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902 E Front St - Building
CERTIFICATE OF OCC,,,,,y, PANCY City o€ Port Angeles Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at"the times of is i this structure was in compliance with the various ordinances of the City regulatingjbiilding construction or usefor the following Business name: `JACK :IN THE BOX t V 0 Business address ;.1 902 EFRONT" STREET l e Property owner: AJP ENTERPRISES, LLC Property owner' saddress 5005 PACIFIC Y HW E #12, ;FIFE; W A 98 Automatic fire sp nkler=system: NOT REQUIRED Use &occupancy cl ass if ic ation: R ESTAURANT t1 Building permit number 12 341 Occu pant load: Per 2009 IBC;Ta bie100 °4 1 1 fi Y Type of construction. b 1. ry Y q� 3 -29 -12 ue R oberds, lann rn Date f Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. RECEIVED MAR2 1 CITY of o .4., LE RTIFICATE OF OCCUPANCY APPLICATION Permit 1 Z 3 BUIL0,al ti r of 'moo" 2 CITY OF PORT ANGELES FEES .g $50 Certificate Inspection Attn: Permit Technician NINPV 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning BUSINESS NAME e G .y_. C Business address "Do'1 Mailing address c.SCe G44.titA Phone number .I Opening date Days hours of oR eration Business owner's name S7EifE 2Y Contact phone ehlJ- 1747 Business owner's address TH I :47 4 l a Brief description of business 41 avcr.. ATP-VS 'AST/tyg4 Property owner's namel.2. f Q C.* hone Property owner's address /contact G 0 �a� T u 4-Lt C c r- s t-e, A7 x 2ro I, Fa)( 2 cv,l 8`x.03 BUILDING DEPARTMENT phone 417.4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes NoX Construction changes planned (moving wells, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering sta�r�ays, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc). Work planned: /N P FIRE DEPARTMENT phone 417 -4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes N Work planned: PBIA (Parking Business improvement Area Downtown) phone 417 -4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 City Clerk approval by on Second -hand dealer /pawnbroker business? Yes No' Will there be dancing at this business? Yes Nok A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY 8 ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on Number of off street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc SignA planned: PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812 PWE approval by on Is site work planned (new or re- located sewer or water service, excavation, grading or filling, work in City right -of -way, new driveway openings, site drainage, parking Tots, downspouts, irrigation system backflow devices, etc.), Yes 0 Noo Work planned; /UM PUBLIC WORKS WASTEWATER phone 417 -4845 PWW approval tfy on Will waste, other than domestic household waste, be discharged into the sewer system? Yes 3 Not If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge, Incorrect information may result in revocation of permit. D a t 4 a 0 1 4 9 Print Name 41t t f}ZII/ Signature_ TAFormel8uilaing Oivieionlcatlf case of Occupancy Application 120l0).eoc Page 2 of 2 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000424 Application pin number 830800 Property Address 902 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 7 2 0220 0000 Tenant nbr name JACK IN THE BOX Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 2000 Owner Contractor LAWRENCE J /GEr7ELLE A DOYLE TTE PHOENIX SIGN CO LLC DOYLE FAMILY TRUST 112 CLEMONS RD PORT ANGELES WA 98362 MONTESANO (360) 532 1111 Permit SIGN Additional desc Permit pin number 76513 Permit Fee 85 00 Plan Check Fee 00 Issue Date Valuation 2000 Expiration Date 11/12/06 Qty Unit Charge Per 1 00 85 0000 PER S SIGN WALL 25 SF+ Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 85 00 85 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 89 50 89 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constr aetiQn T \Policies \1102 15 building permi[ inspection record05.wpd [1/4/2005] Signature of Contractor or Authorized Agent Date Date 5/16/06 WA 98563 Extension 85 00 Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY 1 FINAL DATE ACCEPTED BY. COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I ESA. LANDSCAPING 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING 1 Address Credit Card Holder Name Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE No of Stories. Lot Size Total lot coverage SetQy AkV\ Per-H4 BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: P Owner I r\ 7 e Architect/Engineer Contractor P L o e n( rC S, r Address. t 1 Z- C 1 c. vv. i1.n 5 Z PROJECT ADDRESS co Z E r G„-k Sfi c LEGAL DESCRIPTION Lot: C3 COMMERCIAL/RESIDENTIAL. Occupancy Group. PLANNINNG USE ONLY P,r7,.-\ .P\AJl ti4 P u�Ce -mil City 5Q Phone: P B o E A/ S L5 6 State License Exp �Z 7 6 4, Phone. 3 60 /S /1( city- 111 c° s G b vV Zip 'I 5 L3 Block. Z CLALLAM COUNTY PARCEL NUMBER. d c 0 C) 2_ 0 2 2 0 Re -roof Stove Move Garage Demolition Deck Other PROJECT 6 1 Existing Sq. Ft. 12) ESA /Wetland(s) Yes la o SEPA Checklist required? Yes o Other Phone: a, GG -S3R 1l Phone c C1 Zip TZ)R J" ZONING Subdivision l�ll i SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION n 1 c Pc, ira )c t FOR OFFIC Date Rec. Permit 06 Date Approve. I Date Issued: L S �ONLY v� a Occupant Load. Construction Type: Proposed Sq. Ft. TOTAL Sq Ft. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Applicant: 0-21 Lk V Date: 5J /-6 1� APPROLS. PLAN: BLDG DPWU FIRE OTHER. 2' -6' J SHADOWCAST WALL ELEMENT SCALE. 3/4 1 -0' J 21/2' 21/2' 71/2' PANEL A SHADOWCAST PANEL TYPES (TYP) SCALE: 1/2' 1-0' 0 1/4 ROUTED ALUMINUM PANEL PAINTED JIB RED WITH GLOSS FINISH 0 STAINLESS STEEL HINGE LOCATED TOP BOTTOM AND CENTER OF PANEL UC 3/16' STAINLESS STEEL VERTICAL SUPPORT EDGE OF PANEL, JIB RED WITH GLOSS FINISH 0 THRU -BOLTS UE STAINLESS STEEL ATTACHMENT ANGLES TOP AND BOTTOM OF BANNER ATTACHMENT LOCATIONS TOP AND BOTTOM PANEL 13 PANEL C a .0 c§ E Jriih o u rezgp l Q B s O .26 g V 6 gv'gr.ge ELEVATION VIEW i BANNER/ GRAPHIC ATTACHMENTS SUPPORT WIRE INTERSECTION f L 44 ROUTED ALUMINUM BRACKETS BOLTED AT INTERSECTION OF SUPPORT WIRES THRU -BOLT ATTACHMENTS SUPPORT WIRE 3 /4 1 3/4 3/4 END VIEW 10' 7 1/4 0.C. 7' -0' GRAPHIC DISPLAY 3/4 3/4 1 i 2' 0 SHADOWCAST PANEL GRAPHIC DISPLAY ALIGNMENT SCALE: 1/2" 1 -0' SIDE A ELEVATION VIEW SUBSTRATE THRU -BOLT ATTACHMENTS SUPPORT L WIRE 2' 1/4 (PANEL r THICKNESS) SIDE B ELEVATION VIEW BANNER/ GRAPHIC ATTACHMENTS SUPPORT WIRE 0 0 0 END VIEW 10' -71/4 0.C. 1/4 ALUMINUM ADJUSTABLE STAINLESS SHADOWCAST THRU -BOLT STEEL TURNBUCKLE PANEL ANCHORS ASSEMBLY SUPPORT WIRE CONNECTION BANNER/ GRAPHIC SUPPORT WIRE CONNECTION SHADOWCAST PANEL n 1" 1. SUPPORT WIRE CONNECTION r— o N o I cnp SIGNS GRAPHICS 4530 Mission Gorge Pla San Diego CA 91120 Telephone (619) 283 -1191 Fax: (619) 283 -9103 NOTE. ALL HOLES 9/32" "Cr N N W N 3- N N N SHADOWCAST PANEL 'A' SCALE: 1 1/2" 1' -0" ©2006 CNP The anginal concepts a5d(of muslraUOns contained in this document/design are the exclusive properly of California Neon Products (CNP). Disclosure or reproduction of the design. In any manner or medium Without authorized and wrjtlen consent of CNP is expressly forbidden 3/4 41/4 PROJECT IOCSTIOR ACCT. REP RPPROVRL 30 PANEL JACK IN THE BOX REIMAGE 2006 VARIOUS BOB McCARTER J 2 1/2" t 21/2" OESIWRR ANDY WRIGHT GATE DWG 06 -055 00000 REVISIONS v N N I PROJECT e 00000 I OATE 3 -1 -06 I SHEET 3 of 7 1 SCALE NOTED irk Cfl SIGNS GRAPHICS 4530 .Vistion Gorge Fro So Diego CA 92120 Telephone (619) 183 -2191 F (619) 183 -9503 NOTE. ALL HOLES 9/32" N N N M W M N N N SHADOWCAST PANEL `B' SCALE. 11/2" =1-0" ©2006 CNP the original concepts and/or mustratlons contained in this document/design are the exclusive property of Catifomia Neon Products (CNP). Disclosure or reproduction of this design. In any manner or medium without authorized and written consent of CNP is expressly forbidden. 3/4" 41/4 30" PANEL 121/2" PROJECT tOa1Tt0N ACCT. REP APPROVAL JACK IN THE BOX REIMAGE 2006 VARIOUS BOB McCARTER lots ANDY WRIGHT I GATE 1 '16'06-055 1 166 6 00000 REVISIONS N v N I PROJECT 00000 I ATE 3 -1 -06 I 4 ot 7 1 ""`E NOTED SIGNS GRAPHICS 45303lcssiow Gorge Pia Saw Diego CA 92120 Tr **phone (619) 283 -2191 F (619) 283 -9503 NOTE. ALL HOLES 3 I 4 41/4" 9/32" `Cr N m N N Cx) 01 M N N N SHADOWCAST PANEL 'C' SCALE. 1 1/2" 1 -0" ©2006 CNP The original concepts and/or Must contained h1 this document/design are Me exclusive properly of Cdifomia Neon Products (CNP). Disclosure or reproduction 01 fhb design In any manner or medium without authorized and written consent of CNP is expressly forbidden 30 PANEL 12 1/2" 1O@TION Ct RE? APPROVAL JACK IN THE BOX REIMAGE 2006 VARIOUS BOB McCARTER R R ANDY WRIGHT OATS tnr 06 -055 JO' 00000 REVI81011 N N V N N I PROJECT r 00000 I DATE 3 -1 -06 I CRfff 5of7 x°ll NOTED 1/4 ALUMINUM PANEL PANEL TO WALL CONNECTION SCALE. 3" 1 -0' ROTATES CONNECTION TO COMPENSATE FOR ANGLE AT INSTALLATION 1/4 ALUMINUM PANEL n 11 ritAv 2' X 3' X 3/16' STAINLESS STEEL ANGLE CLIP 1/2" X 1 ALUMINUM FLAT BAR PLAN VIEW NOTE: ALL BOLTS ARE TO BE 3/8' STAINLESS STEEL UNLESS OTHERWISE SPECIFIED. 1/2' X 1 ALUMINUM FLAT BAR ELEVATION VIEW WALL ROTATES CONNECTION TO COMPENSATE FOR ANGLE AT INSTALLATION 2' X 3' X 3/16' STAINLESS STEEL ANGLE CLIP 3/8' LAGBOLT— INTO BLOCKING I Jdl "IrI) I) U 1,r11 it JJ:I] I I Irli 1;1,1Ui► N N O if1 10' 71/4 0.C. 7' -0' ABSTRACT GRAPHIC SHADOWCAST PANEL ABSTRACT GRAPHIC LAYOUT SCALE: 1/2' 1 -0' L ALUMINUM STRAPS AND CENTER BRACKET 1/4 (PANEL THICKNESS) PLAN VIEW ELEVATION VIEW NOTE: SIGN PANELS CAN BE ADJUSTED FROM 0 90 ALL SIGN PANELS TO BE SET AT SAME ANGLE ALUMINUM AND STAINLESS STEEL WALL BRACKET (2) PER PANEL tl 10' -7 1/4 0.C. NON- ILLUMINATED 1/4 ALUMINUM PANEL WITH ROUTED GRAPHIC/ PAINT JIB RED PER STANDARDS. PANEL TO ATTACH WALL AND FIXED INTO POSITION WITH BRACKET AS SHOWN. a U 10' 7 1/4 0.C. 7' -0' GRAPHIC DISPLAY 4 1 1/2' 2I 4 2 "I 2' 1/2', x_1_1. 1 -0 1/2' 4 BRACKET (2' O.C. HOLES) SHADOWCAST PANEL FLUSH ALIGNMENT SPECIFICATIONS SCALE. 1 1/2' 1 -0' PLAN VIEW 5' 11 0.C. (ATTACMENTS FOR CABLES) 5' 11 0.0 (ATTACMENTS FOR CABLES) 4 BRACKET (2' 0.C. HOLES) 1 -01 /2' a 4 BRACKET (2' 0.C. HOLES) 2' r 1/2' a U N 6 3/16' 4 1 2' -6' PANEL SHADOWCAST PANEL ABSTRACT GRAPHIC LAYOUT SCALE: 1/2' 1 -0' 5' MIN, CLEARANCE FROM WALL TO BACK OF GRAPHIC ASSEMBLY PLAN VIEW 10' 71/4 0.C. 7' -0' GRAPHIC DISPLAY ELEVATION VIEW L ALUMINUM STRAPS AND CENTER BRACKET _J 1' 1, ANGLE BRACKET WALL ATTACHMENT ATTACH TO WALL WITH LAGBOLTS INTO STUD OR BLOCKING AS REQ'D NON- ILLUMINATED 1/4 ALUMINUM PANEL WITH ROUTED GRAPHIC/ PAINT JIB RED PER STANDARDS. PANEL TO ATTACH WALL AND FIXED INTO POSITION WITH BRACKET AS SHOWN. 1 0 0 P 1- x CD z NOTE. 4 PANELS ARE CUT FROM SINGLE 4 X 7' SECTION OF MATERIAL (NOT TO SCALE) 0 BANNER BACKER GRAPHIC PANEL LAYOUT SCALE. 1 1 -0° 7' -0' ALL ATTACHMENT HOLES ARE SHOWN AS 5/16' 1 a U I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Circuits Smoothie Machine Owner LAWRENCE J /GENELLE A DOYLE TTE DOYLE FAMILY TRUST PORT ANGELES WA 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 08 00000466 724922 902 E FRONT ST 06 30 00 7 2 0220 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor ELECTRICAL NEW COMMERICAL AMERITECH ELECTRIC CO 8604 NE 90TH PL VANCOUVER (360) 904 7002 Qty Unit Charge Per 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS Charged Paid Credited 58 00 58 00 00 00 00 00 58 00 58 00 00 Date 4/24/08 WA 98662 124974 58 00 Plan Check Fee 00 4/24/08 Valuation 0 10/21/08 Due Extension 58 00 00 00 00 IN SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS Y loa l eo Application Number 06 00000552 Application pin number 021336 Property Address 902 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 7 2 0220 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Owner Contractor LAWRENCE J /GENELLE A DOYLE TTE SOUTHGATE ELECTRIC INC DOYLE FAMILY TRUST 18940 DES MOINES MEM DR S PORT ANGELES WA 98362 BURIEN WA 98148 (206) 244 1570 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SOUTHGATE ELECTRIC/ REMODEL DI Permit pin number 78402 Sub Contractor SOUTHGATE ELECTRIC INC Permit Fee 61 30 Plan Check Fee Issue Date 5/26/06 Valuation Expiration Date 11/22/06 Qty Unit Charge Per i 1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Date 5/31/06 Permit Fee Total 103 50 103 50 00 00 Plan Check Total 00 00 00 00 Grand Total 103 50 103 50 00 00 COMMENTS /ACTION NEEDED 00 0 Extension 61 30 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SOUTHGATE EL/ LV SYSTEMS Permit pin number 78410 Permit Fee 42 20 Plan Check Fee 00 Issue Date 5/26/06 Valuation 0 Expiration Date 11/22/06 Qty Unit Charge Per Extension 1 00 42 2000 EL LOW VOLT SYS =2500 SQFT 42 20 Fee summary Charged Paid Credited Due CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE DITCH I I I ROUGH-IN/COVE. IS3�- SERVICE I FINAL 16 -5 rx5 I Ir GENERAL COMMENTS: I I I I I I I I ACCEPTED YES I NO COMMENTS vw- 1102.1514'961 C ■1" ti\ CLytten tn, 5[7C C c T-ctk2 0, 03 A 73 Ce tiNationtissuedpursuant to the requirements of Sectio 109 of the WiAtiVCoAeattifyiiirthat at the timeoliftuance this structure was ..,....,,ip,,, ...1.,.... p?litiO*;#14111e 4.uilding i n s t r i i ii I i 1 r i aide For the tiie it•Ti aiii,e I .,,...„.jf e r r. urant -13ii ding Permit ko; L 70. 27:, 13us tlieS I S:Nai i :e ,u 1: :1 0 14 :11 76 7 0 i Type of ;V :4NL '''''7'1' -4,. 'he BOX Inc. Address: 909 SW Barber-Blvd,#25Qpi rtland. OR 97219 Mitt Street --.1 61 -1,1---... --POrt-,Angeles:AVA 9362 2003 CERTIFI{ :Y : t09 of the Use Classification: c~oup: B OR 97219 Building Address: 902 2003 Post on place. Shall not be ilding Official. °~ t FOR OFFICIAL USE ONLY: BUILDING PERMIT APPLICATION "~'2'~/c1' I ~'~-=-.//- ~e Building Perm~t~pplicaaon mu~ be~lede~ completely. ~ PI~e ~ or p~nt in ~k If you have any q~flou~ p]~ call 417~815 ~6~ ~c~t~ngineer:. ~,'he/~t ~ .~ltec~/~c.?~. /~ ~/~t~ Phone: Con,actor ~9 License ~: Exp: Phone: Ad~a: , CiW: Zip:. LEG~ D~C~ON: Lot: b'.q Bl~k: ~ Sub.visit:, ~;l/Io~ ( CL~I.i-~ ~ P~L N~ ~3~ ~2o2Z~lo] Cr~t Car4 Hold~ ~a~: Cr~t C~ g:. g~. Date: ~ ~A MC ~E OF WO~: ~UA~O~: ~ M~-~y D ~ ~ Mow D G~ SF. ~ S. ~F. ~ $ ~ C~rc~ u ~1 O ~lifion o ~k SF. ~ $ /SF. = E~ ~t Co~: ~ ' /~. ~ + ~ ~t ~: Z, (~b I~. ~= TOTAL ~T ~GB: No~: ~ .; - , , ,, ~; , ,, B~. PL~ ~ ~g: Y~ p~ c~k f~ ~ d~ at ~ ~ ~ ~dlng ~t ~licafi~ ~d ~c6~ p~ l ~ ~r~ ~t [ ~ r~d ~ ~ ~ ~ic~n a~ ~w the ~ ~ ~ ~ a~ ~ ~ 1 ~ ~ m ~p~ for t~ ~it 1 ~d~t~d tt ~ ~t ~ ~ I~al r~ibil~ ~ d~ine what ~i~ ~ ~ir~; ~ ~ai~ ~e ~pli~t~ CITY OF PORT ANGELES PUBLIC WORKS DEPARTMENT e \ ACCOUNT PERMIT ACCOUNT DOLLAR NAME NUMBER NUMBER AMOUNT Surcharge ($4.50) / ~"~ ~t" 001.2291000 D.R.A. Fees Plus interest 001.2392000 Burning Permit Fee 600.32290014 Fire Inspect/Permit Fee ./ .~ ~'`77 600.34220015 Fire Sprinkler Plan Review Fee 600.34220016 Construction / ~ ~¢' '7 'L./ 420.32210017 Plumbing / ~ ~ '7¢ 420.32210018 Mechanical 420.32210019 Sign 420.32210020 Clear/Grade Permit 711.32210021 House Moving 711.32210033 Sidewalk/Driveway/Curb Permit/Right of Way Permit / ~,~Q¢" 711.32240011 Publications 711.34150000 Blueprints-Aerial 711.34320000 Administration Cost (5%) 711.34320010 ,// Plan Check Fee / ~ ~'~ ~L 420.34583000 Engineering Service Fees 711.34895000 Misc Revenue ~./~ 420.36990000 ¢.~..~-.- ~--~--~,,..,.. TOTAL GENERAL FUND TOTAL' 001.1111000 Street/Alley Restoration 752.32210032 Storm Drain/Tap /_"~ ~..//~," 752.34490010 *"~---"7~ ~ SNV Co-Op 752.36990000 TOTAL STREE~ FUND TOTAL 102,11110000 Electrical Permits/Inspections 911.32210026 TOTAL MGHT DIVISION TOTAL 401.1111000 P.B.I.A. 650.2319200 TOTAL PBIA TOTAL 650.1111000 TOTAL CAPITAL IMPROVEM~T FUND TOTAL 310,1111000 Property Sales 715.39510010 TOTAL P.W. IMPROVEMENT FUND TOTAL 314.1111000 Hot Tap (watermain) 753.34340023 F.H. Install/Meter 753.34340024 W/M Installation / ,~ ~;,.~,~'~ 753.34340025 Water System Development Charge 753.34480010 TOTAL WATER FUND TOTAL 402.11110000 Sanitary Sewer Permit / 3 '/TZc'(¢;'' 754.32210029 Sanitary Sewer Tap/Cap or MH Tap 754.34350018 Sewer System Development Charge 754.34350024 ULID 215/Equivalent Service Connection Fee 782.34350025 TOTAL WASTEWATER 402.1111000 ~". Milkwaukee Dr Assessment 755.34370030 TOTAL SOUD WASTE FUND 404.11110000 RECEIPT#N°-1 0 0 6 7 GRANDTOTAL ~)~ ~""C F~ ~-~/~''' FILL-IN COMPLETELY - TOTAL EACH FUND AND GRAND TOTAL ARCHITECTS, I . 10940 NE 33RD PLACE SUITE 202 BELLEVUE, WA 98004 P:425.827.2100 F:425.828.6899 November 18, 2002 CITY OF PORT ANGELES PERMIT CENTER 321 E. Fifth Street Port Angeles, WA 98362 ATTN: BUILDING DEPARTMENT RE: Jack in the Box Restaurant / 902 E. Front Street / Port Angeles, WA Please find enclosed three full sets of plans to be submitted for a building permit application. Also find enclosed a completed Building Permit Application and one copy of the NREC Compliance Forms, Soils Report, Structural Calculations and Storm Drainage Report. I have also included an 8 ~ x 11 copy of the site plan as requested. I will be the contact person for this project, so you can send all correspondence regarding this project to me. I appreciate your assistance with this project. Please let me know if you need any additional information. Sincerely, FREIHEIT & HO ARCHITECTS, INC., P.S. Thomas L. Spader Associate 0110101 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ - 27-~'-~ Time Received by (phone, person) Location of Work to be inspected '~'£~ Name of person requesting inspection Z_~ ~-~,,,, ~, /~d/2~,~cl ~ i~ ~-, Address of person requesting inspection Phone No. ~ <~--'~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimneg, Plumbi~ Final Sewer£xcav. Other INSPECTION NOTES: ~j~,:.~ ~¢~.),_v' ~)a~LP~c 1~ ¢~ Inspected: Date --- - 2'~-~,~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [-~Asphalt ~PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [~1 No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~- -- 2~ ~*~-~ Time Received by /~'/ (phone, person) Location of Work to be inspected (~r~-~ ~ Name of person requesting inspection ~,~-~-/ ~---_~_,~' Address of person requesting inspection Phone No. 2~'~t-~ Permit No. Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimn~d~v~~-v-~-?~l~b~'~-g~inal Sewer Excav. Other INSPECTION NOTES: ~,~ ~ Inspected: Date c-~ ~-~ Time By Remarks: RESTORAT,ON REQU,.E ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC [~Other ~] Repaired by City Work Order # [-} Repaired by Permittee ~-~ COMPLETE I--} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date - ~, - -~ ' ~ ~ Time Received by (phone, person) Location of Work to be inspected (:~) ~-- ~-~ /~"-'~ ~ ~ -~L ~.~d~TJ.L , Name of person requesting inspection ~ ¢~. r.~'~? ~_J Address of person requesting inspection Phone No.~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney =Pl~in~ Final Sewer Excav. Other INSPECTION NOTES: -~ Inspected: Date ~'"'---~' d_~ T,me, By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: []Unimproved ~]Gravel []Asphalt ~PCC ~Other [] Repaired by City Work Order # [--I Repaired by Permittee [] COMPLETE ~] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... Date ~-q 9 '~_ Time ~! ? ~) Received by~_~ ~ son) Location of Work to be inspected ~ ~ ~ ~ ~ ~ I - Name of person requesting inspection ~ // Address of person requesting inspection. Phone No. Type of Inspec~n.[~ircle appropriate one): Permit No. Sewe~~ Foundation ~Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date ~-~-~ Time ~/ooP~ By RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel I-]Asphalt []PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE ~}No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ~/~ ........... INSPECTION REPORT ........... REQUEST' - Date ~'~i///I/(~.~ Time y.!*.~)~'p~l~]Receivedby ~-~-- h~person) Location of Work to be inspected ~fi~)~'~ ~ ~'~'h~O ~7 T (i<~r ~-'" ~ ~/)· Name of person requesting inspection Address of person requesting inspection Phone No. ~/..~-~- Permit No. Type of In_s~_ec~t_~ircle appropriate one): Sew~'~oundation) Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: -~'~ Inspected: Date ~lZ'~ Time ~.~C~ ,~,~-~ B Remarks: /~.~-,~1~ ~ ~ ,~-~</~ ~L ~'-~Z'¢~ ~)L~ ~:~ RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~Asphalt ~]PCC ~]Other [] Repaired by City Work Order # [] Repaired by Permittee ~ COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~/ Date -~- ~-'~' Time Received by (phone, person) Location of Work to be inspected ~-~ ~- ~---/*~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ Inspected: Date ~>~'- ~- ~- ~ ~-~ Time By /~/-/ Remarks:. RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--~Gravel r-]Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ri ~~-- ~ Time Received by l/ (phone, person) Location of Work to be inspected (~/~ ~ .~O ~C. ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other~7~'z~p--~ INSPECTION NOTES:. -~ -~ Inspected: Date ~'~- r~ '"F'--~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE qNo Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) / CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date_' ~ ~ _~- ~?> Time_ Received by (phone, person) Location of Work to be inspected ~' ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation~Fr~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~v~ Inspected: Date ~- ~ ~ ~'~ Time .... By , Remarks:. wall ~,~ ~/,~.l ~- o~ ~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~Gravel [~Asphalt I~PCC [~Other ~_1 Repaired by City Work Order # [] Repaired by Permittee ~ COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date eL/_ ~ ---~)~_~ Time Received by (phone, person) Location of Work to be inspected ?~) ~- ~:::::-~- Fr.~~ ~[ ~L- Name of person requesting inspection .~_~ Address of person requesting inspection /~ Phone No.~c~ ~) Permit No. ~/-'~' Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney~)Final SewerExcav. Other Inspected: Date ~- ~ '~ Time ~."~¢~ ~'~ By Remarks: ~'~'~"-~' 4/ ~-~<~ ~ ~'-~t-,~,.~ ~t_ ~.~--~-.,~3 / RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I-]Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~/--//ZT/-~)~--~ Time Received by ~/~/ (phone, person) Location of Work to be inspected ~ ~)~- ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other~'7~,~.~ INSPECTION NOTES: Inspected: Date ~- (~"~::> ~ Time Remarks: -~~~-~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt {~PCC []Other [~1 Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date Z-~//--4~L.~ Time Received by /~{'/ (phone, person) Location of Work to be inspected (:~(~)~--~ Z~-- //~/'-~H.")"- ~-~.c~.~. ~. Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other ~'~ . INSPECTION NOTES: Inspected: Date ~/-1~-o~ Time /~$c~P,,~,- By RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved I--~Gravel r-lAsphalt [~PCC [~Other [] Repaired by City Work Order # [-] Repaired by Permittee [] COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /-~" ~ )- "~-~ Time Received by ~/~ (phone, person) Location of Work to be inspected q~ ~ ~'~ F/~' Y~ ~- Name of person requesting inspection ~_~ Address of person requesting inspection Phone No. Type of Inspecti. on (circle appropriate one): Permit No. Sewer~'~at, i,on~raming Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-/- ~Z ~' - ~ ~ Time By /~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel r~Asphalt r~PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: -- /-~ ~'~ Time Received by ~/~ (phone, person) Date ~- Location of Work to be inspected ~? ~ ~ F/C} Name of person requesting inspection ~_~£~-.~ Address of person requesting inspection ~'~ Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~-~'~.[,~,~ INSPECTION NOTES: Inspected: Date Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~]Gravel I--IAsphalt []PCC [~Other [] Repaired by City Work Order # I--] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary} STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS-~ ........... INSPECTION REPORT REQUEST: Date _~- /~J'- ~ Time Received b phone, person) Location of Work to be inspected ~-~'~) "~-~ ~ ~-~-~ I ~, ~ ~,~QI~ - I'~ '~/~ ¢ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ?~/~¢~,c Inspected: Date ~-~[t~ ,~? Time I'~'I By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--]Gravel [~Asphalt ~PCC []Other [~} Repaired by City Work Order # I--} Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES // DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST~J Data--Time Received by (phone, person) Location of Work to be inspected '~'~ Name of person requesting inspection ~,e~t_,('lJ~,~x. ~, ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ewer Excav. Other INSPECTION NOTES: IRneSmP: ~se d:: Date ~, [~0 ~ Time ~V~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC [~Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000088 Date 2/07/03 Property Address ...... 902 E FRONT ST ASSESSOR PARCEL NUMBER: 0630007202200000 Tenant ubr, name ...... JACK IN THE BOX Application description . . . COMM NEW CONST Property Zoning ....... Application valuation .... 7000 Property owner ....... LAWRENCE J/GENELLE A DOYLE TTE owner address ........ DOYLE FAMILY TRUST PORT ANGELES WA 98362 () Contractor ......... OWNER .......................... Structure Information Construction Type ..... TYPE V NON-RATED Occupancy Type ...... ASSEMBLY <300 W/O STAGE Permit ...... SIGN Additional desc 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 knowthe 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. IX... Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOP. MS\1102.15 [4~2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE [ YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMEING UNDER FLOOR / SLAB ROUGH4N WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL BUILDING 417-4815 BUILDING o~ ~r~..._ ] FOR OFFICIAL ~J.$E ONL.Y~. BUILDING PERMIT - APPLICATION ~ .~.: ~ ~ ~ The Building Pe~it - Pre-applica~on ~ust ~ filled out ~mpl~y. ~ ~: Please ~pe er p~t in In~ If you have any queens, pl~se ~l1417~815 ~ ~/~ ~ ~ ~E~-7 7~ Applicant or Agent: ~ac~ ~LOo~ Phone: q~ 776- ~er: ~c~ i M ~ ~ ~ Phone: Ad.ess: ~ro~U ~T ~ ~A~,,,~ Ci~: ~o~ ~Ze5 Zip:., ~chitec~n~neer: ~/A Phone: ConWactor ~rf ~o~ a~ Lie~seg: ~r~c~~ Exp: 7-~ Ad.ss: ~O. ~o~ ~ CiW: L~o~ Zip:. LEG~ DgSC~PTION: Lot: Block: .... Sub,vision: CL~L~ CO~ PARCEL NU~ER: Cr~lt Ca~ Hold~ Name: Billin~ Address: Cr~lt Card fl: Exp. ~ate: ~SA MC T~g OF WO~: SI~A~ON: ~ Multi-family D Addi~on D Move D ~g~ SF. ~ $ /SF. = $ ~Co~ercial ~ Remodel D Demoli~on ~ Deck SF. ~ ~ /SF. = $ E Repair ~Sign D TOT~ V~UA~ON $ ~ ~ ~ BRIEF DESC~PTION OF THE PROJE~: ~.~4 la ~l~ ~ [~ ~,~ ~ . ~ ~n [~ ~tL~ ~ ~ CO~RCI~ESIDENTIAL: Occupancy Group: Occupanl Load: Co~cdon T~e: No. o~Stodes: ~ Lot ~ize: % Lot Coverage: E~s~g Lot Coverage: /sq. ft. + P~oposed Lot Coverage: /sq. ~. = ~TAL LOT COVE~GE: ~sq.~ PLUG USE ONLY: ,~ ~ ~ APPROVES: ~ PL~ BU~DING PE~ IT APPL! CATION S~MITTAL: Yourapplicationands~eplanmustbe~ll~outcomplet~lytobeaccepted~or r~ie~. ~le Building Division can provide you wi~ more de~ed infatuation on ~c a~licafion ~d plan ~bmi~l requirement. completed application, site plan (for addihons) and bufld~g core,chon plus ~e to be sub,Red to ~e Building Division. V~UATION OF CONSTRUCTION: In all eas~, a valuation m~t m~ ~ enter~ by ~e applicant. ~s fi~re will be reviewed and my ~ revmd by the Bnildmg Division to co~ly ~ c~t fee schedules. Contact ~ Pe~t Coo~ator at 417~815 for PL~ CHECK FEE: Your pl~ check fee is due at fl~e ~e ~e b~l~ pe~t a~licafion ~d co~cfion pla~ m aubmiR~. AB pe~t fees are due al the time of pe~it issuance. E~TION OF PL~ i~VIEW: If no pemit is issued wi~ 180 days afdc ~te of applicaao~ ~s application will expire. Build~g Official cm extend the t~e for action by ~ a~li~nt up to 180 days upon ~a~ request by ~e applicant (s~ S~fion 107.4 of the Unifom Building Code, cunent edition}. No applica~on can be extended mare than once. I hereby cert~ that I have read and examined this appl~aaon and ~ow the same to be ~e and comect, and I am authored to apply for this permit. I understand it is not the Ci~'s legal responsibili~ to detem~ne what permits are required; it remaim the applicant's responsibili~todetet~inewltatper,nit~'a,'erequiredandtoobtainsuc~ T:XFO~S~PPS~Buildingmemul Applic~t: ~ ~ ~ - ~ Date: /~/~0 ~ pORTANGELES WASHINGTON, U.S.A. DEPARTMENT OF COMMUNITY DEVELOPMENT February 7, 2003 Steve Plough Berry Neon Co. Inc. P. O. Box 526g Lynnwood, WA 98046 Dear: Steve, I am returning this check of $370~001 sorry for the inconvenience. We did receive the $265.00 replacement check for permit # 88. Depadment of Community Development Roger Vess P.O. Box 1150 Pod Angeles, WA 98362 Sincerely yours, Roger Vess Permit Technician PHONE: 360-417-4750 · FAX: 360-417-4711 · TTY: 360-417'4645 E-mall: PIANNINg~CI.PORT~ANgEIES.WA.US or PERMITS~CI.PORT-ANgELE$.WA.U$ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... ~/~ REQUEST Date '~"-~ ~O_'~ Time__ _ Received by~%~ ~' _ (phonp~person)/ Location of Work to be inspected ~ E ~~ ~ Name of person requesting inspection ~C~ ~ ~ ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date- ~ Time By ~ ~ Remarks: SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~]Gravel r-~Asphalt [~PCC ~]Other [] Repaired by City Work Order # I--] Repaired by Permittee [] COMPLETE F} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT ~ BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 1/30/2003 PERMIT NO: 13874 OWNER/APPLICANT PROPERTY LOCATION 902 FRONT E JACK IN THE BOX INC. 8909SW BARBER BLVD. #250 Lot: 6-9 PORTLAND, OR 97219 Block: 2 [] Long Legal 503/293-3687 Subdivision: WILLIAMS & CRAMER T: S: Parcel No: 063000720220000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206~000-0000 360~000-0000 PROJECT INFO Project Value: $199,500.00 SFD Units: 0 Commercial: 0 Project Type: COMML BLDG SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES receipt10067 FEES ASSESSMENT Building Permit: $1,553.75 Misc Fee 1: HOOD INSPECT $50.00 Plan Check: $932.25 Misc Fee 2: HOOD PLAN REV $30.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $2,899.15 Plumbing: $222.00 AMOUNT PAID: $2,899.15 Mechanical: $106.65 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Sign~ure o~ ContraCtor or A~'t~orized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORM$\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED/tND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCE[rTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEI~MIT: # PLUMBING UNDER FLOOR / SLAB SwL~L / FLOOR / CEILING I BUIkDING 417-4815 BUILDING rJPDA'~ S ~ ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00000547 Date 010192 902 E FRONT ST 06-30-00-7-2-0220-0000- JACK IN THE BOX COMM REMODEL 6/02/06 Appl~cation Number Application p~n number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation type descript~on Subdivis~on Name Property Use Property Zon~ng . . . Applicat~on valuat~on COMMERCIAL ARTERIAL 64000 Owner Contractor LAWRENCE J/GENELLE A DOYLE TTE DOYLE FAMILY TRUST PORT ANGELES Construct~on Type . . Occupancy Type MONARCH INC. PO BOX 4 72 GIG HARBOR, WA GIG HARBOR (253) 853 -4 729 Structure Information 000 000 TYPE II NON-RATED BUSINESS:OFF/PRO/MED/REST WA 98335 WA 98362 Permit . . . . . Additional desc . Permit p~n number Perm~ t Fee ISflue Date Expiration Date BUILDING PERMIT - COMMERCIAL 78345 768.25 Plan Check Fee Valuation 499.36 64000 11/29/06 Qty Unit Charge Per Extens~on 670.25 98.00 BASE FEE 14.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 768.25 768.25 .00 .00 Plan Check Total 499.36 499.36 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1272 .11 1272.11 .00 .00 fl h'na!eJ OCf--2/ { --0 / 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 orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requlilsted 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 gOY rning this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to autho to violate or ancel the provisions of any state or local law regulating construction or the performance of construc . --c2 ,()6 Date Signature of Owner (if owner is builder) T:\PoliclCS\II02_IS building permit m.pectlon recordOS.wpd [1/4120051 Date co ~ , tit ...I:. -::l ~ '1-:> \'\\ l1 ~ ~ -r V) "-{ BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE Inspection Type )ate Accepted By Comments FOUNDATION: / Footings / Stemwall 1/ Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) '-... PLUMBING: '" Under Floor I Slab RouQh-ln Water Line (Meter to Bldo) Gas Line I Back Flow I Water / FINAL Date Accepted by AIR SEAL: I Walls I / I Ceiling I / I FRAMING: I Joists / Girders I Under Floor \ Shear Wall/ Hold Downs "- Wails I Roof I Ceilino "" Drywall (Interior Braced Panel Only) T-Bar I INSULATION: I Slab / Wall / Floor / Ceiling / I MECHANICAL: / Heat Pump / Fumace I FAU / Ducts / RouQh-ln / Gas Line I Wood Stove / Pellet I Chimney Commercial Hood I Ducts FINAL Date Accepted by MANUFACTURED HOMES: \.- r-.... FootinQ/ Slab \ " BlockinQ & Hold Downs \ , Skirting / PLANNING DEPT. Separate Permit #s SEPA: Parking I Lighting I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical Construction - R.W. PW I En Fire Plannin Building 417-4735 417-4831 417-4653 417-4750 417-4815 jLLY f:Forms/BuiJding Division/Building Permit o c:;--- \ U1. ~ -1 -D o ~ fT) ~ :s --r- \f\ ~ ~-'~ 7~ . -}-r- ~\) o C')~ o 3 r o 0- 0> ,.- L- 0' ,....)'l'\r: g;(~' ,..1iiiJi!i,\~)1;<.h ">(, V _. '{'~ ''''.",__ " ~~\ ~' _--- W," j '"'- p-'-""'" '(..~- ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent: C 0 f) 0 () t tit.. Owner. J- A c Ie J i) T If c- If 0 r c' Phone d J- J - r; 06 - 313 / Phone' Address CIty: ZIp: Archltect/Engmeer. L .'/ (} I),f u.J flfCl2c'l1 Phone: f J'f- r73 -J>'9 99 Contractor - rno () /JIfL II JJ7 C' State LIcense #: (YlOfJr7ICI ~()6'd )::(11EXP:/~~:J/J'1 Phoned fi....g- J3--tf ~ l' Address: P.O. 13 0)... 47.2. CIty. C;:' I ~ /18R. 8()1(: Zip: r f'3:5 (-- PROJECT ADDRESS '1'0'; E. /"iC()/l r S I- ZONING: LEGAL DESCRIPTION: Lot Block: Subdivision CLALLAM COUNTY PARCEL NUMBER: O&; ~ 30. 07:2'0;2. 'J..-D TYPE OF WORK: o ResldentIal 0 New Constr. 0 Re-roof 0 Stove o Multl-fannly 0 AddltlOn 0 MoveD Garage o CommercIal D Remodel 0 DemolItion D Deck o Reparr 0 Slgn 0 Other BRIEF DESCRIPTION OF THE PROJECT: SIZEN ALUATION: SF. @ $ /SF. = $ SF @ $ /SF = $ SF.@$ /SF.=$ TOTAL VALUATION "r( $ G t.1 d 0 0 --------------- COMMERCIAL/RESIDENTIAL: Occupancy Group' No of Stories: Lot SIZe' EXlstmg Sq Ft. Total lot coverage % Occupant Load & Proposed Sq. Ft ConstructlOn Type = TOTAL Sq. Ft APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes 0 No SEPA Checklistrequrred? 0 Yes 0 No Other. VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Bui1dmg DivISlOn to comply wlth current fee schedules. Contact the Perm1t Coordmator at 417-4815 for asslstance. PLAN CHECK FEE: IF a plan check fee is due It must be submltted at the time the buildmg perIDlt applicatlOn and conStructlOn plans are sub1ll1tted. All other perIDlt fees are due at the tune of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is lssued Wlthm 180 days ofthe date of application, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3 2 of the lntemational Bui1ding/Residential Code, 2003). No apphcation can be extended more than once. I hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to apply for this permit and understand that it is m resp sibility to etermine what permits are required ,not the City's, and that I must obtain such permits prior to work. T'\FORMS\BldgPerrmtform wpd Applicant~ ~Date: 171;9 7 d 1. 06 / I J '" 902 '" 70 i / <) 834 '.st 0'1. ~ " I <, " \,'.... 'BJ3 &.:}>' r Vert/wi Datum ~ NA VD 88 HOrizontal Datum = NAD 83/91 Feet " Q~~ <;,~i/ '''', ;/ ! / / J l , N Area Map f /' / F / " / '. "':< '~ ". o ~ ~ 'S' ~ ~qj 9:17, / , " / / ICO' ThIS map IS not /Ilte1lded to be llsed as a legal desCJ lptlOn This map/dra>>lng IS produced bv the C/(\ of POll Angeles (or its OWllllse and pwposes Am' other use of thIs map/drawll1g shall not be the respOl1Slbll1(l' of the Otv ? <V",,-.. 933 ',", N~,- '''''\~ F i~ y:~) I Lighting Summary LTG-SUM 2004 Washmgton State Nonresidential Energy Code Compliance Form 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Project Info PrOject Address 902 E.Front St, Port Angeles, Wa Date 2/21/2006 Jack in the Box II 8358 For BUlldmg Department Use Applicant Name: LSW Engineers Californ1a Inc., Noel Wilshusen Applicant Address: 5560 Ruffin Road, SU1te 1, San Diego, Ca 92123 Applicant Phone: 858-268-3224 Project Description 0 New BUilding o Addition o Alteration o Plans Included Refer to WSEC Section 1513 for controls and commlsslomng requirements. Compliance Option o Prescnptlve @ lighting Power Allowance o Systems Analysis (See Qualification Checklist (over). Indicate Prescnptlve & LPA spaces clearly on plans.) Alteration Exceptions o No changes are bemg made to the lighting (check appropnate box - sec. 1132.3) o Less than 60% of the fixtures new, Installed wattage not mcreased, & space use not changed. M All dL' h' w (I ) aXlmum owe ig. tmg attage nterlOr Location Allowed (floor/room no.) Occupancy Descnptlon Watts per ff" Area In ff Allowed x Area Dining & Restrm Fast Food 1.50 858.0 1287.0 .. From Table 15-1 (over) - document all exceptions on form L TG-LPA Total Allowed Watts 1287.0 Notes: 1. Use manufacturer's listed maximum input wattage. For hard-wired ballasts only, the default table In the NREC Technical Reference Manual may also be used 2. Include eXit lights unless less than 5 watts per fixture. Proposed Lighting Wattage (Interior) 3. List all fixtures. For exempt lightmg, not exception and leave Watts/Fixture blank. Location Number of Watts/ Watts (floor/room no.) Fixture Descnption Fixtures Fixture Proposed Dine A- Downlight 9 28.0 252.0 Dine Al- Downlight 5 28.0 140.0 Sales A2- Downlight 2 28.0 56.0 Dine Bl- 2x4 1 62.0 62.0 Sales BX- 2x4 2 62.0 124.0 Dine C- Pendant 4 28.0 112.0 Sales G- Track xLF 4 50.0 200.0 Restrooms H- Vanity 2 33.0 66.0 Dine B- 2x4 ~ 62.0 62.0 Dine J- Wallwash 3 35.0 ~05.0 I- Exit 2 Total Proposed Watts may not exceed Total Allowed Watts for Intenor Total Proposed Watts ~~79.0 M All dL' h' W (E ) aXlmum owe l~J tm~ atta~e xtenor Allowed Watts Area In ff Allowed Watts Location Descnptlon per ff or per If (or If for penmeter) x ff (or x If) Covered Parkmg 0.2 w/ff (standard paint) Covered Parking 0.3 w/ff (reflective paint) Open Parking 0.2 w/ff Outdoor Areas o 2 W /ff Bldg (by facade)1 0.25 w/ff Bldg. (by penm)1 7.5 W/lf 1 Choose either the facade area or the penmeter method, but not both) Total Allowed Watts ~ /j Project Summary PRJ-SUM 2004 Washington State Nonresidential Energy Code Compliance Form 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Project Info PrOject Address 902 E.Front St, Port Angeles, Wa Date 2/21/2006 Jack in the Box # 8358 For BUlldtng Department Use Applicant Name: LSW Eng1neers California Inc., Noel Wilshusen Applicant Address: 5560 Ruffin Road, Suite 1, San Diego, Ca 92123 Applicant Phone: 858-268-3224 ~ .It, Lighting Summary LTG-SUM 2004 Washington State Nonresidential Energy Code Compliance Form 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Project Info PrOject Address 902 E.Front St. Port Angeles, Wa Date 2/21/2006 Jack in the Box # 8358 For BUilding Department Use Applicant Name: LSW Engineers California Inc.. Noel Wilshusen Applicant Address: 5560 Ruffin Road. Suite 1. San Diego. Ca 92123 Applicant Phone: 858-268-3224 Project Description 0 New BUilding o Addition _ 0 Alteration o Plans Included Refer to WSEC Section 1513 for controls and commissIoning requirements. Compliance Option o Prescriptive @ Lighting Power Allowance o Systems AnalysIs (See Qualification Checklist (over) Indicate Prescriptive & LPA spaces clearly on plans) Alteration Exceptions o No changes are being made to the lighting (check appropriate box - sec. 1132.3) o Less than 60% of the fixtures new, Installed wattage not Increased, & space use not changed. M All d . h. ) aXlmum owe LigJ bng Wattage InterIOr Location Allowed (floor/room no.) Occupancy DeSCription Watts per ff ** Area In ff Allowed x Area Dining &. Restrm Fast Food 1.50 858.0 1287.0 ** From Table 15-1 (over) - document all exceptions on form L TG-LPA Total Allowed Watts 1287.0 Notes: 1. Use manufacturer's listed maximum input wattage For hard-wired ballasts only, the default table In the NREC Technical Reference Manual may also be used 2 Include exit lights unless less than 5 watts per fixture. Proposed Lighting Wattage (Interior) 3. List all fixtures. For exempt lighting, not exception and leave Watts/Fixture blank. Location Number of Watts/ Watts (floor/room no.) Fixture DeSCription Fixtures Fixture Proposed Dine A- Downlight 9 28.0 252.0 Dine Al- Downlight 5 28.0 140.0 Sales A2- Downlight 2 28.0 56.0 Dine Bl- 2x4 1 62.0 62.0 Sales BX- 2x4 2 62.0 124.0 Dine C- Pendant 4 28.0 112.0 Sales G- Track xLF 4 50.0 200.0 Restrooms H- Vanity 2 33.0 66.0 Dine B- 2x4 1 62.0 62.0 Dine J- Wallwash 3 35.0 105.0 I- Exit 2 Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 1179.0 M All d L. h . (E ) aXlmum owe ig. tmg Wattage xtenor Allowed Watts Area In ff Allowed Watts Location DeSCription per ff or per If (or If for perimeter) x ff (or x If) Covered Parking 0.2 w/ff (standard paint) Covered Parkmg 0.3 w/ff (reflective paint) Open Parking 0.2 w/ff Outdoor Areas o 2 W Iff Bldg. (by facade)' 0.25 w/ff Bldg. (by penm) 1 7.5 W/lf 1 Choose either the facade area or the penmeter method, but not both) Total Allowed Watts \ \ \ \ \ \ '/ Project Summary PRJ-SUM 2004 Washington State Nonresidential Energy Code Compliance Form 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Project Info Project Address 902 E.Front St, Port Angeles, Wa Date 2/21/2006 Jack in the Box # 8358 For BUilding Department Use Applicant Name: LSW Engineers Californ~a Inc., Noel Wilshusen Applicant Address 5560 Ruffin Road, Suite 1, San Diego, Ca 92123 Applicant Phone: 858-2,68-3224 ~ ... .r.... , Lighting Summary LTG-SUM 2004 Washmgton State Nonresidential Energy Code Compliance Form 2004 Washington Stale Nonresldent.al Energy Code Compliance Forms Revised May 2005 Project Info PrOject Address 902 E.Front St, Port Angeles, Wa Date 2/21/2006 Jack in the Box # 8358 For BUilding Department Use Applicant Name LSW Engineers California Inc.. Noel Wilshusen Applicant Address: 5560 Ruffin Road. Suite 1, San Diego. Ca 92123 Applicant Phone' 858-268-3224 Project Description 0 New BUilding o Addition o Alteration o Plans Included Refer to WSEC Section 1513 for controls and commissioning requirements. Compliance Option o Prescnptlve @ Lighting Power Allowance o Systems Analysis (See Qualification Checklist (over). Indicate Prescnptlve & LPA spaces clearly on plans.) Alteration Exceptions o No changes are being made to the lighting (check appropnate box - sec. 1132.3) o Less than 60% of the fixtures new, Installed wattage not Increased, & space use not changed M All d L' h . w (I ) aXlmum owe IgJ bng attage ntenor Location Allowed (floor/room no.) Occupancy Descnptlon Watts oer ff" Area In ff Allowed x Area Dining & Restrm Fast Food 1.50 858.0 1287.0 I .. From Table 15-1 (over) - document all exceptions on form L TG-LPA Total Allowed Watts 1287.0 Notes: 1. Use manufacturer's listed maximum input wattage. For hard-wired ballasts only, the default table In the NREC Technical Reference Manual may also be used 2. Include eXit lights unless less than 5 watts per fixture. Proposed Lighting Wattage (Interior) 3. List all fixtures. For exempt lighting, not exception and leave Watts/Fixture blank. Location Number of Watts/ Watts (floor/room no.) Fixture Descnption Fixtures Fixture Proposed Dine A- Downlight 9 28.0 252.0 Dine Al- Downlight 5 28.0 140.0 Sales A2- Downlight 2 28.0 56.0 Dine Bl- 2x4 1 62.0 62.0 Sales BX- 2x4 2 62.0 124.0 Dine c- Pendant 4 28.0 112.0 Sales G- Track xLF 4 50.0 200.0 Restrooms B- Vanity 2 33.0 66.0 Dine B- 2x4 1 62.0 62.0 DJ.ne J- Wallwash 3 35.0 105.0 I- Exit 2 Total Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 1179.0 MaXImum A owe LigJ bng Wattage Extenor Allowed Watts Area In ff Allowed Watts Location Descnption per ff or per If (or If for penmeter) x ff (or x If) Covered Parking 0.2 w/ff (standard paint) Covered Parking 0.3 w/ff (reflective paint) Open Parking 0.2 w/ff Outdoor Areas o 2 W /ff Bldg (by facade)' 0.25 w/ff Bldg. (by penm)l 75 W/lf 1. Choose either the facade area or the penmeter method, but not both) Total Allowed Watts 11 d . h" ( ) Project Summary PRJ-SUM 2004 Washington State Nonresidential Energy Code Compliance Form 2004 Washington State Nonresidential Energy Code Compliance Forms Revised May 2005 Project Info Project Address 902 E.Front St. Port Angeles, Wa Date 2/21/2006 Jack in the Box # 8358 For BUilding Department Use Applicant Name. LSW Engineers California Inc., Noel Wilshusen IAppllcant Address 5560 Ruffin Road. Suite 1. San Diego, Ca 92123 IAppllcant Phone' 858-268-3224 Sent By: 13608857636; /(/~-+~i\~~ (f f~.~ ~ ~ A.Ll ,. 0' , ~Q..=-~_~__._2~'-Y ,~"_"_"._....__.. " 'I Joh 1t';H:d b.... ~ EleclTiclli COlllnlcfnr U Owner . , 8~~~::;T COlll;~I::~I~";;~~~~-;; ----.----- '"'-.--__ LJC~;~~. lUUllhu Dill~ E,~l)lll:,~ 8Y":"..-}4~ckEL'isJ>::'r~rq~.M:1c.j:J.E5L~SI<;,~':2. Pli[dlil~el":O; nraiJil1l! addrl:s~ . ,:f60,l:L1J t;_~9{)'[~ _8.L,~~______.._.._"..____.,__ Cit~' St;l1.e 7-\1' \h,:~_('o (,\jJa.....,__W_e._9J(~L,Q,___~____,_______,_... n~h'phl)lh~ rlUmlH~1 FAX !IllHlbCI 360.-']04-100:1: .Icb-,g<fS--763ti 21 Apr 08 4:37PM;Job 473;Page 1/1 f:LECTRICAL WORK PI<:RMIT Al'I'I_ICATlON inslallaliol1 dCl<criptiol1 1comlJJcn'il1l 0 Residential :)1.N('w o AhercdlAddftioll ~1''''OOJ..t. iz.MJ~10x_..c; 1r.i'1l:2i..._ _.__.2<:lf\L___iph..lt/>.s,,'-__.__...._____.... __iJL:.2Q re.U-f2:fu..J~____.__ l)refnhes O\l\inn-'~ Ujlllll' I _JQ.~"'~KJ,,=,._:t4_ce,_9b.....g_s.;;:Q..._ ........ ..-...-------._ I Addrt::u ("I' in"'pHtion _~~__E...E::.Q~..:~ . sf___________________.... I ']j,r'+~_A~8.g,L~~}t... ................._..mm_~.._.,_ .--,- !'h()lll~ 11lun.IH'r 10 sr-llt~rJlIh~ in~pNllrHl: . ~ 87' ~h'I';'" ,'!.\ tielllled hr }.'('JfJ;28'~'fJ! (lj (::::.~:~~~ ~_2,,::Jd~e....\/nI::tliri.' for fwo y<,,:n 4ft-I" rll,',\ ("'In,'. i,;(,.1 p<"l"i:r i.' Jill\1b!;l~J 12) (h'"!IO' I:; !'(''1,;vcd to l(;n~ ,1,'/ <'lcdr ica! CII.'ltnl('lrJl' Ir ""(11'(' ,\:.'iil r)f'(!r,,~i-IY il" ji)/ so{e, YeI'" VI k::i.)1 i\lh", n.;",Hling the ;iI)\I'l~ ~lalenlt:l1L I !II'lrby Ct','I)!Y lilii! ! ill11l!>c nv.n\"- or the above n:Jlllt'fj property or a h;:lm!',,'d dcC'Ctriri1! tontl,lU(H. ! ,I;)) 111Jkil1); lite t:k,;l,i\.\l: irl~[{Jl. lali'\\l nr n[;(~lntlOI1 in Ct,r,lpii.i1\':c wilh the ck.:tril';jl l:.tv,;;, '-'.E.L'. Rl-W_ Chapter J9.2:<. WACo. ChapleT :.96,'1(~i3, Thl.' (,il:, C:{' PO~l :\:igcll.!:; \hll1i,::ir;ll CllJ0. and Utility .'\p~~r. j 11COllin!\,>. ;~~;~~~!/::L/:r;;~""~~' '" "~';:il':: ~;~';~;~~<f"- ..-._.~-- -v-- j.;J~CJ.tiJ;;.u.lJ.,...(!ad _~Q9.HiOM.ftl1d OL5JJP!r.~~JiQn~ CJ NO L.OAD CI.!ANI,?aS:S o Ba~eboLl/d f:'W o Furnoce I\W [] H.")at PUI'lp Ton a Fan.l/val! f(W o Cash ./ E_ -~I nkft,.i~'<J . Action Tll~en ! !w;pccwr ..:---------........ .--i---.---- ./--. --."......-......--------t.... -..---+.--.....----..- t. .--..----..---...-.--.------------1-------.--------j-----..-.--- LAn LJ O\larh,~<) rvice U UrldorgrQuntJ S{HVtGr~ ~"\~I.IC..Jl-,~ Y l~S 1'l...(;nQ,~:J:c~Ud!!~J'D!!E__7&U_6i!.L1.~O-.1.17.4 735 .,'....-.fl(;,:(;ii~ir~---~'\ /---':"llfil.\ios:r.:IT-~\ .. I ' l_~~/~:~,:::~'i::) \:-::''::..._. ._=:\,~:C:'i') /" 1']:\..\1..': DITCH \ l\~L1p?t&..._~7;:::) i\~=I>~T=-=--_ :~;~;~) '-1' .... I n Spi:Cii(~'l I -~:~~.--"--i--. . - ....,. Al>.:<l. HuilJillg or Eqliipnh.'cI IJlSp<,'ct~t1 ..--L---. ,__.J. I ~---..-~-....1-.---:-...--.-- .0...+ i .-.--.---...........m..1.........--7.....- .. --..---..-....--.. ! .-~------...--.--...--.-T-.-.---'---... .. --.--.---- /"i'r15p'cci-io;;" fee \ $ Sf-DO .. "'" _S.J~I~'{i!=Jtl!!'9ILtL4!ti9Jl Voltage .~;k~JfJ{_.,_ Phase 0 1 ~,3 Service Size: Feeder Sizo; ----'----T-- ..----- i I i !. "Ti',::';;'"- "-;,...-- "~SE'l\lC'~'-------> } "'\ I , ~---._.._-._._-----_.-. ) .....__.~_!.s~::'-,~J !l~",/' / H:~:DEH \::=-..._y-~~~~~= ~ "'-"'--"--"-"-"'--'-"'~ , ; ..-....----.-----~_._-------_.~.._^---.--.~-..----~---t....------, __~__,_._.___L__._._____._.,_ i i . .._..__"_____.._"L".._~.. i _-_...._.~ ..__.J.._..______.__..._.._._____._.._._.... I . i i ....................................-...........1 --------.-1- "'-"1-~""-- ! -r------ .....L.__.._.__.___. Look Up a Contractor, Electrician or Plumbcr Liccnsc Dctail Pagclof2 ~ c~pi( Incc-:: Conta.ct Info Search Home Safety Claims a Insurance Workplace Rights Trades & Licensing Find a Law or Rule Get a Form or Publication Look Up a Contractor, Electrician or Plumber Printer Friendly Version Electrical Contractor A business licensed by Lal to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. License Information License AMERIEC951CW I Licensee Name AMERITECH ELECTRIC CO , Licensee Type ELECTRICAL CONTRACTOR i UBI 602465807 Verify Workers Camp Premium ! Status Ind, Ins, Account I Id Business Type CORPORATION Address 1 8604 NE 90TH PL I Address 2 i City VANCOUVER County CLARK i State WA i Zip 98662 . Phone 3609047002 I Status ACTIVE Specialty 1 GENERAL I Specialty 2 UNUSED , Effective Date 2/16/2005 Expiration Date 2/16/2009 I Suspend Date Separation Date Parent Company ! Previous License Next License Associated NASTEPY935M6 I License hilI'S:! /fortrcss. wa.goY /lni/bbip/Detail.aspx?Liccnse~ ^ME Rl EC9 51 CW 4/21/2008 Look Up a Contractor, Electrician or Plumber License Detail Page 2 0[2 Electrical Administrator Information License NASTEPY935M6 Name NASTEKA, PAVEL Y Status ACTIVE Business Owner Information Effective Expiration Name Role Date Date NASTEKA, PAVEL AGENT 02/16/2005 NASTEKA, PAVEL Y PRESIDENT 02/16/2005 YULlY A, V NASTEKA SECRETARY 04/07/2008 KOVLENKO, YEVGENIY N PRESIDENT 02116/2005 04/07/2008 I Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date DEVELOPERS SURETY & Until #2 INDEM CO 574693C 02/09/2005 Cancelled $4,000.00 02116/2005 DEVELOPERS SURETY & Until #1 INDEM CO 57493C 02109/2005 Cancelled $4,000.00 02/16/2005i Savings Information No Matching Information Insurance Information No Matching Information Start a New Search Printer Friendly Version About L&I I Find a job at 1 EIi I informacion en espanol I Site Feedback I 1-800-547-8367 'L~ ~W3SnlnIl10n Vi<,H afceS'i.Vla.goY v'1-'i~nl'I~,;ton Stat<.: [A':Jt of ,.j/)e)" and industries Us,- cf tUs 5Itf"5 >ubJ,~ct to th~ IdWS of ti,t' ,Ut:.' .)1 IY,1<,t1!T1",'OI' Arc..:";) A';r:'f'fnen' P"I.ley ,jl1<1 ',",.I,nt, ~>t"\CTw'nl tr-:tl"dc-d i;5C ..c.tCII:al content POIK\1 ""lft C'I', linK https://fortress.wa.gov/lni/bbi p/Detail.aspx?Liccnsc= AMERlEC951 CW 4/21/2008 ~- US~~:S t!.>N'176'Z'5 ;;;;:cl b~~/:Vr 2LJ(g--7/g.- 52 9-'-'{ ~. ~ ELECTRICAL WORK PERMIT APPLICATION I --........ , I~lIation descriptinn Job wired by Q Electrical Contractor a Owner CommerciaJ 0 Residential I Electrical conrraCIOT name License number Date Expires ~teredJAdditioD SD\.t~~n\e. EJf'AYl-lC ~I\c. SQUT"En~I.Pj glD~lbl ClNew Purcn.aser's ailing address J~ ~N''( (., ., b- 0l~44L\ 300 'Av~ S ~ \Cl\ City State Z<P \4.~ WA qill3 ~ F / .x,.-rA-t"t Ii" S :i j), P. A, Telephone number FAX number l? A-T1"tKOO~...s c2t>lu'~1'l;';;ll:\...(P ;;LOL.-<:'1.&'~ ~ ~W Premises owoer's name ~ clck ""1'M BD)/... Ad ress of IOspectlon <;;~ C\O'd. t. --:f'r Co "'~ City '''V<su QJ(\t\Q \0]) , Pbone number to schedule inspectloo: Owner as defined by RCW.J9.28.26J:(l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner u required to hire an electrical contractor if above said property is for sale, rent or lease. Q Cash Q Check # After reading the above statement, I hereby certify that I am lhe owner of tbe above jI( Credit Card cQ named property or a licensed electrical contractor. I am making the electrical instal. Mastercard Discover lation or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Card# ~: Utility Specifications_ Expiration Date t.{ z.. ,2-0 . V Slgnatn.e or owne~ or electrical administrator X (!?J Date: f d - ~ $. 30 . I Electrical Load Additions and or subtractions Cl NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan~Wall !<:oN CJ Overhead SeNice o Temp Service o Underground Service Se Ita alan /0.3.5'0 Vol go Phase Cl 1 a 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN /: TIlERMOSTAT /: SERVICE ~3/~pt; \ ~ DalC \ Approved By "- DIlII: Approved By "- n~, AppToved By I /: ,,- / / jFIN~. L./ PI DITCH FEEDER /6/~ /ITI '. ",/_.1'/ ..J<2 D App edGy /' "- Dale Approved By Da.IC Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector d"/ / f/ J. 5' /0;;' ,