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1210 E Front St B - Building
ELECTRICAL PERMIT 121OEFRONTST-B 12 -1562 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN l Itz- FINAL b h)J- 't3 COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Sign circuits Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 88.0000 ECH EL -COMM -SIGN Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98363 88.00 12/05/12 6/03/13 88.00 .00 88.00 Signature of owner or Electrical Contractor X G:\EXCHANGE\BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001562 Date 12/05/12 839080 1210 E FRONT ST B 06-30-00-7-1- 0100 -0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor CLARITY SIGNS INC 7204 NE 175TH ST KENMORE (425) 485 -9600 ELECTRICAL ALTER COMMERCIAL Paid Credited Due 88.00 .00 88.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee .00 Valuation .00 .00 .00 WA 98028 .00 .00 .00 0 Extension 88.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: J2—- /2 0 CITY OF PORT ANGELES PERMIT APPLICATION Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: I i' 1'1 Y- Multi Family or Commercial* Temp. Service /Feeder 601 -1000 Amp 185.00 Portal to Portal Hourly 96.00 Sign /Outline Lighting 88.00 Signal Circuit/ Limited Energy Multi Family 64.00 Signal Circuit/ Limited Energy First 1500 sf Commercial 96.00 Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat Signature of owner, electrical ntractor or electrical administrator: x Dated: s 2 •7 01/01/2012 *Plan Review May Be Required, Please Complete Electrical Review Information Sheet Job Address: 12 ECt f' Pro Building Square Footage: Description of above koo 1- ky) i (1t. v i, ct J t P) S 15'►•■ Owner Information Contractor Information Name: `Rot'' F De. F er- Name: C.-(&r -t S 5 h Mai Address' 23R Pt:Sih'v..it Let Mailing Address: 12_0 L .s 5 1- City: P o r i14h5 State: Zip: 362 City: 1l--Q h State: W A Zip: 'Up 2 g Phone: Fax: Phone: tits tit c Itp00 Fax: Lf 41. f `1- P License Exp. License Exp. G- t-ft- 7? S t 2 7 3 -1 1 f 3 •1 4 Item Unit Charge gy Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 132.00 Service /Feeder 201 -400 Amp. 160.00 Service /Feeder 401 -600 Amp 225.00 Service /Feeder 601 -1000 Amp. 288.00 Service /Feeder over 1000 Amp. 410.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 74.00 Each Additional Branch Circuit 5.00 Branch Circuits 1-4 86.00 Temp. Service/ Feeder 200 Amp. 102.00 Temp. Service /Feeder 201 -400 Amp. 121.00 Temp. Service /Feeder 401 -600 Amp. 164.00 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Cash Check Credit Card 12 Domino's Port Angeles, WA Exterior Signs Surveyed 11/7/12 Clarity Front Elevation View East Front Street Scale: 1/16" 1' SIGNS ARCHITECTURAL ELECTRICAL T 425.485.9600 F 425.491.7308 7204 NE 175th Street Kenmore, WA 98028 www.claritysigns.com Client: Domino's Pizza Site Address: 1210 East Front Street Port Angeles, WA 98362 File Name: DP PortAngeles sign permit Revision(s). Description: Manufacture and install the following: One (1) DP -12R raceway mounted channel letter and logo set for storefront facing East Front Street Date: 09/18/12 Acct Mgr.: AM Designer: N8Lumzer DT: 1 S Est if- This sign is intended to be installed in accordance with the requirements of Article 600 of the National Electrical Code and/or other applicable local codes. This includes proper grounding LISTED and bonding of the sign. 1 of 3 Date: Date. Customer Approval. Landlord Approval. All images, dmign elnnems and miler content rcprecemed nn Ihi< document are the sole properly nl Clarity Sign, INC. No image, or content represented In Ihi<desIgn may he rnpit. i, <tnrM, mnnimtla5M, puhli,hed, <nld mr reproduced in whole or in pan without the expres<written permission rd an.mnbrrued remesemmlivn of Clarity Signs, INC. Domino's Port Angeles, WA Exterior Signs Surveyed 11/7/12 Clarity SIGNS ARCHITECTURAL ELECTRICAL 0 Description: Manufacture and install One (1) internally illuminated channel letter sets with logo Note: Utilize existing mounting framework Channel Letters: 5" deep returns White 1" trim cap White 3/16" White acrylic faces with translucent vinyl GE Tetra White LED Channel Cabinet: 5" deep returns White 1" trim cap White 3/16" White Lexan faces Translucent vinyl applied to face GE Tetra White LED Raceway: Fabricated aluminum raceway Paint: SW Safety Black Kaceway to be attached to existing roof mounted brackets Color Key: 3M Intense Blue 3630 -127 U 3M Red 3630 -33 T 425.485.9600 F 425.491.7308 7204 NE 175th Street Kenmore, WA 98028 www.claritysigns.com Client: Domino's Pizza Site Address: 1210 East Front Street Port Angeles, WA 98362 DP PortAngeles sign permit File Name: Revision(s) Existing Roof Brackets o5 o Side View Not to Scale Add 1 "xl" steel angle to existing roof brackets and thru bolt Date: 09/18/12 Acct Mgr.: AM Designer: N8Lumzer DT- 1.5h Est. r Roof 120V To I -BOX IN CONDUIT 5" Deep Return 1" Trim Cap 3/16" Acrylic Face Q White Tetra LEDs 0 1" x 1" steel angle This sign is intended to be installed In accordance wth the requirements of Article 600 of the National Electrical Code and/or other applicable local codes. This includes proper grounding LISTED and bonding of the sign. Materials: .090 Aluminum Letter Sidewall 1" Jewelite Trim cap .150 White Acrylic Fonts: Domino's Standard Guide Logo: Bitmap Vector Domino's Standard Guide Color: PMS Vinyl Paint 3M Intense Blue 3630 -127 3M Red 3630 -33 Y N Illumination. GE Tetra White LED Y N Survey: Survey Notes: Y N Installation Y N Shipping To: Sub Contractor: None Survey Date- Clarity Signs Project Production Notes: 2 of 3 Date: Date. Customer Approval- La ndlord Approval- All image ,Ie,ign element, and other content r,precenled on Ihi, document are the ,ode property of Clarity Signs, INC. No images opponent represented in this,Iesign may Iw rop,ied, ,tired, manipulated. rnthlished, ,old or reproduced in whole or in pan without toe e,pre„ written penni,aon ni an anthnri,..d,eprecematiye of Clarity signs, INC. Domino's Port Angeles, WA Site Plan Clarity ARCHITECTURAL ELECTRICAL SIGNS T 425.485.9600 F 425.491.7308 7204 NE 175th Street Kenmore, WA 98028 www.claritysigns.com Client: Domino's Pizza Site Address: 1210 East Front Street File Name: Revision(s). Port Angeles, WA 98362 DP PortAngeles sign permit Date: 09/18/12 Acct Mgr.: AM Designer: NBLumzer DT: 1.5h Est. This sign is intended to be installed in accordance with the requirements of Artide 600 of the National Electrical Code andlor other applicable local codes. This includes proper grounding uST® and bonding of the sign. 3 of 3 Date. Date. Customer Approval. Landlord Approval- All images. design elements and mhcr ennamI represented on this dmimenl are the vole properly of Clarity Signs. INC. No images or ontent represented in this design may be copied. ,arced. m,,!poI lm. publish -d, ,old or reproduced in ,Mole or in part without the express written dwnni,,inn of an al oltorized representative of Clarity Signs, INC. BUILDING PERMIT 121OEFRONTST-B 12 -1535 Prepared 12/10/12, 8:16:54 Program HTDFTAL User ID PBARTHOL Property Information Address: Location ID: Owner name: ASSESSOR PARCEL NUMBER: ALTERNATE ID: Zoning: Subdivision: Application Information Application status: Status Date: Application type: Application date: Valuation: Square footage: Public building: Reviewed by Pin number: Entered by Contractor Information Contractor Name: OWNER Contractor Number: Type: Status: Contractor Requirements STATE LICENSE BOND LIABILITY INSURANCE Outstanding Inspections Insp Type ID 0 NO JLL JAMES L LIERLY 297570 PERMITS No outstanding inspections exist Work Description Code Description CO Information CO Issue Str /seq Date PERMIT ISSUED 11/21/2012 MECHANICAL APPL. PERMIT 11/21/2012 5000 Str /Seq Permit /Seq Inspection type Confirmation Nbr 000 000 ME 00 MECHANICAL FINAL 388256 1210 E FRONT ST B PORT ANGELES, WA 98362 154968 WINGED INVESTMENTS 06- 30- 00 -7 -1- 0100 -0000- CA COMMERCIAL ARTERIAL Doc Number Application Inquiry- (BPN200I001) Page 1 Screen detail for Program: BP BPN200I, Inspection history Application 12- 00001535 Exp Date Schedule Confirmation Permit Date Number Description Quantity Status Description Pmt Seq Min Max Insp Seq Inspector Schedule date Results Results date 0001 JLL 12/06/2012 AP 12/06/2012 Application Number 12- 00001535 Application pin number 297570 Property Address 1210 E FRONT ST B ASSESSOR PARCEL NUMBER: 06-30-00-7-1- 0100 -0000- Application type description MECHANICAL APPL. PERMIT Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 5000 Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit MECHANICAL PERMIT Additional desc NON GREASE HOOD INSTALL Permit Fee 60..65 Issue Date 11/21/12 Expiration Date 5/20/13 Qty Unit Charge Per 1.00 10.6500 EA Fee summary Charged Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 98363 60.65 .00 60.65 Contractor OWNER Plan Check Fee Valuation BASE FEE ME =HOOD /DUCT -MECH. EXHAUST Paid Credited 60.65 .00 '.00 :00 60.65 .00 Date 11/21/12 Extension 50.00 10.65 Due .00 .00 .00 .00 0 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork 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. AV 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 Igulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Project Address: Main Contact: ,11-e.1 Phone E -Mail: 6a- 7764 Property Owner Nam ,e ZO Phone Mailing Address tt Email City rou t� State Zip Contractor Name Phone Mailing Address Email City State Zip Contractor License Expiration: Project Value: et, ©0 Zoning: Tax Parcel Lot Type of Permit Residential Commercial Industrial Public Demolition Fire Repair 0 Reroof (tear off /lay over) For the following, fill out both pages of permit application: New Construction Remodel Addition Tenant Improvement Mechanical Plumbing Other Existing Fire Sprinkler System? Yes No Maximum height of structure Proposed Bedrooms Proposed Bathrooms Project Description Z, 6941/7 ©tJe AOL2e N 8 a f �y(t' l ,F4i' I C_ nil r I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit. I understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects. I understand that the plan review fee is not refundable after plan review has occurred. I understand that I will forfeit the review fee if I cancel or withdraw the application before the permit is issued. I understand that if the permit is not issued within 180 days of receipt, the application will be considered abandoned and the fees forfeit. Date /I P 'nt Name 454, Signature THE CITY OF ORT ANGELES W A S H I N G T O N U.S. 321 East 5`h Street Port Angeles, WA 98362 P: 360 417 -4817 F: 360-417-4711 permits @cityofpa.us Building Permit Application Residential Structures Area Description (SQ FT) Existing Proposed value For Office Use Basement Appliance Vent Heater (Suspended, Floor, Recessed wall) First Floor l Size: Heating /Cooling appliance repair /alteration Second Floor Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping Covered Deck /Porch /Entry Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Deck Garage Carport Other (describe) Area Totals 1 Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: Haz /Non -Haz Piping of Outlets: Appliance Vent Heater (Suspended, Floor, Recessed wall) Boiler /Compressor Size: Heating /Cooling appliance repair /alteration Evaporative Cooler (attached, not portable) Pellet Stove /Wood- burning /Gas Fireplace /Gas Stove /Gas Cook Stove /Misc. Fuel Gas Piping of Outlets: Ventilation Fan, single duct Furnace /Heat Pump/ Forced Air Unit Size: Ventilation System Commercial Structures Area Descriptions (SQ FT) Existing Proposed Value For Office Use Existing Structure (s) Medical gas piping of Outlets: Water Line Proposed Addition Vent piping Sewer Line Tenant Improvement? Other (describe): Other work (describe) Area Totals Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps Fuel gas piping of Outlets: Water Heater Medical gas piping of Outlets: Water Line Vent piping Sewer Line Industrial waste pretreatment interceptor Other (describe): Lot/Site Coverage Calculations Footprint (SQ FT) of all Structures: Lot Size: Lot Coverage SQ FT Site coverage (all impervious structures) Site Coverage T: \BUILDING \APPLICATION FORMS \BUILDING PERMIT 081212.DOCX Building Permit 1210 E Front St B 12 -1512 PREPARED 12/24/12, 9:22:35 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS STRUCTR PERMIT 12 00001512 000 000 1210 E FRONT ST B SIGN 00 SIGN INSPECTION HISTORY REPORT 0 /00 /00 THRU 0/00/00 ASSESSOR PARCEL NUMBER ALTERNATE ID INSPECTION 06-30-00-7-1- 0100 -0000- BL99 0001 BLDG FINAL 12/19/12 APPROVED REQ COMM: December 18, 2012 2:44:42 PM pbarthol. REQ COMM: Donna 425- 485 -9600 RES COMM: December 19, 2012 4:16:29 PM jlierly. PAGE 1 RESULT DATE /STATUS INSPECTOR JLL Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc REPLACE ILLUMINATED CHANNEL LETTERS Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 WA 98363 12- 00001512 103736 1210 E FRONT ST B 06-30-00-7-1- 0100 -0000- SIGNS COMMERCIAL ARTERIAL 3500 Contractor CLARITY SIGNS INC 7204 NE 175TH ST KENMORE (425) 485 -9600 SIGN REPLACE ILLUMINATED CHANNEL SI 47.00 Plan Check Fee 11/21/12 Valuation 5/20/13 Special Notes and Comments November 21, 2012 10:46:56 AM sroberds. The proposal will result in replacement of a bldg mtd sign with a new channel lit bldg mtd sign for total bldg mtd signage of 19 sq.ft. NO PORTION OF THE NEW SIGN MAY EXTEND ABOVE THE ROOFLINE OF THE STRUCTURE. Charged' Paid Credited 47.00 47.00 .00 .00 .00 .00 47.00 47.00 .00 Date 11/21/12 WA 98028 Qty Unit Charge Per Extension 1.00 47.0000 PER S -ALL SIGNS OR TO 25 SF 47.00 Due .00 .00 .00 .00 3500 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. gat Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: FINAL Date Accepted by Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wail Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: FINAL Date Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL'INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type' Date Accepted By Electrical 417-4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T:Forms /Building Division /Building Permit Applicant or Agent i v S't s Property Owner 12,06 tS�• Property Owner's Address Z3 g Contractor Cl Contractor's Address `7 Lcyt. NE- 1 License CL w S I o Existing sign(s) area Date 1 1 j 2 Name D d T:Forms /Building Division /Sign Permit Application.doc SIGN PERMIT APPLICATION CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 k pars On Or Ph ne Phone Print in ink Signature For City Use Only: Date Received 114- t 12. Permit Date Approved I a ww Phone W de; o 21- Expires 1 ��3wZ Submit an 8 x 11 site plan three sets of plans that include: Type of sign (wall- mounted, projecting, freestanding, illuminated, other...) Placement and sq. ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements. 00 Project Address i z( o i✓ F--o h 1 S `l r e e 1- 43 Business Name jj -n-. t'b.p S Parcel Number l2 3 i 7 Lot Zoning Sign Type Brief Description: (Type, location, sq. ft.) I tA14-t -to! C'44titlel te( i-o'Scikt Sign #1 Sign #2 Sign #3 Sign #4 vei o,nY fp14c< c k c Totals (Unit charges Unit Charge Quantity multiplied by quantities) $47.00 x 1 $85.00 x $115.00 x Type of Sign Sign(s) Valuation 3 t All signs less than or equal to 25 sq. ft. Wall si or marquees, over 25 sq. ft. Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: of Port Angeles Credit Cards (Except American Express) are accepted sq. ft. Proposed sign(s) area sq. ft. Total sign(s) area 9 sq. ft. Building facade area (height 1 ft. X width &3 ft.) C 1 3 sq. ft. (If a building has more than one business in it, only measure the area of the building facade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Domino's Port Angeles, WA Exterior Signs Surveyed 11/7/12 Clarity Front Elevation View East Front Street Scale: 1/16" 1' SIGNS ARCHITECTURAL, ELECTRICAL T 425.485.9600 F 425.491.7308 7204 NE 175th Street Kenmore, WA 98028 www.claritysigns.com 63' Client: Domino's Pizza Site Address: 1210 East Front Street Port Angeles, WA 98362 File Name: Revision(s): DP PortAngeles sign permit Proposed Desc°r "ti T7r y g 2 Manu act re °and irtkta1I tge3oll; win e cm' m y 0 One l') storefront e11i aft Crc t §retg Li a 2 3 N N pa -"4 1'�31gra ewa n uriftd channel letter gd I a i ti a 7, O 6 'a us N 0 N 0 N 5, m N J E c L O 23 TJ Q. 7 Lai 7: c3 W E 0. m m 0 rn m C N -0 m L' m o 72c, n o w m ch IL c c O. 0 Z G` g `o2 Le, o4 c0 6 4..., c E w r 6 2 Date: 09/18/12 Acct Mgr.: AM Designer: N8Lumzer DT: 1.5h Est. mon row rim This sign is intended to be installed in accordance with the requirements of Article 600 of the National Electrical Code andlor other applicable local rn odes. This includes proper grounding LISTED and bonding of the sign. Existing fo 1 of 3 Date. Date: Customer Approval Landlord Approval• nil imag, design elements and other content represented nn this document are the sole propcnynl Clarity Signs, INC. No images or content represented in this design may he copied, stored, manipdated, published, sold nr rcprodured in whole of In pan withotn the express written permi,smn nt an anthnriaed representative of Clarity Signs, INC. Domino's Port Angeles, WA Exterior Signs Surveyed 11/7/12 Clarity SIGNS ARCHITECTURAL ELECTRICAL 0 Channel Cabinet: 5" deep returns White 1" trim cap White 3/16" White Lexan faces Translucent vinyl applied to face GE Tetra White LED Color Key: 3M Intense Blue 3630 -127 3M Red 3630 -33 T 425.485.9600 F 425.491.7308 7204 NE 175th Street Kenmore, WA 98028 www.claritysigns.com Channel Letters: 5" deep returns White 1" trim cap White 3/16" White acrylic faces with translucent vinyl GE Tetra White LED Raceway: Fabricated aluminum raceway Paint: SW Safety Black Raceway to be attached to existing roof mounted brackets Description: Manufacture and install One (1) internally illuminated channel letter sets with logo Note: Utilize existing mounting framework Existing Roof Brackets Client: Domino's Pizza Site Address: 1210 East Front Street Port Angeles, WA 98362 File Name: DP PortAngeles sign permit Revision(s). 0' -5 n Qy Side View Not to Scale Add 1 "xl" steel angle to existing roof brackets and thru bolt Date 09/18/12 Acct Mgr.: AM Designer: N8Lumzer DT: 1.5h Est Roof 120V To 1 -BOX IN CONDUIT 5" Deep Return 1" Trim Cap 3/16" Acrylic Face 10 White Tetra LEDs U 1 "x 1" steel angle This sign Is intended to be installed in accordance with the requirements of Article 600 of the National Electrical Code and/or other applicable local codes. This includes proper grounding usrm and bonding of the sign. Materials: .090 Aluminum Letter Sidewall 1" Jewelite Trim cap .150 White Acrylic Fonts: Domino's Standard Guide Logo: Bitmap Vector Domino's Standard Guide Color: PMS Vinyl Paint w3M Intense Blue 3630 -127 43M Red 3630 -33 Y N Illumination GE Tetra White LED Y N Survey: Survey Date. Survey Notes: Y N 6 Installation. Clarity Signs Y N Shipping To: Sub Contractor: None Project Production Notes: 2 of 3 Date. Date. Customer Approval. Landlord Approval. All image,. design elcanonk and reher content represe on this docu nem are the mle property ni Clarity Signs. INC, No images n en repre,Ied in this design maybe aepirvl. owed, maniptdated pnhlished, ,n1,1 d or repr in whole or in pan without the express carmen permission Ai an aoihnrized rrpres, lalwe of Clarity Signs. INC.. Electrical Permit 1210 E Front St 12 -1428 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 41/26/it- V:2-7/1- o ,444 f FINAL COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 subpanel and 10 circuits Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total WA 98363 ELECTRICAL ALTER COMMERCIAL 182.00 10/30/12 4/28/13 182.00 .00 182.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X G: \EXCHANGE \BUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001428 991072 1210 E FRONT ST B 06-30-00-7-1- 0100 -0000- ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 182.00 .00 182.00 Contractor ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452 -6424 Plan Check Fee Valuation Qty Unit Charge Per 10.00 5.0000 ECH EL- BRANCH CIRCUIT W /FEEDER 1.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER Paid Credited Due .00 .00 .00 Date 10/30/12 WA 98362 Extension 50.00 132.00 .00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date: OCT -30 -2012 07:47A FROM:ELECTRIC SERVICE 4526424 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1 b 1 '3 0 Owner Information cL r o5 Name: Mailing dresit 3L a. City: State: Zlp: Phone: License #1 Exp X E tF ovcr Service/Feeder 200 Amp. SeMcelFeeder 201-400 Amp. ServlcelFeeder 401-600 Amp Service/Feeder601 -1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Servicefeeder Branch Circuit WIO Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/ Feeder 200 Amp. Temp. ServicelFeeder 201 -400 Amp. Temp. Service/Feeder 401.600 Amp. Temp. ServiceiFeeder 601 -1000 Amp Portal to Portal Hourly Sign /Outline Ughting Signal Circuit/ Limited Energy —Multi-Family Signal Circuit/ Limited Energy I First 1500 sf Commerdel Note: $5.00 for each additional 1500 sf Renewable Electrical Energy 5KVA System or less Thermostat Note: $5.00 for each additional TStat Multi•Family or Comm rclal" Plan Review May a squired, asse ectrical Plan Review Info mation Sheet Job Address: B tl uilding Square Footage; o b Description of above I�c crx C e' w"' 3 C ti-rhno nit Cha e 132.00 160.00 1225.00 288.00 410,00 5.00 74.00 5.00 86.00 102.00 121.00 164.00 1185.00 96.00 88.00 64.00 96.00 113.00 56.00 Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two y to hire an electrical contractor If above said property is for sale, rent or lease. Perm' After reading the above statement, 1 hereby certify that 1 am the owner of the above the electrical installation or alteration in compliance with the electrical laws, N.E.C., Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Signature of owner, electrical contractor or electrical administrator: Dab& ez• F 0 a� S TO:4174711 0110112012 :mot. Styf CCT 0 2:',12 ELECTRICAL' ;r'_: INSPECTIONS ntractorInformgo �la_ me: C`C. -mac v linggdd E.. 1 o� State °45"--4. 2]p: 2 one: r Fax: t r 3 0 P.1 Total 1Qty Mantled by Unit Charnel s I32 S <-74 c ar 5.0 3. CCZt9--- $1( q.o (J Total rs alter this electrical permit Is finalized. (2) Owner is required expires after s months of last inspection. amed property dr a licensed electrical contractor.1 am making CW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port 1ectrical Permit Applications. O Cash 0 Check O crest Cud l Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation it Application desc INSTALL NEW DOOR REAR OF BLDG .0 4 0 r• Date Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Qty Unit Charge 1.00 14.0000 WA 98363 Fee summary Charged Permit Fee Total Plan Check Total Other Fee Total Grand Total Print Name T:Forms /Building Division /Building. Permit BUILDING PERMIT INSTALL DOOR 109.75 6/12/12 12/09/12 Per 109.75 71.34 4.50 185.59 BASE FEE THOU BL- 2001 -25K 12- 00000666 359578 1210 E FRONT ST B 06-30-00-7-1- 0100 -0000- COMM REPAIR COMMERCIAL ARTERIAL 2044 COZI HOMES CONSTRUCTION INC 324 E 9TH ST PORT ANGELES (360) 452 -9906 COMMERCIAL 109.75 71.34 4.50 185.59 Contractor Plan Check Fee Valuation (14 Other Fees STATE SURCHARGE PER K) Paid Credited .00 .00 .00 .00 Date 6/12/12 WA 98362 71.34 2044 Extension 95.75 14.00 4.50 Due .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) h►na (p'k 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 9f laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted by Under Floor Slab (Q'aa' I a -L Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Accepted by Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (Q'aa' I a -L PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. T•Pnrmc /Riiilriinn nivisinn /Riiildinn Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 N H 01 W w C7 H a a a Q x w H r] 0101 x01 U H H f] z 0 x H 0 U U 4-) PA 0101 m m zz H 0 m Cr, N N 10 O 01 r1 H W w Qzz 0100 oxx m a a u z Z rx O o H H O a H 0 a U 0 W 5 m P: m X H E Z O Z HvIWH£ mZ O E X o 0 Hum 2 41 1 co O m r 10 0101 10 01010100 o 0 0 W S Q 0 W o 0 O H Z M 0 010101 N O H 0 H H u o H N 0) H 01 0 0 N Ol Z r H N r N d' Applicant or Agent: c oe [$v {s Owner: Addres: Archi ect /Engineer: Contr ctor t f Addre s: 3 a( PRO CT ADDRESS: t, 1 i> CLALLAM COUNTY PARCEL NUMBER: i TYPE OF WORK: Residential. Multi- family Commercial Repair Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. lfyou have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 New Constr. Addition Remodel Sign T:\FORMS\B1dgPennitform.wpd Applicant: BUILDING PERMIT APPLICATION Re -roof Stove Move Garage Demolition Deck jQther COMMERCIAL/RESIDENTIAL: Occupancy Group: OA BRIEF DESCRIPTION OF TIFF PROJECT: B a Ci y: cr�-t State License City: p LEGAL DESCRIPTION: Lot: Block Subdivision: o'50 013 11 lDD No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage SIZE/VALUATION: SF. /SF. SF. /SF. SF. /SF. TOTAL VALUATION N.01,1) 4 en-Tr l ro Phone: Phone: C ;p Occupant Load: Proposed Sq. Ft. Phone: P-432___ FOR OFFICIAL USE ONLY: Date Rec.: 5 30. 1 a Permit r LP Data Approved: Date Issued: tO 1 Zip: 18 Phone: Date: ??o Zip: ZONING: ccrfl1 =5 =5 Construction Type: 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 peunit issuance. EXTIRATION OF PLAN REV I I W: 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 now the same to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. RECEIVED PLANNING USE ONLY: APPROVALS: PLAN: BLDG: MAY 3 0 DPWU: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: CITY OF PORT ANGELES FIRE: OUILQINC DIVISION OTHER: Applicant or Agent: c oe [$v {s Owner: Addres: Archi ect /Engineer: Contr ctor t f Addre s: 3 a( PRO CT ADDRESS: t, 1 i> CLALLAM COUNTY PARCEL NUMBER: i TYPE OF WORK: Residential. Multi- family Commercial Repair Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. lfyou have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 New Constr. Addition Remodel Sign T:\FORMS\B1dgPennitform.wpd Applicant: BUILDING PERMIT APPLICATION Re -roof Stove Move Garage Demolition Deck jQther COMMERCIAL/RESIDENTIAL: Occupancy Group: OA BRIEF DESCRIPTION OF TIFF PROJECT: B a Ci y: cr�-t State License City: p LEGAL DESCRIPTION: Lot: Block Subdivision: o'50 013 11 lDD No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage SIZE/VALUATION: SF. /SF. SF. /SF. SF. /SF. TOTAL VALUATION N.01,1) 4 en-Tr l ro Phone: Phone: C ;p Occupant Load: Proposed Sq. Ft. Phone: P-432___ FOR OFFICIAL USE ONLY: Date Rec.: 5 30. 1 a Permit r LP Data Approved: Date Issued: tO 1 Zip: 18 Phone: Date: ??o Zip: ZONING: ccrfl1 =5 =5 Construction Type: 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 peunit issuance. EXTIRATION OF PLAN REV I I W: 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 now the same to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. C07J HOMES CONSTRUCTiON 334 E. ath PORT PLMGELES, TA 93362 .75a0 arA■A imiovJc Pe fp Kt o5 9, ttio Tnytify r P. p t- F r vi n V O.U14- 0-54Vr- Or air T3 LJ F fit to t g)\ Nedr 0 ct 4, Permit 19--11C2(0 NOTES need I-e eirninn o Luir LC cUA.,OW t y Y C (1i rctQ Gr\fitANy \c y'v\,6) T:Forms /Building Division/Notes i 1 i d !POFT CITY OF F ORT ANGELES Construction Pfans The Issuance of this,permit bad upon these plans, specifi- cations and other data shell not prevent the building official from thereafter requiring the correction of errors in slid plans, specifications: and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. agog -T, 411 l Vogl s ■Lif *6%044 Approval Date COZI HD :1E C i3 SSR�JCtIC' 334 E. 9th jFQRT ANGELES V1!. 93 &2 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 2 r `J FINAL 2 1 l8 °A? ‘V COMMENTS Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Sign Circuit Owner WINGED INVESTMENTS 367 WALKABOUT WAY PORT ANGELES Permit Additional desc Permit pin number 161091 Permit Fee 88 20 Issue Date 2/19/10 Expiration Date 8 /18 /10 Qty Unit Charge Per 1 00 88 2000 ECH EL COMM SIGN Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 ELECTRICAL ALTER COMMERCIAL Charged 88 20 00 88 20 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000163 345635 1210 E FRONT ST B 06 30 00 7 1 0100 0000 ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457 5303 Paid Credited Due 88 20 00 88 20 Plan Check Fee Valuation 00 00 00 Date 2/19/10 WA 98363 Extension 88 20 00 00 00 00 0 Signature of owner or Electrical Contractor X Date City of Port Angeles Permit Application Building OlvIsion /Electncel;neps Bane 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 96362 Ph: (360) 417.4135 Fax: (360) 4174711 Date: J If /0 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition /Alteration Remodel Repair Plan Review May Be Required, Pleas omplete Electrical Plapgeview Information Sheet Job Addreee: I.. 0 E rf /1 1 �1 Building Square Footage: Description of above /14 J, 4 Owner Information Name: W, 9�d Au t. rf Hfi Melling At tress: U /0 B Cit to, State: WA Zip' 40319 P hone: Fax. License Exp. Unit Charge $119.90 $146,50 6 204,60 262.20 372,50 2.60 73,50 2.60 92,70 110.30 5 148,70 $197.80 95.90 .88,20 95,90 83.90 63,90 1 119.90 5 102.30 $'110.30 35,20 6 73.50 110.30 S -58.00 9►Y i t Check /9/(D 1.00/L0021 _Date: L00/L00 tJ 133dSNI A1I3 Vd RECEIVE FEB 18 2009 ELECTRICAL INSPECTIONS Contractor Informed Name: t MellIn Add e: f Y,,WO �-/!"0W91f City: State: 1 1Z, Zip* _20:114%r Phone: Fax: V5;2 Tygf License Exp. 47. ,k.I. z„ev2i' Total (Qty Multiplied by Unit Charoei Settdce/Feeder 200 Amp. 5 SeMcelFeeder 201.400 Amp. Service/Feeder 401-600 Amp, 5 Service/Feeder 901.1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit WI Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit 5 Temp. Service/ Feeder 200 Amp. Temp. Service/Feeder 201 -400 Amp. S Temp. Service/Feeder 401.600 Amp Temp. Service/Feeder 601 -1000 Amp. Portal to Portal Hourly S Slgn/Oudlne Lighting 5 Signal Circuit/ (Jollied Energy Commercial. Addhlonal •1500 $5.00 Signet Clrcull/ Limited Energy 1 8 2 Family Dwelling Signal Circuit/ L1mlledEnergy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 6KVA System or Less First 1300 Square FL Each Addldone1500 Square Ft, or Portion of 5 Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermootel Total Ilif Credit Card 8 r 5100 7 78 5 Owner aa, dinned by RCW,19.28.261: (1) Owner will occupy the cerucmre lot two yams after Mk electrical pormlf Ie /Inalhed. (I/ Owner Is required to hire an alecfrko! contractor If above said properly le for soli, Motor lasso. Pernift expires alter she months of last Inapec1on. After reading the above etetement, I herebycertJy that 1 am the owner of the above named property or a licensed electrical contractor.` I am making the electrical InefafaUon or alteretbn In compile/tee with the electrcal Taws, N.E.C. RCW. Chapter 19.29, WAC: Chapter 291488, The City of Port Angeles Municipal Code, and Utility Spselfleadone, Signature of owner, electrial contractor or electrical administrator Cash 03 oT.14.0at3 0Zdw1itO 8 ZSV 09E XVd 09 Gil 0LOZ /81./3O 0 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning Application valuation Owner Other Fees Fee 'summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T \PLANNING \FORMS\ 1102 15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Charged 148.75 96.69 4.50 249.94 03- 00000672 1210 E FRONT ST B 06-30-00-7-1- 0100 -0000- DOMINO'S PIZZA COMM REMODEL 6000 ROGERS LYNN H GREAT NORTHWEST BUILDERS PO BOX 2212 P 0 BOX 3194 PORT ANGELES WA 983620288 SILVERDALE (360) 271 -9021 Structure Information NEW INTERIOR SOFFIT AND WALLS Construction Type TYPE V NON -RATED Occupancy Type BUSINESS:OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc NEW INTERIOR SOFFIT AND WALLS Permit Fee 148.75 Plan Check Fee Issue Date 7/15/03 Valuation Expiration Date 1/12/04 Qty Unit Charge Per BASE FEE 4.00 14.0000 THOU BL- 2001 -25K (14 PER K) Paid Credited Due 148.75 96.69 4.50 249.94 Contractor .00 .00 .00 .00 Date 7/15/03 WA 98383 STATE SURCHARGE 4.50 .00 .00 .00 .00 96.69 6000 Extension 92.75 56.00 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 1 1 PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING 7 %4 /M., J DRYWALL G T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD /DUCTS PW UTILITIES SITE WORK (Engmeenng Division) SEPARATE PERMIT #'s WATERLINE METER SEWER CONNECTION SANITARY STORM SEPA. ESA SHORELINE: PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING 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/ ENGINEERING 417 -4807 CONSTRUCTION R W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 9 -3/ —o3 11 I h ,1 A. BUILDING CALL 417 -4815 FOR BUILDING 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. T \PLANNING \FORMS \1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call (360) 417 -4815 Applicant or Agent: A.)(9 l,U..) Phone: 310 9�1 10 Owner: .31.6.-4-4- Address: ia.1(� �N D--4 S+ Cit T31 i f State License #:61 r4+,Jd01'rB.l Exp: Architect/Engineer: Contractor e r Address: 1 66Y-- 3 I t PROJECT ADDRESS: 2-10 B E F trv,r 5+ Phone: City: 5(t).-- l Z l, s Zip: Zip: Z ZONING: Phone: 3 baa V -cl l 9 %3153 LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC TYPE OF WORK: Residential New Constr. Re -roof Multi family Addition Move I1 Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT: 3 i t5(e•45 City: Exp. Date: SIZE/VALUATION: Stove SF. /SF. Garage SF. /SF. Deck SF. /SF. Other TOTAL VALUATION 000` COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones: Lot Size: Existing Sq. Ft. Existing lot coverage Proposed lot coverage T \FORMS\APPS\Bwldmgpermit wpd Applicant: BUILDING PERMIT APPLICATION 7/Af Occupant Load: Construction Type: (A)dd Proposed Sq. Ft. TOTAL Sq Ft. Total lot coverage PLANNING USE ONLY: ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: Date: o) 1 3 63 APPROV S: PLAN: BLDG: DPWU: FIRE: OTHER: 1 BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan subnuttal requirements if you have questions VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that 1 have read and examined this application and know the same to be true and correct. I am authonzed 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 ing CUSTOMER AREA FINISH NOTES' 1 ALL CUSTOMER AREA WALL SURFACES TO BE SMOOTH FINISHED GYPSUM BOARD 2 APPROVED CUSTOMER AREA PAINT COLORS SEARS A 028 MISTY STONE B 093 FRENCH BEIGE SHERWIN WILLIAMS KESTREL WHITE LIGHTWEIGHT BEIGE OLYMPIC DRIFTING DUNE CAMEL DUTCH BOY' CANVAS JIB TAUPESTONE OPTION 1 PAINTED GYPSUM BOARD W/ CHAIR RAIL AND LAMINATE WAINSCOTING ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB OPTION 2 PAINTED GYPSUM BOARD W/ CHAIR RAIL ONLY ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB/ BELOW CHAIR RAIL FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE OPTION 3 PAINTED GYPSUM BOARD FLOOR TO CEILING MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB 3 FRONT AND BOTTOM SURFACES OF SOFFIT CONSTRUCTION TO BE SMOOTH GYPSUM BOARD PAINTED FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE (REAR FACE IN PRODUCTION AREA TO BE WHITE FRP) 4 APPROVED CUSTOMER AREA FLOOR TILE CROSSVILLE 8)(8" TILE W/ FIELD CUPPED CORNER UPS A233 SAND BISQUE W/ 6'x8" MATCHING BASE, RED ACCENT DOTS DOMINOS DOT 2 AND DARK GROUT 5 CUT TABLE OVERSHELF MUST BE PIONITE DOLPHIN GRAY SG246 -S LAMINATE OR STAINLESS STEEL FOOD SERVICE EQUIPMENT SCHEDULE M y 5'-6" 2' -8" 2' 7' -6" MARK QTY E&S ITEM NO DESCRIPTION 1 1 PC312702 4' SLIMLINE ILLUMINATED UNIVERSAL COUNTER (OR WOOD PC312801) 2 Date: X 01 July, 2003 Owner Review NOT USED 3 1 PC 312701 2' SLIMLINE ILLUMINATED UNIVERSAL COUNTER (OR WO OD PC 312800) 8" 1 j 4 A -2 NOT USED 1 MISTY MISTY STONE O j n =Iu b 1 vZ 1 ..V- Z „0-d. 1 j MISTY STONE 5 NOT USED 6 1 PC 312704 3' SLIMLINE ADA TRANSACTION COUNTER (W/ MONITOR PC 312703) OR WOOD 7 PC22261N 1' SPACER 8 PC 22262N 2' SPACER 50 54 9 PC 22263N 3' SPACER 1 UNIVERSAL CORNER (PC 22139N) 1 Q��J 10 11 1 1 BY OWNER BY OWNER 4' SPACER 5' SPACER j j X 7 j j/; jj j j /j ��yJ.�d��y 3' -2" 12 PC22266N 6' SPACER 13 1 BY OWNER 45° ROLL TABLE 14 PC 336210 6'DELFIELDMAKE3 LINE RED CHAIR RAIL RED HAIR RAIL WAINSCOTING 7' -a' 15 1 BY OWNER 7' DELFIELD MAKELINE WAINSCOTING 16 PC 337610 8' DELFIELDR MAKELINE(LCPPC336630) 17 CONSULT E&S SUBLINE 18 PCSUBO19 24 x24 WORK TABLE 19 1 BY OWNER 30" x 36' WORK TABLE TILE BASE 3-11 3' -1" 3' 7" j, 20 PC 22289 5' WORK TABLE 1 21 PC 25222 MIDDLEBY MARSHALL PS 555 DOUBLE 22 PC 357165 GREENHECK 6 -2" x 11'-6" UNNERSAL HOOD SYSTEM 23 1 BY OWNER 6 CUT TABLE W/ DOUBLE OVERSHELF (PC22242G) 24 PC 22258 8' CUT TABLE W/ DOUBLE OVERSHELF (222430) 25 1 BY OWNER 54" ROUTE STAND 0 LEFT SIDE ELEVATION R IGHT SIDE ELEVATION 26 PC 22150 72 ROUTE STAND 27 N/A 6' PCL HE/CM/AVE SCALE: 1/4" 1' -0" SCALE: 1/4" 1'-0" MISTY STONE 28 6 BY OWNER CCOKTEK HEATWAVE CHARGER (W/ 6 WIRE SHELF SYSTEM) 29 PC 22141 2' DRINK STATION/ DRIVERS TABLE 30 1 BY OWNER 3' DRINK STATION/ DRIVERS TABLE 31 CONSULT E&S 4' DRINK STATION/ DRIVERS TABLE MISTY STONE FRENCH BEIGE 32 CONSULT E &S 5 DRINK STATION/ DRIVERS TABLE 33 N/A SINGLE DOOR VISICOOLER l f 0 w —mot b r` 1 „b -,Z 1 .0 1_ a I fi FILE 34 1 BY OWNER DOUBLE DOOR VISICOOLER �O D om i n o 35 N/A VENDING MACHINE 36 PC 240105 8' x 10' KOLPAK WALKIN COOLER I 1 37 PC 28099 HAND SINK W/ FAUCET b, 'l 0 u iw�n 11111a11111/ 38 39 PC 28102 PC 28096 3 COMPARTMENT SINK MOLDEDSTONEMOP SINK b Zp 6' I BL UE BAR 2'-6" 2' -6" -1 1/2 40 N/A WATER HEATER 41 PC 26997 KENMORE EXTRA-CAPACITY WASHER (3) HANGING PENDANT LIGHTS 42 PC 26996 KENMORE EXTRA- CAPACITY DRYER, ELECTRIC MODEL TRANSLITE TRANSLITE TRANSLITE 43 PC 22310 CAN MASTER -ic- „0-,E RED CHAIR RAIL 44 AS REQ VARIES W/ SIZE SHELVING WAINSCOTING ACCENT ACCENT ACCENT 45 AS REO VARIES VV/ SIZE DUNNAGE RACK O N O O 46 PC 8610A MODULAR METAL DROP BOX 47 N/A DESK 48 49 1 1 N/A BY OWNER FIRE EXTINGUISHER NKL DROP SAFE WI DIGITAL LOCK/ TIME DELAY TILE BASE TILE BASE TILE BASE TILE BASE 31 /2" 3- OE ADA TRANSACT 50 1 VARIES 30" x 40" C-PRINT W/ FRAME (PC 23092) 51 52 VARIES PC 23086 42" x 60" C -PRINT W/ FRAME (PC 23093) 18 12" x 23 12" CONTINENTAL LIGHT BOX (TRANSLITE VARIES) f 12' -3" 31/2" Construct 53 PC28003 30" x 40" CONTINENTAL LIGHT BOX (TRANSLITE VARIES) ii CITY OF PORT ANGELES 54 1 PC 23089 DOUBLE PANEL MAGNETIC WALL MENU BOARD The Issuance Of this pennd upon these pf 16 g� cations and other data shall not prevent the bu( 55 56 1 PC 15036 PC 15032 6' INTERIOR ILLUMINATED TUBE OR FLAT ACCENT BAR (PC 15036) 10' INTERIOR ILLUMINATED TUBE OR FLAT ACCENT BAR (PC 15038) from thereafter requiring the correction of ef`t fications and other da or from plans, speci building operations being carried on thereun ordinances Of the 1 57 1 PC 15029 9" DOMINOS W/ LOGO RAISED INTERIOR OR FLAT (PC 15035) GRAPHICS 58 PC 15036 "THE PIZZA DELIVERY EXPERTS" RAISED INTERIOR OR FLAT (PC 15028) GRAPHICS 59 3 PC OVER COUNTER HANGING LIGHT SALES COUNTER ELEVATION violation of all cod and n 1fern) Building Code By 60 1 PC8011 011 PLAYERS BENCH (SECTION 61 PC 26602 16-COMPARTMENT LOCKER W/ COAT BAR SCALE 1 /4" 1' -0" I ate ing CUSTOMER AREA FINISH NOTES' 1 ALL CUSTOMER AREA WALL SURFACES TO BE SMOOTH FINISHED GYPSUM BOARD 2 APPROVED CUSTOMER AREA PAINT COLORS SEARS A 028 MISTY STONE B 093 FRENCH BEIGE SHERWIN WILLIAMS KESTREL WHITE LIGHTWEIGHT BEIGE OLYMPIC DRIFTING DUNE CAMEL DUTCH BOY' CANVAS JIB TAUPESTONE OPTION 1 PAINTED GYPSUM BOARD W/ CHAIR RAIL AND LAMINATE WAINSCOTING ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB OPTION 2 PAINTED GYPSUM BOARD W/ CHAIR RAIL ONLY ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB/ BELOW CHAIR RAIL FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE OPTION 3 PAINTED GYPSUM BOARD FLOOR TO CEILING MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB 3 FRONT AND BOTTOM SURFACES OF SOFFIT CONSTRUCTION TO BE SMOOTH GYPSUM BOARD PAINTED FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE (REAR FACE IN PRODUCTION AREA TO BE WHITE FRP) 4 APPROVED CUSTOMER AREA FLOOR TILE CROSSVILLE 8)(8" TILE W/ FIELD CUPPED CORNER UPS A233 SAND BISQUE W/ 6'x8" MATCHING BASE, RED ACCENT DOTS DOMINOS DOT 2 AND DARK GROUT 5 CUT TABLE OVERSHELF MUST BE PIONITE DOLPHIN GRAY SG246 -S LAMINATE OR STAINLESS STEEL Domino' 771etmuwmnrsm.rb Jason Gnich Design Group 818 SW Third Avenue #208 Portland, OR 97204 888 291.3409 voice/ fax Project No. 1445 Domino's Pizza Store 7120 Reimage 1210 -B E Front St for DBA 1210 -B E Front St. Port Angeles, WA 98362 360 452.3861 Date: X 01 July, 2003 Owner Review 1 en n ERIOR ELEVATIONS fiction. A -2 ing CUSTOMER AREA FINISH NOTES' 1 ALL CUSTOMER AREA WALL SURFACES TO BE SMOOTH FINISHED GYPSUM BOARD 2 APPROVED CUSTOMER AREA PAINT COLORS SEARS A 028 MISTY STONE B 093 FRENCH BEIGE SHERWIN WILLIAMS KESTREL WHITE LIGHTWEIGHT BEIGE OLYMPIC DRIFTING DUNE CAMEL DUTCH BOY' CANVAS JIB TAUPESTONE OPTION 1 PAINTED GYPSUM BOARD W/ CHAIR RAIL AND LAMINATE WAINSCOTING ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB OPTION 2 PAINTED GYPSUM BOARD W/ CHAIR RAIL ONLY ABOVE CHAIR RAIL MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB/ BELOW CHAIR RAIL FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE OPTION 3 PAINTED GYPSUM BOARD FLOOR TO CEILING MISTY STONE, KESTREL WHITE, DRIFTING DUNE, CANVAS JIB 3 FRONT AND BOTTOM SURFACES OF SOFFIT CONSTRUCTION TO BE SMOOTH GYPSUM BOARD PAINTED FRENCH BEIGE, LIGHTWEIGHT BEIGE, CAMEL, TAUPESTONE (REAR FACE IN PRODUCTION AREA TO BE WHITE FRP) 4 APPROVED CUSTOMER AREA FLOOR TILE CROSSVILLE 8)(8" TILE W/ FIELD CUPPED CORNER UPS A233 SAND BISQUE W/ 6'x8" MATCHING BASE, RED ACCENT DOTS DOMINOS DOT 2 AND DARK GROUT 5 CUT TABLE OVERSHELF MUST BE PIONITE DOLPHIN GRAY SG246 -S LAMINATE OR STAINLESS STEEL PARTITION KEY NEW FULL HEIGHT PARTITION EXISTING CONSTRUCTION TO REMAIN 30" x 40" C -PRINT FRAME FLOOR PLAN VERIFY ALL DIMENSIONS SCALE. 1/4" IMAGE 2000 GENERAL NOTES 1, THIS IMAGE 2000 DESIGN IS SUBJECT TO DOMINO'S PIZZA APPROVAL 2 MINIMUM ONE WALL GRAPHIC REQUIRED 3 NON -TABLE SEATING REQUIRED FOR AT LEAST THREE PEOPLE IN CUSTOMER AREA 4 WINDOW MOUNTED "OPEN' NEON SIGN ILLUMINATED FROM OPEN TO CLOSE REQUIRED 5 MINIMUM 7' COUNTER W/ (1) 3'ADA TRANSACTION COUNTER REQUIRED MUST CONTAIN AT LEAST (1) APPROVED TRANSUTE EACH COUNTER MUST HAVE EITHER A NON ILLUMINATED BLUE ACCENT OR AN ILLUMINATED RED ACCENT 6 LEADING EDGE OF COUNTER MUST BE RECESSED 5" FROM FRONT FACE OF NEW WALL CONSTRUCTION CUSTOMER AREA 7 FRONT FACE OF SOFFIT MUST BE RECESSED 6' FROM FRONT FACE OF NEW WALL CONSTRUCTION CUSTOMER AREA 8 MINIMUM (1) STOREFRONT FASCIA SIGN REQ'D 9 APPROVED MENU BOARD MUST BE MOUNTED IN COUNTER SYSTEM OR ON CUST AREA WALL 10 SOFFIT GRAPHICS TO BE LEFT JUSTIFIED W/ COUNTER SYSTEM OR SOFFIT CONSTRUCTION Dom n•o'o Jason Gnich Design Group 818 SW Third Avenue #208 Portland, OR 97204 888.291.3409 voice/ fax Project No: 1445 Domino's Pizza Store 7120 Reimage 1210 -B E Front St. for DBA 1210 -B E Front St Port Angeles, WA 98362 360.452 3861 Date: 01 July, 2003 Owner Review FLOOR PLAN A -1 PARTITION KEY NEW FULL HEIGHT PARTITION EXISTING CONSTRUCTION TO REMAIN 30" x 40" C -PRINT FRAME FLOOR PLAN VERIFY ALL DIMENSIONS SCALE. 1/4" IMAGE 2000 GENERAL NOTES 1, THIS IMAGE 2000 DESIGN IS SUBJECT TO DOMINO'S PIZZA APPROVAL 2 MINIMUM ONE WALL GRAPHIC REQUIRED 3 NON -TABLE SEATING REQUIRED FOR AT LEAST THREE PEOPLE IN CUSTOMER AREA 4 WINDOW MOUNTED "OPEN' NEON SIGN ILLUMINATED FROM OPEN TO CLOSE REQUIRED 5 MINIMUM 7' COUNTER W/ (1) 3'ADA TRANSACTION COUNTER REQUIRED MUST CONTAIN AT LEAST (1) APPROVED TRANSUTE EACH COUNTER MUST HAVE EITHER A NON ILLUMINATED BLUE ACCENT OR AN ILLUMINATED RED ACCENT 6 LEADING EDGE OF COUNTER MUST BE RECESSED 5" FROM FRONT FACE OF NEW WALL CONSTRUCTION CUSTOMER AREA 7 FRONT FACE OF SOFFIT MUST BE RECESSED 6' FROM FRONT FACE OF NEW WALL CONSTRUCTION CUSTOMER AREA 8 MINIMUM (1) STOREFRONT FASCIA SIGN REQ'D 9 APPROVED MENU BOARD MUST BE MOUNTED IN COUNTER SYSTEM OR ON CUST AREA WALL 10 SOFFIT GRAPHICS TO BE LEFT JUSTIFIED W/ COUNTER SYSTEM OR SOFFIT CONSTRUCTION REQUEST: Date 0 7 p6 /0 3 Time INSPECTION NOTES: Inspected: Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT 9` 3D Location of Work to be inspected 9-- 1 0 C Name of person requesting inspection Address of person requesting inspection Phone No 9-7/ 9C7gi Type of Inspection (circle appropriate one): Permit No. 4 7- Sewer Foundation [Framin) Chimney Plumbing Final Sewer Excay. Other SURFACE RESTORATION: SURFACE TYPE: Unimproved Gravel Repaired by City Repaired by Permittee No Damage Found Time Remarks: RESTORATION REQUIRED Received by YES NO Asphalt PCC C ro 4 1- sr person) person) By Work Order COMPLETE INCOMPLETE Other (Continue on reverse side if necessary) STRFFT SUPERINTENDENT (DATE► CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT REQUEST: Date i 3t 1 hS Time Received by Location of Work to be inspected Name of person requesting inspection 8W►-. C 6 S J e Address of person requesting inspection Phone No. 7/ `10,.Af Type of Inspection (circle appropriate one): Permit No G 7 g-. Sewer Foundation Framing Chimney Plumbing Sewer Excay. Other (Continue on reverse side if necessary) INSPECTION NOTES: )/u I 7 1 Inspected: Date Time By Remarks: RESTORATION REQUIRED YES NO (phone, person) SURFACE RESTORATION: SURFACE TYPE: Unimproved Gravel Asphalt PCC Other Repaired by City Work Order Repaired by Permittee COMPLETE No Damage Found INCOMPLETE STREET SUPERINTENDENT (DATE) 1 t),; 4.4 N 4 n L— boAlwc:5 /44?� /1,4LQ7 fl a-4€ OR 734 q v r 2 /6A 3 g 6 i tD k B 0 P fr\ o i bo,v, 6A) 0 T 5 r R -a),'re'4 G 6 01/4‘ Ae A, I0' 6 lob>>.e t "4 a6cue_ g cito( 1 1 FroNt bt I kW-e f /7//u AQJ 1/1 a c _tts/ oavefe e ve F I oot dto N Adler cou4e-r 61 (or 31kelvst:t&) 4-1°' Q 4 e OP 4S i f Co un4.t i p5 a'y V I -R1 1(0 /4 Cod t410^ A461 ro Uefi►1f,J 1 1- Y AL 36 (s, N NI/ 'VAS Fled-t 4( p 1)55 2 /t 1.1_ 3' couwu'l-ef vtge A3,5 Yetok A l 1 k9' /15 .except zzz G r-e Y 1 r ietl1/41- 4101 Q h pleek4 dr 'OD r Ly i r r 7 7 s„ 1 T 5Ited tA). CoNcre4e FIVD roe 81ock wG/' B 5W- LPNVIt i3' /6'3" MONO W )9^1-1( tl lex y I0 1 A-1 I el re/tic) v4) aY'y" \)e J 13- P zeMod2 6P‘r c,dAliba of d2 i t i orepoewevis_s J 6 Lo v veer" UFAJ16 va 4 c aeove DAD I/ 1'0y /0 6e hAk 2<43eie 3 /ley C ..5 etAtd *f ro MQve �Re ►wgl -lied rW \ea r© vq All Ce, J} 11 /o teikoo ova lGc 1 Ce, /,w 0 5 ThEi tve6 i6 ftr' 151 i ,bro (k) G G X e G f 7 1 FroN t 5t gem q ‘‘'C- ►r' 7? 6'0 /P'4 e )0' p 3 11" 2eNOJ1vitt Vo/e reAtoKet, fi 05 Reeepkw. lor CoIA ZOOkr Co •f►4Sc FRP 1�k J/oor d S J► 40;ik moo 0, gIAA! 4 i o pa �,r�k 3, ,4N/ h, Co u p i 6e pry Sloe. fleig';1 1 e &AlI t e2 C/ lor RD tie INAli heel back roe& t'246 f'KOt 74.4. C ol Po& y P I qfi4 r ece l a. 3 co .1,4414. 5 Cu fJM.6 iW I6r 3 ell swks .4114)1 4J irk 60etvoty5hder Aro FRP pat4 gela 3 cap 1� over SivAC gc29 0w pAin (dieeekii-olikpadickdve Ne-40/1) Dry* r 1 \oo D- "peol-flutc.eb INxt'f 1 co•400-tre L. I iw PcAld ,540`66)e 1,0 AA A- t o 01 D Skefollic? 1 5telvi %AD 1 PrOP 0 A C Aosekef Coz LI 4D70/ a la 1, (5, 6 I L I I 10'3' 1 1 D9A/1 Av 5 Po-z ia �y a/ie j r 00 1 f 7 RO60 3qb/ y5a� 1 1 3 `fi Fronk 5 t1' 17y/ 3'l" ir 11 fi 6'4 @`f/ @ir r" tiCEE9 oaus {rustier+ Plans The issuars. 'h nit based ipon these plans, specifi- cations and of c; a_ ,h Il not prKvent the building official from thereafter r q 'tng the correction of errors in said. plans, specifi. tons and other data, or from preventiing building opere.t;:.ns being carried on thereunder when 1ri violatiu et 11 c c'di" 's of this jurisdiction. u :i_.. Lu_ Approval Date By P •1 FILE 13' /C'3'' 0 €A6- it,Ui Qf UGA4 a 6oucJtr 4 b4l lot 1 611411 0 3 v V el 'i o co ,\,t4e6 0.6.,vor 00046 1 1 e G� ss L o v uel Floor co e s6 pi,(0, 4 F /eti, l vgs E r 1041 3„ 3- 1,.7G w 3' eDIJaeI y/I4 A 35 1 A J) J2Yee zzZ o ff' f I� Fto it T Q P id4 Jet 7 .r. 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