HomeMy WebLinkAbout511 E 1st St - BuildingPrint in ink
BUSINESS NAME U\ a 5 (wil) cam< v w� q 6) •.4154 n...rnv t &T 'r
BUSINESS ADDRESS 511 k f (ST Sr NO (nc Zoning 6`
Business mailing address 511 I r s 5 i Po'r't t •4c l e 3 w Phone 5 1 I I >;'7
Opening date if —1— 40 Days 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 ca., dy o. „A a. r, avd e
Business owner's name I3 LA, S. I3 Phone 340 5 I— I) W7 j
I Business owner's home address 71Z W y cw s to IT TGwY 4t..I u,& 173 P
PLEASE NOTE.
A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawnbroker Dance Hotel
Motel, Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information.
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
'location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Date j- 22-08
Building
Fire
PBIA
Planning
City Clerk
Public Works
w
T Forms /Building Divisic. 'Certificate of ^cc. Application
c"rl( 9. e'r a. ia” a'tit Yer.', T re e•.w.s 9�s
CERTIFICATE OF OCCUPANCY APPLICATION
Permit# I ny
CITY OF PORT ANGELES FEES
Attn Building Permit Technician $50 09) Certificate Inspection
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417-4711 $10000 Parking Business Improvement Area (PBIA) 0
fee charged for downtown locations
rr
Print Name
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
I New or relocated signs 4.'1 a et Qtr..; 1'
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
is the street in front of this'business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
6( e
cfti /1
NOV YES/
Signature Xa,"
x
x
IF YES CONTACT
Electrical Dept. at 417 -4735
Building Div at 417 -4815
:Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Call for Certificate of Occupancy inspections before opening business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 at the cashier counter VT\
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
Please sign up for utility services
For City use only'
Department Approved I Rejected Comments Conditions 1 Initials date Initials date
Type of construction Occupant Load
Automatic fire sprinkler system required no yes
Nc*e above e rn -khe uff L i Sty:
'WI T trl 1 n iii ecti- 1 uu t l c Ceti La' k- "fie, L
Qhi velAsot puci'kih) 0,re -k 60%(( 46i-16141°h
Perms t` +a re 11
i t -3 -i0 Sue, (Z soja o close ;s Perm►+ *The
1?7o Ic.th9 is $hIl empty
v 1"' '1
Print in ink
BUSINESS NAME
BUSINESS ADDRESS
Business mailing address 511 t Y s r ST
Opening date /1 -1— ng Days hours of
Washington State Tax I D
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
For City use only:
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
1 y CeL
1 I
1W-.20k
T: Forms /Building Division/Certificate of Occupeny, Application
4 3 et a la ?Cr Tm ner"v,e 9 411'64' l
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn Building Permit Technician $5000
321 E. Fifth St. Port Angeles WA 98362
$100 00
(360) 417 -4815 fax (360) 417 -4711
511 E rs Sr
Datel'27 "0 Print Name Qua »e S 11n
Approved
Initials date
Rejected
Initials date
Type of construction
l A. a Sw► r 'I'in u,ll. came vP 114
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
New or relocated signs ti:I t u et Q•coai 1'
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
Signature
FEES
Certificate Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Pa (\n c(
P'r t4A 4c It 3
operation
If known list the name of the previous
business at this location
Brief description of proposed business ca,, ei l./ a 4.1T1 ewer*.
0.
I Business owner's name 0t3„ SM, i4 Phone 36O S3 I— I) W7 I
I Business owner's home address 722. L_ vn cw t Cot 'o tT zowrt r..l tA.a 173 6 P
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
Call for Certificate of Occupancy inspections before opening business
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge
Comments Conditions
Automatic fire sprinkler system required no yes
Permit#
0. �a nw.
X
A
Zoning
Phone 5 3
YES/ I IF YES CONTACT
Electrical Dept. at 417 -4735
X Building Div at 417 -4815"
Public Works at 417 4807
Water Dept. at 417 4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Please sign up for utility services
at the cashier counter
Occupant Load
Ks-
r
Print in ink
13 ‘A vs e S'm (i+,it co. e of .,.r'fi q lay) .-es.R nw nt IA.7t.r
5II E I (Cr ST Parr f ncc.(es
Business mailing address 5-!l I r s r ST Perr t4s4c IC I" w
Opening date —1— n‹ Days hours of operation
Washington State Tax I D If known list the name of the previous
business at this location
a...A Q/ITI eve ;t
BUSINESS NAME
BUSINESS ADDRESS
Brief description of proposed business ca,.
I Business owner's name Q,, SM -13 Phone 340 5 31-0 W7 I
I Business owner's home address 11:2_ W v r e w f (d to I T 'Cow,. e c l I Y 3 6 P
PLEASE NOTE.
A Business License is also required for the following businesses Taxi, Peddlers, Second -hand dealer Pawnbroker Dance Hotel
Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information.
ACTION
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodel
Temporary business
Change of use
CERTIFICATE OF OCCUPANCY APPLICATION
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(3601 417 -4815 fax (360) 417 -4711
Call for Certificate of Occupancy inspections before openina business
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge
Date Print Name 4tq »e
For City use only
Department
Building
Fire
PBIA
Planning
C'y Clerk
Public Works
Approved
Initials date
9-N oB 141
7 corms /Building Division /Certificate of Occupancy H ion
y e't- w Ia ^4;a tit /0.1 ?et r TO iv.bs..,t 9"
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
New or relocated signs W '1 1 c Q ire ,ni r
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
Rejected
Initials date
FEES
$50 00 Certificate Inspection
$100 00 Parking Business Improvement Area (PBIA)
fee charged for downtown locations
Nov
h
A
A
x
Signature
Type of construction
Automatic fire sprinkler system required
ra+` ck3 2-
X
Comments Conditions
Occupant Load
no
yes
a
Permit
Zoning
Phone 5 3 I I In
YES/' I IF YES CONTACT
Electrical Dept. at 417 -4735
Building Div at 417 -4815
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Please sign up for utility services
at the cashier counter
Jim► 3.5k""g a w
Permit 0 O- log()
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T Forms /Building Division/Notes
NOTES
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CERTIFICATE OF OCCUPANCY APPLICATION Permit 10 %7_
BUSINESS NAME 4 e
BUSINESS ADDRESS 511 k
Business mailing address 511
Opening date /1— OS
Washington State Tax I D
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
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
1 K
Date5 Print Name
For City use only
Department
Building
Fire
PBIA
Planning
City Clerk
Public Works
Approved
Initials date
T:Forms /Building Division /Certificate of Occupancy Application
WILL THERE BE ANY OF THE FOLLOWING?
Electrical changes
New or relocated signs L4,0'1 a et Qee.ai •r
Construction changes
Mechanical changes (ventilation, heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
a l4.. G S 1H• �►1
Rejected
Initials date
FEES
$50 02 Certificate Inspection
$10000 Parking Business Improvement Area (PBIA)
fee charged for downtown locations
col �!1 t faiA C 0 %4 vP wit. A. la s1
I s�` Sr Po r N9ct es
!vs I' ST Pere' t4.aCis) L oa
Days hours of operation
If known list the name of the previous
business at this location
Brief description of proposed business ca,.,Lj aN an a, ir
I Business owner's name QlAat SM
I Business owner's home address 711_ W vn c w f Cd to 1T Taw,.t wet. "D'36 6 P
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
N✓
J
A
X
A
Signature
Phone
X
Comments Conditions
Type of construction Occupant Load
Automatic fire sprinkler system required no
0./'•C,
nw,rn: la?c.r
Zoning
S3 I -IIfl
Phone# 34o S3 I)' 7 I
YES/ IF YES CONTACT
Electrical Dept. at 417 -4735
X Building Div at 417 -4815
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417-4750
City Clerk at 417 -4634
How many spaces?
Call for Certificate of Occupancy inspections before opening business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge.
Please sign up for utility services
at the cashier counter
yes
Jah above r vorn et-f)? I I'ca S
4- Lt3 t4nIn a ear Contr k.`fie Lack
PHivewat Parl.tin aria. Will 3e c` deknolt l Oh
Parrnif fo re move ,gaae
Street Lookup Page 1 of 1
Taxpayer
JAFAY KURT
Title Owner
JAFAY KURT
Parcel Number 0630005120350000
Site Address. 511 E FIRST ST PA
Quit
Description
SMITH NORMAN R
E2 LT 12 W2 LOT 13 BL 20
172 MEADOW LARK LN
SEQUIM WA 98382
172 MEADOW LARK LN
SEQUIM WA 98382
Value Summary
Note: Listed values do not reflect adjustments made for exemption programs such as
Senior /Disabled or Current Use programs (except Commercial Forestland properties).
Land Value 119 000
Improvements Value' 71 000
Total Assessed Value 190 000
Property Characteristics
Note: Use Code is for Assessors purposes only Contact the appropriate planning or
building departments for Zoning and allowable usage of property
Use Code. 6200 PERSONAL SER
Land Size (acreage). 00
Note: Acreage is not listed for all properties in the
Assessors records More information about land size.
Tax Status. Taxable
Tax Code Area: 0010
Note: Zoning and zoning codes change constantly Verify all
zoning with the appropriate planning or building department.
Building Characteristics (Click on ttldg for more details
Tyyppe Bldg. Style Total S.F. BD BA
01 Two Story 4232
Tax History Sales History
Other parcels at this address
Quit I
http.// apps.clallam.net/website /srtis_s pgm ?address =511 &street =FIRST ST &pur 8/22/2008
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.
.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
DATE
PERMIT NO.
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Phone:
Owner/Business Address:
Sq. Ft.
o Residential
Heat KW
o Baseboard 0 Furnace/Boiler
o Heatpump 0 Other
o Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
o New Construction
o Remodel
o Service update/alter/repair
o Overhead
o Underground
Voltage
o 1.0 03.0
Service size
o Temporary
Amps
o Add/alter circuits
o Auxiliary power
(list below)
o Special equipment
(list below)
Detai IslDescription:
d .7./);(/es
~~~
-
?;;L
W.S. No. Service
Capacity: 0 O.K. 0 Not O.K.
o Ditch inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
Date
Hold for: 0 Easement 0 Letter
Size
Comments
o Signed up for service/meter
o Meter Department notified for installation
o Fire Department notified of inspection
o Plan Review approved/pending
Site Address:
Permit/Receipt No.
:;2;)19
New Meters
o
$"// E /J
Installer:
Notify the Department of City Light b Stre Address and Permit Number when ready for Inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224.
IS II cf:t,eclor
WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
/~rOV
, Amount paid
GREEN - Top: Inspector, Bottom: City Hall
OLYMPIC PRI"'TE:RS. I"-IC.
City OF PORt ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14927
/-./~ ;;r/
Port Angeles. Washlngtoll...................'._.___.__........_..........__________.... 19..!..oo_
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 ---E7-....e.!4?/...oooo......mooa;::~f"'.....oooo---.---....... ocCUpancy___.k~_...oo.....__...._m_m__.
Owner ....L....:!,-t~ll/!:-~M~(j.::r-... TenanL_m______m._____u..___oo___oo___oo__oo__...___u....oo_...____oo
Wiring Contractor oo_,mmoooo_oo__.oo.,.........~......,.............__._...oo.. By.___m_oo.__..oom_oom_oo____.____oo..........__oo..._____oo..oooo
Light Outlets............nnnnn........._.._.....
Service, volts ....m...n.nm....nm.n.........
Receptacle Outlets.......mnmnn..m.......
No. wires ..............................000000.00
Dryer, K~oooouuoo-oo----.uuu--oom-.---.-----
Size wires...............n.........nn..n.....
Range, KW.......h.nh..............._
l\:Iain fuse ..n..n..u.........._...._...........
Water Heater:
Enclosure ..................._........._._.......
'I'ype of wiring:
Entrance Cable nnmnmnn.............
KW._umummmoomoo_u_m_
Heat' Rw.uu../.lulll3.nuu_nun
Rigid Conduit .................nm.........
Metallfc Tubing ...........................
Current transformers:
No. & Size.........n...n..u....un.n........
Motors: size. volts and phase:
Ser. No.........._..................................
Ser. No..............................................
Ser. NO......_.......n._nnn.nn......._.......
Type of Wiring:
Armored Cable ..........................00.
Non-Metallic .......m........m_nm.n...
Knob & Tube.............n...................
Rigid Conduit .u.__...._n_.n_n__n.U
Metallfc Tubing m.......n..__...........
Raceway 0000....00...00...........................
Circuits, L1ghL.....m.................u...........
Utility ....nnnunn__.nu...n.................
Heat
Range ......._..............................._....
'Vater Heater .............m",,,,."m."
Motor ...................................._._.__...
Dryer...........___.....__..__...nnn.....n...n....
Furnace ....nnun....n...n..._.n....__.......
Total Loadnunnnnnun..n.__n.. Ser. NO....n.nnnnun....nn___................ Total ....00............._................00.
Remarks: .____.J.!..j2.~,__oooo.C'__~.-'___~___.m.m...............__.....__oo__moooo._____.........._.............________...........
Permit Fee
$....................................._
Treas. Receipt
No................_..__._...
By ......!.it..Y?~.~~&..~:.:.Ii....,:'~':"...__oo_
NOTICE-Current must not be turned on until Certificate of Inspection has been Issued. If work fs 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
ELECTRICAL PERMIT
N~
14927
Date called for inspection......................................................._....._..........................._....................................................................................
Preliminaryinspectiondates,.........................._...........................~_...................................................................__...................._._..............._
Inspectioncompleted..._.................._.............._............................................................................................._......_.................._........._.........
A
Total Load ....._...................................................................h............._ ........................................nnu............................................_.........._......_
2M 3.72 Olympic Printers, Inc.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date fj-;?f:, -of
\,~~
Time
S: '50 11M.
Received by Mf~d;e II (phone, person)
Location of Work to be inspected SlI E /-?-+ ~
Name of person requesting inspection I11f~d,'e.. II.
Address of person requesting inspection C.orr1 'drd} (7 "i-6 Phone No. 117 -1.(J?c.fc;'
Type of Inspection (circle appropriate one): / Permit ~I ' ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~ We:;: fe s'
INSPECTION NOTES:
Inspected: pate 8-2-(, -o,f Time 10: 3~ /1"""- By 1l1{~J,'e. tI
Remarks: I<etJt'..;'red Me:fer SkJf:- .,-M.
I
\'l ~J
,~
'l1 &l
<
f: fZY' )( $" A.C.. :5' /)eefJ
~ L. I?! sr 'i-
.' -s;: "-
-:s '\...i
~
"
RESTORATION REQUIRED . . . . .. YES >< NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
~)(:5
g(Asphalt 0 PCC 0 Other
Work Order # 'X (n 1- SLJ - /J J I
,~COMPLETE q - ZO - d )so.=-
o INCOMPLETE
1P ~~re(J j:
(Continue on reverse Ide if ne essary)
g> z 1-- f)(fr
STREET SUPERINTENDENT
!DATEI