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Home My WebLink About1018 W 16th St - Building RECENED ' pasty w CITY OT PORT ANGE LIES PERMIT APPLICATION �: -� Building Divisjon/Electfleal Inspections OCT 201"1 iwR�II 321 East Fifth Street—P.O.Box 11,50/Port A09cleS Washington,98362 Ph: (360)417'4735 Fox: (360)417-471.1 FILLURI A Date; Zo - el—/3 MultWarrilly or.� mersia�* Plan Review uired, Please 40nPlet9 Electrical Plan Review Information Sheet JobAddresstoi ILI Building Square Footage! Description of above Z r Owner Information Contract Info nail Name: 40tbo�t_g f I Name::: ao'WE "!�Wq 49 4�,'"pt—L-0, dress: L:IA) -,"Z"� Mailing drpss: state-W6--zip: Phase, _rax; Phone, LlS_�7 _22_Fax: Licanse#I Exp_ OaensaflExp. .5- 0 Item qn_it�Char a 21 Tog ly Multi Iliad by Unit Charge) ServIcell'oeder 200 Amp. $132.00 Service/Feeder 201-400 Amp, $160.00 Service/Feeder 401.600 Amp $226,00 Service/Feeder 601-1000 Amp, $288.00 Service/Feeder over 1000 Amp. $410.00 Branch Circu[l VVI Service Feeder $ 5,110 Branch Circuit W/o Service Feedef $ 74.00 Eacfi Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 56'00 Temp,SeTvlw/Feedar POO Amp. $102,00 i:? Temp.Servlce/Feeder 201-400 Amp, $121.00 Temp.ServicetFeeder 401-600 Amp, $164,00 Temp,ServiGeMeader 601-1000 Amp $185.00 Portal to Portal Hourly 9640 Sign/Outline Lighting 88.00 4 Signal Glrcultl Limited Energy-Multi-Family $ 61,00 Signal Circuit]Limited Energy I First 1500 0-Commercial $ 96,00 Note; $5,00 for e5oh additional 1500 sf Renewable Electrtoal Energy-SKVA System or Less $113,00 Thermostat $ 56,00 Note!$6.00 for each additional T-Stat S 6-'6 fJd lrotal Owner as defined by RCW,19,28.261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2) )wner is required to hire an electrical contractor if above said property is for sale,rent or lease,Permit expires after six months of last inspection. After reading the above statement,I hereby certity that I am the owner of the above named property or a licensed eipotrimil contre dor, I am making the electrical installation or alteration In compliance with the electrical laws, N.E.C,,RCW, Chapter 19,28,WAC. Chapter 296-468 The City of Port Arqetes Municipal Code,and Utility Specifications and PAMC 14.05,050 regarding Electrical Permit Applications, SIgnat of owner,electrical con actor or electrical administrator: 1-1 c1sh ❑ Check Crt0 Card Dated: ELECTRICAL PERMIT CITY OF PORT ANGELES �-- 360-417-44735 Application Number 13-00001171 Date 10/10/13 Application pin number 056065 Property Address , , . . . . 1018 W 16TH ST ASSESSOR .PARCEL NUMBER: 06-30-00-0-4-47.20-0000- REPORT SALES TAX Application type description ELECTRICAL ONLY on your excise tax form subdivision Name . , . . , . to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation , . , . 0 Application desc Ductless heat pump Owner Contractor INTL CHURCH-FOURSQUARE GOSPEL SIMPSON ELECTRIC 1023 KITCHEN DICK RD 243036 W HWY 101 SEQUIM WA 983827580 PORT ANGELES WA 9B363 (360) 461-7979 (360) 457-9270 --------------- ----------- -----------------------_---------- ---------__ Permit , . , ELECTRICAL ALTER COMMERCIAL Additional desc 1-4 CIRCUITS �® Permit Fee 86,00 Plan Checlt Fee ,00 Issue Date 10/10/13 Valuation , , , . 0 Expiration Date 4/08/14 Qty Unit Charge Per Extension SASE FEE 86.00 ----_Fee summary Charged -------Paid Credited Due ----------------- ---------- ------ -- --------- - ---------- Permit Fee Total 86,00 66.00 .00 ,00 Plan Check. Total 00 .00 ,00 .00 Grand Total 86.00 86,00 00 00 V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN b .FINAL COMMENTS: PERMIT WILL EXPM E SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Dater G:IEXCHANGEIBUILDING ELECTRICAL PERMIT CITY OF PORT ANGELES i p, 360-417-4735 4 N Application Number 11- 00001092 Date 10/04/11 Application pin number 697428 REPORT SALES TAX Property Address 1018 W 16TH ST your excise tax form ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -4- 4120 -0000- on y Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property y Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amdp service and 4 circuits addition Owner Contractor INTL CHURCH FOURSQUARE GOSPEL SIMPSON ELECTRIC 1023 KITCHEN DICK RD 243036 W HWY 101 SEQUIM WA 983827580 PORT ANGELES WA 98363 (360).461 -7979 (360) 457 -9270 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 193771 Permit Fee 130.30 Plan Check Fee .00 Issue Date 10/04/11 Valuation 0 Expiration Date 4/01/12 Qty Unit Charge Per Extension 4.00 2.6000 ECH EL- BRANCH CIRCUIT W /FEEDER 10.40 1.00 119.9000 ECH EL -0 -200 SRV FEEDER 119.90 Special Notes and Comments October 4, 2011 10:10:52 AM. HANDERS. Install standard service mast on south side of peak of new structure to obtain proper clearances. Fee summary Charged Paid Credited Due G Permit Fee Total 130.30 130.30 .00 .00 ,,,ccc�� Plan Check Total .00 .00 .00 .00 f\ Grand Total 130.30 130.30 .00 .00 v 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ,l CZ, .,�Q ROUGH -IN 1 °le/ FINAL ]l i Z COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING °f PORT gN ELECTRICAL INSPECTION WIRING REPORT U V L r� y 'ma c� y 417 -4735 ORKS t, DATE PERMIT IN CTOR Oil SP/ 1I _fd Z OWN /CONT ACTOR 7 4 )4 1s C-- AIODRESS telg L 1.( APPROVED NOT APPROVED II CH $(4, l a1 8) 1. RO ,-'i� OVER SERVICE FINAL CORRECTIONS NEEDED: __L LYha 4'c Lt. V N V 1 )7 rLLEC O cr--Q9 IP)A-AV._*- Lliz f--2.6_x 0_44-ria(z, >612 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 RE V `ol roar�,�, c Q —..S) CITY OF PORT ANGELES PERMIT APPLICATION ®C�,•� (NI Building Division/Electrical Inspections ir 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL 1 u Ph: (360) 417 -4735 Fax: (360) 417 -4711. INSPECTIONS II I Date: /0-3- 1 1 2 Single Family Dwelling Multi Family or Commercial* X Commercial Addition Alteration .1 Remodel Repair* Plan Review May Be Reauired Please Complete Ele rical Plan Review Information Sheet Job Address: /6 11/ 6 R49-6,-,-.0 Building Square Footage: ^l s w Description of above i �r4►i �1 r _�1,�.p C� a ?rcc Lt 'i r Owner Intormption Contractor Information Name: I• 0 r t Name: �l I leaf?' C L Mailing Add ss: Mailing A• -s s: Q Q City: State: T A City r State: W Zip Phone: '5i Phone:' "fax: License Exp. License Exp. _s5: 7 t Item Unit Charge Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp, 119,90 /15i. r 7 o Service /Feeder 201.400 Amp, $145.50 Service /Feeder 401 -600 Amp 204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000 Amp. 372.50 Branch Circuit WI Service Feeder 2.60 'I' /0 d Branch Circuit W/0 Service Feeder 73.50 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp, 92.70 Temp. Service /Feeder 201400 Amp, 110.30 Temp: Service /Feeder 401 -600 Amp. 148.70 Temp. Service/Feeder 601-1000 Amp 167.90 Portal to Portal Hourly 95,90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy 1 First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi-Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56,00 NEW CONSTRUCTION ONLY: First 1300 Square Ft. $110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 ,Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspectiot After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical cr ortractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Sig e of owner, electrical ractor or electrical administrator: cash cheek r r~ Credit Hard n 1 Ariallider Dated: /Q 0110112010 CE RTIFIc CATE OF CCU PA N OCCUPANCY kz-4, City of Port AngeleS.- This certificate is issuedipursuanto the requirements of Section 110 of Me 2006 International Building Code fr certifying that at the ttmeigiSlitahk4ihk,4;tructure was in compliance with the various ordinances of the City regulating building const*tiOn:pr rfoilhe,-071* frig. Business name Y King's XN ay Foursquare Church (OWnerifitlf Business address 'zi 1 16 St. -41 „g Gospel) 1 1‘ r Property owner t.1 j' Intl Church-Foursquare t4p4.,,,, 4t` Property owner s address 1 023 Kitchen Dick ,„1:1, SocluittitWA198382-7580 F6. 7 Automatic fire sprinkler system. Per pic., Y Use occupancy das4fleation Assembly Building permit number 0.7.rit4114 Type of construction. V, Occupant load. Per 411, A u',9nn Manager Post on the premises in a conspicuous place. ThireetlifiCliteifiall not be removed except by the Building Official. MEMO COMMUNITY ECONOMIC DEVELOPMENT Nathan West Director 417 -4751 Sue Roberds Planning Manager 417 -4750 Scott Johns Associate Planner 417 -4752 Dan Bialzik Assistant Planner 417 -4804 Jim Lierly Building Inspector 417 -4816 Linda Pangrle Permit Technician 417 -4815 Patrick Bartholick Compliance Officer 417 -4712 Fax. 360- 417 -4711 W A S H I N G T O N U S A DATE October 9 2009 TO File CUP 02 -09 FROM Sc ott K. Johns, AICP RE Cc of landscapin condition #3 I have inspected tae site at..1018 E. 16 Street on September 18, 2009, at the request of the cur] ent property representative, David Rich of Kmgsway Foursquare Churc 1. The request was to inspect the landscaping planted by Mr Rich to satisfy Co ldrtion #3 of CUP 02 -09, requiring fencing or landscaping be placed along the west property line of the property The condition has been satisfied by the placement of 26 arborvitae (Thuia occidentahs) and '1 Leland false cypress (Cupressocyparzs leylandu) RT A NGELES W A S H I N G T O N U S A Community Economic Development Department Re Believer's Resource C Dnditional Use Permit CUP 02 -09 1018 West 16t Street February 11, 2009 Ms. Nina Seitz King's Way Foursquare Chup;h 1018 West 16 Street Port Angeles, WA 98362 Dear Ms. Seitz. In processing .a certificate of occupancy for the King's Way Foursquare Church recently, a site visit was done, which is p:-ocedure in such processing. The occupancy of the structure as a church in a residential zone is permitted through a conditional use permit process in the City of Port Angeles. Such a permit was issued to the previous occupant, Believer's Resource, in 2002. The group occupancy required two conditions of occupancy which have not as yet been met. Pastor Bryant was aware of these conditions as he represented the Believer's Resource group dul the hearing /review process. Those conditions are contained in a copy of the mm utes that are herewith attached for your review Until the conditions of approval have been met, the City cannot issue an occupancy certificate for the use. Please .:ontact me at your earliest convenience, once you have reviewed the included information, to discuss your plan to address the conditions. Csi r` Sue Roberds Planning Manager Phone 360- 417 -4750 Fax: 360 -z 17 -4711 Website www cityofpa.us Email sma tgrowth @cityofpa.us 321 East Fifth S''eet P 0 Box 11 150 Port Angeles WA 98362 -0217 rev NAME x 1 N G S co Z BUSINESS ADDRESS O O rFJ`�c 0 K B usIntiss mallr g.6lddrees Opening date Brief description of proposed business y 1M( 7 I J DEC— 2 -2087 04 51 PM SEQUIM —WEST FOURSQU6RE 360 683 8020 u:,%4 i c :,ur/ JU tl'C UDrI UP UM11 UPA Ph.X N" ibL'41 4(i Print in ink rut v ._T oS.io S nom T/D 4L4 L u. ac-i t OFF p e r o home address Pr9g,S.__k.. tC.t t?.h.- V.ICok j C 1" PLEASE NOTE, ce Hotel. It �v\ A lua /mess Ltcens lo also required fcrthe lollowing businesses: Taxi, Peddlers, Second -hand dealer, pawn awn broker Dan Motel Flrewa9ca, Ambulance, Tattoo shop, Cora ct the City Clerk at 417 -4634 for additional Information. �ewrrr■ A ACTION I WILL THERE 6`E ANY OF THE FOLLOWING? I NO/ I �I_EteoLloN_ar�gn®a I I v New Wiliness Transfer of business location from a PBIA location trarneer or nuarneee location from a non.P1,9IA Iocafon Chews of ownerehlo a`Z3 -tkAe PERT /FICATT OF QQ.CUPANCYAPPLICATION Permit# D7— iy g CITY OF PORT AN Attn: Building Penn Teehniclen 321 E. Fifth 8L, Port Angeles, WA 98382 (36O) 4174615 fax (380) 417 -4711 I P WI A Fm.ur IA) )r, it- Days hours of operation Lh 1018 W 16th Street Fort Angeles, WA 98363 C60 461 7979 e tCingsway Foursquare Church P ort Angeles avid R. Rich astor A1, davidrich8 @gmail.com Sunday Service: 10:00 a.m. oY� c 1 Yl9 G vier I afP' €A yes Rev.. 1-u) t t �r�, Nom's °6 CQu4AZ4 r nsm Far CIv uIa ;vv. Department Building Fifa PEIA Piennin2 c..2• )moo f of Re5f Sao H imhok ?AlcAn tir t a,N4 1A(46k_ Public Works T:Fs„i/S!leneDemicaeoi1 sot ((for Carina: of Occun,'lrncr Inspections 4efore t Building Department Inspection 417.4815 Flea Department Inspection 417.4803 Please provide a minimum 24- hournofice forinapeetlo Appr RaJe I inftls i a date Inlnsle 6 date Q' TI pit of oonatr Uodon At;iorneNo fire sprinkler system required iotojoq e A�� Hi UFA Cart If ic 1s Inspection Perking Business Improvement Area (P8rA) fee charged for downtown locations Pkin rcA. e1 Po r Aft.Aciec,, zoning RS 7 I hereby apply for a Carta -ate of Occupancy. I acknowledge that 1 have read thief applIcaii.4 supplied is correct to the best of my know /edge. Date. /_x_ Print Name /f/ /t/A c Signature P 01 h2/0L? nit ?SO�t� NH M• -IA) 004 fzIco Sue_ (J.) i l\ Barred, I DEC-12-2007 04 51 PM SEQUIM—WEST FOURSQUARE 360 683 8020 u;.:■./ JJ (0f/ .I tJJ JU r Dor ur t.,untikt ur,v MA NO ibU41 '4fil r Remodel P5IA [planning BihRidig Print in ink BUSINESS NAME 6 IQ G- 5 U.) 1k'.-/ Fri)r 1 CS BUSINESS ADDRESS I 0 I t., Ni-k 5 Business mailhoddress 1_0 S Li. vl k ev■ ale. R (70 OPIgnino data DaVs hours of operstion AvO Brief description of proposed business (1 L A r C. h. 1.;_,C,,,j ir4,,...,-.6PSPEION7 Tw ili......ii i name Magaikei?? L- C14 t''' "°n" k,ffOR i 0 Y Aftesammop home sdthesa );4.D...2.,.S(_.,k ,K.....-.Ti. Yif--3-e-2-- 1 CP: PLEASE NOTe 0 ne ‘V A luglien10111114 Mao required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker Dance, Hotel. 10 1\.t) \YI motel, Fireworks, Ambulance, Tattoo shop. Contaizt the City Clork at 417-404 for additional information. emeeireerevm ACTION 7 WILL THERE BE ANY OF THE FOLLOWING? dintico analyse 1 r Na r no Newt:rumness 1 Twofer of Woos 1002tIon from a POIA location Tionater of Oilstone location from a non-PIA mostion Chan go of tweetrehip Change mo j• TeMpOility business For CIV van Only' Deportment rnIdWic Fee pERTIFICATE OF QQCUPANCY APPLICAnoN psrmft# ()7— CITY OF PORT ANOELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeiae, WA 98352 (n() 4174815 fax BO) 4174711 I v Approved Inftiole A este on n! A it ram chit hooting, coon. ewes) P a n I .ie iiitin'i reitirn Monet* Fee op Intern chinas. tri:77.11727 solar or oit New or o• .4, sayer or wafer At. es! to r 9, W donO In 1 CSrnh1.ofw.v Era a ii anon 0 oVertles L slat cutter late, do avetem ow airy Rejected Initials A date Type of oonstruation etc.) UFA Cstlfkue Inspection Parking Business Improvement Aran (PATA) fee charged for downtown locations r-e., kin rr e l'or+A qe.les, zoning gs Fhone t3/ fp? S6RO i 12Ap+oe. Obspr /2 Ito 7 NO I YES' I IF YES, CONTACT V 3 I Electrical mit at 4174735 PfilUot Catenate of OootiOincv fnenectione Anefocueni Building DepartMent inspection 417.4815 Fire Department Inspection 417-4859 Please provide a minimum 24-hour notice for Inapeetim I haniby apply for a Certificate of Ocoupenoy. I acknowledge that I have mad tine ePOIlosiion end elate that fh Infonnelion I hove mooned is correct to the best of my/mow/edge. Dam Prfnt Nan) Al, /I/A 1519nan.ma Commenui Condllione k2 th 4z3ioa 291 +6 wi 11 sea o a to 0 01 eed■crj proef o f Fe-nce-- pa r) shifes 4e,11 Ntha ?roveJe pl 4 (e-H-e-tr- Pat 8 11 Occopern Load Ye. P 01 P C. 2/0u2 Aaiorrerilothe winker system required no (0 r-c ,7240 (2,7_1 Z-2 V a eel oh au_,P T:roonolikAltp tatosionCoolAsolo of OcuoPmaY waft* s /15 DEC -12 -2007 04 51 PM SEQUIM —WEST FOURSQUARE 360 683 8020 4.•::%,/ 11 cl#ua Jr, !ID Ju rDl poi' i ur was ur,v PAX N9 ibUtil'4ti1 Print in ink BUSINESS NAME J i j G- A ,1*J l,`/ FOur BUSINESS ADDRESS O I R I ski, ere Business mal readdress 3 e 1- e Opanlnp date Days hours f ooDerttion Brief description of proposed business 1A r c.1n eeoq name /Nregja77oM.4 L /K adA p Phone q' r madr home addreee mix t� �C k+C.h S tuf C,k c' r1.1.4sC NOM a A &mitts License Is also required for the totlowing buslnesees; Taxi, Paddlers, Second -hand dealer, Pawn broker, Dance, Hotel. I Motel. Fireworks, Ambulance, Tattoo shop, Contact the City Clerk at 417 -4634 for additional Information, `‘1‘ wre A� ACTIOt4 A r t t A iding a POIA Newbuoinees Transfer of business location tram a PRA location 'newer or euatneae eraatttn 1mm a non.PelA looeson Change of ownership liarnodel Temporary bualrles Change of .sesmasa n Fat Cliff uaa DaM Department cERTIF/CATE OF OCCUPANCY APPLICATION Permit 07— Iy g CITY OF PORT AN Attn: Building Permit TeChntclen 321 E. Fifth St., Port Angeles, WA 98392 (360) 4174915 lox (38O) 417-4711 Call for Ceribka a of Oceunelncr Inspections before =Ogg business; Building Department Inspection 4T7 -4815 Fire Depamment Inspection 417 -4653 Phrase provide a minimum 24-hour nodes for Ineaactiona I brushy apply (Or a Certificate of Occupancy. I ecknotnfedpe that have need ink, apollcaCon and state that th supplied is correct to Use beef of my knov4odge. 4 Data Print Name 4/, A/A oe (Z- Signature I inn data I Initials IL data I WILL THERE EE ANY OF THE FOLLOWING? I NO YES"' I IF YES, CONTACT Ifs_ .li'"' !tl f v'`�"a so 5 F OL at417.478 its t I I Minna Division at 417.4815 nL en chonpaa t Wit, lovil du rheatl+lg. co J *veal t I I✓ S;l enh Won at 41%64750 v I ht.oterer j I V e m t �aee, down o era) licit a t�dem ow d t 1✓ i I afar Deot, alai7? as e re is changes Fire gi stern bhm,Las 1- 9-{;IS Pinning i0-0361-014 CRy Clerk 112.__11,_0 Pf l Pubib Wall I g T:F.i.+I !dneDlII.II ICI o.p.. i AppIIceim eat* Lerf. Certificate Inspection r e., 1' rc4. of Po(' f A rU rieJe c Zoning R5 phone 3 /to fa 3 gNarifi Cro pA. &f. sAJ j wro Commenu Conditions Type at oonetruolion Occupant Load Automatic fire whirler system required no Parking Business Improvement Area (PSZA) fan charged for downtown locations Yee S, u P 01 GL,2 /'GJl at4 -4 Works at 4174107 I ~ ,.~'>. Use Classification: Group: A-2 Owner of Business: Building Address: ,.~. 1- ,.- - .. I ~~ORT ~Iv r: ROUTING SLIP ~O~Q~I" ~ U Certificate of Occupancy (j~~~ ....... -==-.Jr .Iff' $47.00 Certificate/Inspection Fee .......- ~ blJ&(iC'NO""+-"" DATE Juno 25,2002 New Business ......... ., ......... ........ ( ) Address of Proposed Business Transfer of Business Location. . . . . . . . . . . . . . . . ( x ) 1016 W 16th S'I' Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant Believers Resource Center New Building .. .. .. ............. .......... ( ) [ . ) (') \{' 1/ } " Address ,p I Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) I , ~ t l' ,. :"' ~ _<r ., " '" ': \ 1../ .~ --,,,,,.; ....... Temporary Business ( ) ...... .......... .. ..... Phone: business 417-6861 home 452-1298 Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) . Brief description of proposed business: Church Legal Description: Lot 4;1).6 Block 441 teA Subdivision TPJI\ Current Use of Property: Church (vacant) - K'~ 7 f3\;} Zoning Classification of Property: Res~ ..... WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . ----.!l...1) bx- PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _-X- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . .----=::..- - 2) Plumbing 2) Peddlers Plumbing changes ............................ . _ ----X.- 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . _ --1L- 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X 5) Sewer 5) Dance -- New sewer. service ............................. _ X 6) Sidewalk installation 6) Hotel. Motel Admission 'charged to patrons. . . . . . . . . . . . . . . . . . . . X 7) Driveway installation 7) Fireworks -- Is this a home occupation? X 8) Curb installation 8) Ambulance ..................... . -- Exc~vation of filling of lots ........ _ . . . . . . . . . . . . . . _ --X..- 9) Sidewalk obstruction 9) Tattoo shop Workdone.in City right..of.way... . ......... . . . . .. . _ --1L- 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. . . . . . . . . . . . . . . . . . . X 13) Sign -- (parking lots, downspouts, etc.) ................. . ~ - 14) Shoreline Are the existing streets paved? ...... . . . . . . _ . . . . . . -----X-- _ 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ----1t... _ 16) Conditional use Is there curb and gutter? ....................... . ----X..- _ 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: ...... , --'-- Jo., " ... I.. ;. information I have supplied is correct to the best of my \ '-~- --" knowledge. Signed: J APPROVED REJECTED Comments / Conditions ('J ~ 02 -09 Building Section ~~~~~p cl~ 00/02 ,,<i;( Public Works Department : ~ ~;; / 2 Planning Department Fire Department ./ City Clerk P.B.I.A. I' .... .,\ -c.. I .' ! VI\: [ ... c ~.~' -' ',- i ......".~ I ,.L :; I ROUTING SLIP ~ ~ORT ~'" tO~Q~~ :\~ Certificate of Occupancy (j~...".<fI 1If'~ L. -=-->r =- 16 $47.00 Certificate/Inspection Fee ~ ~8LIC wo.....~<::, DATE June 25,2002 New Business ...... .. ........... ......... ( ) Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( x ) 1018 W 16th ST Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant Bel ~;ers Resource Center New Building .......... .. ................. ( ) A~SS ~~ 4~7 -, Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Q~\-Gn . \.0 e:63h~ Temporary Business ........ .............. . ( ) Phone: business 417-6861 home 452-1298 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Church legal Description: lot 4,1:).0 Block 4..11 'T'PA Subdivision 'T'PA Current Use of Property: Church (vacant) Zoning Classification of Property: Res. fJ"-1 RS-7 Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . --' --X- PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - ---X-- 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . .----ft- - 2) Plumbing 2) Peddlers Plumbing changes ............................. _ --X- 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 ................... . . . . _ ---X...- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . _ ---X...- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . ---X-. _ 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . V' 12) Occupancy - ----..--- A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -~ 13) Sign (parking lots, downspouts, etc.) ................. . ---X- - 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- Date~~.. edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Signed: -......:. "CJJ.. - ~ -=-..... /J// ~-?7 REJECTED Comments / Conditions' V/(r U7 Building Section V Public Works Department Planning Department UDD Fire Department to ~'2S-02:-A0 City Clerk P.B.I.A. CITY OF PORT ANGELES LIGHT DEPARTMENT ~.9CTRICAL PERMIT N? 16571 S - 3/ )5 Port Angeles, Washlngton.....___..oooooo__.........__oooooooooooo__ooo..m..m...... 19'''__000 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- :~::: 1~/~!1~~.~~~;:~2~~~__w~.__~.~~__a~~.~~t.~~..::IO:~cuP~~.;4t/~L--... , . Gf....t7'//. ""*'~ .. Owner . --'~-""JL'o."" '''-'_.-,if~ooof.. .:.~~. ____ .,. : .a:____~ooo.~__~___........____.______.______.ooo____.mm........__ .....,.I..L.".n--m. ....000" ~IIt: Wiring ContractOr .L't::r"'__=~:::______mooo...____......m. By..____ooomm__.__________....____.__ooooooooo._.ooo...ooo.________ Light Outlets__.__._______.................______... Service, volts _...m.______.......__..__..._....._h No. wires ..__h...h............___u.....__... Receptacle Outlets.........__...__.m.._..h_... Dryer, KW......_...._......_..___.______________._. Range. KW ___1.:2.______________________ Size wires........_.........._....._........_.. Maln fuse .....00........._...................... Water Heater: /' KW.._______Xt:.k?.__.___..__.__. Enclosure 00........................_...._....... Type of Wiring: Entrance Cable .........mm__...._ Heat: KW......h............_..__..__.______.___..... Motors: size, volts and phase: Rigid Conduit ..___mm_m................ Metallic Tubing ........................... Current transformers: ---::"l/r::=.....~~~"'~.... v k-' . ';;..tJL'-",....-t.,-~................. No. & Slze.._........._................._........ Sec. No..__..........................___.............. Sec. No. ______h.hnh__..____..__.h___.______..... Sec. No..______.______..___.._______.._.._.......__... Type of Wiring: Armored Cable .00..00_..00................., Non-Metallic ..u....__.__......__....___._... Knob & Tube__...................u.........~ RIgid Conduit .................__.__.......__ Metallic Tubing .00_..........._......__._. Raceway _...__._.............._.....___._ Circuits, Llght................____.__.._...___..._.. Utility __________......__.....__................____ Heat .............................._.._....___ Range __..________._..__........................... Water Heater ......................._....... Motor ..._............._..._..__...____........... Dryer _.....__u..........._.................._.._.__ Furnace ..........._...._......._......_._..._..._. Remark:~ta:__:~~...~.:~.;.~.Ji2;.~..=:....~.::...::.::.................__.:..~.~~::..~::~::....::.:::~:.:.:.:~..:..:~: Permit Fee $:........................000...000000. Treas. Receipt No..........................._ ~yZie~.~L.cL~~~..__ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECT~R BY PERMIT NUMBER WHEN READY FOR INSPECTION '--. : ELECTRICAL PERMIT -_.~. Address N? 16571 Owner..................................._.........._....._____..._.._......................_.....___._______..____.___........_.Tenant_..____......._._.......__............_................._..__..._.. Date..__!.._______.._..~........_._._...._._...._.__...._ WirlngContractor._...._..___....__...................._....._.._______.____...__.__............_..__....__._........................._....By.__........................................................_ 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. \ 1M Olympic Printers, Inc.