HomeMy WebLinkAbout522 E 8th St - Building 4-1
C E RTIFICATE, -0-F -OCC=UPANCY
City,Of Port Angeles!-'Bijildrjrng; Dlyisioni
k
This certificate is issued" -4ant,,tq.the requirements of III o
P IT i4rs - �f the 2009,International Building Code
certifying that at the time gy-issy'a'iice!ili&qjrypturq was in compjiqnqe with the various ordinances of the City
regulating building c�,'?nsIr,# or We
. ........ t following
♦ -rieh tion
Business name Diversido
"8th
Barbara4
Business address t�'- 6'2--2,!,E,8 Stw.
46
Property owner Vernon D 6 6&Mfi&� At6n,
th SttePort=A
Property owner s a 10§s 34 E 8 6%.W,AM562
j
Automatic fire sprinkler system. Not Required-
Use &occupancy crdskfiion. Business;
1�- 11.1 - I
Building permit numb,,,
a.
Pe
Type of construction. V64
02-23-11
Manager Date
Post on the premises in a conspicuous place. Thi fj6fi-s not he removed except by the Building Official.
PREPARED 1/26/11 8 28 25 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/11
ADDRESS 522 E 8TH ST SUBDIV
TENANT NBR FRIENDSHIP DIVERSION
CONTRACTOR PHONE
OWNER VERNON D PETERS & PHONE (360) 477 5586
PARCEL 06 30 00 0 2 7216 0000
APPL NUMBER 11 00000030 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 1/13/11 JLL BLDG FRAMING TIME 01 00
1/13/11 AP January 12 2011 3 27 57 PM 1pangrle
RONNIE 417 2193
FRAMING
AFTERNOON
PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE SO SHE CAN
MEET YOU THERE
January 13 .2011 5 00 32 PM jlierly
BL99 01 1/26/11 L BLDG FINAL TIME 01 00
January 25 2011 3 57 44 PM 1pangrle
JOE CELL 477 5586 OR 417 2193
BUILDING FINAL EXPAND A BATHROOM AND ADD AN OFFICE
AFTERNOON
PLEASE CALL JOE 10 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
-ls�o4z,/
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PREPARED 1/26/11 8 28 25 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/11
{
ADDRESS 522 E 8TH ST SUBDIV
TENANT NBR FRIENDSHIP DIVERSION SVCS
CONTRACTOR PHONE
OWNER VERNON D PETERS & PHONE (360) 477 5586
PARCEL 06 30 00 0 2 7216 0000
APPL NUMBER 11 00000050 CO CHANGE OF OCCP/USE
PERMIT CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
C099 01 1/26/11 L BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY DATE 01/25/11 TIME 16 00 46
January 25 2011 3 59934 34 PM PM 1pangrle
JOE CELL 477 5586 OR 417 2193
C OF O FINAL FRIENDSHIP DIVERSION
AFTERNOON
PLEASE CALL JOE 10 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
l
T6 Roj e+—
�, CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1[— 50
s
v,)Uw FEES o
. CITY OF PORT ANGELES
Attn Permit Technician Certificate I Inspection
321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA)
(360)417-4815 fax (360)417-4711 fee charged for Downtown locations
aS PYs.V�i�us�y Flys)
by e D ike PLEASE PRINT IA/INK
Check one New business in P.A.?❑ Change of ownership only? ❑ Moving location from withm P.A.? Zoning C 1 y
BUSINESS NAME Ir 1LU, il�-5h tk Uf.V�pYl ' k
Business address 5 ZZ E Sox S-j- Mailing address
Phone number . ,O d tG` Opening date V l < Days & hours of operation-M -F -S�
Business owner's name �+- t.� _ ( hTrf(- Contact phone
Business owner's address PC ?AC Z(
Brief description of business 0 OVA Yz'(-P�l�
Property owner's name \Jfrn {f.fh) Contact phone I-("?-7-il�S?,
Property owner's address/contact
BUILDING DEPARTMENT phone 417-4815 *-(3ar6nx'a V), Il erBldg approval by on
)s the business a restaurant or bar that will seat 50 or more people? Yes ❑ No 1Z
Construction changes planned (moving walls, adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways, ramps bathrooms electrical heating/co ling/ventilation systems etc)
Work planned. a c�. 1-i � cha c.S., ( ll
See-
FIRE DEPARTMENT phone 417-4653 Fire approval by on
Changes to a fire sprinkler system or fire alarm system? Yes ❑ No` I
Work planned
PBIA (Parking Business Improvement Area -Downtown) phone 4174623
Square footage of business? PBIA notified on
Is business moving within the PBIA? Yes ❑ No l
CITY CLERK phone 417-4634 Cit Clerk
City approval by on
Second-hand dealer/pawnbroker business? Yes ❑ No
Will there be dancing at this business? Yes ❑ NA
A City of Port Angeles Business License is required for-
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses
Page Iof2
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on
Number of off-street parking spaces available for employees and
customers? f O
(A parking plan may be required.)
Signs? (wall-mounted freestanding, projecting awning A-frame etc?)
Signs planned
K)Qre 6d ALAS --hyftf
PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles.
PWE approval by on
PUBLIC: WORKS DEPARTMENT EAfGhVEERiNG phone 4497-4$72 A16 (26rnrn�—%n1 ,<
Is site work planned (new or re-located sewer or water service, [�
excavation grading or filling work in City right-of-way
new driveway openings, site drainage, parking lots downspouts
irrigation system backflow devices, etc.) Yes ❑ No IR
Work planned
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No
If yes what will be discharged.
Call for Certificate of Occupancy inspections BEFORE opening business,
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy I acknowledge that l have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
Date (. 111 l Print Name t'`1�Y11(�f f' }U fJ— Signature— %----
T-TormslBuilding Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
PREPARED 1/13/11 8 06 26 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/11
ADDRESS 522 E 8TH ST SUBDIV
TENANT NBR FRIENDSHIP DIVERSION
CONTRACTOR PHONE
OWNER VERNON D PETERS & PHONE (360) 477 5586
PARCEL 06 30 00 0 2 7216 0000
APPL NUMBER 11 00000030 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01 1/13/11 L BLDG FRAMING TIME 01 00
January 12 2011 3 27 57 PM 1pangrle
RONNIE 417 2193
FRAMING
AFTERNOON
PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE SO SHE CAN
MEET YOU THERE
COMMENTS AND NOTES /
1 �
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F o;soar,j.,, CERTIFICATE OF OCCUPANCY APPLICATION Permit#
FEES �� o
- CITY OF PORT ANGELES Certificate /Inspection
Attn Permit Technician
321 E. Fifth St. Port Angeles WA 98362 $100 Parking Business Improvement Area (PBIA)
�ej CON,ON (360)41117-4815 fax (360)417-4711 fee charged for Downtown locations
0.s
�5 YeV��uSI uccvpteA� y�lo'>�SJ
U1 e O�Ke ° PLEASE PRINT IN INK
b� k" C ►�
Check one• New business in P..IA.?❑ Change of ownership only? ❑ Moving location from within P.A.? Zoning
BUSINESS NAME )(��)vVll� ( � ' Vf
.✓ 0_r) .VVI(�S
Business address 5 Zz E $Fh S-j- Mailing address
Phone numberl 7-.7,4 G' _'Opening date Days & hours of operation M+ 2,D
Business owner's name bi rt( Contact phone ?jy,0 7 j
Business owner's address :P0
Brief description of business 01n -Z�Y
Property owner's name LorrAiw— Contact phone 4-1-7-!US-::5> Z7-5580
Property owner's address/contact 10-2,14 C 94iq. Si- P A-
loc
BUILDING DEPARTMENT phone 417-4815 gcxx' �0. M.
11�Y' Bldg approval by�_on G 1-26-11
Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Z
Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work,
adding/altering stairways ramps bathrooms electrical heating/co ling/ventilation systems etc)
Work planned h )2 c+ CSI CS, .heating/co
N r tiV\ eV-M(4 II-30
FIRE DEPARTMENT phone 417-4653 Fire approval by on Z-Z,
Changes to a fire sprinkler system or fire alarm system? Yes ❑ NoI
Work planned
PBIA (Parking Business Improvement Area Downtown) phone 417-4623
Square footage of business? PBIA notified
Is business moving within the PBIA? Yes ❑ No1
CITY CLERK phone 417-4634 City Clerk approval by on (- -
IL
Second-hand dealer/pawnbroker business? Yes ❑ No
Will there be dancing at this business?Yes ❑ NQ-7Rj'
A City of Port Angeles Business License is required for
Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance
Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses
Page 1 of 2
e/
f
COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by_SP on 1- 2-4-11
Number of off-street parking spaces available for employees and
customers? 10
(A parking plan may be required.)
Signs? (wall-mounted freestanding projecting awning A-frame etc?)
Signs planned:
K)UCf 6LI --WuS :h.yn-e
PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles
PWE approval by KV on
PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812
1 l
Is site work planned (new or re-located sewer or water service,
excavation grading or filling work in City right-of-way
new driveway openings site drainage parking lots downspouts
irrigation system backflow devices etc) Yes ❑ No
Work planned
'b
PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on
Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ NoI
If yes what will be discharged
Call for Certificate of Occupancy inspections BEFORE openin_g business.
Building Department Inspection 417-4815
Fire Department Inspection 417-4653
Please sign up for utility services at the cashiers' counter
I hereby apply for a Certificate of Occupancy 1 acknowledge- that I have read this application and state that the
information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of
permit.
II /�
Date l� l i Print Name ('` ollV1 le a t-4 Signature
TIForms\Building Division\Certificate of Occupancy Application(2010).doc
Page 2 of 2
R
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516 635-
620
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622
624
640
530
526
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621
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Off-Street Parking Pian
Business Name ' L
Business Address 52Z O.
S--
Property Line
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Show the dimensions of all parking stalls (widths&lengths),arrangement of spaces, aisle width, bumper
stops (where required*),the means of ingress and egress, label streets and alleys, etc.
If you have any questions, please contact Roger Vess in the Public Works Department at (360)417-4812
*Bumper stops are required when a parking stall meets a walking area
T Forms/Building Division/off-street parking
r.
O,�pORTgNC
STANDARD DETAIL
A -DESIGN FORMULAS-
STANDARD PARKING LOTS
WALL OR PROPERTY LINES PARKING
C+ D+
C--� ANGLE STALL STALL Min, Min. MIN. AISLE WIDTH
WIDTH DEPTH 1—Way 2—Way
X
PARALLEL 22'-0"* 8=0' 10-0, 20-0'
j W R 45 12'---0' 1B'--6' 11—3' 20-0' h,
L WSJ
B 50 11-1 18'-6' 12=3' 20-0'
g A 2.5 55 10'-5' y 18=B' 13=3' 20—0'
r L S 60 9,-10, 18,-8, 14'-4' 20'-0"
�oJ
65 9—5" 19'-0' 15'-6' 20'—O'
z 70 9'-1" 18'-9' 16-91 20'—O'
A = Parking Angle 75 8'-10" 75-8' 18'-0' 20—O'
B = Stall Layout Width
C = Stall Logout Depth 90 8=6' 17'-0' 22-0' 22'-0"
D = Aisle Width
L = Stall Length (18.0')
W= Stall Width (8.5)
HANDICAP STALL WIDTHS A B C D D
Consult with Building Official *ADD 2'-0' FOR PARALLEL END SPACES.
for Current Standards
NOTES.
1 Number of spaces shall be in accordance with Citys off—street parking requirements.
2. Handicap parking spaces shall meet Citys requirements.
J. Parking area and aisles shall be paved with asphalt or concrete.
4 Spaces shall be delineated by 4 white striping or buttons.
5. Construction shall be in accordance with Citys Clearing, Grading, Filling and Drainage
requirements. Catch basins with oil separation 'T" are required
6. Overhangs of 2=6' maximum may be permitted if walkwoys (3'—D' minimum) are not
obstructed and curb or fastened curb stops are provided.
7 Fre Department may require 20'-0' minimum fire lane when necessary.
S. A site plan (1'=50' or 1 =20� showing all spaces, property lines and dimensions
is required for review and approval prior to construction.
! t
FORMULAS. C = W cos(A -+ L sin(A) X = W sin(A)
D = 15 tan [( +A/2) sin A)] f 7 B = W/sin(A) R = (1112) sin(A)
Z = L cos(A) S 2.5 sin(A)
APPROVED BYDATE 3/13/09 PARKING LOT
CITY ENGINEER MINIMUM DESIGN REQUIREMENTS
FILE NAME. PARK/NGLOTOWG
CITY OF PORT ANGELES
��►,� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION
� 321 EAST 5TH STREET PORT ANGELES,WA 98362
Application Number 11 00000030 Date 1/07/11
Application pin number 482110
Property Address 522 E 8TH ST REPORT SALES TAX
ASSESSOR PARCEL NUMBER 06 30 00 0 2 7216 0000
Tenant nbr name FRIENDSHIP DIVERSION on your state excise tax form
Application type description COMM REMODEL
Subdivision Name to the City of Port Angeles
Property Use (Location Code 0502)
Property Zoning COMMERCIAL NEIGHBORHOOD
Application valuation 1900
Application desc
EXPAND A BATHROOM AND ADD AN OFFICE
Owner Contractor
VERNON D PETERS & OWNER
LORRAINE C DALTON
1034 E 8TH ST
PORT ANGELES WA 98362
(360) 477 5586
Structure Information 000 000 EXPAND BATHROOM ADD OFFICE
Construction Type TYPE V NON RATED
Occupancy Type BUSINESS OFF/PRO/MED/REST
Permit BUILDING PERMIT COMMERCIAL
Additional desc EXPAND BATHROOM ADD OFFICE
Permit pin number 180125
Permit Fee 92 70 Plan Check Fee 60 26
Issue Date 1/07/11 Valuation 1900
Expiration Date 7/06/11
Qty Unit Charge Per Extension
BASE FEE 50 00
14 00 3 0500 HND BL-501 2K (3 05 PER C) 42 70
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 92 70 92 70 00 00 1
Plan Check Total 60 26 60 26 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 157 46 157 46 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 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 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.
`— — 0 �laun oo.tghC� -
Date Print Name Signature of Contra or or Authorized Agent Signature of Owner(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
C
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING.
Under Floor/Slab
Rough-in
Water Line Meter to Bldg)
Gas Line t
Back Flow/Water FINAL Date Accepted b v
AIR SEAL.
Walls (�
Ceiling 1
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall Interior Braced Panel Only) M
T-Bar �!V
INSULATION:
Slab
Wall/Floor/Ceiling
MECHANICAL.
Heat Pum /Furnace/FAU/Ducts r /�
Rough-In
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted b
MANUFACTURED HOMES
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT Separate Permit#s SEPA.
Parkin /Lighting ESA.
Landscaping SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction R.W PW /Engineering 417-4831
Fire 417-4653
Planning 417-4750 Q
Building 417-4815 Q
T:Forms/Building Division/Building Permit t�
.��r°"f� BUILDING PERMIT APPLICATION Print in Ink
G w V��!J
CITY OF PORT ANGELES
For City Use Only-
Attn. Building Permit Technician Date Received I—
`ft=! 321 E. Fifth St. Port An eles WA 98362 Permit# (— 0 /
(360) 417-4815 fax (360) 417-4711 0 �Q Oras eDate Approved -'7—
�, �'�� pp
Applicant bl'vevsr u,-- so- r V i c P S ` Phonep _ y-7:7c;
�5
Property Owner �f � ae s Phone A`?-2--la,S_3
Property Owner's Address �b.66sr2�l�l
Contractor _ �'��" Pe re1S Phone
Contractor's Address
License # Expires E-mail
PROJECT ADDRESS lgp-be/Ps co-✓r
Parcel Number 06 3() 2 2/6 Lot Zoning
Project Type & Brief Description. ❑ Residential ❑ Multi-family Commercial ❑ Industrial
Check all that apply
❑ New Construction
❑Addition in cir� ,
`Remodel oL Secor,
❑ Repair �¢.0 at 2 boat S
❑ Demolition
❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer
❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
❑ Other 1
Floor Areas Existin-g(sq. ft.) Proposed(sq, ft.)
Basement @$ per sq ft. _ $
15' Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porth
Deck
Shed j
Other
( TOTAL VALUATION $ )� i0
Total footprint of structures sq T Lot size s ft. = age
Site Coverage = the amount of impervious su a on a parcel including s uctu s paved driveways sid wa patios
and other impervious surfaces (see PAMC 94 135 for exemptions) Site cover °/o
Max. height of proposed structures ft. Occupancy gro #of be corns
Will a lawn sprinkler system be installe Occupant loa #off I baths
Will a fire sprinkler system be install ? _ Constructi type _ #o alf baths
I have read and completed this application and know it to be true and correct. I am authorized to applfor this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to worki g on pro'ects.
Date 1`7—ff Print Name ,)0/' Jor•w Pu 'fy Signature
T Forms/Building Division/Building permit application vern. P mlct T .s Pr"e,
Am I
���®n�t�u�teo s sPeci;i•
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Atom thereafter other thereunder sdretron.
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Clallam County Assessor& Treasurer - Property Details - 58529 VERNON D PETERS Page 1 of 5
Clallam County Assessor & Treasurer
Property Search Results > 58529 VERNON D PETERS AND LORRAINE C DALTON for Year
2011 2012
Property
Account
Property ID- 58529 Legal Description LOT 4 BL 272
Geographic ID- 0630000272160000 Agent Code
Type Real
Tax Area: 0010- PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space N DFL N
Historic Property- N Remodel Property, N
Multi-Family Redevelopment: N
Township Section.
Range
Location
Address: 522 E EIGHTH ST Mapsco A/
PORT ANGELES WA C
Neighborhood Cycle 5 Comm Map ID, 2
Neighborhood CD- 20953140
Owner
Name VERNON D PETERS AND LORRAINE C DALTON Owner ID- 45942
Mailing Address. DALTON %Ownership 100 0000000000%
1034 E 8TH ST
PORT ANGELES WA 98362
Exemptions
Taxes and Assessment Details
Property Tax Information as of 01/07/2011
Amount Due if Paid on NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
i Year Statement ID i Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid A
2010 41462 ST SCH STATE SCHOOL $13458 $13457 $000 $000 $269 15
2010 41462 CC-GEN COUNTY CLALLAM $71 63 $71 61 $000 $000 $143.24
2010 41462 PORT PORT OF PORT ANGELES $1006 $1007 $000 $000 $20 13
2010 41462 PORT ANG CITY OF PORT ANGELES $16582_$16581 $000 $000 $331 63
2010 41462 SD#121 SCHOOL DISTRICT#121 $174 30 $174 32 $000 $0 00 $34862
2010 41462 NTH OLY LIB NORTH OLYMPIC LIBRARY $2081 $2081 $0 00 $000 $41 62
2010 41462 HOSP#2 HOSPITAL#2 $2938 $2938 $0 00 $000 $5876
2010 41462 WSMET PK DIST WILLIAM SHORE MET PARK DIST $935 $935 $0 00 $000 $1870
2010 41462 CITY_STORMWATER CITY STORMWATER $3600 $3600 $0,00 $0 00 $72.00
2_010 41462 WEED—CONTROL WEED CONTROL $0 82 $081 $0 00 $000 $1 63
2010 41462 TOTAL. $652.75 $652.73 $0.00 $0.00 $1305.48
2009 585292008 ST SCHSTATE SCHOOL $15705 $15706 $000 $000 $314 11
2009 585292008 CC-GEN COUNTY CLALLAM $7948 $7949 $000 $000 $15897
2009 585292008 PORT PORT OF PORT ANGELES $11.26 $11.26 $000 $000 $22.52
2009 585292008 PORT ANG CITY OF PORT ANGELES $17434 $17434 $000 $000 $34868
http.//vpn.clallam.net 8084/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=58529 1/7/2011
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O- -W, �p
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CERTIFICATE OF OCCUPANCY
City`of sPort Angeles- ;Building ,Division
"-
This certificate is issuedpursuant to the requirements of Section 110=of the 2006 International Building
Code certifying that at:Z61ime:of issuance this structure was in compliance with the various ordinances
of the City regulatingbuiI.lding;construction;or,use_for the following
�.
Business name r "The-,,Duke Of'Flowers.t ,(.Owner-�G"ail ,Porter) ;.
Business address ;522=E 81h St.
Property owner Vernon D; Pete:rs &.jLorraine!C ;Dalton:
Property owner s--address 1034 E Bch=St.,;`;Port*Angeles °eWA 9.$3'62
Automatic fire spij nklei system. Peri'FBC---
,t,
Use & occupancy Miss"f cation. Mercantile>
Building permit number 09-230 "
Occupant load 't F?:er 2'D0`6'I`'G--Ta't°�,i 1�0' ��
Type of construction. %)B
03/05/10
atltaiiIst&Bla'in ftcaal Date
Wrj110
Post on the premises in a conspicuous place:"SThisacertificate.:siiall;,not be removed except by the Building Official.
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West
Jan 20 10 06:52a The Duke of Flowers 360-452 7620 p.2
kt
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Jon 20 10 06*51a The Duke of Flowers 360-452 7620 p1
I .. OR-Ir NGELES
A- -A
W A S H I N G T O N U S A
Yl ® Community & Economic Development Department
f r
1.
January 13, 2010
4} t` Ms Gail Porter
,. <g « 3
ql 227 W Park Avenue
Port Angeles WA 98362
th
RE The Duke of Flowers 822 E. 8 Street
,
nittF:ld't;
* Y Dear Ms. Porter«
gQ
Ott %' z
; F?� 4 A Certificate of Occupancy was submitted on March 30, 2009, for operation of The Duke
th
z, € ,z of Flowers business at 822 E. 8 Street. We had several conversations with the business
operator regarding this matter, and were told that a parking lot plan would be submitted
on May 11, 2009 for the use. Further conversation resulted in the business owner
I w indicator that he felt this is the property owner's concern. Whrle rt is actually the a g p p Y Y
business owner's concern I am sending you this information in that someone needs to
provide a parking lot improvement plan and I assume you would like to ask for one year
to complete the work. To date, we have no record of anything being submitted.
Off street parking is required for all businesses. While I understand there is reticence to
identify the parking area, we need one to allow final of the Certificate of Occupancy (C
of O) which is still pending. The City's goal is to work with business owners to get them
tz up and running. A one years grace period is permitted once a parking plan has been
approved, to develop the parking area knowing that it is difficult just to get a business off
the ground.
Ng, r
tk3 '+ I am asking that between yourself and Mr Peters you let us know what is planned in this
i, yMNz matter at the earliest opportunity Please contact Roger Vess in the Engineering
Department to discuss this matter We understand the economic issues of the time, and
will work with you, but lease let's et this done. Roger can be reached at 417-4812
Y p g g
Sincerely,
# <, Al, 1
' zs Sue Roberds
t�=+ Planning Manager
Cc Mr Vernon Peters
Roger Vess
yrs
* `'' Phone 360-417-4750/Fax. 360-417-4711
ap
� .: Website. www cityofpa.us/Email smartgrowth@cityofpa.us
t,,
321 East Fifth Street P O Box 1150/ Port Angeles WA 98362-0217
PREPARED 3/30/09 9 42 40 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/30/09
ADDRESS 522 E STH ST SUBDIV
TENANT NBR THE DUKE OF FLOWERS
CONTRACTOR PHONE
OWNER VERNON D PETERS & PHONE
PARCEL 06 30 00 0 2 7216 0000
APPL NUMBER 09 00000230 CO CHANGE OF OCCP/USE
PERMIT CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
C099 01 3_ JLL BLDG C/0 FINAL
OVERRIDE TAKEN BY LPANGRLE DATE 03/24/09 TIME 16 18 10
March 24 2009 4 16 32 PM 1pangrle
NO NAME WAS LEFT 452 7600 OR 460 3189
C OF 0 FINAL THE DUKE OF FLOWERS
COMMENTS AND NOTES
�alfkt--
CERTIFICATE OF OCCUPANCY APPLICATION Permit# d .Z
n
r.� CITY OF PORT ANGELES FEES
- Attn Building Permit Technician
t t$100
I
321 E. Fifth St. Port Angeles WA 98362Certificate /Inspection
(360) 417-4815 fax (360) 417-4711 00 Parking Business Improvement Area (PBIA)
Print in ink fee charged for downtown locations
BUSINESS NAME ��i.L�
BUSINESS ADDRESS b 2, Zoning N
Business mailing address �2. &T ( 9�`�& � Phone# 6-- _ /�
Opening date II G 9 Das & hours of operation —
Washington State Tax I D # If known list the name of the previous
business at this location
Brief description of proposed business p,4 6)P
Business owner's name11.. Phone# Q
Business owner's home address 55,,-P, 6,9—
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 ✓ WILL THERE BE ANY OF THE FOLLOWING? NOV YES✓ IF YES CONTACT
Electrical changes v Electrical Dept. at 417-4735
New business New or relocated.signs Q i,bf-- Or lA)d \j Building Div at 417-4815
Construction changes �r
Transfer of business Mechanical changes(ventilation, heating,cooling,etc.) \t
location from a Plumbing changes
PBIA location Firesprinkler system changes
Fire alarms stem changes �r
Transfer of business New or relocated sewer or water service v Public Works at 417-4807
location from a Excavation or filling of lots
non-PBIA location Work done in the City right-of-wayof
New driveway openings
�r
Change of ownership
dr-ading site drainage(parking lots,downspouts,etc.
Landscape irrigation system(backflow devices) 'V Water Dept.at 417-4886
Remodel Is this a home occupation? `mss Planninq Div at 417-4750
Is this a second-hand dealer or pawnbroker business? V City Clerk at 417-4634
Temporary business Is there off-street parking for this business? --,4 How many spaces?
Is the street in front of this businesspaved?
Change of use Is there a sidewalk in front of this business?
Is there a curb&gutter in front of this business?
Call for Certificate of Occupancy inspections before Openin_q business. Please sign up for utility services
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter
Please provide a minimum 24-hour notice for inspections
1 hereby apply fora Certificate of Occupancy I acknowledge that/ have read th' applies on ands that the information I have
supplied is c rrect to the best of m nowt
Date . I 4 Print Name AIL o fZ-i 1✓ Signatu e ,
For City se only:
Department Approved Rejected Comments/Conditions
Initials&date. Initials&date
Building � �jO—Q Type of construction Occupant Load
Fire g-11-09 KDD Automatic fire sprinkler system required no yes
PBIA
Planning 3-5-10 HoA We0-
City Clerk '-Cly o Bu
Public Works g,O
T.Forms/Building Division/Certificate of Occupancy Application
. 1 s
518
Y '"°'• 525• G. 7 m '+.„�^,
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a 4 .� '', �: :°'� •cx , 4 '�, '� 537 ''=`'w ,
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512 515
535 �7{
:520 ~+ ` §
524,
603
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646
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CERTIF `llr UPANCY
Ci An inion
This certificate is issue rsuant to the requiremen of Section 6International Building
Code certifying that a h e oYiMqmace this structure was in compliance w the various ordinances
of the City regulatin wilding constriiMon or use fur Ihr fullotir sag
Business name: Fink News Distributing (Owner: Dale Fink' `
Business address x Stn St.
Property owner: Vernon D. Peters & Lorraine C. Dalto",
Property owner' 1034 E. 8th St., Port Angeles, WA 98.'
Automatic fire sp n tem: Not Required
Use & occupancy ation: -Business
Building permit nu 08-353
Type of construction.
Occupant load:
09/26/08
Date
Post on the premises in a conspicuous place. I t be removed except by the Building Official.
1 �
lK
N
N
m
PREPARED 7/29/08, 8:55:30 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/29/08
------------------------------------------------------------------------------------------------
ADDRESS . : 522 E STH ST SUBDIV:
TENANT, NBR: FINK NEWS DISTRIBUTING
CONTRACTOR : PHONE
OWNER VERNON D PETERS & PHONE
PARCEL 06-30-00-0-2-7216-0000-
APPL NUMBER: 08-00000353 CO- CHANGE OF OCCP/USE
------------------------------------------------------------------------------------------------
PERMIT: CO 00 CHANGE OF OCCUP/USE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------ --------------------------
0099 01 7/29/08 JLL BLDG C/O FINAL TIME: 01:00
* OVERRIDE TAKEN BY LPANGRLE DATE: 07/29/08 TIME: 08:48:28
July 29, 2008 8:47:23 AM 1pangrle.
DALE 457-4260
C OF 0 FINAL - FINK NEWS DISTRIBUTING
AFTERNOON
-------------------------------------- COMMENTS AND NOTES --------------------------------------
r ,
t, CERTIFICATE OF OCCUPANCY APPLICATION Permit# 0$- 353
CITY OF PORT ANGELES
/ FEES
Attn: Building Permit Technician
50.00 Certificate / Inspection
t� 321 E. Fifth St., Port Angeles, WA 98362 1 Parkin Business Improvement Area PBIA
(360) 417-4815 fax (360) 417-4711 g P (PBIA)
Print in ink fee charged for downtown locations
BUSINESS NAME FlJuk pws1571,'Lv
BUSINESS ADDRESS -5-a S _ A Zoning C t4
Business mailing address 8,ox -21q4 oa ,,, Phone# 36o ys7 - �G d
Opening date -/- _ p Das & hours of operation ht
Brief description of proposed business e s A dt—Xrc -e
rA tN
Business owner's name ,9 L iF / Phone# o$
Business owner's home address / (, , t." '4 "o .s:--r v, 382-
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 ✓ WILL THERE BE ANY OF THE FOLLOWING? NO-/ YES,/ IF YES, CONTACT
Electrical changes Electrical Dept. at 4174735
New business New or relocated signs Building Division at 4174815
Construction changes
Transfer of business Mechanical changes(heating,cooling,stoves
location from a Plumbing changes
PBIA location Firesprinkler system changes
Fire alarms stem changes
Transfer of business Is this a home occupation? Planning Division at 417-4750
location from a Second-hand dealer or pawn broker? City Clerk at 417-4634
non-PBIA location New or relocated sewer or water service Public Works at 4174807
Excavation or filling of lots
Change of ownership Work done in the City right-of-way
New driveway openings
tr
Remodel Grading site drainage(parking lots,downspouts,etc.)
Landscape irrigation system(backflow devices) ✓ Water Dept. at 417-4886
Temporary business Off-street parking
Existing streets paved
Change of use Exi ting sidewalks
Curb and gutter
Call for Certificate of Occupancy inspections before opening business: Please sign up for utility
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 services at the cashier counter.
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 state that the information I have
supplied is correct to the best of my knowledge.
Date 3_1� -�� Print Name �A�e �,r✓k Signature /4�
For City use only:
Department Approved Rejected Comments/Conditions
Initials&date Initials&date
Building 1_Zq--0s/ Type of construction Occupant Load
Z
Fire -og p Automatic fire sprinkler system required no yes
PBIA
Planning
City Clerk 3-2-9-09
Public Works
T:Forms/Building Division/Certificate of Occupancy Application
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CERTIFICATE OF OCCUPANCY '
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Section 301 of the
International Building Code certifying that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use.For the.iollowing.-
Use Classification: Business Building Permit No.: 06-556 Business Name The Ragged Edge. �
Group: B Type of Construction: V-N Use Zone: CN
Owner of Business:Debbie Vanwinkle Address:522 E. Eighth Street Port Angeles, WA. 98382
Building Address: 522 E. Eighth Street Port Angeles, WA. 98362
LZ-4 �41&��� October 30, 2006
Planni anager Date
Post on the premises in a conspicuous place.
` No.133 Shall not be removed except by Building Official.
Y
ROUTING SLIP °``°a,
Certificate of Occupancy . ,
$50.00 Certificate/Inspection Fee
DATE New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business '� Transfer of Business Location . . . . . . . . . . . . . . . ( )
- l,iN&' _ Change of Ownership . . . . . . . . . . . . . . . . . . . . . ( )
Applicant --z2 C kk&eJ/i/k New Building
Address 0/G� "z"' - t/ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business-i/5Y- 275U home 4,5-7 'S! Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: l� e
Legal Description: Lot Block Subdivision
Current Use of Property:
Zoning Classification of Property. C .
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 .. . .... ... . ... . .. .. 't' 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... . . .... . .... . ... . .... ... .... ....... . ..
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 f
knowledge. Signed:
APPROVED REJECTED Comments/Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
ROUTING SLIP
-'� e ' icate of Occupancy
$50.00 ertificate/Inspection Fee v7&r/ybkG-/rls
DATE d ��� New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . ( )
� ST�� Change of Ownership ( � )
Applicant e Va/llU./xe New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address Z/D 4Z Gv 1 ! ' Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 015.0 S176U home -5�5 -O Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
e
¢
Brief description of proposed business: �e L s
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
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-
edge that I have read this application and state that the Date: D
information I have supplied is correct to the best of my
knowledge. Signed: _,Ki'zoz�
APPROVED REJECTED Comments/Conditions
Building Section
Public Works Department
Planning Department
Fire Department
5"31 0� "Ov City Clerk
P.B.I.A.
d ro�
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET, PORT ANGELES.WA 98362
Application Number 06-00000567 Date 6/11/06
Application pin number 532371
Property Address 522 E 8TH ST
ASSESSOR PARCEL NUMBER 06-30-00-0-2-7216-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning . . . . COMMERCIAL NEIGHBORHOOD �!t
Application valuation 0 �.
Owner Contractor
PETERS, VERN BOB'S ELECTRIC INC
522 E 8TH ST 2293 DEER PARK RD
PORT ANGELES WA 983639308 PORT ANGELES WA 98362
(360) 457-6887
----------------------------------------------------------------------------
Permit ELECTRICAL NEW COMMERICAL
Additional desc BOB'S / 200A SVC + REWIRE
Permit pin number 78840
Sub Contractor BOB'S ELECTRIC INC
Permit Fee 95 80 Plan Check Fee 00
Issue Date 6/01/06 Valuation 0
Expiration Date 11/28/06 \ .
Qty Unit Charge Per Extension I�1v
1 00 95 8000 ECH EL-COM 101-200 NEW SRV FEEDER 95 80 "
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
-
---------------- ---------- ---
Permit Fee Total 95 80 95 80 00 00
Plan Check Total .00 .00 00 .00
Grand Total 95 80 95 80 .00 00
W
l�
1
\1
Ot
M
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPT® coMMff:m
YESSERVICE
NO
DITCH
FINAL
GENERAL COMMENTS: ,
vw.1102.1514"
CITY OF PORT ANGELES
PUBLIC WORKS -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 10/08/2001 PERMIT NO: 13031
OWNER/APPLICANT PROPERTY LOCATION
Gail Brewer 522 8TH ST E
1113 BLACK DIAMOND RD. Lot: 4
Port Angeles, WA 98363 Block: 272 ❑ Long Legal
360/457-9502 Subdivision: TOWNSITE
T: S: Parcel No:
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 98360-0000
206/000-0000 360/000-0000
PROJECTINFO
Project Value: $500.00 SFD Units: 0 Commercial: 0
Project Type: DEMOLITION SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0 N
Construction Type: MFD SQ FT: 0 rj
Zoning Use:
M
PROJECT NOTES
DEMO-GARAGE
p -�
1 S'
RECEIPT#4146
FEES ASSESSMENT
Building Permit: $23.50 Misc 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: $28.00
Plumbing: $0.00 AMOUNT PAID: $28.00
Mechanical: $0.00 BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced,or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. (�
Signature of Contractor or Authorized 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. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
PLUMBING
UNDERFLOOR/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
SLAB
-WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE/PELLET/CHIMNEY/INSERT
HOOD/DUCTS
PW UTILITIES/SITE WORK (Engineering Division) SEPARATE PERMIT#'s:
WATERLINE/METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYNSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES F NO
ELECTRICAL-LIGHT DEPT. 4174735 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.
BUILDING 4174815 BUILDING
C\APPL WPD
CITY OF PORT ANGELES N0 17610
LIGHT DEPARTMENT ELECTRICAL PERMIT
J
Port Angeles, Washington.....---eT- •--•/-----------------------------� 19------
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address .- � ------ -- ------------.............--............... Occupancy-----zi.e_n----------- ---------
Owner --_----•----------_--�-- �---------------- �enant........'------------------------------------------•--------•----------
WiringContractor ...................................r3r. ( c --• ----- BY--------•-------------•---------------------------------------------
Light Outlets..............................._........ Service, volts ....................................... TyPe of Wtrlag:
Receptacle Outlets--------------------_........ No. wires .........J_._ Armored Cable ........__................._
G+,�4,,. Non-Metallic .................................
Dryer, KW..... ---'----------- Size wires.......:.........................._.
Knob & Tube.................................
Range, KW------------------------------ ----------- Main fuse ..._.~1..._d�
..................
Water Heater: Enclosure ...._If
..... Rigid Conduit ...............................
...................... Metallic Tubing ...........................
KW......._,,. ........F��..............=------- Type of wiring: Raceway .........................................
Heat: Kw......7l�.t...^.'.�:�(. r.(ase:
Entrance Cable .............................
.:l..:t_6 . — Circuits, Light........
Motors: size, volts and, Rigid Conduit ............................... Utility .............................................
MetallicTubing ........................... Heat ..................----------------------_---
...........................................................
Current transformers: Range .............................................
----------------------------------------------------------
No. & Size....................................... Water Heater
Ser. No............................................... Motor ............................................
..............................._..........................
Ser. No......'.......................................
........................................................._
Furnace.............................................
TotalLoad............................. Ser. No.------..........._.....- ........ Total .......................................
c
Remarks: --------==-=---"-`t-z-'- -----------
�- �L--- ...-----'C
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------•---------------------•--------------- -......-------r.....-•--
Permit Fee Treas. Receipt � ! // /' /Y
r f
$ No. - BY. "--_.... 1� eft my
......- -
NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
N° 17610
ELECTRICAL PERMIT
Address ...................-..........................................................................._..................................I... Date....................................................-
Owner .........................................._................_.._........................................................... Tenant....................................................................
r' Wiring Contractori.......................................................................................................................... By..............................................................
NOTICE—Cu
Treat must not be turned on until Certificate of Inspection has been Issued. If work is to be con-
cealed due notice moat be given the Inspector so that work may be inspected before concealment.
._ 1M Olympic Printers, Inc.
ELECTRICAL WORKPERMITAPPLICATIONb r
><- 0 Request Inspection
Icctrical Contractor ❑Owner N'a_N-
0 Annual Permit 0 Alarm 0 Carnival 0 Commercial O Residential 0 Residential Malnt. 0 Signs 0 Thermostat O Telecom.
Job wired by Electrical Contractor ❑O�yrier InstallaI n description /
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Telephone num er 0 FAX number
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Premises own 's niche
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❑ Cash ❑ Cbeck#
I hereby certify that I ant the owner of the above named property nr a licensed
electrical contractor(or the firm's authorized agent) and am making the electrical 0 Credit Card Ysa Mastercard Discover
installation or alteration in compliance with the electrical law,Chapter 19,23 RCW. Card#
Signatn of owner, electrical con actor or electrical administrator Expiration Date
Iaspechon fee
X of card
WALLS CEILING THERME
SERVICE
Insulation Only Insulation Only
ER
Dao D to ADee Over Appmred ay DI Over /ls�) F�Da Approd➢r D ApData DNC AppmvM By
Electrical Load Additiong and oraubtraction5
0 NO LOAD CHANGES Service Information
0 Gasebcard KW -
0 FurnaceKW Voltage
❑ Overhead Service Phase 0 ❑3
0 Heat Pump _Ton_LAR 0 Temp Service Service Size.
0 Fan-Wall `KW 0 Underground Service Feeder Size:
Inspection
Date Area,Building or Equipment Inspected Action Taken Electrical
Inspector
CO /
Td Wti£D:OT 999E 02 'FEW £b66 ESV 092 1 'ON Xt)d 01aloai9 StHOH WObd