HomeMy WebLinkAbout302 E 8th St - Building
CERTIF ~... ,E'~F-g~5CUPANCY
c, tif'6oR Angel~j;," B~~~iSiOn
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CERTIFICA TE OF OCCUPANCY APPLICA TION Permit# Ol-ILJlfZ
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 I Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Print in ink
BUSINESS NAME /11/ k
BUSINESS ADDRESS
Phone #
Business owner's name '/1- {e.
Business owner's home address
,
1/1"'""-
PLEASE NOTE:
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, 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
location from a
non-PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING? NOV' YESV' IF YES, CONTACT
Electrical chanaes V/ Electrical Depl. at 417-4735
New or relocated signs v Buildina Division at 417-4815
Construction chanQes 1// "
Mechanical chanaes (heatina. coolina, stoves) 1/ "
Plumbing changes v "
Fire sprinkler system chanaes v "
Fire alarm system chanQes ..../ "
Is this a home occupation? V~ PlanninQ Division at 417-4750
Second-hand dealer or Dawn broker? V~ City Clerk at 417-4634
New or relocated sewer or water service V Public Works at 417-4807
Excavation or fillinQ of lots V "
Work done in the City riaht-of-way V / "
New driveway openinas v/ "
Grading site drainage (parkina lots, downspouts, etc.) V~ "
Landscape irriQation system (backflow devices) v ~ Water Depl. at 417-4886
Off-street parkina ~
Existing streets caved V/
ExistinQ sidewalks V/
Curb and Qutter v
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 acknowledge that I have read this application and state that the information I have
~P'
I hereby apply for a Certificate of Occupancy.
supplied is correct to the best of my knowledge.
Date fJ-- ~ - 0 ( Print Name DA L e
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
h,v!<
Signature
Rejected
Initials & date
Comments I Conditions
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
yes
T:Forms/Building Division/Certificate of Occupancy Application
CITY OF PORT ANGELES
DEP ARTM ENT OF COMMUNITY DEVELOPMENT- BUIL DiNG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5/15/2002 PERMIT NO: 13428
OWNER/APPLICANT PROPERTY LOCATION
302 8TH ST E
DIANE MARKLEY
302 E. 8TH STREET Lot: NI/2LOT 89
Port Angeles, WA 98362 Block: 270 [] Long Legal
360/000-0000 Subdivision: TPA
T: S: Parcel No: 063000027038000
CONTRACTOR ARCHITECT
EMERALD ROOFING N/A
133 LELAND AVE
Port Angeles, WA 98362 , 98360-0000
360/452-4681 3601000-0000
PROJECT INFO
Project Value: $4,000.00 SFD Units: 0 Commercial: 0
Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0
Occupancy Type: COMMERCIAL Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
TEAR OFF, TORCH DOWN
RECEIPT#9086
FEES ASSESSMENT
Building Permit: $97.25 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0,00
Manufactured Home: $0,00
Sign: $0.00 TOTAL FEE: $101.75
Plumbing: $0.00 AMOUNT PAID: $101.75
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of "180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection, I hereby certify that I have read and examined this application and knowthe same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to viola~l the provisions of any state or local law regulating construction or the performance of
construction.
--.d, /
Si~Contractor o(r-A~h~orized Agent Date Signature of Owner (if owner is builder) Date
,/
T~LANNING~FORMS\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PL^NS AT,OB SITE
INSPECTION TYPE DATE ] ACCEPTED COMMENTS
I
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD/ DUCTS
PWUTILITIES/ SITEWORR (EnglneetingDivlsion) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'$ SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL o LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERENG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 3~--/~L LffH BHILDING
T:\PLANNING\FORMS\1102.15 [4~2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date 3- ' ./z.~ ,_(_~__~ Time Received by //~ ~ (phone, person)
Location of Work to be inspected .~C'~- (:~ ~ J~L~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. /~ ~L/~
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
INSPECTION NOTES: '~-~ ~
~ ~-~ Time By v ~
Inspected: Date ~-' ~'- ~'
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved r~Gravel [~Asphalt [~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Perm{tree [] COMPLETE
[] No Damage Found [] INCOMPLETE
IContinue on reverse side if necessary) STREET SUPERINTENDENT {DATE)