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Home My WebLink About105 W 1st St - Building ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001227 Date 10/23/07 215485 105 W 1ST ST 06-30-00-0-0-1566-0000- ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT o Owner BLORE, BRANDO 105 W 1ST ST PORT ANGELES WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Contractor HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 ELECTRICAL ALTER COMMERCIAL HI- TECH/ SECURITY SYSTEM 113761 HI TECH SECURITY 40.00 10/23/07 4/20/08 Qty Unit Charge 1.00 40,0000 Per EL-LOW VOLT SYS <=2500 SQFT Extension 40.00 INC Plan Check Fee Valuation .00 o Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 ~ o .<J\ s ~ ~( SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL IdL OMMENTS: ~.,.,~:~-:. ~~ ~~:; .~...:l<" ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner II~l~n description prCoDlmcrciaJ Q Residential Electrical conlractor nume ....l:U:J:...f.GlI+ S~ \ "'r I .Th.C.... Purchaser's mailing address 3:_~~_ ~~~ Cily ~t)"\ ~~~ Telephone number 3~~4-S'Z- 2-;J.2-:J. License nwnbc::r J.)atc Expires '..hT~~ 9S"S"&~ \ I o<t ~f<o,.,.}\ S,_ ~~e. ZIP ~8~b2- o New o Altered/Addition \i......}~\~LL.. ~\J'CHO FAX numbcr ~ -4-5:2 -S5"tDc:J c:; ~ '5;.--re~ u...:>\ q~L ~-r-. FINAL Prcmi~c~ owner'~ name g~co ~\o~~ Addrc~~ or in~pcction ,.oS" U,). (~ Clt~!a.' ~~s. PhonE number to schedule inspection: ~5"1- 'B Owner as defined by RCU~/9.28.261:(1) Owner Il'illllct.upy the slruclure far two Jellrs after this eler:trir.al permil is fi11a(j::ed. (:!) o..'ile" is N!quirecl (0 lIire an eledriccll c:unlraClOr if above said flmpen>, is far sale.. rent or 1f!(Jse. After reading the above stalemcml, I hereby certify that 1 am the owner of the above named properlY or a licensed elcclri\:<ll COlllraclor, I am milking the electrical instal- latioll or alteration in compliance wilb lbe eleclrical iaw~. N.H.C., RCW. Chllptcr 19.28, WAC. Cl13ptet 296.46D. The City of Porl Angeles Municipal Code, and Utility Specitications. Signature of (lWne \ ~f'\SuR.~ So. o Cash 0 Check it (;)U FdL o Credit C..ard Visa Card # Ma~tercard Discover . M _ - - - - - - - - -- .-. .-- --- -... -'," ..... --. x Date: 10) t2.1 D "'f-. Inspection fee $ 12..'2...0 Electrical load Additions and or .i9.11li! a NO LOAD CHANGES a Baseboard KW i.J Furnace KW 0 Ollerhead Sel'\llce L:l Heat Pump Ton LAR 0 Temp Service Cl Fan.Wall t<:W Cl Underground Sel'\lice ~AMF.. DAY TNSPECTI~N, CALL .8l<:FORE 1:00 AM 360-417-4735 ROUCI1-lN THERMOSTAT )n~,)ec,iOIl Date KE Expiration Date of card Service Information Voltage PhaSeD 1 a 3 Service Size: _ Feeder Size: ___._ SERVICE D~tl:! D,te Approved By ^l"l'f('lVetI. My DITCH FEEDER D3U: ~Ic Approved Dy Approv<d Oy Area, Building or Equipment Inspected Action Taken F..lcctrieal ln~pcctor ld W~9c:L0 L00c cl .+~O ENTER APP. TO PLAN REVIEW RETURN FROM PLAN REVIEW(APPROVED) RECEIPT TO CASHIER PAID PERMIT ISSUED FAXED TO CONTRACTOR INSPECTIONS FINAL ~ ~ , ~ ~ ~ 0958 c5v 09~ : .ON X~~ SJINO~lJ313 HJ31-IH WO~~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDfNG orVISION 321 EAST 5'1'1-1 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 08-00000411 Date 959331 105 W 1ST ST 06-30-00-0-0-1566-0000- UNIQUE TREASURES MALL 4/17/08 SIGNS CENTRAL BUSINESS DISTRICT 700 Application desc 12 SQ. FT. WALL-MOUNTED SIGN Owner Contractor BRANDO S BLQRE 504 W 5TH ST. PORT ANGELES (360) 452-5995 WA 98362 JACKSON'S SIGNS & GRAPHICS 472 MT. PLEASANT RD PORT ANGELES WA 98362 (360) 457-3703 Permit SIGN Additional desc 12 SF WALL-MOUNTED SIGN Permit pin number 124164 Permit Fee 47.00 plan Check Fee .00 Issue Date 4/17/08 valuation 700 Expiration Date 10/14/08 Qty Unit Charge Per Extension 1. 00 47.0000 PER S- SIGN LESS THAN 25 SF 47.00 Special Notes and Comments April 15, 2008 2:58:08 PM sroberds. The proposal will result in a wall mounted commerci.al sign totaling 12 square feet in the CBD zone. Maximum allowable sign area is a total of 200 square feet. No land use issues anticipated. Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 47.00 .00 47.00 47.00 .00 47.00 .00 .00 .00 .00 .00 .00 Iih/ q I C2e/ $1'2 ~o,p Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void jfwork or construction authorized is not commenced within 180 days, jf construction or work is suspended or abandoned for a period of 180 days after the work has 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 cornplied with whether specified herein or not. The granting of a perrnit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructjon. '-f -} 1-'D,? J~",,,", S~-r Date Print Name (,h 1^.fl"--~ Sig~ ture of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:PormslBllilding Division!Bui\ding Permit (lOfOI/07).wpo 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 I-lOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE, o oQ I ...r INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUi~mATION; FOOTINGS SHEAR WALLS I WALLS rOUNOA T10N DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS,) PLUl\HlING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO I3LDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL W ALL5 I (ElLING I - FRAMING JOISTS I GIRDERS SHEAR W ALLfHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRi>,CED PANEL ONLY) T-BAR INSULATION SLAB {/\ WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET J CHlMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DO\Yl'.lS . SKIRTING PLANNING DEPT SEPARATE PERMIT If's SErA: PARKING/LIGHTING ESA' LANDSCAPING SHORELINE: FINAL INSI'ECTlONS REQUIRED PRIOR TO OCCUPANCYIUSF; RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPn:D YES NO ELECTRICAL - LIGHT DEPT. 417-4735 EI,ECTR1CAL LIGHT DEPT L9 CONSTRUCTION R.W./PWI CONSTRUCTION - R.W. ENGINEERING 417-,1807 PW J ENGINEERING :5 FIRE 1\\7-<1G53 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING Q,'l~ -:rLL... o U1 c: 1" ~ Ul, T:Forf\l5JBuilding Divi5iollIBIlilding Permil (IOIOI/07),wpd '\ ~w 0 , m N , ~ WW ~~ ~~ "0 ~~ om ~m ;:; ~~ , , ~ ~N ~ ~~ ~~ 0 W rl W 00 " ~ ~~ m ~ ~ ~ " w ~ . ~ ~ " W W rl ~ H > ~ ~ ~ 8 ww w zz ~ ~ ww ~ 00 W ~w ~~ " ~ U~ W "" 0 ~ ~ H~ rl ~~ ~ " Z N ~ O~ Z HO W w~~ ~~ ~ mH w UU Z wmw ~ ww W o~ Z "" " 0 W ww Z" NN ~ zz 00 ~ we> HH HU ~ -"" ~ 0 ~, zm Z U w "w HN~H U H~ " " H ~~ rl " , uo t').,.,lIlCl " 0 ww 01-<1>:0 ~~ 0 WW ...:l0.0<(...:I ~~ 0 ,,~ lIlotlIllIl ~~ 0 . ~w w ~z it- ww w~ " ~ !5ZUl,-<H ~S ~ Clp<'[J) !-<{J}HOO zw N [J)o<(Ol...:l 'rl HW ~ W ~Orl ~ ~~w ,~ w w"- woo W rl Z 00 ~"O W gJ 0 0 10 -~ s: rn~oo ~ww w oow O'~ <"10 ~~" 0 o~ lflHI.) " ww , ;;;~ ;::~~IIl:g~ grgo; m N N ~ 25 , '" . .~ ~ ~ ~u 0 . ~" W ~ " zo ~ ~ " " 5 ~" w -u ,:; rl "0 w"~ ~z '" 0 ~ gj~~gJ[j...:l ~ W "~ ~ , m "" Q@6~~g; " m "H ~E-oUOp.,o<C ~ e> "U " ~ , BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Alln: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant or Agent Jackson's Sitjns Owner Branda Blare Owner's Address 105 W. First St Contractor/Engineer ,Jackson's Signs Contractor/Engineer's Address 472 Mt. Pleasant Rd License # Jackss.a022M1 Phone Phone For City Use Only: Date ~eceived p~ 67 - 0 Perm #~ l'tJf Date pprove ' 0:;$-'-111 457-::3703 452-5995 Phone 457-3703 Expires 1-28-09 Parcel Number Lot ~ (}/).65 Zoning M.k6L CBD PROJECT ADDRESS 105 W. First St. Proiect Tvpe & Brief Description: . Check all that apply o New Construction, o Addition o Remodel o Repair oRe-roof o Demolition <xSign o Residential ~ommercial o Multi-family o Industrial o Heat System o Other III wall-mounted 0 projecting 0 freestanding 0 awning Total si n area 3' x 4' s . ft. 12 Maximum allowed si n area 60' x 30'S . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other 200 Floor Areas Existina (sa. ft.) Proposed (sa. ft.) Basement @$ per sq. ft. = $ 1" Floor 2nd Floor 3'" Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUA T/ON $ t;\ ; 1\>700, Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? sq. ft. ft. Lot size sq. ft. = Lot coverage # of bedrooms # of full baths # of half baths % Occupancy group Occupant load Construction type I have read and completed,Jhis application and know it to be true and correct. I am authorized 10 apply for this permit and . understand that it is my responsibility to delermine what permits are required, and 10 0 tain permits prior 0 working on projects. . 'r . / / Date 4 -7.-{) 'i Print Name <:j C\ c..lL-S\J~ S MM2.--< Signature ',(u-f/ T:Formsl8uilding OivisionIBldg Permit Appl.-2006 Code.doc CU/~'-;Zj2~dg E3 LJ I L C> I r--1 c::i I ) (oS' \J.-J, I s{ U~ i ~JD .-J ,.J lffNIQNB TI{FJ\Sl!l1\~ M1\IJIJ A.n.t.iqu:es . ' CoIIect.IbIes 3' x 4' 3/4" mdo plywood single sided sign WALL MOUNT 105 W. First St. fILE Wall CITY OF PORT ANGELES _ ,.. , Th~ Issuance of this permit based ....o~struct!O:1 fltann catIons and other data shall t Upon lhese pians, Sp€dfi. from thereafter reQuiring thoa {Jreve~t the bUilding official p/il;-:S, specifications and t~ correctIon of errors in said b 'Id" 0 lief data or f .w rng operations being . ' rom preventing VIolation of all Codes a d carr~ed on thereunder when in ~~ n ordrnances of this j"urisd" '" VJ ~ m or Ie /On. () BY",jU ::;2oc.l.., Il3c.. 1.)o~J.z.. ~.a~ ec:-~ ~II~ LJ_BJPf?flcr)JIU( 471 mount Pledsdnt Ud, Port ftngdes, Wd 98}6Z 0E50-4873/r.B Approval Date A..-U i....e> 1S~a~n5 AI'LStJP 1(" ....... Lag bolt with washer Sign Lag bolt with washer ....... Use Classification: Group: M Owner of Business: Building Address: CERTIFICA;PE"~OF"~ElCCU P ANCY iiP ' .<i' . . City of Port Angeles' . '. . Building Division , This C?ftijicmidn issued p.ur~uant to the requirements of Section(! 09 of the UniJornjEulidmg Code certifymg that at the time of Issuance this st~ucture was in compliance with the various ordinances of the City regulating Building . I' '. construction or use. For thefol/owing: ..".. \ Gift Snap Building Permit No.: Business Name: Umque Treasures Inc. ~ . m \ Type of Construction: V - N Use jone: CBD Barbara J. Gregory Address: 105 West 1st Street. Port Angeles. W A 98362 \ I 105 Westi>l st Street. Port Angeles. W A 98362 \~ --"""""'\ If 1~,,- i ~~;~'i""'-' /t' ,. ... .jf...~,~,... ber 16 2004 /~.~;~~_.. /atc Po ':~"" ~~~~,; i SIJ,J,.CUOUS place. Shall not be remoyeCl~~ ~y"Building Official. ~~~,v~:m?"$"i&% ~~: , ./ ROUTING SLIP ,.OR'_.. l"~Q<,,<;. ',..;J Certificate of Occupancy ~~ ~~ ? $47.00 Certificate/Inspection Fee ~ '- .....;;;..> DATE 3/StJ4'1 New Business ..... .. . .... ................ ( ) Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( ) I as tlk~T g::j R:5 T :5']'; Change of Ownership . . . . . . . . . . . . . . . . . . . . . . (l- ) Applicant UJ.Jlt9.IJF T<R';flSVRf,.<:; , II-/e!.- New Building ............................. ( ) , Address /f1..j-.~~ MI!:5f FIIJZ5T <;7. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) PIJtf<l t!1lJcbEJ-F-C, , /-1) If 9'33,l:J..- Temporary Business ...... ................. ( ) , Phone: business home lJ.1-d~J?L/ k Change of Use. . . . . ..... .. .. .............. ( ) Brief description of proposed business: RLT/I / A 57/J1</: Cf- /JIll / / Legal Description: Lot Block Subdivision Current Use of Property: SAmE 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) . ............ =i= 2) Plumbing 2) Peddlers Plumbing changes ..., ....... .................. 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ....... -7 4) Mechanical 4) Pawn Broker New septic tanks. . ................. ............ 5) Sewer 5) Dance New sewer service ......... ......... -y 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. ..... -X 7) Driveway installation 7) Fireworks Is this a home occupation? .. ..... .......... = x::: 8) Curb installation 8) Ambulance Excavation of filling of lots .................. ..... _L 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way.................... _A- 10) Water meter installation 10) Other Is 1here sufficient off-street parking?{mp.J{J.'IfE~"', -y 11) Fire New driveway openings. . ......... ... ... 12) Occupancy A grading plan for site drainage. ................. -X- 13) Sign (parking lots, downspouts, etc.) .... ............. -I 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- 3/3t7~,y ., - edge that I have read this application and state that the Date: information I have supplied is correct to the best of my '~"/'d _y~/-/~ knowledge. Signed: ' t?' / /' A, ~OV Ii REJECTED Comments / Conditions l~ ~ Building Section It Public Works Department 3, DO-Qy\'\J Planning Department kDD Fire Department ~J , _~Clerk d' 1!' ..}~/ 7t>-' P.B.lA '\ 8'2. t o'-f V~". ,*~, '.: .';:t.~'-t- :;v.)'1 , c/ i/-<L' i rea. ,<, u r-e <: t.. " , " ',ROUTING SLIP (, .d Certif\gate of Occupancy 1':;'$47:00 Certificate/Inspection Fee "- 3/$&/0 '-I DATE Address of Proposed Business !()$ /)/1<"4.1 If'lk.sT :57: Applicant U J../ I Au '" I f! ;: A c, II Ii.t:' <; :.7 ,4i C Address Io.s- -';&;g. uJP'57 FIRST <::'7. f1,RT fl~UtiE'-}~::C; , UIA 95?3,6;).. home //.<,';)-174 t. " Phone: business " - New Business """""""""""""" Transfer of Business Location, , , , , ' , , , , , , , , , , Change of Ownership, , , ' , , , , , , , , , , , , , , , , , , New Building , , , , , ' , , , , , , , , , , , , , , , , , , , , , ' , Remodel, , , , , , , , , , , , , , , ' , , , , , , , , , , , , , , , , , Temporary Business '" , , ' , , , , , " """'" Change of Use, ' , , , , , , , , , , , , , , , , , , , ' , , , , , , Brief description of proposed business: R LTA 1 J-.. 5T/JR;:: Cj /}JIl LL- , Legal Description: Lot " j Curre~Use of Property: ,<!) ,.q Jrtf-" Zoning Classification of Property: Block > , ~ ,; WILL THERE BE ANY OF THE FOLLOWING? YES NO _1- -~ =i= -x:- -y = )( --A- -X- ~-X- =A t... I~ ~= Constructjon 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 occupatior1? ..... Excavation of filling of lot~ Work done in City righH'Jf-way . . . . . . . . Is there sufficient off-st~eet parking?! mrJ).l)'"'I~.e~~. 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 qccupancy and acknowl. edge that I have read this appiication and state that the information I have supplied is correct to the best of my knowledge, '" ()I( J v APPROVED REJECTED J~ Building Section Public Works Department Planning Department Fire Department .~Clerk ?U.'PB,IA \ 'l', f ,,\ i\ \\: ,\~ +,,\,f' -. \ .~. '\ Subdivision C'?-,\) THE FOLLOWING WILL BE REQUIRED: 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 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 . " ~ 10.' 1" ~""O~G<'(.. "~~.. ~~~ "'il(,,,wO"~~ I( ( (I- ( ( ( ( Date: .3/.3 CJh -I : Signed:,~~/..t~--' ~..../~ . /'" -\ /' / Comments / Conditions \~o"t- '^ '; ~ , ,- ,\ '^' G '" \ \ I' "Lt, Yli---'\ ~ 'y' A .",.'1 r ~ {.. ~ ~ n.,,~ \ ' \,,1, '" 0 ~n 'A'....x.~ "\"'~~~~6 -"\'",.,,-,,,\1 -\.~ %,1\. ' \ 1.-' \,...ro , ,,-' ~ ".' " @()f,J ). Pf> e.trT /(;-/5;-01 R...; 10-<:'6 ROUTING SLIP .oORr,>\> lO~Q<,,<;o Certificate of Occupancy ~~....~ L~ ~ $47.00 Certificate/Inspection Fee - ~rco;dP DATE I G) - ~(() - () I New Business ............................ ( ~ Address of ,roposed B'Siness Transfer of Business location. . . . . . . . . . . . . . . ( ) /6..1) L.. f ':>-t f. Change of Ownership. . ................... ( ) Applicant it,l,'I<~ LA.Au, d Ie' New Building ,.... .... .................... ( ) Ad~SS jE~ &J. i s.J- ~-t. Remodel. . ..... . .. ... ... ................ ( ) "D(-r 1(. .>Jd, U.4 ~>" '-- Temporary Business ...... ............... ( ) Phone: business46.2 - ?'Cl't"l home 417.-10 7 'i- Change of Use. . . . . . . . . . . . . . . . . . . . . . . ... . ( ) 4<::2 - /(,9.3 Brief description of proposed business: (urn:.,..u {L.- l:alf'c, ( NR.u...J i/o rlza VI ) "- legal Description: lot fC} Block is Subdivision rp/f Current Use of Property: I<e. to.: I Zoning Classification of Property: ciSt> WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. -~ PERMITS BUSINESS LICENSE Electrical changes. . . . . X 1) Building 1) Taxi ........... ........ ...... -- Mechanical (heating, cooling, stoves) . -~ 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 . _ ----<L 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 at tilling ot lots . .......... _ ---.L 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-ot-way . - ---X- 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. _ ---X- 13) Sign (parking lots, downspouts, etc.) .... .... -~ 14) Shoreline Are the existing streets paved? ... --.L _ 15) Home occupation Are there existing sidewalks? . ........ .... -L- 16) Conditional use Is there curb and gutter? ..... .. ..... ~- 17) Other Other. I hereby apply for a Certificate of Occupancy and acknowl- Date: ~-fj edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Signed 4 - . ~L-L- :It REJECTED ~ments / Conditions Building Section ~ 70 Lc3?7cYE A".2>L>R~~ Public Works Department ~<:::; /00' /!7:) /+1'. U/C../?/ ~ Planning Department ~/lfAJ, 26l03. {I---#/?-/f._Y?tT 70 Fire Department / CJ7 iLJ / .,yf? City Clerk PB.i.A. J ~( . @ /;;-1'5:-0 R.../J /0-<:6-.:::. tv e.vU Ho ,; ?. D V\ ,pORt ~... ~<:,O~G",<;. ~-'" . tiifIOl L~ ~ - "'<i.'ICWO...... ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE I () - ;2..(0 - 0 I Address of ,roposed Bl?'iness 16tJ t. /$f ., t. Applicant M,'I<..L /.6.",Au ~ d 1(' AddRsS ~ iv. i V ~-r. r.'(J{+- eJtJ, UA n~ l.- Phone: business46.2-?4'l&; home417-ICj7'1- New Business ............................ ( Transfer of Business Location. . . . . . . . . . . . . . .. ( Change of Ownership. . . . . . . . . . . . . . . . . . . . .. ( New Building .. . . . . . . . . . . . .. . . . . . . . . . . . . .. ( Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business ................ . . . . . .. ( Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) ) ) ) ) ) Brief description of proposed business: (urn; t1J fe...... ~<:Clle ~ Legal Description: Lot Current Use of Property: Zoning Classification of Property: l"t Ke. to.: ( cl5,{) 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-at-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.... ........... ........ .. . Block YES NO -~ X -- -~ _.-L _-.L -~ _-L _--L -~ _ ----L --+- .-2L _ -~ _-L _.......2L ---.L _ -.L_ -L_ 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. APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ~I t5 Subdivision Tf'.I'1 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 V> -\ \) 'SI 'E Date: '/12 - fj Signed:A- /.. -~~ DNw AR""c0r 1'1-1 ')-() f ~/cl 16-<:(.-<:>( ROUTING SLIP ;."; ,_O"T.", lO~G<<~<" ""'--' Certificate of Occupancy .'- ......c:;.:...]Il ~ $47.00 Certificate/Inspection Fee '-' <t,;;rcwo"'-~ DATE /6-,;2(0 - 0 I New Business .... . ..... ... . .. ........... ( .../" j Address of ,roposed Business Transfer of Business Location. . . .. . ......... ( ) 1()t:J i,. /51 S t, Change of Ownership. . . . . . . .............. ( ) Applicant M:k.e (j,,,,AH.dlt' New Building .............. ....... ... ..... ( ) Address /09 l-J. I~+ (1. Remodel. . . . . . . . . . . . . . . . . ....... . .., . ( ) ..... f-JD{f A,tell' Ie ( vII '1~~{,'"2.. Temporary Business ...... ......... ... ..... ( ) J ' homel./l7- '117 ~ Phone: businessL)l).l- S'qq "1 Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ("(/1;1,'IL ~(c; I" ~ ~ Brief description of proposed business: Legal Description: Lot It:t Block 15 Subdivision 7f'A Current Use of Property: i<a.+o.:r Zoning Classification of Property: clSD . WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. ..... j( PERMITS BUSINESS LICENSE -~ Electrical changes. ..... -- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . )( 2) Plumbing I 2) Peddlers ..... -- I Plumbing changes .... _ ---.L 3) Electrical i 3) 2nd Hand Dealer New or relocated signs. .............. ........... -~ 4) Mechanical I 4) Pawn Broker New septic tanks. ................. ..... X 5) Sewer 5) Dance -- I < New sewer service .............. ... .......... - 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. ... .. - '>t 7) Drivew~y insfaHation 7) Fireworks Is this a home occupation? .. ... ....... ... '/, 8) Curb installation 8) Ambulance -- Excavation ot tilling ot lots . .. ... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City, right-at-way. .. ... _ ---.:L 10) Water meter installation 10) Other Is there sufficient oft-street parking? . l( 11) Fire -- New driveway openings. -~ 12) Occupancy A grading plan for site drainage. ........ _ ---'L 13) Sign (parking lots, downspouts, etc.) ......"... _ --.:L 14) Shoreline Are the existing streets paved? . '{ 15) Home occupation -- , . --.L _ .. 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- / ()-:;2.(p - () I , edge that I have read this application and state that the Date: information"j have supplied is corre.ct to the best of my Signed:'1"0 L I~"I /. pC .'/ knowledge. -,- ~ " APPROVED REJECTED' Comments / Conditions ljP .bJ, .' j) v:r;/, Lp ~ / /IAn \/I",~, , -' A ('..-, 1-#70 Building Section .. / . .n ~j) Public Works Department (I A (,' /.' / \ ./I"" h" '-.fir. ~ II, '~ Planning Department -ID.P01~.d ~-()," pr:, d1., { - Fire Department City Clerk , P.B.I.A. " . , .t ._ h_ ~ ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee DATE J .2%-C) Applicant Address Phone: Brief description of proposed business: / .~-Z;;1 Legal Description: Lot -l ~ \ [ Block Current Use of Property: ""e }'" ,_ Zoning Classification of Property: cR D 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-of-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 N<y-" - ,./ - ------;T ~----;:;7' -- t./ -- V -- _-L -- - ---1.L =:~ ~~ _ --1L- _ -'JL:::: ~ 7~ ~- --bL' - 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 m knowledge. APPROVED REJECTED '1-4-01 -fF, Krf> q-~-[)I -A) ? . Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. New Business ................... Transfer of Business Location. Change of Ownership . . . . . . . . . . . . . . . . New Building ...... . . . .... . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . C'./odiJ' /s Subdivision 7;//1 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 f,OAr.>\, $O~G<;-,. "~~'" ~~ ~ '-' 'ili;1CwcP'~~ (~ ) /~ ) ) ) ) - ,- .. ."'''''' .>"'~'\".:"\~r";~~",....~ ,_;.. . 'r(:~';I:.~,'i::-",. . ." ROUTING SLIP ,.0Rf"" ";.O~Q,,, ""..,., , Certificate of Occupancy .'IIi~~ L~ ~ $47.00 Certificate/Inspection Fee - "'uH,,,,,.,,,,,,,~ . / 1 DATE ;. New Business ... ........ .... ..... ... ..... ( ) Address of Proposed Business Transfer of Business location. . . . . . . . . . .. .... ( ) -' ~ ../) 10..:5 W /,(}i' Change of Ownership . ... ... ... .. . . . . . . . . . , ( Applicant / " New Building ................ '" .......... ( ) Address l'" .- /,r./ jJ.j, -;4" ;: r Remodel, , , , ' , , . , , , , , , , , , , , , , , , , , , , , , , , , , ( ) " , ,..,l ., , "':'itt:!.i') Temporary Business ....................... ( ) Phone: business , c 7 l :;:'o:.Jhome . '-_....~:.,,/:(. Change of Use, , , , , , , , , , , , , , , , , , ' , , , , ' , , , , ( ) " r:~' . Brief description of proposed business: I ,- ,. . legal Description: lot_ICf ,_ Block l-s Subdivision 7PA Current Use of Property: 'Re. in .' Zoning Classification of Property: C.Rt> . WILL THERE BE ANY OF THE FOLLOWING? YES N~ THE FOllOWING Will BE REQUIRED: Construction changes. -- PERMITS BUSINESS LICENSE Electrical changes. ..... ..... ...... -- 1) Building 1) Taxi MechanIcal (he~ting, cooling, stoves) . 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 .................... -- 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-ot-way . ..... J 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.) ............ .... V '3iiT' 14) Shoreline Are the existing streets paved? .. " ....... " " 15) Home occupation Are there existing sidewalks? . . . . . . . . . ~- 16) Conditional use Is there curb and gutter? ---/;L- - 17) Other Other. ................................ '. J- .PI I hereby apply for a Certificate of Occupancy and acknowl- / .... 'I "" /F .t edge that I have read this application and state that the Date: :--1-'" ~ " information I have supplied is correct to the best of my~-::f-r-', 7;--- knowledge, / .,Signed: " .N(~ . /./, .'-,! ~_""-c-J.(.~-< '/. / / / (, , , ..../ /. / APPROVED REJECTED 'Comments./_Conllilions j ,>::;),e ~ j/)...-- , - .. - .- ,) JL. f Building Section ~ II j'k--:I~-' IJ <.'l-j' J7--1j-r?.11A .!)() In 'I / ~ Public Works Department ~ ~_.~~:: Planning Department ~]:J ~t ; YZ ,A;: .; Fire Department ,.L>6~ r-. OX -tlk. -0 -t-. ~ 0 City Clerk PB,IA " ~ ~ ,-1 - . ~ .eORr ~>\> ROUTING SLIP <-O~Q.. <l'~(~ Certificate of Occupancy 11'~ ~ $4'MlO'Certificate/lnspection Fee "'%:",d-~ DATE &, - c2 '1. l)/ New Business ( ) ......... . .. " ...... ,....... Address of Proposed Business Transfer of Business Location. .... .. ... ...... ( ) /t).j-'W, ;=/;-51:- ~/I Change of Ownership, , , , . .... ... ... "'" .. ( ) Applicant .Joh'll. 4-1(c,se A Mr,'oLD New Buiiding ... ............. ... ... ."". . ( ) Address < f 619 ~a..r r /lvj'to IV ~ [) . Remodel. .. ............... ........ ....... ( ) tbd AYl1J.e S ~uJ IV, tf f'dL, 3 Temporary Business ....................... ( ) Jr.. ~ ~J? >;1.32, Change of Use. . . , , , . . . . . . . . . . . . . . , , , , , . . . ( ) Phone: business ,q's'7- 0 home 'rei -c:>. Brief description of proposed business: J((J1U.:tL. e J01-hI1\l Legal Description: Lot Block Subdivision Current Use of Property: 'Re,+a.,' t. r I~+h I'~ Zoning Classification of Property: c... B j\ 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. ............... .. -- 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 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? . ....... -- 16) Conditional use Is there curb and gutter? ......... . . . . . -- 17) Other Other....... . .................. I hereby apply for a Certificate of Occupancy and acknowl- &,.:Ltr.Of edge that I have read this application and state that the Date: information I have supplied is correct to the best of my -j{Eftf2 /n. ~~~ knowledge, Signed: BD REJECTED Comments I Conditions Building Section Public Works Department Planning Department Fire Department City Cierk P.B.I.A. ROUTING SLIP .?~,>-,.~ Certificate of Occupancy ~' $47.00 Certificate/Inspection Fee DATE ¢ New BUS,bess ............................ Address of Proposed Business Transfer of Business Location ................ Change of Ownership ...................... Applicant _/~,Mt~.~';~ T~E.~I/.IZ_F'_~/ ~..~.'0_~ New Building ............................. Address /O.~~ ~ ¢t£~'7' FI~5'F' _~'7;, Remodel. '~2~'T'- ~,,~(~¢/-,~'_~,., /4'./,~ 9,~t,~ Temporary Business ....................... Phone: business home ~'5¢.¢ ~,/~,zJ ..~. Change of Use ............................ Brief description of proposed business: ~",~'7"/¢/.2-.. 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) .............. ,~ 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 ............................. ~ 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons .................... ~, 7) Driveway installation 7) Fireworks s th s 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 s there suffcent off-street park ng?*~,~D."/~F'~F:~-~. . ~ 11) Fire New driveway openings ......................... ~'~ 12) Occupancy A grading plan for site drainage ................... 2% 13) Sign (parking lots, downspouts, etc.) ................... ~ ~ 14) Shoreline A e the existing streets paved? ................... ~ 15) Home occupation Arethereexs ngsdewaks? ..................... ~ 16) Conditional use Is there curb and gutter? ......................... 17) Other Other .......................................... I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: knowledge.inf°rmati°n l have supplied is c°rrect t° the best °f mY Signed:~ D REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department ~,,~,%0~--~ ~¢~y Clerk '~'R B.I.A. CERTIFICA,TE' OF OCCUPANCY '~'~ City of Port Angeles Building Division This Ce}'tificatton tssued pursuant to the requirements of Sect~o~ ?09 of the Uniform Building Code certifying that at the time of issuance this }?.ucture was in compliance with the various ordinances of the City regulating Building .!! construction or use. For the following: Us¢Classificadon: Gift Shop BuiidingPem~itNo,: BusinessNam¢: Unl~iue Treasures Inc. Group: m Type of Construction: V-N Use Zone: CBD Owner of Business: Barba~h J. Gregory Address: 105 West 1st Street, Port Angeles, WA 98362 Building Address: 105 West[ 1st Street, Port Angeles, WA 98362 2004 Po., place. Shall not be g Official. of PORT~. ~~~ Un.ta !k -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered em Appllcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Applicatlon type description Subdlvlslon Name Property Use Property Zonlng . . . Application valuation 8/18/06 06-00000908 Date 280788 105 W 1ST ST 06-30-00-0-0-1566-0000- PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT o Owner Contractor LAWRENCE LOUELLA 704 LAWRENCE RD PORT ANGELES OWNER WA 983639454 Permlt Additional desc Permit pln number Permit Fee Issue Date Expiration Date RIGHT OF WAY RUP 06-24 84996 70.00 8/18/06 2/14/07 .00 o Plan Check Fee Valuation Qty Unit Charge Per Extension 70.00 BASE FEE Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 70.00 70.00 .00 .00 Plan Check Total .00 00 .00 .00 Grand Total 70.00 70.00 .00 .00 ~ ~ ~ ~ '" ~\:) ~~ ~~ ~. "" ~~ ~~ '< Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances 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. ~ g-/ffrtJ6 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Pohclcs\1102.ISR [1/05] Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 ;f INSPECTION TYPE DATE ACCEPTED COMMENTS '. I YES NO PW UTILITIES (Engineering DIVIsion) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I . . . - . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . . " T:\Pohcies\1102.15R [1/05] tlTE #- 0'- --<=JoB Lasered CEO ~ORTANGELES WAS H I N G TON, U. S. A. _~~~:~::~I~:/~~~ _ __"",';':. "-: ,1.. _"~~...'~ ~ $ral?do E/ C5rre St' If k~s.t~ ST PHONE NUMBER 3'h?O -1fS-7-S-~7( STREET ADDRESS OF PROPOSED STREET USE /tJS"' ti.. I tJ 7 W f)y.5' t .S'1: NAME OF APPLICANT DATE <g-/r1-06' MAILING ADDRESS IS THE USE TEMPORARY OR PERMANENT? '7em/p&rcJ...'r)I HOW LONG WILL THE OBSTRUCTION BE IN PLACE? J/l al1d. t!Jff' fCJr /l7a~be' 'i~ daV.5A WHAT ARE THE HOURS OF OPERATION? " HOW IT~~ILL BE LIGHTED? J)~(/ I ij1 ,,'1- LfJ A Y EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET, SIDEWALK OR PLANTING StRIP. ARE THERE ALTERNATE AREAS THA COULD BUSED? I e4.. tl./1 a ~ 11- ~ HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction, the undersigned for himself and for his successors in interest, hereby agrees to indemnify, hold harmless, and defend the City of Port Angeles against any claims or lawsuits for personal injury or property damage arising out of, or in any way connected with, the placement of the use or obstruction on the City street, sidewalk, planting strip, or right f way / A' 1!t ..:J- DATT~E this~day-of~.51 ,2006 ~.........,,\\1\lU.U.114fyr' ~'Ut~ tfx:f.. LiZ-- ~ ",\ ... RINE:fi ')r" - - : ...' ~'V..."'. ."1-9.i ~ Applicant :~~... -..'f ~ ~;J:.. ~ ~R Y .: ~ SUBSCRIBED and sworn to before me this ~ day of ~6 u.:::;1" ,200L. ~~l ~ea~.'29~ 15~ n_ iO ~..;t'~:~~\.~ ..Ii} '~~iG~~ i~*t~te of ~\P/,.. ..,jj~ Washingtonresiding~nT ~K)b E:.L~ ~'~n"11.+v............n~" (This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) //.111 l: OF 'IN \1'\\\" 1///11I111\\\\\ [OFFICE USE ONL Y] Date application received ;? - /0 - 0 ~ Fee paid $ 7 0 ~ Receipt # Certificate of Insurance per PAMC 11.12.140(B) Agreement to Remove Encroachment signed and on N/A recorded on ~ N/A ***********~ Application reviewed and recommendation by City Enginee _._ ~ ate ~f!K{)G is tO~I.) ~ and with the following conditions: _'b-:d--=-51 Q_fL_ WI/II {?t7//E7<! IN J1/i/,e/c /Hf'E;z:J - (lOAJE ftROUjJ b WO.K:K ~ - APPlicatione~Ve_~!or d . e by the Director of Public Works ReView copies sent to: Police Fire Street Date: ~~~:~~~~'=~;~~.:~"'~~~;;=~:.~""~::'~"'.~~'I:="~"'~~~~~~"~""~.~~;"""'''''''''''~'''~~~:~~~'~I~''~'''~~';~;~''~''Rlj"p.'#.......0;;;.= "2.~~il N \PWKS\lIGHT\CONS\CATE\ROWPER wpd I V II Vu/LV I IJ. JV Inj% CITY OF PORT ANGELES PERMIT APPLICATION IJAN 7 0% Building Divi,lion /Electrical Inspections 321 East Fifth Street — V,O. Box 1150 / Port Angeles Washington, 95362 ELECTRICA Ph- (360) 417 -4735 Fax: (360) 4174711 WHOM'S Date; Multl•Family Commercial* 'Plan Review ly�yy Be eQui�ed, Please gmplete Job Address. r'U� VV . 1 Building Square Footage- Description of above _ '-- I'1}laM.0 Off l Inform 4pi. vozfVuZ ga Owner Ir4mation CQntra r Informs ion- , `TY Name b!o Name. CG C1 Mail 9 Addr ss _ Mailin ddr VV City _ Skaiet Zip City;' UW4 -state, ZEo. Fax _ Plion : to Fax: S YK 1 License I Exp. _ T License # J Exp _ 1'Vl 0" Item Unit Charge ty Total (PU Mu i Qjo b v Unit Char e Serwce(FBeder 200 Amp S 132,00 $ r Service /Feeder 201 -400 Amp, $160.00 $ ServlcelFeeder 401.600 Amp $ 22500 $� Service /Feeder 601 -1000 Amp $ 266.00 $ $ervice /Feeder over 9000 Amp. $ 410 00 $ Branch Circuit WJ Servioe Feeder 5 5,00 Branch Circuit WIO Service Feeder $ 7400 Each Additional Branch Circuit $ 5 00 8 Branch Circuits 1 -4 S 06.00 Tamp Service/ Feeder 200 Amp. S 102.00 $ Temp. ServiceYFeeder 201.400 Amp $12100 $� - Temp Servoe/Feeder 401.600 Amp $ 164.00 $ Temp SennoelFeeder 601.1000 Amp, S 18540 $ Portal to Portal Woorly S 86,00 � 8ignlCutline Lighting $ 88.00 $ Slgnal CircuiU Limded Energy— Multi - Family $ 64.00 Slgnal CircuiU Limited Energy/ First 1500 0— Commercial $ 96.00 Q� Note- $5.00 for each additlonal 1500 sf Renewable Electrical Energy - 5KVA System or Less $113.00 $ Thermostat $ 5800 $ _ Note: $5 ,00 fcr each additional T -5tal Total Owner as defined by RCW.19,26 261; (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an eiectrical contractor if above said property is for sale, rent or lease Permit expires after six months of last inspection. After reading the above statement, 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., RCW. Chapter 19.29, WAC. Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sign ure of owner, electri c ntractor el trical administrator; ❑ cash ❑ chock Cr4d1t Card # 0, 1 %,QRTjv Q, ELECTRICAL INSPECTION '00 WIRING REPORT 417-4735 DATE PERMIT 4 INSPECTA I -TOW ,w ?) CONTRACTOR �kl&t�A 71)FiEss io,;;— Li APPROVED NN0) APPROV D D . ....... ........... DITCH .................... D ................ ROUGH IN/COVER ....... ....... 0 ....... SERVICE ................... El ri ............. — FINAL .................... 13 GORRECTIONS NEEDED: 6MC.A2 f7ng- "41p k lmz— F? ki k 4-1 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 16 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 Application Number . . . . . 14- 40000019 Date 1/08/14 Application pin number . . . 393517 DITCH Property Address . . . . 105 W 1ST ST ASSESSOR PARCRE, NUMBER: 06-30-00-0-0- 7.566 -0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . FINAL Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 Owner Contractor BRANDO S BLORE SHAMP ELECTRICAL CONTRACTING PQ BQX 3029 PO BOX 383 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 808 -0970 (360) 452 -1b89 Permit , . . ', . . ELECTRICAL ALTER COMMERCIAL Additional desc . , Permit Fee 264.00 Plan ChecR Fee 00 Issue Date 1/08/14 Valuation 0 Expiration Pate 7/07/14 Qty unit Charge Per Extension 2.00 132.0000 ECH EL -COM 0 -200 SRV FEEDER 264,00 Fee summary Charged Paid Credited Due Permit Pea Total 264.00 264.00 .00 .00 Plan Check Total. DO .00 .00 "00 Grand Total 264.00 264.00 00 .00 C_Yr Azy))q REPORT 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 FINAL �� hq COMMENTS: PERMIT WELL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: G:IEXCHANGETUILDING -a7 E ELEC MCAL PERMrr 3 CITY bpjORT ANGELES �35 Application Number 19-00000127 Date 1/23/19 Application_pin number 31341$ REPORT STATE SALES TAX Property Address 105 W 1ST ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1566-0000- on your exwe tax form Application type description. ELECTRICAL ONLY to the City Of Port Ang+efeS Subdivision Name . . . PropertyUse (Location Code 0502) ; Property.Zoning . . CENTRAL BUSINESS DISTRICT Application valuation . . . 0 ---------------------------------------------------------------------------- Application desc Outside light and GFCI ---------------------------------------------------------------------------- Owner Contractor ---------------------- ------------------------ BRANDO S BLORE ANGELES ELECTRIC PO BOX 3029 524 E. 1ST ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 808-0970- (360) 452-9264 Permit . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS Permit Fee . . . 86;00 Plan Check Fee .00 Issue Date 1/23/19 Valuation 0 Expiration Date 7/32/19 Qty Unit Charge Per Extension SASE FEE 86.00 Fee summary Charged PaidCredited Due Permit Fee Total 86.00 86.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 86.00 $6.00 :00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE , , , ROUGH-IN FINAL 120h9 COMMENTS: PLRMIr mu EXPIRE SIX(6)MONTHS FROM LAST IIdSpwmN Stature of owner or Electrical Contractor X Date: 01/21/2019 16:21 FAX 360 452 9265 Angeles Electric Q0001/0001 ,' ELcO m MULTI-FAMILY / COMMERCIAL rt ELECTRICAL PERMIT APPLICATION RECEIVED 1_ Public Works and Utilities Department JAN 321 E. 5th Street, Port Angeles,WA 98362 E[ECTRiCAC ti 360.417.4735 1 www.cityofpa.us I electricalpermits@cityofpa.us INSPECTIONS N Project Address: &5- !v. Project Description: �- ❑ Multi-Family Residential Commercial/Industrial/Public Building Square footage: OWNER INFORMATION Name: N i Email: Mailing Address: ftzc—i ,9: Phone: ELECTRICAL CON T RACTOR INFORMATION Name: Angeles Electric, Inc License: ANGELE146ORS Mailing Address: 524 E.first Street, Port Angeles,WA 98362 Expiration Date: 2/1/2020 Email: ksimpson -Olympus:net Phone: 360-452-9264 PROJECT (Ugpl Unit Charge Quantity Total(Quantity x Unit Charge) Service/Feeder 200 Amp. $132.00 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $225.00 $ Service/Feeder 601-1000 Amp. $288.00 $ Service/Feeder over 1000 Amp. $410.00 $ Branch Circuit W/Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $74.00 $ Each Additional Branch Circuit $5.00 $�� Branch Circuits 1-4 $86.00 _ $ Temp.Service/Feeder 200 Amp. $102.00 $ Temp.Service/Feeder 201-400 Amp. $121.00 $ Temp.Service/FeedeF;401-600 Amp. Temp.Service/Feeder60,1-1.000 Amp- Portal to Portal Hourly Sign/Outline Lighting :$g8Ot y6 Signal CircuitfUmited Energy Mpltl- Signal Circuit/Limited Energy/First'1$ 0�'! C.�Qmrn rd L' ,. (Note:$5.00 for each a fila 91,1$OOso Renewable Elec.Energy:5KVASysterrror Iess. $ Thermostat(Note:$5 for each additional) "jtl6 $ $-TOTAL_ Owner as defined by RCW.19.28.261:(1)Owner will occupy the structure for two years after this electrical permit Is finalized.(2)Owner is required to hire an electrical contractor if above sold property is for sale,rent or lease.Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the elecbrical installation or alteration in compliance with the electrical laws,N.E.C.,RCW.Chapter 19.28,WAC.Chapter 296- 466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Etectrlcal Permit Applications. 4r Dat& Print Name Signature(❑ Owner Electri I ntractor/Administrator) lElectrical Permit Applications may be submitted to City Hall or electricalpermitsQcltyofpa.us or faxed to 360.417.4711]