HomeMy WebLinkAbout121 E 8th St - Building
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CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 301 o.fthe
International Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. Forrhefo/Jowing:
Use Classification: Business Building Pennit No.: 05-1155 Business Name Simply Flowers
Group: ~
Type of Construction:
V-N
Use Zone: CSD
Owner of Business: Sharon Psenak
Address: P.O. Box 2604
Port Angeles, W A. 98362
Port Angeles, W A. 98362
August 23,2006
Date
BUild~gA/S: 121 E. 8th Street.
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Post on the premises in a conspicuous place.
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61upty Ftou.Jeet Ci~~.<I>
Certificate of Occupancy '"~
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DATE ~-a3-o~ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Busines~ P/l qJ~;). Transfer of Business location . . . . . . . . . . . . . . . ( )
Jd I ..E g - I-Change of Ownership .. . ...... ..... ..... .. ( )
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Applicant New Building .... . ..... ...... . .... .... ... ( )
Address 1'0 !30~ d&>Ot? Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
(Sc:: q l/ I rY\. IA,) 14- 9 ~ 3'--'--' Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
I home ~Ki - ;)..,76
Phone: business 5ll"'-J..:J('(.., Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: I=LtJe (J..L s. riD P
legal Description: lot Block Subdivision
Current Use of Property: F 1-() ell t- sHOP
Zoning Classification of Property:
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -L- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . _V 4) Mechanical 4) Pawn Broker
New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _V 5) Sewer 5) Dance
New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . _V 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons ................... v/ 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? . . . . . . . . . . . . . . . -L_ 11 ) Fire
New driveway openings ....................... . --L 12) Occupancy
A grading plan for site drainage . . . . . . . . . . . . . . . . . . -~ 13) Sign
(parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . ~=z: 14) Shoreline
Are the existing streets paved? . . . . . . . . . . . . . . . . . . . 15) Home occupation
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . -~ 16) Conditional use
Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . --L 17) Other
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --
I hereby apply for a Certificate of Occupancy and acknowl- Date: ~-d3~
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. Signed=/l-~ .
APPROVED REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 30i of the
international Building Code certifying 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:
Bu'i1ding Permit No.: 05-1155
Business Name A CORNER COPIA
Use Classification: Business
Group: ~
Type of Construction:
V-N
Use Zone: CA
Owner of Business: Sharon Psenak
Address: P.O. Box 2604
Port Angeles, W A. 98362
Port Angeles, W A. 98362
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December 7,2005
Building Address: 121 E. 8th Street.
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Post on the pre"mises in's conspicuous place.
Shall not be removed except by Building Official.
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Certificate of Occupancy ~..
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DATE I/-d./-O-S- New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( )
/a/ E 'ZLH-- ~-r Change of Ownership .... ... . ..... .... . ... ( ~ )
Applicant (_<)H /1120 J.I '?S c At /4 K- New Building ... . . ......... ..... .... ..... ( )
Address 1>0 1301-- ~oy Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
~E I). u. ( rr\.., UJ It Q't312. Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
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Phone: business Lf lJ 0 --<.o'l v , home (P 'g 3 ':'J.67K Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: FLOI2r-l1-- SHO~ (;/P7j, ~SjJl2 t: 55 ()
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legal Description: lot Block Subdivision
Current Use of Property: Fl-Del4J..... 6/- GIFT .5d-()fJ
Zoning Classification of Property:
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 Dealer
New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . -L~ 4) Mechanical 4) Pawn Broker
New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _1- 5) Sewer 5) Dance
New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons . . . . . . . . . . . . . . . . . . . _ ---X- 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 . . . . . . . . . . . . . . . . . . . -X 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . . . . . . . . . . . . -y- 11 ) Fire
New driveway openings ........................ -X 12) Occupancy
A grading plan for site drainage . . . . . . . . . . . . . . . . . . - ---x- 13) Sign
--
(parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . -X- 14) Shoreline
Are the existing streets paved? . . . . . . . . . . . . . . . . . . . 15) Home occupation
Are there existing sidewalks? ... . . . . . . . . . . . . . . . . . ---4- == 16) Conditional use
Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . ~- 17) Other
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --
I hereby apply for a Certificate of Occupancy and acknowl- Date: /I-~ /-{)1;;'
edge that I have read this application and state that the
information I have supplied is correct to the best of my Signed:~~
knowledge.
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;p;;~~ j~EJECTED Comments / Conditions
2. fA Building Section
III Public Works Department
11-1.'5 -D~ - S~ Planning Department
~ Fire Department
11--2J- O~ -.PV City Clerk
P.B.I.A.
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$47.00 Certificate/Inspection Fee ~
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DATE 3 -~'l-tJlj New Business .... ........................ ( )
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( .~ )
/;( / (, . ~ ,hA'" /'J;C Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant 7n 7 t;." \... /,IJ ~ I P. f' /!c New Building ................ ............. ( )
Address j1 {/J ~ '1 ~ " .s Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business ...................... . ( )
Ph~~:;r ::ess i."J e~ s ~ r,{ime ;;, r / - 7,;4 9 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
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Brief description of proposed business: 7~~'~ "" g A/r; ~
t
legal Description: lot Block Subdivision
Current Use of Property: .iVhtf"j;
Zoning Classification of Property: C-S\"::)
WILL THERE BE ANY OF THE FOLLOWING? YES , 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 ............................. --;r 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . . . . . . . . . . . . . . . . , . . . . . . . \:T- 4) Mechanical 4) Pawn Broker
New septic tanks. . , . . . . . . . . . . . . . , . , , . , . . . . . . . . . - ---;r 5) Sewer 5) Dance
--y-
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. . . . . . . . . . . . . . . . . . . . 1/- 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . . . . . . . . . . . . . -- 11 ) Fire
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . I/' 12) Occupancy
A grading plan for site drainage. . . . . . . . . . . . . . . . . . . --r (f3) Si~
- ---;;r-
(parking lots, downspouts, etc.) ................. . 7:- 14) Shoreline
Are the existing streets paved? ................... 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- Date: 3 -,,{ J' - 0 r
edge that I have read this application and state that the
information I have supplied is correct to the best of my signed.k..." - fL.;} I. J/) A . /
knowledge.
/
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~\ REJECTED Comments / Conditions . A/u,,"'-
Building Section .It-.-<'-z~/ 7 /~
Public Works Department
,~/). 9-I)Y, t/lJ Planning Department
Kt)() Fire Department
g 1.?-/J'/,A;) City Clerk
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
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
04-00000254 Date 3/29/04
.048194
121 E 8TH ST
06-30-00-0-2-3170-0000-
A CORNER-CORNIA OF FLOWER
SIGNS
COMMUNITY SHOPPING DISTR
o
Owner
Contractor
------------------------
------------------------
GUY MADISON, ET AL
316 W 9TH ST
PORT ANGELES WA 983627603
OWNER
----------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SIGN
25.00
3/29/04
9/25/04
Plan Check Fee
valuation
.00
o
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1;.,
"
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~
...,.
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('j)
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Qty unit Charge Per
BASE FEE
Extension
25.00
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
plan Check Total
Grand Total
25.00
.00
25.00
25.00
.00
25.00
.00
.00
.00
.00
.00
.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
ON
FILE
Signature of Owner (if owner is builder)
~te
"
"'.
Date
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BillLDING 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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: Ii
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERlOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB I I
WALL 1 FLOOR 1 CEILING I I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
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
ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW 1 ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 <:'1,x/o.;l j ~ A' BUILDING
T:\PLANNING\FORMS\1 102.15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONL V:
Date Rec.: ~ - 2'1 ~ c-v
Pelmit #: 6 Lj- 25 '-/
Date Approved:
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. !fyou have any questions, call
(360) 417-4815
Applicant or Agent: ~ jLv
. Owner: ~>V a/1 izIf!.r-u."L./
Address: ~? j?&/f.t/3305
e /l'1a~//1/
Architect/Engineer:
Contractor
Address:
City: 7 "",~
Phone: J t r) c5t,'S. .' /,;;{ c5' tP
Phone: cJ~ c {, Y/ -73 L/. '7
. w'cr.?r?'7/
ZIp: 7 i'l L./ {) (;oL-'"
tJ(7/
Phone:
State License #:
Exp:
Phone:
PROJECT ADDRESS:
/,11
City:
f t;?2/
Zip:
ZONING: C-'S U
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
------ ~ /1
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZEN ALUATION:
SF.@$ /SF.=$
SF. @ $ /SF. = $,
SF. @ $ /SF. = $
TOTAL VALUATION $.
~~
l\ ( f t _~
..~- Ie l
---'
Occupancy Group:
Occupant Load:
Construction Type:
No. of Stories: ---L- Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING 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 at the time of permit 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 WTitten request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby certify that 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.
T:\FORMS\APPS\Buildingpermit.wpd APPlicant:,J4a.-c-t'~0 ;;'/;2.u.c....-<-<-/ Date: 3' --/ y- d 'V'
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$47.00 Certificate/Inspection Fee ~
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DATE ~ - -, ("-- . . .. .. . . . .... ...... .. .... ...
Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( / )
~
Id I ," (.~ f).j~ /j;C Change of Ownership ....... .. . .. . .. .... . . . ( )
Applicant 7JiA-r. / .,... \1. In' ... I '" p ,k: New Building .. . . .. .. .. . .. .... . ... .. .. .. .. ( )
Address / l' ro (:' f :? "(J .<:' Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
#--" ,. "J -....J
" /'J n Temporary Business ( )
--' 'd ~~'1 " (;(/ .. ... .. .. .. .. .. .... .. ..
Phone:: business f/,A', I e I"l .5 /1 'h~~e t.,Yl~ '/;JqC? Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
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Brief description of proposed business: 1-1 J-, (i..//':, ;;Lf' -
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legal Description: lot Block Subdivision
Current Use of property:.{;11tlfj c...Sb
Zoning Classification of Property:
Will THERE BE ANY OF THE FOllOWING? YES , THE FOllOWING Will BE REQUIRED:
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . - PERMITS BUSINESS LICENSE
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --::r 1) Building 1) Taxi
- 7"
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . - --:r 2) Plumbing 2) Peddlers
Plumbing changes ............................ . \T - 3) Electrical 3) 2ndi Hand Dealer
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . - -:r 4) Mechanical 4) Pawn Broker
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -:T 5) Sewer 5) Dance
New sewer service ............................ . - - 6) Sidewalk installation 6) Hotel - Motel
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Admission charged to patrons. . . . . . . . . . . . . . . . . . . . / 7) Driveway installation
" 7) Fireworks
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Is this a home occupation? ,/ 8) Curb installation 8) Ambulance
..................... . - -
Excavation of filling of lots j/ 9) Sidewalk obstruction 9) Tattoo shop
...................... . - --r-
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -y- \/ 10) Water meter installation 10) Other
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Is there sufficient off-street parking? . . . . . . . . . . . . . . . ,- 11 ) Fire
- -
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . - .-L 12) Occupancy
A grading plan for site drainage. . . . . . . . . . . . . . . . . . . - ~ ~
(parking lots, downspouts, etc.) ................. . l/ 14) Shoreline
-y- -
Are the existing streets paved? .................. . --r- - 15) Home occupation
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ,/ - 16) Conditional use
Is there curb and gutter? ....................... . =z - 17) Other
Other............................ -............ - -
I hereby apply for a Certificate of Occupancy and acknowl- ., -/J' - (/ 'Y
edge that I have read this application and state that the Date:J
information I have supplied is correct to the best of my SignedJd A I Ail,i j t,J~~~~
knowledge.
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~\ REJECTED Comments / Conditions /1- ., 'L./ /,..." ,,,<,, I A/ 2/' .--'
cull Building Section ..e. ~- 27:7 /~
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Public Works Department
Planning Department
Fire Department -
City Clerk
PB.I.A.
AC
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 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 . . .
Applicat~on valuation
05-00000781 Date 9/01/05
350500
121 E 8TH ST
06-30-00-0-2-3170-0000-
SIGNS
COMMUNITY SHOPPING DISTR
500
EXPIRED
Z/t-"'~~
Owner
Contractor
GUY MADISON, ET AL
316 W 9TH ST
PORT ANGELES WA 983627603
OWNER
Permit . . . . .
Additional desc .
Permit p~n number
Permit Fee
Issue Date
Expiration Date
SIGN
59006
85.00
9/01/05
2/28/06
Plan Check Fee
Valuation
.00
500
Qty Unit Charge Per
1.00 85.0000 PER S- SIGN WALL 25 SF+
Extension
85.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
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Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate 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
/v:v zJ~ j?-
re of Owner (If owner is builder)
T \Pohcles\1102_15 bUIldmg permit mspectlOn record05 wpd [1/4/2005]
c,\ rORT }I"
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BUILDING PERMIT - APPLICATION
rUl\.. urr'lL..lili.. U~.c. UJ'JL~
Dale Rec. ~ -tr -e>r:
Penmt"# (!X:J - '7 ~ l
Date Appl Dved '&f ~ 6
Date Issued'
Fill out COMPLETELY and in INK. Your applicatlOr. and site plan MUST BE
COl\1PLETE to be accepted for reVIew. If yon have any qnestions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant Dr Agent A- C~ ,. c.ot)1A ~ i="\c:)wWn..'S Phone ~. .tt:::r~. I~S~
OV\lner. M/44.L"r;;- WIJ:SICfi?J(' Phone.
Address' ''2.' CiiI' B"~ 2!.."T" CItY" ~o-cz.:t""" k sc..,:c:l~ ZIp. 9 ~~~ '"";?o
-
Arclni.ect/El1gmeer ~~ Phone:
Co~or~ ' '-'.X: -:~ State Lloeil,e #";f-:: ;.".:'t. Exp . 5-./3 '0-;
~c::::;-' .
Address "Po ~~ ".,., o..,~ CIty erA-- W A
PROJECT ADDRESS: , a. \ r;;:- ~ ~
Phone: ~7. 7-4c;s
ZIp: qa~-:z....
ZONING: ~..-,. s..&O~'" c...
__ .___ ,.- _--_" H_ -. -
LEGAL DESCRIPTION: Lot Block:
CLALLAM COUNTY PARCEL }TUMBER:
SubdrVlslOn'
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA
TI..'1'E OF WORK:
o ResIdential 0 New Constr 0 Re-roof
o Mulu-family 0 Addmon 0 Move
o Commerclal 0 Remodel 0 DemolitlOn
o Repair ~ SIgn
BR.lEF DESCRll'TION OF THE PROJECT:
..,Hoo.
MC
tool.
#
City:
Exp. Date:
o Stove
o Garage
o Decr
o Other
~v.....
SIZE/V ALUATION:
SF @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = f-
TOTAL Vi\.LUATION $\ ~ -C7()
~ ~f;"" e,<t$'t""'l,..)c- S\~
COMMERClALJRESIDEl\T'fIA.L: Occupancy Group:
Occupant Load:
& Proposed Sq Ft
ConstructlOn Type: ~
= TOTAL Sq. Ft
~ lfSf .,~ q
No. of Stories _ Lot SlZe:
Total lot coverage
Existmg Sq. Ft.
%
ESAfWetland(s). 0 Yes 0 No SEPA Chec1clist required? 0 Yes 0 No Other
A1'PROV ALS:
PLAN: 8 . ~
BLDG:
DYWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 Buildm.,g DIViSIon to comply with current fee schedules. Contact the Permit Coordmator at 417-4815 for assistance
PLAN CHECR FEE' IF a plan cheT:k fee is due it musfhe subIDltted at the tIme the buildmg pemt applIcatlOn and construction plans are
subIDltted All other peIIDlt fees are due at the tIme of permit Issnance.
EXPIRATION OF PLAN REVIEW: Ifno pemt IS issued vnthm 180 days of me date of apphcation, the application will expire. The
Buildmg OffiCIal can extend the time for achon by the applIcant up to 180 days upon wntten request by the applIcant (see Secuon R105.3.2
of the InternatIonal Buildmg/ResidentIal Code, 2003). No apphcation can be extended more than once.
I hereby certify that I have read and exammed this appl1catlDn 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 determme what permits are reqUired ,not the City's, and that I must obtain such permits pnor to work
T.\Poh,,~\BL.l1 02_13 wp' Ar>pli=nt: In i1 t.;.. bJ4./!U'" " Date' ~. L '1- " $"
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Area Map
This map is not Intended to be used as a legal descnptlon l~\
This map/drawmg IS produced by the City of Port Angeles for ItS own I/se and pl/rposes \~
Any other lISe of this mop/drawmg shall not be the responslblbt)' of the C'h' ,,,,..
Feel
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CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
PERMIT NO. ~ '7/?
1.2 -/5 -yz...
DATE
ELECTRICAL PERMIT
Installed By:
::</ J
IkIv'Ol!.Sc'v
(/I~~
o READY FOR
INSPECTION
License Number:
~LL CALL FOR
INSPECTION
Phone:
Site Address:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
o RESIDENTIAL
[l3-COMMERCIAL
o BASEBOARD KW _
o FURNACE KW _
~ FAN/~ KW ~
o HEAT PUMP KW
o SIGN
o TEMPORARY SERVICE
o PERMANENT SERVICE
o NEW CONSTRUCTION
'2 REMODEL
]a ADD/ALTER CIRCUITS
%1 SERVICE UPGRADE/REPAIR
o SPECIAL EQUIPMENT
(LIST BELOW)
~ OVERHEAD SERVICE
o UNDERGFlOU.ND'SEmlICE
VOLTAGE: LoIVIOZ:~
0--S1NGLE PHASE
o THREE PHASE.... _ _
SERVICE SIZE 6J!J.V AMPS
Details/Description:
Ruk[
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WfR-f.-
('J1cI
Ct.:&.
c2a?
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/IIu.u ~c, loRe:-
.,5~/KL h~ks
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LV
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
'If'j Rough-in/cover O.K.
1$ O.K. to connect service
~ IS Final O.K.
Site Address:
Permit/Receipt No.
, '/~
New Meters...---
Date:
/2 -16 -9'-
Installer:
.
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Buil~ Permit. PHONE 457-0411, EXT. 224_ ~
,/' k NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 3D
Electrical Inspector Permit Fee
WHITE - File by address
YELLOW - fjle by number
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meter Dept., Bottom: City Hall
OLYMPIC PRINTERS INC