HomeMy WebLinkAbout127 E 1st St #3E - Building ROUTING SLIP
Certificate of Occupancy
~ Ce~ificate/Inspection Fee
DATE ~'/~ 'dY New Business ............................ ( )
Address of Proposed Business Transfer of Business Location ................ (
/ ~ 7 ~, / ~ %~ ~ ~ ~ s f Change of Ownership ...................... ( )
Applicant ~ U~ ~ LC~ New Building ............................. ( )
Address 1~ E i ~ ~% ~ ~ E Remodel ................................. ( )
-~O ~ ~~ ~ ¢¢3~ Temporary Business ....................... ( )
Phone: business ~77~ ho~e ~'-~ ~ Change of Use ............................ ( )
Brief description of proposed business: ~ ~ / ~
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ........................... PERMITS BUSINESS LICENSE
Electrical changes .............................. ~,"~- 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) .............. f,./ 2) Plumbing 2) Peddlers
Plumbing changes 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. 4) Mechanical 4) Pawn Broker
New septic tanks ............................... ~ 5) Sewer 5) Dance
New sewer service ............................. V'~ 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 .................... t,~" 10) Water meter installation 10) Other
stheresuffcentofl-streetparking? ............... N~7.. 11) Fire
New driveway openings ......................... '~/ 12) Occupancy
A grading plan for site drainage.
13) Sign
(parking lots, downspouts, etc,) ""/ 14) Shoreline
Are the existing streets paved? ................... ~.~_,/" -- 15) Home occupation
Are there existing sidewalks? ..................... ~/~,.~ 16) Conditional use
Is there curb and gutter? ........................ Lc`'/ 17) Other
Other ..........................................
I hereby apply for a Certificate of Occupancy and acknowl- Z/
edge that I have read this application and state that the Date: /'
information I have supplied is correct to the best of my ~/~¢////~
knowledge. Signed:
A~ RO E~_.~ EJECTED Comments / Conditions
~ (~ Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
RB.I.A,
CERTIFICATE OF OCCUPANCY
~,,,, City of Port Angel~g',, Building Division
Thts CertificaUon issued pursuant to the requirements of Secti~h 109 of the
Uniform;Building Code certifying that at the time of issuance this structure was
in c6;mpliance with the various ordinances of the City regulating Building
~ construction or use. For the following:
u~ c~inmm: Retail Building Permit No.: 04-300 Business Name: Retroville
Group: M ~'i Type of Construction: V~N Use Zone!,
OwnerofBusiness/Residenc~ Retroville Address: 127 East 1st Street Suite #3E, Port, Angeles, WA 98362
BaildingAddress: 127 East lst Street Suite #3E, Port Angeles, WA 98362
Sei~iember 16, 2004
Date
Post }lcuous place.
Shal~ not be remt ~tb¥'BUilding Official.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000493 Date
.295688
127 E 1ST ST 3EAST
06-30-00-5-1-1666-0000-
RETROVILLE
7/15/04
SIGNS
CENTRAL BUSINESS DISTRICT
300
Owner
Contractor
WHITCOMB, ROBERT H
911 EAST SEQUIM BAY RD
SEQUIM WA 98382
OWNER
--------------------------------------------------------------
Permit SIGN
Additional desc
Permit Fee 60.00 Plan Check Fee .00
Issue Date 7/15/04 Valuation 300
Expiration Date 1/12/05
Qty unit charge Per Extension
2.00 30.0000 PER S- SIGN LES THAN 25 SF 60.00
..........
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 60.00 60.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 60.00 60.00 .00 .00
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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
presum~ 've authod violate or cancel the provisions of any state or local law regulating construction or the performance of
constru 0
Date
Signature of Owner (if owner is builder)
Date
T:IPLANN/NGIFORMSII 102.15 [11/1412003]
"'"
DUILDING YEKMIT IN:SYECTION RECORD
CALL 417-4815 FOR BUILDlNG INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH. IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHJMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering 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
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW / ENGINEERJNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 1'7-/4-&# ...J.)...1 BUILDING
T:\PLANNING\FORMS\I ]02.15 [] 1/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICL.\L USE ONLY:
Date Rec.: 6 -f).,- 0 --J
PeJlllit #0'-1 - '-I q.3
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMl'LETE to be accepted for review. If you have any questions, call
l'ERMITS (360) 417-4815 FAX(360)417-4711
Date Approved:
Date Issued:
Applicant or Agent: rcer Qo \J \ L- L E Phone: Lf 57 - 5 58 r
Owner: (JDIt-AJt116 HGtv/DI2/ CkSdN Phone:
Address: l Z- 7 6 J fr 3 6 City: '!bIZ I A-N ro elES Zip: 9Rd b 2
Architect/Engineer:
Contractor
Phone:
State License #:
Exp:
Phone:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
City:
~A-M;2 12- 7 t: ,,.r .3 f;
Bock: Subdivision:
Zip:
ZONING: Co ~ . t/3JJ
Address:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
'~Commercial 0 Remodel 0 Demolition
o Repair ;('Sign
BRIEF DESCRIPTION OF TI!E'PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $-3 (JO ~
/ . ~__ a
SA7--lCH) I LFI l7>1V-C -< ID
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
APPRO V
PLAN:
BLDG:
PWU:
FIRE:
OTHER:_
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
= TOTAL Sq. Ft.
%
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns figure will be reviewed
and may be revised by the Building Division to comply with cunent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other perunt fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pemnt is issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the tinle for action by the applicant up to 180 days upon Wl-itten request by the applicant (see Section 107.4 of
the Uniform Building Code, CUlTent edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the s me 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, e City's, that I must obtain such permits prior to work.
T:\FORMS\APPS\Buildingpermit. wpd
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BUILDING PERMIT - APPLICATION
FOR OFFICLAcL USE ONLY:
Date Rec.: S -f)..,-o ..../
Pennit #:0'-1 - 'I 'f.3
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Date Approved:
Date Issued:
Applicant or Agent: f(.GT Qo V \ L- L E Phone: i 57 - 5 (58 'i
Owner: 0DIt'AJ67T6 HGlVef)f2J CkSc)N Phone:
Address: I Z- 7 6 J ~ 3 6 City: 'Po/2./ A-N (; elES Zip: 9Rd b?
Architect/Engineer:
Conh-actor
Phone:
State License #:
Exp:
Phone:
Address:
City:
~~~ 12-7 t: l",r .3 Ec
. Bock: Subdivision:
Zip:
ZONING: Co V"1 . C73JJ
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
'f.- Commercial 0 Remodel 0 Demolition
o Repair ~Sign
BRIEF DESCRIPTION OF TmiPROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $-3(')() ~
") / ",,'fL.., -:::>~_ _'.... " /,....1:::/
, .-;>nl'-'"t::Lc> ILFI tii!E>~.... ....... ......
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
(.;C:;lrAJ t/{\'T
No Other:
~/''i
APPROV
PLAN:
BLI1G:
DPWU:
FIRE:
OTHER:_
No. of Stories:
Lot Size:
Existing Sq. Ft.
Total lot coverage
= TOTAL Sq. Ft.
%
r-
PLANNJNGUSE ONLY: Z2.St:l Ef,i~Ntr DIJ '0L!X:f,
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with illlonnation on the application and
plan submittal 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 Building Division to comply with CUlTent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and constr-uction plans are
submitted. All other pemrit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 1fno pemrit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the tinle for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, CUlTent edition). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the s me 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, e City's, that I must obtain such permits prior to work.
T:\FORMS\APP S\BuiJdingpennit. wpd
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Date: 5-2/ -cj/
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' ~'~ ~" '~:~'r'~ '~ ~/~ Certifi(/~lte/~3f Occupancy
"L'-% RO]'/JT[/NG SLIP
~ C~ifi~/ate/Inspection Fee
DATE / J f-~ New Business ............................
of Proposedf Busines~ -, .~. __~"-~'--t~f~ ;Transfer of Business Location .~--/~¢ii~'~-~'~;~ , . .
Address
/_.~2_,~ ,C:: /~77-.¢'/- ,.~-, (,/t(Z~'z¢4/'~,"-~'~,£.~) Change of Ownership ......................
Applicant ~_f¢4~-~--~'/"~_~T~_~?~/~,~.~ New Building .............................
Address ,~"~/~ ~ /;;''-S~ ~-~ / Remodel .................................
~'~?r- ¢~-¢.~.'~ c~.~ .~4~_-'~ ¢I;~..jT(¢L2- Temporary Business .......................
Phone: business tO/~7 7~.t~ _,~,,~ home ~J'~ ¢.~¢'~ Change of Use ............................
Brief desccpt}on of proposed business:
Legal DescriptiOn: L~t Block Subdivision
Current Use of Property: ~"~'
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. PERMITS BUSINESS LICENSE
Bectrical changes ............................. 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) ..... 2) Plumbing 2) PeddLers
Plumbing changes .......................... 3) Electrical 3) 2nd Hand Dea~er
New or relocated signs. 4) Mechanical 4) Pawn Broker
New septic tanks 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 Iota 9) Sidewalk obstruction 9) Tattoo shop
10) Water meter installation 10) Other
Work done in City right-of way .................... ~~ 11) Fire
Is there sufficient off-street parking? ............... !
New driveway openings ......................... ~ 12) Occupancy
A grading plan for site drainage .................. ~ 13) Sign
(parking lots, downspouts, etc.) .................. / 14) Shoreline
existing streets paved? ................... ~/ 15) Home occupation
Are
the
Are there existing sidewalks? ..................... /~? 16) Conditional use
Is there curb and gutter? ........................ f 17) Other
Other .........................................
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the Date:~ , ~, (...
knowledge.inf°rmati°n I have supplied is correct to the best of my Signe~"'~/~,~"'/~ ~-- /
AP,PRqVED~ JREJECTED Comments / Conditions
!~12~Cli'~ ~J Il Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
RB.I,A.
ROUTING SLIP ........ '~
of Occupancy
pection Fee
DATE /- ~ -~-) '~ New Business ............................
Address of Proposed Business Transfer of Business Location ................
/~ 7 ~,~ z- / ~/- 0%/- ,%/~- / /~ ~.~ ~- Change of Ownership ......................
Applicant _~ ~.~¢ r~-/L~ ~/~ ¢ ~' ~ ~' New Building .............................
Address ~.~% ~ ~ ~. ,(~ {~4 f-~ 6>,°._ Remodel .................................
~o~-r ~-,n~1'¢1.~ ~~ IA)Pr- ~ ¢'~' ,,~ Temporary Business .......................
Phone: business z¢t 7- ¢¢/'¢~¢ home ¢~'/ Y- 7~ ~ / Change of Use ............................
~ Brief description of proposed business: ,/~--~-,4z z~ ('~/~-,~;*,~ . A~¢-5~ u~/~','b_)
Legal Description: Lot Subdivisk
Current Use of Property: v'/t-¢:-~*~ ~- ~T?¢~
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes ............................ PERMITS BUSINESS LICENSE
Bectrical changes ............................... 1) Building t) Taxi
Mechanical (heating, cooling, stoves). 2) Plumbing 2) Peddters
Plumbing changes ............................. 3) Electrical 3) 2nd Hand Dealer
New or relocated signs .......................... 4) Mechanical 4) Fawn Broker
New septic tanks ................................ 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? 11) Fire
New driveway openings .......................... 12) Occupancy
A grading plan for site drainage.. 13) Sign
(parking lots, downspouts, etc.) 14) Shoreline
Are the existing streets paved? ................... 15) Home occupation
Are there existing sidewalks? ...................... t6) 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 Date:
information I have supplied is correct to the best of my
knowledge. Signed:
OVI~D REJECTED Comments / Conditions
¢/IJ/¢'.'~ Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
RB.I,A.