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1127 W Hwy 101 - Building
Application Number 07 00000881 Application pin number 970500 Property Address 1127 W HWY 101 ASSESSOR PARCEL NUMBER 06 30 08 5 8 2040 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Owner JAGPAL CORP INC 1127 HWY 101 W PORT ANGELES WA 98363 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST STH STREET PORT ANGELES. WA 9E362 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 7/30/07 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc SIMPSON/ HVAC CIRCUITS Permit pin number 107870 Sub Contractor SIMPSON ELECTRIC Permit Fee 58 00 Plan Check Fee 00 Issue Date 7/30/07 Valuation 0 Expiration Date 1/26/08. Qty Unit Charge Per Extension 1 00 58- 0.000 ECH EL, COMM ,ALT' <5 'CIRCUITS 58 00 Fee summary Charged Paid Credited Due Permit Fee Total 58 00 58 00 00 00 Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO DITCH ROUGH -IN COVER SERVICE GENERAL COMMENTS: FINAL 1A -1 -07 1 I 1 1 1 1 1 1 1 1 1 PW.1102.1514961 Electrical contractor name License ber Date Expires pSOn tlet:+rt C S I M P 173 cep Purchaser s mailing add 303e, 14 tug /O/ i.w) City Sierra ZIP PORJ vvieie-s w» 98 b3 Telephone number J FAX number 44 57 9110 5A 07/25/2007 23 32 4579270 .lob wired by (p Electrical Contractor Owner Premises owner's name a i r hi LLrrt F es}Qrwr Address of inspection Li 1 L.0 14l` tW44 101 City Foy+ Arz-ueles, WA- c/ 363 Phone number to schedule inspection: 45'7- 7µ47 Owner as defined by RCW /9.2$.26/ •(I) Owner will occupy the structure for two years after this electrical permit is /blazed (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or kale. After reading the above statement, 1 hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with the electrical laws. N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code. and Utility Specifications. .n SIvent re f owner, electries trattor or electrical administrator z4' 47 J ,`f card Date: Ji,eatical oad Addltlons and or(BI'ttbtractlona O NO LOAD CHANGES Baseboard KW O Fumace KW O Heat Pump Ton LAR O Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7:0O AM 360 -417 -4735 ROUGH-IN THERMOSTAT Inspection Da te _RECEIVED 1.1 nib twit Ds e Appleved By FINAL 0 Ic App oed By Lt; Mete O Overhead Service 0 Temp Service O Underground Service DITCH Dale Approval By Area, Building or Equipment Inspected SIMPSON ELECTRIC PAGE 01 ELECTRICAL WORK PERMIT APPLICATIO 4 /Installation description g1 Commercial 0 Residential New Altered/Addition air /fir CGfrhob i ek".4c., fir rQCC.tiC A71S D Cash Expiration Date BY 0 Check* 0 Credit Card Card Date Dale Mastercard Discover Voltage Phase 0 1 O 3 Service Size: Feeder Size: SERVICE Inspection fee S 5$ 0° Service Information Acoon Taken Appmvcd Ry FEEDER S Approved By Electrical Inspector i N CZ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . · INSPECTION REPORT. . . . . . . . . . . REQUEST: Data 7 · ~ J' 07' Tima 1. " '{ S- I"" Racalved by 7 I '7 ~""""'l Location of Work to be inspected / I if 7 )/t-A/ y 101 '-1/(?5/ { Name of person requesting inspection 1/1./ /-1 t, r &1 v . Address of person requesting inspection /703 SU IS S' Phone No. l./17 VB' Y 1 Type of Inspection (circle appropriate one) Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~C---tA..fe /'""' INSPECTION NOTES' Inspected' Date 7;' c;- -0 ~ Remarks: Time ?5 'J1) ;) P'1. I By 7 II /e~' 6/l. back "SIde 6{' Prtel-er RESTORATION REQUIRED . . . . .. YES )( NO ;fJ .J .... .... - 8"PJ::" F OJ lilt 1 C1../- V\; sr f- 07'10' ts~ k 1 6 - J . ~ ~ \J "'" \,) ~ SURFACE RESTORATION: SURFACE TYPE 0 Unimproved 0 Gravel o Repaired by City o Repaired by Permittee o No Damage Found o Asphalt OPCC !4JOther fbJ' 5..:> ,I I Work Order # .f 00 '/6 - O~-C:. o COMPLETE % INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT CDA TE) CITY OF PORT ANGELES g q DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000911 Date 8/22/11 Application pin number 370122 Property Address 1127 W HWY 101 REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-08-5-8- 2040 -0000- Tenant nbr, name FAIRMOUNT RESTAURANT on your state excise tax form Application type description PLUMBING PERMIT to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning COMMUNITY SHOPPING DISTR Application valuation 300 Application desc GREASE TRAP Owner Contractor JAGPAL CORP INC GARY'S PLUMBING INC 1137 HWY 101 W PO BOX 255 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457 -7447 (360) 457 -8249 Permit PLUMBING PERMIT Additional desc GREASE TRAP Permit pin number 191502 Permit Fee 57.00 Plan Check Fee .00 Issue Date 8/22/11 Valuation 0 Expiration Date 2/18/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL- PLUMBING TRAP 7.00 Fee summary Charged Paid Credited Due Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 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 clays from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. V 22 Al 5 4-4N 4 it-4..s..../,/,.,„ 7 /1, 4.-,...-- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER., INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By Comments FOUNDATION: I- Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Btdgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line n Back Flow Water FINAL Date 1.4.41. it. Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor 11 3 Shear Wall Hold Downs Walls Roof Ceilin Drywall (Interior Braced Panel Onl T -Bar INSULATION: Slab L I Wall Floor Ceiling L MECHANICAL: Heat Pump Furnace FAU Ducts E Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by C> MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting l ESA. Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By J Electrical 417 -4735 3 Construction R.W. PW Engineering 417 -4831 Fire 417 4653 1' Planning 417 -4750 Building 417 -4815 T'nrrn IRuilriinn ni,risinn /Ruildina Permit 1 H I O O I a H a 0 1 1 H 1 a a I H H 0 I a 1 CO N H 1 0 r r 0 0 0 1 O 0 0 1 N N 1 M a a 1 It 0 U 0 H 1 I (11 a 1 IN W W W W m a w 0 co as I 7. 0 H acC 1 10 0 Z H h 1 0 0 W M 7 Z Iii 1 H o t (1] 0: E M 0 V] 1 W W 1 W <N W H 2 (0 ((0 1 I 0(0 H H O E 00 G.NZ X I-1 z 1 1 I H U 0 0 H U H I av] z(a H E+ H U O 1 0 a 01 0 W W 1 U D (0.- a 0 I (0 W a al H 0(7 1 00 a F( H Z O o z Z 1 1 1 1 H H o W I H 00 L.0 a 7 U o H 1 H H z z N a 1 (0 a s N 10000 a 0.1 0 0 0 m 1 m z v] t au a- a a H I Z H w 1 H a 0 01 I H 01 1 x a U m 0 (1 0 0 (0 0 00 In s W 0 N N w 1 r a r a M 0 1 a H 0 01 1 H W 0 01 0 H 1 0 01 W 0 0 1 1 00 d' 0 1 a' a 1 a a zo (0 ao az E. 0 o a r a4 H m W H I OzzzO:a 1 a ai 0 4E 000 1 0 H a PROJECT STATUS UPDATE 10 Permit t'a t( U121 1kvwy 161 Date: 1 4 1 S• I phoned the: Applicant L- atS Property Owner at Contractor at (left a phone message, or discussed): The permit (has expired, or will expire soon). What is the status of this project? Please call and schedule a final inspection. Or Submit a "permit extension request" letter. Or Let me know if the project is abandoned. 12W \110, Wpb 'off now\ T:Forms /Building Division/Project Status Update 0,,,..Tq,„ BUILDING PERMIT APPLICATION Print in ink 1.-. CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received -22' I 321 E. Fifth St., Port Angeles, WA 98362 Permit# It Ot tt (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant Pp .3A4 g C-o H c- Phone Property Owner Phone 4 i 9 7 Property Owner's Address 1121- H o 1- w. a (LT /Yav Et-es Pv-A g 3 Contractor 4zi 2 Pz- u el 6 -0/4 1 Phone L c3Zy7 Contractor's Address Q n /x 2 .5 S'- V ,r_T ha C Lcs ?9302- License Expires E -mail PROJECT ADDRESS r-�, -93 jiz� �a 3 atrrYwun R� est Parcel Number Lot Zoning Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply New Construction 1`�CA).) q', (∎SCE, 4 1 0LC Addition J Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch All Deck Shed Other TOTAL VALUATION 8b 6 0 Total footprint of structures sq. Lot size s• Lot cover-ge Site Coverage the amount of impervious s a on a parcel, including structures, -.aved driveways, side alks, ios, and other impervious surfaces. (see PAMC •4.135 for exemptions) Site coverag Max. height of proposed structures ft. Occupancy group of bedroo' s Will a lawn sprinkler system be install ■ccupant load of full hs Will a fire sprinkler system be install-d? Co ,truction t se of h• baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understa d that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date /yr ,r Print Name H S l C` Signature /��a l 4 T:Forms /Buil ing Division /Building permit application Clallam County Assessor Treasurer Property Details 64206 JAGPAL CORP INC fo... Page 1 of 1 Clallam County Assessor Treasurer Property Search Results 64206 JAGPAL CORP INC for Year 2011 2012 Property Account Property ID: 64206 Legal Description: PENNSYLVANIA PARK ADDITION LOTS 1 -5 BL 20 &PORT VAC ALLY Geographic ID: 0630085820000000 Agent Code: V` Type: Real b Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 58 Open Space: N DFL N Historic Property: N Remodel Property: N Multi- Family Redevelopment: N Township: Section: Range: Location o Address: 1127 WHINY 101 Mapsco: PORT ANGELES, WA Neighborhood: x ref Cycle 4 Comm Map ID: 2 Neighborhood CD: 20950140 Owner Name: JAGPAL CORP INC Owner ID: 32570 W Mailing Address: 1137 HY 101 W Ownership: 100.0000000000% X \(\ei PORT ANGELES, WA 98363 CAL Exemptions: Taxes and Assessment Details Property Tax Information as of 08/22/2011 Amount Due if Paid on: 7,. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. i First Half Second Half I Year Statement ID Base Amt. i Base Amt. Penalty Interest Base Paid Amount Due lr Statement Details 2011 158277 $663.23 $663.14 $0.00 $0.00 $663.23 $663.14 IR Statement Details 2010 46576 $639.09 $639.11 $0.00 $0.00 $1278.20 $0.00 Values i Taxing Jurisdiction Improvement/ Building Sketch Property Image i Land Roll Value History Deed and Sales History i Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32,2200 Database last updated on: 8/22/2011 3:47 AM 2011 True Automation, Inc. At Rights Reserved. Privacy Notice http: /websrv8.clallam. net propertyaccess /Property.aspx ?cid =0 &year =2011 &prop_id =64206 8/22/2011 coco o '- , N 0' '- m WW t..?E-< <1;<1; 0.0 ,-; co M lI) , N lI) '" 0 '" >< M ...:I I>: W H ::: ...:I WW E-< 0 ZZ wen gJ 00 '"'''' "'''' ~~ m 0.0. 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M M 0 " ,-; Z N m M m 0 0 ~ ,-; co 0 co co 0 m ~ omo N E-< 000 m Z C)N<o::t'N .0 W Z lI) N'" :>: H . , ....:1 lI)...:I :>: ~Nr--No:::t:lo-l 1,::1; 0 ,-q......-l:z: Q) r-- Z U ~ &:.u~.w~~~~ CIl CIl Q) l'J;l:><;ll'Ju,",l'J 0011>: 010 0.1>: 0 oJ~:Ii~oJ~:lioJ ...:I ~~~ ...:10. ,..,<1; ~: ~ coco co , 00 o , '-'- '- , NN N , ,-;,-; , '-'- '- , coco m , , , , , ,-; ,-; , 0 0 , , m , M m , ...:I ...:I , '" '" , (-PORT~ ~40~~~ ha 1!:c -- ~--;;--3 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name . . Application type description Subdivision Name Property Use . Property Zoning . . . . . . . Application valuation . . . . 08-00000957 Date 327214 1127 W HWY 101 06-30-08-5-8-2040-0000- FAIRMOUNT RESTAURANT COMM REPAIR 8/08/08 COMMUNITY SHOPPING DISTR 27000 Application desc STRUCTURAL REPAIRS FROM COLLISION Owner Contractor JAG PAL CORP, INC 1137 HWY 101 W PORT ANGELES WA 98363 HOCH CONSTRUCTION 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98363 (360) 452-5381 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL \ 131722 437.95 Plan Check Fee 8/08/08 Valuation 2/04/09 284.67 27000 Qty Unit Charge Per Extension 417.75 20.20 BASE FEE 2.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 437.95 437.95 .00 .00 Plan Check Total 284.67 284.67 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 727.12 727.12 .00 .00 /;'; /]qL O~ 0/ 'a <" O~ Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This perm it becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel th lroviSions of a ate or local law regulating construction or the performance of canst uction. . \ ~ Signature of Owner (if owner is builder) T:FormslBuilding Oivision18uilding Permit (05113108)wpd ~ BUILDING PERMIT INSPECTION RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 J 7-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. ~ '-' "-.\ INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT II's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING Q-2-o8 PB ~ " ~ ~ '" ~ ~ , ~ ~, ---.J '- '.... :I_I~_. ~ T""o.:..:_,_..Hl..:I.J:___ n____:. '(\<11 '}/f\O\ .......,1 I BUILDING PERMI,T APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only: Date Received ~ - G:7 ,- Permit # 0 Date Approved Applicant or Agent ~ ~~~ ~c.. Ph e 3 (j. Property Owner ) Phone Property Owner's Addre~ ~1f.7 ~1ffJ ~ ~ks: V(~ ' Contractor/Engineer ~ U r . nu 't1j Phone - 1, . gJ()9F; Contractor/Engineer's AddrE1ss License # HDr)f~!dJ AJT Expires Lf/ldJo9 PROJECT ADDRESS Parcel Number Proiect Tvpe & Brief Description: 0 Residential Check all that apply. ~ '6-1-0% o New Construction R l .. @ o Addition o Remodel ~epair oRe-roof o Demolition ~(~'( o Heat System ~e. o Other )(Commercial o Multi-family o Industrial Floor Areas Existinq (Sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 15t Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA TlON $ 11, O()O. De Total footprint of structures sq. ft. Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths 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 t btain permits prio to working on projects. Date_~OL Print Name ~9./ f12l~T Signature T:I'cn,":s/Buildlr.g Division/Bldg Permit Appl.-200E Code.doc 23 July 2008 Gene H. Unger · Engineering, Inc. Civil · Structural · Management 1401 West 7th Street Port Angeles, Washington 98363 Office (360) 452-2098 Fax (360) 417-2098 E-mail: ungerpe@msn.com .. . . Hoch Construction Attn: Rich Hoch 4210 Tumwater Truck Route Port Angeles, W A 98363 Subject: Structural Inspection Fairmont Restaurant 1127 W. Highway 101 Port Angeles, W A 98363 Dear Mr. Hoch: The following comprises a structural inspection of the damaged Fairmont Restaurant at 1127 W. Highway 101, in Port Angeles, Washington. This inspection carried forward into preliminary analysis to assure the repair of the structure would result in a structure in reasonable compliance of the building code. Purpose and scope of services The purpose of the evaluation was to assure repairs to the damaged structure would result in an appropriately safe structure. The automobile wreck into the building had totally removed the south support of the main roof beam along with a portion of a wall. Site O;)se ,'lations I visited the site on July 22, 2008 observing the damaged wall, bricks, beam movement and the effected interior walls. I found the main roof beam supported by a temporary 8x8 post at about nine feet north of the south wall. The brick wall had over two square feet of brick work missing and one window was no longer there. The wall had been temporarily boarded up over temporary studs. The end of the beam in the wall was temporarily supported with three cripples and the temporary 8x8 post. It appears that at some time in the past the beam had a partial wall under it from the north end. There is also evidence that a short wall had been under the south end. The interior storeroom to the west of the main beam has been moved by the vehicle. Even with this movement it is obvious that the wall of that room ended up holding up the roof structure during and after the crash. Without that wall the entire roof would have collapsed. This wall sustained significant damage in taking on this structural weight along with the movement forced by the car. I expect that it will have to be rebuilt to make it functional. Conclusions The structure is repairable. The main beam running north-south will have to be jacked up into correct position. The analysis shows that the smallest post to be used should be 08040lnsp 1 a 4x6 DF-L#2. The bottom should be attached to the concrete below with an ABE46 6r its'equivalent. The top connection to th'e beam should be done with an ECC64 or ECC5 %-4 in the end position at the south wall. The other column position about five feet in from the south wall could use a CC5 %-4 to connect the top of the column to the beam. I mention the south end to install the added column because the restaurant had a short wall there that the column could be installed into. If the restaurant wanted to have the post at some other location, I should be contacted to assess the structural appropriateness. The south walls of the internal store room need to be rebuilt. There is obvious damage to the studs that would require replacement. The north wall of that room might be salvageable but it has to be repositioned to be plumb and the extra load it incurred during and after the accident give me reason for concern. I would replace this wall unless you have me inspect it after opening up all the structure so that I can evaluate the soundness of the members. Care must be taken as these repair steps are taken to assure proper connections of the beams are recreated. The hangers of the solid sawn roof beam to the GluLam beam show some movement. This needs to be adjusted as the members are moved back into correct alignment so that the hangers are back to original functionality. Checking plumb of walls, columns, mullions, and slope of the roof is essential to making the proper repairs. Use of this Report The conclusions and recommendations contained in this report are based on conditions, as they existed at the time of my site visit. A visual inspection was made, research was conducted, probing, sampling, analysis was done, and conclusions were drawn from - this information. If the conditions are defined further in any way or if changes to the structure occur, different conclusions can be anticipated. I should be advised of changes so that I can review these conditions and reconsider further recommendations. This report has been prepared for the exclusive use of the owners of Fairmont Restaurant, Hoch Construction and their assigns. The recommendations and conclusions are based on the site materials observed and on previous experience with sites with similar observed conditions. The conclusions and recommendations are professional opinions derived in accordance with current standards of practice within the limited scope of my services. No warranty is expressed or implied. Sincerely, 08040lnsp 2 fl~ ::r 7:it~ Gene H. Unger, PE Inc.: Engineering analysis Photographs from site visit i.-~~~r:~~ l' -I T- :2-c;IO . I 2-~.:r~ (y r CJ~. CITY OF PORT ANGELES - COn!rtmm10l1 "'tlM The Issuance of Ihj~ permit based upon these plans, spedfi. cations and other data shall not prevent the building official from thereafter reqUiring the correction of errors ill saiel ~'ii.iS, specifications and other data, or from preventing building operations being carried on thereunder when in vioblion of ail codes and ordinances of this jurisdiction. - - . ::Q) OO~ .:I:B ~ Approval Date By :J l ( 4/ ( f.V(>/Lk S:.urs.J &Z:: f ~ h~/ef prw,MJ -.q---{... I I I I I J ,0 I i f-. -. " i I ) i 10 I I I .-.-y... i i I I 110 r I i II I? r!: If '"- r ~w ;J"1 ~L'" 6-/ II/ tit ;?-"? J-J I y r c? t? t!' go 9'0 Co '" o-f I --r7" 6-Yr.5 ; fiLE Z-C?O G L ~ c. Vi/,' Y1 d: :f cA .>V E4/~ ," // C ItJO /'7/ h ~ :;''f!!'~ , ~ P;-el.? H-' f c.. ~ ~Yl <<!:- '3 " 7 ttP// .iJ~,c.y,:.f I Z (fie:? tV / ft, f L . f-. ./~ /7"~f .ill e-1 t11 ~df- I{e(#t g,z- .#, ~ \.. ..) c;{Q.. ""'.. q ..e. l j; ;c;/ f "'7--?J r -f4I ~t( II II I " 1I l' ~ ,. . II (1 ?h - ,Fa I Y' 1'1'(/"''[; err /7( t/I ~~ J"vl /y '~ 8 &> (It?J{O ~~ t.f F",--~ t;- .5~~, 13/ bX(,q- ,t;J)~-1 #=" / . Lt- :::= 7-'7[;0):::- -:-YO I"!-F- J//.-::: /"3-{IP)=- (1-O Iff I 160rS"" I !i II 1 I~ /1.7 'fr Iv F;6 " ftz. 6;x, 11/ rJ F-t- +:f / t ) LL.- ~ r.:rCl fJ f r- /Jj...:=. I '?-.e; pi r- t ~1'po ~r 1 (.l -'/J / p, jJ J"> I-f~rr _ 17-1>-< z...,qtJ . ./ 41-87> 71-';' ~ 7-- 7tfb I ., 1 'l-b .~ I' 1,1 ~ '" r ,I I - b t 77-/ ..r ~ ~ A' "Z-7"1;!- c;.l.;1- 2-'1F -))Jj t if 7-q1 t ~9~5 lIP( E ~~ 0:.9 ~4~. ;- 1:z-)' :z. J ZJI F - 1/1 t? II.e,.y- > rve ~ ~ T' r:;f 0- '1 t:{~,(,~ ;Jt:)~p /'n1e-.,.Yf~/ f! I!?~ ~ - r q 1;/ JY1c.Jrlt:: Gf' )-/, el, "Z-"7 Jt.--< ( Y IOcf' d:J80'l-6 4,t~ r II? P/ .!. -e:-- F ( PI'" e'..-w e-.+-1 e::f /" ~3CL- ,,/7' ?- z,. '!?.f C? 1 :'zfl( J 1 B T 1(3 17712- t/ if -r J;.- '1--~J-!Q r r il p~!lf cr~ &{g - ~'fF-V4' r-' ;f---' { '7.,11 I ------ i JT7'r?';{- I A t/c1 r 'l j1c'.s- 7:- t? If oed e .> / / \ e. ")'C. ".> 1;'V('1 ;if d f "7 be~? ~ M~-€ r- cu yy~.vt,C: C.e>Jce IrJf T.I 11)'6 ~' tJF~). 2- I' " .11, 1-11 /A.'f VI vt.--r/ Cj /it CJt' Afi t=--1tf ;.. ,11'" -e'OU(I/</~ ;S"(>-€. ecc p. Lj Pt? 9 -C- 7t -,/ C 6-Vf J1 -eo:;. (( ttIJ-c.r r;:. / ~.t~ .J -Pex.M.-( 1 C/O )<-(' t~-c: w 7i~ -E cc ;> XJ - If ~ ,If !r " I, ! I I I h , , ;:;.. i Washington Oregon Claim Service JAGPAL_CORPORATE_INC Interior ~L -~ ........... .....>--". '-./ ~ < ,-'- -- DESCRIPTION QUANTITY 330.00 SF 80.00 HR UNIT COST 1.45 48.96 12. Stud wall- 2" x 4" - 16" oc 13. Carpenter - General Framer - per hour Framing labor to include rebuild of sill, exterior and interior stud wall, and reset SUP) 38. 1/2" drywall - hung, taped, 408.00 SF 1.69 floated, ready for paint 39. Texture drywall- machine 408.00 SF 0.32 63. Paint the surface area - two coats 408.00 SF 0.70 40. T & G paneling * 165.00 SF 9.18 62. Stain & finish paneling 165.00 SF 1.17 41. Baseboard - 2 1/4" 55.00 LF 2.28 42. Chair rail - 2 1/2" 55.00 LF 2.84 64. Baseboard - Detach and reset 106.00 LF 1.86 43. Paint baseboard - two,coats 55.00 LF 1.03 " 44. Paint chair rail - two coats 55.00 LF 1.03 :,' 45. Detach & Reset Wood window- 1.00 EA 1U6.94 picture (fixed), 12 - 22 sf 46. Trim board - I" x 2" - installed 18.00 LF 2.22 (cedar) 47. Seal & paint trim 18.00 LF 1.07 48. Detach & Reset Window drapery - 2.00 EA 27.06 hardware 49. Window drapery - hardware 2.00 EA 78.68 50. Pocket door unit - birch 1.00 EA 186.04 51. Custom painted mural on interior 20.00 EA 49.73 wall * 52. Shelving - 12" - in place 60.00 LF 7.41 55. R&R Vinyl - metal transition 9.00LF 4.04 strip 57. Glue down carpet 972.00 SF 4.06 60. Temporary shoring post - Screw 16.00 DA 26.62 jack (per day) Totals: Interior JAGPAL CORPORATE INC - - " ~ . ., Washington Oregon Claim Service ........:;--~.../ ......., '-....'" ::> < R_L---. -- Exterior DESCRIPTION QUANTITY UNIT COST 6. R&R Brick veneer 120.00 SF 21.45 7. Wood window - picture (fixed), 12 2.00 EA 439.11 - 22 sf II. Sheathing - 1/2" - OSB* 100.00 SF 0.87 14. Siding - tongue & groove - cedar 100.00 SF 4.53 59. Siding Installer - per hour 4.00 HR 55.88 15. Seal & paint wood siding 160.00 SF 0.97 16. Painter - per hour 2.00HR 49.73 17. Trim board - I" x 4" - installed 72.00 LF 2.97 (cedar) 19. Trim board - I" x 2" - installed 32.00 LF 2.22 (cedar) 18. Seal & paint trim 104.00 LF 1.07 20. General Laborer - per hour 12.00HR 32.70 21. Plants - shrubs - evergreen - I 4.00EA 28.01 gallon 56. Insulation - Minimum charge 1.00 EA . 190.00 Totals: Exterior GENERAL .......~../....,. '-""'( ..' ./ :>- < ,-'- -- DESCRIPTION I. General Demolition - per hour 2. General clean - up 3. Single axle dump truck - per load- including dump fees 5. Commercial supervision - per hour 22. Content Manipulation charge _ per hour JAGP AL CORPORATE INC - - QUANTITY 40.00 HR 16.00 HR 2.00 EA 8.00 HR 24.00 HR UNIT COST 34.32 30.17 270.12 60.81 32.70 ~2f r 1 I . Washington Oregon Claim Service 58. Taxes, insurance, permits & fees (Bid item) - open item. 53. Electrician - per hour 54. Heat, vent, & air conditioning repair - Minimum charge 61. General Laborer - per hour 16.00 HR 32.70 Labor for temporary covering of opening during construction and to recure at end of' DESCRIPTION Totals: GENERAL =- CONTINUED - GENERAL QUANTITY 1.00 EA UNIT COST 0.00 16.00 HR 1.00EA 85.75 265.00 Line Item Totals: JAGPAL_CORPORATE_INC Grand Total Areas: 0.00 SF Walls 0.00 SF Floor 0.00 SF Long Wall 0.00 Floor Area 0.00 Exterior Wall Area 0.00 Surface Area 0.00 Total Ridge Length JAGPAL CORPORATE INC - - ..", 0.00 SF Ceiling 0.00 SY Flooring 0.00 SF Short Wall 0.00 Total Area 0.00 Exterior Perimeter of Walls 0.00 Number of Squares 0.00 Total Hip Length <l'r- MO "- r- N "- '" ~~ c.'JE-< <(<( 0.0 Mr- MM M<l' M\D , , MN 0000 \Dill 00 \D\D >< MM ~ ~ ..:l ..:l o..:l 0: 0: 00: ~ c.'J uc.'J H ~ ~ ~~ ..:l ~~ E-< 0 ZZ 0. 0. Ul ~cn gJ 00 o..:l u ..:l ~ "'''' x'" 0 '" E-< ~:i! Ul 0.0. :>: 0 M:E H:E Z E-<..., 00. E-<o, 0 Z u ~ 00: "'r- 0 HO Ul :Eo Ul ..:lM ..:l E-<E-< E-< H .. ~ E-< <( u M <( Ul UU Z E-<NM Z ZNMZ E-< "'~ ~ OM '" HO...,H Z 0.0. ~Z~ M :E <<< M<<< '" UlUl , Z:E , :E ~~ ....00 ~r--M~ 00 Hr--MH :E UHU ,::(OOO.,:(z HU <(OOO<(Z 0 iE-<"- ZO\DZO E-<"- (JOI.DUQ U o,Ul HN HO o,Ul HN HO HE-< <<<"-<(<<<Z HE-< ~;;;c:i~1i1 ..:l O:..:l IllUl 0: els ,'" 8U::> c.'JN"'c.'J~ :t:N~::X:~ 00 UlUl Q..........O:::QE-I UlUl U.........O::UE-l 00 "'''' ...l O'di:J H ~ "'''' ~cn~~li. 0:E 100: <Il0E-<<Il<( E-<OO: :EOE-<:E<( E-< 0'" H ~ '0: E-< ~ 0 H 13 U<l':E ~o,~ ~ ~ zo:E 0. E-< r- rl,::(E-tHNO o,..:l N a f-l,:( I U o,Ul::> 5Ul::> MUl~ -00 ZUl ZUl <l' M :z: Ot I 0'\ t!lH~ H'" N ><0: O:IllM Z 0: ~O: 3 ,::( 0 10'\ .... N ::r:E-lHUcnO 8 MUl Z::J 00 ~ 30Ul..:l '0 ....00 -..:l , :EZ<(oo ::>"'''' r- !il~~ r- r-~ r--O:::HOlMO <IlE-<E-< 0 E-<E-< 0 oc.'J N H Z (!) I t Ul~ "- Ul'" "- ~~ M..:(M~\Dr--- grg;;; ,r- grg;;; r- r-4li.OtIJOQ 'N N N ()I:E '''- ()I:E "- "-E-< ~o ' '" ~o '" "'0: 0: 0: Uo:u , o:u 0 . <Il 0: .~ c.. , ~ 0. ZO <Il <Il , 0 E-< .~ , ~<<< Ul -u , M M 0:0 UlE-<<( ..:lZ E-< ()I , 0 E-< ()I 0 <( ~~~gjtJ..:l H Ul , H Ul 0.>< ~ "- , '" ~ "- '" ~E-< ozzzo:o, 0. , '" 0. '" O:H ~~03";o, >< , ..:l >< ~ o,u E-<UOo,,,; c.. E-< , <Il c.. E-< :E CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000919 Date 552546 1127 W HWY 101 06-30-08-5-8-2040-0000- FAIRMONT RESTAURANT COMM REMODEL 9/12/07 COMMUNITY SHOPPING DISTR 4000 Owner Contractor JAGPAL CORP, INC 1137 HWY 101 W PORT ANGELES (360) 582-6437 Structure Information Construction Type Occupancy Type Other struct info . . PENINSULA HEAT 782 KITCHEN DICK RD WA 98363 SEQUIM (360) 681-3333 000 000 FAIRMONT RESTAURANT TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST NUMBER OF UNITS WA 98382 1. 00 Permit BUILDING PERMIT - COMMERCIAL Additional desc REINFORCING ROOF Permit pin number 110668 Permit Fee 123.75 Plan Check Fee 80.44 Issue Date 9/12/07 Valuation 4000 Expiration Date 3/10/08 Qty Uni t Char'ge Per Extension BASE FEE 95.75 2.00 14 . 0000 THOU BL-2001-25K (14 PER K) 28.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ROOF AIR CONDITIONER 110676 64.80 plan Check Fee 9/12/07 Valuation 3/10/08 .00 o Qty Unit Charge Per Extension 50.00 14.80 .00 .00 .00 .00 ~ ~ /"0/ ?; ~ BASE FEE 1.00 14.8000 ECH ME- INSTALL 100- FAU Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 188.55 188.55 .00 Plan Check Total 80.44 80.44 .00 Other Fee Total 4.50 4.50 .00 Grand Total 273.49 273.49 .00 Due 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 jf 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 ~~mnglve authority t ~ the~;;; ~nY state or local law regulating construction or the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoJicies\1102_15 building pennit inspection record05,wpd [1/4/2005] o. :J CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES , PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WOPJ, BEFORE ~ INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION. - KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE. ~ I BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTJONS. INSPECTION TYPE OATE ACCEI'TED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-TN WATER UNE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACI~ FLOW / WATER AIR SEAL WALLS CEILING FRAMING :j JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR , INSULATION SLAB CS WALL I FLOOR / CEILING - MECHANICAL ROUGH-JN HEAT PUMY lFURNACE/DUCTS 0 FINAL 11:?:1f 0 7 :r L-L- ACCEPTED BY: - GAS LINE DATE WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEP A: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ~ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 3 -' ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL :::> LIGHT DEPT (.S\ CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERrNG 417-4807 PW / ENGINEERrNG FIRE 417-4653 FIRE DEn PLANNING DEPT. 417-4750 PLANNING DEPT . ~ BUTLDING 417-4815 BUTLDING ,,/ -1101 -:T U- 0 . . L: ;!: ~ T:\Pohcies\1102 15 bUildmg penmt InSpection record05.wpd [1/4/2005] '-- 09/0i/Oi IJ:I0 ~~ J606812086 Peninsula Heat Ou.>'(\V. ().\ . Co~f ~ 'j ().. ~ ~ BUILDING PERMIT .:: APPLICATION I4J02 Q1Di.on-~ ~ .....~ ~ Fill out COMPLETELY and ill INK. Your appJic:iltioD, prescriptive ener~ form, plans, .specs, and a 8 W' :J: 11" site plan MUst BE COMPLETE tD be accepted for rmew. (360) 417-4815 FAX (360) 417-4711 . .Resideatia.l project!: submittwo sets of-plans .11 I C~mmercial projeef3: submit three sets afplms c.,,\~~O\\ e. ..\ ( ApplicamorAgent Pe"'/~ ~v" h'r'-,Q+ rAt< w Phone (~1- S:T"J':! Owncr_ ~ J~ h J<A.n ~. _~. __ _ . . Phone 5S.:;'-~'/37/4'k!J- )~ DwncrSAddr=~J; ~~ ~ .~~t- An~lLs ':ft ~'.-3 ContractorlEngineer enS- u (>..f . ~M State License # ff!!.'" J 11' * oll'lO:ExpU'CS N'/,4 ContractorlEngin~er'sA~ 76'2. K;fc"'~vJ' /),~k ILl,,], Ie;: Phone '61- J:rr~ ~ROJEcr ADDRESS: 112~ w. J.J~. 101 fnf ~.li. ZONING: LEG.AL DESCRIPTION: Lot Block:' . Subdivision: CLALLAM COuNrY.PARCEL NUMBER.: .' TYPE OF WORK SIZElVALUATION o Residential tJ New Gonstr. .0 Re-,roof C Stove SF. @S /SF.::II $ C Multi-fauuly ~ AddiQou ,c Mow ' c GsnIge .. SF.@$ ISF.'. $ )( Commercial .If Remodel . . [J Demo1itiOD 0 Declc. SF. @S /SF. "" S , . 0 R:pair c Sign " Other 1:),... r").lif"II ~I- TOTAL VALUATIQN -t- ~./ ~ooo' BlUEF DESCRIPTION OF mE PROJECl': '. fp 1 H'V\o 11\'\-. R,~ S'\-tUlrn.n \ o.tJJ p 'hft~.tnp-' o...f,.. c~r..l;f"~n.(J"" (l't\i,,~"'~&.cJ.":rrl-k. 0111! o..del Cl... fr.loV Mv"I.",..r -to . rF.'.I1-N,r-f. t-o(J-i G...,,.{, + sltr.ef,;;{ , COMMERCIALlR.ESmE~: Ot;cupaney Group:. Occup Load: C~ Typ,e: E."tisting S~(s) baselDCllt . Sq. Ft & Pmpoged Swc:tui1:(s) buemeut Sq. Ft I- floor Sq. Ft &. I-floor Sq. Ft 2101 floor Sq. Ft. &: 2101 floor Sq. Pt . 3.'" floor . Sq. Ft. & .'. 3nl floor _' . . Sq. Ft. EfCisting S~(!I) TOTAL Sq. Ft. &. Proposed Stnu:tQre(s) TO'tAL: '. .Sq. Pt. Ma:cimum Height Of~osed Structare(s) Ft. TOTAL Sq. Ft. of emting " 'propmed stndllres LOT' COVERAGE . . , ~,.rUT'~""'J . Lot size Sq. Ft E:dsting SDllCtlJR(s) Sq..Ft Footprint ,. Proposed Sttu.~(~) Sq. Fl Footprint TOTAL S~(s) Sq. Fl Footprint: . 'Total Lot C~ % (Divide Total Sttw:ture{s) Sq. Ft. Fo01priat by Lot Sim Sq. Ft.) '. , VALUATION"OF C9NSmtICrrON: in all aase!. a valuation llmO~!Itmost b'e entered by the aPPlicmt ,Dilil ~wiIl b8 ..' rniewed ilnd. may IJe revised by !he Building DivisiOn to couqJly with ctI1I1mt: fee schedules. COutiu:t'dw Penim CoarrlinattJr at 417-4815 for assistance.. '. PLAN 'CHEcK FEE: The plan check: fee iRust be paid 8:t the time the buildiDg permit apP licaticm is submiued. 'All Dtber permit fees Bre du~ at lbe timll ofpermit: issuanC1!- .' ,. EXPIRA nON OF. PLAN REVIEW: An application. for a perniit for iIll}' proposed work shall be deemed'to have been abandonel11BO ~a1ler. the. date: of tiling unless sw:h application'has beeP pumled.in good.fiJith or_a.pemm.has been i;sucd;-acept: that th: building. ' official is anthorized to grnnt one or more extensions of time' for additional periods not ll'Xceeding 180 days' ~O days for ccnmnm:iaI Projects) ew:h; The:~iDn s~1 be requesl!d'in writing andjustifiable cause demonstra%ed. (IRCllBG: 2006 1-05.3.2).. I heretiy certify that I have read Bnd examined thIs application arid know the same to be' true and correct. I am- authorized tI:I apply fer this permit and understand that It;s my responsiblTrty to determine what permm.-are requ;reri. and that I must obtain ~(;/ch-peffTl;ts-pria,.tD.wriJFI<;,-.---.- -. "'-, - .... -- - __u____ --. -.. .. .. . .__...._ _ __on ._ _. ...._. . . _ _ _ _ _...n _. .. ._. .__ ..., ._... _H _.. .. t;>ate ~/o..., Applicant Z-- ~.tf:::::.. T:\FORM U /NG DMSI0N'.8ldgPllrmitAppl-2.006 CODE.~ 1 ~ ~ J I ... 't -- ...-,?" ",,;,/" ~/ : ~ '\ "\. "0 " ...., PEYL;hSV(lJ..i H'eo..t ',IIoCv F~f l<es.f(}...vt't1.r.-c1 p& SI5!~7 / (1- 7 OWn e.rS 3 { I (1;1 ~ A Ir cOI.L:f;~f'\~...... l./ 7,t;" 1 f, ~. ON f(. <lc.( f~ n I Cut-6 -;::; I' 6... .,.........., I-A ; L ~l-,,,.J,~ '2 : ~ \ '\, '>, ... ~ ~"'- : ! ">'0 j " j __ __ ..l "q ij// tv I '..~- ! ~\.. \. ~ '" ( ~ i j .....~: ,... -" " \ ~;N "\ <[: l~\ :~f ~~~;~ \ \ .,\~ "\ ;~, ., .~:. >, ,~ ~; ,/ ~.~ / ,.;.1 /,;... /,/4" -" ~ ,0' / ~~I :~ :=:f .. oj -;.~ 1, ,,- , ,. ..;.. .r' bow 11 -to '10>< 2" \ f II t€ v ~ &+ill' . '~ -)l'~ ~ " '''", -'\ ''', " (,1.1. .' .)/ :~. . ....." 12.X2.3 ./ Y...O vc.t IGx R SIJ ~ /' f~ ."!) /' .' ,., }r'ol\ H.-':'I~/..!. :-1 .... ~ ~l .: ; 5~ fljowh \ ~~i ~~. / 'i'.....'- ~ i~l :: ![:; ~" " :} ;~ . )~ /' ,,- ". ~'o,(~.~' ~ . rA ~..~ ". jt~,~~. ~'\: / li -"y:r$!I;>.<'C:g' ~\~#F ~'';;7::;:' -.-'. ..:~'s,,;.~. P',;",,<-,.,~"!tt7;!il\.'i~~~' -',' "'1 ---';, to. ~'~~""',:";~-~L~"::;-"-"" " ! ~~ f , I ---:..; ',~. 1 --- ''It'll I ,,~.......~~~,.Lr .- ~~J'",--,,'1Iol" '1 '1' rot!>. ~ ',. .1 <;~.. ". ~f " ". ... -, ", '.... t '1l1D CITY OF PORT ANGelES Constructin" F'I..n.. I re Issuance of this permit based upon these plans, specifi. cations and other data shall not prevent the buildin~ official , "' ".' '~4U""'!: me correction of errors in said D!;:~s, specifications and other data, or from preventing bllilrjinp nnprolin". "~;M ',~ . ""~II In "iolation of al/ codes and ordinances of this juriSdi5!iJ":-nf.- . n i ( "'v.. ,'UU\w, . ~n"orm llul/mn" I;nrorro Approval Date 4/t. I D'" By ;:I[( I ., Of' ~ ~ {Z, .d. J... s~~)- ~~ Lo 0, .,-....... .,/"r X I '3 GLg ; ; ~M~ , F (N ~ rJ " z ~ z " ;i I fCi-;,n vie., (..h20f I/1c . S" v , ;' ) i .../ i i 11 e.J \1, L ~ /T J ). J ~ (~ .. '2...- b ! J f t-l'I W1' I h" i , ~1J , (LJUJ 4 ~, ~ /Y'...on. j" L " 1 2- ( , .J )C V ., " , ''\., '\ '. '\ .'" ! 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" i ""..., ! i i / i . ! i 8/S/67 f '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION J2\ EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address . . . ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use property Zoning . . . Application valuation 06-00001290 889790 1127 W HWY 101 06-30-08-5-8-2040-0000- ELECTRICAL ONLY Date 12/11/06 COMMUNITY SHOPPING DISTR o Owner Contractor JAG PAL CORP,INC 1127 HWY 101 W PORT ANGELES WA 98363 ANGELES ELECTRIC . 524 E. 1ST ST: PORT ANGELES (360) 452-9264. WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL ANGELES/ MTR. REPAIR 91777 ANGELES ELECTRIC 66.90 Plan Check Fee 12/11/06 Valuation 6/09/07 .00 o "- '- N '-J Qty Unit Charge Per 1.00 66.9000 ECH EL-COMM ALT- REPAIR METER/MAST Extension 66.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66.90 66.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 66.90 66.90 .00 .00 z ~ ~ i i: L.NG 01...0.-..~ "- \} " t '\ l:. ,( ,tc ( COMMENTS! ACTION NEEDED ELECI'RICAL PERMIT INSPECI'ION.RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECllON TYPE DATE ACCEPTED COMMENTS . I YES NO lJITCH R (11 J{TH~ I COVER S.....K VII 'F i;L--/S"-~1 ~1 J GENERAL COMMENTS: PW-II02.1514'96J CERTIFIC City of Port Angeles Building Division ~his Ce ti[ic~tion issued p.ur~uant to the re~uirem~nts of Sect~on...l 09 of the Uniform u~ldmg C.ode.c~rtifY.mg that. g! !he tIme of Is~uance thl~ sl,uc~u~e was m compllance with the vanous ordmances of the CIty regulatmg 11Ulldmg l construction or use.ror thefollow~ng: \ :":]~'ifi:::" Resti rant T::::::::" V -N ~~""" N_ Fat::: ResI:nt Owner of Business: Aberkle Hassan Address: 1127 West Hwy 101. Port Ange1e/wA. 98363 \ ' J Building Address: 1127 West Hwy 101 Port Angeles. W A. 98363 . ,. I ,"~'~~: . . . - 06't b/7. 2003 Post - -~:~r'~~~~~Iti~:C~~~':lace. Shall not be~ ea.Eixee' ~i1ding Official. ,.~- t' Fa. ~ r M.,O v.Y'\.:\-- -;< e ::::. + o.lA. r <., \A.- +- ~(~.vff~J~ t ROUTING SLIP O' l Certificate of Occupancy 'Y$47.00 Certificate/Inspection Fee DATE ~-JJ-gJ Address of Proposed Business //2 7 HIAr.Y /0 I wefl Pit "q1\f1e'~rwl1 , - Applicant ,qBFRJ<,I'9P1 Hl'9fftf,-, 177 ('73 Address , I 2, 7 H w/' 1(/ I J.A.t>f"1- P6}-T- 4 ~j ete$ WJCr. CJ t 1.(' ? Ph;ne: business J(IJ.l/sr7 7Vltthome /,I2~2 32-0m Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ............................. New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service ............................. Admission charged to patrons. . . . . . . . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation ot tilling ot lots ....................... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? .............. . . . . . Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other........................................ . ~').~\/ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building .......... . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . f( J! y 1 CA Y' }- 17 /7rr--- Block YES NO _ ----L. ---4 -4 --x- '. - --;;-- --A- --I- -~ -~ -~ - -}.- -~ -+ ~ ~~ I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. p) REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~ fe,I2r(fJ>&J Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date: t- /1- OS- a2 S~: d ,{J... )>0--- ~~ ---r l. I Comments / Conditions / ~fORT -1.-.. lO~Q<?t"' ~:r. . L -=->r -=- ~ ~{IC..,.,cP<~e;, ( ) ( ) ( D(' ) ( ) ( ) ( ) ( ) .~.. CERTIFIC.ATE OF OCCUPANCY -- '.....-- .CitY of Port Angele,~ Building Divisi()n , This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifxiTJg that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building , construction or,use. For the following: .-J" l ~'\ .,' ,,"""i! ."'" '. J Use Classification: Restaurant Building Permit No.: L, Business Name: ... Farrmount Restaurant Group: B 1 t;o~~onstruction': \ VN ~: ~... Use Zone: CSD Owner of Business/Residence: \a-gpa( COrp. InC. ~d;e;;" 1 137:Hwy :roi \vest.J~ort Angeles, W A 98363 l. ~ "'.' Building Address: - -rl?ort-Angeles,_W A 98363 t! !;;; '" ugust 28. 2002 "BuH ~~. Date Post on the i~,<~! ~ S\ ill fl i~spicuous place. Shall not be remQ ect-exe~l?r6y Building Official. -.--- . vw 13 ROUTING SLIP Certificate of Occupancy f>~;cJ $47.00 Certificate/Inspection Fee DATE ~ - 15 - 0 :l-- Applicant Address Phone: business 45')- , 1~)..'1 home 4- S 1 - (p it.3>r Brief description of proposed business: legal Description: lot Current Use of Property: Zoning Classification of Property: u ~ G-NIN~ Block f)... G5. r/YV /-IHV' 7 C.~D Will THERE BE ANY OF THE FOllOWING? Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ............................. New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New sewer service ............................. Admission charged to patrons. . . . . . . . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation of filling of lots ....................... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . A grading plan tor site drainage. . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO .....-" -- _ V -~ _ V V -- -~ - V ---V -~ - --vr ::z- -~ - v'" ~1 ~ I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~~2</-02 '51<- 0/1 b-R-02 -f>u New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . of /Lbsr'+OH-N r Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 1 0) Water meter installation 11) Fire ~ccupa~ 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other Date: )..- Signed~ < 1$'_02- - =( ~- Comments / Conditions ) ) vi) ) ) ) ) N ....J 'l:.. \: - ~ - .~'''':;~'",;W~lJ;~1~'lfa~~r~;:'i;~;;U'ii'c'>;'.~; ..... .... .;;,,;11w'~I1ijJ _ II J~J:1.; CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use property Zoning . . . Application valuation 04-00000203 Date .776715 1127 W HWY 101 06-30-08-5-8-2070-0000- FAIRMOUNT RESTAURANT MECHANICAL PERMIT 3/12/04 pv2Mr1 ~~p!e,5V q(zo/C4 5000 Owner Contractor JAG PAL CORP,INC 1127 HWY 101 W PORT ANGELES DISCOVERY BAY WA 98363 SEBRING FL Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT PROPANE PIZZA OVEN 68.30 Plan Check Fee 3/12/04 Valuation 9/08/04 .00 o - Qty Unit Charge Per Extension 47.00 10.65 10.65 rJ --1 BASE FEE 1.00 10.6500 ECH ME-OTHER APPL. N/R 1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68.30 68.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 68.30 68.30 .00 .00 E ;r:: f ~ - o ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 ~ 5~/?-6<f- . ~, r (if owner is builder) Date T:\PLANNING\FORMS\I 102.15 [I II14/2003J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS . WALLS FOUNDA nON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / 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 DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE ';v'M /e-I'//I i.J.-. WOOD STOVE / PELLET / ClUMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGlFORMSII102. 1 5 [JIll 4/2003 ] , 3: >-l ":l :I>":lon>-l:l> n'O , to , ><: ~ ":l:l>:E:OtotJ H:U , '" '0 'O:UZZZtJ >-lto , , ---- t< [;J f:J:a Gl ><:'0 (fJ H :I> 0 0 >-l Zt< :I>>-l(fJ o:u >" !ji. n, (fJ '0 to , >-l tJ ~ tJj OZ '0 i~ to. :u tJj . 0 n:u :u :u :uw Oto >-l____ 3:0 '" , '" 'Oc::o oOC4t:1t-rj1-' ~~ , "'" t<too .s::.(J\;t:>'H~t-' , ---- to(fJ , , QC/)Ht0 4)0 , 0 ;;J;a QW'Un::O-J to"'" , "'" OO~O~ t<' , tJtJ~ 0' t<<:O:E: to ~~n~g~ (fJ>" , '" ~c '" , 0><:>-l:E: :u H OU1:U ><: >" , t< toH~ w, 'OtJj:u \0 ,. t< (fJZ 00' :I> to>" , C::(fJ 3:' Ht-<(I)Q 0 " t<'O to"'Z >-l>" >" , >-l ":l nOn :I> , ~ O::..J c:: , ~';' :u , ~ , H H 0 , :1>3: :utJ>-l no >-l , :uto toto :1>0 , >-In (fJ(fJ t<o , 0:: c::n , , ;;;~ t<:u '0 , >-lH to ..JH (fJ":l :u n n ____>-l 3: 0 ..J:I> nH H H 3: "'"t< 00 >-l HZ 3: "'" 3:Z Z(fJ to ..J4) 3: (fJ'O Z :I> t'1 '0 to >-l 'O(fJ Z ton (fJ :I> >-l n>-l Ht< (fJ >-lH ?:: :UH 00 3:Z :UZ tJ Oto ~ , "<>-l Z ~:=; 0 >-l '0'0 (fJ >-l o:::r: ~ to;< to :u 00 (fJto (fJ t'1 ZZ tJ >-l (fJ toto :;:: t< >-l , :u .. , t< )> H ~ to :u t< >-l ><: tJ'O :1>:1> >-l4) t'1to w ---- N "'" ---- o ","\0 {~'i2C; BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST ~ COMPLETE to be accepted for review. If you have any questions, call Vj (360) 417-4815 FOR OFFICIAL US.E ONL!t Date Rec.: 3 .-:;:3.-c =;" 04 - 2~J Date Approved: '~I 7 Date Issued: Applicant or Agent:. ~--Cl ( y-- NC:u..n t f) e ~tu fl:';lJ'LL Phone: ~ Le O-LtCS i - ]- Y47- Owner:f}I2Ix;/2/Q5> A-tJb--yfZ6(DLL{~ Phone: ~()- L/SJ-7YtJ-'=J Address: /1~7 /fuJy /0/ t<J City: 7/ /Tni~/r') (Vii Zip: C/Y3(jJ3 ArchitectlEngineer: i:. __. . Contracto;]);6~~ Address: PROJECT ADDRESS: / I;) 1- . Phone: S4ee.+ ~-E/igJ License #: Exp: Phone: City: tlwy /0/ t-J Block: Zip: fA-fA JA 1 R3 ft f ZONING: LEGAL DESCRIPTION: Lot: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: SIZEN ALUATION: o Residential 0 New Constr. 0 Re-roof $- Stove SF. @ $ ISF. = $ o Multi-family ~ Addition 0 Move 0 Garage SF. @ $ ISF. = $ ~ Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ ISF. = $ o Repair 0 Sign ~ Other, I i10TAL VALUf\TION $ 56CC <';.0 BRIEFDESC~T10NOFTHE~ROJECT' I}dd1A/(fr ~ q~R<cO~T::k~.t < lit-if l3u_ss', -) ntS ;S ,tj K-etfu A-rvl) '1J ?~(), :Q 1'1 _ _ __ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No: ~fStories: -I- Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. EXIstmg lot coverage _ % & Proposed lot coverage _% = Total lot coverage City: Exp. Date: Construction Type: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit 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 pennit application and construction plans are submitted. All other pennit fees are due atthe time ofpennit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit 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 cerlify 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 ,not the City's, and that I must obtain such permits prior to work. ~~) APplica~ < ----------,.. Date: ~ ~ 'if,.- c?L-{ T:\FORMS\APPS\Buildingpermit. wpd ~ L!) L()~ll) ~ON o ~ 0 L.. 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Id \ :.__ - __ - - ..I <J3J.fV nOJ ";::11 9 '::I J.. d 3?Jd l:f--ZZld <:J 001.::f 05'~ v/')vv"\ )~~ "\ /)f0\ C-T A ",0 S \ 'UU ~Q ~f\~6 ...-/ '.L N J r.J d In (f)) ~ (\/ I ;:"\ 00 :7 312Jtf.L vH:H.L ;; tJ .3;j Ir:J '9 (\f I N I Cl 01.';:3 /1 ?..L I ~ .LN\:f2J Vlb'LS.321 -L N (1 O);i) (J! t f:j ::I hlO Q2l 398'VOJ..5 7J 31-1 '7tfr11 N 5/ (.1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000912 Date 9/17/03 Property Address ...... 1127 W ~ 101 ASSESSOR pARCEL NL~4BER: 06-30-08-5-8-2070-0000- Tenant nbr, name ...... TEAR OFF,TORC~ DOWN Application description . . . RE-ROOF Subdivision Name ...... Property Zoning ....... Application valuation .... 3965 Owner Contractor JAGPAL CORP, INC RAINMASTER ROOFING 1127 h~ 101 W 1205 S. O ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-3213 Permit ...... BUILDING PERMIT - NO PR FEE Additional desc . Permit Fee .... 120.75 Plan Check Fee . . .00 Issue Date .... 9/17/03 Valuation .... 3965 Expiration Date . . 3/16/04 Qty Unit Charge Per Extension B~E FEE 92.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 Other Fees ......... STATE SURCHARGE 4.50 Fee su~m~ry Charged Paid Credited Due Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 125.25 125.25 .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 taws 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. Signa~rc~f Cont~ctor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKM5\1102.15 [4/2002] RO' ITl ~G SLIP n' ~, Certificlte f Occupancy t(F'~47.00 Cer Iicl e/Inspection Fee DATE ~'-- '-- J' New Business ............................ Address of Proposed Business Transfer of Business Location ................ //~ 7 /.,//,~" /~/ ~ ~'£~' /~,)-~' ,,~^;~'~/v_l-t.,~ Change of Ownership ...................... Applicant f/~,~zc'-,r~"/~,~:~'~, /t./,,¢~.-¢,~ ?,Y.7,-".3 New Building ............................. Address f ~ 2/ 7 )-I z'~//"' //~ / I/'~T'*f' Remodel ................................. ,pc~ /,- '')- ~"~. ~'~/~$ ~/',"~ - ~-~'~.~'~ Temporary Business ....................... Phone: business ~X'~./-~7 7b~,.~home '('~"~ ~ 2"°°c~ Change of Use ............................ Brief description of proposed business: R ,~"J~"'/' ~ //' ~"'~ /')~'""" Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ........................... ~ PERMITS BUSINESS LICENSE Electticalchanges .............................. ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. ~ 2) Plumbing 2) Peddlers Plumbing changes ............................~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs ......................... ,~, 4) Mechanical 4) Pawn Broker New septic tanks ............................... .,~ 5) Sewer 5) Dance New sewer service ............................. ~/ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ................... ~ 7) Driveway installation 7) Fireworks Is this a home occupation? ....................../~'~ 8) Curb installation 8) Ambulance Excavation of filling of lots ...................... ~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ....................:)~ 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... ~ 11) Fire New driveway openings ........................~-- 12) Occupancy , A grading plan for site drainage .................... / 13) Sign (parking lots, downspouts, etc.) ................ -----~, 14) Shoreline Are the existing streets paved? ...............~ 15) Home occupation Are there existing sidewalks? ................... 16) Conditional use Is there curb and gutler? .................... 17) Other Other ........................................ I hereby apply for a Certificate of Occupancy and acknow,- /_.// edge that I have read this application and state that the Date: -- knowledge.inf°rmati°n, have supplied is correct to the best of my S ~...~//~'~ . REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. CERTIFI( PANCY City of Port An,, Building Division This pursuant to the requirements o 109 of the Code certifying that at the time of iSsuance tn c 9f the construction or use~ For the following: Use Classification: Building Permit N0.: Business Name: Group: A-3 TypeofConstruction:, V-N UseZone: Owner of Business: Aberka~he Hassan Address: 1 Port 98363 Building Address: ' t01 Port 63 2003 place. Shall not be g Official. H ROUTING SLIP y Certificate of Occupancy ~>~,~'O/ $47.00 Certificate/Inspection Fee DATE (~-- /~'- 0 3-- New Business ............................ Address of Proposed Business ~ j Transfer of Business Location ................ II 2- 7 -- ?C'~I~y /0/,'/'~' fO~--~/a(~/-..~,.~,//'~'~ Change of Ownership ...................... Applicant ::~',~4 ~/~ ~_~,F-.-~'. //_~;-,' New Building ............................. Address /1~'7-'/'/g'~-r /01 .~j..~,,cf,~,~,~f..~.3 Remodel ................................. / ~ ' ~'~ ~$'~ Temporary Business ....................... Phone: business ~5~--/¢~'~ home z~.5~ -~'..~'~' Change of Use ............................ Brief description of proposed business: ,~ ~/~ ~""~ ~ ~f ~ Legal Description: Lot Block Subdivision Current Use of Property: ~.~.,~ ?'-,e-U ~ 7' Zoning Classification of Property: (~.~c2, ~) WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ............................ ~ PERMITS BUSINESS LICENSE Electrical changes ............. ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. ~ 2) Plumbing 2) Peddlers Plumbing changes .............................. /'" 3) Electrical 3) 2nd Hand Oealer New or relocated signs ........................... ~ 4) Mechanical 4~ Pawn Broker New septic tanks ............................... ~ 5) Sewer 5) Dance New sewer service .............................. 6) Sidewaik installation 6} Hotel - Motel Admission charged to patrons .................... ~ 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... I/'~ 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... ~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ..................... v" 10) Water meter installation 10) Other Is there sufficient off-street parking? ............... V/'' 11) Fire New driveway openings: ........................ ~ ~a__~ A grading plan for site drainage.. V' 13) Sign (parking lots, downspouts, etc.) .................. Are the existing streets paved? v/., ~' 14) Shoreline 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? ......................... 17) Other Other .......................................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my ~ ~:~ knowledge. Signed' ~ REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. CERTIFICATE OF OCCUPANCY Buii ; This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building constr~7~ 't ,~:0~ use. For the following: u~ Classification: Restaurant l~uilding Pe,~it ~ '~ ~ ~ ~ ~nt Restaurant Group: B ~,of Construction: I~ Zelle: CSD OwnerofBusiness/Residence: Jr Corp. IBC. Add~qsi 1137 Hwy 101 Were Port Angeles, WA 98363 Building Address: 1127 Hwy 101 West, Port Angel*s, WA 98363 Date Shall not he remo y Bu,ld,n90ffictal. 12-01-206 4026PM FROM ANGELES ELECTRIC INC 360 452 9265 P.l Job wired by ~ ~i ELECTRICAL WORK PERMIT APPLlCATIOl'! DOwner escription oromer-cial 0 Residential Purcha...cr's mailing addrcss License numbcT Dale Expires AI'Cel r, -LeCT I ~ 'LLt,) t.. R,e, INC. S2A E;,ST F'"~I PORT ANCEL,S, WA 98362 o New CJ Altered/Addition Electrical contractOr name City. State ZIP A '~~~ ,~, f' ~H-7 l),:?w?4r~,. Telephone number FAX number City 1?t6T,ja~-r AI My ,/~/ YS7 - 'f57?D yS2-/6Z7 ~~ ~4CV' Owner as defined by RCW./9.28.2fi/:(I) Owm.'r will ue<:u{tJ' the stru.cture for two years ufirr ,hL~ e.leClJicaJ permit is fimJli=c:d. (2) Owner is requin-4 10 hire all electrical (.(lr.!rar:tnr if ahove said properly is fi),. sale, r~:n( or Ic:a,)('. After r~ildjng the above statement I hereby CCTtify mat I am the owner of the above named propcny or a licen.>ed electrical contractor. I am ma.kinfl. the electrical instal. lation or i\i~eralion in compliance with the electrical laws, N.c:.C., RCW. Cbaptcr 19!28, WAC. Chapter 296.468, Th.; City of Port Angeles Municipal Code. and UtililY Specifications. Sis;ndurc of ow r, electric. o C.s~-Check # ~it Card VISa Mastercard Discover Card# ___.___r_ ov'_-_./2..L~-____ x Expiralion Da;e of card . In'l'octi,p Sfc q'8 $~ Service Information vottag.~</j) , Phase 0 Service Size: '/ItJA'f+ Feeder Size: rN4 M ~ EI Load A NO LOAD CHANGES o Baseboard KW CI Furnace KW U Heat Pump ._ Ton _ LAR o Fan-Wall KW n r subtractl li Lervice o Temp Service o Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 Ic' ROUGlI-IN ,,- TIlERMOSTA:1' " ~'ERVICE /)lIl~ Appmved By \.. l)ml~ Aprlo~eu~)' ..J DJlc ApJ'fO\'cd By ,,- ,,- -- FINAL DITCH FEEDER ,./J"t:, -~/ '- " \..... \l:Ue ^p~"'cd.B.v D;t.!c Appmvc:,1 ~y lnspection Area, Building or Equipment )nr.pected Ac;tj un T~k~1'\ F.lcctrical Date Ins:pector " '. -~- -.'- . " . ~):..'.'; 2/ 'Z Z; ',.,L ...._1,.".:,.;~!k '/ -".~.~ }i rclar,rt _1 Cm. OF PORT ANGELES PE]l Mrr AP-PLICATION 1 Building Dilvi- iommectocA'nspections 7". 321 ]East Fifth Street —)P-O. BOX 1150 / Poxt Angeles Washington, 98362 \ I {� Ph- (360) 41,74735 Feat. (360) 417 -4711 ]� Dale: D - Multi- Family or Commercial* Commercial Addition 1 ion Alto 1 Remodel 1 Repair* * Plan Review r�1T a) JU Required, fleas as "lee�fl ca i Ala Review Infomation Sheet doQ Address: Building square Footage: O ^� �t j +` Description of aboveM Owner lnf rrrrat' n Contractor lrtiorhnatn Nape Mailing A dre s; Malling Ad a _, e City: State: Zip. Stets; Zip: _ Cttyr Phone: Fax; Phone Fax; License #lExp,� r Xq--- Llcerise # ! Exp_ Item lln'rt CharoLe 9 �atxi Multi dried by Un" Cha e Item Service/Feeder 200 Amp. $1,00 00 m- SeMcelFeeder 201-400 Amp. $16600, $ ServicafFeeder 401 -§,Q4 Abp $225.00 Service/Feeder 601 -1000 Amp. $ 286,00 $--- --� -- SeriiCelFeeder over 1000Amp, x$410,00 -- Branch Circuits 1.4 $ 86.00 — Branch Circuit W1 Service Feeder $ 5.00 $ -- granch Circuit W10 Service Feeder $ 74.00 Each Additlonat idranch Circult $ 5,00 -- $- ---� -- Temp. Servicaf Feeder 200 Amp. $10200 g Temp, Service/Feeder 201.400 Amp, $121.00 -- Temp. Service/Feeder 401 -600 Amp. $164,00 °— Temp. ServicetFeeder 601 -1000 Amp . $1 B5,00 $— °-- Portal to Portal Hourly $ 96.00 _ $ — SignlDulline lighting $ 96100 $ Signal Clrcuitl tJmlted Energy - Multi - Family $ 64,00 W---- — $ Signal Circuil! Limited Energy! Mrst 1500 sf- Commercial $ 96.00 � $ Note; $5.00 for each additional 1600 m or (ass $ 113.00 $--- - - Renewable Electtiml Energy - Thermostat $ 56.00 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 slx months of last insperAo l,. After reading the above statement, I hereby certify that I am the owner of the above nomed.property or a licensed electrical a:14#ractor. I am making the electrical installation or alteration in compliance with the electrical laws, KE,C., RCW, Chapter 19.28, WAC, Chapter 2g64613, The City of Part Angeles Municipal Code, and UtilitySpedfcations and PAMC 14.05,05tlregarding Elecbical Permit Applications- Sig of ownor, elnctrical ao ctor or electrical administrartor: ctt © chock Aatrd: �3 lE3 Ot1U112012 ° tgO =k� ELECTRICAL INSPECTION V � N WIRING EPORT � � w �v 417 -4735 axs � D A7 PERMIT �INSPECTGR OWNER r L2 t- a;boLt J� v--1 CONTRACTOR ADDRESS 11 -2,77 Q v APPROVED NOT APPROVED ❑ ............... .....DITCH.................... ❑ ❑ ................ ROUGH IN /COVER ............. . ❑ ................ ....SERVICE.........,........ . 0. . ................ ... FINAL ....... .......... ❑ I� CORRECTIONS NEEDED: Piu- u w V,5_�.� 4;-L*- e-TyjobL CQUX'Ptn C b vT e;,f� 4474 .DUi3 ASUAE `r4o t)u4 1«]4X> Cip vii D U L'i'b P- R C. U 1 l2 Q 3) �..�i LL � b'�' Se°! 'Ac['�� S ia-I"► i�.. �3 ��,.te' A �' — MINI— r - I ! 1 it r G NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — zi ELECTRICAL INSPECTION Ci WIRING REPORT lb 417-3 475 RKS DATE' PERMIT ik INSPECTOR OWNER CONTRACTOR - � I vll- *, s C) kc ADDRESS - il-z--,r L,) - APPROVED NOT APPROVED 0 ........ ......... — DITCH .... ........ 0 .it ......... ...... ... SERVICE ..... ............. 0 C.. . ............... ... FINAL ........ ......... )CORRECTIONS NEEDED:. L- p, C-*-- 6 Tz- %21761 -lb 0 IE i — M)rc- f4o� f- 5--34 � IZ m L4,- So %Ivk-f ' LA-� CT 41 60VEtM 7 If- 012 Ur 8 0 - h NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — A ELECTRICAL INSPECTION WIRING REPORT RKS S' 417-4735 DATE. PERMIT # INSPECMD tFC CONTRACTOR JA-1 V-4 ADDRESS s Jml NOT APPRO'I/ED 0 ............. ...... DITCH... . ..... I ....... I . , 0 0 ................ ROUGH IN/COVER ........ ...... 0 0 ............ ...... . SERVICE ....... - , - -.- 0 0 ..................... FINAL . ........... -..J�� CORRECTIONS NEEDED: AgA21 Ds- . U-70-7-- L", 6 0-14 1 0 WA>e-, lg_r 4v- a 0 C-gv- M c 141-6— NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - WFOT57145y/ 001 City of Port Angeles PAGE REQ. DATE: 11/14/12 11/14/12 10:19:46 SCHED START: 11/14/12 SCHED COMPLETION: 11/14/12 CREW: Electric Meter 01 EM01 LOCATION: 1127 W HWY 101 LOC ID: 103146 SUBDIVISION: LOC. ZIP: 98362 REQ DEPT: - us omen Service RI e ium REQUESTOR: FAIRMOUNT RESTAURANT ORIGIN: Staff REQ USER: AHAINSTO AUTH USER:AHAINSTO WRK TYPE:Routine 1127 W HWY 101- Exchange Meter PRIMARY CONTACT INFORMATION FAIRMOUNT RESTAURANT (360)457 -7447 ( ) ( ) ( ) 1127 W HIGHWAY 101 PORT ANGELES, WA 98363 1127 W HWY 101- Exchange Meter CATEGORY: E Svc /Meter Maint SVCM TASK: Exchange Meter EXEL READY DEPT: PW- Electric PWEL SCHED START: 11/14/12 SCHED COMPLETION: 11/14/12 CUSTOMER: FAIRMOUNT RESTAURANT CUSTOMER ID: 60119 CUST. PHONE: (360) 457 -7447 ( ) JUR:PORT ANGELES CL:COMMERCIAL DEMAND SERVICE /SEQ EL 000 ELECTRIC CYCLE /ROUTE: 19 97 METER NUMBER E380C MAKE W WEST SIZE VOLT AMPS 2 STYLE MEED MECHANICAL ENERGY /DEMAND MULTIPLIER 80.0000 CATALOG # 4S PHASE 1 NO. OF WIRES: 3 LOCATION SPECIFIC LOC: HAZARD READING SEQ COMMENTS ON NORTH SIDE PREVIOUS- 10/17/12 CURRENT READING: NEW READING: KWH 4467.00 KWH KW .51 KW COMPLETION INFORMATION COMPLETE DATE: ACTION TAKEN: FACILITY SEG FACILITY DESCRIPTION FACILITY ADDRESS ACT ELECT= Electric utility ystem CTty --M PARENT ID: FACILITY TYPE: M Miscellaneous SUBTYPE: SYS System -------------------------------------------------------------------------------- START TIME: COMPLETION TIME: START DATE: / / COMPLETION DATE: UNIT OF PRODUCTION: QUANTITY: --------- LABOR- - - - - -- - -- EQUIPMENT -- ------- - - - - -- MATERIAL ------- - - - - -- DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST I 1T 124�!114 IU4ZJLI.%-- INSPECTION TYPE DATE: RESULTS: INSPECTOR: ELECTRICAL PERMIT q CITY OF PORT ANGELES SERVICE [' ?� 360-417-4735 Application Number 13- 00000128 Date 2/01/13 c� Application pin number 472640 Property Address . . . . . . 1127 W HWY 101 _1 /. /h, _', REPORT SALES 7s- v ASSESSOR PARCEL NUMS2R; 06-30-08-5-8- 2040 -0000- Application type description ELECTRICAL ONLY on your excise tax form subdivision Name . . . . to the City of Port Angeles Property Use . . Property Zoning . . . . . . COMMUNITY SHOPPING DISTR (Location Code 0502) Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 600 amp service change ---------------------------------------------------------------------------- Owner Contractor --- --------------- - - -- -- SAGPAL CORP INC ------------------------ SIMPSON ELECTRIC 1137 HWY 101 W 243036.W HWY 101 PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 -9270 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc , , Permit Fee 225.00 Plan Check Fee .00 Issue Date 2/01/13 valuation . . . . 0 Expiration Date 7/31/13 Qty Unit Charge Per Extension 1.00 225.0000 ECH EL -COM 401 -600 SRV FEEDER 225.00 Fee summary Charged ----------- - - - - -- ---- - - - - -- Paid Credited Due ---- - - - - -- ---- - - -- -- ---- - - - - -- Permit Fee Total 225.00 225.00 .00 .00 Plan Check Total ,00 ,00 00 .00 Grand Total 225.00 225,00 Do .00 I 1T 124�!114 IU4ZJLI.%-- INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ?� ROUGH -IN FINAL, COMMENTS: _1 /. /h, _', PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X - Date: G:IEXCHANGEIBUILDING ._L I 4 Mr CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections RECEIVED 321 East Fifth Street — P.D. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417 -4735 Fax: (360) 417 -4711 MAR 2 8 Date: 03/27/2014 Multi- Family or Commercial* ELECTRICAL ONSPECTIONS * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; 1127 W HIGHWAY 101 Building Square Footagge: 2ooa Description of above T Owner Information Contractor Information Name FAIRMOUNT RESTAURANT Name: ADT LLC Mailing Address' 1127W HIGHWAY 101 Mailing Address' 11124N CREEK PKWY N, SUITE 0105 City: PORTANGELES State: WA Zip; 98383 Clty: 207HELL State: WA Zip: 98911 Phone: 360- 461 -4354 Fax: Phone: 206- 7749499 Fax: 989 -400 -0353 License # I Exp. License # Exp. AOTLLL'931 UU ExP:T2=014 Item Unit Charge Qty Total (Qty Multiplied 4y Unit Char gel 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 $ ServlcelFeeder over 1000 Amp. $ 410.00 $ Branch Circuit WlService 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. ServicelFeeder 401 -600 Amp. $164,00 $ Temp. Service/Feeder 601 -1000 Amp . $185.00 $ Portal to Portal Hourly $ 96,00 $ Sign /Outline Lighting $ 88.00 $ Signal Circuit/ Limited Energy — Multi - Family $ 64.00 $ Signal Clrouitl 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 $ 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 UtTty Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner, electrical contractor or electrical administrator: D cash ❑ check Credit Card 9 Jennifer Covello 03/27/2014 X pmp- ,e ° °`re, "pe,mr "m.� °S Dated; 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . , . , . 14- 00000382 Date 3/28/14 Application pin number . , . 938716 Property Address 1127 W HWY 101 ASSESSOR PARCEL NUMBER; 06- 30- 08 -5 -8 -2040 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning , , , , , , , COMMUNITY SHOPPING DISTR Application valuation . , . . 0 ---------------------------------------------------------------------------- Application deco security system Owner Contractor JAGPAI, CORP INC ADT LLC 1137 HWY 101 W 11824 N CREEK PARKWAY, N PORT ANGELES WA 98363 STE 105 BOTHELL WA 98011 (206) 719 -0347 --------------------------- ------------ ..._____-- - - -___ --------------- - -- -- Permit , . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc , Permit Fee 96.00 Plan Check Fee .00 Issue Date 3/28/14 valuation . . . . 0 Expiration Date 9/24/14 Qty Unit Charge Per 1.00 96,0000 ECH E -------- ---- --- ----- - - - - -- -- Fee summary Charged ----------- - -- - -- ---- - - - - -- Permit Fee Total 96.00 Plan Check Total .00 Grand Total 96,00 2l z11�, R- Extension G- LIMITED 1ST 1500 SQ FT 96,00 Paid Credited Due 96.00 00 .00 .00 .00 00 96.00 00 00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: V REPORT SALES TAX on your excise fax form to the City of Port Angeles SERVICE (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -III o� O FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEMUILDLNG