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Home My WebLink About1215 E 1st St - Building Certificate of Occupancy 1215E Pt St 12- 1620 vP 4O r }= r • CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certif'ing that at the time of issuance tins structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: Z Salon Business address: 1215 E 15` Street Ste D Business owner: Susan V Ziegler Business owner's address: 82 S Orchard Lane Port Angeles, WA 98362 Automatic fire sprinkler system: N/A Use & occupancy classification: Business Occupant load: Per 2009 IBC, Table 1004.1.1 Type of construction: VB - % — 4/12/2013 Sue Roberds, P ning Manager Date Post on the premises in a conspicuous place. This certificate shall not be removed except the Building Official. v 4O0 '>O. yds: } i� r -'gid` , moo, +"1"q,ti�� CERTIFICATE OF OCCUPANCY APPLICATION TION Permit# I 1.�' , � # RIME CITY OF PORT ANGELES FEES 1;i0f1Attn: Permit Technician $50 Certificate /Inspection 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax (360) 417-4711 fee charged f or Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?D Change of ownership only? LI Moving location from within P.A.? J Zoning BUSINESS NAME Z s, -u)A) Business address LA/5 E f /st ,5uì9 .-.D Mailing address S,d tl_e, Phone number 3W---1--/k0 -C to , ( Opening datet)GCLi_31 i3 _Days & hours of operation flt+/ rtt,. +?9 %d�- 5 Business owner's name �L(,$CLc( V. 2r c be-t/ Contact phone ` li' - i1ho--e',6•-,.. - I Business owner's address S' S. 197?J1 ' Latin f 4, / 1,0q . 9e=� `�' Brief description of business "i;.,LQ',Li. 'u Property owner's name 1-t)vl IA St- i---aGt1 et-L t Contact phone Property owner's address/contact 8100 R ('t>Q a ' f✓'B2 LiG ' AI .1-.a.: , i 95-5.3 V BUILDING DEPARTMENT phone 417-4815 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, 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 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 D No I/ CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes D No ' ' Will there be dancing at this business?Yes D Not 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 C + 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: � / Jl/ -G4-3 ��c; ,/ (9 it/ X l S'T'"jta-7 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 ❑ No Iy 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 ❑ No? If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening 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. )ate/2-42-72-Print Name ( -°L!G f( l f' C - 4- Signature �i �pr, 4 l ( T'Worms\Budding Division\Certificate of Occupancy Application(2010)doc Page 2 of 2 " . CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issuedpurSuullt to the requirements ofSection30J oIlhe International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances a/the City regulating Building construcfioJl"or use. For thefo/lowing: Us\:: Classification: Business Building Permit No.: 05-1129 Business:Name: Massage Associates "".1" ""of' Group: ~ ,.'," Type of Construction: "'VN ---,,-,, ~Usec:Zorie:: CA OwnecofBusincs" Lisa Anderson-& Sara Jervis Address, 1215 E. First Street Ste:E. Port An Building Addres" ] 215 E. First Street Port Angeles, W A 98363 7f7w./1'-, /Jf~~~ '-::.;["r;~,S\'March 21. 2006 Building Official "'f;.ti~:~,::,\',_-"_:_:;~',_!,":",':,<',,'~~,'6 '. <>.,:" "'-'~'.:'\.:"''''<w._-.<" Date ~ -" "" ~ ,<--- <-<'~:~,~~:~,:.':.,~};~" " ~'~';,t5 "':'-7, ~'i'. .',' . - Post on the premis~~':irl:aconspicuous place. Shall not be removed except by Building Official. .' . ~OS-I '2.'02> ,~6 ROUTING SLIP fVOM ~~ lO~"~(" Certificate of Occupancy 11!E::l " ,,--o:::r:::;:::':..'lf $50.00 Certificate/Inspection Fee .~ ~'C""""~ DATE 12 - 2.9 - (JS New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Business Transfer of Business location . . . . . .. ........ ( ) Mt1tJ0t(~f/ A~~O['t?1.j-t5' . Change of Ownership ..... .... .. .......... ( X) Applicant L,:>/4 Fhw..e.~OVI -+ s......-tL J0..V6 New Building .. ..... ... . ..... ... ......... ( ) Address ~I r z.. F;('O,1- I S+e- ~ Remodel. . . . . . . . . . . ... . ,....., .......... ( ) Uv+ A-fVQ..\i,~ i.<)JIt. cr8j(.,.2. Temporary Business. . . . . . ......... .. ..... ( ) Phone: business .11~ - II -.3 home 'ilo'i> -12-/7 Change of Use . . . . . . . . . . ....... ......... ( ) Brief description of proposed business: fYl" f,c:.r, < _ -i-t, """,...n, () '(1' legal Description: lot Block Subdivision Current Use of Property: l\I\u:-.SSc.. "e) \l-.~ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes .... ..... ............. -L PERMITS BUSINESS LICENSE Electrical changes . _ -X-- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ... ...... _--L 2) Plumbing 2) Peddlers Plumbing changes. -X- 3) Electrical 3) 2nd Hand Dealer New or relocated signs . ......... _ --'1L 4) Mechanical 4) Pawn Broker New septic tanks . . ..... --X- 5) Sewer 5) Dance 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 .. ... .... 10) Water meter installation 10) Other Is there sufficient off-street parking? . .. ..... ==f 11) Fire New driveway openings ... 12) Occupancy A grading plan for site,:,.~;ainage . -~ 13) Sign - 'J.. (parking lots, downspouts, etc.) ................ 14) Shoreline Are the existing str~ets paved? . . . . ...... ....... X_ 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- /:J -,:;J q-Q!~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Signe<;i.A;" '')' ,d.J--' '/"LJc. /7 .. 17, knowledge. J;;D REJECTED Comments / Conditions Building Section Public Works Department 11;1-~'os Ij'~ Planning Department I<[j)O Fire Department (l-'2q-$ gU City Clerk P.B.I.A. . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT PERMIT NO. 'I/O"" DATE 0-11- "13 Site Address /.:2 / S- E / a.r Installed By: READY FOR INSPECTION License Number: ILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. D RESIDENTIAL D COMMERCIAL D BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW D HEAT PUMP KW_ 'R. SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) D OVERHEAD SERVICE D UNDERGROUND SERVICE VOLTAGE: ,g SINGLE PHASE D THREE PHASE SERVICE SIZE AMPS Details/Description: II ,~')( tn' H1~iuA- ;l }~# '^"^ (}1j :::; ~ ,:!J. _ { ~,' I . . WS. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service Ar1J Final O.K. Site Address: Instalter: E/J- Permit/Receipt No. I~?- New Meters - . Notify Port Angeles City Light by Street Address and Permit Number when 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 Building rm. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ X;oo Permit Fee YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meier Dept., Bottom: City Hall /~ OLYMPIC PRINTERS INC Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. t5?b~ B J.j.-, ?()-70 DATE Installed B . o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Busi ness: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 1.0 03.0 Service size o Temporary Detai I slDescri ption: o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) .:2 X' I~ I Amps J~ II ~F q/ A/.UW{ If./AJ/:;., /( . W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service #~ Final O.K. Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: Installer: ,sr Permit/Receipt No. oNe:> 8 Date: 'f-: 'O-7'V New Meters - . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT WHITE - file b PINK - Top: Eng, Bottom: Customer c25:- 00 Amount paid GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS, INC. } '2- 30 FEE RECEIPT NUMBER , CITY OF PORT ANGELES "DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A fz.( PERMIT NUMBER " ' . /fo~ tY1lj.!A/ <! t,f'" c ,.1 eJ /-- F, <:: e TOTAL FEE /.:1'2 c L , CO NT. Lie. NO. TIME TO COM.PLETE NO. STORIES LEGAL OCCUPA~CY . / ~ r~ . , :~EECTRICAL p.~~~ OCCU~ANC~ OR U.SE ESTABLlSHE~ UNDER THIS PERMIT Sit~Ad({ress ,':2.. / "/- _ --I- r(" 0 4J I "', - . COR~ECT ~DDRE~S IS R~SPONSIBILlTY O~'APPLlCANT ,~ERMITS.wIT~. WRONG A)fDRESSES ARE CANCELLED , ,_ Owner I,f/<'i: ~ AI..... OLl r _ Installation By //1<-/.-,~4/A......,S U,,/. Owner's Address /2 /? E L"'-!"C {"J.7-7 (-(,( S, Installers Address ::7"1 fi" /A.../ *' n Day Phone Installers Phone ~f 7 0'" IS" 9- A~plication is hereby made for Permit to install Electrical Equipment as follows: '/,// 10/7..$ / L 'jJ'h r =<'5"-&,/.... .---- /- /1...... ,(/ <:' ....... .4 A A' /' ;' , rb _. .; Wiring Method .. AMP 240V NUMBER AMP 120V 240V USE OF CIRCUIT NUMBER PEA 12QV 100A FEE USE OF CIRCUIT PEA 100R FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN , LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE , MOTOR _ , DISHWASHER FIRE ALARMS , DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER LAUNDRY ., DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT , TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIACUIT BREAKER A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE AW.G. 'I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE swnCH Date Application made .C; "',iJ T .3"" ,19?t:: I certify that the work to be performed under this permit will be done by the installer and in By . CONTRACTOR OR _WNER (OR AUTHORIZED AGENT) . Permission is hereby given to do .the above described work, according to the conditions hereon an~ according to the approved plans and, specifications pertaining thereto, subject to compliance with the Ordinance~ of t City of Port Angeles: ' - ' ~I T C!TY LIGHT Date Permit Issued CfJl2 o!; {. BY" 1/ / PLA s APPROVED- ~ " ~ otlfy Department of City Light by Street Address and PermIt Number when ready for inspection Work must not be covered o~ current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457~0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY - Duplicate PINK - Triplicate WHITE CARD. Inspector's Report rll V~APII"' PI:lI~T1::I:l<::' II\lI"' , " REPORT OF INSPECTOR DATE OF VISIT MADE BY REMARKS . 1//7/(e. ;f)Jj2-- '1J 'C.. 'W 1'0 M.C\u\ W^~I l-\ ~ A It: t<.. -no Cf/i/'l.. I Pll<>~f/... , I ,.:; '-he.... ....... + ,". , p'A/.Jr:.L . C <.. 'U\<t.AJ..>( L of eLf'c; , I fl'" d,,} o<JJlJfL '\ .. _.'. . . ~~ ) " " ' . , , , . . , , '. , ,>.... ' , , ~ ..,ol~( IJ /' O.K. FOR COVERING , ' \ \ ~ \ ^ ... .,.;;;> 8a,JUEBr i....DVlf~~ .' . [( 1 I q~ NIt ' '. , , " .. , , . z Cl a: <C :E !a :r: I- z W ~. I- o Z o c . CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 9/13/2001 PERMIT NO: 12954 OWNER/APPLICANT PROPERTY LOCATION 1215 1ST ST E JOHN ST. LAURENT Lot: 13&14 860 RHODENDRON LN. BRINNON, WA98320 Block: 1 [] Long Legal 360/796-3560 Subdivision: LONDON PARK SUB T: DOC REISS - SUITE E S: Parcel No: 063000750115000 CONTRACTOR ARCHITECT REI HIT COMPANY N/A Port Angeles, WA 98360 , 98360-0000 3601417-6774 360/000-0000 PROJECT INFO Project Value: $1,000.00 SFD Units: 0 Commercial: 0 Project Type: TENANT IMPROV SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES REMODEL INTERIOR OF TENNANT IMPROVEMENT RECEIPT # 8062 FEES ASSESSMENT Building Permit: $38.75 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $43.25 Plumbing: $0.00 AMOUNT PAID: $43.25 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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 pedod 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. ~'~gnat~re of C(~ntractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND/ICCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE [ ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB RDUGH-,N to-7_-Ol 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 MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Enginecrln g 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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING ' HRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~:7~ -"t 7~~ ('~/~ I C:',APPL WPD o~~ FOR OFI~m.~AL USE ONLY: BUILDING PERMIT - APPLICATION Permit # D~ ~v~: ~ Build~g P~mit - Pre~plication ~t ~d out co~l~e~, Ple~e ~e or print in in~ If you have any que~ons, plme call 417-4815 Applic~t ~or Agent: ~ /~. ~¢~, ~ Phone: O~er: ~c~c~n~e~: Phone: Ad.ss: ~ ~ ~ Ci~: ~ Zip: L~ D~S~ON: Lot: Block:. Sub~v~i~:. ~ ~ P~CEL ~ER: Cr~a Ca~ Holder Name: Billing Add.ss: C~:. C~ Ca~ ~: Exp. Da~: ~A MC TYPE OF WORK: SIZE/VALUATION: ~'~sidantial [] New Constr. [] Re-roof [] Woodatove SF. ~ $ /SF. = $ / [] Multi-family [] Addition n Move t~ Garage SF. (~ $. _/SF. = $ [] Commercial cu Remodel [] Demolition [] Deck SF. (~ $ /SF. = $ ~a~pah- [] Sign [] __ TOTAL VALUATION~ $__ COMMERCIA~I,/~SIDENTIAL: Occupancy Group: Oecupant Load: __ Construction Type: No. of Stories: / Lot Size: ~ % Lot Coverage: Existing Lot Coverage: /sq. R. + Proposed Lot Coverage: /sq. fl. = TOTAL LOT COVERAGE: /sq.t~ PLANNING USE ONLY: APPROVALS: PLAN. Notes: BLDG. DPW FIRE ESA/Wetland(s}: [] Yes [] No SEPA Checklist required? [] Yes [] No Other:. OTHER BUILDING APPLICATION SUB191tlYI'AL: Your application and siteplan mum befllled out completely to be a~ceptedfar re~iew. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPUCATION SUBWIfrrAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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 Div. to comply with current fee schedules. Contact the Perruit Coordinator at 417-4815 for essistence. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPmATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, currant 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, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. City of Port Angeles Applicant Project Review Sheet Applicant: Zoning: Ia thc prolx~d usc list~l as a '~pe~aitted usc" or an"accessory usc" in this zorn? [] yes: ok [] no: rcq.uires PD Is this the oaly use (business, r~sid~ncc, etc.) on this site? v~.' ok n~quires PD ~view Has there ~ be~m a subdivisio~ shorlplat, or PRD approv0d for this site, o~ has on~ ~nno: ok beea submitted and is pending approval? [] yes: requires PD Does the proposed use require a new buisncss lice~c? [] yes: requires CC [~no: ok review Ek~os thc project extend into any required setbacks or cross any lot lines (illtcfior or I-I yes: l~equires PD ~no.' ok extmor)? review Do~s the project exceed the permitted height allowance or ca~se thc prope~y to exceed ~r~no: ok thc allowed lot coverage in this zone? [] yes: requires PD Does the p~jcct n~quire ~ny additional parking or special d~i4~n/landscape improvements [] yes: requires PD ~nno: ok in this zone? review Does th~ project eliminate any existing parking spaces? [] yes: ~ PD ~ ok Is the project located within 200' of the shoreline? [] yes: rcq.uin~ PD ~no: ok Are there an)' environmentally sensitive areas on ~ within 200' of thc property, [] yes: requires PD ~ ok including: review :: wetlands or areas of standing water (year round or seasonal); areas with a slope of 40% or ~rc~tcr; or ~reas that have evidence of past ~und movement or croton? Have all the~equired submittals been provided by ~pplicant? y~: ok [] no: madl ~ Site Plan ~onstruction Drawings ~ Parking/Drainage Plan ~ Civil D~wi~? i~n(~- [] Energy Calc r~ Supporting F. ngr. Calc I~ Landscape/Lighting Plan [~ Othes I~ePpartmentlarming Department renew i~ required, the processing time may be ex~ended. If it i~ determined a separate Planning permit(s) is needea~ the Planning Department permit(s) rnwt be apJrn~ved prior to the issuance of any othgr perrntt. Pannit Cat~gory # (see reverse side) Building Permit # Master Traelcing ~ Rou~to: ~BD ~CC OFD ~ GPD ~PW ~Fil~ ~ S~fi~s ~ Completion oJ ~is f~ ~ ~qui~d f~ all cate~ lb. 2 · 3 pe~i~. C~ple~ is not ~qu~d f~ ca~ Ia p~i~ unless ~ r~lt in a pooh,al change of use ~ ~an~. SITE PLAN DEPARTMENT OF PUBLIC WORKS, BD1LDING DIVISION SeePage4forinttruaion~onoarn~ingthe~iteplan Formor~information, cal14JT-O411, extentio~125. PAGE $ o~ FOR OFI:ICIAL USE ONLY: BUILDING PERMIT - APPLICATION Permit #: Da~ Approved: %st~_.~v.~ The Building Permit - Pre-application must be fired out completely. Date Issued: Please type or print in ink. If you have any questions, please call 417-4815 Applicant and/or Agent: Phone: Owner:. Phone: Address:, . City:. · Zip: Architect/Engineer: Phone: Contractor License #: Exp: Phone: Address: , t City: · Zip:. PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: Block:. Subdivision: CLALLANI COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZE/VALUATION: [] Residential [] New Constr. [] Re-roof [~ Woodstove SF. @ $ /5F, = $ r~ Multi-family [] Addition [] Move [] Garage SF. @ $ /SF. = $ [] Commercial [] Remodel [] Demolition [] Deck SF. (~ $ /SF. = $ [] Repair [] Sign [] TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: __ Construction Type: No. ofStories: ~ · LotSize: , % Lot COVerage: % Existing Lot Coverage: /sq. fi. + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVERAGE: /sq.fi PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW ESA/Wetland(s): [] Yes [] No SEPA Checklist required? [] Yes D No Other: OTHER BUILDING APPLICATION SUBI~II'I'I'AL: ]rottr application andsiteplan must befllled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMI'rl'AL: Your completed application, site plan (for additions) end building construction plans are to be submitted to the Building Division. 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 Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submilted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire by limitations, ll~e Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Cede, current edition). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibdity to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. PW-1102_13[mvSJ01] Applicant: Date: 1997 DWELLING CONSTRUCTION UNDER THE UBC 6 IN. ( SILL2 IN. (51 ONE FLOOR WIDTH STUDS 8 IN. (203 TW( 1/2 IN. (13 mm) (~ (1829 mm) C. TO C. 7 IN. :{ETE NOT SLAB ON GRADE THAN 12 ~ ENDS (See additional req 6 IN. (152 mm) l 12 IN. 305 mm ONE FLOOR 18 N. 455 mm 7 IN. (178 mm) OR BELOW FRO~T LINE TWO FLOORS (Table 18-1-C) , 6IN. oooo~)oOoO ONE FLOOR L - ONE FLOOR 15 IN. (381 mm) ~- -I TWO15 IN. FLOORS(381 mm) ITM -I TWO FLOORS (Table 18-I-C) (Table 18-I-C) ~ t \\"¥//'A\"Y/; /SOLID ~GROUTED 12 IN. (305 mm) ~' CELLS ONE FLOOR GRADE ~ 8 IN. "~ ~ ~ o~ ~ ~ (203 mm} MIN.TWO FLOORS 18 IN.(455 mm) f°'ooo%°°°°°°°oo-°'oo °'oO oo °- ' -5,N.(152mm,/°NEF'OOR o o o oo o /71N. (178 mm) ! J ~ 121,. (305 mm) _ ONE FLOOR 14 IN. x 14 iN. 15 IN. (381 mm} (356 mm x 356 mm) TWO FLOORS PIER CONCRETE BLOCK ALL FOUNDATIONS TO EXTEND INTO NATURAL UNDISTURBED GROUND BELOW FROST LINE FIGURE 4---FOUNDATION EXTENSION DETAIL CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~'~/*~0 /' Time .Received by PJ/'~ (phone, person) Location of Work to be inspected /2 //~'~' ~ / ~ Name of person requesting inspection Address of person requesting inspection Phone No. 5<~~-- Type of Inspection (circle appropriate one): Permit No..] ,~ ~-,~ Sewer Foundation Framing Chimney ~ Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date //~ Z-d~.~/ Time. By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~-]Asphalt ~]PCC []Other []Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~pO"T"'N ~O~~ ~~ if' '1IIi: .J ~~ ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: Pennil#: 7 ~ ~ '7 Date Approved:_ Date Issued: / The Electrical Permit Application must befilled out completely. , Please type or print In Ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 , Applicant and/or Agent: f} P 5 Sr. L~c....;r~T- ~kc/~J~/ Phone: 1IS-2.A~7S3 Pax# Phone: Property Owner: Address: Contractor City: License #: City: Zip: Exp: Phone: Zip: Address: Credit Card Holder Name: Billing Address: S</ b , VISA_ MC X- . PROJECT ADDRESS: / .:( / S- e- / sf- I LEGAL DESCRIPTION: Lot: Bloc\::: Subdivision: ZONING CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential 0 Multi-family 0 Commercial 0 Mobile Home Electrical Permit fees are based on WAC 296-46-910 BRIEF DESCRIP1JON OF THE PROJECT: (~ d e...v l- >:e /-e.v A i c.!J u4 e- 4r---d /) cJ e-/ /,~ t':J (~,c I c.. e. t'A ~ /1--5 , .h -< //1 Electrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW _KW KW -i<w %~ead Service o Temp Service o Underground Service Voltage: /20 /Zcf 6 Phase: [;1"1 0'3 Service Size: ~ CrO / Z-G'" Feeder Size: Comments: I hereby certifY that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for fhis permit. I understand it is not the Citys legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required alld to obtain su~O, J . J PW-II02_23 [rev3/.00] Credit Card Holder's Signature: ~ R ~.z Date: S-;(3-c;Q:JO