HomeMy WebLinkAbout304 W. Front Street Address:
304 W Front Street
PREPARED 10/28/13, 9:4 9:2 1 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/28/13
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ADDRESS . : 304 W FRONT ST SUBDIV:
CONTRACTOR ACCENT CONS-T OF SEQUIM INC. PHONE (360) 452-9585
OWNER WWA (BPH) PUBLICATIONS INC PHONE
PARCEL 06-30-00-0-0-1300-0000-
APPL NUMBER: 13-00000919 COMM REMODEL
------------------------------------------------------------------------------------------------
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 10/28/13 J_LL BLDG FRAMING
October 28, 2013 9:22:56 AM pbarthol.
Dawn 1477-0348
Call st so she can make sure the building is open
-- ---- ------------------------------------------------------------------
PERMIT: ME 00 MECRANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
ME1 01 10/28/13 MECHANICAL ROUGH-IN
October 28, 2013 9:26:02 AM pbarthol.
Dawn 477-0348
Call ist so she can make sure the building is open
---------------------- -------------------------------------------------------------------
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
PL1 01 9/09/13 JLL PLUMBING UNDER SLAB
9/09/13 AP September 9, 2013 9:43:31 Am pbarthol.
Dawn 477-0348
Call ahead so she can open building
September 9, 2013 4:09:53 PM jlierly.
PL2 01 10/28/13 JLL PLUMBING ROUGH-IN
October 28, 2013 9:24:06 AM pbarthol.
Dawn 477-0348
Call lst so she can make sure the building is open
--------------------- --------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
. 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number. . . . . . 13-00000919 Date 8/20/13
Application pin n umber . . . 691584
Property Add�ess . . . . . . �304 W FRONT ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1300-0000-
Application type description COMM REMODEL REPORT SALES TAX
Subdivision Name . . . . . . on your state excise tax form
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL to the City of Port Angeles
-----Application-valuation 4400 (Location Code 0502)
----------- --------- - - - - ----
Application desc
add two showers and compartment respectively
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Owner Contractor
------------------------ ------------------------
WWA (BPH) PUBLICATIONS INC ACCENT CONST OF SEQUIM INC.
L9351 8TH AVE NE STE 106 1201 FOREST TRAIL
POULSBO WA 98370 PORT ANGELES WA 98362
(3GO) 452-9585
-------------------------------- -------------------------------------1------
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc ADD SHOWER ROOMS
Permit Fee . . . . 137.75 Plan Check Fee 89.54
Issue Date . . . . 8/20/13 valuation . . . . 4400
Expiration Date 2/16/1 4
Qty Unit Charge Per Extension
BASE FEE 95.75
3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00
-----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc BATH FANS
Permit Fee 71.30 Plan Check Fee .00
Issue Date . . . . 8/20/13 Valuation . . . . 0
Expiration Date . . 2/16/14
Qty Unit Charge Per Extension
BASE FEE 50.00
2.00 10.6500 EA ME-HOOD/DUCT-MECH. EXHAUST 21.30
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . . BATH ADDITION
Permit Fee . . . . 92.00 Plan Check Fee .00
Issue Date . . . . 8/20/13 Valuation . . . . 0
Expiration Date . . 2/16/14
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.0000 EA PL-PLUMBING TRAP 28.00
1.00 7.0000 EA PL-WATER LINE 7.00
1.00 7.0000 EA PL-DRAIN VENT PIPING 7.00
---- ------ -- -------- ---- ------ ----
Other Fees . . . . . . . . . STATE SURCHARGE 4.50
---------------------------------------------------------------------------- -
Fee summary Charged Paid Credited 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 6onstruction 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 a hority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
�� 0-�h�
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(*if owner is builder)
Tforms/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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Tootings
Sternwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole BIdgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only�_
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
0
Inspection Type Date Accepted By
Electrical 417-4735
Construction-R.W. PW /Engineering 417-4831
Fire 417-4653
I Planning 417-4750
Building 417-4815
T:Forms/Buiiding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number . . . . . 13-00000919 Date 8/20/13
Application pin number . . . 691584
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 301.05 301.05 .00 .00 REPORT SALES TAX
Plan Check Total 89.54 89.54 .00 .00 on your state excise tax form
Other Fee Total 4.50 4.50 .00 .00
Grand Total 395.09 395.09 .00 .00 to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls I Roof/Ceiling
Drywall(interior Braced Panel Only)
T-Bar
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL:
Heat Pump/Furnace FAU Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW I Engineering 417-4831
Fire 417-4653
Planning 417-4750
L Building 417-4815
T�Forms/Building Division/Building Permit
THE T For City Use
CITY OF 5- -R ANGELES,
P Permit#
W A SHI NGTON , U . S . Date Received: (�A 10 1!;?
321 E 51h Street Date Approved
Port Angeles,WA9836
P: 360-417-4817 F: 360-417-4711
Email: permits0citvofVa.tis BUILDING PERMIT APPLICATION
Project Address: �fVj 17 pof-T A-/�J,6&CiN
V- I I
Phone: 5 W 1-17 7 03LIZ-
Primary Cont ct. 66 Email: ,C'.//th en 'J""0� eo
NT;LkVIA -p Phone
L'A_L�' ��kt" Mc- 3(00 - SI?L4 �11300
Property mail Address E
Owner t9igg ( TI/I Ave- 'qL4'-Je- 10(- =-rvL�@ S0LA'0C(R1'�'?1(-Sk(VV1 C."wyl
Cit State Zi J
!PC) S100 - UA �RS70
Name 4ca,,r% CONIT- Phone 5(00 1461 115-6(0
Contractor Address Email
Information City ru State Zip qg.,
W-V 414"s 06 1 767,
Contractors License# ACLE)�JCS04LLYD Exp.Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
$ 120' 0c)
Residential Commercial M Industrial El Public El
Permit Demolition El Fire El Repair El Reroof(tear off/lay over)
Classification For the following, fill out both 12ages of permit application:
(check New Construction El Exterior Remodel 11 Addition El Tenant Improvement
appropriate) Mechanical El Plumbing 18 Other El
Fire Sprinkler System? Irri'gation System? I Bathrooms Proposed Bedrooms
Yes 0 No 0 Yes 0 No 0 +
Project Description
ddl V4 one -4 ff Atvom
tayu&!;f!�
Is project in a Flood Zone: Yes No[] Flood Zone Typ e:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within 18o days of submittal, the application
will be considered abandoned and the fees will be forfeited.
5, la . 13 &u-'F oso"i &L/111—
Date Print Name Signature
Residential Structures
Area Description (SQ FT) Existing Proposed ss value For Office Use
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck(over 30"or 2n floor)
Garaae
Carport
Other(describe)
Area Totals
Commercial Structures
Proposed For Office Use
Area Descriptions(SQ FT) Existing Proposed ss Value
Existing Structure (s)
Proposed Addition
Tenant Improvement?
Other work (describe)
Site Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage (sq ft) %Lot Coverage-(Total lot coverage lot size)
Site Coverage (Sq Ft of all impervious
%of Site Coverage (total site coverage�lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to be installed or relocated as part of this project.
Air Handler Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended, Floor, Recessed wall) #
Boiler/Compressor # H eating/Cooling appliance #
repair/alteration
Evaporative Cooler(attached, not # Pellet Stove/Woo d-burning/Gas #
portable) Fireplace/ as Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan, single duct #
C, C�
Furnace/Heat Pump/ Size: # Ventilatio n- System #
Forced Air Unit
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx
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CITY OF PORT ANGELES COnitruct'on
The issuance of this pen*b"*d Wn these Plant.'Pel�ifl'
cations and other d**111 not preyf*t the building.offil
from thereafter rlw*ng the corre0z" of errors in said
li!ans, specificafM and other data, Or frOrl preventing
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itilding operatioN being carried -his iurisdiction.
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Address:
304 W Front Street
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C E RTI FICATE�GFF2�zu-'.CC U PAN CY
P10 ion
C i tt YV,��Ok, Ang"-616" -�SLH ding-0iVis
This certificate is issuedpqrsuant to the requiremenis,bf Section �14,;�Yihe 2b.29 International Building
Code certifying that at�0he-_,-jjme,,97f-
ps.swance this structure was in compliance v&h the various ordinances
7�
of the City regulatin uildingc5hst —,-t,--- — �br thefplllow. in�.,1�.-
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mg
M King-Gfos§fitLL1--Q'-a.�X
Business name. rMt,'.5tW I
Business addressJ 1�-3'U;-W Front Str&6&.',
Business owner: ...-Dawn,Mason T,
gew A 363
Business owner'sfladd` 2409 W Ed""'
XT/
Automatic'fire sprrHersystem:
Use &occupancy qlas��'ification:
2-61�2009 1B
Occupant load: C, Ta6
Type of construction.
I---- ---------
W
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8/8/14
i �7��j Date
UW agPr
Ap,
Poston the premises in a conspicuous place. -hi-�C- ifil ate hanenootoboe removed except by the Building Official.
P09TA CERTIFICATE OF OCCUPANCY APPLICATION Permit#A- 7
FEES
CITY OF PORT ANGELES
Attn: Permit Technician $D50 rtificate Inspection
321 E. Fifth St., Port Angeles, WA 98362 $100 arking Business Improvement Area (PBIA)
1
(360)417-4815 fax(360)417-4711 fee charged for Downtown locations
PLEASE PRVVT r1V rNX
Check one:New business in P.A.?L-1 Change of ownership only? El Moving location from within P.A.?X Zoning
BUSINESS NAME Stbrm i�l via C�-D&S77,
Business address 304 W_ Fj::R6+ Si-. Mailing address SCA vi - T_MV1+
Phone numbe(3(.0')4-7-7 - 0-3Lfg' - Opening date (-111113 Days& hours of operationIM- S&4. 5QM
Business owner I s name i)c1vjv,, McLsov-i Contact phone(3(.L--.,) 4-1-7 - 03L+g,
Business owner's address P6�4 C
LAJA CJ03f_3
Brief description of business J:i-h^-e-,ss Ce-v\Hm— tlh_ Lv_�"U�41
Property'owner's name Se-LAiAJ?Ljo1ZSk K vLc- - contact phone 3C�0) 39 L4 — 5300
Property owner's address/contact 19 361 vlLbe_ tJC- SLA:'.+- 10(
IAJA
qgglo
BUILDING DEPARTMENT phone 417-4815 Bldg approval by_on
Is the business a restaurant or bar that will seat 50 or more people? Yes 11 No F-1
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work,
adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417-4653 Fire approval by_on
Changes to a fire sprinkler system or fire alarm system? Yes [I No [I
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 417-4623
Square footage of business? L4 I �3 1 54. PBIA notified—on
Is business moving within the PBIA? Yes [I No
CITY CLERK phone 417-4634 City Clej
Second-hand dealer/pawnbroker business?Yes El No L1
Will there be dancing at this business?Yes El No F1
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker Dance,
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_on
Number of off-street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?)
Signs planned:
PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles.
PWE approval by_on
PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812
Is site work planned (new or re-located sewer or water service,
excavation, grading or filling,work in City right-of-way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes F1 No El
Work planned:
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by_on
Will waste, other than domestic household waste, be discharged into the sewer system? Yes 11 No El
If yes, what will be discharged:
Call for Certificate of Occunancy inspections BEFORE ox)enino business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter.
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the
information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of
permit.
Date Print Name I'l LAM M(4�61-1 —Signature h6wmo"
T:\Forms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
LEASE AGREEMENT
THIS LEA1c. I E AG i EEMENT (the "Lease") is entered into and effective as June 1, 2013
Between S�undl ublishing, Inc., a Washington corporation ("Landlord") and Storm King Crossfit, LLC., a
Washingtor �d liability company("Tenant").
Landlord and Tenant agree as follows:
1. LEASE SUMMARY.
a. Leased Premises. The leased commercial real estate (the "Premises") consists of the real property
legally described on attached Exhibit A, and all improvements thereon, and commonly described as:
305 W. FRONT PORT ANGELES, WASHINGTON 98362 and is approximately 4,331 sf.
b. Lease Commencement Date. The term of this Lease shall be for a period of 36(thirty six)months and
shall commence on June 1, 2013.
c. Lease Termination Date. The term of this Lease shall expire at 11:59 p.m. on May 31, 2016.
or such earlier or later date as provided in Section 3 (the"Termination Date").
d. Base Rent. The base monthly rent shall be $2.469.00. (Two Thousand Four Hundred Sixty Nine
Dollars and 00/XX ) ($6.84 SF annually). Rent shall be payable at Landlord's address shown in Section 1(h)
below, or such other place designated in writing by Landlord for the term of the lease as follows:
June 1-31 —Abated (free rent)
July 1, 2013—May 31, 2016 -$2469.00 per month.
Rent shall be payable at Landlord's address shown in section 1(h) below or such other places designated
in writing by the Landlord.
e. Prepaid Rent. Upon execution of this Lease, Tenant shall deliver to Landlord the sum of $2469.00
(Two Thousand Four Hundred Sixty Nine and 00/XX) as prepaid rent, to be applied to the Rent due for the
month of July 1, 2013 through July 31, 2013 of the Lease.
f. Security Deposit. Upon execution of this Lease, Tenant shall deliver to Landlord the sum of
$1,000.00 (One Thousand and 00/XX) to be held as a security deposit pursuant to Section 5 below. The
security deposit shall be in the form of money order attached hereto.
g. Permitted Use. The Premises shall be used only for: Officeand Sport's Training/Exercise Facility and
for no other purpose without written consent of the Landlord.
Notices and Payment addresses:
LANDLORD: Sound Publishing, Inc.
193518 1h Avenue NE Suite 106
Poulsbo, Wa. 98370
360-394-5800
TENANT: Storm King Crossfit, LLC
W. Front Street
Port Angeles, Wa. 98362
360-477-0348
2. PREMISES.
a. Lease of Premises. Landlord leases to Tenant, and Tenant leases from Landlord the Premises upon the
terms specified in this Lease.
b. USES. The Premises shall be used only for the Permitted Use specified in Section 1 above, and for no
Form generated by True Forms' www.TrueForms.com 800-499-9612
pORT+ CERTIFICATE OF OCCUPANCY APPLICATION Permit#
-------___� FEES
CITY OF PORT ANGELES
V_ $50 Certificate Inspection
ZINOW-111
Attn: Permit Technician
321 E. Fifth St., Port Angeles,WA 98362 $100 parking Business Improvement Area (PSIA) i
(360)417-4815 fax (360)417-471 1 fee charged for bowntown locations
PLEASE PRINT 1N INK
Check one: New business in P.A."-. Change of ownership only? �_ Moving location from within P.A." Zoning
BUSINESS NAME StbyyV1 r'lVvi C�-DSSG+ , U-C
Business address >0'4 Mail�ing address
Phone numbef_3�0)4-7-7- 03Lf Opening date -1 Days&hours of operation &a4. 5,qryl-(0 r"
Business owners name WLA MCLSO'-1 Contact phone C�(- q-1-1 0349
Business owner's address— Lf 0 9 V-J , C--J��e_LJ AV)C"Zi _5 . LAj-A -1 F?Z 3
Brief descripdon of business T;+A'--ss cr-,,\+�-
Property owner's name v%.c- Contact phone L4 -
Property owner's address/contact 19 351 J3-11� )1�ver-)LAe- N c)(, P6LO-B60 , LAJA
9193-70
BUILDING DEPARTMENT phone 417-4815 Bldg approval by_on_
Is the business a restaurant or bar that will seat 50 or more people? Yes - No
Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding.foundation work,
adding/altering stairways. ramps, bathrooms, electrical. heating/cooling/ventilation systems, etc).
Work planned:
FIREDEPARTMENT phone 417-4653 Fire approval by V�M on ;6 21
Changes to a fire sprinkler system or fire alarm system? Yes No 7
Work planned:
PBIA (Parking Business Improvement Area-Downtown) phone 417-4623
Square footage of business'? H I �3 1 -14. 4. PBIA notffied on
Is business moving within the PBIA? Yes No
CITY CLERK phone 417-4634 Cify Clerk approval by_on
Second-hand clealer/pawnbroker business?Yes No
Will there be dancing at this business?Yes No
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance.
Hotel-Motel, Fireworks,Ambulance, and Tattoo Businesses.
Page 1 of 2
PREPARED 6/25/13, 9:3 9:3 3 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/25/13
------------------------------------------------------------------------------------------------
ADDRESS . : 304 W FRONT ST SUBDIV:
TENANT, NBR: STORM KING 477-0348
CONTRACTOR : PHONE
OWNER WWA (BPH) PUBLICATIONS INC PHONE
PARCEL 06-30-00-0-0-1300-0000-
APPL NUMBER: 13-00000647 CO- CHANGE OF OCCP/USE
------------------------------------------------------------------------------------------------
PERMIT: CO, 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
0099 01 6/25/13 BLDG C/O FINAL
ft-Ile - OVERRIDE TAKEN BY PBARTHOL DATE: 06/25/13 TIME: 08:37:49
1 N June 25 2013 8:38:33 AM pbarthol.
Dawn 4;7-0348 4:00 if possible
-------------------------------------- COMMENTS AND NOTES --------------------------------------