HomeMy WebLinkAbout315 E 1st St - Building
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This certificate is issue
Code certifYing that a
of the City regulatin
6 International Building.
the various ordinances
Business name:
Business address
. Property owner:
Property owner'
Automatic fire sp
Use &. occupancy
Building permit nu
Type of construction.
Occupant load:
8
01/16/09
Date
l be removed except by the Building Official..
mUlled
1-20-09
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CERTIFICA TE OF OCCUPANCY APPLICA TION permit#~
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
~ FEES
~ Certificate / Inspection
$100.00 Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Print in ink
BUSINESS NAME
BUSINESS ADDRESS
Business owner's name a.
Business owner's home address
V"'eL.J
Phone # J60 '-I
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawnbroker, Dance,Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
ACTION ./
New business
Transfer of business
location from a
PBIA location
Transfer of business Iv
location from a
non-PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING?
NO/
V-
YES/ IF YES, CONTACT
Electrical Dept. at 417-4735
Buildin Div. at 417-4815
Public Works at 417-4807
.
.
Call for Certificate of Occupancy inspections before openinq business:
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653
Please provide a minimum 24-hour notice for inspections
I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and
supplied is correct to the best of my knowledge.
Date II OS- /Oy Print Name ~III\L $ JO?,,vUf:7lA..... Signature
I I
For Ci use onl :
Building
Fire
PBIA
Planning
City Clerk
Rejected
Initials & date
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
yes
, Public Works
,
L
.; :t=orms/Building Division/Certificate of OccutJancy Application
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000817 Date
851097
315 E 1ST ST
06-30-00-5-1-1850-0000-
MARILYN LAMB
7/31/06
SIGNS
,
.
I
.
COMMERCIAL ARTERIAL
1000
Owner
Contractor
1:'"
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OLYMPIC PRINTERS INVESTMENT
310 E FRONT ST
PORT ANGELES WA 983623108
RETROVILLE RENOVATION & DESIGN
232 W 4TH ST.
PORT ANGELES WA 98362
Permit
Additional desc
Permit pin number
permi t Fee
Issue Date
Expiration Date
SIGN
83709
85.00
7/31/06
1/27/07
Plan Check Fee
Valuation
.00
1000
Qty Unit Charge Per
1.00 85.0000 PER S- SIGN WALL 25 SF+
Extension
85.00
Fee surrunary Charged Paid Credited Due
----------------- ---------- .---------- ---------- ----------
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .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. l'hereby'certify.thaHhave.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 reguiating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
-~
T;\Policies\] ] 02_15 building permil inspection record05. wpd [1/412005}
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 I 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I OOWN SPOUTS
PIERS
POST HOLES (POLE SLDGS.)
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLOG)
GAS UNE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS I ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I
WALL I FLOOR I CE1LJNG I
MECHANICAL
HEAT PUMP I RJRNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SHARA TE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 ARE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING o~/l\ll(il TL.L
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T:\Policies\ J 102_15 bUJ1dmg permit mspecllOn record05.wpd [1/412005]
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WAIVER AND RELEASE
FOR Al'ID IN CONSIDERATION of pennission from the City ofFort Angeles for
therightto:er-ec.+ SI5h 0/,\ bL\"ilJ)'ld Ott-- 31.)" E. Is! sf-,
o -It ~Y\ Ie ,. \ . . I . J -
on fun ~":~ jnllln~ >~ I w~ LV M ~ '" pi 0 h IA J fS 0 U6y V j 511+
'315 (,13 sf. porf-.Anqt(e5jWC--,
The undersigned, for themselves, their heirs, successors and assigns, hereby waives,
releases, and forever discharges any claims against the City of Port Angeles or its employees for
personal injuries or damages arising out of the entry onto the above referenced property for the
purpose as set forth above.
D,wHhi, J?i-i!> d,y nf ~ 200S . V
-1'10 [I AJ ~t1- D-ctA.l)Mh
STATE OF WASHINGTON)
) ss:
COUNTY OF CLALLAM )
On this,j I day of b ' 200&; before me, the undersigned, a Notary
Public in and for the State of Washi gton, d y commIssIoned and sworn, personally appeared
"/l"-p ~d, 1" J ~. LCL",^ '-0 ' to me known to be the individual described in and who
executed the foregoing instrument, and acknowledged to me the (s)he signed and sealed the said
instrument as hislher free and voluntary act and deed for the uses and purposes therein mentioned.
Given under my hand and official seal the day and year in this certificate first above written.
7(s~ :f:rj~i~
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. ~ OF IN"'';'<-
NOTARY PUBLIC in an or the State
Of Washington, residing at Port Angeles,
Washington.
N ,IPWKSIUGHTlCONSICA TEl WAIVER. wpd
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BUILDING PERMIT - APPLICATION
Fill out COIvIrLETEL Y ano in ThTK. Y ow' ilpplication and site plan lVIDST:BE
COJ.\1PLETE to be nc.ccptccl for review. If:volJ h2VC any quesi:ions~ caD
PERMITS (360) 417-4815 FA.,"<;:(360)417-4711
Applicant or Agent
O"'Iler: \I'v1 C\ V : I" Y\
Address 31 S 1= /( 51
LCt vr.b
~+
Phone:
Phone:
I Ic-''l >~~~~O~
luO'--W 1'1< - ~70-),-{<?fWIi
Zip '1 '6'3 W
CityMf:1 hjf I€'5
j\Ichitect/Engineer:
ContractorJ~E:TfZOllluf
2.31-
Phone:
fCENOIIAllCNStateLicense# ~fCoR~'170~3 ExpJ}L~/O"'l
W 4:1li ST- City ~-A. Wk Zip
3] 5" f 151: S+-, ZONING:
PROJECT ADDRESS:
Phone 4ka 4595
'183k2..
C.R
Address:
LEGi\lDESCRll'TION: Lot: Block:
CLlulAM COUNTY PARCEL NUlvlJ3ER S 1/850
Subdivision:
TYPE OF WOl'JC:
o Residential 0 Nev.' Corum. 0 Re-roof 0 Stove
o Multi- famil)' !J Addition 0 Move!J Garage
o Co=ercial !J Remodel o.Demolition 0 Decl:
o Repair 0 Sign 0 Other
BRIEF DESCRITTION OF THE PROJECT:
'2- ~ s><&/ 5\Co!\JS
SIZENJI.LUATION:
SF @$ ISF. ~ $
SF @ $ /SF ~ $
SF. @$ ISF. ~ $ ,
TOTi}LVALUATION $ Ir tJtltl
.A1TATCJib ~ 10
smf<.k: H2_DAJT
COMMERCLU/RESIDENTlAL: Occupancy Gronp:
Occupant Load:
& Proposed Sq. Ft.
Consrruction T )'pe:
~ TOTAL Sq. Ft 3&' 91
No.ofSIGnes: Lot Size:
Totallo! coverage
Existing Sq. Ft.
%
PLANNING USE ONLY:,3I. rf. ~" ~....a.DY:
ESAJWetland(s): !J yes 0 No SEPA Checldist required? 0 Yes 0 No Other:
_,lJ>PRO~~
PLA.N:.?" 7. .
BLDG:
DPvVU:
FIRE:
o T.EI:ER:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed aud may be revised by tbe Buildillg Divisiou to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IT a p,lau check fee is dne it must be submitted at the time the building pemt application and construction plans are
submitted. /JJ other perron I~es are due at the tnne of perrmt Issuance. . .
EXPIRA.TION OF PLAN REVIEW: lfno permit is issued within 180 da)'s oHue date of application, the application will expire. The
Building Official cau extend the tUDe for actIOn by the apphcaut up to 180 days upon wnnen request by the applicant (see Section
RJ05.3.2 of the lnternational BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that J have read and exami ..
apply for this permit and understand t ,it i
must obtain such permits priorio IN. k.
(Date: 7 -2.7 - 0 0
CA
ROUTING SLIP T,OAT."
'lO~O\.
G ~:cate of Occupancy ~\"
"-- -==-...
$50.00 ertificate/lnspection Fee .~
"'",IC~"
DATE y- Ll--i ~ 0"1 New Bu~iness . . . . . . . . . . . . . . .... . ..... .. . ( )
Address of Proposed Business ~n( ( V)
"Fron er of Business location . ..... . ........
315 G" Is.... Change of Ownership .. ..... .... ... ....... ( )
Applicant 11.\-12 F=' Jt-JISI+ L../2.-b... ) New Building . .... ..... ....., ..... . ...... ( )
Addre6~ ~Oz. l-U ~4 ~... Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
-Cfl.; ,4-IJGb"L I <l 9<g-3(,Z- Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 4'5"1-1 L) (] home LIS "2.-"11 (I '9 Change of Use. . . . . . . . . . . . . . . . . . ..... .... ( )
Brief description of proposed business: K:.E I Y\XL - r- LCG .t. -+= I-J G,
legal Description: lot Block Subdivision
Current Use of Property:
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES ~ THE FOllOWING Will BE REQUIRED:
Construction changes. . .......... PERMITS BUSINESS LICENSE
Electrical changes ..... _ ---.IL' 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) .... -~ 2) Plumbing 2) Peddlers
Plumbing changes. ... .......... ....... _ ----l.L" 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. ......... ...... ...... -~ 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 ot filling of lots. .... _ V 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way .. .......... -~ 10) Water meter installation 10) Other
Is there sufficient off-street parking? . ....... -- 11) Fire
New driveway openings ........ ...... .. ........ -~ 12) Occupancy
A grading plan tor site drainage ......... -~ 13) Sign
(parking lots, downspouts, etc.) . -~ 14) Shoreline
Are the existing streets paved? . ~- 15) Home occupation
Are there existing sidewalks? . . ........ V 16) Conditional use
Is there curb and gutter? . ........... .... .. ...... ----;;' - 17) Other
--
Other.... . .....
I hereby apply for a Certificate of Occupancy and acknowl- ~- 2.LJ-O"l
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my K)A '. rvu
knowledge. Signed' , . J.)<J:)^CJO->
,\":5eNJ:;:Se 1---\ c=<:,,'zilat'ls.
f~ROV~D REJECTED Comments / Conditions
fa.1.( t;'/f Building Section
'\ ' Public Works Department
~ )25/07 5f<. Planning Department
I .
Fire Department
~ e,U City Clerk
P.B.I.A,
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ROUTING SLIP
c;GeQificate of Occupancy
$50.00 C;;ertificate/lnspection Fee
./ .' .~
DATE
Address of Proposed Business
31"1 G; \ ....-
Applicant ~ F.:rt-lI'SI.+ c.1U:;;1,)
Address SOL W Q ~ s,
:rClt,\ i4uG;./--u..-c. I J,.)IA 9 <6> ,2-
business l.\S 1-1/" 1 Cl home LIS 2-110 '1
,
New Business. . . . . , . . . . . . . . . . . . . . . . , ' , , , ,
'Z.pC/ '
-Transfer-of Business Location , , , , , , , , , , , , , ,
Change of Ownership """,."""""",
New Building ""',"""',"',""""',
Remodel, , , , . , , , , , , , , , , , , , ' , , , , , , , , ',' , , ,
Temporary Business, , , , , , , , , ' , , , , , , , , , , , , ,
Change of Use , , , , , , , , , , , , , ' , , , , , , , , , , , , ,
Phone:
Brief description of proposed business: 'Kt===I\A; Xi -
.
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING?
Constru~tion changes. . . . . . . . . . > . .
Electrical changes . . . . . . . . , . . . . . . . . . . .
Mechanical (heating, cooling, stoves) ........
Plumbing chang~s . . . . . . . . . . . . . .
New or relocated signs . . . . . . . . .
New septic tanks . . . . . . . . . . . . . . . .
New sewer service. . . . . . . . . . . .
Admission charged to patrons ... ...............
Is this a home occupation? . . . . . . . . . . .
Excavation .of filling of lots. . . . . . . . . . . . . . . . . . . . . . .
Work done in City right~of-way . . . . . , , , , . .
Is there sufficient off-street parking? , .
New driveway openings ,..........",...
A grading plan for site drainage, , , . . .
" (parking lots, downsp?uts, etc.) . . . . . ,
Are the existing streets paved? . . . ,
Are there existing sidewalks? ......"
Is there curb and gutter? . . . . . . , , , . . '
Other............., .".........,
f="LOO ~~t-J Go ..
Block
Subdivision
'" ,t. -.' -,,,;, 'c., ,,,,..".' .'.: '.'., .., ~ _ ". . "'J<I-, , " '->.. I:~.....~: !'!';~.-:. . ,',~,'t'-,r':-:~I. I'
YES; NO, 'I', . THE FOLLOWING WILL BE REQUIRED'. '
~ ~ ' "PERMITS ", BUSIN~SS ~IC~NSE ,
, ~...., 1) BU'ii~,ing :"'1) 'T~~~i"';'\'_:'-' .
~ ~ 2) Plumbing "," "'2)' P~ddlers "
------ ~ 3) Electrical 3) 2nd Hand Dealer
V ______ 4) Mechanical 4) Pawn Broker
- ---..I.L 5) Sewer 5) Dance
------ t/ 6) Sidewalk installation 6) Hotel - Motel
------ ~ 7) Driveway installation 7) Fireworks,
______ V 8) Curb installation 8) Ambulance
______ V 9) Sidewalk obstruction 9) Tattoo shop
______ ----1L.. 10) Water meter installation 10) Other
_______ 11}Fire
______ ~ 12) Occupancy
_ ~ 13) Sign
------ ~ 14) Shoreline ..
~ ______ 15) Home occupation
V'" 16} Conditional use
v' = 17) 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,
I/Commentsl Conditions'
Buiiding Section !: \ u,.vIT 1<;' . VACAAiI
PUblicWorksDep~rtment ,'r:;(,-~ .".10, i,J vr,J'
Planning Department
Fire Department
City Clerk
PB,I.A,
APPROVED'
REJECTED
\c-(h.
Date: '-\ - 2..l..J - CI
. "
Signed: UoA1J~...L ~"2,()/\C>/,?"":>
DeNrSe ~~<;2kos
- RI7,M()1l"'(W(~
OIlC
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ROUTING SLIP
$'0 f?::: Certificate of Occupancy
$50,00 Certificate/Inspection Fee
DATE 3- 'd-7 - o~
Address of Propos.ed Business
?-, IS E, 1'51-,
Applicant '('\'\c".vll\/h Lc,,,,,,ro -C.U"JC Q(I~h
~ f~sj
Address -
P,))'+- An b~lAlJC;63b)
Phone: business L15',?-. 56<7<6 home 1c,'ir3- S'3,<;"<j
Brief description of proposed business: r-f ~c\ " \ ~ to re
Legal Description: Lot
Current Use of Property: P (A V~l ~ t 0 ~
Zoning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . .
Electrical changes . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) ............
Plumbing changes.
New or relocated signs .. .................
New septic tanks . . . . . . . . . . . . . . . .. .... . .. . .
New sewer service.
YES ~<y
-7
=~
~
=~
2-
=~
~-
7-
2=
Admission charged to patrons .
Is this a home occupation? . . . . . . . . . . . . . . . . . . . . .
Excavation of filling of rots.
Work done in City right-af-way .. . . . . . . . . . .
Is there sufficient off-street parking? .
New driveway openings ..............
A grading plan for site drainage. . . . . . . . . . .
(parking lots, downspouts, etc.) . . . . . . . . . . . . . . .
Are the existing streets paved? .
Are there existing sidewalks? .
Is there curb and gutter? .
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.
A~~VE.;~IREJECTED
~~'V
4-4- do SR
I<\)\) 7
3 -2-7-010 &0
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
C!~9
New Business. . . , . . . . . . . . . . . . . . , . . . . . , . .. (
Transfer of Business Location . . . . . . . . . . . . . .. (
Change of Ownership .". . . , _ . . . . . . _ . . . . .. (
New Building .. _ . . . . . . . . . . . . . . . . . . . . . . . .. (
Remodel . . . . . . . . . , . . . . . . . . . , . . . . . . . . . . .. (
Temporary Business, . . . . , , . . . . . , . . . . , , , . .. (
C~~e~Un,....",....,.......... (
Subdivision
THE FOLLOWING WILL BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
1 0) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
1 0) Other
Date: ~- '1..-1 - iJ
Signed: /};]IJ Ii A ; I r 1... '- /J.
I (J'L/'
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Comments / Conditions
.?ORr.....
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CERTIFICATE-OF OCCUPANCY
s<~ ,. .. _ ..,,;. ."., ",( ':':';>;~~~:'_'"
/."f'.-:,City ofPortAngeles
"',-"."". '. -..
.' b$~l}\J; Buildi~g pivisioI(~
This CertificatioYl issued pursuant to ;he requireme;;'i~' of Section 30i of the
intemationdl Building Code certijiJ'ing that at the time of issuance tHis structure was
in cQ.hzpliance with .the various ordinances of the City regnlatingBuilding
p 'construction or use. For thefallowing: "
Use Classification: Busid~ss BuiJding!Perillii'No.: 06-286 .. <' ~usinessJ~aJ~e Cottage Queen
i," VI' !~,.!_~;::,\ith~\ ' -'--," \,
Type of ConstrUction:, 8A
:;':' -~:,:t:f,~:',~:::;~"::~~;',,,,,,, .. ,~;;~j;;{~~~i~:~~\::~f~~ it'
Add,es> 315E:. h'i'Streeh'IJ.,'~"'". '~~R?r.t:iA~g~les, W A. 98382
.,
Building Add,ess. Port Ang~les_ W A. 98362
,
i
June 20, 2006
Date
,
-""
Post on tfleR,remlse%;.......::.- iconspicuous place.
Shall not be rem'oved except by Building Official.
'(I
"'-'.....:Ii'"
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL 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
05-00000153 Date
.004219
315 E 1ST 8T
06-30-00-5-1-1850-0000-
PREMIER PARTY
3/22/05
SIGNS
COMMERCIAL ARTERIAL
200
Owner
Contractor
OLYMPIC PRINTERS INVESTMENT
310 E FRONT 8T
PORT ANGELES WA 983623108
ADVERTISING SALES & MORE
1327 E. 1ST STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 452-7785
Permit
Additional desc
Sub Contra.ctor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL SIGN PERMITS
SIMPSONI I-SIGN
SIMPSON ELECTRIC
36.40
3/22/05
9/18/05
Plan Check Fee
Valuation
.00
200
~
.........
~
Qty Unit Charge Per
1.00 36.4000 ECH EL-COMM-1ST SIGN
Extension
36.40
Fee summary Charged Paid credited Due
------------ ---------- - - - - - - - - - ~ ---------- - - ~ - - - - - --
Permit Fee Total 36.40 36 .40 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 36.40 36 .40 .00 .00
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COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQJON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MJNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTlID COMldI!NTS
YES I NO
u
IrriT (~H.-lN / CUVER
~lLI:'.
l<ThT. 1"1-1]-,.,'7 ArfJ I
,
GENERAL COMMENTS:
PW.II02.1~(4'96]
~ I'ORT "'"
lO~<,,<,.
rGi-
11. ~-
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
95-00000153 Date
.004219
315 E 1ST ST
06-30-00-5-1-1850-0000-
PREMIER PARTY
3/11/05
SIGNS
COMMERCIAL ARTERIAL
200
Owner
Contractor
OLYMPIC PRINTERS INVESTMENT
310 E FRONT ST
PORT ANGELES WA 983623108
ADVERTISING SALES & MORE
1327 E. 1ST STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 452-7785
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
SIGN
162.00
3/11/05
9/07/05
plan Check Fee
Valuation
.00
200
Qty
1. 00
1. 00
Unit charge
47.0000
115.0000
Per
PER
PER
S- SIGN LES THAN 25 SF
S- SIGN FREE OR PROJ 25+
Extension
47.00
115.00
Fee sUlrunary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162 .00 162.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 162 .00 162.00 .00 .00
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Separate Permits are required fDrelec!rical 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 a!terthe work as commenced, or i!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. Ail 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
presu~;t~tllullty lu v' or cancel the provisions of any state or local law reguiating construction or the performance of
constr(.....,..
-I
v
~.\\..os-
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02_15 building perrii{t jnsp~ction record05.wpd [1I412005J
<-
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
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
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR W ALUHOLD DOWNS
W ALL5 I ROOF I CEILING
DRYWALL (INTERIOR BRACED PA.."lEL ONLY)
I-BAR
INSULATION
SLAB I T I
WALL I FLOOR! CEILING I I I
MECHANICAL ,
(-IEAT PUMP I FURNACE I DUCTS
GAS liNE
WOOD STOVE! PELLET / CHI~EY
-.
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING / SLAB ,
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERl..1IT #'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 PLAl'.'NING DEPT.
BUILDING 4174815 BUILDING 1'1101161 -rLL-
T:\Pohcles\ Ii 02_15 buddmg peron! mspecllon record05.wpd (1/412005J
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CITY OF PORT ANGELES - Construction Plans
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
bUilding oper<:tions being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
(SECTION 303(c) - nifor Building COd~
Approval Dale By :lL L
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c 2005/MAR/02/WED 08: 14 AM CITY OF PA BLDG,DEPT
FAX No, 360 417 4711
P 002/003
FOR officiAL USB oNix; .
'-"a"';;'..:: 'J:~ I,'<:JS,-
Pennit'; 65' -I
""'D'~te"~p~ro\igf'" "
lbIssued;
., kpplicantorAgent: ,1+ ~tn'\, ."'~,, \.Q"-..,)&,,.
Owner: P Q.-~, "o,.<L P ~f2-"'" '-1
Address: 'c, is;:- &. r,::',c2.~-r City:
. ,Ar.chitectlllrigiJ;.ll8r;
-<::-onlraCto=~ "-"'.
"" \ .,. " :", ,~ ",'". ro'"
. ..,,-Phonal,." 4-,\, 2-"..,""'I:J ,?S:,.
\- ., \ ~ .
.', '
~a.--""1.
Phone:
~C;;;:'--E:.l:
Zip:
~l?1(''"L
PROJECT ADDRESS: 'J. \ <:" 6 ,
LEGAL DESCRIPTION: Lot: \'l. lr \ ~
CLALLAM COUNTY PARCEL NTJMBER:
<2 \<;1 .. \<;;:StateJ.jcell.se.#: /?,"
City:
F,Q.S-r
Phone.:
/'
r, LE "Pxp.: ~
l'hone:_. _
~-r-~
Zip:
ZONING: .
,JoQ.~
CPr
e. [''''',..,'-'
Address:
. Block; , g- Subdivision:
Df,J.a 00 ~ i , 8 c:: D
Credit Card Hold... N 8m.:
BIUillg Addros"
Credit C2rd Typo \olSA
TYl'E OF WORK:
o ResidOllti8l 0 New CoIlStr. 0 !<Proof 0 Stove
C Multi-liunUy 0 Addition 0 Mo.., 0 Gong.
Cl Commercial Cl Remodel 0 Demolition Cl Deck
-- -.-... - .---- -o''Repair-- .--.~SliD-"-. -".. a~ther- -""
BlUEFDESCRIl'TION OF TBE PROJECT: ~\;; 7D"-'-.
t-7',.~ ~-. ,'. i (?--:.
{::r~.-.,..C;Su'-~~'t""'-1-~' .,ge;.c!-.~,.- '~~Ou~k
City:
E:l:p. Dot.:
~
MC--:..-#
stzltIV ALUATION:
Ib./, SF.@$ 'l;i.,. ISF.";$"I~o"o.Q
'1b,,, SF.@$ ISF.~$ '''''. ,.:>
SF. @ $ ISF, ~$
. ....-...-..1-'Q1'AL,'{AU1ATIQN ....$ ''Jr>D 00
..J p 6'L--"i:C::nQ.,--v.~-- '('.&~;"":' ,--"",-' .......... ......
s:, '" & ~.., .e-eS. s: ~<;) ~_
Oe""l'!IIlt Load;
& PropoBod Sq, Ft,
Consttuciion Type;
~ TOTAL Sq. Ft_~
COMMERClAL/RESIDENTIAL: Occ~ Group:
No. of Stories: Lot Size: B~ Sq. Ft
Totollot ooverai<' %
BSA/WetiAud(,); i:l Ves o-N
NoOtller:
APPRO~:
PLAN' .
BLDG:
Dl'WU:_
FIRE.
.
OTBER:_
h
VALUATION OF CONSTRUCTION; In ill ea..., a valU8tiOU 8IIlount muot bo eptered by ~ applicant This figure will be reviewed
llIldIlllll'be revisedby~BuildingDivision 10 complywilh current fee schedules. Contact th. Peonit Coordinator .t417-4815 for assistance.
PLAN CBECK FEE: IF 8 plan check too is due it must be submitted at the time the buildiDt pennit application !IIld construction pl!lIlS ore
submitted, All other p01lllit fees arc: due at the limo of ]lemUl isSU!lIlce.
-- EXPmA.TION 011 PLAN REVlli'W: Uno pOI1Il1llS lSSueawmiin'10C1ayror~rpp1i~~llIf'WlII ~jr.. lne
Building Official can e>.."l<nd ~ lime for action by the .pplicant up 1n 180 day. upon Mitton request.by the appliCilIlt (see SoctionRIOB,2
of the Inlcmational BuilclinglResidcntial Code, 2003), No applicallon ClIJ). be exlEnded Illore iliBJ1 once.
I heroby certify that I heve read and alamlned this application and know the s~m8 to be we and correct, I am authorized to apply for this parmlt and
~.nders~th.t_lt.is ",Y res.~O~$ib~_to.~et~~~~ ~.errnlt~e~rBCI~~'~ot~~~o~t~in_~vchPen;:sprwrtoWO/1(.....
T;IRVOSSIJlU>G-I~huf'Sl200-4-B"ildiolJ>OlTn!'wpd Applicant: '- .J- Date: J. , 2. 0 <::
~
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-> [r-ff O{ i~ . t. / i!P7 - i9
cOFC' -1"?>1A{eot-~ .' ROUTING SLIP &-)(;)f.(J /Os ,v<>l1r ~>\'
tO~O~",
to 11/01 " Certificate of Occupancy ~:'"
~li1'--OI-I:24'10 . L~
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~ ' Certificate/Inspection Fee -
"tliLjC~~
DATE ;),-15-05 New Business ................. .. ......... ( )
Address of Proposed Business Transfer of Business Location. . . . . . . ........ , ( V-)
'" ---221 S E--- \ -:5t' S--J-- _ Change of Ownership. . . . . . . . . . . , . ......." ( )
Applicant'VR:l'Y)\("f'"~e.:;\'-1 I tYY,j-f ~l(t-k New Building ................. .. .......... ( )
Address S L. . ,~ C)J1o'-t F~"lv.-\ "'1 F . Remodel. . . . . . . . . . . . . . . , , , , , . . , , . . . , . . . . . ( )
" Vu..-t- ~V\'l~(e5- Temporary Business ( )
business 451-7 :,lol? home ~ 1 ~~ (! ~ \ ....... . . . . . . . . . . . . . . . .
Phone: Change of Use. . . . . . . . . . . . . . . . . . . . . ....... ( )
Brief description of proposed business:l2..dc..\. \ ~~12A'-'\. (+Ov-e .
Legal D~scription: Lot Block Subdivision
Current Use of Property: 1/\ ed kr. 0 s... . A~^0'>- (2 0 Tc, : Q
Zoning Classification of Property: G6D
Will THERE BE ANY OF THE FOllOWING? YES ~ THE FOLLOWING WILL BE REQUIRED:
Construction changes. ..... PERMITS BUSINESS liCENSE
Electrical changes. . . ......... ........ .... .-- -- ==I 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . .......... 2) Plumbing 2) Peddlers
Plumbing changes .... ............ .-- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. I_ 4) Mechanical 4) Pawn Broker
New septic tanks. ............. =+ 5) Sewer 5) Dance
New sewer service ..... ..... .-- ........ ....... 6) Sidewalk installation 6) Hote! - Motel
Admission charged to patrons. .................. 7) Driveway installation 7) Fireworks
Is this a home occupation? ........ ............. l 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? . II 11) Fire
New driveway openings ........... 12) Occupancy
A grading plan for site drainage. -- =-2 13) Sign
(parking lots, downspouts, etc.) --. ..... . . . . . . . . . . 14) Shoreline
Are the existing streets paved? . ..... i 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- d -lc=y-O~
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my 1 () ~(I
knowledge. Signed: ( "
I ~iA~~Vt1 REJECTED Comments / Conditions
1t2lct ,0 "t Building Section
, -J.I
Public Works Department
S(2.. 3-'1-05' Planning Department
K'I>D Fire Department
B\J ')-'-.05 City Clerk
P.B.IA
i't
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. I T ~- ....,... '. , ROUTING..SLlP {o~""<'<"
.,', \O/Ii/CI." ""-- .
. .Certificate of Occupancy . ,""""
~~
,1'1:...1"'1' Ol-I'c<\'ro/ ~
$'4!7.:QI'l.Certificate/lnspection Fee '-'
"("i"cWo""-~
DATE ~-IS-OS New Business .......... ,................. ( )
Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( .....--)
, '01 S 6 \~' sl-. Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( )
Applicant~r.cm\.~,...~e::\\.l ! Il'Yjf ~;olrj\ New Building ..................... ........ ( )
) Address ,:)~"" ,!!.:$...~ \ 'tt''-\- E'.S (".~ .t.r r:o . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
\ ur\' A. V\c; '" \ "50 Temporary Business ............", "...... ( )
Phone: business 4S 1 -1 ~lo~ home 411 -% ~ l~ I Change of Use. . . . . . . . . . . . . . . ............. ( )
Brief description of proposed business: 12. e:\r., " \ ~AIL,'-". C+OV-l' .
Legal Description: Lot Block Subdivision
Current Use of Property: \,,' J';J,-t \ r r C 'S... "ocl.. ^ '> r2 (l .tr-, . ()
. ,- - . \ ~ ......; .
Zoning Classification of Property: I"r.>-p
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. ..... .............. _ --.L PERMITS BUSINESS LICENSE
Electrical changes. ... .... ..... ... ....... -~ 1) Building 1) Taxi
Mechanical (heating, cooling, stoves) . =-3t 2) Plumbing 2) Peddlers
Plumbing changes ... .... 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . .... ............... .L_ 4) Mechanical 4) Pawn Broker
New septic tanks. ..... ---t 5) Sewer 5) Dance
New sewer service ... ..... .............. ...... 6) Sidewalk installation 6) Hotel - Motel
Admission charged to patrons. .... ....... -IT 7) Driveway installation 7) Fireworks
Is this a home occupation? = J, 8) Curb installation 8) Ambulance
Excavation of filling of lots ......... .. ,I 9) Sidewalk obstruction 9) Tattoo shop
-7
Work done in City right-of-way. . ....... ........ - -'!- 10) Water meter installation 10) Other
Is there sufficient off-street parking? .......... ..... ~- 11) Fire
New driveway openings .................. _.L 12) Occupancy
A grading plan for site draina}Je. . ................. _--L 13) Sign
(parking lots, downspouts, etc.) ..... . -L 14) Shoreline
Are the existing streets paved?, '.. ..... += 15) Home occupation
Are there existing sidewalks? . .. .. ..... 16) Conditional use
Is there curb and gutter? ............ ............ ~- 17) Other
Other. ............. . . . . , ....... ......... ..
I h~r{by apply for a Certificate of Occupancy and acknowl. d -Icy-OS
edge that I have read this application and state that the Date:
information I have supplied is correct to the best of my ~('J
knowledge. Signed:
( "')
APPROVED REJECTED \.2 .4- . (J " ,~^
Comments / Conditions ' c~.
Building Section I (U., Q ,f"\- , '^'. -++-:;_~ .' '" ...\- \\. -
CB \. ' - ~1 >o--.b, oo~
Public Works Department J ~ ) lt~
~ Planning Department ' (\... \h' ;'.:;\i r -^,,,~ an ,c-,
Fire Department ~I..... \\ '-ty-~Jj:l .'-' _~ \) i_o n.
City Clerk I {j
P.B.I.A.
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CE RTI FICk"FE 'OFOCCU P ANCY
",l":;PCity of Port Ange]'~~ti,,~,
,Il' Building Division """'11;.
D ~
d ~,.
This Cef-iijication issued pursuant to the requirements of Sectio'ti.30J of the
Internation'!,l Building Code certifying that at the time of issuance thi~.,structure was
in cdfnpliance with the various ordinances of the City regulating <'Building
g' construction or use. For the following: \\
Use Classification: Busiriess Building Pennil No.: _ Business Name: Premier Partv/Macfields
W ~
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Group: ~ ~ Type of Construction: V-N Use Zone: CBD
.,
U N
Owne,oIB,,,;ness: Premier Party/Macfields Add'ess: 315 East First Street Port An~eles. W A 98382
· N
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Building Address: 315 East\First Street Port Ang-e1es. W A 98362
. . ~? c "f.~~Mt ~.<5W"''''Yf' .:'!
q - 3'.#1,. .,,'
(. ,.! i "~~'... -"u''''.' st '8' 2005
'<~_ ~',;'::'t .
BiJildii' ,-'fficial~,~"(<~,, - ''''''- ''','r~' dO .,,-~!W. ,,<Date
\~. ~~;i~!.~'~~lk:~_:e~;t~~,:!:~'~~i'2'~;"~\~.:'~;;,,~~~~;~,~ ~ /,' ,ij,
},'t "I.- ~%h:.;!'!~t'L~~~1:'Fi:,",.~,~'(t~~~~~I[it,\:'''~~r:i.':~ ".10'"
Post on the pr,emlses~rn~al;consplcuous place.
'''~'! '~.<':'i\;:t.).t\:~;li'>:F~;:tr/::t~.,'\-.~~. ...'
Shall not be remo,~~~.~~~~~erbyBuilding Official.
1ST
Fe~06
ROUTING SLIP
Certificate of Occupancy
* , ."'lJ Certificate/Inspection Fee
DATE
Address of Proposed Business
3/.5'"" e.... I ~ ,
Applicant A h f yl,. s #t 7"'" rIr" < /
Address 9dr {JAr",/;; ~
Phone:
business 'i~ ? Di. home Y S,,1-1 (,.;1.1
Brief description of proposed business:
I:;;:;;~
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . .
Electrical changes. . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes ... . . . . . . . . . . .
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . .
New sewer service .......................
Admission charged to patrons. . . . . . . . . .
Is this a home occupation? .........
Excavation of filling of lots..................
Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . .
A grading plan for site drainage. ..............
(parking lots, downspouts, etc.) .............
Are the existing streets paved? .............
Are there existing sidewalks? . . ... . . . . . . . . .
Is there curb and gutter?
Other........................ .
'4.~~ \~S:
M ~d ,c:.c.. \
.,;"........
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lG~G..<;.
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L~
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New Business ............................ ( )
Transfer of Business location. . . . . . . . . . . . . . .. ( N
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Temporary Business ....................... ( )
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( )
Block
'R ,<> -fa,' I
C.4
YES -;
=~
~~
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- ---4-
=~
-~
=!
~-
~-
~-
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.
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
s~ 1-1'5-02-
Kj')\)
6u HI-02-
/8
Subdivision Nor""'C<>t R.S'l.<I'~~
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date: / /;/h ~
. ,
Signed: _~~
Comments / Conditions
. .
" . ...
'.J
r'.'"
144/0
CJc.+
pa..: d "\ _., 001
'ROUTING SLIP tJoi"i;~ ,1.0 e~'I- C,C ttb V\ ..""'....
l"~Q..<;.
Certificate of Occupancy L-U O.r- K..s ~~1"
~~
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$47,00 Certificate/Inspection Fee -
"'<"""
DATE 9 - S -0/ New Business ........................... (K)
Address of Proposed Business Transfer of Business location, , , , , , , , , . . . . . , . ( )
3/5 E" F,tS.T 5( Change of Ownership, , , , , , , , , , , , , , , , , , , , , , ( )
Applicant M I )<.1'_ K. IOSM.I New Building ............................. ( )
Ad~ess l~5" ~' F;:S; ~', Remodel, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ( )
1?I'T &PW;, lJ 5, '7\(.3b~ Temporary Business ."",............,.... ( )
Phone: business '1{a ,- 5 3'f ~ home 9.'.Jf<"-()/.<< Change of Use, , , , , , , ... ",.,............. ( )
Brief description of proposed business: /AluM (UtI "- C Lo-l-~/II\~ .s:7lJr~.
legal Description: lot /3- t /if Block If{ Subdivision .Alc:)~MO-" R $;",,: f4
Current Use of Property: ReTAIL .sTOre ,
Zoning Classification of Property: CA
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) , , . ........... -- 2) Plumbing 2) Peddlers
Plumbing changes .. ............ ............ '" -- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs. . . . . . . . ...... '" " ....... 2<-_ 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? ........ ............. -- 6) Curb installation 8) Ambulance
Excavation ot filling of lots "". ......... " ....... -- 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-ot-way . . . . . . . . . . . . , . ",. -- 10) Water meter installation 10) Other
Is there sufficient off.street parking? . . . . . '" ..... " -- 11) Fire
New driveway openings ......... .."".. -- 12) Occupancy
A grading plan tor 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? ..............,.,....,.. -- 17) Other
Other" , .,." ................... ............
.-
i hereby apply for a Certificate of Occupancy and acknowl. ~-OQ",,~
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:
.L/.L. REJECTED Comments / Conditions
~,,%r ED
Building Section
, I
Public Works Department
Planning Department
K,tJD '( Fire Department
6\\ 10-1'1-0\ City Clerk
P.B,IA
#1-10 .
Dc..+
~...
DATE
9-~..o1
-" " '-
f""; ~ ~ ..,.01
'~OUTING SLIP o-Jodh
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
We<::.t c...<:>tt~v\
LA O.f"'K..s
.,0"'.41
tO~",,,,c<,,
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Address of Proposed Business
3/&j E.. F "'ST $1
Applicant M, KP. k I O.:.n 10. ,
Address 3/5;"S. Flh. ,':S T
P"fT A^J[jp,P.~. I.J451-1. '1'if3t>:l. ,
Phone: business "~a - 5?1./ 1 home 9:Jf(-()/<!:\
,
New Business ............................
Transfer of Business Location. . . . . . . . . .
Change of Ownership. . . . . . . . . . . . . . . . . . . . . .
New Building .............................
Remodei . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business ........ . . . . . . . . . . . . . . .
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(K)
( )
( )
( )
( )
( )
( )
Brief description of proposed business:
/,{ /IM1 (}AIr ..
C Ln -I~ lil\ a 5. Tnf e_
. '\1
Biock
J<g'
Subdivision AlcYM".. R ~:tl.1
Legal Description: Lot
Current Use of Property:
Zoning Classification of Property:
I.? a 1(/
R~. T.4I L STr)ffl
CA
Will THERE BE ANY OF THE FOllOWING?
Construction changes.
Electrical changes. . . . . . . . . . . . . . . . . . . . . . . , . . .
Mechanical (heating, cooling, stoves) .
Plumbing changes
New or relocated signs.
New septic tanks. .
New sewer service
Admission charged to patrons.
Is this a home occupation?
Excavation of filling of lots ...
Work done in City right-af-way .
Is there sufficient off.street parking? . .
New driveway openings. . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage. .
(parking lots, downspouts, etc.)
Are the existing streets paved? .
Are there existing sidewalks? .
Is there curb and gutter?
Other. .................
YES NO THE FOLLOWING WILL BE REQUIRED:
-- PERMITS BUSINESS liCENSE
-- 1) Building 1) Taxi
-- 2) Plumbing 2) Peddlers
-- 3) Electrical 3) 2nd Hand Dealer
--X- _ 4) Mechanical 4) Pawn Broker
-- 5) Sewer 5) Dance
-- 6) Sidewalk installation 6) Hotel - Motel
-- 7) Driveway installation 7) Fireworks
-- B) Curb installation B) Ambulance
-- 9) Sidewalk obstruction 9) Tattoo shop
-- 10) Water meter installation 10) . Other
-- 11) Fire
-- 12) Occupancy
-- 13) Sign
-- 14) Shoreline
-- 15) Home occupation
-- 16) Conditional use
-- 17) 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:
APPROVED
REJECTED
9-2D2
{41. I~-.
Comments / Conditions Ac1h;;,: PI"
I i 77 I
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
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CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5Ttt STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: / / PERMIT NO 7320
OWNER/APPLICANT PROPERTY LOCATION
KELLY GABRIEL 315 1ST ST E
173 GANDALF RD. Lot: 13 & 14
Port Angeles, WA 98362 Block: 18 [] Long Legal
360/452-6323 Subdivision: N R SMITH
T: S: Parcel No: 063000511850000
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING INC N/A
P.O. BOX 383
Port Angeles, WA 98362-0000 , 98360-0000
360/452-1689 360~000-0000
PROJECT INFO
Project Type: COML.REMODEL Project Value: $0.00
Occupancy Type: Construction Type: COMMERTIAL
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 320
Feeder Size: 0
PROJECT NOTES
Upgrade Service to new 320 amp and circuit wiring for remodel "~
L
FEES ASSESSMENT Service: $173.80 "¢
Additional Feeders: $0.00 ,~
Circuit Wiring: $0.00 ~
Temp Service: $0.00 ~L
Misc Fee: $0.00
TOTAL FEE: $173.80
AMOUNT PAID: $173.80
BALANCE DUE $0.00
),~ i~, II :!',' l 'g 'AC~I_O_N__NEED~ED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! 74735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVE. IL
INSULATE OR CONCEAL ANY WORK BEFORE IT I$ INSPECTED AND ACCEPTED.
DITCH
ROUGH-IN / COVER
SERVICE
FINAL 17,1/oto~1 :Z,~ I
GENERAL COMMENTS:
Fob-05-0Z 09:48.m From-U S WEST lRAe
Z069469223
T-ITI P.OI/OZ F-9TZ
.'
QWEST BSW
TO: _CITY OF PORT ANGELES - PERMITS
FROM: Terry Jones 206-461-2665
DATE: 2/5/02
RE: _PERMIT
PAGES:
2 + COVER
[x ] Please Process
RE: W00200S66 @ 315 E. 1ST 8T
~ ADD(;-[) 0 €- T ~ ~L5
TO SKbTCH
Feb-05-02 09:49am From-U S WEST LRAe
,
315 E. 1ST
FRnNTST
,
30---..r
ALLEY
tJ
EJ
FIRST ST
RANGE: 6W
SECTION: 13
TOWNSHIP: 30N
2063469223
PEABODY
T-!7! P.02/02 F-372
Fg~-C5-:7~ Q;'-'l\r:;,:<~, f-r::::-U $ WEST LRAC
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,<~T"A........'~.A. ~_..
TO: ~CI! 'i OF PORT ANGELES - FERivllTS
FROM: Terry Jones 206-461-2665
DATE:
2/5/02
RE _PERMlT
"O/l.E"T:'C'.
lJ"'l.......l-w.
2 + COVER
[X ] Please Process
RE: W00200566 @ 3) 5 E. 1 ST ST
P-eV'lV\.lT:tJ:..
\7-4<;
Feb-0S-02 08'552~
From-U $ WEST LPAC
20S~469223
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P~rm;t To Perfor~ Wcrk In 5r!,,=~t Right-of-Way
APPLICATION is her~by m.de to lhe municipalily of PORr ANGE:LES .10 periorm work as
(\oft:d h~fevn and ;:ii .,huyvTI ur: <ilt:iched druwir:.g:
r/)/....-")'L :i....d...~ A" /",,~ -'t,....,.... .....,..,. ,J ,/:"JIe,tAJ-I
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Approved:
Water Department - Superintendent
Sewer Department - Superintendent
l^~^tlc ^c-_____~ ....".,/'I~."..,.-
The estimaled time for completion of the above work IS I U .un);:) /'\T I C-l'-.. IlLL\..1 r I
.I 1\
By C!.y;1k..... l- Gb-~-r
COntl'3ct~'r' V Owner
/"\,.Is::c.-r JA1I.AI'12<..,,) f)/V'lM ic:^J
,"-,vv,-",.-1< I ~, \I~'S'" &.......Jo--'1rV """-~I'\ l~l.I'
ilt.OO --rrj/AVE,. SBA7TLC, WA-.
THE ABOVE APPLlCAT!ON !S HEREBY GRANTED SUBJECT TO APPLlCAJ-..TT'S '1€' I cj !
r) f.e:,
Date .-- I ~
2.0(", -4[, (
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Complying with all Municipai Ordinances;
Notifying rhe Street Supe!'!!!t-:ndt'.nt' of the time the work will start, and when if will finish;
Prosecuting the work with diligence and with due respect to aii properiY I Cvni:iaCi.~, per~cr.~'
rightS and the inter~sr.s ~nd. cQfiv~ni~iicc of the ?t.:.ol:c;
Saving the Municipality harmless from any and all damages which may accrue to any person
or propeny because of thi' installation or lhe mamtenance thereof;
Complying W,di foHow:n~ $;::ecl~l cand:nons
Vh~L- -\~
City of PORI' ANGELE'.s
t. r. ~ ." -/f?-; ./-=--
BY'c/ ~~~YL
l'""'\......
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Feh-DS-D2 D8:S5~~ From-U S WEST LRAC
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PEA RODY
FIRST ST
RANGE: 6W
SECTION: 13
TOWNSHIP: 30N
B
i-159 P_D3/D3 F-37D
s
~<~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
OWNER/APPLICANT
KELLY GABRIEL
173 GANDALF RD.
Port Angeles, WA 98362
360/452-6323
T:
S:
ISSUED: 6/27/2001 PERMIT NO: 12761
PROPERTY LOCATION
315 1ST ST E
Lot: 13&14
Block: 18 D Long Legal
Subdivision: N R SMITH
Parcel No: 063000511850000
CONTRACTOR
GARRET DELBARRE CONST
72 WELLMAN RD.
PORT ANGELES, WA 98362-0000
360/452-4144
PROJECT INFO
Project Value: $10,000.00
Project Type: COMM/REMOD
Occupancy Type:
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0
SFD sa FT: 0
MFD Units: 0
MFD sa FT: 0
Commercial:
Industrial:
Garage:
o
o
o
\,
\-,
\. .~
PROJECT NOTES
INSTALL ADA BATHROOMS, 10' X 10'SHEETROCK CEILING, NEW ELECTRIC, NEW
FRONT DOUBLE PANE WINDOWS, INSTALL TWO EXAUST FANS
FEES ASSESSMENT
Building Permit: $181.25 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $223.75
Plumbing: $0.00 AMOUNT PAID: $223.75
Mechanical: $38.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This penmlt 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 goveming 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.j . /
J I'~ /--",
.;;1:.....' ~, /' \ 1./ _ I~IJ- i~'
r /l.uthorized Agent
Date
Signature of Owner (if owner is builder)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN 7-1'2.-n I Yl ,/
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I
CEILING I T
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING "".-I'1..-n1 ~\/
DRYWALL
T.BAR
INSULATION
SLAB I I I
WALL / FLOOR / CEILING 1'7 -\'0-(:>\ I 1-'2 U I
MECHANICAL
HEAT PUMP
WOODSTOVE I PELLET/CHIMNEY I INSERT
HOOD/DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE I 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.I PWI CONSTRUCTION - R. W.
ENGINEERING 4174807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT. 1-..,< ,01V'--'C
BUILDING 417-4815 BUILDING I 7:-17 _Of -vv
C':\APPL.WPD
s
~~
BUILDING PERMIT - APPLICATION
FOR OFFICIAl.. USE ONLY:
Dale Rco.:b ~ " .. c' \
Pamit': 1"2 h l'
Dale Approved:
Dale Issued:
The Building Permit - Pre-opplication IttIISt be jUkd out completely.
Please type or print In ink.. If you have any questions, please caD 417-4815
Applicant and/or Agent: ..(!,aY'l"el /)e!C{15Cl.vr~ Phone: "/52 . LfJlII/
Owner: kdtCf ba/:me L
Address: /73 btAnda/f 121
Architect/Engineer: ~/ 4 Phone:
Contractor t.""'Nef /)eIABa.rvc:... License #:6aI'YC.sM.23Lt'Exp: &/~/oz..
I I
Address: 72 Weltman;2~ "'City: A,/4v"e{<::s [1 J,4 Zip:
PRWEer ADDRESS: . 3/ I ~ T tree+ ,Y '. ZONJNG:
LEGAL DESCRIPTION: 14= p:'f;", Lf BI~:. > J l':' ,~ Subdivision: "'; 1,.., t t
CLALLAM COUNTY PARCEL NUMBER: r>t. .; (\: · '- ,/ I Y CredIt Card Holder Name:
BiUiDg Addresa: City:
Credit Card #: EIp. Date: "
City: Ar! Au4eleS
v
Phone:
{Al4-
1-'52 ' &; 323
Zip: 'lli:? (,., Z.
Phone: 3C,O''157. <(I'll(
,
9i:j h ?
..,-.
VISA
MC
TYPE OF WORK: srzEtv ALUATION:
o Residential 0 New Constr. 0 Re-roof 0 Wooclstove SF. @ S /SF. = S
o Multi-falhily 0 Addition 0 Move 0 Garage SF. @S 'SF. - S
g' Commercial . ~Remodel 0 Demolition 0 Deck ", <' i '-/ ~( SF, @ $ 'SF. = $
o it.epu,.' , . o"Sign '" 0 TOTAL VALUATION $ I D L>> j ) ;...:..
BRIEF DESCRIPI'ION OFTHE'PRWECT: If\J( i\l.A4..Q. '"Ro..l- h. Sf .z.,;;. 1=-12-01-\ I iT X. ll' +0
/(})i../D.. imJfz3 ql/Fi?T~CIL AJEN ;::dMJ, iJ/IIJD(J.vS NEu/ i'll/At/lilt? Iljj*' FIATU;2(o<;
, ')I..q 2xi,) . . ' , I EA-TI-r-
COMMERCIALlRESIDENTIAL: Occupancy Group: Occupant Load: Constroction Type:
No. of Stories: Lot Size: % Lot Coverage: %
Existing Lot Coverage: , I~~.+ Proposed Lot Coverage: 'sq. fl. = TOTAL LOT COVERAGE: 'sq.~
PLANNING USE ONLY:
Notes:
Al"PROV ALS:
PLAN
BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUll.DING APPLICATION SUBMrITAL: Yo", "Ppl/catfDn and sile plan nIIISt bt<jUkd f1IIt compktdy to bt<lIa:qtdfor nvt"",.
Building Division can provide you with more detailed infonnation on the application and plan submittal requirements.
...
Th.
BUILDING PERMIT APPLICATION SUBMlTrAL: Your completed application, site plan (for additions) and building consttUction
plans are to be submitted to the Building Division. .
VALUATION OF CONSTRUCTION: In aU cases, a valuation anlount must be entered by the applicant This figure will be reviewed an~
may be revised by the Building Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-481 S for assistance.
PLAN CHECK FEE : Your plan check fee is due at the time the building permit application and constmction plans are' submitted. All otheJ
pennit fees are due at the time of permit issuance;
EXPIRATION OF PLAN REVIEW: Ifoo permit is issued within 180 days of the date ofapplication, this application will "pire 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, 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, and I am authorized to apply for
this permit. J Understand it is not the City's legal respofl3ibilitj ./0 determine what permits are required; it remains the applicant's
responsibility to determine w!iRlwmi1s are required and to obtaiilsuch. ~, , " " ,.,' "
PW-1l02_13[n:v51011 ,- APp;icant.;>>W~ D~te: {,/z..~;;,
51 SITE PLAN
~". DEPARTMENTOI' PVBUC WORKS, BVILDING DIVISION
APPLICANT: ba r Yt'-I /)e ~ 5", ~ye PHONE: 15Z -'lIt/if
PROJECI'IDEVELOPMENT ADDRESS: 3/') has T .Yree-f , Arl 1t'15 f' If" <;
/
SuP< e "/Dr iArtnIaions Oil romplotillg tlte ,ite pion. For _'" I1forrMliott, cDlt "J],-04II. UIeIuimt 125.
... ~~ ~~..I/...'lf1 -tIi
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PAGE 5
City of Port Angeles
Applicant Project Review Sheet
e,,, > f
Sf-
Applicant:
Owner:
a ot'!<'~~'e
k. Ga6oet.
Proposed use:
Property address: '3 {6-
RHa.L
/;J. ;::; /'5 /-
Zoning:
Is the proposed use listed as a "permitted use" or an "accessory use" in this zone?
Is this the ooIy we (business, residence, etc.) on this site?
Has there ever been a subdivision, shortplal, or PRO approved for this site, or bas one
been submitted and is pending approval?
Does the proposed we require a new buisness license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the permitted height allowance or cawe the property to exceed
the allowed lot c:ovaage in this zone?
Does the project require any additional parking or special designllRnd~""" improvements
in this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200' of the shoreline?
Are there any environmentally sensitive areas on or within 200' of the property,
including:
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or sea.onel);
. areas with a slope of 40% or greater; or
. areas that have evidence of past ground movement or erosion?
Have all the required submitta1s been provided by the applicant?
o Site Plan 0 Constnlction Drawings
o ParlringIDrainage Plan 0 Civil Drawings
o Energy Calc 0 Supporting Engr. Calc
o LandscapefLighting Plan 0 Other
o yes: ok
o yes: ok
o yes: requires PO
review
o yes: requires CC
review
o yes: requires PO
review
o yes: requires PO
review
o yes: requires PO
review
o yes: requires PO
review
o yes: requires PD
review
o yes: requires PD
review
o yes: ok
o no: teCluires PO
"""ew
o no: requires PO
review
o no: ok
o no: ok
o no: ok
o no: ok
o no: ok
o no: ok
o no: ok
o no: ok
o no: mark
required
item(s)
If Planning Department review i. required, the proce..ing time may be extended. /fit i. detennined Q .eparate Planning
Department pennit(.) is needed, the Planning Department pennil(.) must be approved prior to the issuance of any other pennil.
Pennit CategOl)' #I
(see reverse side)
Building Permit #I
Route to:
DBD DCC OFD OLD OPO DPW o File OOther
Staff Initials
Date
Completion oj this form is required for a/I category 1 b, 2 & 3 permits. Completion is not
required/or category 1 a permits unless lhey result in a potential change of use or occupancy.
APRS.I (6-2S-!l7lrillh.....)
Master Tracking #I
1
I
10'
r ___~___nu__.__._ ---
Counter H: 38"
p1!
~.
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~
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-,~ - - - -- - -------~-- -- - --- ---
I Fir WaR' 2x4onfldtw/1/2"lOCk
"
R~()is~r iV;j ReCessed Disp<;!nser
~Tt~~-~lr~'-;iuOk~!8:--r~i-~~1 -
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!
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Handycap Bathrooms for Kelly Gabriel
Commercial Building @ 315 First Street * Port Angeles * WA
%
~
tit::'
3-0
,'~:'~' -;..~:.:_-,-~
3-0
5' 1"
5' 2"
u____~__ 11' (1'-----
V7ZZ.a 21X6"
[..-:Ce.-.] 21x4" Floor Plan
1 /2" = l'
Wall Mounted Lav Mounted @ 34" to top
4' Grab Bars Mounted @ 34"
Handycap Watercloset floor mount as specified
72 Wellman Road' Port Angeles, WA 98363
Ph/Fllx: (360) 45Z-4144' email: delabarre@tenforward.com
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
r<e lly
REQUEST:
Date
~-1 /
// ,_..~)
Time
Received by
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation e Chimney (p1~~bin;":.A=inal
t::b\1St~""--
/)/'6 .;
/", '-
. _.
Phone No.
Permit No.
Sewer Excav. Other
O..r6/
Inspected: Date
Remarks:
INSPECTION NOTES: ;
-I!
/ f
Timeol //5pai By Rv
{)f(/
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
D Other
[] 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)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. .
REQUEST:
. rot
Date ~/-' ~. Time
Received by
-~
~ (phone.!person)
----------/'
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
,/ /
[ f:~- i
Phone No.
Permit No. 12? 0,
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other :;. f
I
Inspected: Date
Remarks:
.//J
(. "
INSPECTION NOTES:
.......-~...~
..'
,....-. /J~l
,1, (_, I
Time
By
o
~.
-" ---
RESTORATION REQUiRED...... YES NO
i 1 -', Y
/ I
, '
J. .> ., '" ,
-" I
(.
"
.....'C
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
'5
.....~
CITY OF PORT ANGELES
PUBLIC WORKS - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
BUILDING PERMIT
OWNER/APPLICANT
KELLY GABRIEL
173 GANDALF RD.
Port Angeles, WA 98362
360/452-6323
T:
S:
ISSUED: 9/11/2001 PERMIT NO: 12942
PROPERTY LOCATION
315 1ST ST E
Lot: 13 & 14
Block: 18 D Long Legal
Subdivision: N R SMITH
Parcel No: 063000511850000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, W A 99360
206/000-0000
PROJECT INFO
Project Vaiue: $50.00
Project Type: SIGNIWALL
Occupancy Type: COMMERCIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units:
SFD SQ FT:
o
o
Commercial:
Industrial:
Garage:
o
o
o
If
----
MFD Units:
MFD SQ FT:
o
o
v^
(\J'
PROJECT NOTES
INSTALLATION OF A 17 SQ. FT., WALL MOUNTED SIGN
~
\~
FEES ASSESSMENT
Building Permit: $0.00 Mise Fee 1: $0.00
Plan Check: $0.00 Mise Fee 2: $0.00
State Surcharge: $0.00 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00 $30.00
Sign: $30.00 TOTAL FEE:
Plumbing: $0.00 AMOUNT PAID: $30.00
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
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
fora period of 180 days aflerthe work as commenced, or if required inspections have not een re e ted within 180 days from the last
inspection. I hereby certify that I have read and examined this application and k t me t rue and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether sp ci e in 0 . The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or c I egul' construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT/S UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT tN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOODSTOVE I PELLET/CHIMNEY /INSERT
HOODIDUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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. ~~O,r<-<i
BUILDING 4174815 BUILDING 1',,'11-OS ,,<V
C:\APPLWPD
s
~~....
~~
BUILDING PERMIT - APPLICATION
FORom~USEONLY:
Dale Reo.: -5--or:
PermIU: I 2... q <t
Dab: Approved:
Dale Issuod:
The Building Permit - Pre-app/ication must be fllIed 0111 completely.
Please type or print in ink. Uyou have any questions, please caU 417-4815
Applicant and/or Agent: H) I< fI, K I n<; n,J
Owner: fio)/f\ b4/2.,rip,1 _ - /(e.LLV f-r.4t!ifl'eL
Address: ~/5 E. F,r<;T sT City: !Jolt AAJ<;;eAl.,
Architect/Engineer:
Phone:
Phone:
415.1 - 53'13 INI(
Y ~X' -()/<;~ /l1zt
'1.51-nX"/
Zip: c;f( ?/...:J
Phone:
Contractor
License #:
Exp:
Phone:
Zip:
G: c..A
-:"::,"-<" J,.
Address:
City:
PROJECT ADDRESS: ZO
LEGAL DESCRIPTION: Lot: / $"6 Iii Block: Subdivision: "'r~
CLALLAM COUNTY PARCEL NUMBER: Q,~/JRVYYY'rredlt Card Holder Name:
Billing Address: City:
Credit Card N: Exp. Date: VISA
MC
TYPE OF WORK:
o Residential 0 New Constr, 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair YSign
BRIEF DESc:;RIPT1. ON OF..;rHE PROJECT:
~ I( ,'Z C:),..J U{.,.'5
o Woodstove
o Garage
o Deck
o
SIZEIVALUATlON:
SF, @ $ ISF, ~ $
SF. @ $ ISF. = $
SF, @ $ ISF, = $
TOTAL VALUATION
- <..U Cl VI
",...'
50 ---
COMMERC1ALIRESIDENTIAL: Occupancy Group: Occupant Load;
No, of Stories: Lot Size: % Lot Coverage:
Existing Lot Coverage: Isq, it, + Proposed Lot Coverage:
Construction Type:
PLAN~SE ONLY:
~?~: . }hI /~;.;
if ' APPR~:
rn~!l~~; :td'~;':h:.z~:~:?::... G osaj
BUILDING PERMIT APPLICATION SlJBMI'ITAL: Your completed application, site plan (for additions) and building construction
plans are to be submitted to the Building Division,
V ALUA TlON OF CONSTRUCTION: In all cases, a valuation an:tOUDt must be entered by the applicant. This figure wiD be reviewed and
may be revised by the Building Div. to comply with current fee scbedules, Contact the Permit Coordinaior 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 submitted, All other
pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit 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 Unifonn Building Code, current edition), No application can be eXle ed more than once,
Applicant:
ct, and I am llIIlOOrized to apply for
required; il remains the applicant's
I hereby certifY toot I have read and examined this application and know the sam II.M.
this permit, J understand il is nol the City's legal responsibility to determi /.vI/.
responsibility 10 determine whal permits are required and to obtain such. /
PW-II02_13[rev5.l011
Date: 9 -'5: -(jl
"
cii SITE PLAN
~ J/? DEPARTMENT OF PUBUC WORKS. BtllLDlNG IXVISION
APPLICANT: tt/ii<.'e f( J D<,()AI PHONE: 9..J'1( -f)/<;<
PROJECTIDEVELOPMENT ADDRESS: 3/~C; E ~/RSr 5 1_ ?orf 4rJJe.:.pc. e
Se. Par' 4 for in.rInlcIio.. 011 compIetinr the .ilo plall. For 11IO'" iIIfomwliorr. CtlU 457-0411. ur....ioII 125.
-
1\ '.-oJ
I:, ;.0' "CI
'.
~ '" ......... ...w, --.-> 1-- Ir -"
, "' \' . ... . III! .
, , .
. ~ . I I
1\ I ~,_. ",,0' ,_ ~ ~." ..~- ._~ .. '- ... -" .~ ~ .....- --.-
I...- 14E , "'
S r..' c - , c::; 'r. /I \.: ') I.t ~' t1
-'
J
J) t-Gl..\') \ 01 - - \... k \l~ i;~ h'
DUCK: "
f{ 30"
S I1T7 ~q-lMf..)T To
I ~~ BOd.s, i. V?,L () b
{( {
% X J ( GM.- ~S 7'
7
shetl..rJ - 4.J ckoA.~ 7:. I !J(', ct
, I .<.Jj
Ie -
~ UN J S1r
~
I
urlA' ~
PAGE S
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, W A 98362
Appl~cation Number
Application p~n number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Applicat~on type description
Subd~vis~on Name
Property Use
Property Zoning .
Application valuation
07-00000572 Date
308548
315 E 1ST ST
06-30-00-5-1-1850-0000-
THE FINISH CREW
6/20/07
SIGNS
COMMERCIAL ARTERIAL
200
Owner
Contractor
OLYMPIC .PRINTERS INVESTMENT
310 E FRONT ST
PORT ANGELES WA 983623108
OWNER
Permit
Add~t~onal desc .
Permit pin number
Perm~t Fee
Issue Date
Exp~ration Date
SIGN
60 SQ. FT SIGN
102384
85 00
6/20/07
12/17/07
Plan Check Fee
Valuation
.00
200
Qty Un~t Charge Per
1 00 85.0000 PER S- SIGN WALL 25 SF+
Extension
85 00
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 85 00 85.00 .00 .00
Plan Check Total .00 .00 00 .00
Grand Total 85 00 85.00 .00 .00
~
/~?~
~~
~/
;S
~
Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and publiC Improvements. ThiS permit becomes
null and void If work or construction authonzed 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 t e same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied With whether sp'~cifie herein or not. The granting of a permit does not
I
presume to give authority to Violate or cancel the proVISions of any state or local w regulatln construction or the performance of
construction
Signature of Contractor or AuthOrized Agent
Date
''''L6-o 7
Date
T IPoltctesll1 02 _15 buIldIng penmt JIlspectlOn recOJd05 wpd [1/4/2005]
o
--l
,
Vl
-J
~
w
.-
\3"\
m
\J\
T
V1
+
V\
,. -
?
,
o i-- 57Z-
BUILDING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDlNG INSPECTIONS CA.LL 4] 7-4735 FOR ELECTRICAL INSPECTIONS
CALL 4] 7-4807 FOR PUBLIC WORKS "UTILITIES
PLEA.SE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOR/,.' BEFORE
J.NSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMlT CARD AND APPROVED PLANS AT .lOB SITE
INSPECTION TYP!: DATE AC.CEPTED COMMENTS
YES NO
FOUNDA TlON
FOOTINGS
SHEAR WALLS / W>\LLS
FOUNDA 1'101'< DRAINAGE / DOWN SPOLJTS I
PIERS I
POST HOLES (POLE BLDGS )
PLUMllING
UNDER FLOOR / SLAB I
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL D>\TE ACCEPTED BY
BACl~ FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEAT PUMP / FURNACE / DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE / PELLET / CillMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKlNG & HOLD DOWNS
SKIRTING -.
PLANNING DEPT SEPARATE PERMIT#'s SErA
P ARKING/LI GHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRlOR 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 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT i
BUILDING 417-4815 BUILDING {a/211m ';fU_
T IPo!1clesl 1 ] 02 15 bUIldmg enmt ms eCllOll record05 wpd [] /4/2005] I
p p
PREPARED 6/21/07, 8 42:35
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
315 E 1ST ST
THE FINISH CREW
INSPECTION TICKET
INSPECTOR JAMES LIERLY
OLYMPIC PRINTERS INVESTMENT
06-30-00-5-1-1850-0000-
07-00000572 SIGNS
PERMIT: SIGN 00 SIGN
REQUESTED INSP
TYP/SQ COMPLETED RESULT
6/21/07
DESCRIPTION
RESULTS/COMMENTS
tf
-------------------------------------- COMMENTS AND
BL99 01
\.\
BLDG FINAL
06/20/2007 04 38
JIM 457-1670
BLDG. FINAL - SIGN
PAGE
DATE
SUBDIV
PHONE
PHONE
PM LPANGRLE
8
6/21/07
NOTES --------------------------------------
MAY-21-2007 04:08P FROM:
TO: 4174711
P.3
~
~'U
'0Cr ~
-~
~\.
~
<<... \. .;fi
~~~~~
G'
Fin
Crew
DESIGN CENTER
WALLS · FLOORS · DOORS · C~JNETS. COUNTSRTOP
457-1 670
10
MAY-21-2007 04:0BP FROM:
TO: 4174711
P.2
BUILDING PERMIT - APPLICATION
Penni! #.
Date Approved'
Date lssued' (p.- 2 0 - 0
-
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have an)' questions, call
PER1\fiTS (360) 417-4815 FAX(360)417-4711
Applicant or Agent -n;~ f/tAt'.,~ CrfU
Owner:~ee, Met:, 711 ("CIS
Address: 2704 ;111. PleAso..K.J IU. City:
Phone: ac,D) 4(""7- It? 7()
Phone: (3(.,0) t.;~z -7/09
f6ri- JJ.::Je/~5 Zip: 'J83C:.Z
ArchitectJEngmeer: Phone:
Cootractor -rlie. f!.... <~ ( ft....., State L,e,""" #: ~;rrtJ.P:
Address: 5""dZ. ~.?3JJ.. sf. City: __ __ ~
PROJECT ADDRESS: 31.5 E:. _ joSt -!>f.
Phone:(5bO) ~'/-/b 70
ZIp: 9S3Lo2
ZONING:
LEGAL DESCRIPTION: Lot
CLALLAM COUN1Y PARCEL NUMBER:
Block:
Subdivision:
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 I( Sign
BRIEF DESCRIPTION OF THE PROJECT:
IA Sl t\~ J tA.) ~o Lt!> -
o Stove
o Garage
o Deck
o Other
L..)p IA,~lI bi'
SIZEN ALUATION:
M SF.@$ 0 /SF.=$
SF. @ $ /SF. = $
SF. @ $ /SF. = $ C
TOTAL VAl.UATION $ ~ ~_PhoneC4.li)
o./I"'Lh;""j e;!r.oA ft:J hlAdllfl UC-~ (\)~4
I '
Occupant Load: ConstructIon Type:
& Proposed Sq. Ft. = TOTAL Sq. Ft.
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Na. afStories: Lot Size: Existing Sq. Ft.
T otallot coverage %
APPRO~*~
PLAN~.17
BLDG: .j
DPWU: .
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases) a valuation amount must be entered by the applicant. nus figure will be reviewed
and may be revised by the Buildmg Division to comply with current 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 pennit fees are due at the time of pennit issuance.
EXPmATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time far action by the applicant up to 180 days upan written request by the applicant (see Section Rl 05.3.2
of the International BuildinglResidentIal Code, 2003). No applicatIon can be extended more than once.
I hereby certify that I have read and examined this 'P ~ication and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine h pa7 are required ,not the City's, and that I must obtain such permits pnor to work.
T:\Policies\BIAI02_13.wpd Date: s: "2. L - 0 )
.' -, ''''V.' ,.CCC 'l'~''''''' ~r'1?
IJS~~~~~\_l)) ~
. 2-''''' ~.
o Electrical COl1tractor 0 Owner +~....~
o Annual Permi[ D Alarm 0 C:trnivaI4wmen:iitJ
.
ELECTRICAL WORK PERMIT APPLICATION
o Request Inspection
CJ R.sidential 0 Rosidenti.llI-lllinL 0 Si(lDs 0 Thermo.t.t CJ Tel..om.
Job wired by
~lectricaJ Contractor a Owner
License number
~t. y,.?,,~t: Z!$St:J I
In&tall:Ltion description
ff'kl(}ft/ Z" t?vlduul iI1,;S,
City
Stale: ZIP
Tolc:p~h~mC' number
'tn'~?O
FAX number
tj~Z- 3 'Ire
Prcmi... ow.c'" oan't7/t:>'r IC- I'lIA/if< !;J;-r-'1l<< /~
Addren of inspect.iun
51>
.c
/ S4'
Clly
1'/1
I hl:Tcby certify that I am tht;; owner of t.ru: abovt named property or a licensed
electrical contractor (or the firm'~ authorized agtmt) and J.m maJdng the: l:1c:ctricilJ
inStallation or alterahun in compliance witIJ. the electrical law, Chapter 19.28 RCW.
/
;CO.'ZOI' ele.tr'c.1 ..ntra.<., ., ele<<rk.J .dOlI.h'...or
WALLS
11lSulll.cion Only
CEJUNG
Insulutioll Only
Dul~
-~.ApprD"tliey
Jovce
Apprv'ltd H)'
1).le
COv~r
Inspec(ion
D~le
I.
f
I0 39\1d
JI~lJ3l3 JldWAlO
85~E2:S~09E
9S:2:I S002:/2:0/90
Discover
SERViCE
DUle AIlPf\I....oJ.~)'
FEEDER
Dill'
A9p'o"~ 8y
Service Information
Voltage 1ZDh.Yv
Phase p-'; a 3
Service Size: 26M
Feeder Size:
Actiou Taken
Electrical
Inspector
,
-"
')
03/17/2005 21:25
WIll
4579270
c.~ / 1JJ
tad' . b'
~ ''P
o Owner ...-..~?
D Carnh'al 'Jt Commercial Cl Residential 0 Residential Mnin[. a Sign~ 0 Thermostat CJ Teleeom.
SIMPSON ELECTRIC
PAGE 01
o
ELECTRICAL WORK P]~RMIT APPLICATION
o Request Inspection
; Electrical Contractor
CI Annual Permit 0 Alarm
Imtnl1ation dC!lcription
14 Electrical Contractor IJ Owner
Job wired by
)-100 /( Lf
..s~
ne..,.)
EJcclric;l.) COl'l!ftlctor nilme
I/T) Son Eledt:J'e... l-L-C.-
PUTcha.c;cr'!i. m:lilinR, "cl~ress
!)if303b Ll.......A. wD.A,. 11) r W
Cit_~ ~ -::.r- State ZIP
rOe:f- AnCj~k9, /i\J{>t- 183/",3
TctcphOTlC number FAX number
";,-Cf;)..'1cJ J~
:mWrn"jfl~. PflR-~ F?et1t-a.' s
Addreu or Inspection .st
3/s E:. I "
CUY'J I
T O~t es
34:>. '1!!
o Cash IJ Check #
t hcrcby certify that I am the owner of the ilhovc mimed property Qr ~ licensed ~
el 'I (h fi . .C' d k' .C I . J 0 Credit Card "',..sasa - \ Mastercard
eClnCB contractor or t C lmrs 3UUJonzc agent) and am mil tng Ole c cctnca ______
installation or alteration in compli<lncc with the electrical law, Chapter 19.28 RCW. Card #
Discover
owncr, CIC:4 c07' .,
ect1'ital ndministrntor
Expiration Date
of card ?/3olbl"
x
o
WALLS
In:l\llation Only
nnle ^Clpro~By
Cover
Dnle ^pprov~d By
\.
'TRERMOSfAT
Dnle ^l"fI"'w"'<1 f.I~
DTfCR
n~llt ^""n1ved 0)'
SERVlCE
\. Ontc ^Jlflm~efI8Y
r
FEEDER
OJ\le AJ'ClI"(wc<llh
CEILING
Insullltion Only
OJ\1e
^1l11mltef1 F'ly
Cover
Dnle
^1"1"l'lte..j l'Iy
EI9ctri~9lL.Q9!l Additions and or subtractions
Cl NO LOAD CHANGES
C Baseboard KW
Cl Furnace _ KW
Cl Hoa' Pump _ Ton _ LAA
Cl Fan-Wall KW
('0
S.~rvlce Information
Voltage
PhasoQ1Q3
Service Size: ~
Feeder Si7.e:
a Overhead Service
Cl Temp Service
o Underground Service
Tn,!:pectlon Area, Building or Equipment Tn.'~pcctcd Action 'lnkcn Electrical
O..le Jnsn.ector
.
-Y zzJos- 'Ii.- i.. JA ("'nA .....c.rJ--- ~C ..-r;V' " ))
7 ~
/i1f) :y?8;0S-
ELECTRICAL PERMIT
CITY OF PORT ANGELES_
3604174735 -
Application Number . . . . . 18-00000936 Date 6/19/18
Application pin number . . . 124536
Property Address . . . . . . 315 E 1ST ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1850 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . COMMERCIAL ARTERIAL
Application valuation . . .0
----------------------------------------------------------------------------
Application desc
Exhaust Fan
----------------------------------------------------------------------------
Owner
Contractor
------------------------
OLYMPIC PRINTERS
INVESTMENT
------------------------
EXTRA MILE TECH &
ELECT., LLC_
310 E IST ST
418 N. RACE ST.
PORT ANGELES
WA 983623108
PORT ANGELES
WA 98362
( 8)
(360) 457-5222
— --------------------------------------------------------------------------
Permit . . . . .
. ELECTRICAL ALTER COMMERCIAL
Additional desc
.
Permit Fee . . .
. 74.00
Plan Check Fee
00
Issue Date . . .
. 6/19/18
valuation
0
Expiration Date .
. 12/16/18
Qty Unit Charge Per
Extension
1.00 74.0000 ECH EL -COMM BRANCH CIR WO/ SIP
74.00
Fee summary
Charged
---------- ----------
Paid Credited
----------
Due
----------
-----------------
Permit Fee Total
74.00
74.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
74.00
74.00. .00
.00
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
INSPECTION. TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE '
ROUGH -IN GRP
FINAL �, j
COMMENTS:
PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPEGTtON_
Signature of owner or Electrical Contractor- ,I� , �_. Date:
p�pOflT,,,,Q ELECTRICAL INSPECTION
WIRING REPORT
v
jV
°`I�'"!!'e 417-4735
DATE
OWNER
CONTRACTOR
_may "v1. G
ADDRESS
_:32 4-, 6 -
PERMIT kI INSPECTOR
T -/'t
APPROVED NOT APPROVED
❑ .................... DITCH .................... ❑
❑................ ROUGH IN/COVER..
0
N/COVER..❑....................SERVICE................... ❑
❑ .....................FINAL.................... ❑
1�CORRECTIONS NEEDED: -K"-i
Z� fz$ m o
rj_t_%�e_
h� � e;;;� qrtL �.p c �✓Lt� � S ty
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
-- 00 NOT REMOVE --
MULTI -FAMILY I COMMERCIAL
N
ELECTRICAL PERMIT APPLICATIO
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362
360.417.47351 www_cityofpaus I electficalpermits@cityofp&us
Project Address: 3%5- E -s4 -
Project DescAption: N e• Vf- C_
K_ e
Cki—;
0 Multi -Family Resiclerifial ER"Comrrmcial J Industrial
Public aukum square footage:
Nam:
Email:
tQ / A -
Mailing Address:
ftmw-
36V-q?7-S7/3
0
Name. 9F_X� 6 *0;(.eTei67/4-in fu/ License:
Mailing Address: ?.6. P,--, 7.12-2, PA- 1 ?3 (,2._. Date:
Email:
Phone:
7 bo - 44 f - P 3 a SZ
30
illi Unit
Chame QuanjW
Mill (Quanft x Lh* Charp)
ServicerFeeaer 200 Amp.
$132.00
$
Sarvica201-400 Amp.
$160.00
$
Servk:e/Feeder 401-600 Amp-
$225-W
$
sarvicelFeeder6014000Amp_
$288.00
$
ServicafFeader over 1000 Amp.
$410.00
$
Branch Circuit W Service Feeder
$5.00
$
Branch Circuit VW0 Service Feeder
$74.00
$
Each Additional Branch Circuit
$5-00
$
Branch Circuits 1-4
$86.00
$
Temp. Serviceffieeder 2DO Amp.
$102.00
$
Temp Service/Feeder 201-400 Amp.
$121.00
$
Temp. Serike/Feeder401-WO Amp.
$164.00
$
Temp. W14000 Amp.
$185-00
$
Portal io Portal Hourly
$96.00
$
Sig" CircukLirnifed Energy - Multi -Family
$88.W
$
Signal CkmdKlnftd Energy/Fast 1500 af - Commercial
$96.00
$
(Moto. S&OD for each additional 1600 st)
Renewable Elm Energy: 5KVA System or less
$113.00
$
Thermostat Q4ole:. $5 for each additional)
$56.00
$
$ TOTAL
Owner as defined by RCK1928.251: (t)Owner will occupy the stn xb refor two years af this eWbcWpem*is*mkmcL (2)Owner is
required to hire an electrical contractor I above said property is for sale. rent or lease. Permit expires after six months of last inspection.
After reading the above stoomwa, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C.. RCK Chapter 1928, V%kC. Chapter 296-
468, The City of Part Arxj" Municipal Code, and Utility Specifications and PAMC 14-05.050 re9w&S Electrical PermitApplications.
Date Pdri Nam Signature([] Owner ge'ElectricalContractor /Ak,,76 _4J)
[Electrical Permit Applications may be submitted to City Hal or elec:hica1ixmnds*dtyofpa_us or IWW to 360AI 7.4711]
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . . . . 18-00000885 Date 6/13/18
Application pin number . . . 924400
Property Address . . . . . . 315 E IST ST
ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1850 -0000 -
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . COMMERCIAL ARTERIAL
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Oven and fridge circuits
-------------------------------- -------------------------------------------
Owner Contractor
------------------------ ------------------------
OLYMPIC PRINTERS INVESTMENT OLYMPIC ELECTRIC CO INC
310 E 1ST ST 4230 TUMWATER
PORT ANGELES WA 983623108 PORT ANGELES WA 98363
( 8) (360) 457-5303
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . 1-4 CIRCUITS
Permit Fee . . . . 86.00 Flan Check Fee .00
Issue Date . . . . 6/13/18 Valuation 0
Expiration Date 12/10/18
Qty Unit Charge Per Extension
BASE FEE 86.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 86.00 86.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 86.00 86.00 .00 .00
INSPECTION TYPE DATE: RESULTS:
DITCH
1 SERVICE
ROUGH -IST
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
.- lrz�'.
v C 'ft
-�► CF$
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Coale 0502)
INSPECTOR
Date:
Jun 12 2018 10:39AM HP Fax
page 1
REU. r . .
WMERCIAL JUN
APPLICATIOa�Ni?,=
�S Department.
:les. WA 98362
tricalperrn itscityofpa.us
Project Address:' -fes. Z /
Project Descrfptian-
a
❑ Multi -Family Residential U901Commercial 1 Industrial I Pub9c Building Square footage:
Name- 11.x, Email:
Mailing Address: 1 /rf'�" Phare:
Email: msureenrr 0dYnnpiCdectrtc W
Service)Feeder 200 Amp.
Service/Feeder 201.400 Amp.
Service/Feeder 401-600 Amp.
ServioelFeeder 601-1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit WIO Service Feeder
Each Additional Branch Circuit
Branch: Circuits 1-4
Temp. ServioefFeeder 200 Amp.
Temp. SarvicefFeeder 201.400 Amp.
Temp. ServicefFeeder401-600 Amp.
Temp. Servioe/Feeder 601-1000 Amp.
Portal to Portal Hourly
Signal Circuitftimited Energy - Muftifamity
Signal CircuitlLknited Energffirst 1500 sf-Commercial
(Note: $5. DO for each additional 1500 so
Renewable Elec. Energy: SKVA System or tam
Thermostat (Note: $5 for each additional)
WA sese9
Phone: aBy 0��7.iznn
fwL'fitiitoe. 2w2ft
12W (Q+ MIlI'ty x U
$132.00
S
$160.130
$
$225.DO
$ _
$288.00
$
$410.OD
$
$5.00
$
$74.00
$
$5.00
$
$86.00
$102.OD
$
$121.130
$
$164.DD
$
$185.DD
S
$96.00
S
$68.00 <
$
$96.00
$
$113.00
$
$5600
S
S , +- " TOTAL
Owner as defined by RCW.18.28.261: (1) Owner Will occupy tha structure for two years after this electrical permit is finalized. (2) Owner is
required to hire an electrical contractor if above said property i; for sale, rent or lease. Permit expires after six months of last inspection.
After reading the above statement, I hereby certify that I am th a owner of the above named property or a licensed electrical contractor. I
am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW Chapter 1928. WAC. Chapter 296-
488, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Etectricai Permit Applications.
Date Print Name Siyia r ( Owner (electrical Contractor/ Administrator)
[Electrical Permit Applications may be submitted to Cit Hail or electricalpermits@city0pa.us or faxed to 360.417.4711]