HomeMy WebLinkAbout125 W 1st St - Building ELECTRICAL PERMIT (�
CITY OF PORT ANGELES
360-417-473
N
Application Number 09 00001245 Date 12/02/09
Application pin number 977710
Property Address 125 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1548 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 0
Application desc
1 circuit front lighting
Owner Contractor
TRUDY HAVERSAT/GARY BRESCHINI APS ELECTRIC
PO BOX 10881 546 BENSON RD
SALINAS CA 939127881 PORT ANGELES
0
PORT ANGELES WA 98363
(360) 452 6753
Permit ELECTRICAL ALTER COMMERCIAL ( 1
Additional desc v \
Permit pin number 157446
Permit Fee 57 50 Plan Check Fee 00
Issue Date 12/02/09 Valuation 0
Expiration Date 5/31/10
Qty Unit Charge Per Extension
1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 57 50
Fee summary Charged Paid Credited Due \
Permit Fee Total 57 50 57 50 00 00
Plan Check Total 00 00 00 00
Grand Total 57 50 57 50 00 00
INSPECTION TYPE DATE RESULTS INSPECTOR.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
Signature of owner or Electrical Contractor X Date
RECEIVED
City of Port Angeles Permit Application ®EC 2 2009
Building Divislontbectrical Inspections r
321'Fast Flnn stied-P.O.eox 1150 ELECTRICAL " ""
Port Angeles Washington.98M INSPECTIONS
Ph.-1360)417.4735 Fax:(360)417.4711
Date:
_1 &2 Single F"/A
Mufti-Famity o
Commercial An/Remodel Repair'
Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet
Job Address: 1� w%5 t ff ; Cf•�'' ti�
Building Square Footage: `—
Description of above 1'2 t �' r1 d (�cQ N 2-K t14 IA
"
Owner Information Or e a 17 e fa 1)l r u SS Contractor iniomiation
Name. a^1\ t✓I I r 5 c. a fi =w n z rS Name; A C i;
Mailing Address: Mailing Address:
City State; Zip: City State: _Zip:
Phone: Fax Phone: Fax
License#/E)p License#/Fes.
Unit ChargeCyt Total(Qui Multiplied by Unit Charge)
$ 93,75 $ Servioe/Feeder 200 Amp.
$113.75 _ $ ServicelFeeder 201400 Amp.
$160.00 $ Service/Feeder 401600 Amp.
$205.00 $ ServiceJFeeder 6014000 Amp.
$281.25 �., S ServicelFeeder over 1000 Amp.
$ 2.00 $ Branch Circuit W/Service Feeder
$ 57.50 1 $ 7 5 6 Branch Circuit W/O Service Feeder
$ 2.00 $ Each Additional Branch Circuit
$ 72.50 T $ _—Temp.Service/Feeder 200 Amp.
$ 66.25 _ $ Temp.ServicelFeeder 201.400 Amp,
$116.25 $ Temp.Service/Feeder 401-600 Amp.
$131.25 S Tenrp.Servicefteder 601-1000 Amp.
$ 75.00 E Portal to Portal Hourly
$ 69.00 $ SgniOutime Lthting
$ 75,00 $ Signal CicuW limited Energy Commercial
$ 50:00 _ $ Signal CecuW Limited Energy 1 S 2 Family Dwelling
$. 60,00 $ 4nal Circuir//.Wed Energy MulfiFamily Dwelling
$ 93.75 $ Manufactured Home Connection
$ 80.00 $ Renewable Electrical Energy 5KVA System or Less
$ $6.25 $ Fest 1300 Square FL
$ 27.50 S Each Additional 500 Square Ft,or Portion of
$ $7.50 $ Each Outbuilding or Detached Garage
$ 86.25 $ Each Swimming Pool or Hot Tub
$ 43.75 $ Thermasiat
TOW
Owneras defined by ROW 19.28.261_(1)Owner will occupy the structure tar&a years afterM efeaMealpermlt is f mAnd.(2)Owner Is required fo hhe an
elactleal contactor if above said properly is fw=ft rant or base
After reading the above statement,l hereby certify that 1 am the owner of the above named property or a licensed ekdrical contractor.I am making the electrical
inatallation or alteration in compliance with the eleclrkal laws,WEC,RCW.Chaplet 11M WAG Chapter 218.488,The City of Port Angeles Municipal Code,and
Utility specirications.
Signature of owner,electrical contractor or electrical adminisbalm ❑ cash
� , ❑ Check
-7(JCO Of, Credit CardtE__�
PREPARED 4/07/09 8 43 53 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/09
ADDRESS 125 W 1ST ST SUBDIV
TENANT NBR STEPPIN OUT SALON
CONTRACTOR JACKSON S SIGNS & GRAPHICS PHONE (360) 457 3703
OWNER JOHN JR / NORMA E SOMERS PHONE (360) 457 3134
PARCEL 06 30 00 0 0 1548 0000
APPL NUMBER 08 00000389 SIGNS
PERMIT SIGN 00 SIGN
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 4/07/09BLDG FINAL TIME O1 00
J
V. April 6 2009 4 26 21 PM 1pangrle
I'V SHERRY WORK 565 0682 OR CELL 460 8481
BLDG FINAL SIGNS (STEPPIN-OUT SALON)
AFTERNOON
COMMENTS AND NOTES
�AP
to
�'''✓� a'�'- e 1 fid ' �cwt
�- /1'
� I
RECEIVED
` JAN 3 0 2QQ&
} CITY OF PORT ANGELES
BUILDING DIVISION
0
°�0 CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 08 00000389 Date 4/07/08
Application pin number 690494
Property Address 125 W 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 1548 0000
Tenant nbr name STEPPIN OUT SALON
Application type description SIGNS
Subdivision Name
Property Use
Property Zoning CENTRAL BUSINESS DISTRICT
Application valuation 140
Application desc
10 SF W/M SIGN BLDG REAR / 5 5 SF ON FRONT AWNING
Owner Contractor
JOHN JR / NORMA E SOMERS JACKSON S SIGNS & GRAPHICS
TRUSTEE 472 MOUNT PLEASENT RD
422 E FRONT ST PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 457 3703
(360) 457 3134
Permit SIGN
Additional desc 2 SIGNS 10 SF & 5 5 SF
Permit pin number 124099
Permit Fee 94 00 Plan Check Fee 00
Issue Date 4/07/08 Valuation 140
Expiration Date 10/04/08
Qty Unit Charge Per Extension
2 00 47 0000 PER S SIGN LESS THAN 25 SF 94 00
Special Notes and Comments
April 3 2008 3 23 29 PM sroberds
The proposal will result in 2 commercial signs in the CBD on
a structure with alley and street frontage Single sign on
marquee awning not to be placed above first floor of
structure and Alley sign MAY NOT exceed first floor of
building off alley
Fee summary Charged Paid Credited Due
Permit Fee Total 94 00 94 00 00 00 A
Plan Check Total 00 00 00 00 / t
Grand Total 94 00 94 00 00 00
Osr
9
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
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T Forms/Building Divisioi/Building Permit(10/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS �
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE I
INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION W
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. QQ
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION-
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWNSPOUTS
PIERS
POST HOLES(POLE BLDGS.)
PLUMBING
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY.
BACK FLOW/WATER
AIR SEAL
WALLS �N
CEILING 1
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION f�
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT H's SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W /PW/ CONSTRUCTION R.W f /�
ENGINEERING 417-4807 PW/ENGINEERING V
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING 1-7
T Forms/Building Division/Building Permit(10/0 1/07).wpd
•
S_ PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES For City Use Only
Attn Building Permit Technician _
321 E. Fifth St. Port Angeles, WA 98362
Date Received --0$
(360)417-4815 fax(360)417-4711 Permit#
/ Date Approved
Applicant or Agent Phone /o- 4o-� /
Property Owner AlorM4 6ow crs Phone,
Property Owner's Address 41c?,? Z_- Fr�f5{
Contractor/Engineer Phone 3�o- S7-37�3
Contractor/Engineer's Address A f- A /Y 6i
License # Expires
Project Address
Business NamePD/Jin
Parcel Number 7 Lot Zoning
~ Submit two sets of plans & a site plan that includes.
■ Type of sign (wall-mounted projecting freestanding, illuminated other )
■ Placement and sq ft. area
■ How the sign will be securely attached (Engineering specs may be required for freestanding signs)
■ Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements.
Sign Tyne &Brief Description. (Type, location, sq. ft.) \10,1 vxR6 0vl�
Sign #1 c?'X ool i �, r� mteil -4,11eV 614 Cnl& -/0 Sf 4-3rewrcd*J nuc 4q? e*�
Sign #2 e�erte. �. � srde- e,cts G'ano �e /' '�
Sign #3
Sign #4
Totals(Unit charges
Unit Charg Quantity multiplied by quantities) Type of Sign
$47 00 x oZ = $ g41,Wa All signs less than 25 sq ft.
$85 00 x = $ Wall or marquees, over 25 sq ft.
$115 00 x = $ Freestanding and projecting, over 25 sq ft.
GRAND TOTAL Make Checks Payable to City of Port Angeles
$ 1140D Credit Cards (Except American Express)are accepted
Total sign area �S S� sq. ft. Maximum allowed sign area sq ft.
I have read and completed this application and know it to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are
required, and to obtain permits prior to working on projects. ,/
Date 4-3�F Print Name Xe1^ri �;6!/-S Signature V4ytc.
T Forms/Building Division/Sign Permit Application.doc
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FILE
GlTv OF PORT ANGELES—Construction Plans � I
The Issuance of this permit based upon these plans,specifi-
cations and other data shall not prevent the building official
i from thereafter requiring the correction of errors in said
7 pl, ,s, specifications and other data, or from preventing v 1
7 building operations being carried on thereunder when in
violation of ail codes and ordinances of this jurisdiction.
Approval DatevW
By -�-"----'— ��`
T �
CERT CATS " W'' PANCY
y of'Port Ana . & Bur l�=n I CID ' ;'sion
This certificate is issue pursuant to the requirements of Section 110 of the 20W-International Building Code
certifying that at the time of issuance this structure ivas in co,..lin.4qe,with the vious ordinances of the City
regulating building construction or use,for the following
;.r
Business name: Steppin' Out Salon (Owner: Tom &Sherri Ellis:)
Business address: -125 W. 1 St St.
Property owner: John Jr. / Norma E. Somers Trustee `
Property owner's 422 E. Front St., Port Angeles, WA 983,627'3114
Automatic fare spri l ;- item: Not Required M
Use & occupancy c tion: Business
Building permit num r.
Type of construction:
Occupant load: P
12-19-08
ager Date
Post on the premises in a conspicuous place. This ayl not be removed except by the Building Official.
N
�r-
Parcel Lookup Page 1 of 1
Parcel Number 0630000015480000
Site Address: 125 W FIRST ST PA
Print Quit Back
Taxpayer:
JOHN JR/NORMA E SOMERS TRUSTEE 422 E FRONT ST
PORT ANGELES, WA 98362-3114
Title Owner:
JOHN JR/NORMA E SOMERS TRUSTEE 422 E FRONT ST
PORT ANGELES, WA 98362-3114
Description:
E2 LOT 14EXCE10' 131- 15
-7 lay
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: 33,600
Improvements Value: 67,900
Total Assessed Value: 101,500
Property Characteristics:
Note:Use Code is for Assessor's purposes only.Contact the appropriate planning or
building departments for Zoning and allowable usage of property..
Use Code: 5991 FLORISTS
Land Size (acreage): .00
Note:Acreage is not listed for all properties in the
Assessor's 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 Bldg.#for more details.)
# Bldg. Type Bldg. Style Total S.F. BD BA
01 One Story 1495
Tax History Sales History
Print Quit Back
1,6$2,192
http://apps.clallam.net/website/sitis_p.pgm?parcel=0630000015480000 4/3/2008
h CERTIFICATE OF OCCUPANCY APPLICATION Permit# Og— t 09
• . �'�`� CITY OF PORT ANGELES
FEES
Attn: Building Permit Technician C$$50.00 Certificate /Inspection
321 E. Fifth St., Port Angeles, WA 98362o b)"eX' (360)417-4815 fax (360)417-47110 Parking Business Improvement Area (PBIA)
Print in ink fee charged for downtown locations
1- aIme Ch 'S 5416 t o Ut S to
BUSINESS NAME
BUSINESS ADDRESS 5 Z Zoning C (? p
Business mailing address Phone#
Opening date -3_1-c&7 Das & hours of operation 7'00/fW—
Brief description of proposed business ei✓ _�e
Business owner's name Phone
Business owner's home address L 7Z-7,
f P5 C �`
PLEASE NOTE: Aj,-11 Sl�6�flir i 16114j /��✓/J7�`T 45 /J�C,C p� S
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? NOV YES✓ IF YES, CONTACT
Electrical changes Electrical Dept. at 417-4735
New business �,/ New or relocated signs BuildingDivision at 417-4815
Construction changes
Transfer of business Mechanical changes(heating,cooling,stoves ✓
location from a Plumbing changes
PBIA location Fire sprinklers stem changes
Fire alarms stem changes
Is this a home occu ation? PlanningDivision at 417-4750
Transfer of business Second-hand dealer or pawn broker? City Clerk at 417-4634
location from a New or relocated sewer or water service Public Works at 417-4807
non-PBIA location Excavation or filling of lots
Change of ownership Work done in the Cit right-of-way
New driveway openings
Remodel Gradin site drainage parkin lots,downs outs,etc. "
Landscape irrigation system(backflow devices) Water Dept. at 417-4886
Off-street parking
Temporary business
Existing streets paved
Change of use Existing 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. 1 acknowledge that I have read this application and state that the information I have
supplied is correct to the best of my knowledge.
Date/--_-�02? Print Name �641`f l ���1`S Signature
For City use only:
Department Approved Rejected # ,1-70 Comments I Conditions
Initials&date Initials&date t}
Building P �,� �� Type of construction Occupant Load
Fire p 3_1z Automatic fire sprinkler system required no yes
PBIA gg
�O
Planning S R 2,
City Clerk
00
Public Works f�
T.Forms/Building Division/Certificate of Occupancy Application
Application Number . . . . . 08-00000150 Date 2/07/08
Application pin number . . . 137350
Property Address . . . . . . 125 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1548-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
Owner Contractor
________________________ ________________________
TRUDY HAVERSAT/GARY BRESCHINI APS ELECTRIC
PO BOX 10881 546 BENSON RD,
SALINAS CA 939127881 PORT ANGELES
PORT ANGELES WA 98363
(360) 452-6753
____________________________________________________________________________
Permit . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . .
Permit pin number 120360
Sub Contractor APS ELECTRIC
Permit Fee 58.00 Plan Check Fee .00
Issue Date 2/07/08 Valuation 0
Expiration Date 6/05/08
Qty Unit Charge Per Extension
1.00 58.0000 ECH EL-COMM ALT <5 CIRCUITS 58.00
_-------_---____--------
.Fee summary Charged Paid Credited Due
Permit Fee Total 58.00 58.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 58.00 58.00 .00 .00
� I
SPECTION ELECTRICAL
TYPE DATE: RESULTS : INSPECTOR:
DITCH
SERVICE
ROUGH - IN
FINAL
COMMENTS :
Application Number . . . . . 08-00000150 Date 2/22/08
Application pin number . . . 137350
Property Address . . . . . . 125 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1548-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
TRUDY HAVERSAT/GARY BRESCHINI APS ELECTRIC
PO BOX 10881 546 BENSON RD.
SALINAS CA 939127881 PORT ANGELES
PORT ANGELES WA 98363
(360) 452-6753
----------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER COMMERCIAL
Additional desc . . EXTRA FEE FOR ADDED CIRCUITS
Permit pin number 120360
Sub Contractor APS ELECTRIC
Permit Fee . . . . 91.00 Plan Check Fee .00 ^
Issue Date 2/07/08 Valuation 0 /1v
Expiration Date 8/17/08 ^,
Qty Unit Charge Per Extension V \I
BASE FEE 33.00
1.00 58,0000 ECH EL-COMM ALT <5 CIRCUITS 58.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---- -- --------- ----------
Permit Fee Total 91.00 91.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 91.00 91.00 .00 .00 r�
n
INSPECTION ELECTRICAL
TYPE DATE: RESULTS : INSPECTOR:
DITCH
SERVICE
ROUGH - IN
Z h
FINAL
3a
COMMENTS :
�^°fe CITY OF PORT ANGELES
DEPARTMENT OF COMMUNI'rY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, IVA 98362
�k vF?h
Application Number . . . . . 08-00000170 Date 2/13/08
Application pin number . . . 139100
Property Address . . . . . . 125 W 1ST ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-1548-0000-
Tenant nbr, name . . . . . . STEPPIN' OUT JA10�1
Application type description COMM REMODEL
Subdivision Name . . . . . .
Property Use . . . .
Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT
Application valuation . . . . 1500 -
_____________________________________ _
Application dose
TI - ADD TWO SINKS, VENT FAN, W/D, ADA BATHROOM
----------------------------------------------------------------------------
Owner Contractor
_______________ ------------------------
JOHN
_ ________JOHN JR & NORMA E SOMERS SIMMS RENOVATIONS INC
TRUSTEE 753 S. BACLEY CREEK RD
422 E. FRONT ST. PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 775-8144
(360) 457-3134
--- Structure Information 000 000 TI - HAIR SALON (PLUMBING/MECH CHANGES) ---
Construction Type . . . . . TYPE V NON-RATED
Occupancy Ty
pe BUSINESS:OFF/PRO/MED/REST
________________ _ _ __
Permit . . . . . . BUILDING PERMIT - COMMERCIAL
Additional desc . . TI - ADD SINKS, VENT FAN ETC.
Permit pin number . 120667
Permit Fee . . . . 80.50 Plan Check Fee 52.33
Issue Date 2/13/08 Valuation . . . . 1500
Expiration Date 8/11/08
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50
_________________
Permit . . . . . . MECHANICAL PERMIT
Additional desc .
Permit pin number 120683
Permit Fee . . . . 67.90 Plan Check Fee .00
Issue Date 2/13/08 Valuation 0
Expiration Date 8/11/08
J
Qty Unit Charge Per Extension
HESE FEE 50.00
1.00 7.2500 ECH ME-VENT FAN 7.25 � Z
1.00 10.6500 ECH ME-OTHER APPL. NIB 10.65
______________________ \ \
Permit I . . . . PLUMBING PERMIT
Additional desc .
Permit pin number 120675
Permit Fee 93.00 Plan Check Fee .00
issue Date 2/13/08 Valuation . . . . 0
Expiration Date 8/11/08
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.
Date rint Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:F.m,s/Building Di,nm,i/Building Permit(10/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, 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 I ACCEPTED COMMENT'S
ES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS/WALLS
FOUNDATION DRAINAGE/DOWNSPOUTS
PIERS
POST HOLES(POLE:BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LINE(METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY'.
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALLMOLD DOWNS
WALLS/ROOF/CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTFD BY:
COMMERCIAL HOOD/ DUCTS
MANUFAC'T'URED HOMES
FOOTING/SLAB
BLOCKING&HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT W5 SEPA:
PARKING/IAGI 17"INC, ESA:
LANDSCAPING SI IORELINF:
FINAL INSPECFIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 - PW/ENGINEERING
FIRE 417A653 N '� FIRE DEPT.
PLANNING DEPT, 417-4750 PLANNING DEPT.
BUILDING 417-4815 6UILDING
T:Forms/B,,ilding Division/Building Pcnnil(10/01/07).vvpd,
of eow,,sc
��mm CITY OF PORT ANGELES
� DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
4a,�w�
Page 2
Application Number . . . . . 08-00000170 Date 2/13/08
Application pin number . . . 139100
Qty Unit Charge Per Extension
BASE FEE 50.00
3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 21.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00
_ ------------------------ _
Special Notes and Comments
February 13, 2005 12:00:14 PM kdubuc.
Basement may not be used for any purposes unless the
following conditions exist:
Basement must be equipped with a fire sprinkler system and
basement must have two exits.
The Fire Department has reviewed the project application and
has no comments
----------------------------------- _ _
Other Fees . . . . . . . STATE SURCHARGE 4.50
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 241.40 241.40 .00 .00
Plan Check Total 52.33 52.33 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 298.23 298.23 .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?-13-06
Dale Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder)
T:Fe.... Build ing DiviswivEmlding Permit(10/01/07).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 4174815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR E BC'FRICAL INSPECTIONS. `.
CALL 417-4807 FOR PUBLIC WORKS U FILFIIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULA'T'E OR CONCEAL ANY WORK BEFORE
INSPECTEDANDACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT J013 SITE. O
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: 1
FOOTINGS
SHEAR WALLS/WALLS O
FOUNDATION DRAINAGE/DOWNSPOUTS
PIERS
POST'HOLES(POLE BLDGSJ
PLUMBING
UNDERFLOOR/SLAB
ROUGH-IN
WATER LING(METER TO BI,DG) Q
GAS LINE FINAL �'�-DATE f ACCEPTED BY:
BACK FLOW/WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS N/ }
WALLS l ROOF l CEILING
DRYWALL(INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/FLOOR/CEILING
V'
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE Qp p
WOOD STOVE/PELLET/CHIMNEY FINAL �—�—o0 DATE Pg ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING/SLAB
BLACKING&HOLD DOWNS
SKIRTING
PLANNINGUEPT. SEPA RATE PERM IT B's SETA:
PARKING/LIGHTING -FSA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUI'ANCY/USE
RESIDENTIAL, DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO l9
ELECTRICAL-LIGHT DEPT. 417-4735 LGHT DEPT
LIGHT DEPT ,
CONSTRUC PION R.W./P W/ CONSTRUCTION-R.W.
ENGINEERING 417-4807 PW/ENGINEERING Y-
FIRE 417-4653 TIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING — SODS
T:Partns/Duild,n,Di,m.,96uildmg Permit(I O/01/07).vvpd
PREPARED 4/07/08, 8:56:12 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 4/07/08
________________________________________________________________________________________________
ADDRESS : 125 W 1ST ST SUBDIV:
TENANT, NBR: STEPPIN' OUT SALON
CONTRACTOR : SIMMS RENOVATIONS INC PHONE (360) 775-8144
OWNER JOHN JR 6 NORMA E SOMERS PHONE (360) 457-3134
PARCEL 06-30-00-0-0-1548-0000-
APPL NUMBER: 08-00000170 COMM REMODEL
________________________________________________________________________________________________
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
_____________________________
____________________________________________
BL99 01 4/07/08 JLL ^ BLDG FINAL TIME: 01:00
1 April 008 2
7, 8:36:08 AM 1pangrle.
SCOTT 7, 20084
BLDG FINAL
AFTERNOON
------------------------------------------------------------------------------------------------
PERMIT: ME 00 MECBANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
____________________________________________________________________
FE99 01 4/07/08 JLL MECHANICAL FINAL TIME: 01:00
April 008 2
7, 8:36:50 AM 1pangrle.
SCOTT 7, 20084
MECHANICAL FINAL
AFTERNOON
____________________________________________________________________
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
____________________________________________________________________
PL2 01 3/19/06 JLL PLUMBING ROUGH-IN
3/19/08 AP March 19, 2008 8:57:41 AM 1pangrle.
MARK 808-0174
ROUGH-IN PLUMBING
PER MARK - IF HE IS GONE AT LUNCH, PLEASE CALL THE
CONTRACTOR AT 460-4336
]/�8 March 19, 2008 4:31:29 PM jlierly.
PL99 01 4/' / JLL PLUMBING FINAL TIME: 01:00
April 7, 2008 8:37:43 AM 1pangrle.
/ SCOTT 775-8144
PLUMBING FINAL
AFTERNOON
____________________________________ COMMENTS AND NOTES --------------------------------------
PREPARED 3/19/08, 12:02:36 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 3/19/08
________________________________________________________________________________________________
ADDRESS 125 W 1ST ST SUBDIV:
TENANT, NBR: STEPPIN' OUT
CONTRACTOR : SIMMS RENOVATIONS INC PHONE (360) 775-8144
OWNER JOHN JR S NORMA E SOMERS PHONE (360) 457-3134
PARCEL 06-30-00-0-0-1548-0000-
APPL NUMBER: 08-00000170 COMM REMODEL
________________________________________________________________________________________________
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
__________________________/__�____________________________________________________________________
PLC 01 3/19/08 Y PLUMBING ROUGH-SN
March 19, 2008 8:57:41 AM 1pang rle.
`fvi MARK 808-0174
ROUGH-IN PLUMBING
PER MARK - IF HE IS GONE AT LUNCH, PLEASE CALL THE
CONTRACTOR AT 460-4336
-------------------------------------- COMMENTS AND NOTES -----------------
08 - 170
PORT ANGELES FIRE DEPARTMENT
PLAN REVIEW
Project Name: Hair Salon TI
Address: 125 West First
Plan # 08-10 Com ® Residential
❑ Date: 2.1.3.2008
We have checked this plan and find that it conforms to the requirements of our codes and
ordinances.
The basement may not be used for any purpose (including storage) unless the following
conditions are met:
Fire sprinklers exist
Two exits are provided
NOTE: Prior to the issuance of a Certificate of Occupancy, compliance with the above
conditions must be met.
Reviewed by: �.{i t_n Date: 2- C-OR
® Building Department Copy
❑ Contractor/ Owner Copy
❑ Fire Department Copy �'�
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°, r,,.,•,,, BUILDING PERMIT APPLICATION Print in ink
r
CITY OF PORT ANGELES
Z__M Attn: Building Permit Technician For City Use Only:
K
321 E. Fifth St., Port Angeles, WA 98362 Date Received
(360) 417-4815 fax (360) 417-4711 1 Dermit#
ate Approved
1 t
Applicant or Agent `j Aer✓; t- %eM Z//Z5 Ph e 360 -
Property Owner A/a✓,,,,,a- a- ZI ohn _$,97ners Phone yes/ 3/3
Property Owner's Address /as �. �;rsf �f• fIrt Ager
Contractor/Engineer -Phone 7-7,5-8/izy
Contractor/Engineer's Address 76-3 444ze./ c7r,-t!< %e1 rY 24rej
License # IExpires'
PROJECT ADDRESSo7 G✓�-I 14jeles
Parcel Number Lot Zoning
Project Type & Brief Description: D Residential ){Commercial D Multi-family D Industrial
Check all that apply
D New Construction
o Addition
reRemcdel yr,v Aver,•:-�- ry>� n - Ree-ssible_
o Repair .,� 4,00 off) oe( hat rw +;h
❑ Re-roof
o Demolition
D Sign D wall-mounted D projecting c freestanding o awning D other
Total sign area sq. ft. Maximum allowed sign area sq. ft.
D Heat System D Heat pump ❑ wood-burning stove ❑ gas fireplace D pellet stove D other
o Other
Floor Areas Existinq(sq. ft.) Proposed(sq. ft.)
Basement @ $ per sq. ft. _ $
1" Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $
Total footprint of structures /sq ft. - Lot size sq. ft. = Lot coverage %
Max. height of proposed structures ft. Occupancy group #of bedrooms
Will a lawn sprinkler system be installed? A1,9 Occupant load #of full baths
Will a fire sprinkler system be installed? V0 Construction type #of half baths
/ have read and completed this application and know it to be true and correct. / am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. /
Dated-;�-OQ Print NameSignature - e&,
T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc
Addi09 Q 44,e work alb . A.itN a washet-d il,- e -.
Mai li- G�Z10V) ✓
CERTIFICATE OF OCCUPANCY
City of Port Angeles
Building Division
This Certification issued pursuant to the requirements of Secoon 301 of the
International Building Code certifying that at the tune of issuance this sh uctrn e was
in compliance with the various ordinances of the Citi,regulating Building
constnmtion or use.For the(allowing:
Use Classification: Business Building Permit No.: 06-089 Business Naraclden.Escanes
♦ .. _,..�� 4 t 1
Group: BN o(Construction: V-1N Usc Zone? CA
Owner of Business:Anne & John-.P'eacock Address: 406 Shore Road Port.Angeles, WA. 98382
Budding Address: 125 W. 1'st. Street Port Angeles. WA. 98362
March 13, 2006
r3
Building Official Date
X k l 2
Post on the premises m'.a conspicuous place.
No.91 Shall not be removed except by Building Official.
t1xstiF *x-og9
ROUTING SLIP Om
Certificate of Occupancy A
$50.00 Certificate/Inspection Fee
DATE /��7/06 New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . ( )
/3T ST. Change of Ownership ( k )
. . . . . . . . . . . . . . . . . . . . .
Applicant AAfA11!F4KS e d f 6;tC_Vd& New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address ' L 5/fO.�E TZD . Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
RA . . X,+ 95`3AA Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
2 � ,�99s
Phone: business Yi7-o y6Y home - Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: FLd w i R G/f7-.5HoP
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 . . . . . . .... . . . . . . . . ... . . ... . . . i 1) Building 1) Taxi
Mechanical (heating,cooling,stoves) .... . . ... . . . . 2) Plumbing 2) Peddlers
Plumbing changes..... . . ....... .. . ...... . .... . 3) Electrical 3) 2nd Hand Dealer
New or relocated signs .. . . . . ...... . . . . ... . . .. _ 4) Mechanical 4) Pawn Broker
New septic tanks . . . . .... . . . . . . . .. . . . . . ... . . . .. _ L 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 ... . . . ..... . . ..... . . .... L 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
Are there existing sidewalks? ... . . ...... . . . ... . . . _/I 16) Conditional use
Is there curb and gutter? . . . . . .. . . . . .... . . . ... . . . _Z 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: /7�Olo
information I have supplied is correct to the best of my tt
knowledge. Signed �- r•:4 7 �
APgRQVE REJECTED Comments/Conditions
6 Building Section _
Public Works Department OPBk T�3[3
Planning Department
IND Fire Department
u City Clerk
�r /
�--k P.B.I.A. I Sd 5.
t '
0o P61A
r �
CERTIFICA=TE OF#xOCCUPANCY
'joCity of Port Angeles
rwr Building Division * x
This Ccit fcation issued pursuant to the requirements of Section.301 of the
lnternationnl Building Code certifying that at the time of issuance thikstructure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following:
Use Classification: Business BuildingPermit No.: 04-768 Business Name:
Eden Scales.
i „�
Group: B
Type of Construction: VN
• � YP Use Zone: CA z
Owner of Business: Ernes[& Letha Cooper Address: 125 West First Street Port Angeles. WA. 98362
;a
Building Address: 2032 South "0" Street Port Ah2eles. WA. 98362
R@ e..;x�2+crsi Fi.'"':y � lJ nom•' ��r+,�.i ek5.-�—ry
4,11�� {�s���n����
t August 8, 2005
Bmldmg 6hicraL"^ro .d�*'9"4 " �tirg a �.R!.tx �ti-'' Date
Post on the°premises in aeconspicuous place.
-
Shall not be remove:'!sr 6`tx Fby-Building Official.
sol I +�
` ROUTING SLIP -76S .A
��ytJ Certificate of Occupancy Dy
$47.00 Certificate/Inspection Fees
lLr P S
DATE New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
/.Zs'A) 1< - ti'L64 Lrin AP r6..1 Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
ApplicantNew Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address las Z.J. lest tr" Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
la.P; 4jA. 9-5, ? Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: businessT� home mss. Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: ,&'nE'P�
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......... .. . . . . . . . . ....... 11 t� 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 .. . . . . . .......... . . . . . . . . -X.� 12) Occupancy
A grading plan for site drainage. . ......... . . . . . . . . 13) Sign
(parking lots, downspouts, etc.) . . .......... . . . . . . _J1,2(_ 14) Shoreline
Are the existing streets paved? . . . . ........ . . . . . . . _X4 15) Home occupation
Are there existing sidewalks?. . . . . . . . ......... . . . . __X3L 16) Conditional use
Is there curb and gutter? ..... . . . . . . . . ....... . . . . yl(,GL 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: =T3/11e'ov
information I have supplied is correct to the best of my
knowledge. Signed: i�«�`
APPROVED REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
/"dN City Clerk
P.B.I.A. a
4
CERTIFICAT�GPF SQ:CUPANCY
City of.PortAngeles
Building1)1ivision
This Certification issued pursuant to the requirements of SectionV109 of the
Uniformfbitildtng Code certifying thatatthe time of issuance this structure was
in compliance with"the various ordinances of Mfi City regulating Building
construction or use. For the following:
" _Dannielles Floral D sien
� Use Classification: Retail Build" ing Permit No.: Business ' U
♦ _ _' -
Group: M ''Type of Construction: V-N .- "` Use Zone ' "
QBD
Owner of Business: Cynthiaa R:'Au--tin Address: 1132 East 6d' Streett, Port Angeles WA 98362
Building Address: 125 Wet V. =Street, _ _Port`Angeles,WA-98 62
la 's1.
1r �" J Fm15th, 2004
i u m Offcial Date
N L' au`3� 'n iiCy{ .
PQM n thepremis s lri�aconsp uo s place.
Nom, �x 4� �� .
Shall not be rem.p.ved�exeept�by,0Building Official.
> rc
D'esliIII&ITINGSLIP
'ACetificate of Occupancy Om
'$47.00 Certificate/Inspection Fee
DATE 10/wC73 New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( `)
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
IZ5 41/e5'- 5*420+ Change of Ownership
Applicant L11-tht« • -is+o New Building ( )
Address 'L c 5 it
1nr�Lf Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
H A 9pf'LPS g4e2- Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business qi7-0q&Y home �-S Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business:
Legal Description: Lot Block Subdivision
Current Use of Property: AIN- aS PLLjrrte55 4?111i°rr llcgrB (_-F10k-0-r S Zc3�
Zoning Classification of Property: COmwi'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)..... . . . . . . . . . i/ 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? .. . . . . . . . . . . ... V'_ 11) Fire
New driveway openings . ............ . . . . . . . �� 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?........ . . . . . . . ...... vl� 16) Conditional use
Is there curb and gutter? ......... . . . . . . . . ....... 11 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: /o/7/0-3
information I have supplied is correct to the best of my
knowledge. Signed:
APPR VED/J jjREJECTED Comments / Conditions
t7 Building Section
Public Works Department
/ -n-o -3 Planning Department
U
F Il6 Fire Department
o' -03_U City Clerk
/6-�-03 SK P.B.l9.
CERTIFIC/�=TE-20PO_CCUPANCY
f' tm,7 ,
Arty of Port:Angeles
Buildin hvsion
This Cernficatron sssued pursuant to the requirements of Section 109 of the
UniforBtldtngGodcert grthat athe tittme oissuance this structure was
in cmplsance withttheanous orrhnances of the Etty reguldting ut(ding
const Otto' n o `sem For the follows 9
Use etassifiea nn: Flom t ,Bn Pernnt ry �y s �ess Name Danny lIFl`oral Desi n's
Group: M .VoeofConstruction
Owner of Business/Residence Daniifelle Poll .tnaar 5 0,Ctedar Glen4Lane ort Angeles, WA 98362
<,
Building Address: 125 eSt P
Buil in a Date
Post on t ss t y 2gi ous place.
Shall.not be remove except by Building Official..
%pec C)
ST
ROUTING SLIP
4 /��
Certificate of Occupancy K-�'t_ �
$47.00 Certificate/Inspection Fee Alc4,1 A-",
DATE New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
/S� Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( X )
Applicant i �La �a/ New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Add�r/Erss /D 62dah v Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
T 1 pn��(o d j It)&J Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business 417-Nlo4l home '/5'7-S''/642 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: _Fees e-.�
Legal Description: Lot Lt ly to ' ock Subdivision ?/
Current Use of Property: 6)4 -Ur7j v D)t_ &_ZEe'z
Zoning Classification of Property: C
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes. . . .......... . . . . . . . . . .. ... _ '�l PERMITS BUSINESS LICENSE
Electrical changes. . . . ....... . . . . . . . . . . ......... 1) Building 1) Taxi
Mechanical (heating, cooling, stoves). . .. ...... .. . . 2) Plumbing 2) Peddlers �N
Plumbing changes .... . . . . . ... ......... .. . . . . . . y 3) Electrical 3) 2nd Hand Dealer -1
New or relocated signs. ........... . . . . . . . . . . . . .. X 4) Mechanical 4) Pawn Broker
New septic tanks. . . . ...... . .. . . . . . . . . . . . . . ..... k 5) Sewer 5) Dance
New sewer service .. ...... . . . . . . . . . .. . ......... K 6) Sidewalk installation 6) Hotel-Motel
Admission charged to patrons. . . . .. ............ . . y 7) Driveway installation 7) Fireworks
Is this a home occupation? . . . ........ . . . . . . . . . . . u 8) Curb installation 8) Ambulance .�
Excavation of filling of lots ......... . . . . . . . . . . . ... K 9) Sidewalk obstruction 9) Tattoo shop V\
Work done in City right-of-way.... . . . . . . . ......... 10) Water meter installation 10) Other
Is there sufficient off-street parking? . . . I....... .. . . u 11) Fire
New driveway openings .... . . . . . . ....... . . . . . . . . X 12) Occupancy
A grading plan for site drainage. . .... . .. . . . . . . . ... K 13) Sign
(parking lots, downspouts, etc.) ...... .. . . . . . . .... 14) Shoreline
Are the existing streets paved? . . . . . . . . . . ......... X 15) Home occupation
Are there existing sidewalks?. . . . . . . . .. ......... . . 14 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:
information I have supplied is correct to the best of my
knowledge. Signed: 14 6L1LjfLLLLiG
AP D REJECTED Comments / Conditions
Building Section
Public Works Department
21_0Planning Department
Fire Department
City Clerk
P.B.I.A. }RC:d
U\yOf pORTq YO�`�N
HOLD HARMLESS
`--�� for
��, ENTRY ONTO PRIVATE PROPERTY
The undersigned agrees that they will save and hold the City of Port Angeles harmless from, and defend
the City against, any and all claims and causes of action for personal injury or property damage to third
persons arising out of or in any way connected with the entry by the City of Port Angeles onto the
property described as: r P.S w 1 5=
and adjacent areas onto then undersigned's property for the specific
spfipurpose of performing the following:
We understand that the City will restore these premises to as good a condition as they were in prior to
the work and that this permission is granted for a period of time not to exceed ( ) calendar
days.
DATED this �_ day of _, 19t>G� l
STATE OF WASHINGTON ) ,
ss.
County of Clallam )
On this date, before me the undersigned Notary Public in and for the State of Washington,
personally appeared ' Cin r\ F-'s to me known to be the
individualIdwho executed the foregoing Develeper� t- o acknowledged to me
that they signed the same for the uses and contents therein mention
DATED this �7 day of )• 1499-
Sy -199_ry
0: It 0. NOTARY PUBLIC fo ashington,
C � residing at J
.O My commission expires,--2 0 y
�.� IlliV►�
12*
2*
PW-9005 [12193] g4'i7��OR W/v`
Will
d
�a�wa. ie les
TF
�°`AUUTING SLIP "q7
�wf
Certificate of Occupancy
-1 $47.00 Certificate/Inspection Fee ,
DATE tU���r�3 New Business . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address of Proposed Business Transfer of Business Location . . . . . . . . . . . . . . . . ( )
!Z5 W&5 �; l I(�( L, Change of Ownership
Applicant irtfI,IC I( L1S 10 New Building
Address d" Z 5 �( 1 Remodel . . . . . . . . . . ( )
�pYf TplG �� � y Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
Phone: business C`f✓' home ` --S�74tcl Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( )
Brief description of proposed business: /o✓vu_ ��tr I kSf/2C�5
Legal Description: Lot Block Subdivision
Current Use of Property: S4112e_ Pu_sl--Less
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED:
Construction changes.. . .. . . . . . ... . . . . .... ... .. . ✓ PERMITS BUSINESS LICENSE N
Electrical changes.. .. .. . . . . . .. ... . . . . ....... . . . ✓ 1) Building 1) Taxi TY
Mechanical (heating, cooling, stoves). . . . . ...... .. . ✓ 2) Plumbing 2) Peddlers 1
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 .. . . . . . . . . .... . . . . .... . . . . . . . i 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 . . ....... . . . . .... . . . . . . . . Q*i'Occupancy
A grading plan for site drainage... . . . . . .... . . . . . . . —rL 13) Sign
(parking lots, downspouts, etc.) .. .. . . .... . . . . . . . . 14) Shoreline
Are the existing streets paved? .. . . . . . ... . . . . . .. . . ✓ 15) Home occupation
Are there existing sidewalks?..... . . . . ... . . . . . . . .. vf16) 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:
information I have supplied is correct to the best of my ^�
knowledge. Signed:
APPROVE 'REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.A.
r
CERTIFICAyT'E OF4°OCCUPANCY
City of Port Angeles
Building Division
This Ce�jj'tification issued pursuant to the requirements of Sectio 109 of the
Uniform uilding Code certifying that at the time of issuance this s ructure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following.
� use Classification: Retail Badding Permit No.: Business Name: Dannielle's Floral Desien
• Group: M Type of Construction: V-1Q Use Zone: CBD
Owner of Business: Cynthia R. Austin , Address: 1132 East 61'. Street, Port Angeles WA 98362
u
Building Address: 125 Wet 1st. Street, Port Angeles,WA 98362
Jant ary�15th, 2004
an Otal :Dale
P he3premises m a cOn'spicuous place.
Shall not be rbmQvedXec pt by-Building Official.
CITY OF PORT ANGELES
PUBLIC WORKS -BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES,WA 98362
BUILDING PERMIT ISSUED: 6/28/2001 PERMIT NO: 12763
OWNER/APPLICANT PROPERTY LOCATION
JOHN SOMERS 125 1ST ST W
422 E. FRONT STREET Lot: E1/2 LT 14 EXC E 10'
Port Angeles, WA 98362 Block: 15 ❑ Long Legal
360/457-3134 Subdivision: TPA
T: S: Parcel No:
'90,000/�'fD00O
CONTRACTOR ARCHITECT
CITY OF PORT ANGELES N/A
Port Angeles, WA 98360 , 98360-0000
360/000-0000 360/000-0000
PROJECTINFO
Project Value: $4$96. SFD Units: 0 Commercial: 0
Project Type: EXHAUST FAN 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
INSTALL 1100 CFM EXHAUST FAN AND DUCT WITH SUPPLY AIR VENT IN
NORTH WALL.
FEES ASSESSMENT
Building Permit: $0.00 Misc Fee 1: $0.00
Plan Check: $0.00 Misc Fee 2: $0.00
State Surcharge: $0.00 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $30.00
Plumbing: $0.00 AMOUNT PAID: $30.00
Mechanical: $30.00 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. IT IS 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
UNDER FLOOR/SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW/WATER
AIR SEAL
WALLS
i
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL
WALLS/ROOF/CEILING
DRYWALL
T-BAR
INSULATION
SLAB i
WALL/FLOOR/CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE/PELLET/CHIMNEY/INSERT
HOOD/DUCTS c
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 OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 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 417-4815 BUILDING
C:\APPLWPD
1177 CITY OF PORT ANGELES A 71 (P
FEE RECEIPT NUMBER DEPARTMENT OF LIGHT PERMIT NUMBER
APPLICATION AND ELECTRICAL PERMIT
� `
® TOTAL FEE - 2�' / ,,7 l'
CONT.LIC.NO. TIMETOCOMPLETE NO.STORIES LEGALOCCUPANCY
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT —
Site Address 5� t #3 L, 45 / 'o S` r))r�-y�
6
(� p CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG 6DD�RESSES ARE'CA CEL ED / 1
Owner A/`ke- Installation By -�'J'pl ��LcF� /gllg�
Owner's Address J z�— . I Installers Address
Day Phone -4,577- 61:7 ( Installers Phone—
Application
Application is hereby made fpr Permit to Install Electrical Equipment as follows: I N C /���//I
Wiring Method (-IOAJ,�-U'I t —
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT CIRCUITS PER 1 0 1 0 OR FEE USE OF CIRCUIT CIRCUITS PER1 0 1 0 OR FEE
CIR 30 CIR 30
LIGHT SIGN
LIGHT 50 VOLTS
OR LESS
CONVENIENCE - MOTOR
CONVENIENCE - MOTOR
APPLIANCE MOTOR
DISHWASHER FIREALARMS
DISPOSAL BURGLARALARM
® RANGE MISC.
OVEN
WATER HEATER
LAUNDRY
DRYER - REINSTALLATION LIGHT FIXTURE k -
FURNACE SUB TOTAL FEE
GAS-OIL
FURNACE ENERGY FEE
ELECTRIC
BASIC FEE
ELECTRIC HEAT
TOTALFEE i
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C.UNIT
AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE - - A.W.G.
SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed undo/r/this permitwillbe done by the installer and in on or n with the lectrical Code.
Date Application made �� / CO ,19<;4,� By
_ - CONTRACTOR OR OWNER(OR AUTHORIZED AGE
Permission is hereby given to do the above described work,according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
DIRECTO"F CITY LIGHT -
Date Permit Issued By
® PLANS APPROVED
[, Notify Department of City Light by Street Address and Permit Number when ready for inspection.Work must not
be covered or current turned on before inspection and O.K.for covering.or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone:457-0411 Ext. 158.
WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER —
WHITE-Original CANARY Duplicate PINK Triplicate WHITE CARD.Inspector's Report
OLYMPIC PRINTERS,INC. _
REPORT OF INSPECTOR
DATE OF VISIT MADEBY REMARKS
Z
Q
Q
(A
2
F
2
W
I.-
FA 3®
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2
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o1P.4SiPtevRlmm
o�ec
PlNAL O.K.
ELECTRICALWORKPERNUTAPPLICATION ,
OR-OlStd _� ,.
lastallation deseripGo�� -
Job wired by Electrical Contractor ❑Owner Commercial O Residential
Electrical contractor name Lic w numbe Dale L'xpires
co�Q`Q cto( � 0 New �dalteretUAdditlon
Porch «rI'�mailing addnddrreess wpp l �-Il C i F I
t4 o s0Y� P4 C 1 r-C_
City Po f ACJ state zlP
Telryh`anc9 bei t 6 a-b_l53FA"mmmber
-
Prem�I es owaer's t me A O,x5
—f om Lill7111 �t i �' t 5
Address or inspection / —�. (��l
ids WeS � �i f S� STPei!! 33� 4AIn Rs�
City a A
Phone mbcr to schedule Inspection: �1QM li 460 �gf/g
A�n .4 1437 To Kbo -S�fQ
Owner as defined by RCW.19.2k261:(!) Owner will occupy the structure fur two
years aper this eh'clrical permit is finalized. (2)Owner u required to hire an eleciricaal
contractor if above raid property it for sale. rent or leave. ❑Cash ❑ Check# -
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. 1 am making the electrical instal- Q Credit Card Visa Mastercard Discover
lation or alteration in 000tplia0ee with the electrical laws, N.F..C., RCW. Chapter
19.26. WAC. Chapter 296-46B, The City of Fart Angeles Municipal Code, and Card#
—__--___'—_—_--_—
Utility Specifications. q
Signator f neq electr Ipp�aU tre o or per.rical adromisttrrtoe Expiration Date 1 1 —
X 1`-'c 2 "[ 'Og ofcazd Inspect an fisc
Fe: $ ej
Electrical Load Additions and or subtractions Service Information
ANO LOAD CHANGES
0 Baseboard _KW Voltage ;-LIQ
0 Furnace _KW Overhead Service Phase J* 1 0 3
0 Heat Pump _Ton^IAP 0 Tomp Service Service Size:aR6
Cl Fen-Wall _KW 0 Underground Service Feeder Size: q10
SAME DAY INSPECTION, CALL. BEFORE 7:00 AM 360-417-4735
0;t
THERMOSTAT
Il\\ Dam nvovM eER
DY
DITC13 Drys Apay.w ar Dy
Inspection Area,Buildingor Equipment Inspected Electrical
Date Action Taken
Inspector
7- Q 463
Td Wd4S:20 6002 b0 'Qat £SL9 ZS4 092 'ON XUd 8010baINOD 7UD18-LDEI-13 "S'd'b W0213