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Home My WebLink About402 E. Lauridsen Blvd. Address: 402 E Lauridsen Blvd. F76CCUPANCY CERTIF1 ATE 0 �`i Port Ang' ' City;t` ejes - Builldin6 Division This certificate is issited,15iirsitant to the requirements-6fSection .1-11 of the,2009 International Building Code certifying that at-"- e'� th;;�_bf.issuance this structure was in compliance vviih the various ordinances of the City regulating"r ul ing cons ruchon-cir uslefiq_r thefpl1o.wing.-,--.,. 7� Business name: fi,� 4", Millani County-Genda ogical 01 ds6n Blvd\ Business address-N R owner al calSo,c1lety Business -Clallam County ' one Business owner'slhdd- .,,�ss; 11402 E LauNdsen BlV_. Automatic-fire sp�'inkle"r"'Jy�stem: Nl�: Use &occupancy elassiji'�ation: B u siness P Occupant load.- e'.2009 IBC, Table_1.0,04.1.-1`_ '.1__ Type of construction.1 7, 71 T�_ 3/29/2013 ue,,_ 'ohe'rds, P-1 M 0' IV R ning,. afidg& Date Post on the premises in a con Th -no' spicu us pla —._Ma�ite shall&I—be removed except by the Building Official. RT,4 CERTIFICATE OF OCCUPANCY APPLICATION Permit# -14 37 FEES CITY OF PORT ANGELES $50 Certificate/Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360)417-4711 fee charged for bowntown locations PI-EA.5E PRINT IN INK heck one: New business-in P.A.?D Change of ownership only? El Moving location from within P.A.? El Zon i ng BUSINESS NAMEO./—A.'-,�- A LCIC, q f Z�-T L� Business address 6�6-Q- E: )-A Mailing aVdress A6,P- E P-44 U P-j E70 Phone number 4) '7-,�c-,)O —0peningdate4q-1-,3—Days & hours of operatiori- Business owner's name A Contact phone Business owner's address '--S 14 M Brief description of business Property owner's name -�144i2� Contact phone Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 r val by on Is the business a restaurant or bar that will seat 50 No Construction changes planned (moving walls, addi ofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, elect stems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 val by_on Changes to a fire sprinkler system or fire alarm system? Yes El No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBIA notified—on Is business moving within the PBIA? Yes [I No CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawn broker business? Yes JD N Will there be dancing at this business? Yes [I No A City of Port Angeles Business License is required for Taxi Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hoi�/Motel, Fireworks, Ambulance, and Tattoo Businesses. Page I of 2 VORr,4 -Z 43 ,4 ,4 CERTIFICATE OF OCCUPANCY APPLICATION Permit# Za: FEES CITY OF PORT ANGELES $50 Certificate / Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEA.5E PRINT IN INK Check one: New business in P.A.?E] Change of ownership only? 11 Moving location from within P.A.? El Zoning BUSINESS NAMEO.4_,14-,�—kAln Oe-1 6'y7,Pr4=2zEALX--Se--_ Lfi ��)<, Business address �L_-D_ E )-A z5� Mailing a-cffdress dQZ F_ LA U iaj -t>c_,- E-�J Phone number -4) -7-152,z;?o Opening date Days & hours of operatio Business owner's name A Contact phone Business owner's address /Vt �r__ Brief description of business Property owner's name Contact phone_'S.� m Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes El N o 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 0 No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBIA notified. on Is business moving within the PBIA? Yes El No CITY CLERK phone 417-4634 City Clerk approval by on Second-hand d eale r/pawn broker business? Yes D No Will there be dancing at this business? Yes El No P 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 I 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. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PWE approval by_on 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 El No Work planned: PUBLIC WORKS WASTEWATER phone 4174845 PWW approval by_on Will waste, other than domestic household waste, be discharged into the sewer system? Yes El N00 If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE openinm 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. Dat Print Name Signatu T:Torms\Building Division\Certificate of Occupancy Application(201 0).doc Page 2 of 2 CD 4' OMB No. 2502-0265 ESTIMATED B. TYPE OF LOAN I�CDFHMA 3. CONV. UNfNS, A. SETTLEMENT STATEMENT (HUD-1) 1. FHA 4. VA 5 CONV.INS. Li OLYMPIC PENINSULA 6.FILE NUMBER: 7. LOAN NU -Title Co�pany- MBER rnE INSUWICE ESCROWS I 99554-DS - 8,MORTGAGE INS.CASE NO.: C.NOTE: This form is furnished to give you a statement of actual settlement costs. Amounts paid to and by the settlement agent are shown, Items - marked"(p.o.c.)"were paid outside the closing;they are shown here for informational purposes and are not included in the totals. D. NAME&ADDRESS Clallam County Genealogical Society OF BORROWER: 931 W.9th Street,Port Angeles, WA 98362 E. NAME&ADDRESS North Olympic Library System OF SELLER: 22 10 South Peabody,Port Angeles, WA 98362 F. NAME&ADDRESS The Fletcher Family Trust,Dated April 30, 1996 OF LENDER: G. PROPERTY LOCATION: 402 East Lauridsen Boulevard, Port Angeles, WA 98362 H. SETTLEMENT AGENT: Olympic Peninsula Title Company PLACE OF SETTLEMENT: 319 S. Peabody, Suite A,Port Angeles, WA 98362(360)457-4451 1. SETTLEMENT DATE: 11/01/2012 DISBURSEMENT DATE: 11/01/2012 J. Summary of Borrower's Transaction K. - Summa-ry of Seller's Transaction 100.Gross Amount Due From Borrower: 400.Gross Amount Due To Seller: 101. Contract sales price 145,000.00 40 E-Contract sales price 145,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower:(line 1400) 104. Property Tax 635.26 403 105� 229.24 404. 405. Ad*ustments For Items Paid By Seller In Adva ce: Ad*ustments For Items Paid By Seller In Advance: - 106.Citv/town taxes to 406.City/town taxes to 107.County taxes 11/01/12 to 0-1/01/13 13,92 407.County taxes 11/01/12 to 01/01/13 108.Assessments to 408.Assessments - to 13.92 109. 110. 409. 410. 112, 411. 412. 114. 413. 115. 414. 116. 415. 416. 120.Gross Amount Due From Borrower: 145,878.42, 420.Gross Amount Due To Seller: 145,013.92 200.Amounts Paid By Or In Behalf Of Borrower: 20 1. Depositor earnest money 500. Reductions In Amount Due To Seller: 202. Principal amount of new toan(s) 501. Excess deposit(see instructions) 03.-Existin 10an(s)taken.subject to 100,000,00 502. Settlement charges to seller(line 1400) 16.163.56 I-AZA loan(s)taken subject to 503. Existin 5,000.00 504. Payoff i�t u- Ln. Patrick Bartholick From: Patrick Bartholick Sent: Friday, November 02, 2012 11:13 AM To: Dan McKeen; Edith Parker; Jake Patterson; Janessa Hurd; Jeff Young; Ken Dubuc; Nathan West; Rick Hostetler; Roger Vess; Ron Becker; Tracy Rooks Subject: CofO Routings Good Morning, Please review the following CofO applications, inspect as necessary, and enter the result in Hte. After entering the result in Hte please send an email to let me know it completed. Clallarn County Genealogical Society G:\EXCHANGE\Building Routings\CofO Clallarn County Genealogical Society.pd Slung Down Body Art GAEXCHANGE\Building Routings\CofO Slung Down BodV Art.pdf Call Centers 240 GAEXCHANGE\Building Routings\CofO Call Centers 24x7.pd Thanksyou, Pat 0�..............? CERTIFICATE OF OCCUPANCY APPLICATION Permit#Za=1 FEES CITY OF PORT ANGELES $50 Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417-4815 fax(360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: Ne I w business in P.A.?[I Chan-e of ownership only? El Moving location ftorn within P.A.? 0 Zoning BUSINESS NAM0�2.4-Ai—kAln Oo (�4:-4=2EA L�M,!5:, L� Business address �L-')- E )—At-) b3 Mailing a7d)dress 80,z L'A U P_� Phone number 4) '7—,j7-5�c::)0 —Openingdate Days & hours of operatiorT Business owner's name A r>i-_;=_: Contact phone Business owner's address Brief description of business 4�IE A LIC72C'L-4 F:_�AP!c J4 Property owner's name Contact phone Property owner's address/contact BUILDING DEPARTMENT phone 4174815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people?' Yes L1 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: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes 11 No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 4174623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes LEI No CITY CLERK phone 417-4634 City Clerk approval by-on Second-hand dealer/pawnbroker business? Yes 0 No Will there be dancing at this business? Yes 0 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 I of 2 COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by N.. on JI;2— ry-\CL�� 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,,d owns pouts, irrigation system backflow devices, etc.). Yes [I No Work planned. PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby_on Will waste, other than domestic household waste, be discharged into the sewer system? Yes D Nok12 If yes, what will be discharged: Call for Certificate of OccupancV inspections BEFORE openin _q 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. Da Print Name Signatu t TTormsTuilding DivisionTertificale of Occupancy Application(2010).doc Page 2 of 2 CERTIFICATE OF OCCUPANCY APPLICATION 0 r Permit# FEES CITY OF PORT ANGELES Attn: Permit Technician $50 Certificate/ Inspection 321 E. Fiftli St., Port Angeles, WA 98362 $100 Parking.Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee:charged for I)owntown locations PLEASE PUNT IN IAIK Check one: New business in P.A.?:] Change of ownership only? D Moving location from within P.A.? D Zohing BUSINESS NAIVI0,_,Z_,4�j_k.,9 M f Business address_:96.,Q,, E )_4 lf)k�j'b,—, Mailing audress 4JA U e I>,,- _j Phone number_-4) '7 Opening date Days & hours of operatiorT-F— Business owner's name �ff:�-A 01��_ Contact phone Business owner's address *4 M, Brief description of business A Property owner's name -7f3,q�nL: Contact.phone Property owner's address/contact.tF�n,">7 z--- BUILDING DEPARTMENT phone 4174815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people?' Yes "D No Construction changes planned (moving walls, adding/enlarging windows or doors, roofin.g, siding, foundation work, add ing/alteringstairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fireapprovalby I'Mclon— Z,4,2, It Changes to a fire sprinkler system or fire alarm system? Yes D No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBiA notified on Is business moving within the PBIA? Yes No Y611 CITYCLERK phone 417-4,634 City Clerk approval by_on Second-hand dealer/pawn'broker business? Yes -D No Will there be dancing at this business?Yes _1 No A City of Poll Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, PaWnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page I of 2