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HomeMy WebLinkAboutBLD08-003 (oversize drawings in storage)PERMIT ff SCOPE OF WO CITY OF PORT TOWNSEND PERMIT ACTIVITY LOG DATE RECEIVED c- 51 - to Project Information UILDING PERMIT City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 Permit Type Commercial Miscellaneous Site Address 3939 SAN JUAN AVE Permit # BLD08-003 Project Name CONCESSION/RESTROOMS Parcel # 101344003 Project Description Detached building near softball field for concessions/restrooms/storage Names Associated with this Project License Type Name Contact Phone # Type License # Applicant Port Townsend School Dist #50 Owner Port Townsend School Dist #50 Fee Information Project Details Entered Bid Valuation Project Valuation $5,500.00 Building Permit Fee 125.25 Plan Review Fee 81.41 State Building Code Council Fee 4.50 Technology Fee for Building Permit 5.00 Record Retention Fee for Building 6.50 Permit Total Fees $222.66 Exp Date 5,500 DOLL Call 385-2294 by 3:00pm for next day inspection. Permits expire 180 days from issuance if work is not commenced, or if work is suspended for a period of 180 days. Work is verified by obtaining a valid inspection. The granting of this 1,)cs-ntµtt shall" �be cons ' i ed as approval to violate any provisions of the PTMC or other laws or regulations. I certify that the n� onnation pro dad a ` "N' lart of the, pplicalion for this permit is true and accurate to the best of my knowledge. I further certify that I am the ow'of Ih- albs laauihori .acd agent of net Print Name �4)� Datelssued: 01/16/2008 �� Issued By: SWASSMER 15 LL LL O o W w ! 0 m O W Q= H W z 00 Q w w m Q J_ U) Q OQ W 00 IL Co C" U Z U W Z J Cya O � w aom J d a za W w U LL O H z rn tq } z wQ > a O :3 U W U w O H m 00 z LL 0 w W O u�W COL J Q a � z �, O Z ao J O m O V Z a Q z z 02 O of = LL Q Q Q W z a IL � a Q � U U) a = Q H W O IL m 00E 0 c C) c N d v � Q v 0 O c � u ZLU u Q a c � c L z UO c Z z O a w a CL crr c u c u W c w _0 o Z G� C G V O Of y O O � � IL O zz c� Z N A O wZ U ZO O_ Q J o o- J H LL LL O o W w ! 0 m O W Q= H W z 00 Q w w m Q J_ U) Q OQ W 00 IL Co C" U Z U W Z J Cya O � w aom J d a za W w U LL O H z rn tq } z wQ > a O :3 U W U w O H m 00 z LL 0 w W O u�W COL J Q a � z �, O Z ao J O m O V Z a Q z z 02 O of = LL Q Q Q W z a IL � a Q � U U) a = Q H W O IL m 00E 0 c C) c N d v � Q v 0 O c � u ZLU u Q a c � c L z UO c Z z O a w a CL crr c u c u M 0 0 00 0 J m O Z W a o Q o z v Q O Z rn M O Z W W Q D CL Q U) 0 J O O U U) 0 Z W U) Z F— O IL W z O H z W O U w Q D IL U) z z O U w a co z zz w O U w Q (L U) z z O U W LL co K W c w _0 o Z cy- Of O O � � IL zz z_ Z W U O wZ U ZO O_ Q J o o- J H w z Q U m N Z W J J J 0 O O U U) . w ZLL U) LL z b O LL a M 0 0 00 0 J m O Z W a o Q o z v Q O Z rn M O Z W W Q D CL Q U) 0 J O O U U) 0 Z W U) Z F— O IL W z O H z W O U w Q D IL U) z z O U w a co z zz w O U w Q (L U) z z O U W LL co K Z O F- 0 U W IL U) Z Q D F- N Z NLO O 00 LL M �a vo 0 J M QO U � Z 52 ~ Wa aW cn Z W ZU aw w ~ w W m :3 F- a cn D 0' m O en cnw a w w Z O H W a N Z cy- Of O LU IL z_ Z U O ZO m J H Z z Q m m P Z m J J J O O U) . Z ZLL U) LL z b LL LL Z O F- 0 U W IL U) Z Q D F- N Z NLO O 00 LL M �a vo 0 J M QO U � Z 52 ~ Wa aW cn Z W ZU aw w ~ w W m :3 F- a cn D 0' m O en cnw a w w Z O H W a N Z Development w• s?�O Madison Street, Suite, 3 + e Port 8 Phone,N Fax�� 360 -3i44-46197 O, Commercial Building Permit Application A14 -JIJAR AVMRUE Addition,OI r Tax #): Ofiice Use Only Project Address & ZoningDistrict: Legal Description o 9 .p ( Block: .a ... r �L � /�> ') E Parcel .# I a ,C 'l Lots) ..w. ,+? X�-22 1 W � Associated Permits: ➢ --------- . Applications accepted by mail must include a check for initial plan review fee of $150 mmwW µ ➢ See the "Commercial Building Permit Application Requirements" for details on plan submittal requirements. Name: ropert Owner ww lta _ trVT- X50 Address......4 M KK .! , .. City/St/Zip T I I N EH b i WA. 9 8369 .. �o�.. Email: Contact/Rep resentative: P_ , ^ Name: >,AVI V H A RI N6r Address: -SAH M A5 R j! ` aptiN RF, City/St/Zip:.. l Phone: Email: m.._ u). Contractor: Name: Address` City/St/Zip._ Phone Email: State License #I. Lender Information: Lender information must be provided for projects over $5,000 in valuation per RCW 19.27.095. Project Valuation: $ rlo Construction TYP e:_.._.. m _ '0' Occupancy Rating: Building Information (square feet): 1St floor !T Restroon'I4- _,!��+ ( 3, 2"d floor Deck(s): 513 01,11, „ imr � � .� 3`d floor Storage: DwAt�r ' , City Business License #: Basement: Is it finished? Yes No Other:--4T-&"E: 1p0 New 10 Addition ❑ Change of Use ❑ FTIIt Coverae (E ervius Surface: ware c t Remodel/Repair ❑ (ding Footprint): I hereby certify that the information provided is correct, that I am either the owner or authorized to act on behalf of the owner and that all activitt s associated w'th this permit will be in accordance with State Laws and the Port Townsend Municipal Code. Print N,arnd:/i..i w r Signature: � � ��� � #date: � , � za i 8� evul, View Si\c t< v i rcz OVER vtEL Bellevue Bothell Buden MyBui ldingl)ermit. com Mercer Island Mill Creek Front Approaches I Pull fide �� ,� �818" min 6077777" Hinge Side Approaches -- X ; Pull Side NOTE: X = 36" min. if Y = 60" OR X = 42" min. if Y = 54" Latch Side Approaches 24� Duvall Issaquah Kenmore Kirkland CONSTRUCTION TIP SHEET 14 Accessibility and Door Clearance July 2007 is min. MIN. side Woodinville NOTE: X=12"if the door has both a closer and a latch. X=0ifno closer or latch. NOTE: Y = 48" min. if door has both a latch and a closer. Y = 42" if no closer or latch. NOTE: Y = 54" min. if the door has a closer. GENERAL INFORMATION: • All doors in alcoves must comply with the clearances for front • For specific questions not addressed here or requiring further e Reference ICC / ANSI Al 17.1 - 2003 and IBC Chapter 11. ��cl bulldpg department. A�U�rv� c,CityGov.net 2005 © e0tyGovAlliance Pull Side Pu GIe� NOTE: Y 48" min j k � %�� Y 42" min. Y = 48" min. h �,. IL if the door has a closer. NOTE: Y = 54" min. if the door has a closer. GENERAL INFORMATION: • All doors in alcoves must comply with the clearances for front • For specific questions not addressed here or requiring further e Reference ICC / ANSI Al 17.1 - 2003 and IBC Chapter 11. ��cl bulldpg department. A�U�rv� c,CityGov.net 2005 © e0tyGovAlliance Bellevue Bothell Burien Duvall Issaquah MyBuildingPermit.com Mercer island Mill Creek Sammamish Snohomish County Mobstructed floor space (minimum 30" x 48") 2006 IBC 3011 _3611 Grab bar min. Rkn_.' 24" 16"16" Doors are only permitted min, to Swing into the . 8" ,, 32" c1r, In. ,,min. L.......... . . .... .. ..... . . Outward SwFngihg Door Plan wheels air turning spaces when the room is for 5 individual use, and a clear floors ace 30" x 48" is provided within the room, beyond the arc of E the door. 304.4, 1002.11, 603.2.3 56"40" clear floor 19 ace required ---- forarallel & forwar � approach to water closet, Other fixtures not allowed in this area. 604.3.2 --- Provide a minimum 60" diameter - unobstructed floor space for turning around. Permitted to include knee & toe clearance; see page 2. 304.3.1 & 306 Unobstructed floor space maneuverin� clearance, see Tip Sheet 1 for minimum dimensions. Grab bars —0 12 1-1/4" to 1-1/2" ca .0 in diameter E 0 maximum, o40- 1-1/2" between -2 .. ............ . .......... .. rail and wall , Mf Maximum toe clearance — GENERAL INFORMATION: For code requirements, refer to: • Chapter 11 of the 2003 IBC • Appendix Chapter E, Sections E101- E107 • ICC /ANSI A117.1-2003 as amended in IBC 1101.2 Kenmore Kirkland CONSTRUCTION TIP SHEET 8 Restroorns July 2007 Snoqualmie Woodinville Unobstructed! floor space (minimum 30'. x 48") is Inward Swinging Door Plan ,--Mirror --Towel dispenser Top of lavatory A 1° Bottom of mirrors ............. reflecting surface k (typical). cc E E cll(Of 10 "'' � 1� 'A, Wl� � A) Clearance beneath lavatory Maximum toe clearance within Ota(jvatory clearance depth Ae, (_,CityGov.net 2005 0 eCityGovA]Iiance mirror E ? .. ........ ....... Insulate hot = .2 E !� water and .R cc , drain lines, E 'd N 2411..� No sharp objects. t Grab bars —0 12 1-1/4" to 1-1/2" ca .0 in diameter E 0 maximum, o40- 1-1/2" between -2 .. ............ . .......... .. rail and wall , Mf Maximum toe clearance — GENERAL INFORMATION: For code requirements, refer to: • Chapter 11 of the 2003 IBC • Appendix Chapter E, Sections E101- E107 • ICC /ANSI A117.1-2003 as amended in IBC 1101.2 Kenmore Kirkland CONSTRUCTION TIP SHEET 8 Restroorns July 2007 Snoqualmie Woodinville Unobstructed! floor space (minimum 30'. x 48") is Inward Swinging Door Plan ,--Mirror --Towel dispenser Top of lavatory A 1° Bottom of mirrors ............. reflecting surface k (typical). cc E E cll(Of 10 "'' � 1� 'A, Wl� � A) Clearance beneath lavatory Maximum toe clearance within Ota(jvatory clearance depth Ae, (_,CityGov.net 2005 0 eCityGovA]Iiance 40 IIIUA. Toe Clearance Restrooms Page 2 of 3 ;abinet Section To Wall > abinet Section To Wall — > 101, (,,,CityGov.net 2005 © eCilyGovAllianm Side Wall Grab Bar for Water Closet Dispenser Location Below Grab Bar min. Restrooms Page 3 of 3 36" minimum when- , ..._II --------- :6 Rear Wall Grab Bar for Water Closet ..� Pis Ali N nser Location ve Grab Bar cCrtyGov.net 2005 © e0ty& Alliance Bellevue Bothell Burien Duvall MyBuildingPermit.com Mercer Island Mill Creek Sammamish 2006 IBC Issaquah Kenmore Kirkland CONSTRUCTION TIP SHEET 13 Ramps and Landings July 2007 Snohomish County Snoqualmie Woodinville RAMPS • Ramp surfaces are stable, firm, and slip resistant. • Exposed exterior ramps and their approaches are constructed to prevent the accumulation of water on walking surfaces. Ramps used as part of means of egress have a maximum slope of 1:12. • The maximum rise in a run for ramps in existing buildings is 3 inches when the slope is steeper than 1:10 but not steeper than 1:8 and is 6 inches maximum when the slope is steeper than 1:12 but not steeper than 1:10. • The maximum rise for any run is 30 inches. • Ramp cross slopes are not steeper than 1:48. • Projections into ramp width are prohibited. • The required means of egress width is not reduced. • The clear width of a ramp and the clear width between handrails, if provided, are 36 inches minimum. • Headroom at all parts of the means of egress is not less than 80 inches. RAMP AND LANDING EDGE PROTECTION • Any portion of the edge of a ramp with a slope greater than 1:20, or landing which is more than t/z inch above the adjacent grade or floor within 10 inches horizontally, requires edge protection. • Edge protection is required on each side of ramp runs and at each side of ramp landings, by a curb or barrier or by extended floor surface. (An extended floor surface occurs when the surface of ramp or landing extends 12 inches minimum beyond the inside face of a railing.) Exceptions: a Edge protection is not required on ramps not required to have handrails, provided they have flared sides complying with ICC/ANSI A117.1-2003, Section 406.3, Sides of Curb Ramps. Edge protection is not required on sides of ramp serving an adjacent ramp run or stairway. Edge protection is not required on sides of ramp landings with vertical drop-off of not more than '/z inch within 10 inches horizontally of the minimum landing area. • Edge protection options: 1. A curb or barrier is required that prevents passage of a 4 -inch sphere below the height of 4 inches. (See Figure 1.a. and 1.b.) 2. Railings: When used, railings are required to have one of the following features: a. An intermediate rail mounted 17-19 inches above the ramp or landing surface. (See Figure 1.c.), or b. A guard complying with IBC 1013. See Construction Tipsheet 3, or c. The surface of the ramp or landing extends 12 inches beyond the inside face of the railing. (See Figure 1.d.) • For curb ramps refer to Construction Tip Sheet 9. LANDINGS + Ramp surfaces are stable, firm and slip resistant. Exposed exterior ramps and their approaches are constructed to prevent the accumulation of water on walking surfaces. e Ramps within the accessible route of travel have landings at the top and bottom, points of turning, entrance, exits, and doors and at least one intermediate landing for each 30 inches of rise with a minimum dimension of 60 inches in the direction of the ramp run. a Ramps that change direction at landings have landings sized to provide a 60 inch turning space (60 x 60 inches) or a T-shaped intersection 60 inches long by 36 inches wide (36 inches wide at each arm of T). See Figure 2. o The minimum width of the landing is as wide as the widest ramp leading to the landln Exception: Landings in nonaccessible R-2 and R-3 individual dwelling units�� may be 36 x 36 inches. (IBC 1010 6.3) o Landings dont slope more than 1:48.�i .�� a. & I Maneuvering clearances for doors can overlap the landing area where doorways e jaunt to the ramp. ilk 1 » i" 1 1, ArS1)I; ! � m, GENERAL INFORMATION: • This tip sheet is intended to show code requirements per the 2006 International Building Code (IB . ...... - Ramps, 1012 Handrails and ICC/ANSI Al 17.1-2003. �;l i �'� i' �'� �j subject ore tideta detail. Additional information can be found atr our local�bu building department. ad ur s thc� is to address the P P 9 y and does 1 9 Y 9 P ,�. � . o,: it .fiovwnet 2005 © eCityGovAlliance co C co YP��,o• Figure 1.a. . ff—...�...�te rail Figure 1.c. 60" min. c E landing E 0 0 y ramp I� pp run u� 36" min. EDGE PROTECTION Figure 1 ramp run Ramps and Landings Page 2 of 3 Figure i.b. 12" Surface of ramp or landing Figure 1.d. 60" min. landing E s ramp run LANDING $ RAMP WIDTHS 36" min. Figure 2 00(3 f�17� ('af f'fll��l �f(i1�df�,1.IdC�3 (:,,GityGov.net 2005 0 eUyGovAlliance Ramps and Landings Page 3 of 3 HANDRAILS AND GUARDS • Ramps having slopes steeper than 1:20 have handrails (see Figure 3). • Ramps with a rise greater than 6 inches have handrails 34-38 inches in height. • See Construction Tip Sheet 2 for additional information on handrails. • Handrails extend at least 12 inches beyond the top and bottom of any ramp run. • Handrails are continuous except at points of access along the ramp. • Provide guards for portions of landings or ramp that are more than 30 inches above adjacent grade. For more information see Construction Tip Sheet 3, Guards. • Guards are minimum 36 inches in height above walking surfaces for dwelling units falling under the International Residential Code. • Guards are minimum 36 inches in height above walking surfaces within individual dwelling units falling under the International Building Code (IBC) and are 42 inches in height outside individual dwelling units and in all other occupancies falling under the IBC. 12" min. 12" min. RAMP HANDRAIL Figure 3 (shown with edge protection detailed in Figure 1.a., page 2) ,s,CityGov.net 2005 © eCity& Alliance Bellevue Bothell Burien A01011" MyBuildingPermit.com Mercer island Mill Creek Sammamish Side -to -Side Straps Exhaust to i 12" maximum . ........ from ceiling 3" min. Ventilation duct: min. 3" x 3" 3" min. (see next page) 6" min Venting (exhaust gases) - B -vent clearance, exhaust to outside. iir Tem erature and pressure relle valve (drain to outside or other approved location- check with local building inspector per UPC sections 505.4, 505A �05.6 & 506.2. Hot water pipe - insulation required 7 \E� � �j_ -- Use min. 22 gauge x 3/4" _1 wide metal straps. Drill pilot hole on centerline of stud, insert 1/4" x 4" lag screw through hole in strap. Use washers. Alternative - If wall studs mm_ nl are not properly located to allow adequate anchorage, attach min. 2k4 cross brace to studs with 1/4" x 4" lag screw and washers. Then attach anchor strap to cross brace, with lag screw VG and washers. UPC 508.2 `Wall ng,� Stand required in g,ara e_.. —­­­­__� stud locations as per UF T108.14(1). 508.14(1). It is recommended that the stand be bolted to wall, 'N NOTE: Perforated iron strap airwmm (plumbers tape) will not be an acceptable method for strapping. 12" max. . . . ....... to f.f. F4 Duvall Issaquah Kenmore Kirkland CONSTRUCTION TIP SHEET 7 Water Heaters July 2007 001h7h, Woodinville 6 UPC ea le a an'6 "to comust,ioles,or.as, per maufacturers listing. 4" min - 1 12" mai 6" min. FYI R Provide solid blocking between wall and tarty TOP at each strap -mm----mm VIEW Expansion tank required w/ closed plumbing system per UPC section 608.3 Cold water supply pipe wit shut off (see General Information note #6) . ..... - 2 straps required locate @ upper and lower 1/3rd of tank UPC 508.2 When installed in garages, 18" minimum required between bottom edge of source of ignition and finish -floor level unless the tank is 1114" min. a flammable vapor ignition resistant design. UPC 508.14 & G2408.2. --Provide protective steel bollard if water heater is placed in front control unit of a parking stall. Provide adequate anchorage to floor. GENERAL INFORMATION: 0 2006 UPC requIres that all water heaters be strapped to resist motion during an earthquake. UPC 508.2 states that water heaters must be strapped In at least two • pp laces„ tipper and lower 113 rd. tag screws not less than 1/4" in diameter with at least 1-112" of thread penetration must be used to anchor the restraints to the wall. Washers must be used. * 2006 UPC requires liquid and past fluxes for soldering applications of copper and copper alloy tube be manufactured to meet the ASTM B 813 standards. * It is the responsibility of the installer to schedule inspections. �o For combustion air requirements, see page 2. uCityGov.net o Unless built into the appliance from the factory, Install a vacuum relief valve in the cold water supply line above the highest point of the tank. No valve shall be placed between the relief valve and the tank. 2005 0 eCltyGovAlliance Water Heaters Page 2 of 2 Size of Combustion Air Openings or Ducts for Gas or Liquid -burning Water Heaters Buildings of Ordinary Tightness Size of Opening or Duct Conditions Size of Opening or Duct Appliance in .unconfined space pp p Ma......rel. on in. y y filtration alone. Appliance in confined space: Provide two openings into enclosure (1) high, 1. All air from inside building (1) low„ each having 1 sq. in. per 1,000 btu/h input freely communicating with other outdoors. unconfined interior spaces. Minimum 100 Appliance in confined soace: obtain sq, in. each opening. 2. Part of air from inside building Provide two openings into enclosure from space freely communicating with other freely communicating unconfined outdoors. ace, each having an area of 100 sq. in. s one duct or plenurn opening to outdoors Eaving an area of 1 sq. in'. per 5,000 btu/h input rating.. 3. Allairobtain Promo outdoorfros: ...a Use an methods listed for confined space in Use an space p Gly tight construction. freely communicating from the enclosure: outdoors. 1 sq. in. per 4,000 btu/h input each. Buildings of Unusually Tight Construction. Appliance in Size of Opening or Duct Unconfined Space. Obtain combustion air from outdoors or Provide two openings, each having minimum from space freely communicating with 1 sq. in. per 1,000 btu/h and to outdoors outdoors. �1) of 1 sq,, in. per 5,,000 btu/h. ect on 705. Appliance in confined soace: obtain Use any methods listed for confined space in combustion air from outdoors or from,, unusually tight construction. space freely communicating with outdoors. 1. Provide two vertical ducts or plenums: 1 sq. in. per 4,000 btu/h input each. 2. Provide two horizontal ducts or plenums: 1 sq. in. per 2,000 btu/h input each. 3. Provide two openings in an exterior wall of the enclosure: 1 sq. in. per 4,000 btu/h input each. 4. Provide 1 ceiling opening to ventilated attic and 1 vertical duct to attic: 1 sq. in. per 4,000 btu/h input each. 5. Provide 1 opening 1 enclosure ceffiing to ventilated attic and 1 opening to venfilated crawl space: 1 sq. in. per 4,000 btu/h input each. eCiy ov.net 2005 © eCityGovA fiance Parcel Print Fvarml lNuirtibm: 101,34,1110(") 3' PORMOWNSEND SCHOOL DIST #50 450 . ST Section: 34 School N i : 'ti" Section: SE1/4 l=ure mist: 'Township 31N Tax S'ta'tus: Range: 1W TaxCode: Manning area:: Port Townsend (1) http://www.co.j efferson.wa.us/assessors/parcel/�arcelprint.asp?PARC.... Sub Division: Laud Use ;ode: 6800 - EDUCATIONAL SERVICES 05/14/2007 Port Townsend Schools 0 No Photo Available 1 of 1 12/22/2007 6:38 PM Parcel Print PairXXI NU1171kmi-, .10 1 3,140(l)'') iii er llftillnq Addiremm PO R-TTOWNSEND SCHOOL IDIST #50 450 HR.ST No "NAMMUR �,, �Ml Site Acfdrcss: tion:. 34 Sd"iW Disbict: Qtr Section: SE1/4 IFuu ICMst: 1"owrishilp: 31N 11 ax Status., Range: 1W Fax Code: Manirling airea: Port Townsend (1) http://www.cojefferson.wa.us/assessors/parcel/parcelprint.asp?PARC... Sub Division � 11-innUse Code: 6800 - EDUCATIONAL SERVICES lPiroperty 111)esciir�jptiorr S34 T31 R1W I TAX 21 (S 1/2) 05/14/2007 Port'l'ownsend (3U� Port Townsend (8) Schools 100 1 of 1 12/22/2007 6:36 PM Look Up a Contractor, Electrici; )r Plumber License Detail Page 2 of 2 Business Owner Information Name Role I Effective Date I Expiration Date GUTHRIE, PATRICK J OWNER 12/20/2004 Bond Information Savings Information No Matching Information :Insurance Information Bond Bond Effective Expiration Cancel Impaired Received Insurance Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date OLD 1-125000682- #3 REPUBLIC 0 12/10/2007 Until 1 $1,000,000.00 11/26/2007 #4 INS CO YL1264482 12/10/2007 Cancelled $12,000.00 11/30/2007 EMPIRE FIRE 1-125000016- #2 AND MARINE 0 12/10/2006 Until $1,000,000.00 11/28/2006 #3 INS CO FS802887 08/09/2007 Cancelled 12/10/2007 $12,000.00 08/16/2007 EMPIRE FIRE L0880003189 1$11000,000.00 #1 AND MARINE 1 12/10/2004 12/10/2006 11/04/2005 #2 INS CO FS802887 12/10/2006 08/09/2007 $6,000.00 11/28/2006 ACCREDITED SURETY Et Until 1$6,000.00 112/20/2004 #1 CAS CO 10035050 12/14/2004 Cancelled 12/14/2006 Savings Information No Matching Information :Insurance Information Summons / Complaints Information No Matching Information t rt aRem e rch Printer .Friendly 'er iv Odutu hrittipi60 0 Yy r Site Fe 1����u� l��l � Ir•�u�a1 ����,�1� �`G, ��ae1 � P�'o��r��'u��"��� ���d�o �l��uir"a�, � ���� ��,,ee<ac ��a ��} 1,wS g47Ja7 ab; y r d� u��itMgi asNngton State Dept, of V_�0.rar inn Vn dust des, Use of tN� sRe ti,r subjca°c�t. �Lo th 6 v , e� F�a a9�:uaa'.a:avlf 'whd� Puorrs ICtamu,. Access AsVVeerroerpt I IPhvza,cv andel security sdtatern�ent � Intended da;ek,�,:xte ni at content peadda:y � td�stit. �c:a�saov a,rc;oV Stiff ono y Onlh https://fortress.wa.gov/lni/bbip/Detail.aspx?License=JOEGUGC963RO 1/2/2008 Company Policy Effective Expiration Cancel Impaired Received Insurance Name Number Date Date Date Date Amount Date ATLANTIC CASINS 1-125000682- #3 CO 0 12/10/2007 12/10/2008 1 $1,000,000.00 11/26/2007 ATLANTIC CASINS 1-125000016- #2 CO 0 12/10/2006 12/10/2007 $1,000,000.00 11/28/2006 ATLANTIC CASINS L0880003189 1$11000,000.00 #1 CO 1 12/10/2004 12/10/2006 11/04/2005 Summons / Complaints Information No Matching Information t rt aRem e rch Printer .Friendly 'er iv Odutu hrittipi60 0 Yy r Site Fe 1����u� l��l � Ir•�u�a1 ����,�1� �`G, ��ae1 � P�'o��r��'u��"��� ���d�o �l��uir"a�, � ���� ��,,ee<ac ��a ��} 1,wS g47Ja7 ab; y r d� u��itMgi asNngton State Dept, of V_�0.rar inn Vn dust des, Use of tN� sRe ti,r subjca°c�t. �Lo th 6 v , e� F�a a9�:uaa'.a:avlf 'whd� Puorrs ICtamu,. Access AsVVeerroerpt I IPhvza,cv andel security sdtatern�ent � Intended da;ek,�,:xte ni at content peadda:y � td�stit. �c:a�saov a,rc;oV Stiff ono y Onlh https://fortress.wa.gov/lni/bbip/Detail.aspx?License=JOEGUGC963RO 1/2/2008 TqMRorary F, .$-ervice Permit Application FOR ENVIRONMENTAL HEALTH USE ONLY Fee Receipt # Date Permit Number, Approved By EVENT INFORMATION Event. A Temporary Permit is valid until the end of the current calendar year and can be used for an unlimited number of events, provided that the events are not more than 3 days per week, with an organized recurring event or more than 21 days in a row with an organized event. Events may be changed or added if notification is given to the Environmental Health Department a minimum of 10 working days prior to the proposed change. Please provide address for each event. (Attach additional sheets, if necessary.) �;. �Location lk, �i;rw°� Dane B Time #2 Location Date Time co. Jefferson County Public Health Time Environmental Health Department ORGANIZATION OR OWNER CONTACT INFORMATION 615 Sheridan Street Port Townsend, WA 98368 ta, Tel: 360.385.9444 Fax: 360.379.4487 Email: envhealth@co.jefferson.wa.us Website: www,ieffersoncoun ublichealth.o TqMRorary F, .$-ervice Permit Application FOR ENVIRONMENTAL HEALTH USE ONLY Fee Receipt # Date Permit Number, Approved By EVENT INFORMATION Event. A Temporary Permit is valid until the end of the current calendar year and can be used for an unlimited number of events, provided that the events are not more than 3 days per week, with an organized recurring event or more than 21 days in a row with an organized event. Events may be changed or added if notification is given to the Environmental Health Department a minimum of 10 working days prior to the proposed change. Please provide address for each event. (Attach additional sheets, if necessary.) �;. �Location lk, �i;rw°� Dane B Time #2 Location Date Time #3 Location Date Time ORGANIZATION OR OWNER CONTACT INFORMATION Name of Organization or Owner Mailing Address 01 - �r v City z � State w . ( zip , .i Person in Charge of Food Phone ( ) Does person in charge of food have a valid Food Workers' Card? ❑Yes ONO Card Expiration Date (It is required that the person in charge have a valid card before the first event.) SIGNATURE The individual whose signature appears below is approved to operate a Temporary Food Establishment serving only those items listed on page two of this apl kation and only for the event dates listed above. Any change in person in charge, menu, or event dates, requires approv I by th Environmental Health Department and may require resubmission of this application. All service will be in compliance ith the Rute and Regulations of Washington State (WAC 246-215) and the Local Board of Health Ordinance Chapter 6.05lleffdror County ode. Signature _ e � .�7P FEES MAKE CHECKS PAYABLE TO C 'H Limited Operation: Low-risk foods with minimal preparation at the event I i.lrc°r (Espresso, vegetable trays, hard cheese & crackers, chips with dip, pizza, et .)• 8.t9t ��id (dP I'(11 �11i pfd"t llla` Non -Complex Operation: Potentially Hazardous Foods i (Meat, dairy, eggs, cooked starches, other PHFs or foods requiring cooking and assemblIngy Application (all 3 pages) must be received at least 14 calendar days prior to first event A 50% late fee will be added to all applications received less than 7 days prior to the event. Temp Permit app 07.doc (Update 1/2/07) Page 1 of 3 FOOD PREPARATION Preparation in Advance (At Approved Facility Kitchen): Check which preparation procedure each menu item requires. Attach additional sheets, if necessary. Note: Advance preparation must be done at an approved facility kitchen. Be sure to include the name of the facility on page 3 of this application and include a letter of agreement from the facility stating what the facility will be used for and the dates it will be used. Food Thai ," Cuts A sdinribib Cook , Bdki 'CC6bl fold Holding Hot HaV n F'ottion 1. 2. 2. 3. 3. 5. 4. 6. 5. I 6. Preparation at the Booth: Check which preparation procedures each menu item requires (include beverages and all extra ingredients served with each item. Attach additional sheets, if necessary.) Food Cold Holdin` Cook/ Grill Hot , Holding '`eble Other 1.. 2. 3. 4. 5. 6. Temperature Control Method A), Cooking: ❑ Stove Top ❑ Microwave ❑ Oven ❑ BBQ ❑ Gas Grill ❑ Steamer ❑ Other (list) B) Hot Holding: ❑ Steam Table ❑ Oven ❑ BBQ ❑ Gas Grill ❑ Steamer ❑Stove ❑ Hot Holding Case ❑ Other (list) C) Cold Holding: ❑ Refrigerator ❑ Ice Chest D) During Transport: ❑ Refrigerator Truck ❑ Other (list) Eliminating Bare Hand Contact with Ready to Eat Foods ❑ Disposable Gloves ❑ Utensils ❑ Bakery Tissue ❑ Other (list) Describe Booth: Floor roof Walls Water Supply (city, bottled, etc.): Waste Water: ❑Sewer ElHolding Tank (If Holding Tank, list disposal site Handwashing Facility: []Plumbed Sink ❑Gravity Flow Container Utensil Washing Facilities: 03 -Compartment Sink at Booth ❑Approved Facility 3 -Compartment Sink ....... _... ... ....._... .._ Temp Permit app 07.doc (Update 1/2/07) Page 2 of 3 TEMPORARY FOOD SERVICE PERMIT REQUIREMENTS CHECKLIST (MUST BE COMPLETED WITH APPLICATION) Please ensure that you have a plan for each of the following items on this checklist. Refer to the "Temporary Food Establishment Guidelines" for clarification, or contact the Environmental Health office. CHECK ® HERE ITEM f DESCRIPTION _ I Food Worker Cards Name of Person: At least one responsible person with a current Food Worker Card must be on site whenever food is prepared and served to the public. u w Kitchen Facility (for advanced For food preparation in advance, facility must be approved preparation) by the Health Department. Food preparation at a private home is prohibited for a public event. (Exception for charity Facility lame:bake sale with no s.) Utensils and equipment re -used on site must be washed at Dishwashing an approved facility (within 200 feet of the booth). Alternatively, brim extra utensils. Single use utensils and service Single use disposable utensils and service ware should be ware. used for most events. These items must be protected from contamination and stored in a sanitary manner. Refrigeration Refrigerators or ice chests for pre -chilled foods. Keep cold foods at 41 0 or less. Wind and waterproof roof that covers all food preparation Booth Construction and storage areas, floor that is waterproof and smooth, and walls that can be closed against undesirable conditions. Store food and supplies up and off of the ground. No self- ' Food Protection service from open containers. Foods must be from approved sources. Home canned foods are prohibited. Thermometers Use appropriate food thermometers. Keep hot foods hot and cold foods cold. Check cooking temperatures. Hand washing in booth5+ gallons of warm water in an insulated container with (Wash hands frequently.) spigot, soap, paper towels, and bucket to catch wastewater.. [Food Worker Restroom Located within 200 feet of booth, must have hand washing facilities. garbage Container must be adequate for all refuse. Dump garbage & wastewater in accordance with County or City policies. Wiping Cloths and Bleach Use 1 -teaspoon bleach per gallon of cool water, Change water hourly. Hot Holding Equipment Must be preheated and be able to keep foods above 1400. No sterno or candles. Must be able to rapidly heat large quantities of food. Slow [Cooking' Units cookers cannot do this. Keep units in the booth or roped off from the public. Temp Permit app 07.doc (Update 1/2/07) Page 3 of 3 JEFFERSON COUNTY PUBLIC HEALTH 616 Sheridan Street # Port Townsend • Washington • 98368 www.jeffersoncountypublichealth.org � U(Z >v PLAN REVIEW APPLICATION FORM NAME OF FOOD SERVICE ESTABLISHMENT ADDRESS t : p ... CITY STAT ZIPt,3f. ) CONTACT PERSONi'r) li� M� PHONE NUMBER )" ' 77L _10S19(0 ESTIMATED OPENING DATE I BUSINESS NAME BUSINESS OWNERSHIP STATUS: ❑ Sole Proprieter ❑ Partnership ❑ Corporation ❑ LLC LIST ALL OWNERS, PARTNERS, CORPORATE OFFICERS OR MEMBERS: OWNER NAME OWNER NAME OWNER NAME OWNER NAME BUSINESS ADDRESS (if different from above) ADDRESS CITY STATE ZIP IS THIS A CHANGE OF OWNERSHIP? ❑ YES ❑ NO If Yes, Date of Change If Yes, Previous Name of Establishment IS THIS A NEW CONSTRUCTION? YES El NO I�BUILDINGXITCHEN S THIS REMODEL?❑ YES NO Canstru6dn -company contact person � ,� W"'Vl � ��j� PHONE 60" TO WHOR SHO THE PLAN REVIEW LETTER BE MAILED? 0 of 2 d NAME : r A L; ADDRESS � "� CITY �..w, STATE IP WATER SOURRE: I94CITY ❑ WELL ❑ OTHER, LIST SEWAGE: I PUBLIC SEWER ❑ ON-SITE SEPTIC SYSTEM Last on-site septic system inspection or pumpi °c TYPE OF ESTABLISHMENT: Check one or more of the boxes that best describes the type of establishment ❑ Restaurant ❑ School Cafeteria ❑ Tavern/Bar ❑ Public Kitchen/Grange ❑ I' ❑ Food Bank ❑ Espresso Cart ❑ Mobile M/oncession Stand ❑ Bakery ❑ Oa ❑ Meat/Fish Market ❑ Convenience S or Hours of operation � �'� � :�"W*_ , � " % Number of employees per sh Number of meals served per day Seating capacity COMMISSARY LOCATION (For APPLICANT'S SIGNATURE COMMUNITY HEALTH DEVELOPMENTAL DISABILITIES MAIN: 360-385-9400 FAX: 360-385-9401 le, or Catering) mom PUBLIC HEAL ENVIRONMENTAL HEALTH ALWAYS WORKING FOR ASAFER AND NATURAL RESOURCES MAIN: 360-385-9444 HEALTHIER COMMUNITY FAX: 360-385-9401 WA10 eceipt Date; 0212712008 ermiit # Parcel LD08-003 101344003 LD08-003 101344003 L D08-003 101344003 LD08-003 101344003 LD08-003 101344003 Receipt Number: 08-0221; Cashier. SFOSTER Payer/Payee Name, PO T" TOWNSENDSCIHOOL DIST X150 ecelwt # Receipt Date Fee Description ayment Check Payment lethod filum tier Am ount HECK 43934 $ 222.66 Total $222.66 genpmtrreceipts Page 1 of 1 Original Fee Amount Fee Fee Description Amount Paid Balance Plan Review Fee $81.41 $81.41 $0.00 Technology Fee for Building Permit $5.00 $5,00 $0.00 State Building Code Council Fee $4.50 $4.50 $0.00 Building Permit Fee $125.25 $12',5,25 $0.00 Record Retention Fee for Building P $6.50 $6.50 $0.00 Total. $222.66 ecelwt # Receipt Date Fee Description ayment Check Payment lethod filum tier Am ount HECK 43934 $ 222.66 Total $222.66 genpmtrreceipts Page 1 of 1 0" Yb* City of Port Townsend Development Services Department 250 Madison Street, Suite 3, Port Townsend, WA 98368 (360)379-5095 PORT TOWNSEND SCHOOL DIST #50 450 FIR ST PORT TOWNSEND WA 98368-6441 Application No BLDOB-003 Project: CONCESSION/RESTROOMS Application Type Commercial Miscellaneous Parcel # 101344003 Subdivision: Block/Lot Site Address: 3939 SAN JUAN AVE Description Building Permit Fee Ran Review Fee State Building Code Council Fee Technology Fee for Building Permit Record Retention Fee for Building Permit Invoice Date: 16 -JAN -08 Invoice # 175 Fee Amount Paid/Credit Balance Due $125,25 $0.00 $125.25 $81.41 KOO $81.41 $4.50 $0.00 $4,50 $5.00 $0.00 $5.00 $6.50 $0.00 $6-50 Total Fee Amount: $222,66 Total Paid/Credits: $0.00 Balance Due: $222.66 Payment due within 30 days Page 1 City of Port Townsend, DSD Invoice No. DSD11708 250 Madison Street Port Townsend, WA_ 98368 (360) 379-5095 fax (360) 344-4619 IN VOICE Customer Name Port Townsend School District #50 Date 1/17/2008 Address 450 Fir Street Permit # BLD08-003 City Port Townsend State WA ZIP 98368 concession stand Phone 360-379-4502 Description Unit Price TOTAL Plan Review Fee $81.41 Building Permit Fee t $1,125.25 Technology Fee for building permit $5.00 State BC Fee $4.50 Record Retention Fee $6.50 SubTotal $22.2.06 Shipping & Handling $0.00 Taxes TOTAL $222.66 Office Use Only Please make checks payable to. CITY OF PORT TOWNSEND RT ''�°" CITY OF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT = INSPECTION REPORT s For inspections, call the Inspection Line at 360-385-2294 b 3:00 PM the da before you want P � p Y Y the inspection. For Monday inspections, call by 3:00 PM Friday. DATE OF INSPECTION: PERM IT NU M ITER SITE ADDRESS: d;, ���� �� � �_....._._.__���.��......._..._.......... PROJECT NAME: CONTRACTOR: CONTACT PERSON: PHONE: TYPE OF INSPECTION. M .. P � b ❑ APPROVED ❑ APPROVED WITH NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. n r Inspector Date Approved plans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if work is not ready for inspection. r1f1.*.'. 47'% CITYOF PORT TOWNSEND DEVELOPMENT SERVICES DEPARTMENT INSPECTION REPORT For inspections, call the Inspection Line at 360-385-2294 by 3:00 PM the day before you want the inspection. For Monday inspections, call by 3:00 PM Friday. DATE OF INSPECTION: PERMIT NUMBER:; ,..,µ SITE ADDRESS: PROJECT NAME: CONTRACTOR: CONTACT PERSON: 19 so Mots TYPE OF INSPECTION: A ❑ APPROVED ❑ APPROVED WITH NOT APPROVED CORRECTIONS Ok to proceed. Corrections will be Call for re -inspection before checked at next inspection proceeding. WA.... y•,, Inspector Date -, k — ----------- Approvedplans and permit card must be on-site and available at time of inspection. A re -inspection fee may be assessed if'work is not ready for inspection. Inspection eort a Project . 10 � � ...� d of Permit # LDO g �� Date Inspector Inspection & Notes ox 4 10 —LOR 'I 511C oJILL AAM, �sFIL KL 164 L