Additional 500 Square Ft or Portion of $ T3.50 $ Each Outbuilding or Detached Garage $110.30 $ Each Swimming Pod or Hol iub S 56.00 $ -herrnostat $ Total Owner as defined by RCW 19.28.261.(1)Owner wNl occupy the structure Ant two years atter this eleculcal permit is finalized.(2)owner is required to hire an electrical contractorif above said property is for sale,rent orlease.permit expires after sixtnonths of last inspection. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration In compliance with the electrical laws,N.E.C. RCW.Chapter 19.28,WAC.Chapter 296.466,The City of Port Angeles Municipal Code,and Utility Specifications, ignatu of her,eledricaloontractororelectricatadministrator ❑ Cash ❑ Check L X Da U ❑ Credit Card N (6%4/20)'0) Linda Pangrle-Fwd: Re. 410-92, Bar N9ne 229 W 1 St St. .W Page 1 X From Linda Pangrle To: Jeff Young Date: 6/4/2010 10'55 AM Subject: Fwd Re #10-92, Bar N9ne, 229 W 1st St. Yes, if you could mail Bar N9ne's sooner,that would be great. Thanks! >>>Jeff Young 6/4/2010 10.53 AM >>> Yes,good timing since we haven't sent them the letter specifiying the time frame yet. I will make sure it is 6 months and let Ken know as he does these notices.We hope to mail them out in the next 2 weeks,but could do BarTs sooner is you need us to.thx jell >>> Linda Pangrle 06/04/2010 1022 AM.>>> Hi Jeff I just asked Jim Lierly about Bar N9ne's progress regarding installing a grease trap. He said that you are taking care of the grease trap issue,and have given Bar N9ne one year to install the grease trap. I talked with Sue Roberds about that,and she thinks one year is too long. Bar N9ne currently has a temporary certificate of occupancy We won't issue a permanent certificate of occupancy until they install the grease trap,and have it approved by you. She thinks six months would be plenty of time for them to install the grease trap. Is it possible you can change the required time frame from one year to six months? Please let me know if that is agreeable to you. Thanks, Linda >>>Jeff Young 5/19/2010 3.03 PM >>> Ken has now finished his inspection and could not find a grease trap.This leaves them in a situation where they will have to get one installed.We or Jim Lierly can let him know the size that is required from the plumbing code. thx jeff >>> Linda Pangrle 05/19/2010 11.59 AM >>> Thanks >>>Jeff Young 5/19/2010 11.59 AM >>> I am having Ken Loghry contact them today he will be checking for a grease trap.I will contact you this week when its completed. >>> Linda Pangrle 05/19/2010 9:35 AM >>> Hi Jeff, Were you able to inspect their grease trap yesterday? Does it meet your approval? Are you ok with my issuing their permanent C of 0 now? Thanks, Linda l >>> Linda Pangrle 5/14/2010 9.41 AM >>> Hi Jeff, There is a push to issue the Certificate of Occupancy today for Bar N9ne. Are you ok with my issuing the C of O today? Please e-mail me back asap. Thanks, Linda >>> Jeff Young 5/12/2010 2.51 PM >>> I talked to Galen and he and I are meeting tomorrow around 1 pm to see if he has a grease trap and inspect.I will email you back after that.thx jell >>> Linda Pangrle 05/12/2010 2.21 PM >>> Hi Jeff, Please see the attachment below,and let me know when you approve our issuing their Certificate of Occupancy (6%4%2010) Linda Pangrle Fwd-Re. #10-92, Bar N9ne 229 W 1 st St: Page 2 R Thanks, Linda p4T � .� W A S H l N G T 0 N U S A Public Works & Utilities Department "1- ' June 4 2010 1 Mr Galen Hammond kt 803•East 2nd Street . . i Port Angeles, WA 98362 r, RE Food Service Establishment Inspection .,, Dear Mr Hammond, .«; �: " This letter is in response to the inspection of your business, Bar.N9NE, at 229 West 1s` in Port Angeles on May,19 2010-by the Source Control Coordinator for The City of Port Angeles. This ,. + °inspectionwas done to establish the presence of and inspect the.grease trap used for intercepting fats oil and grease (FOG) leaving your kitchen facility before entering the city's sews e lines. Upon inspection, it was found that you did not have any grease trap for your facility While your facility was very clean, it was explained to you that you Would need to have w, rtt .•x.,,: y _, a grease°trap installed .In order to obtain a permanent Certificate of Occupancy this grease trap must be installed within six months of receipt of this letter If you have any questions,,please do not hesitate to call. az, . . •„ A Sincerely 3Q Ken Loghry r '- Source Control Coordinator City of Port Angeles - Cc- Community& Economic Development Department :f2 1 �x kI Phone 360-417-4805/ Fax. 360-417-4542 ", Website www cit of a.us/ Email publicworks@cityofpa us 321 East Fifth Street P 0 Box 1150 / Port Angeles WA 98362-0217 CITY OF PORT ANGELES 321 E 5TH ST PO BOX 1150 PORT ANGELES WA 98362 TEMPORARY CERTIFICATE OF OCCUPANCY Issue Date 05-17-10 Expiration Date 06-17-10 Business Name Bar N9ne Property Address 229 W 1St St. Property Owner- Jerry D White/Deborah Homenko 233 W 1St St., #202 Port Angeles, WA 98362 Business Owner- Galen Hammond 803 E. 2°d St. Port Angeles, WA 98362 Application Numbers C of O 10-92 /Building Permit 10-208 Specific Condition. The grease trap at this facility has not received approval by the City's Wastewater Treatment Plant Superintendent, Jeff Young. He can be reached at 360-417-4845 Do not use grease and the grease trap until you receive the City's approval. Maintain continued construction in a manner that does not endanger the public by restricting area's that are still under construction. Maintain exists and fire protection systems from damage or obstruction due to construction that is on going. At any time this Temporary Certificate of Occupancy may be revoked for any reason deemed by the Building Official. All adopted codes apply If you have any further questions please contact the Department of Community Development if you have any questions 417-4815 Approved by �/ `�`' Date �v Nathan West, Building Official VOID UNLESS SIGNED BY THE BUILDING OFFICIAL From. Jeff Young To: UndaPangda Date: 5/19/2010 3-03 PM , Subject: Fwd Ra #10-92, 8arN9ne, 229VV 1st St. CC: Ken Loghry Ken has now finished his inspection and could not find agrease trap.This leaves them |nasituation where they will have to get one installed.We or Jim Lierly can let him know the size that is required from the plumbing code. thxjeff ,^> Linda pangdeV5/19/2O10 11.59 AM >^^ Thanks >>>Jeff Young 5/z9/ZO1Vz1.59xM >>» I am having Ken Loghry contact them today he will be checking for a grease trap.I will contact you this week when its completed. >^> Linda pangdeO5/19/Z01U9:]5AM »>> Hi Jeff Were you able 8oinspect their grease trap yesterday? Does itmeet your approval? Are you ukwith myissuing their permanent C ofOnow? Thanks, Linda »>> Linda Pang,|e5/1^K2O1O9'41AM p>> Hi Jeff There isapush 0oissue the Certificate ofOccupancy today for Bar N9ne. Are you okwith myissuing the Cm[O today? Please e-mail meback asap Thanks, Linda >>>Jeff Young 5/zz/zOzOu:5z pm ,>> I talked to Galen and he and I are meeting tomorrow around I pm to see if he has a grease trap and inspect. I will email you back after that.thx1eff >,^ Linda pangdeO5/zz/ZOzO 2.21 pm »>, Hi Jeff, Please see the attachment below,and let me know when you approve our issuing their Certificate of Occupancy Thanks, Linda From UndoPangde To: Jeff Young Date: 5/14/2010941AM Subject: Re #10-92, Bar N9ne, 229VV 1st St. Hi Jeff There isapush 0oissue the Certificate o[Occupancy today for Bar N9ne. Are you okwith myissuing the CnfO today? Please e-mail meback asap. Thanks, Linda p»>Jeff Young 5/z2/ZO1O2.sz pn »>> I talked to Galen and he and I are meeting tomorrow around I pm to see if he has a grease trap and inspect.I will email you back after that.th*1eff >>> Linda pangdeO5/zl/ZOzO2.2z PIVI >^» Hi Jeff, Please see the attachment below and let me know when you approve our issuing their Certiflcate of Occupancy Thanks Linda e� 1 )q �� .4— ����1 /^� � . . -- ` ..��� ( / 4o- kl &cuss ~ / | ,'S kl ~'` 8 -Vi — _ _-- m+ US e— 0J� e>�^ ~1t' ~ U ]^ | / ,.~ �D �L �"_a( v ~, �� �� u.� vT��`{J�—''�4 \ 6»—i J '� From UndaPnngde TO, Janessa Hurd Date: 5/14/3010931Ay; Subject: Fwd Re BarN9ne, 229VV 1st St. Mi]aneosa, P|easa|isten0uthephonemesoagel|eftyouregandingthioe'mai|,and |etmeknnwwhetherornotynuaneokwithmy issuing their CofOtoday Thanks, Ct\�� T��� --sCL 3 a'd Linda �r ea I-\ / sSke >>» Ken Dubuc 5/z3/ZV1O8 zzAM ^,^ ^ � ^"_�/��� Linda ^' ' - "~ `^ � The hood and duct|nsp��onwas done onAph4o'-ou� April u ' They will hegetting their final fire CofOinspection today but there isnothing stopping them from opening now lhave been down there several times and they are fine. Thanks, Ken ^>^ Linda Pangde5/zZ/zOz.]7PM »>p Hi Ken, Nathan ischecking onBar N9na. Hewants toknow|[the City has approved them,snthey can open tomorrow Nathan asked Roberta toask meomask you. VVhandidyoudoyourfina|appmva|forpennit#1O'192(1hehood/ducthesuppess|onsystem)? When did you doyour final approval for their Certificate ofOccupancy#1V'9Z? Isitokfor]anessamissue their business license yet? Please let meknow asap. Thanks Linda PREPARED 5/13/10 8 28 05 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/10 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR BAR N9NE CONTRACTOR PHONE OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 10 00000092 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 5/13/10 J L BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/12/10 TIME 16 35 36 May 12 2010 4 34 36 PM 1pangrle GALEN 775 8484 C OF 0 FINAL BAR N9NE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES O,f°R 'j,� CERTIFICATE OF OCCUPANCY APPLICATION Permit# �.I�-q� CITY OF PORT ANGELES � ,.te�"�' FEES Attn Building Permit Technician V '-� 50 00' Certificate /Inspection 321 E. Fifth St. Port Angeles WA 98362 =� (360)417-4815 fax (360) 417-4711 $100 00 arking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME T, 2 1� BUSINESS ADDRESS G� (� s�- Q 1'I� 2'e LAG �Sj�� Zoning Business mailing address e- d, a Phone# ba j5- 8` Opening date r,� 1 2010 Days & hoursoCeration . - Sad" - ;1,� Washington Sta e Tax I b_# If-known list the namd of the previous business at this locationb Brief description of proposed business „n Seal' t�>c S Business owner's name -) H&rnrnc�,A Phone# Business owner's home address &-)z, IQ 436 PLEASE NOTE. A Business License is also-required for the following businesses. Taxi, Peddlers Second-hand dealer .Pawnbroker Dance Hotel- Motel Fireworks Ambulance, Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE.BE ANY OF THE FOLLOWING? NO-,, YES✓ IF YES CONTACT Electrical changes _ ✓ Electrical Dept. at 417-4735 New business ✓ New or relocated signs kA it 6L , Building Div at 417-4815 Construction changes W1It Transfer of business Mechanical changes(ventilation, heating,c olin ,etc.) location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes Transfer ofjbusiness New or relocated sewer or water service Public Works at 417-4807 locationExcavation or filling of lots non-PBWork done in the Cit right-of-way New drivewayopenings Chahge of Gradin site drainage(parkinglots, downspouts,etc.) Landscape irrigations stem(backflow devices) n/ Water Dept.at 417-4886 RemodelIs this a home occupation? L/ PlanningDiv at 417-4750 Is this a second-hand dealer or pawnbroker business? Cit Clerk at 417-4634 Temporary Is there off-street parkingfor this business? How many spaces? Is the street in front of this business paved? Change of Is there a sidewalk in front of this business? Isthere a curb&gutter in front of this business? Call for Certificate of OccupancV inspections before opening business Please sign up for.utiiity services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections / hereby apply for a Certificate of Occupancy I acknowledge that/ have read this application and state that-the informati I have supplied is correct to the best'of may knowledge JJ Date --(C Print Name a'En 4T my of s Signature For City use on! Department Approved Rejected Comments/Conditions Initials,=Approved Initials&date Building Type of construction Occupant Load Fire Automatic five sprinkler system required no yes PBIA Pl&nning (I1— t�/r�tyM"' /►,, ,, ,, j�,„41� .a Gly Clerk l0— 1L% w` —�V• @(,(,(�/ ��J�Wrx �� i �Pub,;c'i[Jorks ��— i F gilding C c .r --- - of Oc —Cy f,.---- --- — --- ---- -- - ------- ---� a,VOR MY,�r CERTIFICATE OF OCCUPANCY APPLICATION Permit# lo-gz CITY OF PORT ANGELES ,4 e. ' 0 g FEES Attn Building Permit Technician 50 00 Certificate/ Inspection 321 E. Fifth St. Port Angeles WA 98362 $10000 arking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 Print in ink — fee charged for downtown locations BUSINESS NAME - BUSINESS ADDRESS q �- h (�,�G ��(03 Zoning Business mailin�ad_dress [1c 1- A ckes_t, )d Phnne# bo���S- Sy 4 Opening date r'( 2 O Days & hours of o eration �- Sat rA a _ Washington Sta e Tax I D # If known list the nam6 of the previous _ business at this location CIib Brief description of proposed business „n Sea raX Business owner's name -,_,N1en Pt&vnmpn _ Phone#_ _— LBusiness owner's home address gb� �e PLEASE NOTE. A Business License is also required for the following businesses Taxi, Peddlers Second-hand dealer .Pawnbroker Dance Hotel- Motel Fireworks Ambulance Tattoo shop Contact the City Clerk at 417-4634 for additional information ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO,/ YES✓ IF YES CONTACT _ Electrical changes ✓ Electrical Dept.at 417-4735 New business ✓ New or relocated signs 6L ; Building Div at 417-4815-.---. Construction changes ?it J i-� Transfer of business Mechanical changes ventilation, heating,c olin ,etc. location From a Plumbing changes PB!A location Firesprinkler system changes _ Fire alarms stem changes _ Transfer of business New or relocated sewer or water service — Public Works at 4-17-4807 location from a Excavation or filling of lots _ non-PBIA location Work done in the Cit right-of-way New drivewayopenings Change-of ownership Gradin site drainage(parkinglots,downspouts,etc. Landscape irrigation system(backflow d_evsces) ./ Water Dept.at 417-4886 Remodel Is this a home occupation? `/ Planning Div at 417-4750_ Is this a second-hand dealer or awnbroker business? _ Cit Clerk at 417-4634 Temporary business Is there off-street parkingfor this business? How many spaces? Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Is there a.curb&gutter in front of this business? Call for Certificate of Occupancy inspections before opening business Is e sign.up for utility services Building Departrrrent Inspection.417-4815 & Fire Department Inspection 417-4653. at the cashier counter Please provide a minimum..24-hour notice for inspections I hereby apply for a Certificate-of Occupancy I acknowledge that i have read this application and state that the informati 1 have supplie4 is correct to the best of my knowledge DatU- 7-_ ( Print Name C- alep �Yt'n or)s —Sig natu re �k__ For City use orl __Ju b m 1 I-----Z?- — — oved Department Einitialsppr&date � y ©� Comments/.Conditions BuildingIT(,L CJ-13_) oL-Q3-I� Type ofconstruct;or Occupant Load Fire 5-13 - Automatic fire sprinkler system required no yes PsIA---------i RH-1 Z?-� � 10- 1562 — --� ^�s�5C TrA f of f►-D teed 02-03- 11 Planning p 44i City Clerk - N a$-10 �ll`t oK'd bv)s,ness t,cp-hse P Y►,� Public Works I Z_C0 �— T'Form l wilding Divia nn/Cerlificatr Df Occupancy Application vJ0L54WCLW `3'y EIect"Co-I -MP 5j14fto '✓'{,, «.. s $�.a .a:. 4�r ~''ice' �.(-y= '�' :� .�'�� �s ,_ ......_ ._."..,,.. '.. _.,...,.- —_.�-----"'"'" do �•-- ..�:.s�•,�;.;, *;: ^i't:�.�;gt. s�339 Ott .�. ":t• `�`,. '/i v _ � f•'°•• 1 I!Q�' '• � �1 V� ,� :., p'}' ;^,tv' .�,,a�_"'• ^'`ti •, �z}. �'r ; 't„ J—z- /l� �4'�d'�/� �!X.;s>• �� 441 207 14 AIA .240 •� ^fi`�e.,, hf. �. 'e�'r' �;`x�v� - ` '.�.`°.a•� 905' :'��•�3' ` ,f _`�`y" � sj<< •`�'` - � ,�°'��-,� ^ 322 +sem � '�-• r:�t^�. "!r.• .�,,� R w.`.� .fi ';a'•.S �t` {..'n`+e, v 6C� " 'ro! S,'�. •`J'.�'�,� f `�::;�M 4 3i4: „�� •� �, fid ,t' - \�¢�+ � 2 :Ra ,w '. ;c, g'xs ''"•a. -� '� - �. � t��c ,.235," .229 �� �-�.�"��.i .!�. 7211 +"4. ,'�.�, - s_ 4A -� \ �- : +` .�, ' �:..:� Sts. ``+, ti': {`�• � �� �+ � "' 325- f. ~'�" .T. '� a: r »;.'s� � 'x•��"" '``.'' � ,4 ���.:`, ..,,fi 5 215 $€ `•t`N� • ,t•.�<.: 44 ' .,•. a 's;r. iy}iY " ,.fy- ,;�- ,�,,� rsfs.; . :.''S,-`->- ,.; ` _ 134 ` .1.30 �5 "2'r "�' ']`'^�• - : - v -d -207' ' �_ _ s - t"` �; �, -. 'r "w.' •`.. _ ,$'• 201 ,• .f .`ice,,,' ,�r�,,fte'` n�'�� `m. .�' ✓f�{'� ,�` �' '''�� �Y '3�"e �•`° f't�d�;'/a 1'4� -' 4 �` 'i� `O. .L� ,�. J:y_� 3 M 4,� �L� ��tc 4 a'�°z ,�,. •az `,�y�• y �`✓ ,n � 't�+_ `�rr ;,� �, t!i 107 � �?t1 .Se�'' "''ti£ ,3}2 „o� ,����` c ,,.,.`}`* :h c: "�'c� ��, ,• .�•5f "� `oaf •,f',L:;.`_ '1.11,, 1� ���Yy _ t!•'``� •�^.rte{ 2 �� ,�'«�sxs :+„t !' �'2�' '141 ''.l�}'w, :•` F' :. - s ,-•. "' y� .'^;• .,9 as °:.,�- - =•; ��' 308 a�-' r �� E�ti>„ a r •t1%i •3. - `*�. 139 �.- a';p 208 .p :,.�.;�` k- ���.3. "�` S '1•�/ � �' ^^'i�` �� `' 3�, �-' 200 � -• , ` r i „ Y t.V' i F 113 :•4 138 _ '3. �. }• 'q„'.r�.. ': ,� `v4" ar»i� '. "tix= •`' �-,:� r:, .® _ .t`'- ..';t, `.., .,ti 109. "' _ /e Rte,. ti „ '. 232 f�. 226' �p 'C+` M1 ���,?��;�;-���°"'��a .»,-t �, y'� ;,�.,,�; �,, 126 -vc -� •� � '`305 .'�/c 301 `�'��- '�:'re�''%.,`' �'�=� .ak,+` :�• _ '� �:, .SSR. -��. y sy e ''' f- -�;"��'�vr � .B�•� .�;.�,= Y ��„' �!.'u�„�4'�� =six•' ' �a%i'.�:.� � :�`�`<�,;���'; ;��. ” �� �y '�•� 122 ;�.` 108 ' \. �23 ��"s. �`f`�C,-�:� r222• /�'�' :jfi-""',�:��'`+, t"'.,. .v,•'!' ".°.'-:.• �' wv: �:i- '.A,'y' T�' .�__� .,_..� Clallam County Assessor& Treasurer Property Details - 55911 JERRY D WHITE/DEB Page 1 of 4 f Clallam County Assessor & Treasurer Property Search Results > 55911 JERRY D WHITE/DEBORAH HOMENKO for Year 2010 2011 Property Account Property ID 55911 Legal Description LOT 13 BL 14 Geographic ID 0630000014550000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 58 Open Space N DFL N Historic Property- N Remodel Property- N Multi-Family Redevelopment: N Location Address. 229 W FIRST ST Mapsco PORT ANGELES Dv Neighborhood Cycle 5 Comm Map ID• ll Neighborhood CD� 20953140 Owner Name JERRY D WHITE/DEBORAH HOMENKO Owner ID- 59459 Mailing Address 233 W FIRST ST STE#202 %Ownership 100 0000000000% PORT ANGELES WA 98362 Exemptions Taxes and Assessments Due Property Tax Information as of 01/27/2010 Amount Due if Paid on 77 First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 559112008 ST SCH STATE SCHOOL $35016 $35016 $000 $000 $70032 $0 00 2009 559112008 CC-GEN COUNTY $177.22 $17720 $0 00 $000 $35442 $0 00 2009 559112008 PORT PORT $25 10 $25 10 $000 $000 $5020 $000 2009 559112008 PORT ANG PORT ANGELES $38870 $388 70 $000 $000 $77740 $000 2009 559112008 SD#121 SCHOOL DISTRICT#121 $43302 $43305 $000 $000 $86607 $000 2009 559112008 NTH OLY LIB NORTH OLYMPIC LIBRARY $51 49 $51 49 $000 $000 $10298 $000 2009 559112008 HOSP#2 HOSPITAL#2 $7268 $72 67 $000 $000 $14535 $000 2009 559112008 CITY_STORMWATER CITY STORMWATER $6286 $62.87 $000 $000 $12573 $000 2009 559112008 WEED_CONTROL WEED CONTROL $082 $081 $000 $000 $1 63 $000 2009 559112008 TOTAL. $1562.05 $1562.05 $0.00 $0.00 $312410 $0.00 NOTE If you plan to submit payment on a future date make sure you enter the date and RECALCULATE to obtain the correct total amount due Values (+)Improvement Homesite Value + N/A (+)Improvement Non-Homesite Value + N/A (+)Land Homesite Value + N/A (+) Land Non-Homesite Value + N/A Ag/Timber Use Value (+)Curr Use(HS) + N/A N/A (+)Curr Use(NHS) + N/A N/A http.//vpn.clallam.net 8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=55 1/27/2010 PREPARED 5/20/10 8 39 05 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/20/10 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR JERRY WHITE CONTRACTOR EMERALD ROOFING INC PHONE (360) 452 4681 OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE (360) 461 1393 PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 08 00001209 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/20/10 BLDG FINAL TIME 1200 May 19 2010 4 03 28 PM 1pangrle g I CALLED JERRY AT 461 1393 (TO FINALIZE THIS PERMIT) BUILDING FINAL RE ROOF AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE AND SHOW YOU WHAT WAS DONE J COMMENTS AND NOTES Fit— a! Y I �� PREPARED 5/13/10 8 28 05 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/10 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR BAR N9NE CONTRACTOR ALPHA BUILDERS CORPORATION PHONE (360) 775 0759 OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE (360) 460 7547 PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 10 00000208 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/17/10 JLL BLDG FRAMING TIME 01 00 3/18/10 AP March 16 2010 3 50 06 PM 1pangrle BRENT 775 0759 FRAMING AFTERNOON March 18 2010 8 47 04 AM jlierly BL99 01 5/13/10 L BLDG FINAL TIME 01 00 May 12 2010 4 33 39 PM 1pangrle GALEN 775 8484 V BLDG FINAL FRAMED IN THE POOL TABLE ROOM AFTERNOON PLEASE CALL HIM 30-MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 5/13/10 8 28 05 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/10 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR BAR N9NE CONTRACTOR ALPHA BUILDERS CORPORATION PHONE (360) 775 0759 OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE (360) 460 7547 PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 10 00000223 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/13/10 BLDG FINAL TIME 01 00 l May 12 2010 4 32 25 PM 1pangrle 1 GALEN 775 8484 \\ BLDG FINAL SIGN AT BAR N9NE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PREPARED 3/17/10 8 03 05 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/17/10 ADDRESS 229 W 1ST ST SUBDIV TENANT NBR BAR N9NE CONTRACTOR ALPHA BUILDERS CORPORATION PHONE (360) 775 0759 OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE (360) 460 7547 PARCEL 06 30 00 0 0 1455 0000 APPL NUMBER 10 00000208 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 3/17/10 BLDG FRAMING TIME 01 00 at an March 16 2010 3 50 06 PM 1pangrle BRENT 775 0759 FRAMING AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT D' CITY OF PORT ANGELES 360-417-47335 Application Number 10 00000249 Date 3/15/10 Application pin number 745684 Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 1 circuit relocate bar lights Owner Contractor JERRY D WHITE/DEBORAH HOMENKO STRAITS ELECTRIC 233 W 1ST ST STE #202 PO BOX 2914 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 7547 (360) 452 9104 ^ Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 162321 Permit Fee 73 50 Plan Check Fee 00 Issue Date 3/15/10 Valuation 0 Expiration Date 9/11/10 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 r�J Grand Total 73 50 73 50 00 00 V cel INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 3 6 GD FINAL 1iy ro COMMENTS Signature of owner or Electrical Contractor X Date FROM STRAITS ELECTRIC FAX NO. 3604574698 Mar 15 2010 08 35AN P1 REC-IWD Chy of Port Angeles Permit Application 14AR 1 � 2009 0j PORT44. Building DIvlslonlEtactrlcal Inspections 321 Ent Fath Street-P.O.Box 11ac ELECTRICAL PortAngeles41.Washington,0)41 INSPECTIONS � Ph:(360)417.4735 Fax:(360)417.0111 Date: _1 &2 Single Family Dwelling —Mulll-Family or Commercial" -b(COmmerclal Addition f Alteration I Remodel/Repair' Plan Review Mete RequlrwPleas�i ale{a Ele i el Plan Rgv_lew,Information Sheet X11 fZ �p Job Address: LL�1 St T Building Square Footage; r /� Owner Information Contractor Inform tion Name: �L. Name: &Tr<-Pr I-r EtIMIC, Malling Ad s: Melling Address: L2 _11f- City, State; Zip; City: "PState: Zip: Phone: Fax: Phone: Fax: License#I Exp, __ License#I Exp. 1 telt Charoe On Total(Qtv Multiolled_bv Unit Choral) $119.90 $_, ServlcelFeeder 200 Amp. $145.50 $ Service/Feeder 201400 Amp. $204.60 $ Selvice/Feede►401.600 Amp, $262.20E_. Service/Feeder 601.1000 Amp. $372.50 E Servlowfooder over 1000 Amp, S 2.80 $ Branch Circuli W/Service Feeder S 73.50 $ Branch Circuit WIO Service feeder S 2.60 $_. Each Addltional Branch Circuit $ 92.70 $ Temp,Servlcel Feeder 200 Amp. S 110.30 $ Temp.Service/Feeder 201100 Amp. $148.70 $_,,,_---Temp.Servimreeder 401.600 Amp. S 187.90 $ Temp.ServWFeoder 601.1000 Amp. S 95,90 $ Potlel to Portal Hourly S 86.20 $� �94WOullne Lighting $ 96.90 $ Signal CkcuIU Limited Energy-Commercial,Additional 1500$5.00 S 03,90 $ Signal ClrculV Limited Energy 1&2 Family Dwelling $ 63.90 S Signal ClrcultiUmitad Energy Will-Family Dwelling $119.90 $' Manufactured Home Connection $102.30 $ Renewable Electrical Energy 6KVA System or Leos $110.30 $_�First 1300 Square FL S 35.20 $ Each Addltional 500 Square Ft.or Portion of S 73.60 S Each Outbuilding or Detached Garage $110.30 S_ Each SWlmmlrg Pool or Hot Tub $ 56.00 $ Themasral $Total Owner a dented by RCW.1128,761.,(1)Owner will occupy the Structure for two years after this Stectrkol permit Is linallzad.(2)Owner to required to hire an electrical contractor U above sold proporly Is formals,tent or lease.Perot expires older six months of last Inspocdon. Agar reading the above statement,I hereby certify that I am the owner of the above named property ora licensed eloctricel contractor I am making the electrical kntells Von or aiterolion I ompliance with the electrical laws,N.E.C, RCW.Chapter 19.28,WAC,Chepter296.46B,The City of Port Angela Municipal Code,and Utility Specifications. Ignatu f n electrical contractor or electrical administrator 0 Cash ❑ Check i O CrodliCaMM (VV �` o'I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000223 Date 3/11/10 Application pin number 729351 Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Tenant nbr name BAR N9NE Application type description SIGNS Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1200 Application desc 39 SQ FT WALL-MOUNTED SIGN Owner Contractor JERRY D WHITE/DEBORAH HOMENKO ALPHA BUILDERS CORPORATION 233 W 1ST ST STE #202 105 1/2 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 7547 (360) 775 0759 Permit SIGN Additional desc 39 SF WALL-MOUNTED SIGN Permit pin number 161935 Permit Fee 85 00 Plan Check Fee 00 Issue Date 3/11/10 Valuation 1200 Expiration Date 9/07/10 Qty Unit Charge Per Extension 1 00 85 0000 PER S WALL SIGN OR MARQUEE > 25 SF 85 00 Special Notes and Comments March 8 2010 5 17 26 PM sroberds The proposal will allow a total of 39 sq ft of signage on a property in the CBD where permissible signage is 150 sq ft No land use issues anticipated Fee summary Charged Paid Credited Due l Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 �- Grand Total 85 00 85 00 00 00 3 /O 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 constr ction Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FonnsBuilding Division/Building Permit O BUILDING PERMIT INSPECTION RECORD N — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION. Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls `v Ceiling 1 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. ,n Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW /Engineering 417-4831 �C Fire 417-4653 r Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000208 Date 3/10/10 Application pin number 481088 Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Tenant nbr name BAR N9NE Application type description COMM REMODEL Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 3500 Application desc FRAME IN A POOL TABLE ROOM Owner Contractor JERRY D WHITE/DEBORAH HOMENKO ALPHA BUILDERS CORPORATION 233 W 1ST ST STE ##202 105 1/2 E 1ST ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 7547 (360) 775 0759 Structure Information 000 000 FRAME IN A POOL TABLE ROOM Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc FRAME IN A POOL TABLE ROOM Permit pin number 161760 Permit Fee 123 75 Plan Check Fee 80 44 Issue Date 3/10/10 Valuation 3500 Expiration Date 9/06/10 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL 2001 25K (14 PER K) 28 00 Special Notes and Comments A minimum 2A 1OBC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Other Fees STATE SURCHARGE 4 50 I Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 00 l/J� Other Fee Total 4 50 4 50 00 00 Grand Total 208 69 208 69 00 00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. :V/0 Z ° Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FoTmsBuilding Division/Building Permit 0 BUILDING PERMIT INSPECTION RECORD N PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— 0 Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b ^, AIR SEAL. `v Walls Ceiling -� FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Onl T-Bar INSULATION- Slab Wall/Floor/Ceiling --F-- MECHANICAL. Heat Pump/Furnace/FAU/Ducts ► /� Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES. Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 L. T.Forms/Building Division/Building Permit ELECTRICAL PERMIT a CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000235 Date 3/10/10 W'r Application pin number 576910 V\ Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc Relocate existing new light electrical room Owner Contractor JERRY D WHITE/DEBORAH HOMENKO APS ELECTRIC 233 W 1ST ST STE #202 546 BENSON RD (� ` PORT ANGELES WA 98362 PORT ANGELES �v (360) 460 7547 PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 162107 Permit Fee 73 50 Plan Check Fee 00 Issue Date 3/10/10 Valuation 0 Expiration Date 9/06/10 Qty Unit Charge Per Extension /y`J 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 Fee summary Charged Paid Credited Due Permit Fee Total 73 50 73 50 00 00 Plan Check Total 00 00 00 00 Grand Total 73 50 73 50 00 00 V 1 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL COMMENTS a0o(bt-I B�2 �3 tl I to Signature of owner or Electrical Contractor X Date 1czA 51ECE WED , YtJHr 1�, C: City of PortAngeles Permit Application MAR J 2009 1 Building DivlsionlElectrical Inspections ' 321 East Firth Street–P.O.Box 1150 ELECTRICAL � . Port Angeles Washington,96362 ir. Ph:(360)417.4735 Fax.(360)417.4711 INSPECTIONS ,. Date:3- __ `a 6l G _1 &2 Single Family Dwelling y Multi-Family or Commercial' —commercial Addition I Alteration-/Remodel!Repair' `Plan Review May 6e Required,Please Complete E ctrical Plan Review Information Sheet Job Address: •�� �%"`� t � Building Square Footage: ere cid Ana Descripton Of above g a ),C n E{0.m tH O nd Is � $ta5�n FSS Contractor Informa ion Owner Information r-{ OMSg7 Name:__ A_,P. Name: qD Mailing : at W I K- _ Mailing Address: Addres Zi 3 City- State: _Zip: —_ City t� State:___�_ p: Phone: Fax: — Phona:__.­fax License#I Exp., ,,.. License#f Exp, �— Charge Total(0tv Multiplied by Unit Chpr e Unit Unit h $_—SelvicelFeeder 200 Amp. 145.50 S Service/Feeder 201-400 Amp. $ $204.60 3 —ServicelFeeder 401-600 Amp. de $262.20 $ ServicelFeer 601-1000 Amp, $372.50 _ $ ServicelFeeder over 1000 Amp. 2.60 _ $ Brandi Circuit WI Service Feeder $ $ �_ Ste—Branch CircuitWl0 Service Feeder 73 60 Each Additional Branch Circuit $ 9270 5_Temp-Servicel Feeder 200 Amp $_. Temp,ServicelFeeder 201-400 Amp. $110.30 148 70 —_ Temp.Service/Feeder 401-600 Amp- $148,70 mp. $ g _ Temp.ServicelFeeder 601-1000 Amp. $165,90 - $ 95.90 $--'_ Portal to Portal Hourly $ 88.20 _ ._ S ^Sign►Oulline Lighting $ Energy 95,90 —_ S __,�, y-Commercial.Additional 1500 55.00 Signal Circuit/Limited $ Signal Circuiv Limited Energy 1&2 Family Dwelling $ 63.90 ��--- $_Signal Clrcuill Limiled Energy Multi-Family Dwelling S 63.90 --- $_Manufactured Home Connection S 119.90 _Renewable Electrical Energy 5KVA System or Less $102.30 S $110.30 S_—First 1300 Square FL S 35.20 $ Each Additional 500 Square Ft.or Portion or S 73.50 S Each Outbuilding or Detached Garage $110.30 S __ Each Swimming Pool or HotTub $ 56.00 S, Thermostat S Total own ersaas defiioneed byis for sa9e,8rent ort O e„Permit occupy the exPIMalcor six structure ohs of Y03rsest after f t r this eleetricot permit is finalised.(2)Owner Is roqulrod to hire an electrical contractor if above P P Y censed electrical contractor I roperty at a li alts rareading tion In ctompt ante with he electrical laws,certify E C that I RCW.Chapter 19.28,WAC.Chapter am the owner of the above named 296.4 B,The City of Port Angeles municipal Code,making nd Utility Specifications. cash or l7 Cash Signature of owner,electrical contractor or electrical administrator ❑�}Check Dater ` LY .Cr¢ditCar X d# t __ CITY OF PORT ANGELES ti� FIRE DEPARTMENT PERMIT 321 East 5" Street, Port Angeles, WA 98362 Application Number 10 00000192 Date 3/05/10 Application pin number 281024 Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Tenant nbr name BAR N9NE Application type description HOOD/DUCT SUPPRESSION SYSTEM Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 2241 Application desc NEW FIRE SUPPRESSION SYSTEM UNDER EXISTING HOOD Owner Contractor JERRY D WHITE/DEBORAH HOMENKO KNIGHT FIRE PROTECTION INC 233 W 1ST ST STE #202 2509 WEST 19TH STREET PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 417 0505 Permit HOOD & DUCT SUPP SYSTEM Additional desc NEW SUPPRESSION SYSTEM Permit pin number 161497 Permit Fee 40 00 Plan Check Fee 00 Issue Date 3/05/10 Valuation 0 Expiration Date 9/01/10 Qty Unit Charge Per Extension 1 00 25 0000 ECH HOOD/DUCT INSPECTION/TESTING 25 00 1 00 15 0000 ECH HOOD/DUCT PLAN REVIEW 15 00 Special Notes and Comments March 2 2010 8 39 05 AM kdubuc A full acceptance test including a balloon test will be required Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 6- �a This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and exammal this application and know the same to be true and correct.All provisions of recognized standards, laws and ordinances governing this type of work will be compled with hether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the p isions of any state or local law regulating the work specified in the permit. Signature of Cont actor or Authorized Agent Date Signature of Owner(if Owner is builder) Date FIRE PERMIT INSPECTION RECORD O 1 Call 360-417-4655 for fire inspections Please provide a minimum 24-hour notice It is unlawful to cover insulate ---9 or conceal any work before inspected and accepted. Post permit in a conspicuous location. N KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough-in inspection Alarm final \v LP-GAS Completed by Contractor- Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank(container) inspection Test#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final 0 UNDERGROUND STORAGE TANK(UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final Hood� Du bhVOID D.D -r C GENERAL COMMENTS � V\ CS V) V� 2/15/00 � �,,(Nex5 P°J� eer j W6;,}`1­VDebomk Homerko ON,PORT.1,V SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only- Attn Building Permit Technician tlDate Received 3,-y — 1 D321 E. Fifth St. Port Angeles WA 98362ermit#.(360)417-4815 fax (360)417-4711ate Approved Applicant or Agent C~�(er) 6►' morY Pho e Property Owner Property Owner's Address 233 W 1s+ 5+ . S-l-e 202, PA ,WA 019362— Contractor/Engineer 1g36ZContractor/Engineer 2 arn+ Sbriet Phone Contractor/Engineer's Address 105%i ( sr " Ae,_ 96 License # 'Expires 66/06 110 Project Address V.3A Oy Business Name Parcel Number Lot Zoning. C �_ Submit an 8. % "x 11 "site plan & three!sets of plans 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. Sign Type & Brief Description. (Type, location, sq. ft.) Sign #1 :30 Hick Sj>t AA 'F-oarA leger5 -V P,1*-+0J T6L&e-,- 1144 Alum 4 A c�c�e 3/( ( 5�1 �� cortler s 4 Nu IC ord. Totals(Unit charges Sign(s) -Unit Charg Quantit multiplied by quantities) Type of Sign Valuation $ 2-M $47 00 x = $ All signs less than or equal to 25 sq ft. .$85 00 x ( = $ S500 Wall sign or marquees, over 25 sq ft. $11500 x _ _ $ Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ S!5 oo Credit Cards (Except American Express) are accepted Existing sign(s) area AJ A- sq. ft. +Proposed sign(s)area '35 sq. ft. =Total sign(s)area -39 sq..ft. 2� ;to TO = 15os�f4 Building fagade area (height °P ft. X width �7U ft.) _ 5� sq ft. (if�a building has more than one business in it, only measure the-area of the building fagade that is used by the business applying for this permit.) 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 Dated c9!r(�_ Print Name__ ��]fQ Signature T Forms/Building D, !sion/Sign Pert it 11prlication.doc y �----- •hi-....--�- .-,.x-^. ..;•.-.;--:•.- �; --.""" ,-•�<v�r--.:•^•:.?tom-;--•••..-„-^ - .. ,. ' rn tV '?• f A's f Asa'. JK 4 ��f '�' ? i'r ° r m :t�i�a ssfte° r2,q ir'ing the',correction 0,*Ors in.mid BpecificenonS and other d4k'OC froa'-pro'ven in Yp r`" . s t, .y operz;issi.8, Ing tarried".An'ttieieG � i1�(tflil.til • ' vie{" t: ,dei:a so ordin'artce�'oJ;Aii priiiticiibl., BY rs .r ps •,� ({ «p '�•� `Mme.: + � b� �t• .11 <.t Al w VS i rV CA pq wO�pORI BUILDING PERMIT APPLICATION Print In Ink �''''�•-"�- CITY OF PORT ANGELES c,�ve '� Attn Building Permit TechnicianOr e��y�1�5' For City Use Only, 321 E Fifth St. Port Angeles WA 98362 '� Date Received 3-Z.— b '�► Permit# 0-2-09 (360) 417-4815 fax (360)417-4711 D� �5� Date Approve Applicant 6�-Yt_ ,J 44-mr/OIQ 6 ��' cV`° P � nek 775 -17 _�,.Z Property Owner j p t NKA Phone 410 25- !% �7 Property Owner's Address _Z33 Sl-e.- ZOZ PFS iw A 9sZ Contractor A-LPAhg-9u1z_DFz Phone 7_75-6-76-7 Contractor's Address /os//A F. r—U-5f ST ,;,- License # Expires (o 6,110 E-mail PROJECT ADDRESS �,� G✓ l trsT 572F5 r' k q N E Parcel Number Lot Zoning Project Type & Brief.Description. :o Residential ❑.Multi-familyKCommercial a.Industrial Check all that apply ,�ab1e ❑ New Construction MOCU e_446+t5 c.e_. Jn/b " h60/ Roo,-„ ❑Addition butld aAe_ av' Cie �emodel C�.1..v C vi. � 1-G ❑ Repair 2Gec e-e ❑ Demolition �j� �( d01 X � ❑ Re-roof ❑ House ❑ garage o other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove o other ❑ Other Floor Areas Existinq(sq. ft.) Proposed(sq. ft.) t? Basement @ $ per sq ft. _ $ 1 s' Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq ft. T Lot size sq ft. = Lot coverage % Site Coverage = the amount o p rvious.surface on a parcel .includi structures paved driveways sidewalks patios and other impervious surfaces see PAMC 17 94 135 for exempti ns) Site coverage % Max height of proposed structu s ft. Oc an group bedrooms Will a lawn sprinkler system be in lied? Occup t load f full baths Willa fire sprinkler system be in lied? Con ru_tion type f half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit a,W understand that it rs my responsibility to determine what permits are required, and to obtain per nets working on projects. Date Print Name- �S Signatu — Forms/Buil ing Division/Building permit application J it it --4 C170�PC)hT-A6r:-E- Colpstrticb011,Plai4 C I ---- . F, -- 4 Itheselplar's speowl- gA' r ce of Phis permit base4 upol, -n at- -the-- min�Dfficiat—1 s f I -d otjje irA-h al reveni -i cad1 11 -+-- or" ;errors in gid ffp T, ih eaftej gqqii.ring-.:he correction of jer WA-LL- ecifi tionsl and I Ee--jdgtg,-j or-from pieventrag--- ot r pig ions L-jnglcarri on Itherelinder when,in Bra J) N ldin&p -tilis- of alli code's all ordinance Of d, t, i Vlationi , I All IC I ni-L- I I -T -A4- Pprovj xvrv� 1 A f K e-Lt, --r7-4 4 -A -T-7, f -6 ' WA Ext uf�!! -- ---- 6 W8 8A Flo r P -C . ............ ezQ T 'i C, It --ATJo r Gx-k-115-T/i N L- -�T w#t-L ,17 _J YN ROVFD BY �-N A Pl? f 1, ! :1,',', 1-IRE DEPT- ,2 [2 T \ 240 305 /�J//,l .,r I He J 23`6 229 / 229 ` _ Q 22j •a; � F �� .•tea � f FIRE-RELATED PERMIT APPLICATION CITY OF PORT ANGELES For City Use Only - Attn Building Permit Technician Date Receive A-2,C5 lo 321 E. Fifth St. Port Angeles WA 98362 Permit# IN T 199- (360) 417-4815 fax (360) 417-4711 M- 14 Applicant 6-,�v, Phone e3 Property Owngr ��w Phone 3W- 3b9- (3Z!8 0A Property Owner's Address 233 ;,� I S4- Contractor Phone Contractor's Address License # /4X&P rA Or-f," Expires S��o� E-mail m C 4-Ca c wi PROJECT ADDRESS Zvi W 6-<,r - Project Business Name -134c IhN to ��- N q N E). Fire Alarm System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply Briefly describe the project: ❑ One addressable loop _ ❑ One zone ❑ Additional zones List quantity of additional zones PROJECT VALUATION(labor& materials) $ .Fire Sprinkler System ❑ Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply Briefly describe the project: Installing backflow protection device(s)? ❑ yes ❑ no 52 inch water line (list quantity of devices) >2 inch water line (list quantity of devices) PROJECT VALUATION(labor& materials) $ Hood/ Duct Fire Suppression System ❑ Residential ❑ Multi-family ,1C ommercial ❑ Industrial Check all that apply Briefly describe the project: Will only toe fire suppression system be installed or altered? dyes ❑ no Willa hood and/or d twork be installed or altered? (Vrwi_�Tw: ❑ yes* no * If yes a mechanical permit will also be needed PROJECT VALUATION(labor& materials) $ Zn 2 e- /have 1have read and completed this application and know it to be true and correct. lam autho ed to aMpply for this permit and understand that it is my responsibility to determine what perm!`s ire required and to obtain permits pn�r workin n jects. Date Z 219: 1D Print Name�4 `,baK Signature T Forms,i3t ildmg/Fire related permit application i O I I IF —®— � TABLE e l�l 6-6 CLA55 I HOOD 40 Q V-4"X10" EXHAUST DUCT + 3Q PCL 460 FIRE SYSTEM ® REMOTE PULL STATION O O O OO Q AUTO GAS VALVE' © STANDARD LINK DETECTION OUTLETS FOR 21) NOZZLE FUTURE FRYER O j Q IH NOZZLE Q 2L NOZZLE �0 � EMT CONDUIT 11 % SCHEDULE 40 BLACK PIPE I © C. BURNER RANGE W/9" BACKSHELF CHAR BROILER © �3 < a- o Q s 0 I 2'-9-2L I _6 a= ° SUPRESSION SYSTEM—SECTION VIEW C -0I - co m � � ' �. o ® SCALE. NTS ar _ N m w Ta ` fl. RL r g rn = d m CONTRACT WE: a =.� C. In I t= :5 s 8 a BAR NINE N J �• c m v 229 W 1ST STREET N j r- W y = -�' c rt 3 p ® PORT ANGELES, WASHINGTON �-j L- r-, o =9 KNIGHT FIRE PROTECTION C �• o a 9702 LATHROP INDUSTRIAL DR_ SW P N = N R7 Q =0 9 OLYMPIA, WA 98512-9188 715&-'8606 [DESIN ER DATE JOBNUMBER AHGz zz To Io-olass I OF Oj iLE I Bar Nine PCL 460 - System Replacement PYRO-CHEM® pyro� KITCHEN KNIGHT®II KITCHEN / PCL-160/300/460/600 KNIGHT® II .. Chem NOZZLE COVERAGE SUMMARY SHEET Width Length or Min. Max. i Nozzle Flow in (cm) Area sq in Height Height Appliance Type Points Max.Side (cm2) in. (cm) in. '(cm) Plow (System ed fo futu stallati Points Deep Fat F ryer-Vat of le ms "fit 2H 2 191/2 19 in. 24 (61) 48 (122) Deep Fat Fryer(Low Proximity)-Vat x27, 2L (49.5) (48 cm) 13 (33) 24 (61 Deep Fat Fryer-Drip Pan (Vat 18 in.x 18 in.max.(45.7 cm x 45.7 cm)) 2H 2 273/4 500 24 (61) 48 (122) Deep Fat Fryer(Low Proximity)-Dnp Pan (Vat 18 in.x 18 in. max.(45.7 cm x 45.7 cm)) 2L (70.5) (3225.8) 13 (33) "4 (1(26 Deep Fat Fryer-Drip Pan(Vat 191/2 in.x 19 in.max.(49.5 cm x 48.3 cm)) 2H 2 253/8 495 24 (61) Deep Fat Fryer(Low Proximity)-Drip Pan(Vat 191/2 in.x 19 in.max.(49.5 cm x 48.3 cm)) 2L (64.5) (3193.5) 13 (33) 24 (61) Two Burner Range 1 H1 12 28 in. 40 (102) 50 (127) Two Burner Range(Low Proximity) 1 L (30.5) (71 cm) 13 (33) 24 (61) voila. Two Burner-Back Shelf(High Proximity) 6 Burner Range 2L 2 1 28 (71) 336 (2167.7) 24 (61) 35 (89) Four Burner Range 33 1/2" x 27 l 2-" 2L 2 28 (71) 28in.(71cm) 34 (86) 48 (122) Small Wok 1H 1 24 in.dia. 6 in.depth 24 (61) 48 (122) Small Wok(Low Proximity) 1L (61 cm) (15.2 cm) 13 (33) 24 (61) Large Wok 2H 2 30 in,dia. 8 in.depth 24 (61) 48 (122) Large Wok(Low Proximity) 2L (76.2 cm) (20.3 cm) 13 (33) 24 (61) Small Griddle 1H 1 36 1080 24 (61) 48 (122) i Small Griddle(Low Proximity) 1L (91 4) (6968) 10 (25) 24 (61) Large Griddle 2H 2 48 1440 24 (61) 48 (122) i Large Griddle(Low Proximity) 2L (122) (9290) 10 (25) 24 (61) 11 Flow Gas Radiant Char-Broiler 18 x 27 1/2 1 H 1 26 624 24 (61) 48 (122) j Feint Gas Radiant Char-Broiler(Low Proximity) 1L (66) (4025.8) 13 (33) 24 (61) j Large Gas Radiant Char-Broiler 2H 2 36 864 36 (91) 48 (122) Large Gas Radiant Char-Broiler(Low Proximity) 2L (91 4) (5574) 13 (33) 36 (91) Lava Rock Char-Broiler 2L 2 26 (66) 624 (4025.8) 15 (38) 35 (89) Natural Charcoal Char-Broiler(max.fuel depth 6 in.(15 cm)) 1H 1 24 480 24 (61) 35 (89) j Natural Charcoal Char-Broiler(Low Proximity) 1 L (61) (3096.8) 15 (38) 24 (61) 1 f Mesquite Char-Broiler(max.fuel depth 6 in.(15 cm)) 1 H1 24 480 24 (61) 35 (89) Mesquite Char-Broiler(Low Proximity) 1L (61) (3096.8) i5 (38) 24 (61) Upright/Salamander Broiler 1 L 1 36 in.width 28 in.dia. Front edge; (91.5 cm) (71 cm) above the grate Chain Broiler(Internal Chamber) 1L 1 27 in.width 38 in.dia. Front edge;13 in. (68.5 cm) (96.5 cm) (2.5-7.5 cm)above chain Tilt 5killet(Braising Pan Coverage limitations are based on fryer sizes including the drip boards. Exception:Tilt Skillets and Braising Pans may exceed maximum of 6 ft'(0.56 m2) I Nozzle Flow Width Length Nozzle Placement(See Plenum Type Paints ft (m) ft (m) manual for more detail) po�1a• Single BankN Bank 1 9 x 6 6 1H 1 4 (1.2) 10 (3) 0-6 in.(0-15.25 cm) from end of plenum Nozzle Flow Max.Side Perimeter Diameter Length Duct Type Points in. (cm) in. (cm) in. (cm) Z QOM Rectan :2s•t• gle/Circular 16 x 10 Perimeter = 52 2D 2 34 (36).: :100 (254) 317/8 (81) Unlimited ,RectanglelGrcular (2)2D 4 51. (129:5)' '.150. .(381);A71/2(121) Unlimited Rectangle/Circular 1L 1 16 3/4(42.5) 50 (127) 16 (41); 'Unlimited I PC2001189(6) Flow Point Total = 14 Bar Nine PCL 460 - System Replacement PYRO-CHEM© ® rom KITCHEN KNIGHT®11 KITCHEN II /1� ■ PIPE VOLUMES KNIGHT® I JL- 4 I �• Chem CONVERSION CHART I 1/4 in.=20.5 mi per ft 3/8 in =37.5 ml per If 1/2 in =59.8 m(per ft 3/4 in =105 m(per ft I Total 1st NozzleTotal Pipe Maximum Pipe Length From 1st Nozzle to Last Nozzle Maximum Pipe Length Cylinder Flow Pipe fo Lasi 1/4 in. -3/81n. 112 in. 3/4 in. 1/4 in. 318 in. 1/2 in. 3/4 in. Size Pts Vol Nozzle it (m) ft (m) ft (m) ft (m) ft (m) tt (m) ft (m) ft (m) PCL 160 5 1500 600 73.1 (22.3) 40.0 (12.2) 25.0 (7.6) - 29.2 (8.9) 16.0 (4.9) 10.0 (3) - PCL 300 10 1910 1125 93.2 (28.4) 50.9 (15.5) 31.9 (9.7) 18.2 (5.5) 54.9 (16.7) 30.0 (9.1) 18.8 (5.7) 10.7 (3.4) PCL 460 14 3400 3000 165:9 (50.6) 90.7 (27.6) 56.9 (17.3) 32.4 (9.9) 146.3 (44.6) 80.0 (24.4) 50.2 (15.3) 28.6 (8.7) I PCL 460 15 2600 2000 126.8 (38.7) 69.3 (21 1) 43.5 (13.3) 24.8 (7.6) 97.6 (29.7) 53.3 (16.3) 33.4 (10.2) 19.1 (5.8) Ma 1688/side 205.6 (62.7) 112.4 (34.25) 70.5 (21.5) 40.1 (12.2) 82.3 (25.1) 45.0 (13.7) 28.2 (8.6) 16.1 (4.9) I 1312.5/side 169.0 (51.5) 92.4 (28.1) 57.9 (17.6) 33.0 (10) 64.0 (19.5) 35.0 (10.7) 22.0 (6.7) 12.5 (3.8) Pipe Length Volume of Agent per Pipe Length/Size Minimum Pipe Volumes for a Fryer,Range,and Wok ) ft (m) 1/4 in. 3/8 in. -1/2i n. 3/4 in. Cylinder size Entire System At or before appliance t 1 0.30 20.5 37.5 59.8 105 PCL 160 239 ml 1 Flow Pt 180 ml 1 Flow Pt 2 0.61 41 75 119.6 210 PCL 300 300 ml 4 Flow Pts 239 ml 2 Flow Pts E 3 0.91 61.5 112.5 179.4 315 PCL 460 660 ml 10 Flow Pts 180 mi 2 Flow Pts { 4 1.22 82 150 239.2 42 51.52 102.5 187.5 299 5255 PCL 600 960 ml 14 Flow Pts 120 ml 2 Flow Pts 6 1.83 123 225 358.8 630 7 2.13 143.5 262.5 418.6 735 8' 2.44 164 300 478.4 840 9 2.74 184.5 337.5 538.2 945 10 3.05 205 375 598 1050 11 3.35 225.5 412.5 657.8 1155 12 3.66 246 450 717.6 1260 13 3.96 266.5 1 487.5 777.4 1365 14 4,27 287 525 837.2 1470 i. 15 4.57 307.5 562.5 897 1575 {{ 16 4.88 328 600 956.8 1680 115.18 348.5 637.5 1016.6 1785 J18 5.49 369 675 1076.4 1890 19 5.80 389.5 712.5 1136.2 1995 ► 20 (6.10) 410 750 1196 2100 t General Rules: 1 Measurements taken from fittings centerline(All SCH.40 Pipe). ► 2. Maximum difference in elevation from valve outlet to any nozzle is 10 ft(3.05 m) 3. Largest diameter pipe must be used first and decrease in size as installation moves away from the tank. 4 No traps in the piping. 5. Two elbows are allowed in place of a swivel.Elbows used as a swivel do not have to be subtracted from the total allowed. 6 Maximum of 25 elbows. 7 Maximum of 5 elbows between nozzle and preceding tee. 8. Maximum flows for 1/4 in.pipe=6 flows. 9 Maximum volume allowed for 1/4 in.pipe from tee to nozzle is 410 mi(20 ft or 6.10 m). Additional rules for PCL 600: 1 Split piping must be used with a maximum of 14 flows on a side. 2. No nozzles before the split. 3. Minimum 1/2 in.pipe must be used to the first split. I I I f ' I ' Data/ Kitchen Knight 11 Wet Chemical Specification Restaurant Kitchen Fire SheetSuppression TO DISCHARGE — PIPING TO REMOTE MANUAL i PULL STATION _ TO GAS VALVE SH i FUSIBLE SHUT-OFF LINKS 1 O C 00 D B t OPTIONAL MINIATURE SVNTCH 28.125 CONNECTION A oo2e+,ac i Flow Mounting Model Point Bracket 00082 No. A B C D Capacity Weight Used 13.125 10.625 ► PCL 160 7 00 19 62 25.37 17 31 5 33 lbs. MB-15 PCL 300 8.00 25 06 30.81 22.75 10 53 lbs. MB-15 (FRONT) TO GAS (SIDE) PCL-460 1000 25 06 3081 22.75 15 83 lbs. PCL .8141.5633 50 20 108 lbs. MB-15 SHUT-OFF 600 10.00 35MB•1 OPTIONAL CYLINDER ENCLOSURE ALL DIMENSIONS IN INCHES FEATURES SYSTEM OPERATION UL and ULC Approved The KITCHEN KNIGHT II Restaurant Kitchen Fire Suppression Complies with NFPA Standard 17A and 96 System has been designed for protecting kitchen hood,plenum, exhaust duct,grease filters, and cooking appliances(such as fryers, Meets the requirements of the Building Officials and Code griddles,rangetops, upright broilers, charbroilers and woks)from ► Administrators(BOCA) grease fires.The versatile state-of-the-art wet chemical distribution Approved by the City of New York Material and Equipment technique,combined with dual, independent activation capability— ► Acceptance Division(MEA) automatic fusible link or manual release—provides efficient,reliable protection the moment a fire is detected.Once initiated,the GENERAL pressurized wet chemical extinguishing agent cylinder discharges a potassium carbonate solution through a pre-engineered piping The KITCHEN KNIGHT®II Restaurant Kitchen Fire Suppression network and out the discharge nozzles.The wet chemical discharge System is a pre-engineered solution to appliance and ventilating pattern is maintained for a duration of time to ensure suppression hood and duct grease fires.The system is designed to maximize and inhibit reignition.Expanded capability provides remote manual hazard protection reliability,and installation efficiency.Automatic or actuation,gas equipment shutdown,and electrical system shutdown. manual system activation releases a throttle discharge of potassium This optional equipment will enhance the basic system functions and carbonate solution on the protected area in the form of fine droplets be applicable when designing custom configurations to suit a to suppress the fire and help prevent reignition after the discharge is particular customer's needs and/or comply with local codes. complete. The operating temperature range of the Pyro-Chem KITCHEN KNIGHT II System is 32°F to 120°F(0°C to 49°C). I Py■ ;O� TycoSa/eryProducts. One Srsnton PS eeF 'C � _-,_- ' Manrieiie,W/ 54143 PYRO-CHEM is a trademark of Tyco International Services AG or its Aliales, 1 8/1/2005 PC206192(2) SUGGESTED ARCHITECT'S SPECIFICATIONS an optional remote pull station with a dedicated stainless steel input The fire suppression system should be of the stored pressure,wet line to the control head. chemical pre-engineered fixed nozzle type manufactured by The system shall have been tested to the UL Standard for Fire Pyro-Chem.A carbon dioxide cartridge is designed in compliance Extinguishing Systems for Protection of Restaurant Cooking Area, with Military Specification 'MIL-C-601G' and shall be used as the UL300,and Listed by Underwriters Laboratories, Inc. It shall be pneumatic releasing device for the system.The cartridge shall be an installed in accordance with the National Fire Protection Association integral part of the control head assembly.The wet chemical storage Standard No 17A Wet Chemical Extinguisher Systems,and No.96 ► cylinder shall be a D 0 T-rated cylinder for stored pressure of Standard for the Installation of Equipment for the Removal of Smoke 225 psig,and a pressure gauge shall be provided on the cylinder and Grease Laden Vapors from Commercial Cooking Equipment, valve for visual inspection.The system shall be capable of automatic and comply with all local and/or state codes and standards.Refer to and manual actuation.Automatic actuation shall be provided by an Pyro-Chem KITCHEN KNIGHT II Restaurant Fire Suppression appropriate number of fusible link detectors mounted in series on a System Manual, Part No.551274 for detailed installation and stainless steel wire input line to the control head. Manual actuation maintenance instructions. i shall be provided by turning a handle on the primary head and/or by i TYPICAL INSTALLATION i f I _' 2 \ I. 3 � F 1 CYLINDER CONTROL HEAD—Integral design requires no 5. REMOTE MANUAL PULL STATION—Simple operating separate release pressure cylinder Separate wire cable activation instructions with double action release avoids careless system lines for automatic fusible links and optional remote pull station discharge.Maximum limitations of 150 ft.cable run with 1/16 in. t provide an added measure of safety An easily accessible manual cable and 40 corner pulleys apply.A dedicated wire cable input € release mechanism provides an option for the automatic fusible line to the cylinder control head provides a true back up in the It link and,depending on local codes can be used in place of a event the fusible links are fouled. remote manual pull station. Unique foolproof technique for 6. FUSIBLE LINK DETECTION EQUIPMENT—Accommodates both achieving necessary input wire cable tension. series and terminal placement to minimize inventory and simplify 2. PIPING—Unbalanced piping network simplifies application design ordering.All necessary components are included for efficient and installation.Requires no separate piping to connect system assembly and installation.Fusible links rated for maximum pressure cylinders to extinguishing agent container Schedule 40 ambient temperature must be ordered separately.Maximum black iron,chrome-plated,or stainless steel pipe can be used. limitations of 20 fusible links on a 150 ft.cable run with 40 corner ► 3. CYLINDERS—Contain Pyro-Chem Potassium Carbonate wet pulleys provide substantial hazard coverage. chemical solution stored at 225 psig. Includes pressure gauge for 7 AUTOMATIC GAS SHUT-OFF VALVE—Complies with ► visual maintenance checks. 1 6,3.0,4.6 and 6.0-gallon sizes requirements pertaining to the shut off of fuel as described by provide 5, 10, 15 and 20 flow point coverage respectively offering NEPA 17A.,Can,be reset at control head after regular a broad range of application coverage. mainienarice/service chech:forcon.venience to service technician. 4 NOZZLES—Can be fix@d or fitted with aswivel adaptor allowing Maximum limitations of 100:.ft:cable runt with.30 corner pulleys the nozzle to be rotatediapproximately 30"in all directions. provide mounting flexibility. 8. CORNER PULLEYS AND ACCESSORIES-Designed::to;6hsuie I reliable system function as tested by Underwriterslaboratories. r I Data/ Pyro-Chemo SpecificationWet Chemical .. Sheet Extingui shingAgent j FEATURES PERFORMANCE Fast flame knock-down and securement of grease-related fires When used in the KITCHEN KNIGHT 11 Restaurant Fire Suppression i Provides a cooling effect which further enhances its ability to System or KITCHEN ONE K-Class Fire Extinguishers,Pyro-Chem prevent reflash Wet Chemical is extremely effective on fires in restaurant ventilating I equipment(hoods and ductwork) as well as in a variety of cooking Designed for a wide variety of restaurant hazards appliances(deep-fat fryers griddles,range tops,and several types of I Listed by Underwriters Laboratories, Inc. (UL)as part of the broilers and char-broilers).Suitable operating temperature is 32°F to KITCHEN KNIGHT®II Restaurant Fire Suppression System and 120°F(0°C to 49°C). KITCHEN ONE"' K-Class Fire Extinguishers As the agent is sprayed in fine droplets(atomized)onto an appliance Ease of recharge and post-fire cleanup grease fire,it provides excellent Flame knock-down,surface-cooling, and fire-securing capabilities.When the agent reacts with the hot APPLICATION grease, it forms a layer of foam on the surface of the fat.This soap- like blanket of foam acts as an insulator between the hot grease and Pyro-Cheme Wet Chemical is designed for use only in Pyro-Chem the atmosphere,helping to prevent flammable vapors from escaping Restaurant Fire Suppression Systems and K-Class Fire and reducing the chance for flame reignition.Post-fire cleanup can be Extinguishers.This liquid agent will combat grease-related fires as readily accomplished by flushing the area with water or steam. found in restaurant appliances and ventilating equipment. It should not be used for fires involving energized electrical hazards. APPROVALS AND LISTINGS Pyro-Chem Wet Chemical has been tested and is listed as part of the t DESCRIPTION KITCHEN KNIGHT II Restaurant Fire Suppression System with: Pyro-Chem Wet Chemical is a specially formulated,aqueous solution Underwriters Laboratories, Inc.(EX 3830) of an inorganic salt.The agent is pre-mixed eliminating the need for dilution before system charging.When used as an extinguishing Underwriters Laboratories of Canada(CEX-812) agent,it will produce no toxic by-products. Material and Equipment Acceptance Division(MFA)for New York City(91-99E Vol. II) AGENT PROPERTIES The agent is also listed as part of KITCHEN ONE K-Class Fire d( Appearance Clear colorless liquid Extinguishers with: Storage Life 12 years Underwriters Laboratories, Inc.(EX 5157) Refractive Index 1.39-1 41 Underwriters Laboratories of Canada(CEX 1363) Freezing Point —40°F(-40°C) Specific Gravity 1.32-1.52 ORDERING INFORMATION Kinematic Viscosity 3.2 cs @ 25°C 1 � pH 12.5—13.5 �Part No.553176 1.6 gallons(6.1 liters) Part No.551188 3.0 gallons(11 4 liters) WARNING: Care should be taken when handling the agent.If Recharge services are available from Pyro-Chem Authorized contact is made with the eyes or skin,flush with water for 15 minutes. distributors. If the agent is swallowed,dilute with water or milk and contact a physician. t' I Y r yr®�. Tyco Safety Products One Stanton Street Che ' Marinette, WI 54143 PYRO-CHEM is a trademark of Tyco International Services AG or its affiliates. } 8A12005 PC2004036(1) y�F�° "N CITY OF PORT ANGELES �1 DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION c� 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00001209 Date 9/22/08 Application pin number 081931 Property Address 229 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1455 0000 Tenant nbr name JERRY WHITE Application type description RE ROOF Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 1685 Application desc TEAR OFF & RE ROOF Owner Contractor JERRY D WHITE/DEBORAH HOMENKO EMERALD ROOFING INC 233 W 1ST ST STE #202 P O BOX 879 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461 1393 (360) 452 4681 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pin number 135046 Permit Fee 86 60 Plan Check Fee 00 Issue Date 9/22/08 Valuation 1685 Expiration Date 3/21/09 Qty Unit Charge Per Extension BASE FEE 50 00 12 00 3 0500 HND BL-501 2K (3 05 PER C) 36 60 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 86 60 86 60 00 00 Plan Check Total Od 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 91 10 91 10 00 00 S2a � td 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 constructio r the performa f construction 01) 0 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner f owner is builder) T Forms/Building DivisioniBuilding Permit(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD C> O4 CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS r PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE, INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL nn ii WALLS l V CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR N INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET I CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT t!'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W �r ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT 1 1 PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING ��o BUILDING PERMIT APPLICATION Print in ink ;I�'*�•' CITY OF PORT ANGELES Attn. Building Permit Technician For City Use Only Date Received q -22-08 321 E. Fifth St. Port Angeles, WA 98362 (360)417-4815 fax(360)417-4711 Permit# — i2©q Date Approved Applicant or Agent � 2'�LPhone Property Owner Phone 3C,o- y(,� -- 13 4 Property Owner's Address w + -k Z a t_ Contractor/Engineer aL-0 ,JG- Phone Contractor/Engineer's Address License# Expires E-mail PROJECT ADDRESS W, f:; Parcel Number Lot Zoning Proiect Type&Brief Description. ❑ResidentialCommercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New.Construction U F F O ❑Addition ❑ Remodel ❑ Repair ,kRe-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑other ❑ Other Floor Areas Existing(sq.ft.) Proposed(sq. ft.) Basement @$ per sq. ft. _$ 1" Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other I c TOTAL VALUATION $ b �J Total footprint of structures sq. ft. _ Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to he true and correct. /am authorized to apply for this ermit and understand that it is my responsibility to determine what permits are required, and to obtain per or to working on projecttsrr.�� pp�� J_ 1 1 Dateo��MU®rint Name EQ-QQ b W Y1�' "igna re Proposal I Post Office Box 879 Date Port Angeles, WA 983)62, L4)/1 t,/2lIlD;3 1'69 PH 360-452-4681 — FX 360 452-4429 ww-v%- erneralldroo-fing.20m corn Job Name/Location 123 Itt.)t)i LOWER I,-1ST Sf,,kTI0N ROUGH' Y:93'BY 5 TO JEARNI, %ki TI 23 WFS 1'.RS' A t JOB PHONE .61- 93 Description 1U_]R0f)I- LOWER -.%.S'j�SI A*, Si-,CTION Tf.., 1? OfT %LIS 'INE f- iciS '11 N( c_2_+_Li_' fAS 01HOT 1'+1k > N.) FR., OEC KIN(* FOR RFRI X.4-010"A %NTN( f-ASTFN­ERS OR i'{}i 1-1 i i'XI, I S1,H- T 111, W'()01)St MPI OBY()�, R IN S1 VHNERIA! ;iURI,.%(..7_,1 R_ SF `'41LF '()f,00i ARLA INS-A-A TORC HDOWN T>A,!)- HNj)j_:p ): ()) 4ST X,j,FID iN DWCI!'300 L)ILA.N INS 1,1. NF ab F")\ Iu I . 41 ,v" Sili "'C YS AIA 10" 'ORCHDOWNTC) LJ bAS17• I- I- TW(3 R1 If TAIA C.t jR2 AiS.1 WIT-4-OR(, 1R.).(.)1WN2 11PL MNI. U%, 10X'_ 4-%.'w 1-it, 1 C,1jLjj, Vv Y \, ). 31, 'S f.), uf: X 14 18216 5, NOT Pi'MM. k; I.A)C -02 ?f 11 F N N1 D 4 M.A. S F J( k RK )VI I B. 1A, ;I- ()IZ,j _,�, P 'r' 117 J,40.4,4A EMA 'MA iFP V' t riff AS WAi RAN' W4 i%AIA i IA Yl- I. �Vkit,\N 'vvF plWilt,,Sf- 11creby to furnish materi.11 and labor Complete in -it'll tjje,.jb(.)VC Please ci-ioc)se all item where required.sign&-clurn to nheabove ttddrt�s� it!1• 11 rly LAY• :til tiff A. 0 1- U111 ovize-d-Signatu- d vir h W, C MF �tA 0 ,� f NC1- I1R(A10SA1 :ificuliom r3d EXT C 2 L.4;1 signa, -e -e iluthol, e- to do lite vvoy will fn,.dc 's oil! 'CL. 4-t-), CI oioeaaa ur, 1—i cj"Sozl 8091 -'as 0 a0 r t� CERT x C��TE�®',F i® UPANCY City of Port Angel`BulIa. ID li ion This cernfiewe is issuepur us an[ to the requirements of Section 110 of the 20International Building Cock cervifj,ing that at the tunref risum e�th i strirctwc was in complrarac< with the serious ordinances of the Ciry_ regulating building c strucuon on.ii-6eVorhvfollo a ng- IAw ' Business natne. The� re's Club (iOwner Stephanie,AnthM; 1ar �T Business address 229 U1%. 15' St � x'� ��; Properly owner. ��' Jerry D. White l ®eborah�Horiienko�� Property os+ner's ddress: 233 W.1 st St Ste #20 3Port Angeles; W 98362 Automatic fire spr r ter system: Per-tBtt kj Use d occu�anc c sst zcation: Business Building permit nuina�r: Q811:58 Type of construction: Pe IBC _ Occupow load: Per IBC : .' 07-23-08 iebRd �"@M ger Date .::W Post on the premises in a conspicuous place. This cerfTe•shall not be removed except by the Building Official. e N 27 fi PREPARED 5/27/08, 13:21:33 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/27/OS _____________________________________________________ ADDRESS : 229 W IST ST SUEDIV: CONTRACTOR : PHONE OWNER JERRY 0 WHITE/DEBORAH HOMENKO PHONE PARCEL 06-30-00-0-0-1455-0000- APPL NUMBER: 08-00000158 CO- CHANGE OF OCCP/USE -------_________------___________________________________ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS J ------------------------------------------------------------------------------------------------ 0099 01 5/27 08 JLLr, BLDG C/O FINAL : 3 0 TIME: 00 OVERRIDE TAKEN BY E:LPANGRLE DATE: 05/27/08 TIME: 08:36:58 May 27, 2008 8:35:38 AM 1pangrle. C OF O FINAL - STEPHANIE 925-360-9061 3:00 PM ______________________________________ COMMENTS AND NOTES ______________________________________ a„r CERTIFICATE OF OCCUPANCY APPLICATION Permit# ® CITY OF PORT ANGELES FEES Attn: Building Permit Technician ® 0.00 Certificate / Inspection 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360)417-4711 $11000.00 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME —1-h e �Yl BUSINESS ADDRESS Zoning Business maili1-79Cf Sr, Phone# Opening date Da s & hours of operation Brief description of ro osed bu in ss f Business owner's name r2 iLle 20 Phone# Gj Business owner's home addr ss 10 01 /2Z PLEASE NOTE: A Business License is also required for the following businesses:Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel- Motel, Fireworks,Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information. ACTION ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES, CONTACT Electrical changes Electrical Dept. at 417-4735 New business New or relocated signs Per Xxim No S,*N o rr Building Division at 417-4815 Construction than esermil- Transfer of business Mechanical changes(heating,coolin ,stoves location from a Plumbingchanges PBIA location Firesprinkler system changes Fire alarms stem changes Is this a home occupation? Planning Division at 417-4750 Transfer of business Second-hand dealer or awn broker? Cit Clerk at 417-4634 location from a New or relocated sewer or water service Public Works at 417-4807 non-PBIA location Excavation or filling of lots Work done in the City right-of-way Change of ownership New driveway openings Remodel Grading site drainage(parking lots,downspouts,etc.) ” Landscape i«i anon system(backflow devices) Water De t. at 417-4886 Off-street parking Temporary business Existing streets paved Change of use Existing sidewalks Curb and gutter Call for Certificate of Occupancy inspections before opening business: Please sign up for utility Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 services at the cashier counter. Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied its correct to the best ofmy knowledge. Date J Print Name `�Wr rG{,Vl 1 *t9 10 Signature I a For City use only: Department Approved Rejected mmenls/Conditions 'A Initials.&date Initials&date Building 7�T Type of construction Occupant Load f Fire / Kb I Automatic fire sprinkler system required no yes PBIA K 2'j5 Lo� Planning 5 'z 5 City Clerk B Z Public Works T Z -7 T'.Foranslauilding DivisionlCenificale of Occupancy Application CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT ® 321 East 5"' Street, Port Angeles, WA 98362 Application Number . . . 08-00000343 Date 3/14/08 Application pin number . . 112132 O Property Address 229 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1455-0000- (� Tenant nor, name . . . . JERRY WHITE / D HOMENKO Application type description FIRE ABANDON TANK INSPECTION Subdivision Name . . . . Property Use Property Zoning . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . S00 " ____________________________________________________________________________ Application desc DECOMMISSION A COMMERCIAL UNDERGROUND TANK ____________________________________________________________________________ . Owner Contractor ________________________ JERRY D WHITE/DEBORAH HOMENKO OWNER 233 W. FIRST ST_ SUITE 202 -- - - - - - - - -- PORT ANGELES WA 98362 ---------------------------------------------------------_________________,; ,I Permit . . . . . . UNDERGROUND TANK COMM Additional. desc DECOMMISSION UNDERGROUND TANK ' Permit pin number 123059 - - Permit Fee -00 Plan Check Fee "' .00 Issue Dare 3/14/08 Valuation . . . . 500 Expiration Date 9/10/08 -- --• --- — --- -- - -- -- - - _ ____________________________________________________ Fee summary Charged Paid CreditedDue .. ________________ ____ ____ _ __ _ Permit Fee Total 00 .00.; 00 .00 .Plan Check Total :00- ' .00 X00- .00 Grand Total .00 .00 .00 .00 Q�- This permit becomes null and void if work authorized is not commenced within 180 days,.if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances goveming this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit . Signature of Contractor or Authorized-Agent_c. Date Signature of.Owner(if Owner is builder). Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed Comments F1RE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FERE ALARM Rough-in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above around piping inspection/pressure test Piping pressure test psi Time initiated Tank (container) inspection Test 42 Appliance inspection Piping pressure test psi LY-gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final 3—�Z pSl<Ap LP) PEf IIT OTHER (specify) permit final GENERAL COMMENTS: 2/15/00 (3/12/2008) Linda Pangrle=underground tank permits _ Page 1 From: Ken Dubuc To: Linda Pangrle Date: 3/12/2008 1:15 PM Subject: underground tank permits Good afternoon Linda- During underground work for the water main replacement downtown, two more commercial underground tanks were discovered. Both tanks have been properly decommissioned, but we need to do permits for them. The work was done by the City of Port Angeles. The engineer is Eric Walrath. The addresses are: 207 and 229 west First. Essentially, we need to issue and final the permits. You can sign off on them for me if it is easier for you. You can use today's date. Once,they are completed, if I could get a copy of each permit, I would appreciate it. Thanks Linda! Ken CERTIFICATmE"O'F-°OCCUPANCY City of Port-Angeles Buildir g-T ivision This CertificatQvissiied pursuant to the requirements of Section 109 of the Uniformruildmg Codexcerttfying.that at the time of issuance this sttucture was in compliance with'the various ordinances of the City regulating 'Building construction or use. For the following: Use Classification: Restaurant Building Permit No.: Business Name: Crazy Fish ♦ Group: B EE "Type of Construction: VW .. � - �Use Zone:- ` CBD pp�� ownerof snsiness: Crazy Fish P.artnersl Address:229 West First Street,P`ortA eeles, WA.98362 Building Address: 229 We tiFirst'street. ' "' Port Ari2eles.:WA'998362 u7 } Januarl4th. 2004 Ij tl� POS $ prePmI est in coon pictaous place. Shall not be rempuedce §,y,�,Building Official. CrG z t Dt_-c 2"} ope L-k ROUTING SLIP rd Certificate of Occupancy A� 1 $47.00 Certificate/Inspection Fee O DATE �/�1_711 U 3 New Business ( x ). Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( ) 2 Z 9 /r/. /sem Sf -e t ��, L✓A. q874,2 Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant l!7'a 7 �3h y�ti'r ask PP 7 r'� New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address 2 `j ff- y�w> Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) S7 -/ fyy �v7 2 Z Phone: business y home �' `7 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . ....... . . . . . . ...... PERMITS BUSINESS LICENSE Electrical changes.. . . . . . ..... . . . . . . . . . ...... . . . 1) Building 1) Taxi Mechanical (heating, cooling, stoves). . ....... . . . . . x 2) Plumbing 2) Peddlers Plumbing changes . ..... . . . ..... . ...... . . . . . . . . X 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . .. .... . . . . . .... . . . . . . . .. 4) Mechanical 4) Pawn Broker New septic tanks . . . . ..... . . . . . ...... . . . . . ... ... X 5) Sewer 5) Dance New sewer service . . . .... . . . .. ..... . . . ......... X 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons..... . . . . . . ...... ... 31� 7) Driveway installation 7) Fireworks Is this a home occupation? . . .... . . . ...... . . . . . . . 8) Curb installation 8) Ambulance Excavation of filling of lots . . . ... . .. ..... . . . . . . . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way... . . ...... . . . . . . . . . x 10) Water meter installation 10) Other Is there sufficient off-street parking? ... . . . . . . . . . . .. _� 11) Fire New driveway openings . . . .... . .... . . . . .. ....... X 12) Occupancy A grading plan for site drainage. . .... . . . . .. ....... X 13) Sign (parking lots, downspouts, etc.) .... . . . ........... 14) Shoreline Are the existing streets paved? .. . . . . . .......I .. . . x 15) Home occupation Are there existing sidewalks?. . . . . . ....... . ... . . . . T 16) Conditional use Is there curb and gutter? . . . . . .......... . . . . . . . . . 17) Other Other. ....... . . . . . . . . . . . . . . ..... . . . . . . . . . . . . . I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. SignedT SU"tV�'2 iAaccClCSvtq� REJECTED Comments / Conditions Building Section Public Works Department 12-3-e73-5P Planning Department Fire Department City Clerk 1 Se P.B.I.Ale-'o r. CERTIFICATE OF OCCUPANCY Cify°of Port Angeles r� Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with lhe'various ordinances.of the City regulating Building construction onuse. For the fol(owmg Use Classification: Restaurant Building Permit No.: ,-,—Busdiess Name J6iter Delicatessen ♦ croup: A-3 Type of Construction: Use Zone: ,CBD • Owner of Business/Residence: S Glasser Address:-229'West-l`Street,,Port-Angeles, WA 98362 r r � r Budding Address: 229 West.l''_Street '.=.—..Port.Angeles,WA-98362 Oqu `AuP.ust 6, 2002 BurldrnU—mmml � � Date Post on the�premises In a conspicuous place. Shall not be remove except,by Building Official. ROUTING SLIP v°°s Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE ���;/' ✓ 9 New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) a� Address of Proposed Business TCbq-te Transfer of Business Location . . . . . . . . . . . . . . . . ( ) ,12 9 /✓rJT /f SrIzer '" LANr4 if r Change of ownership Applicant 74(P/Yf/ klrCutl5S4nifEg(ir�k�j' S/'wWO New Building Address aD I- f AlOzr.g- Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business SrL338 home qSa- Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: .YeZIL447e1SPl✓ ffr0 84 Hary �7`tr0/l7 7� Legal Description: Lot 13 Block � � Subdivision TPA Current Use of Property: Ak z P4fPSfo� Zoning Classification of Property: C_- "[�D WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . ............... . ... ...... PERMITS BUSINESS LICENSE Electrical changes.. .... .... .......... .. . . ...... 1) Building 1) Taxi Mechanical (heating, cooling, stoves).. . . . . ........ ���// 2) Plumbing 2) Peddlers Plumbing changes . . . ............ . . . . .......... 3) Electrical 3) 2nd Hand Dealer New or relocated signs............ . . . ........... / 4) Mechanical 4) Pawn Broker New septic tanks.. . . ............ . . ............. 5) Sewer 5) Dance New sewer service . . . . 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons. . . . ........ . . . . . . 7) Driveway installation 7) Fireworks Is this a home occupation? . . . .......... . . . . . . . . . 8) Curb installation 8) Ambulance Excavation of filling of lots .. . . ............ ... . . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . .......... . . . . . . . . 10) Water meter installation 10) Other Is there sufficient off-street parking? ... .. . . . . . . . . . . 11) Fire New driveway openings .. . ......... . . ........... 12) Occupancy A grading plan for site drainage...... . . ........... 13) Sign (parking lots, downspouts, etc.) ...... . . . . . . ...... 14) Shoreline Are the existing streets paved? ..... . . . . .......... 15) Home occupation Are there existing sidewalks?....... . ............. 16) Conditional use Is there curb and gutter? .......... .............. 17) Other Other. . . . .......... . . ......... . ............... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: PP REJECTED Comments / Conditions Building Section Public Works Department Planning Department KDA Fire Department 5-29 - B2 BJ City Clerk P.B.I.A. a�� ROUTING SLIP yard Certificate of Occupancy $47.00 Certificate)Inspection Fee DATE 1'2 7 New Business . . . ✓) Address of Proposed Business } l l ��� (� np �npry p �r/y� ! Nrte Transfer of Busines o t .V. . LS . u. .u. . �. ) y /v7,f7 / }r>//mfr t /101t 4WPI'y Change of Owners . . . . . . . . . . . . . . . . . ) Applicant -711:"'Td1 �//,r.7?Soly > Fiarfrc,r rnii( New Building ) Address �L l fll�Fsi� . . . M. 3 0 2QQ2 Remodel . . . . . . . . II ) Temporary Busines . . .l ( ) Phone: business 5G} 13 7 home Ll 2 7?)C) Change of Use . . . . . .COVMI I.TYDEVFNOPME t• ( ) Brief description of proposed business: �l'("f7,X'/ Legal Description: Lot 17 Block ! U Subdivision 7 per Current Use of Property: Zoning Classification of Property: r WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . ..... . . . . . . ........ .. PERMITS - BUSINESS LICENSE Electrical changes. . . . . . . ...... . . . . . ...... . . . . . . 1) Building 1) Taxi Mechanical (heating, cooling, stoves)...... .. . . . . . . . � 2) Plumbing 2) Peddlers Plumbing changes % 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . ..... . . . . . . ....... ✓ 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . .. ... .. . . . . . . ..... . . . . . V/ 5) Sewer 5) Dance New sewer service . . . . . 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons. . . . ....... . . . . . . . . . % 7) Driveway installation 7) Fireworks Is this a home occupation? . . . . ..... . . . . . . .. 8) Curb installation 8) Ambulance Excavation of filling of lots . . . .. ... . . . . . . . . ....... �% 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way.... . . . . . . . ..... . . . . '� 10) Water meter installation 10) Other Is there sufficient off-street parking? . ......... . . . . . 11) Fire New driveway openings .... . . . . ........ . . . . . . . .. ✓/ 12) Occupancy A grading plan for site drainage. ...... . . . . . . . . .... '% 13) Sign (parking lots, downspouts, etc.) 14) Shoreline Are the existing streets paved? . . . . . . . ...... ... . . . '��, 15) Home occupation Are there existing sidewalks?. . . . .. ........ . . . . . . . ✓ 16) Conditional use Is there curb and gutter? t/ 17) Other Other...... . . . . ... . . ....... . . . . . . . . . . . . . ...... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: APPROVED REJECTED Comments / Conditions Building Section CLr�o� t o awn o v �L o Public Works Department L r 7% Planning Department (. )i Il 0 0 Fire Department City Clerk P.B.I.A. r4ra �`P�wFF CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION c' 321 EAST 5TN STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000722 Date 8/12/04 Pin number . . . . .700680 Property Address . . . . . 229 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1455-0000- Application description . . RE-ROOF Sub ace Subdivision Name Property Use . . . . . . . . Property Zoning . . . . CENTRAL BUSINESS DISTRICT Application valuation 2000 Owner Contractor ------------------------ ------------------------ JERRY D WHITE/DEBORAH HOMENKO OWNER 1406 ELWHA RIVER RD PORT ANGELES WA 983639538 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - NO PR FEE Additional desc . . TEAR OFF, BASE, TORCH DOWN Permit Fee . . . . 92.75 Plan Check Fee .00 Issue Date . . . . 8/12/04 Valuation . . . . 2000 Expiration Date . . 2/09/05 Qty Unit Charge Per Extension BASE FEE 47.00 15.00 3 0500 HND BL-501-2K (3.05 PER C) 45.75 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 92.75 92.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 97.25 97.25 .00 .00 e-- M� V� Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(If owner is builder) Date T\PLANNING\FORMS\1102 15[11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date- Time Received by (phone, person) Location of Work to be inspected Z Zc� W �t Name of person requesting inspection A L- ® Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO y _ R�> 9 W, �" I � X33 k-0 PCIO" SURFACE RESTORATION: SURFACE TYPE: ❑ Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 FAST 5TH STREET, PORT ANGELES,WA 98362 V-P ELECTRICAL PERMIT ISSUED: 5/15/2001 PERMIT NO 7246 OWNER/APPLICANT PROPERTY LOCATION JERRY WHITE 229 1ST ST W 229 W. 1ST STREET Lot: 13 Port Angeles, WA 98362 Block: 14 ® Long Legal 206/457-9885 Subdivision: TOWNSITE T: S: TOP Parcel No: 06300000145500 CONTRACTOR ARCHITECT BOB'S ELECTRIC INC. N/A 2293 DEER PARK PORT ANGELES, WA 98362-0000 98360-0000 360/457-6887 360/000-0000 PROJECTINFO Project Type: COML. MISC. Project Value: $0.00 Occupancy Type: Construction Type: SERVICE INSTALL Occupancy Group: Zoning Use: CBD Electrical Heat: ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 J Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ❑ 3 Fan Wall 0 KW Service Size: 0 Feeder Size: 0 PROJECT NOTES INSTAL NEW SERVICE FOR TOP FLOOR OF BUILDING WIRE OFFICES V l FEES ASSESSMENT Service: $89.75 Additional Feeders: $0.00 Circuit Wiring: $0.00 — Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $89.75 AMOUNT PAID: $89.75 BALANCE DUE $0.00 S/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COFBFg INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . INSPECTION TWE DATE ACCOMMENTS YES CEPTED NO DITCH SERVICE 0 -214 1 GENERAL COMMENTS: Pw-fim.�sl�l ROUTING SLIP C rtificate of Occupancy 7. Certificate/Inspection Fee F — 001- New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mite, Address of Proposed Business ,n�j� � Htte Transfer of Business Location . . . . . . . . . . • • • • • . ( ) 11 wefr /f' s Trwer LA4h4 h!('_Wrllf Chane of Ownership Applicant 141P11{/ teuciw*ry fn#V' New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address aD - C-' AQnW Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business SLy 13x8 home '4Y,2- 7F)iD Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: �'CLrL1iYPi✓ Aro CftL7�«�r SY`zr0/(7 Legal Description: Lot 3 Block y Subdivision T Current Use of Property: �L'PkfPS�nJ Zoning Classification of Property: n WILL THERE SE ANY OF THE FOLLOWING? YES IN THE FOLLOWING WILL BE REQUIRED: Construction changes.. .. ..... .. ................ v PERMITS BUSINESS LICENSE Electrical changes........ .... .... .. .... ........ �`/`'' 1) Building 1) Taxi Mechanical (heating, cooling,stoves).... .......... ---L 2) Plumbing 2) Peddlers Plumbing changes ..... .. .... ....... ... . .... ... ✓ 3) Electrical 3) 2nd Hand Dealer New or relocated signs.. ..... . .......... .... .... 4) Mechanical 4) Pawn Broker New septic tanks.... ... .. .... ... .... ... .... . ... 4Z/ 5) Sewer 5) Dance New sewer service ....... .. .. ... .... ... .. ...... 6) Sidewalk installation 6) Hotel-Motel Admission charged to patrons.. ... .... ... ........ 7) Driveway installation 7) Fireworks Is this a home occupation? ....... .... ......... .. 8) Curb installation 8) Ambulance Excavation of filling of lots ..... . ...... ........ ... 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. .. . . .... ... ..... ... 10) Water meter installation 10) Other , Is there sufficient off-street parking? .... .... .... ... 11) Fire New driveway openings ...... ... ..... .... ..... .. 12) Occupancy A grading plan for site drainage.. . . .... ... . ..... . . 13) Sign (parking lots, downspouts, etc.) .. . ..... ......... . 14) Shoreline Are the existing streets paved? ... . . . ... . ....... .. 15) Home occupation Are there existing sidewalks?.. ... .. .. . . .. ........ 16) Conditional use Is there curb and gutter? .. ... ... .. .. .... ........ 17) Other Other.. ........... .... ........ .. . . .... ........ I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department A � City Clerk P.B.I.A. a:c� CERTIFICATE OF OCCUPANCY City of Fort Angeles Building Division This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classification: Restaurant Building Permit No.: _ Business flame: hWjter.:Delicatessen Group: A-3 'type of Construction: Vltl use Zaire CBD Owner of Business/Residence: Stgga Glasser Address: 229 West 1st Street, PS Iq Angeles, WA 98362 Building Address: 229 West 1tt Street fort Angeles, 'WA 98362 ust 6 2002 Bundy nate Post on th WyBuiluling ous place. Shall not be rerno Official. Cr-G Z �;s� Dec 2iid octe t ll b� ROUTING SLIP Om 4Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE /_Z/-7,0 3 New Business ( 7G ) Address of Proposed Business Transfer of Business Location . . . . . . . . ... . . . . . . ( ) ' 2 Z 9 /r/. /S7 Stet �/�, ��i}. 483 Change of Ownership Applicant Z4' —,tz7 New Building ( ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address 2 2 �� w. !� (y. Pa f A se�� Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( ) s Phone: business 4S 7 'f`fYy 'V4'17 ZZ home � `j Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . ... ..... . . . . . . PERMITS BUSINESS LICENSE Electrical changes. . . . .. . . . ........ . . . . . . . .. . .. . 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ... . . . . . .. . .. . X 2) Plumbing 2) Peddlers Plumbing changes . . . .. . . . . . . .. .. .. . .. . . . .. . . . . 3) Electrical 3) 2nd Hand Dealer New or relocated signs .. . . . . . . .... ..... . . . ... . .. 4) Mechanical 4) Pawn Broker New septic tanks .. . . .. . . . . .. . .. . . .. .... . . . .. . . . k 5) Sewer 5) Dance New sewer service . . ..... .. . . . . . .. . . .. . . . . . . . . . X 6) Sidewalk installation 6) Hotel-Motel fv Admission charged to patrons .. ... . . . . . . . .. . . .. . . 7) Driveway installation 7) Fireworks Is this a home occupation? .. . ... . . ... . .. .. .. . . X 8) Curb installation 8) Ambulance Excavation of filling of lots . .. . ... .. ... . . . . ... . . .. K 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. ... . . .. . . ... .... . . . x 10) Water meter installation 10) Other Is there sufficient off-street parking? . .. . . .. . . .. . . . . 11) Fire New driveway openings .. . .. . .. . . . . .. .... . . . . .. . X 12) Occupancy A grading plan for site drainage.. . . . . . . .. . . . . . . .. . X 13) Sign (parking lots, downspouts, etc.) .. . . . . . . . . . . .. . .. . 14) Shoreline Are the existing streets paved? . .. . .. . . . . . . ... . . . . x 15) Home occupation Are there existing sidewalks?. ...... ... . .. . .. . . . . . k 16) Conditional use Is there curb and gutter? . . .. .... . ........ . . ... . . 17) Other Other. .. . . . .. . .. . . .. . .. . .. . . .. . . . . ..... . . . .. . . I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed-' S�Ir.w.Ef {Aacjavtq,t APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department i City Clerk CERTIFICATE `OF�,OCCUPANCY City of Port Angeles .� Building Division This Ce tlication issued pursuant to the requirements of Section,109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following: Use Classification: RestBUrant Building PermitNo.: Business Name: Crazy Fish ' ♦ Group: B +y Type of Construction: V-1�l Use Zone: CBD 7t Owner of Business: Crazy Fish Partnership Address: 229 West First Street, Port Angeles,WA.98362 Building Address: 229 Wes .First Street, Port Angeles,WA. 98362 �Jdnuaa 4th, 2004 $ I oft"tct$1 Date Pos he premises mia conspicuous place. Shall not be removed except Rey-Building Official. y Op pORT,wO CITY OF PORT ANGELES T —) DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION �( 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . 04-00000336 Date 5/14/04 Pin number . . . . . . .998960 Property Address . . . . . . 229 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1455-0000- Tenant nbr, name CRAZY FISH-BAJA & BEYOND Application description . . . SIGNS Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 500 Owner Contractor ------------------------ ------------------------ JERRY D WHITE/DEBORAH HOMENKO OWNER 1406 ELWHA RIVER RD PORT ANGELES WA 983639538 ------------------------------------------------------ Permit . . . . . . SIGN Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee 00 Issue Date 5/14/04 Valuation Expiration Date 11/10/04 500 Qty Unit Charge Per Extension 1.00 30.0000 PER S- SIGN LES THAN 25 SF 30.00 Fee summary Charged Paid Credited Due - ---------------- ----- 1� ----- -------- Permit Fee Total 30.00 30.00 00 .00 . Plan Check Total .00 .00 00 .00 Grand Total 30.00 30.00 .00 .00 �A 1 N iU) fl ,t Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Si ature of ner(if owner is builder) Date T:\PLANNING\FORMS\1102.15[11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. INSULATE OR CONCEAL ANY WORK BEFORE PLEASE PROVIDE A MINIMUM NPECTED AND ACCEPTED. OST PERMIT INA COVER,IS UNLAWFUL TO INSULATE LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:4 ROUGH-IN IBACK R/SLAB (METER TO BLDG) /WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCT PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM SEPA: PLANNING DEPT. SEPARATE PERMIT#'s ESA: PARKING/LIGHTING SHORELINE: LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED RESIDENTIAL YES NO 417-4735 ELECTRICAL ELECTRICAL-LIGHT DEPT. LIGHT DEPT CONSTRUCTION-R.W. CONSTRUCTION R.W./PW/ 417-4807 PW/ENGINEERING ENGINEERING FIRE DEPT. FIRE 417-4653 PLANNING DEPT. PLANNING DEPT. 417-4750 BUILDING BUILDING 417-4815 T:\PLANNING\FORMS\1102.15[11/14/2003] PREPARED 6/21/04, 12:51:27 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/21/04 ------------------------------------------------------------------------------------------------ ADDRESS . : 229 W 1ST ST SUBDIV: TENANT, NBR: CRAZY FISH-BAJA & BEYOND CONTRACTOR : PHONE OWNER JERRY D WHITE/DEBORAH HOMENKO PHONE PARCEL 06-30-00-0-0-1455-0000- APPL NUMBER: 04-00000336 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------------_ BL99 01 6/ 1/ f JL BUILDING FINAL ji� NI MOLLY - 457-1944 ----------------------- - COMMENTS AND NOTES -------------------------------------- Yp� ORF 1l.f FOR OFFICIAL USE ONLY: ..y ,`fs BUILDING PERMIT - APPLICATION DateRec.: J"zV" l'+-�-- L_ Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions,call Date Issued: PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: rn'LL4 Phone: � -7 y Lj Owner: M b ( U S V kvt wl(= �JPX`—1 Phone: Address: / St - City: POr-r L"_ Zip: 2 Architect/Engineer: /\1 Phone: Contractor AVLAW � U rJ� State License#: Exp: Phone: Address: City: Zip: — PROJECT ADDRESS: �/l� I f'/�Si S�_ 2�_79 ZONING: C LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: �S Credit Card Holder Name: Billing Address: 229 1 City: , 2— Credit CardType VISA MC # Exp.Date: TYPE OF WORK: SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF.=$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ /SF.=$ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF. =$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: OL tt� b� G>N�l.4_s COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN'� BLDG. DPWU: FIRE: ESA/Wetland(s): ❑ Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpermit.wpd Applicant /� Date: �� 4� e ,4 �� 1 Mounting Flora Mcrmoi6i Cafe' Brick Wall 5u pport Wire am* etal Bracket 9/16 Lag Om. Lead Shield i 9/16 Lag mo Lead Shield 9/16 Lag Lead Shield 1 I f 1 pzpvvo�d��db le`'Qea,d .�bLG rid� L. i i i. r g20 CITY OF PORT ANGELES. © `? FEE RECEIPT NUMBER DEPARTMENT OF-LIGHT -^� A PERMIT UMBER APPLICATION AND ELECTRICAL PERMIT 07W TOTALov FEE /✓ -- _ — "� - l/ CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY • 29 ELLE/�TRICAL PERMIT NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address "� - /•-�/ C/ RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG g ' Y` £ n �/L/h c lOwner Installation By E-L L 1 . Owner's Address I nstallers Address - Day Phone Installers Phone— - Application is hereby made for Permit to install Electrical Equipment as follows: iii r- tr � fi IN ht�fN1ok� Pest . Wiring Method NUMBER AMP 120V 240V NUMBER -AMP 120V 240V USE OF CIRCUIT PER 1 0 OR FEE USE OF CIRCUIT - PER , -1 00R FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS — - - OR LESS CONVENIENCE - - - MOTOR' - CONVENIENCE - — - - MOTOR - — APPLIANCE _ .. ___. .. _ _ ." .MOTOR. . . . . DISHWASHER FIRE ALARMS DISPOSAL BURGLARALARM RANGE MISC. OVEN WATER HEATER LAUNDRY DRYER " REINSTALLATION LIGHT FIXTURE k FURNACE SUBTOTAL FEE GAS-OIL - FURNACE ENERGYFEE ELECTRIC BASIC FEE ELECTRIC HEAT TOTAL FEE ' ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C.UNIT - AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE A.W.G SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code, Date Application made ,19 By -' CONTRACTOR OR OWNER(09 AUTHORIZED AGENT) - -1 Per is hereby given to do the above described work,according to the con itions hereon and according to a approved plans and, specifications pertaining thereto, subject to compliance with the Ordinances f}th City of P rt Angeles D CTOR TY I HT. ,. _ Date Permit Issued �/ - - By -- _ _ PLANS APPROVED N ify Dep rtment of City Light by Street Address and Permit Number when ready for inspection.Work must not be covered-or current turned on before inspection and O.K.for covering or service has been given by Inspector in Writing on Permit Placard.A. Permits Phone: 4570411 Ext. 158. WARNING PERMIT PLACARD MUST 8E KEPT POSTED ON THE WORK — SEE OVER — WHITE-Original CANARY-Duplicate PINK Triplicate WHITE CARD Inspector's Report REPORT OF INSPECTOR 1 DATEOFVISIT MADE BV REMARKS Z a S H Z_ W f 3 0 z 0 0 3 ft O.K.FOR COVERING PJL3GLGYlfFfG6-� O.K. e�vonr4, ~ /•`� FOR OFFICIAL USE ONLY: ELECTRICAL.PERMIT APPLICATION Date R= Femtit tt: — , / Date Appmved woo The Electrical Permit Application must be filled out completely. Date Please type or print In ink If you have any questions,please call(360)417-4735 Fax number:(360)417-4711 Applicant and/or Agent:.,604',S J1-'CAiC.S� Phone: S1S7^Get07 Fax# ySZ Property Owner: Phone: Address: City: Zi P Contractor License#: Exp: Phone: Address: //�� City: Zip: Credit Card Holder Name:—C"OL nnGdA q Billing Address._e7a9 .�7�t /�ytP ,� �� City Zip:9Q'36Z Credit Card Number VISA L MC_ �r Permit Fee: �y — PROJECT ADDRESS: ZONING LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ❑ Residential ❑ Multi-family ❑ Commercial ❑Mobile Home Electrical Permit fees are based on WAC296-46-910 BRIEF DESCRIPTION OF THE PROJECT: -4eal G i= F al Electrical Heat Load Additions Service Information ❑ Baseboard KW ❑)user Voltage: /1 D LVL ❑ Furnace _KW Overhead Service Phase: � 3 ❑3 ❑ Fant Pump KW (3 Temp Service Service ize: 7 ❑Underground Service Feeder Size: Comments: 1 hereby certify that I have read and examined this application and know the same to be true and correct, andlam authorized to apply for this permit I understand it it not the City's legal responsibility to determine what permits are required; U remains the applicant's responsibility to determine what permits are required and to obtain such. rw.t ro: Z bevvaol 04t Crd Idoldar's Detc OF PONT�M14, ♦A fr _rNR 061_1C I AI CS I109.1' ELECTRICAL PERMIT APPLICATION 1,Dole/NcOk" C d Num Appm,d'. _ b® P The Electrical Permit Application must be filled out completely. sxs•+A ;76 a zi Please type or reprint in Ink. If you have any questions,please call(360.417-4735 P,�(- D Fax number:(360)4174711 Owner or Elec.Contractor Agent:�`-�'06��/ L�-ur�Go � Phone;i5 -- 057-✓Sf2Fax: 360 Property Owner: -C H EZ /, A I )'� Phone: Address: 01 'f`� (d1 / -_. City: ;1A r'/ fl Os cL�'s Zip: A& � r PrjS 02.za'Ii Electrical Ccnnt�rraactor:A&i f �[n/ ,4PtC .Zl✓L Lit0 a#: Exp: Phone:4:7_GR � Address: (9905 .(__I.LA /0A.F/C City: /q�qY /,e< W Zip: �j F3(•Z_ INSTALLATION WIRED BY: ❑OWNER ELECTRICAL CONTRACTOR Credit Card Holder Name: _ Lw4 Q Billing Address: ,Q3_ E �ht°� City: Ae7- /4/U c o 6e S Zip: Credit Card Number: VISA: x MC:_ PROJECT ADDRESS:—A.2.g_ ._., Jf TYPE OF WORK: Check all that apply: ❑ New ❑Alteration/Addition ❑ Residental ❑ Multi-family X Commercial ❑ Mobile Home Sq. Ft. ❑ Remote Meter ❑ Detached garage ❑ Hot Tub 71 Swim Pool ❑ Septic Pump P Low Voltage ❑Telecom. i-1 Sign Number of Circuits added or altered: // p DESCRIPTION OF THE ELECTRICAL PROJECT: r� Gri.�ect"c( me r 11 be 'Z 6'D � 'i�Db �,.Qr!t✓i�e Electrical Heat Load Additions Service Information ❑Baseboard _KVJ Voltage: .`/fl ❑Furnace _KW X Overhead Service Phase: X1 ❑ 3 ❑Heat Pump _KW ❑Temp Service Service Size: f?e ❑Fan-Wall —KV/ ❑Underground Service Feeder Size: PANIC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one- line drawing of the Electrical Service R Feeders, building size(sq.ft.), load calculations, and the type 8 of conductors and/or raceway is required and shall accompany the Electrical Permit application. /hereby certify that l have read and examined this application and know that same to be true and correct, and/am authorized to apply for this permit. l understand it is not the City's legal responsibility to determine what permits are required;it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: C/iiy�¢P Date: PW-9019 Owner or Elec. Cont. Signature: - yZoz eetel !� Date: /J A.re.t� 2007-1209958 PPoetl of Pnge?es City Of C1.1I.. Count, Washington 10/01/2007 0247:52 PM mill hal'�WIN RETURN ADDRESS : City of Port Angeles P.O. Box 1150 Port Angeles, WA 98362 DOCUMENT TITLE: Temporary Construction Easement Grantor: Jerry D. White Grantee : City of Port Angeles STREET ADDRESS : 229 West First Street ASSESSOR' S PROPERTY TAX PARCEL: 0630000014550000 a City of Port Angeles Public Works Engineering Division PO Box 1150 Port Angeles,WA 98362-0217 TEMPORARY CONNSSTRUCTIONI EASEMENT The Grantor(s),_ IZl2 —� �–J t for and in consideration of mutual benefits, grant(s) to the City of Port Angeles, a municipal corporation (hereinafter referred to as the "City"),a temporary construction easement over and along the full width and length of the premises situated in Clallam County,Washington, and described as follows: Tax Parcel Number 0630000014550000 229 West First Street, City of Port Angeles, WA The temporary construction easement hereby granted shall include the right,privilege and authority,to said City and its contractor(s), of ingress and egress to and over said described premises during the construction of water main, sidewalk, fire sprinkler piping, and related facilities as part of the Downtown Water Main Project,Phase III. The City or its contractor shall, upon completion of said facilities, restore the premises of the Grantor(s),which are disturbed by the City or its contractor,to as good condition as they were in prior to any. such construction of facilities. The City and its contractor shall indemnify the Grantor(s)against,and hold the Grantor(s)harmless from, all claims, damages, and lawsuits related to the construction of said facilities. In consideration of the City's construction of fire sprinkler piping for the benefit of the Grantor(s), which the City is undertaking in the interest of public safety and to take advantage of the cost effective opportunity made available by the Downtown Water Main Project, the Grantor(s)hereby agree that the City shall have no legal responsibility or liability for the fire sprinkler piping constructed pursuant to this easement. Grantor(s)further agree to indemnify the City against,and hold the City harmless from,all claims,damages, and lawsuits related to the operation of the fire sprinkler piping following completion of construction. This tempo construction asemen shall expire one year from the date of signature of the Grantor s L � .�� Grantor Date Grantor Date 16 SePT STATE OF WASHINGTON) ) ss. County of Clallam ) On this date, before me the undersigned Notary Public in and for the State of�r '„ � personally appearedc _�- A�,� tome known to be the individual(s)who execu d the foregoing Temporary Con traction Easement and acknowledged to me that they signed the same for the us" ch�ontents therein mentioned. Rlis day of 07. a 4iaq�gi �iP � , O ? : Z = NOTARY PUBLIC in an the S to of �p :�• li O _ Washington, residing at .� PUB���'f p J My commission expires: ( 9 TS\ ♦fUG�."C`1a1V WATERMAM PHASE 3\09 RIGHT OF WAY\EASEMENTS\229 WEST OFIIII AS?````px MAR-20-2014 07:42 F'RCM:8013S ELECTRIC 3604529943 TO:4174711 P.1/1 F _ �`.poar.AA, CITY OF PORT,ANGELES PERMIT APPLICATION Building Division/Electrical Inspections � 321 East Fifth Street;-w P.O. Box 11.501 Port Angeles Washington,98362�, r Ph: (360)417-4735 Fax: (360)41.7-47.11 Date: &2a Multi•Fatnlly or Commercial* -��- *Plan Review May 0ired, Please Ca to Electrical Plan Review inforrnation Sheet Job Address: Building ware Footage: Doscrlpllon of 8bova Omar Informatio qA�t Contra r Infgrrrlati Name;. Name: Mallin Address, ftaill dress; City; Seale: Zlp: City, State, p: Phone' Fax Phono: Fax: License#I Exp. Llca se#!Exp. -� 9M Unij Charge gty Total QbLMulti lied§yVqi1 Charge) 5ervicelFooder 200 Amp. $132.00 -- $ ServicelFeeder201400AMP, $160.00 � Servico0eeder 40"00 Amp $225,00 $�- ServicerFeeder 601-1000 Amp. $288.00 S� 5erviaFeoderover 1000 Amp. $410,00 $ Branch Cirouit Wl Service Feeder $ 5.00 $ Branch Clrcult W10 Service Feeder $ 74.00 _ $ `.. Each Additional Branch Cimuil Branch Circulls 14- $ 0 I Temp,Service/Feeder 200 Amp. S' 02 q�lT Temp.Service/Feeder 201400 Amp. $121.00 Temp,Servk:elFeeder 401.604 Amp. $164,00 $ Temp.ServicefFeeder 601-1000 Amp, $185.00 - $ Portal to Portal Hourly S 96.00 $—-- Sign)Outline Lighting $ $9.00 $ T Signal Circuit/Limited Energy-Multi-Famlly $ 84.00 $ Signal Circuit/UmW Energy!First 1500 sf Commercial $ 96.00 Note: $5,00 For each additional 1500 Sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermoslat $ 56.00 $ Note:$5.00 for each additional T-Stat wn Omer as defined by RCWA9.28.261:(1)Owner will occupy the structure for two years after this electrical permll is T ;zed,(2)Owner is requires t0 hire an electrical contractor if above said property is for sale,rent or lease, Permit expires after six months of last inspection, After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC,Chapter 296468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor orelectrical administrator: CI Cash El Check 'K-crbalt card r ozzAetl: / olrolaali ELECTRICAL PERMIT e d� CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 14-00004352 Date 3/21/14 Application pin number . . . 058208 Property Address . . . . . . 229 W IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1455-0000,- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name Property Use to the City of Port Angeles Property Zoning . , . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) AppliCation valuation , . . , 0 ---------------------------------------------------------------------------- Application desc Cooler and expired permit ----------------------------------------------------------------------------- owner Contractor ------------------------ ------------------------ JERRY ___-_____.__- -----____JERRY D WHITE/DEBORAH HOMENKO BOB'S ELECTRIC INC 233 W. IST ST., STE .$ 202 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 � ry (360) 460-7547 (360) 457-688.7 ,V --------------------------------------------------------- � - ------ Permit . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee B6.00 Plan check Fee 00 Issue Date 3/21/14 Valuation . . . . 0 Expiration !late 9/17/14 Ly/ Qty Unit Charge Per Extension BASE PER 86.00 -------__ g--_^^?^ Charged `"` __- -_____ Fee summaryPaid`` `CreditedDue ` -ff �. Permit Fee Total 86.00 0 86.00 00 00 Plan Check Total DO 00 .00 .00 Grand Total 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL _4 COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECnON Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING. RECEIVED J CITY OF PORI'ANGELES PERMIT APPLICATION Building Division/Electrical InspectionsUL 201 321 East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362 r Ph: (360) 417-4735 Fax: (360) 4174711 ELECRICAL 'low— Date: ulti-Family or Commercial* N$PECTIONS *Plan Revie M B req ired Pleas Comrlete Ele tric I P n Re 'e information Sheet r Job Address: l�e p t 17 Building Square Footage: Desa�i lion of a ave ` Owner I formationContrac r I for a ion Name;s �'�!y_ �+�� Name: Mallin ddres o�� -� � Maiiln ddress: City, r nState: li✓ Zip; City:/ state:�Zip: Phone; 9 Fax. Phone: Fax: t License#1 Exp, license !Exp, C�QY �60`'�7jj/ W A Item Unit Cham fty Total N ult1 lied bv Unit Charg e ServicelFeedor 200 Amp. $132.00 $ Service/Feeder 201-400 Amp $160.00 $ Service/Feeder 401-600 Amp $225,00 $ Service/Feeder 601-1000 Amp $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 86.00 $ Temp.Service/Feeder 200 Amp. $102,00 $ Temp.Service/Feeder 201-400 Amp, $121.00 $ Temp Service/Feeder 401-600 Amp, $164.00 $ Temp,Service/Feeder 601.1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ Sign/Outline Lighting $ 88,00 $ Signal Circuit/Limited Energy—Multi-Family $ 64.00 $ Signal Circuit/Limited Energy!First 1500 sf—Commercial $ 96,010 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56,00 $ Nate:$5,00 for each additional T-Stat $ Total Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.i am making the electrical installation or alteration in compliance with the electrical laws, N.E,C,, RCW. Chapter 19.28,WAC, Chapter 296.468,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check 'e I Credit Card ft O n Y ' f X Dated: F r 01/0112012 ELECTRICAL PERMIT t CITY OF PORT ANGELES 360-417-4735 Application Number 14-00000803 Date 7/08/1.4 Application pin number 380260 Property Address . , , , , . 229 W IST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1455-0000- REPORT sAi.Es TAX Application type descripti..on ELECTRICAL ONLY Subdivision Name on your excise tax form i Property Use to the City ofPort Angeles Property Zoning . . . . . . . CENTRAL EUSINESS DISTRICT (Location Code OJr02J Application valuation .. . . , p - _------------_-_--------------_-------------- Application desc Ductleds heat pump ---------------------------------------------------------------------------- Owner Contractor ---------------- -------- ~-'^ JERRY D WHITE/DEBORAH HOMENKO BOB'S ELECTRIC INC 233 W, IST ST. , STE 4202 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460-7547 (360) 457-6887 - -------------- - ----- - - - ------w_-_ -------- - --- - "` Permit ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS 4 Permit uee 66.00 Plan Check Fee .00 Issue Date 7/08/7.4 Valuation , . , , 0 Expiration Date 1/04/15 Qty Unit Charge Per EXtenGion BASE FEE 86.00 -------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86,00 86.00 ---u ---___- 00 .00 Plan Checlr Total ,00 .00 ,00 .00 Grand Total 86,00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN s^ ,, FINAL COMMENTS: tt PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING y�,�r's]hr,ltrr t RECEIVED ob CITY OF PORT ANGELES PERMIT APPLICATIONt Biailcling Division/Electrical Inspections ��1� 1 32t East Fifth Street—P.O.Box 1150/Port Angeles Washington,98362ELECTRICAL Ph: (360) 4171-4 35 Fax: (360) 417-4711 II Dai:4-? L "( Multi-Family or Commercial* * Plan Revi May jUequired Pleasy mpletjElectric Pin eviewkformatior y�,�eet Job Address: le t of. n P/�S YJ�i Building Square Footage: Descr ption of above OFA r r.,te1,A,:L Owney InformationContrac r nfor t'on Name; Tt ' �►t 4e Name: d C X'r%C Mail!n Address, S 4 Mail! A dress: City: State; Zip: o City d� State:Wj9 Zip: Phone; 132.1 Fax: Phone: Fax License#1 xp. License#/Exp, Item UnitCharge (t Total Qt Multf lied b Unit Char e Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160,00 $ Service/Feeder 401-600 Amp $225,00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W1 Service Feeder $ 5,00 $ Branch Circuit W10 Service Feeder $ 74.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 - $ 86.00 $ +� Temp,Service/Feeder 200 Amp. $102.00 $ Temp. Service/Feeder 201-400 Amp $121.00 $ Temp,Service/Feeder 401-600 Amp, $164,00 $ Temp.Service/Feeder 601-1000 Amp. $185.00 $ Portal to Portal Hourly $ 96.00 $ SignlOutline Lighting $ 88.00 $ Signal Circuit/Limited Energy—MultkFamdy $ 64.00 $ Signal Circuit/Limited Energy l First 1500 sf—Commercial $ 96,00 $ Note: $5.00 for each additional 1500 sf Renewable Electrical Energy-5KVA System or Less $113.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additional T-Stat $V.0 b Total Owner as defined by IR0W.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease.Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.I am making the electrical installation or alteration in compliance with the electrical laws, N,E,C.,ROW. Chapter 19,28,WAC,Chapter 296-46B,The City of Port Ange€es Municipal Code,and Utility Specifications and PAMC 14,05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: ❑ Cash ❑ Check Credit Card# On C 1-e x Dated: 0110112012 ELECTRICAL PERMIT 4 CITY OF PORT ANGELES + 360-417-4735 C� Application Number 14-00000880 Date 7/28/14 Application pin number 875360 Property Address . . . . , . 229 W IST ST ASSESSCR PARCEL NUMBER: 06-30-00-0-0-1455-0000- REPORT SALES TAX Application type,description ELECTRICAL ONLY on your excise fax form Subdivision Name Property Use , to the City of Pori Angeles Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation , . 0 ---------------------------------------------------------------------------- Application desc Extend circuits ---------------------------------------------------------------------------- Owner Contractor ------------------------ JERRY D WHI.TE/DEBORAH HOMENKO BOB'S ELECTRIC INC 233 W, IST ST_ STE #202 2293 DEER PARK RD. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360} 460-7547 (360) 457-6887 ----------------------------------- ---------------------------------------- permit . . . , , , ' ELECTRICAL ALTER COMMERCIAL Additional dusc 1-4 CIRCUITS Permit Fee 86.00 Plan Check Fee .00 Issue Date 7/26/14 Valuation 0 Expiration Date 1/24/13 Qty Unit Charge Per Extension BASE FEE 86.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total 00 ,00 .00 .00 Grand Total. 86.00 86.00 .00 .00 INSPECTION TYPE DATE: RESULTS, INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILIIING