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Home My WebLink About405 S. Peabody Street Address: 405 S Peabody Street CERTIFICATE OF 6C�C U PANCY City-of Port Angeles - Building Div- ion .e�' K This certificate is issuedj5ursuant to the requirements of Section I H of the 2009 International Building '0� Code certifying that atAe"tim-e'-o3f issuance this structure was in compliance with the various ordinances of the City regulatini U-ilding construction--br usefiqCthef .eqdwing:, Business name., New Gro' wn Beffiav'ioral Heilth-'-` Business acidress. -405.-.S,Pea bodV'St N'T Business owner: fl �'---Melinda Geider/J8in'�-Yount/Anne�Dal-ton Business ownerslMdress: 405 S Pea�b-ody ;Str-e'et-PortAhgeles, WN 98362 SP Automaticfire �inkler'system: N/A--- Use & occupancy 61assificiation: Business Occupant load: % Per 2009 IBC, Table 1004.1.1 Type of construction.,zi, g V7— al 71 4z� 4/12/2013 6" ni,n- a er Date Post on the premises in a conspic ous place. This cer i�rcates4all-noi be removed except by the Building Official. 0� CERTIFICATE OF OCCUPANCY APPLICATION Permit# ld-- OWN.- FEES CITY OF PORT ANGELES $50 Certificate /Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $1 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?[] Change of ownership only? *1�4oving location from within P.A.? [] Zoningzjj�W ,---,D BUSINESS NAME_"t ) (o F-OL.0 nn bRjAf,0,L�—C)caj�k-C-�a Business address 40 S7 8 , ��P a Mailing address Phone numberAk�D-4'67-Y�o K9 Opdning date 11 Z-1-1 Days,&, hourl9f --E FS'�- t? Lf zoion M Business owner's name,$,:F-=19" sq ;=-Con c phone %.A4Ae 6W+&A Business owner's address."�� Nk -'I iN (9 ude---t klow-P, V-�- 1Z/79cW& Brief description of business tl�,A el jkel a noL�a re-t-r,6y�e @ Property owner's name VkrCV1,d M6W� &LJCZQa'ct-phone:3�� n Property owner's address/contact qo,� S, V Q !�IL-7- S-L P 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 N o 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 El No Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business?_1q PBIA n Is business moving within the PBIA? Yes El No CITY CLERK phone 417-4634 City Clerk app Second-hand dealer/pawn broker business?Yes El No R� Will there be dancing at this business? Yes El No N-� 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 f COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_on Number of off-street parking spaces available for employees and customers? I p (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: eA0..9 S1,6,-7 z?I r px�.,rJ s-PLY PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 4174812 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 op6hings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes El No A�� 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 L-1 NoS�� If yes, what will be discharged: Call for Certificate of OccupancV inspections BEFORE openinq 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. 1(.+-(2, 6 Date Print Name Signature—& T:Torms\Building Division\Certificate of Occupancy Application(2010).doc Page 2 of 2 dRr CERTIFICATE OF OCCUPANCY APPLICATION Permit# ld--/1(0 CITY OF PORT ANGELES FEES $50 Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 $1 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 9 fee charged for bowntown locations PLEASE PRINT IN INK Check one: New business in P.A.?[] Chancye of ownership only? AF?fAovin- location from within P.A.? 0 Zoning co BUSINESS NAME Business address Mailing address Phone numberAA�D-Li IS 7-f(o t\5 Op4ning date IZ-H ?- -Days & hour opeption We -1�9f jA-9 V Business owner's name Con&,t;?phone %-A4 Ae fl/jtl+o-,, Business owner's address —UW Mf-'A' kAO C-) U(kr -f jrf L\, Brief description of business -0ZKASe1j r-OtAzl 2 rl,2-rtfl�z 0 1 , N-i;;;� t �h.otk N'le JlLaorrf M-e-TiT7 L/C-�, j Property owner's name kEkbou, &Y-CV/13i J-WZCLS S-7 (.Pt 0 4 I/LcZontact pho Property owner's address/contact AWLIV\L qO S,' 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 F/. ,- 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 417-4623 Square footage of business? 0V PBIA notified on Is business moving within the PBIA? Yes iD No CITY CLERK phone 4174634 City Clerk approval by on Second-hand dealer/pawn broker business? Yes 11 No 11R� Will there be dancing at this business? Yes El 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_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: AQ S1'6,-7 �?-IrPled(l ft,6497LS' 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 op6hings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes [I No 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 [I N o 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. Date 2, Print Namefijtelu —Signature— T:\Forms\Building DivisionTertificate of Occupancy Application(2010).doc Page 2 of 2 z5A 0 403 4e 40 05 'Aid 401 OMB No.2502-0265 ESTIMATED B. TYPE OF LOAN A. SETTLEMENT STATEMENT (HUD-1) 1. FHA 2. [1 FHMA 3. EXI CONV.UNINS. I"Emro* 4. VA 5. [] CONV.INS. OLYMPIC PENINSULA 6.FILE NUMBER: 7.LOAN NUMBER -T It I e Go rn p an y- 99171-JD 01-33000383 -10% T911 INSURMa-ESCROWS 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 Peabody Therapist Offices LLC,a Washington Limited Liability Company';,� OF BORROWER: E. NAME&ADDRESS Kenneth E.Ahrens and Michelle R,Ahrens OF SELLER: 346 Mt. Pleasant Rd.,Port Angeles,WA 98362 4�� F. NAME&ADDRESS First Federal Savings&Loan Association of Port Angeles OF LENDER: Admin- 105 West 8th Street,PO Box 351,Port Angeles,WA 98362 Ar G. PROPERTY LOCATION: 405 S.Peabody Street,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 �14 1. SETTLEMENT DATE: 11/05/2012 DISBURSEMEN 11/05/2012 J. Summary of Borrower's Transaction K. Summary of Seller's lVansaction 100.Gross Amount Due From Borrower: 400.Gross Amount Due To Seller: 101. Contract sales price 310,000.00 401. Contract sales price 310,000.00 102. Personal property 402. Personal property 103. Settlement charges to borrower:(line 1400) 4,987.50 403. 104. 404. 105. 405. Adoustments For items Paid By Seller In Advance: Adjustments For Items Paid By Seller In Advance: 106.City/town taxes to 406.City/town taxes to 107.County taxes to 407.County taxes to 108.Assessments to 408.Assessments to 109. Property Tax ll./05/2012 to 1/01/2013 465.03 409. Property Tax 11/05/2012 to 1/01/2013 465.03 110. 410. 411. 112. 412. 113. 413. 114. 414. 115. 415. 116. 416. 120.Gross Amount Due From Borrower: 315,452.53 420.Gross Amount Due To Seller: 310,465.03 200,Amounts Paid By Or In Behalf Of Borrower: 500.Reductions In Amount Due To Seller: 201. Deposit or earnest money 2,500.00 501. Excess deposit(see instructions) 202. Principal amount of new loan(s) 248,000.00 502. Settlement charges to seller(line 1400) 6,946.50 203. Existing loan(s)taken subject to 503. Existing-loan(s)taken subject to 204. Appraisal Deposit 900.00 504. Payoff I st Mtg.Ln.First Federal 193,469.63 205. 505. Payoff 2nd Mtg.Ln. 206. 506. Utilities 418020 207. 507. Property Tax-2nd Half 248.63 208. 508. Property Tax-2nd Half 591.72 209. 509. Property Tax-2nd Half 187.14 Property Tax-2nd Half 476.17 Adjustments For Items Unpaid By Seller: Adjustments For Items Unpaid By Seller: 2 10.Ci ty/town taxes to 510.City/town taxes to 211.County taxes to 511.County taxes to 212.Assessments to 512.Assessments to 213. 513. 214. 514. 215. 515. Clallam County Assessor & Treasurer - Property Details - 33 KENNETH AND M AHRE... Page I of I ClaIllarn County Assessor & Treasurer 61233 KENNETH AND M AHRENS for Year 2011 - 2012 Property Account ............................ .......... Property ID: 61233 Legal Description: ALMOND GROUP CONDO PARKING& COMMON AREA-BL 171- Geographic ID: 0630004617101000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 76 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: S PEABODY ST Mapsco: PORT ANGELES,WA Neighborhood: PA Exempt& Ref MaplD: Neighborhood CD: 50985200 Owner Name: KENNETH AND M AHRENS Owner ID: 10429 Mailing Address: 405 S PEABODY ST %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Values Taxing Jurisdiction Improvement I Building Sketch Pro pert y Imag e Land Va" lue History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on: 11/6/2012 3:55 Q 2012 True Automation, Inc.All Rights AM Reserved. Privacy Notice http://websry 8.c lal lam.net/propertyaccess/Property.aspx?ci d=O&year=201 I&prop_id=612 3 3 11/6/2012 Ratrick-Bartholick From: Roger Vess Sent: Friday, December 07, 2012 7:18 AM To: Patrick Bartholick Subject: RE: CofO Routing 12-2-6-2012 Done Roger From: Patrick Bartholick Sent: Thursday, December 06, 2012 12:42 PM To: Dan McKeen; Edith Parker; Janessa Hurd; Jeff Young; Ken Dubuc; Nathan West; Rick Hostetler; Roger Vess; Ron Becker; Tracy Rooks Subject: CofO Routing 12-2-6-2012 Please review the following C of 0 application and enter the result in hte as soon as possible. Port Angeles Liquor&Wine: changing locations G:\EXCHANGE\Building Routings\CofC) Port Angeles Liquor&Wine.pd New Grown Behavioral Health: new business G:\EXCHANGE\Building Routings\CofO New Grown Behavioral Health.pd Thank you Pat Bartholick Code Compliance Officer 321 E 5th Street P.O. Box 1150 Port Angeles,WA 98362 Office: 360-417-4712 Fax: 360-417-4711 12bartholOcityofpa.us OR r CERTIFICATE OF OCCUPANCY APPLICATION P e rm i t# FEES CITY OF PORT ANGELES Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles,WA S18362 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations i PLEASE PRINT IN INK Check one: New business in P.A.? Change of ownership only") . I lovin- location from within P.A.? Zoning4atc(./ BUSINESSNAME 62rOL;�" k! rca Business address Ltc-�s- 's rL h.-fJ\j Mailing address Phone number.3�4,�114 -S7-�(,-_ I C;_Op4ning date i Z-I-) Z- Days & hours�f opeWtion I. . -- .� �1.1 1. . - - �- 4�_,; -T- Business owner's namelip��, 7 �_ �I-.�_ _Contact phone Business owner's address 10 C A&L f Brief description of business (,X-vv�sej, <-C/ e� U Property owner's name ontact phone _L1_L_C_6'** " __,5if,�,,� -- "( S7 7 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 _- No Construction changes planned (moving walls, adding!enlarging windows or doors, roofing, siding. foundation work, addinglaltering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned- FIRE DEPARTMENT phone 417-4653 Fire approval by VAM %Z-(P_z0t2_ Changes to a fire sprinkler system or fire alarm system? Yes __1 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 N o _61_� CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dea ler/pawn broker business? Yes N o Will there be dancing at this business? Yes No A City of Pori Angeles Business License is required for� Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page I of 2 PREPARED 3/29/13, 10:30:46 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/29/13 ------------------------------------------------------------------------------------------------ ADDRESS . : 405 S PEABODY ST SUBDIV: TENANT, NBR: NEW GROWN BEHAVIORAL HEAL CONTRACTOR : PHONE OWNER PEABODY THERAPIST OFFICES LLC PHONE (360) 457-1610 PARCEL 06-30-00-4-6-1710-3010- APPL NUMBER: 12-00001455 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 0099 01 3/29/13 1 BLDG C/O FINAL OVERRIDE TAKEN BY PEARTHOL DATE: 03/27/13 TIME: 14:07:07 March 27, 2013 2:07:47 PM pbarthol. Mindi 457-1610 She would like the inspeciton at 12:00 -------------------------------------- COMMENTS AND NOTES --------------------------------------