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Home My WebLink About1101 E Front St - Building .,' \' Of ~ORT ~ ~~~~.. ~,.~ L~ ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 l"1J:o't'.1..l.\';Clt...I.0Il .L'lIurnoer Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000671 Date 1105 E FRONT ST 06-30-00-8-1-0430-0000- ANGELES ABLOOM COMM ADDITION 2100 Owner Contractor MAYBE,EI EDWIN PO BOX 1602 PORT 'ANGELES OWNER WA 983620195 Structure Information 84 Construction Type Occupancy Type . . . . . Other struct info . . . . SF ESPRESO STAND TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST NUMBER OF UNITS Permit Additional desc Permit Fee Issue Date Expiration Date ,BUILDING PERMIT - COMMERCIAL 84 SF ESPRESSO STAND 106.75 Plan Check Fee 7/15/03 Valuation 1/12/04 Qty Unit Charge Per Extension 92.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 106.75 106.75 .00 .00 Plan Check Total 69.39 69.39 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 180.64 180.64 .00 .00' 7/15/03 AJ.Q.~ Ol~ tes. S /10/ E l-yocA.1- 1.00 69.39 2100 4.50 I , ~l \t, ~ d > --+ ~ 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. -- Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102 15 [4/2002] Date " BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 YES NO FOUNDATION: ~.. FOOTINGS ?-').2.-O ." j,L. WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN, WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I : FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING -=i,//- 0 ~ J .J.. DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'5 SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 '(I-~ -03 J J.. . BUILDING T \PLANNING\FORMS\I 102 15 [412002] rJ ,OAT ~ ~~~ ~~ Ii 'R!!!II 1!r. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .n.1;IJ:-'~.L\";Cll"...1.U.ll .1~WIl1Jer Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000671 Date 8/20/03 110'1 E FRONT ST 06-30-00-8-1-0430-0000- ANGELES ABLOOM COMM ADDITION 2100 Owner Contractor MAYBEE EDWIN PO BOX' 1602 PORT ANGELES OWNER WA 983620195 Structure Information 84 Construction Type Occupancy Type . . . . . Other struct info . . . . SF ESPRESO STAND TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST NUMBER OF UNITS 1.00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW COMMERICAL 200AMP SERVICE HALVORSEN ELECTRIC 94.80 Plan Check Fee 8/20/03 Valuation 2/17/04 .00 o ~ \) '- Qty Unit Charge Per 1.00 94.8000 ECH EL-COM 101-200 NEW SRV FEEDER Extension 94.80 Other Fees STATE SURCHARGE 4.50 ~ Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 94.80 94.80 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 99.30 99.30 .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 Owner (if owner is builder) Date Signature of Contractor or AuthOrized Agent Date T:\PLANNlNG\FORMS\1102.15 [4/20021 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS r YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL q/B /03 AUJ LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. I , ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417.4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING <f .ORT ~ l~ ~ "'- -=->r ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000671 Date 8/12/03 1105 E FRONT ST 06-30-00-8-1-0430-0000- ANGELES ABLOOM COMM ADDITION 2100 Owner Contractor MAYBEE 'EDWIN PO BOX 1602 PORT ANGELES OWNER WA 983620195 Structure Information 84 Construction Type Occupancy Type . . . . . Other struct info . . . . SF ESPRESO STAND TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST NUMBER OF UNITS 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER COMMERCIAL FLOWER SHOP 59.40 Plan Check Fee 8/12/03 Valuation 2/09/04 .00 o ~ ~ ~ l\ Qty Unit Charge Per 1.00 59.4000 ECH EL-COMM ALT <5 CIRCUITS Extension 59.40 Other Fees STATE SURCHARGE 4.50 Fee swrunary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- . Permit Fee Total 59.40 59.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 63.90 63.90 .00 .00 f , ~ :1 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DivIsIon) SEPARATE PERMIT II's. WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT 11'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL 't ~~3 tfeO LIGHT DEPT CONSTRUCTION R W./ PW/ CONSTRUCTION - R.W. 7 I ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING PREPARED 9/23/03, 13 11 12 CITY OF PORT ANGELES ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL APPL NUMBER 1101 E FRONT ST ANGELES ABLOOM INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 9/23/03 SUBDIV MAYBEE EDWIN 06-30-00-8-1-0430-0000- 03-00000671 COMM ADDITION PHONE PHONE PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/22/03 JLL 7/22/03 AP BL3 01 8/08/03 JLL 9/23/03 AP BL6 01 8/11/03 JLL 8/12/03 AP BL99 01 9/23/03 ~ BUILDING FOUNDATION FOOTING BUILDING FRAMING BUILDING POST/COLUMN FTG 1nsta11 suport post after eq has been 1nsta1led w1ll 1nspect on f1nalIJ 1m BUILDING FINAL Haley Fa1rch1ld says a f1nal was completed but that you needed some hangers replaced No f1nal was ever requested accord1ng to records at th1s tlme PH# 452-9948 -------------------------------------- COMMENTS AND NOTES ---------------------------------_____ -~ +(1$ h ~ 12e-GJt fleO wJ.- }f1/~J.e ;Cusf I~ 1)6 i)w 5; ~ 1200.j ~ <C.~ . orJ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . v/ .' REQUEST: Date 7-22-0.3 Time Received by RV (phone. person) Location of Work to be inspected -Lt (? s- ~ Hctia; ~o~'t- Name of person requesting inspection Address of person requesting inspection Type of Ins ection (circle appropriate one): Sewer raming Chimney Plumbing Phone No. Jj.52-99lJ9 Permit No. ~ Final Sewer Excav. Other Inspected: Date Remarks: c~- By RESTORATION REQUIRED. . . . .. YES NO A SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel DAsphalt 0 PCC o Other o Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ~TRFFT ~I JPFRINTFNnFNT IDA TEl .' CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . v REQUEST: Date Rj /I / tY3 Time ?~ ~ Received by __ ~erson) ~-\- Location of Work to be inspected I \ t> ~ Name of person requesting inspection _\.\.0...\ e') Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation ~~ Chimney Plumbing Final Sewer Excav. Other S- Phone No. 4&;)..- c;crqg Permit No. D3- ~ I , ~ INSPECTION N~OTE~: Inspected: Date L, - Remarks: Time ~ N ~~ By /,~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved 0 Gravel D Asphalt D PCC D Other D Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec ~-'27-(j'<:. PenTIlt#~ Date Approved Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any queS:Jions, all (360) 417-4815 ... . -' to -&:lo3 Date Issued ApplIcant or Agent: +blpVl,-Q )<( 1f\11\('~ \ Owner: ~ te.u -\11\ rcJ;\ ; \ d \ Address: \l()~ E.. m^\- ~e~A' City: '~rl-- Phone: 3bn. t..\. \i. Z; lq"1 Phone: 3~a' 4S-d> cNY B \. Ar\CI.e-...~e (',. uJA: ZIp: 9 e., 3~ z..,.. \ I Architect/Engineer: Contractor Phone: State LIcense #: Exp: Phone: ZIp: ZONING: {OJVlMPrr',.:J \ Address: City: PROJECT ADDRESS: \ l ()S b. ..fYo(\:t- Srree..} LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdlvlSlon: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o ResIdentIal ~New Constr. 0 Re-roof o Multi-famIly ~ AdditIon 0 Move o CommercIal 0 Remodel 0 DemolItIOn o RepaIr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other 4 -5'+ y, .,2\ ~+ SIZE/V~UATION: 81- SF. @ $ d~ /SF. = $ rl \()()~ SF.@$ /SF. =$ SF. @ $ /SF. = $ TOTAL VALUATION $~k')(, ~ r"-fin!...r\i()1\ -fUr ('tr'l\te.. ~N") ~O.l\.fI &" tY COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: ~ ConstructIOn Type.~ A No. of Stones: ~ Lot SIze: EXIstmg Sq. Ft. X7:?1 & Proposed Sq. Ft~ = TOTAL Sq.Ft. 3'5:-:f EXIstmg 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 mformatIon on the applIcatIon and plan subnuttal 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 BUIldmg DIviSIOn to comply WIth current fee schedules Contact the PermIt Coordmator at 417 -4815 for assistance PLAN CHECK FEE: IF a plan check fee is due It must be submItted at the tune the bUIlding permIt applIcatIon and constructIon plans are submItted. All other permIt fees are due at the tIme of permIt Issuance. EXPIRATION OF PLAN REVIEW: Ifno permIt IS Issued wIthm 180 days of the date of applicatIOn, the application will expire. The BUIldmg OffiCIal can extend the time for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOn 107 4 of the Umform BUIldmg 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 perrmt and understand that it is my responsibIlity to determine what permits are reqUired ,not the CIty'S, and that I must obtain such permits pnor to work. T\FORMS\APPS\Buildmgpenmtwpd . ApplIcant: .~ (ff) d""" ~~ Date: (r/.::;)C;:/06 ( J-" fI 111 '----7---.- ~r-' L::C'~__;" _. ~ _____ _.l~_~......~..,,,,,,n;.~~__~ -l -- -.- --^-"~-- i 0..., j' . I 5~39vv\fH ;;; --- -- I f I \ 1 _;,1 FILE elTV OF POlitT ANGr1bG' = OgnstrY8tfOn PI,nll ihp I~s(/~nc~ of this ~@fmlt nas@d IIpon th@s@ plDnl, lpeciff. c"'nn~ ~nd nt/1ef gilla shall not PFIlY@ff1 th@ bill/dill' official f, ~ ''IN"eftrr rpfjUlf1fif1 th@ e@fF@€t!@!l @f @frQf3 in said ( ""'''''retIM', 1~a !lIfter ~at~, @f fr1l.1lI /lfellenting " ',",,, I>,'l..,~ Ilill'fled On thereunder when in J.' 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EXHIBIT A That portion of the building, cOnsisting of approximately 140 SQuare feet and presently occupied by Maybee's, located on a portion of lots 10 and 11 in block 4 of Hart and, Cookes Subdivision of suburban Block No. 31 of the townsite of Port Angeles, Oallam County, Washington, according to plat thereof recorded In Volume 2 of Plats, page 70, roughly shown below: L . t Df'Y Q.lf((f{t.R,S L/b I 3L~ I -r- -- , _0 C1<:i) I r t) eol i I j I =t -' ~ I () r.d 'j , c 1 I ?cCt 11l_ , t :3D ~ 10' / Of; U/JSJ::/:L P-BemJ~S- '!. / I I ,I I / ~ IChl~d\ $v-~ -~. \.;; '\ -..t--\ \~ \'\ '\..AJI.~' ~+.....\ ,.. D<2. \ ~ l Ii bpeVl lvta.rc..k SO-/-L, 1 ROU. IN i SLIP be:;;- .~ ~Certificat . of )ccupancy 1f 64 - ' Qc,..$47.00 Certifti\~tel.\'r1spection Fee A ,,~<2.. \ es. I "'J ,! DATE - , ;) .0 \)'-! Address of Proposed Business i\04 t .fY-()^~ -':'r-("< ~ Applicant ytrll pi {~11((!A \ I d Address f?>if&> E-. ~\MM.h\!l.s 17 do Phone: bUSiness L/t:;2,4Cf~ 8 home \..11{. f/\ c( 1 New BUSiness .. ... ....... 0 ..... Transfer of BUSiness location. . 0 . . . . . . . . . . . Change of Ownership . . . 0" . . . . . . . . . . . . New BUilding . . . . . . . . . . . . . . . . . . . . . . . . Remodel ..... . . . . . . . . . . . . . ., .,. 0 . 0 . . Temporary Business . . . .. .... Change of Use ...... 0 . .. ................ Brief descnptlon of proposed bUSiness: d Q.\\ / 0;) \:.-r>ovli legal Descnptlon: lot i 0 ~ I \ f2>1 1-- Block t.-I Current Use of Property. (. oVYI Y\^-t' y C " 0.. ( Zoning Classification of Property: (lJ.i'VI nfl.tw'c.' G..L 200l.{ ..:-O~G<" (J'~(I"' ~~<O L -=->I ~ A"";:::;'"..'" ( / ) ( ) ( /) ( ) ( ) ( ) ( ) Subdivision tbv ~ b ((X111 ~f! S WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED. Construction changes . .. . _-L PERMITS BUSINESS LICENSE - Electncal changes _.-L 1) BUilding 1 ) Taxi - Mechanical (heating, cooling, stoves) J 2) Plumbing 2) Peddlers ~ Plumbing changes ==../ 3) Electncal 3) 2nd Hand Dealer ~ New or relocated signs .-L_ 4) Mechanical 4) Pawn Broker New septic tanks . . _-L 5) Sewer 5) Dance ~I New sewer service _ ...L 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons _.-L 7) Dnveway Installation 7) Fireworks Is thiS a home occupation? ./ 8) Curb Installation 8) Ambulance Excavation of filling of lots --r 9) Sidewalk obstruction 9) Tattoo shop " Work done In City nght-of-way ==1- 10) Water meter installation 10) Other d Is there sufficient off-street parking? ~-y 11) Fire ~ New dnveway openings 12) Occupancy A grading plan for site drainage --r ~Slgn 'f (parking lots, downspouts, etc) ==~ 14) Shoreline ~ Are the eXisting streets paved? / 15) Home occupation Are there eXisting Sidewalks? -y== 16) Conditional use . Is there curb and gutter? ~- 17) Other Other ., . -- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. ~0;\~~ I ~JECTED Building Section Public Works Department Planning Department FIre Department City Clerk P.B.I.A Date. \ -;;? b - ('I\..1 Signed. e:1Lj if;) CJ'e, €-.~/p Comments / Conditions C E RTI FICATE"OF~.OCC U PAN CY .;-/;:?/'City of Port Angeles"')!/:;, ~~ ~;. .:;?~~' Building Division -c\~^\ ~ ri\ ir ~~ & \\ This Cf?PIifi9&{ibn";ISs.1,Ied pursuant to the requirements of Sectio~j 09 of the Unijorm}Buildffig Code certifying that at the t(me of issuance thIs }t!;.ucture was In c9'jl1pliance 'with the various ordinances-afthe City regulating BUilding " construciion or use. For the following: ' Use ClassificatIOn Ret~il . BU11d1l1g Permit No 04-65 B~~m~~~'Name Angeles Deli. i~ ., -, Use Zone M CA [,y Address 346 East Bimmons Rd, p'art A4\geles, W A 98362 !-J Port Angeles, Vf;1A 98362 Group M ~~ Type of ConstructIOn Owner of Busmess/Resldenc~ Haley Fairchild r~ ~~ Buildmg Address \J 1 05 East Front Street. VN -~~- .......~....... - {- ,-~ j '~~ ,-:-, ~, ..- .!.' /' \;'...'-.. . '. . .',:-:~~;~:~~.:."l~ti~st 27, 2004 "':~~iidin~;Oifici~(:-~:',','",' ,:~;~. :'~.- _ .5f' 3':: ';::".;-..- ..;i.~7 Date Post on"th~vpremisesjn'-~~Qo~ri.spi9uous place. Shall not be 'remQ:y~d-Eb(cepr~y-.Building Official. ,,',"", -"~ '~ " '.. -;.ti ~ ,.~. ... fi~o~~ ~ .-.~ iIII '" # .~;.oo GV ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY Date/'Rcc: Pcnnil #: 1." Date Approved: Date Issued: The Electrical Permit Application must be filled out comDletelv. Owner or Elec..Contractor Agent: Phone: (,11 REQUEST INSPECTION 0 Fax -152- 'jC.~7 Please type or reprint in ink. 'fyou have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Properly Owner: /lALF-.Y rf)lfaHJl.D Address: JI,,~ f!.hST FR"",r Electrical Contractor: HALVOR.,sBIJS Address: ;::;412 PLiler: RD Phone: City: pDRr ANr..EL6S ELEC[RIC (ft/,fi.~~/J4"CJ.. City: PoRT flfJGEI ES Zip: ,,}<'7.63 Exp: 2.//3/04 Phone:'1~7-')A43 , Zip: 9f1S31P3 INSTALLATION WIRED BY: DOWNER t1(ElECTRICAl CONTRACTOR Credit Card Holder Name: Nfl I-i/tJ R3 E!J 5 elE erRI C , Billing Address: 2117 PUler: Pn City: PIJf(T IlNGFIF5 Credit Card Number: ON FrLe Exp, Date: // , Zip: .9f1S3/;,=1 VtSA:~ MC:_ PROJECT ADDRESS: II'" e FRtJNT Check all that apply: 0 New j;'(Alteration/Addition TYPE OF WORK: o Residental 0 Multi-family (2l' Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: 3 o Low Voltage 0 Telecom. 0 Si DESCRIPTION OF THE ELECTRICAL PROJECT: C/JflN6F SERVIcE SiZE To 20011 .\ UJ \ 'tb -z.,- 4fS Q / -~ Q Ser.vice.lnfonnation :, Electrical Heat Load Additions PERMIT FEE: o Baseboard o Furnace o Heat Pump o Fan-Wall I<JN KW _TON I<JN lRA IRI Overhead SelVice o Temp Service o Underground Service Voltage: 210 Phase: i1:I1 0 3 Service Size: 2at'A Feeder Size: PAMC 14.05.060(B): .For industrial, commercial, & residential projects larger than a duplex, a one - line drawing of the Electrical Service & Feeders, building size (sq. ft.), load calculations, and the type & of conductors and/or raceway is required and shall accompany the Electric, Permit application. ~cD~ I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits al reqpired; it remains the applicants responsibility to determine what permits are required and to obtain such. ~(~(l)7 A: r - ,J6 ~t~J - ok- A; - ~ JL C~'" CMd "o'do,', SO",''' ~:: ;,,~=~ Owner or Elec. Cont. Signature: _._ _ ~.._~ C:/ELECTRICALPERMIT APPLlCA liON $ qq. &0 Date: ~/;~/()3 Date: ~/ld63 8/5/05