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112 Del Guzzi Dr #6 - Building
CERTIFICATE OF OCC.PA .' City' -of Port Angeles - Building Division This certificate is issuedpursuant to the requirements of Section 111 of the 2009Inte7-77ational Building Code certifying that atW?e-time-of issuance this structure was in compliance with the various ordinances of the City regulating..�`buildlng consts-uction of• use for the following. Business name: sABC Boddy LLC/Anytime ;Fitness_ ,(owner: Co'Ito.n Boddy) Business address 112'Delguzzi Dr ;,;Suite°.6 Properly owner: KT Olympic -Plaza,L`LC. Property owner s addresk, 510 Lakeway=Dr:, Bellindl 'am;.WA`98225._. Automaticfire sprinkler system: Nofi're'quired Use ce occupancy classification: Business. . Building permit number: 11-933 Occupant load: Per 2009 "1B'C;''Table 1004 �' 1k Type of construction `VB _ y` 09/30/11 Post on the premises in a conspicuous place. `This be removed except by the Building Official. R r,l,k,G CERTIFICATE OF OCCUPANCY APPLICATION Permit # `I' 133 L CITY OF PORT ANGELESS Attn: Permit Technician $50 Certificate /Inspection r 321 E. Fifth St., Port Angeles, WA 98362 $ Parking Business Improvement Area (PBIA) r1�7 i (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations Sv`}e 5 4 he, i5 y1+0PLEASE PRINT IN INK Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning C BUSINESS NAME A86 Oo,4,, %,L C / 1l/%►/!7 ���T✓I �SS Business address 11:x- Do -L g u:2-;>- ,0/� / Mailin address 5V," Je r!, Phone number L% < 7 _ 3 0-_00 Opening date Se Days & hours of operation 7 01,/5 S64v� — Business owner's name ro C70 dl 60 did Contact phone 1460 — LI SL `�L- Business owner's address 7 III a- 5 C e.d4d Brief description of business f1JNC7-i o vl T✓c(i 4 %vJ S C -e0 -6)&/ Property owner's name lees , 7h® v►tq S Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Is the business a restaurant or bar that will seat 50 or more people? Contact phone keY1 'ed r]P_ v (Q o j I r77.C_01j Bldg approval byITUL on��l Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by ? on 9-6-11 Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? I PBIA notified_ Is business moving within the PBIA? Yes ❑ No 'x' �- CITY CLERK phone 417-4634 � City Clerk approval by _1t- � on Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ N6� A City of Port Angeles Business License is required for.- Taxi, or:Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? Ll (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: A/ r) CED approval by :;P— on q,u-1( PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. 1i PINE approval by�\�_ on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ Nox Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 Pwwapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ Noy If yes, what will be discharged.- Call ischarged: 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. DateiVC'Xh l Print Name C o 1''T © 0 061 d)l Signature � aeait;,el— T Torms\Building Division\Certificate of Occupancy Apphcatio^ (2010).doc Page 2 of 2 "I COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? q (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: Al 0 CED approval by on 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 9V on No 0-&;, Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes 0 Nox Work planned: PUBLIC WORKS WASTEWATER. phone 417-4845 1 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ N 0V 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 ices at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that.the information I have supplied is correct to the best. of my knowledge. Incorrect information may result in revocation of permit. Date( lilaol. Print.Name CO L-T 0 y SignatureL��-1' T:WormskBuilding DiViSionlCerfificate of Occupancy Application (2010).doc Page of 2 CERTIFICATE OF OCCUPANCY APPLICATION Permit # FEES ` CITY OF PORT ANGELES 950Certificate /Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations ls SU���' n PLEASE PRINT IN INK Check one: New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME -A136 Ro r d, , 1� i C ��nY i i ✓r► P ^ ,Ty7 Vs S Business address 1I a— Dp"(C � z,>_ D/' MailinQ address 5u)"Tf Phone number L/ � 7- 314-00 Opening date Se Days & hours of operation 7 &ipf✓� — �/�'''I Business owner's name ro L?la >7 6a dd Contact phone 1460 — 0 S` 6 Business owner's address I ill a- S C e.Cq"l _ Brief description of business, f bn c 7i o 4 Tvc� ; ✓� %h 6, -c- � l Tl/ Property owner's name JL en) Tho mzt S Contact phone kcyl i (��' lCC1 �e- L/.e- lep c�47.CC11 Prop, rty o -Mer' BUILDING DEPARTMENT phone 417-4815 1 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by �A on 91,1"lj% Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 PBIA notified on City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No Will there be.dancing at this business? Yes ❑ No 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 I of 2 , ii r: Yx _ , z : s tiws �... To -` - '. t - rfi, ;l �•q Z,3, - � - raj= u .✓y1 t ` A3x,p�i,;�-p ,s > , 112 t, . .. t a - a a > 2026 > 108 112, to I. , 6 ,=s k: 'i. x , . q s` X112 > 11.2 xx Yt `.l , r , .x tY; . Jr; '1940 .x4 t4 , < m , ,,�d S Z � ' t- t i ^y , `may y'-y;-a .4 hh 4d �r- a .. , -'..' ,.. .:..- ♦,,:. :.,..r A,-v.%:.:Tr$` u,._ ,.. -i. .., .__3r.'awJAfw�r'_.w,. I...-, _ss1J'dL,. - .,. c.« _'b.a3�.._.e_, t}t,. _,_, a _. .._. „'A`.. s a ' PREPARED -------------------------------------- 9/29/11, 8:30:14 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY — ---- DATE 9/29/11 -------- -- — — — ADDRESS — — ----- — -------- — . : 112 DEL GUZZI DR ----- -- —----------------------------------------- 6 SUBDIV: TENANT, NBR: ANYTIME FITNESS CONTRACTOR : PHONE OWNER KT OLYMPIC PLAZA LLC PHONE PARCEL 06-30-12-3-4-9000-0000- APPL NUMBER: 11-00000933 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USS REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED- RESULT RESULTS/COMMENTS --------------------------- - ------------------------------------------------------------------ C099 01 9/2/9/11 L BLDG C/O FINAL TIME: 03:15 {� * OVERRIDE TAKEN BY LPANGRLE DATE: 09/28/11 TIME: 15:40:57 September 28, 2011 3:39:36 PM 1pangrle. COLTON 460-4562 C OF O FINAL - ANYTIME FITNESS EXPANDED INTO SUITE 6 M. PLEASE INSPECT AFTER 3:00 PM- ---------------------------- COMMENTS AND NOTES ---------- 3 Application Number . . . . . 07-00001414 Date 12/04/07 Application pin number . . . 935768 Property Address . . . . . . 112 DEL GUZZI DR 6 ASSESSOR PARCEL NUMBER: 06 -30 -12 -3 -4 -9000 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 0 Owner Contractor ------------------------ KT DEVELOPMENT, LLC. ------------------------ SIMPLEX GRINNELL 510 LAKEWAY DR. 9520 10TH AVE. S. SUITE 100 BELLINGHAM WA 98225 SEATTLE WA 98108 (206) 291-1400 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW COMMERICAL Additional desc . . Permit pin number 116814 Sub Contractor SIMPLEX GRINNELL Permit Fee . . . . 40.00 Plan Check Fee .00 Issue Date . . . . 12/04/07 Valuation . . . . 0 Expiration Date . . 6/01/08 Qty Unit Charge Per Extension 1.00 40.0000 EL -LOW VOLT SYS <=2500 SQFT 40.00 ------------------ - 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 n INSPECTION TYPE DITCH SERVICE ROUGH - IN FINAL COMMENTS: DATE: 12`iq /b--7 E ELECTRICAL RESULTS: INSPECTOR: f� Y441- COMMENTS: 441- Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5" Street, Port Angeles, WA 98362 07-00001397 Date 12/04/07 835553 112 DEL GUZZI DR 6 06-30-12-3-4-9000-0000- QUIZNOS FIRE ALARM SYSTEM COMMERCIAL ARTERIAL 4215 Owner Contractor THE FRANKLIN CORPORATION SIMPLEX GRINNELL 702 KENTUCKY ST. #381 9520 10TH AVE. S. SUITE 100 BELLINGHAM WA 98225 SEATTLE WA 98108 (360) 733-7200 (206) 291-1400 ---------------------------------------------------------------------------- Permit . . . . . . FIRE ALARM SYSTEM Additional desc . . Permit pin number . 116533 Permit Fee . . . . 150.00 Plan Check Fee .00 Issue Date . . . . 12/04/07 Valuation . . . . 4215 Expiration Date . . 6/01/08 Qty Unit Charge Per Extension 1.00 100.0000 ECH FIRE INSPECTION & TESTING 100.00 1.00 50.0000 ECH FIRE ALARM PLAN REVIEW 50.00 ---------------------------------------------------------------------------- Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 150.00 150.00 .00 .00 zap This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be 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. 4/C'4'4 [L� 5-1, 1 Sig ature of Contractor or Akorized Agent /40#. ate Signature of Owner (if Owner is builder) Date t O FIRE PERMIT INSPECTION RECORD 1 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 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 FUZE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection/pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final Date Passed I UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS: Comments Completed by Contractor: Test #I Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 T n, O PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Project Name: Quizno's Address: 112 Del Guzzi Blvd. Suite #6 Plan # 07-11 1 Installer: I Date: 12.3.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: The following comments apply to all systems: 1. All systems shall be installed per NFPA 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a test of ALL system components. 3. Owner is responsible for all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: Date: iz• 3.0 7 ® Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy ❑ Light Department tilt:F)i-e c'Cu. 9520 10th Avenue South, Suite 100 Seattle, WA 98108 Tel. Line: (206) 291-1400 FAX Line: (206) 291-1500 Contractor's License SIMPLL'988BG ,' ,b"p%x ►'rriA7jrir 11 LETTER OF TRANSMITTAL TO: City of Port Angeles, Permit Technician 321 East 5th Street Port Angeles, WA 98362 Phone: 360 417-4815 J DATE: 11/26/20071 JOB N0. 932513404 �ATTN. Linda Pangrle RE: Olympic Plaza, Unit 6 112 Delguzzi Drive, Port Angeles WA 98362 WE ARE SENDING YOU ❑� Attached ❑ Under separate cover via the following items: ❑] Shop Drawings ❑ Prints ❑ Samples E Cut Sheets ❑ Copy of letter ❑ Change Order ❑� Other COPIES DATE NO. DESCRIPTION 3 11/19/2007 Sets Fire Alarm drawings for the above job. 3 11/19/2007 Sets Fire Alarm data/spec sheet submittals for the above job. 1 11/26/2007 Original Application for a fire alarm permit for the above job. 1 11/26/2007 Original Application for a low voltage electrical permit for the above job. THESE ARE TRANSMITTED as checked below: E] For Approval ❑ Resubmit copies for approval. For Your Use ❑ For Approval copies for distribution. ❑ As Requested ❑✓ Return 1 or 2 corrected plans. M For Review and Comment REMARKS Please accept the enclosed documents so that we may obtain a fire alarm permit for the above job. As of yet, we do not know who exactly will be installing the system. The low voltage electrical permit is for us to test the panel etc. once the work is complete. Please advise me as to how much this will cost and I will request a check from our corporate office, unless you accept Visa. If you have any questions, please let me know at the number below right. Thank you very much. COPYTO: File, Ship FedEx Ov�v,rl�r�lni SIGNED: KdthE DTR16,?', 200 291-1408 IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE I�1Rase� Cvtl WVE- LA3 OLM&k a,nd a KIN aA+-- �G� BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only: 17! Attn: Building Permit Technician DateReceived - �S- ii a 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 0� Permit # '\�'� Date Approved UZgt-14i 9 Kaii-, Applicant or Agent S1 m p ILLW_ ri wv� C -Lk G Phone app �a1 I l UO Owner T�u em4,u,6-, % cerptM.f 0"\ Phone 31;,0 -t 3 3 .7 U-,ci Owner's Address -70- Ke rLtuS4 3Ss� Bctt""'St „r„`, Lx -)A '1822c, Contractor/Engineer Si rv� ato�cC-,�i: e Phone Contractor/Engineer's Address ':1r9 -a -o l.b'vk .Acvt . �,. e-tov cP e_ WAgQ07 License # 121 LA pt t- t SC-, r Expires o l t I • O$ PROJECT ADDRESS ADDRESS r 12 D�19,��?,► yivb; uvLu t * (p �vr4 / zl�S IwA Parcel Number Lot Zoninq qqi-l°L Proiect Tvpe & Brief Description: Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Re -roof ❑ Demolition ❑ Residential i Commercial ❑ Multi -family ❑ Industrial ❑ Sign ❑ wall -mounted ❑ projecting ❑ freestanding ❑ awning ❑ other Total sign area sq. ft. Maximum allowed sign area sq. ft. ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other w/Other F, r� At a r rv. 17 erC�h u ✓t Floor Areas Basement 1 sc Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Existing (sq. ft) Proposed Ism ft.) i rotal footprint of structures (001 'ax. height of proposed structures ill a lawn sprinkler system be installed? II a fire sprinkler system be installed? per sq. ft. = $ TOTAL VALUATION $ 421 r, i;v sq. ft. T Lot size ft. Occupancy group Occupant load Construction type sq. ft. = Lot coverage % # of bedrooms # of full baths # of half baths ve read and completed this application and know it to be true and correct. I am authorized to apply for this permit and 3rstand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on 'cts. 'lL' 1% 4 Print Name 0'&( ky 4; W'V>t V Signature ,rsion 10-01-07 C1VjN,t,,Q,(,( T coi"u-9 ELECTRICAL PER HT ANP INSPECTIONRECORP CIYT OF PORT ANGELES 360-417-4735 Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00001311 Date 11/19/07 551108 112 DEL GUZZI DR 6 06 -30 -12 -3 -4 -9000 -0000 - ELECTRICAL ONLY UNKNOWN 0 Owner Contractor ------------------------ KT DEVELOPMENT, LLC. ------------------------ SIMPSON ELECTRIC 510 LAKEWAY DR. 243036 W HWY 101 BELLINGHAM WA 98225 PORT ANGELES WA 98363 (360) 457-9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . SIMPSON/ INTERIOR ALTERATIONS Permit pin number . 115097 Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 11/19/07 Valuation . . . . 0 Expiration Date . . 5/17/08 Qty Unit Charge Per Extension 1.0075.0000 ECH EL -COM ALT 0-200 SRV FDR 75.00 - Fee summary Charged ----------------- -- Paid Credited - Due ---------- Permit Fee Total ---------- 75.00 -------------------- 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 0 INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN ►-4'7`0'7 0�1 FINAL COMMENTS: ELECTRICAL PERWT ANP 1AT,SPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00001121 Date 10/23/07 247939 112 DEL GUZZI DR 6 06-30-12-3-4-9000-0000- QUIZNOS SUB SIGNS UNKNOWN 2175 Owner ------------------------ Contractor KT DEVELOPMENT, LLC. ------------------------ PLUMB SIGNS INC. 510 LAKEWAY DR. 909 S. 28TH ST BELLINGHAM WA 98225 TACOMA WA 98409 (253) 473-3323 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL SIGN PERMITS Additional desc . . PLUMB SIGNS/ WALL SIGN Permit pin number 113035 Sub Contractor PLUMB SIGNS INC. Permit Fee . . . . 35.00 Plan Check Fee .00 Issue Date . . . . 10/23/07 Valuation . . . . 2175 Expiration Date . . 4/20/08 Qty Unit Charge Per Extension 1.00 35.0000 ECH EL -COMM -1ST SIGN 35.00 ---------------------------------------------------------------------------- Special Notes and Comments October 1, 2007 12:47:41 PM sroberds. The application is to install a 25 sq.ft. sign in the CA zone. No land use issues are anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- Permit Fee Total -------------------- 35.00 ---------- 35.00 ---------- .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 P. INSPECTION TYPE DITCH SERVICE ROUGH - IN FINAL COMMENTS: DATE: 11, y`6 g ? tiylu8 RESULTS: -W Rlp ELECTRICAL INSPECTOR: 71?e CITY OF PORT ANGELES UN DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DNISION r 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . Application pin number . . . Property Address . . . . . . ASSESSOR PARCEL NUMBER: Tenant nbr, name . . . . . . Application type description Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . Application valuation . . . . 07-00001121 Date 10/02/07 247939 112 DEL GUZZI DR 6 06-30-12-3-4-9000-0000- QUIZNOS SUB SIGNS UNKNOWN 2175 Owner Contractor ------------------------ KT DEVELOPMENT, LLC. ------------------------ PLUMB SIGNS INC. 510 LAKEWAY DR. 909 S. 28TH ST BELLINGHAM WA 98225 TACOMA WA 98409 ---------------------------------------------------------------------------- (253) 473-3323 Permit . . . . . . SIGN Additional desc . . 24.47 SF WALL SIGN Permit pin number . 111955 Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 10/02/07 Valuation . . . . 2175 Expiration Date . . 3/30/08 Qty Unit Charge Per Extension 1.00 47.0000 PER S- SIGN ---------------------------------------------------------------------------- LES THAN 25 SF 47.00 Special Notes and Comments October 1, 2007 12:47:41 PM sroberds. The application is to install a 25 sq.ft. sign in the CA zone. No land use issues are anticipated. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited ----------------- Due ---------- ---------- Permit Fee Total 47.00 ---------- ---------- 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 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 constru 'on. Signature of Contractor or Au th6rized A I Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD 0 CALL 417-4515 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES [ PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORN BEFORE _ INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. (� INSPECTION TYPE DATE ``I ACCEPTED I COMMENTS I YES I NO I 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 BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALLIHOLD DOWNS WALLS / ROOF / CEILING I FIN ALL l 1 DATE DRYWALL (INTERIOR BRACED PANEL ONLY) 417-4735 T -BAR I I I INSULATION jI SLAB I I I I WALL / FLOOR / CEILING I MECHANICAL Y� I ROUGH -IN CONSTRUCTION - R.W. HEAT PUMP/FURNACE/DUCTS ENGINEERING GAS LINE I FINAL DATE WOOD STOVE / PELLET / CHIMNEY II MANUFACTURED HOMES 1 FOOTING / SLAB FIRE DEPT" BLOCKING &HOLD DOWNS J SKIRTING I #'s , SEPA: PLANNING DEPT. SEPARATE PERMIT T:\Policies\l 102 15 building permit inspection TecordOS.wpd [1/4/2005] PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL I DATE I YES NO COMMERCIAL I DATE ACCEPTED BY: ACCEPTED BY: ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ I CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 4174653 I FIRE DEPT" PLANNING DEPT. 4174750 PLANNING DEPT. l BUILDD4G 417-4815 T:\Policies\l 102 15 building permit inspection TecordOS.wpd [1/4/2005] PREPARED 1/02/08, 10:50:23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 1/02/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 112 DEL GUZZI DR 6 SUBDIV: TENANT, NBR: QUIZNOS SUB CONTRACTOR PLUMB SIGNS INC. PHONE (253) 473-3323 OWNER KT DEVELOPMENT, LLC. PHONE PARCEL 06-30-12-3-4-9000-0000- APPL NUMBER: 07-00001121 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------- ------------------------------------------------------------------------------- BL99 01 11/14/07 JLL BLDG FINAL TIME: 01:00 11/14/07 CA November 14, 2007 8:46:48 AM 1pangrle. CONNIE 253-473-3323 EXT. 14 BLDG FINAL - SIGN (QUIZNOS) November 14, 2007 4:16:31 PM pbarthol. NOT READY FOR FINAL BL99 02 1/02/08 JLL BLDG FINAL December 26, 2007 10:09:39 AM 1pangrle. CONNIE 253-473-3323 EXT. 10 BLDG FINAL - QUIZNOS SIGN -------------------------------------- COMMENTS AND NOTES-------------------------------------- 01 A Cmrnercld Dexalopment O1��'1PIC PLAZA OPTION I PoO AnUeW WA MONUMENT HWY101 L .6 1 pv Ir x vi 41� L-- KC4. 2 A -)7 41 T r. W1 J ... " W �i11 L err ?4"T sur Wqft. Wd I C41U —17 f CITY. OF PORT ANGELES — Construeflon Plant; Th ance of this permit based upon theiip–la-n�– I rq- okk tet 'eI PSI- 4u, speciff ' L\ CITY .0 iol s and other data shall not prevent the buildingofg,,idl n . .,I f thereafter requiring the correctionof A 11 par;s, specifications and other data, or fr0MJe#FI\ –.'M v "M 41tr,—. roT building operations being carded on thereunder when in Violation of all codes and ordinances of this jurisdiction. 5r- —EFLI �cm 1 urs A uni Date AV 0 0 ❑ ❑f -I 0 E] .m-,6 O iE 5N— i2t �K 03 QUIZNOI vo C'4 z CJ) P—J— M-9— D1..+.+. C.— D.x. Scor. # L—ti.n *6993 112 D -G.— D, S--106 D......, yEy LaJ .0-Iff W W I W -1 --=— %. - CIO a X, 1� W a sft. Pg. APPROVED BY THE 6 AN ORKUNAL DESIGN CREATED BY 08.21.07 QUIZNOS X PLUMB SONS AND REMAINS THE PROPERTY DF 4499 K WE 3 AWWOW NM 19EAM71V LANDLORD LANDLORD XPLUMB SIGNS UNI TRANSFER BY SALE, ALL RIGHTS RESERVED. ANY UNAUTHORIZED USE OR CHANGED -LOCATION OF SIGN TO OVER DOOR Wj)rp pppfJM do no, kq11 11splet specific colors [)UPUCATK)N %VILL REBUILT IN A $1,000 CHARGE. QUIZNOI Wrr,n W...–.r P—J." P—J— M-9— D1..+.+. C.— D.x. Scor. # L—ti.n *6993 112 D -G.— D, S--106 D......, DC R—im&i P.- A--. WA S-110 3/16"-1 R--1058-2 st.t. P.Q. 3.r3 Ro- .0-Iff W W I W -1 --=— %. - CIO a X, 1� W a sft. Pg. APPROVED BY THE 6 AN ORKUNAL DESIGN CREATED BY 08.21.07 QUIZNOS X PLUMB SONS AND REMAINS THE PROPERTY DF 4499 K WE 3 AWWOW NM 19EAM71V LANDLORD LANDLORD XPLUMB SIGNS UNI TRANSFER BY SALE, ALL RIGHTS RESERVED. ANY UNAUTHORIZED USE OR CHANGED -LOCATION OF SIGN TO OVER DOOR Wj)rp pppfJM do no, kq11 11splet specific colors [)UPUCATK)N %VILL REBUILT IN A $1,000 CHARGE. (_E_ 1 ELEVATION 25' TENANT SPACE CHANNEL SUPPLY AND INSTALL (1) SET CHANNEL LETTERS ON A RACEWAY PAINT RACEWAY TO MATCH CABOT SEMI-SOLID STAINS "ACORN" APPROVAL PENDING ON PERMIT APPROVAL TK' E zi D Return matrial•.040x5"X j)~ P.F. Black -White 5- (;,/ $ Trim Cap: 1" Jewelite STACKED CHANNEL LETTER LAYOUT Black \A Wood beam O B OUIZNOS SUB OVERALL SORT. a Electrical A B C D E Flex (Gro) HEIGHT HEIGHT LENGTH LENGTH HEIGHT' White Neon '�! 12' 8 3/4' V-1 3/8" 2'-3 1/2" 2'-1 1/2' 10.87 18' V-1 1 /8" 7'-8 1/8" 3'-5 1/4' 3'-2 1/4' 24.47 Glass Tube 8 " " , „ Riser a 24 1 -5 1/2 10-2 7/8 4-7 4-3 1/8 43.62 30" 1'-10" 12'-9 1/2' 5'-8 3/4' S'-3 3/4" 67.96 * 36" 2'-2 3/8" 15'-4 3/8" V-10 5/8" 6'-4 1/2" 97.95 48' 2'-11 3/16" 20'-5 3/4" 9'-2 1/8" 8'-6 1/8" 123.71 — UL Approved Transformer Drain Holes in Aluminum Raceway Cabinet RACEWAY MOUNTED INSTALLATION QUIZNOS CHANNEL LETTER SPECIFICATIONS 3/16" 7328 WHITE ACRYLIC FACES 5" DEEP .040 PREFINISHED BLACK RETURNS 1" BLACK TRIM CAP WHITE NEON GENERAL NOTES SEAL ALL JOINTS INSIDE WITH WHITE SILICONE CAULKING WEEP HOLE ON BOTTOM OF LETTER CAN ALL PENETRATIONS TO BE SEALED AND WATER TIGHT Job Name QUIZNOS SUB Bales Warren Wissmer project 11 j Sets 1 B" Channel Ltrs. jmwwmey A Manager Dianna Corbin Date gUQJ11p6 X Store # #6993 PIIJNIF,<*��_.IGNS_ Designer DC Rwr70s8-1 E E TH EOB..p21p.Du7 T p p TENANT VINYL LOCAITION TOD 4TH FROMETHE TOP PER DLANDLDRD D X 912 Del Buzzi Dr. Suite 706 • . • tion Port angeles,wA 9cais 3/16"-1' Rw1Ds8-;'' CHANGED LOCATION OF SIGN TO OVER DOOR 12531473-3323 FAX ' Washington 1 of 3 Pe W=do THIS IS AN ORIGINAL DESIGN CREATED BY PLUMB SIGNS AND REMAINS THE PROPERTY OF PLUMB SIGNS UNTIL TRANSFER BY SALE, ALL RICa1IT5 RESERVED. ANY UNAUTHORIZED USE OR Ipplat specific colors QUPL,IC".ATION WILL RESULT IN A $1,000 CHARGE. 1BUILDING PERMIT - APPLICATION J •� � = I FO OFFICIAL USE ONLY: ��;• `cif I�r /� - D e Rec.: VC `2'9_® Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8'/z" x 11" site plan MUST BE COMPLETE to be it #: 07 2-1 % accepted for review. (360) 417-4815 FAX (360) 417-4711e Approved:/ � bate Issued: Residential projects: submit two sets of plans rY° Commercial projects: submit three sets of plans Applicant or Agent Connie Guffey/Plumb Signs Phone (253)473-3323 x10 Owner KT Dev. LLC Phone Owner's Address 510 Lakeway Dr., Bellingham, 98225 Contractor/:F_KgiffiAr Plumb Signs Inc. State License #PLUMBSI077QS Expires 11/10/07 . Contractor/Engineer's Address 909 S. 28th St . , Tacoma, 98409 Phone( 253) 473-3323 PROJECT ADDRESS: 112 Del Guzzi Drive, Suite 106 ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0630123490000000 TYPE OF WORK SIZE/VALUATION ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove 24 . 47SF. @ $ 2, 175 /SF. = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF. @ $ /SF. = $ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF, a $ /SF. = $ ❑ Repair XMXSign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: Install channel letter wall display reading "Quiznos Sub" COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. I` floor Sq. Ft. & 1` floor Sq. Ft. 2" floor Sq. Ft. & 2"" floor Sq. Ft. 3'1 floor Sq. Ft. & 3" floor Sq. Ft. Accessory Structures _ Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft. TOTAL of existing & proposed structures Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) Ft. Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Are you planning to install a lawn sprinkler system? Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft. Footprint Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such permits prior to work. Date 9/21/07 Applicant Web Version 8/14/2007 / �0. z.... CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Di-ision This certificate is issued, ursuant to the requirements of Section 110 of the 20,,06 International Building Code certifying that ahe time of issuance this structure was in compliance with the various ordinances of the City regulating' building construction or use for the following: Business name: tt'' Quiznos Sub Business address. 112 Del Guzzi Dr., Suite 6 Ownerofbusiness: Jasajade Subs Inc. Owner's address. 1187 NW Montery Ct., Silverdale, WA 98383 Automatic fire spAinkler system: Not required Use & occupancy classification: Business Building permit number: 07-855 Type of construction: V B Occupant load. Pe'r y." .0°"`" �' '77, v Post on the premises in a conspicuous place 12/12/07 Date removed except by the Building Official. 12-2-7--0-7 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000855 Date 11/05/07 Application pin number . . . 216215 Property Address . . . . . . 112 DEL GUZZI DR 6 ASSESSOR PARCEL NUMBER: 06 -30 -12 -3 -4 -9000 -0000 - Tenant nbr, name . . . . . . QUIZNOS Application type description COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . UNKNOWN Application valuation . . . . 85000 Owner ------------------------ Contractor KT DEVELOPMENT, LLC. ------------------------ KOLLER CONSTRUCTION 510 LAKEWAY DR. 27714 N. REGAL BELLINGHAM WA 98225 CHATTAROY WA 99003 (509) 238-2192 --- Structure Information 000 000 QUIZNOS Construction Type . . . . . TYPE V NON -RATED Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST Other struct info . . . . . NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . QUIZNOS-TEN.IMPROVMNT Permit pin number . 107565 Permit Fee . . . . 915.25 Plan Check Fee 594.91 Issue Date . . . . 11/05/07 Valuation . . . . 85000 Expiration Date . . 5/03/08 Qty Unit Charge Per Extension BASE FEE 670.25 35.00 7.0000 ---------------------------------------------------------------------------- THOU BL -50,001-100K (7.00 PER K) 245.00 Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit pin number . 107896 Permit Fee . . . . 115.45 Plan Check Fee .00 Issue Date . . . . 11/05/07 Valuation . . . . 0 Expiration Date 5/03/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70 70072500 -------- - -------- ECH ME -VENT FAN 50.75 - Permit . . . . . . -------------------------- PLUMBING PERMIT Additional desc . . Permit pin number . 107888 Permit Fee . . . . 170.00 Plan Check Fee .00 Issue Date . . . . 11/05/07 Valuation . . . . 0 Expiration Date . . 5/03/08 A, , LL �7L_ Z �l Qty Unit Charge Per Extension O BASE FEE 50.00 13.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 91.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 ---------------------------------------------------------------------------- Special Notes and Comments SeparatePdMHA-r6WeeWft*f)&R,SEPN,99ft6t4ine, 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 applica 'nand know the same to be true and correct. All provisions of laws and ordinances governing this type of workWretractor ether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel tate or local law regulating construction or the performance of construction. it -s � ��, /Z&"- tr Date Pri"ame Sigthorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE ACCEPTED COMMENTS YES I 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 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 HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET/ CHIMNEY I FINAL DATE ACCEPTED BY: COMMERCIAL HOOD/ DUCTS IMANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT N's SEPA: PARKING/LIGHTING I I I ESA: LANDSCAPING I 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. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. DEPT. BUILDING 417.4815 I � BUILDING T:Forms/Building Division/Building Permit (10/01/07).wpd °f°°p'"" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 07-00000855 Date 11/05/07 Application pin number . . . 216215 ---------------------------------------------------------------------------- Special Notes and Comments Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent to an exit. 07/25/2007 03:15 PM SROBERDS -- The proposal is a tenant improvement in a small shopping center located in the CA zone. The use will require the designation of 10 parking spaces within the site. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited Due --------------------------- ------------------------------ Permit Fee Total 1200.70 1200.70 .00 .00 Plan Check Total 594.91 594.91 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1800.11 1800.11 .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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit (10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WOAW BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I Y ACCEPTED TVO COMMENTS I FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE/ DOWNSPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING i i- -1-0-7 sul FINAJZ_IZ—V Z DATEV L'(— ACCEPTED BY: nlerh.R cjh-Sn i2-4-07 -ILL FINAL 12--12-0 DATE �1 PLANNING DEPT. SEPARATE PERMIT H's SEPA: PARKING/LIGHTINGESA: I I LANDSCAPING I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE I YES NO COMMERCIAL DATE ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I FIRE DEPT. PLANNING DEPT. 417-4750 I PLANNING DEPT. BUILDING 417-4815 I BUILDING T:Forms/Building Division/Building Permit (10/01/07).wpd ACCEPTED BY: ACCEPTED YES NO I Z-1 z -d l 'TL -L- PREPARED 12/12/07, 9:07:55 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 12/12/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 112 DEL GUZZI DR 6 SUBDIV: TENANT, NBR: QUIZNOS CONTRACTOR KOLLER CONSTRUCTION PHONE (509) 238-2192 OWNER KT DEVELOPMENT, LLC. PHONE PARCEL 06-30-12-3-4-9000-0000- APPL NUMBER: 07-00000855 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMRRCLAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------- ----------- BL3 01 11/14/07 JLL BLDG FRAMING 11/14/07 AP November 14, 2007 8:43:28 AM 1pangrle. KOHLER CONSTRUCTION 509-991-7922 FRAMING BLCG O1 12/04/07 JLL BLDG CEILING GRID 12/05/07 AP December 3, 2007 4:55:55 PM 1pangrle. GREG 509-991-7922 CEILING GRID BL99 01 12/12/07 BLDG FINAL TIME: 01:00 December 12, 2007 8:18:08 AM 1pangrle. GREG 509-991-7922 BLDG FINAL AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------- --- — ----------------------- ME1 01 12/04/07 JLL MECHANICAL ROUGH -IN 12/05/07 AP December 3, 2007 4:56:40 PM 1pangrle. GREG 509-991-7922 ROUGH -IN MECHANICAL ME99 01 12/12/07 J MECHANICAL FINAL TIME: 01:00 December 12, 2007 8:19:15 AM 1pangrle. GREG 509-991-7922 MECHANICAL FINAL AFTERNOON --------------------- ---------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------- - PL2 01 11/09/07 JLL PLUMBING ROUGH -IN 11/09/07 AP November 8, 2007 4:56:03 PM 1pangrle. GREG 509-991-7922 ROUGH -IN PLUMBING REQUESTED A 10:00 AM INSPECTION. HE LIVES OUT OF TOWN AND WANTS TO GET HOME. November 9, 2007 2:16:31 PM jlierly. PL99 01 12/12/07L PLUMBING FINAL TIME: 01:00 December 12, 2007 8:19:52 AM 1pangrle. GREG 509-991-7922 PLUMBING FINAL AFTERNOON -------------------------------------- COMMENTS AND NOTES-------------------------------------- m r l I I o I I I � I I o I 1 I � I I ry I I I H I I i I I I I I I W W c( 4 I I I a q l I I I I I I I I I I ' I I I 1 I I I N I 0 El I 01 I N I N I I I I I [p I W 1 N N I I $4 1A r -I b FI 01 I o I aN ro m I -I m a W Cl)I I [Q O 1 N I 111 a4wI a xx •� U£ I o] a s I I r n O M I I I W 111 111 H 7 1 N m z o w HO w ; oE+ QrN u U 'jFz. i N W W04 04 W a N I ul U)z Ho 00 GHz ��ma M H i I U H U O a I C9 I F 1I U H 14 m IaiF I D4 L>: zUAMZ I w � uta � u EwaHr, wc7a o zUO0W l;l m g p x now" nW mz2r4fn a0UUo 114 IHIa7oa P4 F o 1 q g F m 0 iP l ; �o nN7 ca C9 H W a s a " 0 0 0" m x ti t m U a N 0 ca am pWpH0 1 ���•i •IW -1 gzWWoo i pW W rr r r Wp7agalo I {p FF I 00 0 00 I N H a I I In w l\ �z I -I 'a OF�or 1 OWa I as o a .-lauuoo 1 oaa I ,-I.-I o o a0 Na .. a'. .. .. .. �• V a ; rH-I r4 .N-1 HO •M i% W I QI I P. i z F m I W W 0 � Cl) NQ » a 1 F 01 t W [ a w Iii CO I aN a Hwual - u WE l qzz04 l a e u Pi H i w 0 au FUoalt l 114 E I w w ; I I I I I I ; I ; I I I I � r-tI I i I � (i ro ; a I ri I I I ; a I o a M dl E- x r N H F 0 00 m l I Q N �T?+ a �C Hu ar�� ^mz HU U 1+rnz atn l zHyoH x� a'0Nx CO CA U U W .UJ F A a £ g 94 a H I i W H a�l H jWij a pa W W I r E E O Cn o W a I c CY o 2: W0l, W O I N a U I H ; Fq I H H C', ; O � I a H�� M E z Cn El w 0 PREPARED 11/09/07, 9:55:03 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/09/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 112 DEL GUZZI DR 6 SUBDIV: TENANT, NBR: QUIZNOS CONTRACTOR KOLLER CONSTRUCTION PHONE (509) 238-2192 OWNER KT DEVELOPMENT, LLC. PHONE PARCEL 06-30-12-3-4-9000-0000- APPL NUMBER: 07-00000855 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT. PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------- --- --------------- PL2 01 11/09/07PLUMBING ROUGH-IN .I JCM November 8, 2007 4:56:03 PM 1pangrle. I GREG 509-991-7922 ROUGH-IN PLUMBING nT REQUESTED A 10:00 AM INSPECTION. HE LIVES OUT OF TOWN AND WANTS TO GET HOME. -------------------------------------- COMMENTS AND NOTES ------ -------------------------------- PORT ANGELES FIRE DEPARTMENT 0 .1 PLAN REVIEW Project Name: Quiznos Address: 112 Del Guzzi Suite 6 Plan # 07-17 I Com ® Residential ❑ I Date:7.27.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) A 2A-10BC fire extinguisher must be provided and mounted. Top of extinguisher may not be over 5' off of the floor. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: Date: 7.2 7 - v Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy OCCUPANTS IN DINING ROOM) I .LS _LARY TIRED 'TOED =D 11) 34 SF / 0 - 0 NEAR mmooMs 490 SF / 15 - 33 254 SF / 200- 2 298 SF / 200- 2 105 SF / 0- 0 37 OCCUPANTS 30 OCCUPANTS ONE TWO (INCL. REAR BACK -OF -HOUSE DR.) 108' EGRESS TRAVEL 35' (LESS THAN 75') D IBC 1014.3 ) { RESTROOMS ARE PROVIDED S 1 MOP SINK (EXISING) phase CONSTRUCTION DOCUMENTS project no 0706-34 date JULY 13, 2007 file 0706-34COVERSHEET.DWG sheet title TITLE SHEET PLANS APPROVED BY PORT ANGELES FIRE DEPT,. DATA 7 2 Z sheet designation- TS.1 ?_�� 07-11 2001 2001 Washington State Nonresidential Energy Code v Code Comolience Fortes Project Info Project Address Applicant Name: Applicant Address: Applicant Phone: Project Description quizno's #6993 HWY 101 and Del Guzzi Port Angeles, Washington Form Revised June 2002 - Date 7/18/2007 For Building Department Use ❑ New Building ❑ Addition Q Alteration ❑ Plans Included Refer to WSEC Section 1513 for controls and commissioning requirements. I 0 Prescriptive @) Lighting Power Allowance Q Systems Analysis Compliance Option (See Qualification Checklist (over). Indicate Prescriptive & LPA spaces clearly on plans.) Alteration ExceptionsI ❑ No changes are being made to the lighting (check appropriate box) ❑ Less than 60% of the fixtures are new, and installed lighting wattage is not being increased Maximum Allowed Lighting Wattage (Interior) Location Allowed (floor/room no.) Occupancy Description Watts per ft2 " Area in ft2 Allowed x Area Tenant space Fast Food Establishment 1.50 1197.0 1795.5 " From Table 15-1 (over) - document all exceptions on form LTG -LPA Total Allowed Watts 1795.5 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 (Interiot)st 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 tenant space Type A 2x4 troffers 9 93.0 837.0 Type c - Surface 2x4 Fluotescent 2 62.0 124.0 dotal Proposed Watts may not exceed Total Allowed Watts for Interior Total Proposed Watts 961.0 Maximum Allowed Lighting Wattage (Exterior) Allowed Watts Area in ft2 Allowed Watts Location Description per ft2 or per If (or If for perimeter) x ft2 (or x If) Covered Parking 02 W/ft2 (standard paint) Covered Parking 0.3 W/ft2 (reflective paint) Open Parking 0.2 W/ft2 Outdoor Areas 0.2 Wlft2 Bldg. (by facade) 0.25 W/ft2 Bldg. (by perim) 7.5 W/If Note: for building exterior, choose either the facade area or the perimeter method, but not both) Total Allowed Watts Use mtgr listed maximum Input wattage. For fixtures with hard-Kneu UauE�w U1 ey, Proposed Lighting Wattage (Exterior) the default table in the NREC Technical Reference Manual may also be used. Number ofI Watts/ Watts Location Fixture Description Fixtures Fixture I Proposed 2001 Washington State Nonresidential Energy Code Compliance Form 2001 Washington State Nonresidential Energy Code Compliance Forms Revised June 2002 - KJM Project Address Quizno's #6993 (Date 7/18/2007 The following information is necessary to check a lighting permit application for compliance with the lighting requirements in the 1994 Washington State Nonresidential Energy Code. Applicability Code Location Building Department (yes, no, n.a.) I Section lComponent I Information Required on Plans Notes LIGHTING CONTROLS (Section 1513) 1513.1 Local control/access Schedule with type, indicate locations E2 1513.2 Area controls (Maximum limit per switch E2 ❑. a. 1513.3 Daylight zone control Schedule with type and features, indicate locations vertical glazing Indicate vertical glazing on plans overhead glazing Indicate overhead glazing on plans 1513.4 Display/exhib/special Indicate separate controls E2 1513.5 Exterior shut-off Schedule with type and features, indicate location (a) timer w/backup Indicate location IE2 (b) photocell. Indicate location III 1513.6 Inter. auto shut-off Indicate location n.a. 1513.6.1 (a) occup. sensors Schedule with type and locations a. a. 1513.6.2 (b) auto. switches Schedule with type and features (back-up, override capability); Indicate size of zone on plans 4 1513.7 Commissioning Indicate requirements for lighting controls commissioning n.a. Lighting Sum. Form Completed and attached. YES Schedule with fixture types, lamps, ballasts, watts per fixture IElec motor efficiency IMECH-MOT or Equipment Schedule with hp, rpm, efficiency If "no" is circled for any question, provide explanation: 2001 Washington State Project Info Project Description Briefly describe mechanical system type and features. ❑ Includes Plans 2001 Project Address Applicant Name: Applicant Address: Applicant Phone: State Nonresidential Energy Code Compliance Form Quizno's #6993 HWY 101 and Del Guzzi Port Angeles, Washington June 2002 - KJM Date 7/18/2007 For Building Dept. Use Addition of two ton ac unit on roof of an existing building for a Quiznos T.I. Project Include documentation requiring compliance with commissioning requirements, Section 1416. I Q Simple System O Complex System O Systems Analysis Compliance Option (See Decision Flowchart (over) for qualifications. Use separate MECH-SUM for simple & complex systems.) Equipment SchedulesI The following information is required to be incorporated with the mechanical equipment schedules on the plans. For projects without plans, fill in the required information below. Cooling Equipment Schedule Equip. Capacity, OSA CFM SEER ID Brand Name' Model No.' Btu/h Total CFM or Econo? or EER IPLV3 Location ACI Lennox 2 SG 13B 24 098P 23000 800 200 CFM 13.00 roof Heating Equipment Schedule Equip. Capacity, ID Brand Name' Model No.' Btu/h AM Lennox 2 SG 13B 24 088P 0 OSA cfrn Total CFM or Econo? Input Btuh Output Btuh Efficiency4 800 200 CEM 67500 54000 80.000 Fan Equipment Schedule Equip. ID Brand Name' Model No.' CFM SP, HP/BHP Flow Controls Location of Service 'If available. , As tested according to Table 14-1A through 14-1G. 3 If required. 4 COP, HSPF, Combustion Efficiency, or AFUE, as s applicable. Flow control types: variable air volume(VAV), constant volume (CV), or variable speed (VS). Project Address Q„iznols #6993 (Date 7/18/2007 The following information is necessary to check a mechanical permit application for compliance with the mechanical requirements in the Washington State Nonresidential Energy Code. 1413 Air economizers 1413.1 Air Econo Operation Indicate 100% capability on schedule 1413.1 Wtr Econo Operation Indicate 100% capacity at 45 degF db & 40 deg F wb 1413.2 Water Econo Doc Indicate clg load & water econoe & clg tower performance 1413.3 Integrated operation Indicate capability for partial cooling 1413.4 Humidification Indicate direct evap or fog atomization w/ air economizer 1414 Code 1414.1 Location I Building Department Applicability) es, no, n.a. I Section Com onent I p Information Required on Plans Notes HVAC REQUIREMENTS (Sections 1401-1424) Completion Requirements 1411 Equipment performance Drawings & Manuals 1411.4 Pkg. elec. htg.& clg. List heat pumps on schedule Indicate air system balance requirements 1411.1 Minimum efficiency Equipment schedule with type, capacity, efficiency M1 1411.1 Combustion htg. Indicate intermittent ignition, flue/draft damper & jacket loss Separate air sys. 1412 HVAC controls Mechanical Completed and attached. Equipment schedule with types, yes 1412.1 Temperature zones Indicate locations on plans M1 1412.2 Deadband control Indicate 5 degree deadband minimum M1 1412.3 Humidity control Indicate humidistat Shutoff controls 1412.4 Automatic setback Indicate thermostat with night setback and 7 diff. day types M1 1412.4.1 Dampers Indicate damper location and auto. controls & max. leakage 4 1452 1412.4.2 Optimum Start Indicate optimum start controls Pool heater controls 1412.5 Heat pump control Indicate microprocessor on thermostat schedule Indicate vapor retardant cover 1412.6 Combustion htg. Indicate modulating or staged control 1412.7 Balancing Indicate balancing features on plans M1 1422 Thermostat interlock Indicate thermostat interlock on plans 1423 Economizers Equipment schedule M1 1413 Air economizers 1413.1 Air Econo Operation Indicate 100% capability on schedule 1413.1 Wtr Econo Operation Indicate 100% capacity at 45 degF db & 40 deg F wb 1413.2 Water Econo Doc Indicate clg load & water econoe & clg tower performance 1413.3 Integrated operation Indicate capability for partial cooling 1413.4 Humidification Indicate direct evap or fog atomization w/ air economizer 1414 Ducting systems 1414.1 Duct sealing Indicate sealing necessary 1414.2 Duct insulation Indicate R -value of insulation on duct M1 1415.1 Piping insulation Indicate R -value of insulation on piping 1416 Completion Requirements 1416.1&2 Drawings & Manuals Indicate requirement for record drawings and operation docs. 1416.3.2 Air Balancing Indicate air system balance requirements 1416.3.3 Hydronic Balancing Indicate hydronic system balance requirements 1416.4 Commissioning Indicate requirements for commissioning and prelim. Report 1424 Separate air sys. Indicate separate systems on plans Mechanical Completed and attached. Equipment schedule with types, yes l (Summary Form linput/output, efficiency, cfm, hp, economizer l SEKVIGE WATEK HEAIINU AND HEAT EU PUULS (Sections 144U-1454) 1440 Service water htg. 1441 Elec. water heater Indicate R-10 insulation under tank 1442 Shutoff controls Indicate automatic shut-off 4 1443 Pipe Insulation Indicate R -value of insulation on piping 4 1452 Heat Pump COP Indicate minimum COP of 4.0 4 1452 Heater Efficiency Indicate pool heater efficiency 1453 Pool heater controls Indicate switch and 65 degree control 1454 Pool covers Indicate vapor retardant cover 1454 Pools 90+ degrees Indicate R-12 pool cover It "no" is circled for any question, provide explanation: DRAB BAR ..T RET Fl— ..x RETURN 1A L ONS PER FLUSH RA RETURN AR 'YPSUM WALL BOARD RM ROOM ARDWARE LINO UNLESS NOTED EATING W/ OTHERWISE EATNG/VENTALATION/ UR URINAL R CONDITIONING WD WOOD EIGHT VT VENT OLLOW FETAL VERT VERTICAL ORRONTAL VB VINYL BASE OT WATER SHT SHEET PROJECT LOCATION I.C.C. / ANSI A117.1 PROJECT LOCATION PORT ANGELES, WASHINGTON SITE AREA- N/A GROSS FLOOR AREA- AS NOTED OWNER- ANTHONY d SHERRY LO L �� *t $1 � OC v V OCCUPANCY. B ,RESTAURANT CONSTRUCTION � fa �/$ IJV/ FIRE WALLS TYPE - ZONING ASSUMED COMMERCIAL ASSUMED ALLOWED USE PROJECT DIRECTORY CODE S UMC LANDLORD KT DEVELOPMENT LEASE SPACE AREA - JUSTIN HOLMES 253.472.0404 OCCUPANCY CLASSIFIC SECTION Boa FRANCHISER- QUIZNO'S MASTER, LLC �5 BUILDING TYPE - 1475 Lawrence Street, Suite 400 TABLE eo, Denver, CO 80202 720-359-3300-��Z��� S �$ OCCUPANT LOAD- 303- 893-5784 FAX 0 I/ BC TABLE IW4.i2. FRANCHISEE - ANTHONY & SHERRY LO _ (OWNER) 360.271.2940 -2aSa ache 9U6 cgvn39a@aol.com Vi ' ���� y 11$1 IvoV)c)l�' v,�� _oma �;��Px g3S3 SEATING CAPACITY ARCHITECT- GA MILLER ARCHITECTUREMEANS OF - EGRESS 9 MONROE PARKWAY, STE. 290 LAKE OSWEGO, OREGON 97035 503.636.7979 503.636.9898 (FAX) MECHANICAL MATHEWS CONSULTING ENGINEER- 2 AUBURN WAY NORTH, SUITE 203, AUBURN, WA. 98002 RESTROOM CALCULATIO 253.804.0737 253.804.0651 (FAX) ENGINEER- MATHEWS CONSULTING ELECTRICAL 2 AUBURN WAY NORTH, SUITE 203, AUBURN, WA. 98002 253.804.0737 253.804.0651 (FAX) WC WATER CLOSET ICH WP WATER PROOF DIRECT DRAIN W WIDTH WN WINDOW NVT W/ WITH W/O WITH OUT VIIIIIIIlIIE ?ED? WD WOOD kVATORY ATERIAL SCH SEC SCHEDULE SECTION ECHAMCAL CONTRACTOR SE. SELECT ECHANCAL SHT SHEET MAlFACTURE ? ER? SM SAAR NNW RROR SCW SOLD CORE WOOD SPK SPEAKER SCELLANEOUS SPEC SPECFICATIONS IN )T N CONTRACT SO STD SOUARE STANDARD ) T )T T SCALE STL STEEL ST STORAGE J CENTER STR STRUCTURAL ,�G SU STUB IF SUP SUPPLY SA SUPPLY AIR .Ur6NG CONTRACTOR NEL TEL TELEPHONE 'R THK THICK (NESS) ASTIC LAMINATE TL TLE YWOOD TO TOP OF IANTITY TOS TOP OF SLAB TYP TYPICAL VTR VENT THRU ROOF PROJECT LOCATION I.C.C. / ANSI A117.1 PROJECT LOCATION PORT ANGELES, WASHINGTON SITE AREA- N/A GROSS FLOOR AREA- AS NOTED OWNER- ANTHONY d SHERRY LO L �� *t $1 � OC v V OCCUPANCY. B ,RESTAURANT CONSTRUCTION � fa �/$ IJV/ FIRE WALLS TYPE - ZONING ASSUMED COMMERCIAL ASSUMED ALLOWED USE PROJECT DIRECTORY CODE S UMC LANDLORD KT DEVELOPMENT LEASE SPACE AREA - JUSTIN HOLMES 253.472.0404 OCCUPANCY CLASSIFIC SECTION Boa FRANCHISER- QUIZNO'S MASTER, LLC �5 BUILDING TYPE - 1475 Lawrence Street, Suite 400 TABLE eo, Denver, CO 80202 720-359-3300-��Z��� S �$ OCCUPANT LOAD- 303- 893-5784 FAX 0 I/ BC TABLE IW4.i2. FRANCHISEE - ANTHONY & SHERRY LO _ (OWNER) 360.271.2940 -2aSa ache 9U6 cgvn39a@aol.com Vi ' ���� y 11$1 IvoV)c)l�' v,�� _oma �;��Px g3S3 SEATING CAPACITY ARCHITECT- GA MILLER ARCHITECTUREMEANS OF - EGRESS 9 MONROE PARKWAY, STE. 290 LAKE OSWEGO, OREGON 97035 503.636.7979 503.636.9898 (FAX) MECHANICAL MATHEWS CONSULTING ENGINEER- 2 AUBURN WAY NORTH, SUITE 203, AUBURN, WA. 98002 RESTROOM CALCULATIO 253.804.0737 253.804.0651 (FAX) ENGINEER- MATHEWS CONSULTING ELECTRICAL 2 AUBURN WAY NORTH, SUITE 203, AUBURN, WA. 98002 253.804.0737 253.804.0651 (FAX) T-� 7 J G re y Ko Qey - 79 t --1 q 2 Z 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) 4174815 FAX(360)4174711 �&n4b'4 lCT DeVdO f nnR►.t "SuSfin NaIw,40-5 Phone: -Z5 3 - 504 - 0 7 37 Applicant or Agent: <1; —JR ?' f I T OW C, Owner: A N -Tue iv yL 220-ZI q2 - FOR OFFICIAL USE ONLY: teRec.:��—� ermit #: u to Approved: bate Issued: Phone: 3PO - Z7i 2740 Address: L � � �v City fcx ` Zi k Architect/Engineer: Phone: 22 --27 ' clo N� Contractor I Q r �P.Y' Ca r15�'State License #: MEC1059 D Exp: 22 O Phone: Jed -1521 Of Address: � Z7? P4 "�� at chaN-C W °Igd03 Zip: PROJECT ADDRESS:&w� 1 �/ - ��t c�zZr I�=i� Z- ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: viZ►��� D z, �l GU22-1 0 3� y 1234 � �Mo ' Or 5t�X �� TYPE OF WORK: SIZE/VALUATION: CS1 ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove SF. @ $ /SF. = $ X53 -2 SLI - 073-7 ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF. @ $ /SF. = $ /h ,, t-1 Co. Commercial ;PK Remodel ❑ Demolition ❑ Deck SF. @ $ /SF. = $ o Repair ❑ Sign ❑ Other TOTAL VALUATION $, 155. BRIEF DESCRIPTION OF THE PROJECT: /,��rA��T //'�i/G'/�?c���iB�IT— �v�3��.✓��t�rrlr/ �n�/-� i�il COMMERC SIDENTIAL: Occupancy Group: R, Occupant Load: -Teo Construction Type: No. of Stories: ,L Lot Size: /A'— Existing Sq. Ft. /Z✓L-2 & Proposed Sq. Ft. = TOTAL Sq. Ft./ Total lot coverage A44 % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESA/Wedand(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: FIRE. OTHER: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 4174815 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 1 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 1 must obtain such permits prior to work. T:\1FORMS\1B1dgPermitAppLw,pd Applicant: / 'ii-ii��G Date: 717 e,� etc®s. / / Job wired b}' F7 Electrical Contractor U Owner EL E C'FRWAI.tii'ORK'ERDrtI I-APPLtCATI QN ��mtall ien description---��I�---� Fd'Cornmerclal ❑ Residential Electrical contractor 'ume License number Date Expires 5irv\pU_�CIYtcl,v\_Cl1 SIMP��r�181S�, I-pcb Purchaser'smailin address �I52o li6w Ave City State ZIP WA ,�qtoq Telephone number FAX number nob( 'Dc C1 bD_ 2-O1O..Z�l, Premises owner's name p Address of inspection o1\1MD1C II-Xa /Ijct .1 12 1�CIC� .i7z1 1%Y city PD./ -,,:4- /k✓igC(ec, IIJAZ- Phone number �o, sc hedu . spele[.. n�`/ Owner as defined by RCW 1928261.(1) On,a or it, 11 ocatpp the strocto, e for t\to yea,s after this electrical permit is finalized. (2) Onner is , egaired to hu a at e1cch'ical contractor if above said pt operD, is fo, sale, rent or lease After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws. N E C. RCN Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifcatinns. Cl New ❑ Altered/Addition U,V�A k- w- Cp _AVL&& ATV_ PcRo-.t4' rreR wtRudL U Cash ❑ Check # 0Credit Card Visa Mastercard Discover Card # -t'Signature of o��))w,�neer��, electrical or electrical administrator \ Expiration Date �contractor FYI A O1 �2Y�ir�VllJllkI'iK£fie: II' 'U% l.�fcard Electrical Loadadditil�ns and or subtractions ❑ NO LOAD CHANGES ❑ Baseboard _KW O Furnace _ KW ❑ Overhead Service ❑ Heat Pump _ Ton LAR ❑ Temp Service ❑ Fan -Wall _KW 17 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 CROUGH -IN l 'HERIVIOSTAI' Da,c .\Flim eJ nv J Dye AiniaeeJ Bt J MAL � DITCH [_,*Da-� 4P.y� w¢ APrrmra ny Inspection Area, Building or Fqumment Inspected Date tnspecnan to Service /^Information Voltage �' Phase ❑ 1 113 Service Size: Feeder Size: (SERVICE Ueic APProrcd N� CFEEDER 1 Uale AoprovN 9\ J Action Taken Electrical Inspector N Simrp/ex€:ri""ell LETTER OF TRANSMITTAL 9520 10th Avenue South, Suite 100 Seattle, WA 98108 Tel. Line: (206) 291-1400 FAX Line: (206) 291-1500 Contractor's License SIMPLL'988BG TO: City of Port Angeles, Permit Technician 321 East 5th Street Part Angeles, WA 98362 Phone: 360 417-4815 (DATE: 11/26/20071 JOB NO. 932513404 IATTN. Linda Pangrle IRE: Olympic Plaza, Unit 6 1112 Delguzzi Drive, Port Angeles WA 98362 i i i i WE ARE SENDING YOU ❑ Attached ❑ Under separate cover via the following items: ❑� Shop Drawings ❑ Prints ❑ Samples ❑� Cut Sheets ❑ Copy of letter ❑ Change Order Q Other (COPIES DATE NO. DESCRIPTION 3 11/19/2007 Sets Fire Alarm drawings for the above job. 3 11/19/2007 I Sets Fire Alarm data/spec sheet submittals for the above job. 1 11/26/2007 I Original (Application for a fire alarm permit for the above job. 1 r 11/26/2007 1 i i Original (Application for a low voltage electrical permit for the above job. i THESE ARE TRANSMITTED as checked below: Q For Approval ❑ Resubmit copies for approval. Q For Your Use ❑ For Approval copies for distribution ❑ As Requested Q Return 1 or 2 corrected plans. Q For Review and Comment REMARKS Please accept the enclosed documents so that we may obtain a fire alarm permit for the above lob. As of yet, we do not know who exactly will be installing the system. The low voltage electrical permit is for us to test the panel etc. once the work is complete. Please advise me as to how much this will cost and I will request a check from our corporate office, unless you accept Visa. If you have any questions, please let me know at the number below right. Thank you very much. COPYTO: File, Ship FedEx (why �ln� SIGNED: V—PtK D'RCgr, 200 1-11&R IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE �1C0.5e LAlt Vvt� LO/ GLV\ l> WfGu ycE- ,I TORKRFJ" !KATION voL.rFIC-)£ Et_r-_C_Tl2aCAL /'Installation description Job tarred by Q Electrical Contractor U Owner Crcommercial 0 Residential Electncai continctor name Licrow number Date Expires '5iv„xp"tirivw-CLf. SrtAip i-,_V0,3IS it, I.(it -o8 ONew ❑Altered/Addition Purchaser's mailing address q6U" Will Avt .'i M IDD LkNiTS 1,'2,3,4, } -j City State ZIP Scr~Flle w/j MiN -iL6f Paee.e� Telephone number FAX number /T� 201j ?Igi-16 U _ - 2oLo 7A( �w U 'Premises owner's name T� u FYLs-vvAZus , Lo" -p. Address of inspection ��matC, n..Qa�, Ill I�fCq,tt_q�L9y. Phone number to schedule inspection: LeiL, 2st t . 1'1-m Owner as defined by RCn"19 28 261.(1) Owner pill occupy the structure Jor tno rears after this elecn ieal permit is finuhred.. (2) Ouner is requucd to hue an electrical n contractor if above said property isfor vala rent or lease U Cash ❑ Check # / After reading the above statement, I hereby certify that I am the owner of the above r named property or a licensed electrical contractor. I am making the electrical instal- ❑ Credit Card Visa 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 # - - - Utilit}Spec ticabnnc "Signature of owner, electrical contractor or electrical administrator 1 Expiration Date - \ of card /Inspection \$ S3'l Electrical Load Additions and or subtractions Service Information ❑ NO LOAD CHANGES (_0l^/1 O Baseboard _KW Voltage ❑ Furnace _ KW ❑ Overhead Service Phase ❑ 1 O 3 U Heat Pump —Ton LAR ❑ Temp Service Service Size: • Fan -Wall KW O Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 CROUGII-IN 1 fFIERb10STAT SERVICE, l Dam .\ppnn eJ n. J Dare 4ppro. eJ Uy Date AJnro.aJ H5 J DI'I'CII F'INAI_,.',Lr��/� 1 FEEDER 1 ` ~ � - � � J J um. tip"vm:�J ny oai� nnnm+en nv Dvre apnr��eJ e. _ ... ..._... .�,..., .�.... AAAA Inspection Area, Building or Fquynnent Inspected .....o .,�, .. .., .. .� .. ...,. Action Taken j Elcclncal Date Inspector �C� �rrecC /� SimpPexGrinnei! LETTER OF TRANSMITTAL �5r>ctrrrty I 9520 10th Avenue South, Suite 100 Seattle, WA 98108 (DATE: 11/213/20071 JOB N0. 992&444e4 Tel. Line (206) 291-1400 ATTN. Linda Pangrle I131Z-1 ,� b (a45 FAX Line: (206) 291-1500 RE: Olympic Plaza, Units 1,2,3,4, & 7 Contractor's License SIMPLL'988BG 112 Delquzzi Drive, Port Angeles WA 98362 TO: City of Port Angeles, Permit Technician 321 East 5th Street Port Angeles, WA 98362 Phone: 360 417-4815 WE ARE SENDING YOU ElAttached ❑Under separate cover via the following items: THESE ARE TRANSMITTED as checked below: For Approval For Your Use ❑As Requested For Review and comment ❑ Resubmit El Shop Drawings ❑ For Approval ❑ Prints ❑ Samples 2 Cut Sheets ❑� Return ❑ Copy of letter ❑ Change Order ❑' Other ICOPIES DATE NO, DESCRIPTION 1 3 11/14/2007 Sets Fire Alarm drawings for the above job. 1 3 I 11/14/2007 I Sets Fire Alarm data/spec sheet submittals for the above lob. 1 1 11/26/2007 1 Original Application for a fire alarm permit for the above job. 1 1 I I I I I I I 11/26/2007 1 I I I I I I I I � I I Original (Application for a low voltage electrical permit for the above job. I I I I I � I THESE ARE TRANSMITTED as checked below: For Approval For Your Use ❑As Requested For Review and comment ❑ Resubmit copies for approval. ❑ For Approval copies for distribution. ❑� Return 1 or 2 corrected plans. REMARKS Please accept the enclosed documents so that we may obtain a fire alarm permit for the above job. As of yet, we do not know who exactly will be installing the system. The low voltage electrical permit is for us to test the panel etc. once the work is complete. Please advise me as to how much this will cost and I will request a check from our corporate office, unless you accept Visa. If you have any questions, please let me know at the number below right. Thank you very much. COPYTO: File, Ship FedEx Vvewy-t + SIGNED: kLa-Uhi O' ear, 20c, 292-2408 IF ENCLOSURES ARE NOT AS NOTED, KINDLY NOTIFY US AT ONCE y�le,A``n.s� cC vvuC, w) 0.v aw oicv l 04/19/2007 10:16 FA -T 1604574698 - STRAITS ELECTRIC a01 M ii• ELECTRICALWORKPERMITAPPLICATION N/lnsrallation description �---� N Job wired by *lectrical Contractor ❑ Owner V Commercial ❑ Residential Electrical contractor name Straits Electric Purchaser's mailing address P.O. Box 2914 CPort Angeles Telephone number 360-452-9104 License number Date Expires STRATE*0110S 09/07 New SWA Z198362 U Altered/Addition b i y FAX number 8 -.UA 360-457 \ YilwkLafrinar,'aahoyl op c, % IalAof i tins I wry fi� Pbone /tly�bt'I to inspection: Owner as defined by RCW.19.28.261: (l) Owner will occupy rhe siruciure for two years all. ibis electrical permit o finalL-ed. (2) Owner is required to hire an elrcvrical conuraclor if above said properly is for sale, rent or lease. After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contracior. I am making the electrical instal- lationor al non in compliance with the elecTrical laws, N.E.C., RCW. Chapter 19.28 Chapter 296-466, The City of Port Angelos Municipal Code, and Utile $pcations. ❑ Cash O Check# ® Credit Card Visa Mastercard Discover Card# On File ,rSI nate owner, electrical contractor or electrical adds Iii a't'ta'fr �- Expiration Date --- -- Inspecn rq� . /� f card Date. S `t. ta ♦ / /,of EI Load Additions aQd or subtraction{ ` $SLY. Ica Infoimatlon U NO LOAD CHANGES U Baseboard , KW Voltage O furnace _ KW 0 Overhead Service Phase 0 1 U 3 0 Heat Pump _ Ton , LAR 0 Tamp Service Service Size: U Fan -Wall KW U Underground Service Feeder Size= SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 CROUGH N THERMOSTAT Doc nppm.cJ By CD.w npomwed Br / CD.tc D=normwe Br / SERVICE D.m M,w By , D.¢ _ AovrovW By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector fha R 1P M-CE1 VAEUVIE10 19 2np LJOW DEPTI. 1 t4�pr -jk-0-1-1319 PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Project Name: Olympic Plaza Fire Alarm TI's — Suites 1,23,4 and 7 Address: 112 Del Guzzi Drive Plan # 07-12 1 Installer: I Date: 12.3.2007 We have checked this plan and find that it conforms to the requirements of our codes and ordinances, with the following comments: The following comments apply to all systems: 1. All systems shall be installed per NFPA 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test will be a lest of ALL system components. 3. Owner is responsible (or all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by:��[y�t Date: 12.3 •07 El Buil ing Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy ® Light Department 1j,o'A � 13�1 PORT ANGELES FIRE DEPARTMENT FIRE ALARM SYSTEM PLAN REVIEW Prgject Name: Quizno's Address: 112 Del Guzzi Blvd. Suite #6 Plan # 07-11 Installer: Date: 12.3.2007 l We have checked this plan and find that it conforms to the requirements of our codes and ordinances. Nvith the following comments: The following comments apply to all systems 1. All systems shall be installed per NFPA 72. 2. A final field acceptance test will be conducted before final approval. The field acceptance test evil I be a test of ALL system components. 3. Owner is responsible for all ongoing inspection, testing and maintenance required per the current edition of the International Fire Code. NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by: � � � Date: W S-07 ❑ Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy &' Light Department IE J[ t �T�Y�tD OANGELES TRANSMITTALWASH INGTON, U.S.A. FAX DepartmePht of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAX: (360) 417-4711 TO: A' -z �sry FROM: COMPANY:3j� KjZe -L 11 GELES �,5� W A S H I N G T O N V 5 A FAX#: y�7 _ y69 g Public Works 8 Utilities Department NUMBER OF PAGES INCLUDING COVER: 3 Trent Peppard Senior Electrical Inspector /Traffic Signal Technician Phone: 360-417-4735 Email: tpeppard@cltyofpa us Website: www.cityofpa us Fax: 360-417-4711 321 East filth Street - P O Box 1150 Pon Angeles, WA 98362-0217 L'> I -J -0e4 C .s, O £ Tfl ✓E.Giv Z *4- FiLo nl r' _ P&"e iiT /-64S i0.x- DLy.w�Oat PL,�-.,4 //Z /7EL &'.zz j 04- A 2A svC- 26y. o0 B Z60 A Xjf"9 iS J (90 0 , vro P.01/O1 TRANSACTION REPORT 'f DEC/28/2007/FRI 11:29 AM FAX(TX) # DATE (START T. RECEIVER COM.TIMEIPAGEJ TYPE/NOTE (FILE I 0011 DEC/28 11:28AM 94574698 0:01:12 3 1 OK ECM 0877 'FIRTAN-GIELES WASH f N G TON, U.S.A. FAX TRANSMITTAL Departme'fit of Public Works/Utilities 321 East Fifth Street, Port Angeles, Washington Phone: (360) 417-4735 FAQ: (360) 417-4711 TO: :('/t /rry I FROM: _._..._ .1 COMPANY: j7A4.7_v FAX#: yr7 — S/G 98 NUMBER OF PAGES INCLL COVER: ,3- Ce2R-EcT�ofv,.S �GL p TI1¢� 3� O L 7-�✓E'='�' PSR AN-9E.LE& WA6MINf.i ON, LL9.L Public Works & UtlUGee Department Trent Peppard Senior Electrical Inspector /Traffic Signal Technician Phone: 360-417-4735 Email: tpeppard@cityofpa.us ifte: www.cltyOfpa.us Fax: 360-417-4711 rst FRh Slreet - P.O. Bax 1150 Port Angeles. WA 98362-0217 /3r- 6 FiGcn r- . �fzc.*r,r FC45 ia.t ncf�./e�c P4.k.4 /I Z /7EG LaZL I t.>rL 86n A Svc z6Ll.00 A �s 4t ?S• x 8 6,0 0 , Oro 86Y o -o 11//0712007 21:12 4579270 SIMPSON ELECTRIC PAGE 01 s ELECIRIICALWORKI'Ic. UffrAPI'LICATION A MW 11lnwtllatioo doeeripttea 1 Jeb wfrmd by /IR MC ICSI Castracter D olrner )(CnmmerdW Cd RI*Mftdd Electric contractor name Li num Dato Extimen� D New FmehaA r'a mal It oddmm '?y?03& I�11,U tot taJ rn0U-0 City ��.+ A`t T.IP�Qc,7Gr� and Tolvollow number PAX namixn —L _ prlfikAA wbAr�A Dome U hl' (OU / anoS �+ Add"914F IbnPallon f �• _ Z�f• ' La vn0J'ryc City + Pnebe Abmber toed (Aa�pee 10 W►90-)04 �reeY as d!Abed by RCIr.F4.28361.71) Ownar a411 occupy the .vrvelurejor ileo yaort Alai, this elery kol Perron is jmahzed. /2) OAmer is rA9Akn1 m hfrt an declNeal XAperWAdddMm Lvii.p V Im- aobrractor j Abort zeid prop" It)br Pale, rear or leave. U CfWi CI Cltetk # After lending live Above Alnteromm, t hereby certify thin t Am the comer of ft Above Attend property or a licennnd aieetneol eontrnraor I nm maidnR the clecrrtnl innlaL 10 Credit Card t YHA) Mastacard McIver �rw.r� infirm or Alto»tion in compliance with the elocetice lawn, NE-C,RMChapter 19.2k WAC. Chapter 29 -OW The City of Port A*Plt# MabiciPAI Code, And Card N - 04n—p � _ ,�,...,. •,-„�',---.--.. Utility Specjflestiona 1/"J I'glaeAla or w r, elect •kRl a trottor Ar elydrtcA! A MIRi trAtnr Pnpirbtmon Date If Card iloptinim toy` oa � Date:li-O�- I atiarnu 0 NO LOAD CHANGES 0 Seeaboard YtlRapa _KW • FumMee KW ❑ Oaedmgtl Sarvext Phan GI t Cl 3 • fuel Pump _ _ Tort LAR a Temp Servlco Service 94ze: Cl Fan -Wall —KW Q Underground Servh:a Feaaer Size: SAME DAY INSPECTION. CALL REFORr 7:00 AM 360-411-4735 T71 RMo6TPAT S:iRVICIE OR4U(;1 _ � � to Qy nMn Ml�rtl nr Ana A� YMt nrY+a� 1j InspectionA/mBuilding of Vip ptrnorfnspected DAt1 ” ! t%15%4'7 1Rnvut >E+� n NLI&-7 Nov 0 2001 Action Taken r Electrical Inspector Job wired b.)' electrical Contractor Q Owner ELECTRICAL WORK PERMITAPPLICATION \/Installation description XO)Commercial ❑ Residential Electrical contractor name License number Date Expires Plumb Signs Inc. PLUMBSI077QS 11/10/0' ElNew XCIrlbtered/Addition Purchaser's mailing address 11 909 S. 28th St., Tacoma, 98409 Hook up new Quiznos Sub wall City State ZIP Tacoma 98409 sign to existing power. T lephone number FAX number 253)473-3323 (253)472-3107 Premises owner's name -- Quiznos Sub Address of inspection 112 Del Guzzi Drive c�►airt� City Port Angeles Phop�t}n,pttrer.-tq ached We, inspgetion: Owner as defined h�� RSC.4li.L19.i_8.X2611'4(1) Oumei roll occupy rhe sirueture for ,ow }ears after this elecineal pernut is finalized 12) Owner )s rey)dred to lire an electrical contractor if above said properc, is for sale, rentor lease Q Cash Q Check # After reading the above statement, I hereby ceoifv that I am the owner of the above named properly or a licensed electrical contractor. I am making the electrical instal- Q Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19 28, N1'AC Chapter 296-4613, The City of Port Angeles Municipal Code, and Card # - utibly Spec ficanons. ----------- �Signature of owner, electrical contractor or electrical administrator Expiration Date X Date: 9/21/07 Of card Electrical Load Additions and or subtractions D NO LOAD CHANGES LI Baseboard — KW 0 Furnace _KW 11 Overhead Service ❑ Heat Pump _ Ton _ LAR ❑ Temp Service ❑ Fan -Wall _ KW ❑ Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH -IN ) � THERMOSTAT 1/ npprnovJ 1+� Dme Arrraven or / E1NAL 1 DrFCH C Dale nn//I Aooro,ed er ' Inspection •,.••••.•.. ••'••Area, Building orEquipment Inspected pect REG EpVEL) SEP ? 11-90? A4GHTcWT. (lnspeclion lee $ 37s Service Information Voltage Phase C3 1 Q 3 Service Size: _ Feeder Size. CSERVICE o.m nvr,o.m ny CFEEDER 1 Daae AVVravM av J Action Taken Electrical Inspector LICENSED AS PROVIDED BY LAW AS ELEC CONTR SIGN LICENSE # EXP. DATE EC04 PLUMBS1077QS 11/10/2007 EFFECTIVE DATE 11/10/1993, PLUMB SIGNS INC 909 S 28TH ST TACOMA WA 98409-8106 Signature 1 f�7 / �'A Mucci by DEPARTMENT' OF LABOR AND INDUSTRIES