HomeMy WebLinkAbout516 E 1st St - BuildingThis certificate is issue pursuant to,,the requirements of Section 111 of the 200
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certifying that at the rie iss zn hi sslructur was in co the v
regulating building cen tr on or tz use e owi zg
CERT
Business name
Business address
Property owner
Property owner s 7
Automatic fire sprariklepste
Use occupancy clap-Wail
Occupant load.
Building permit number:
Type of construction.
y otfPort Ange
ie' Center
l s St.
Serenity HOVse
PO Box 404;
m. Per I!B
on. Businiess
u�1
pager
PANCY
ision
nternational Building Code
rious ordinances of the City
allam County)
07 -30 -10
Date
Post on the premises in a conspicuous place. This c a 1 not be removed except by the Building Official
a
crY\DA,1
PREPARED 7/22/10 8 04 13 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/22/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 4/13/10 JLL BLDG FRAMING TIME 01 00
4/13/10 AP April 13 2010 8 06 20 AM 1pangrle
JOSEPH 477 8853
FRAMING
AFTERNOON
PLEASE CALL HIM 30- MINUTES AHEAD SO HE CAN MEET YOU THERE
April 13 2010 4 44 26 PM jlierly
BL99 01 6/17/10 PB BLDG FINAL TIME 01 00
6/18/10 CA June 17 2010 8 32 54 AM 1pangrle
JOSEPH 477 8853
BUILDING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
BL99 02 7/01/10 JLL BLDG FINAL TIME 01 00
7/01/10 DA June 30 2010 10 35 38 AM 1pangrle
JOSEPH 477 8853
BUILDING FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
July 1 2010 4 44 57 PM jlierly
Strap w /h /open hall to accept 32 accessiblity /grab bars in
ADA shower /emergency light in hall /j11
BL99 03 7/22/10 BLDG FINAL TIME 01 00
July 21 2010 4 16 48 PM 1pangrle
JOSEPH 477 8853
BUILDING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM A FEW MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 2/24/10 JLL PLUMBING UNDER SLAB TIME 01 00
2/24/10 AP February 24 2010 8 19 30 AM 1pangrle
JOSEPH 477 8853
UNDERSLAB PLUMBING
AFTERNOON
PLEASE CALL JOSEPH 30- MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE AND LET YOU IN
CONTINUED ONTO NEXT PAGE
PREPARED 7/22/10 8 04 13 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/22/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
February 24 2010 4 44 55 PM jlierly
PL2 01 3/31/10 JLL PLUMBING ROUGH IN
3/31/10 AP March 31 2010 8 09 26 AM 1pangrle
JOE 477 8853
ROUGH IN PLUMBING
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
March 31 2010 4 15 23 PM jlierly
PL99 01 6/17/10 PB PLUMBING FINAL TIME 01 00
6/18/10 CA June 17 2010 8 36 01 AM 1pangrle
JOSEPH 477 8853
PLUMBING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
PL99 02 7/01/10 JLL PLUMBING FINAL TIME 01 00
7/01/10 DA June 30 2010 10 41 25 AM 1pangrle
JOSEPH 477 8853
PLUMBING FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
July 1 2010 4 47 13 PM jlierly
strap w/h ADA grab bars in west shower/j11
7102/10 PLUMBING FINAL TIME 01 00
PL99 03
July 21 2010 4 18 59 PM 1pangrle
JOSEPH 477 8853
PLUMBING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM A FEW MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE
COMMENTS AND NOTES
PREPARED 7/01/10 8 32 42 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/01/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000149 CO CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 6/17/10 PH BLDG C/O FINAL TIME 01 00
6/18/10 CA OVERRIDE TAKEN BY LPANGRLE DATE 06/17/10 TIME 08 37 31
June 17 2010 8 36 41 AM 1pangrle
JOSEPH 477 8853
C OF 0 FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
C099 02 7/01/10 11, L
I BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 06/30/10 TIME 10 43 42
June 30 2010 10 42 53 AM 1pangrle
JOSEPH 477 8853
C OF 0 FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
PREPARED 7/01/10 8 32 42 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/01/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 2/24/10 JLL PLUMBING UNDER SLAB TIME 01 00
2/24/10 AP February 24 2010 8 19 30 AM 1pangrle
JOSEPH 477 8853
UNDERSLAB PLUMBING
AFTERNOON
PLEASE CALL JOSEPH 30- MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE AND LET YOU IN
February 24 2010 4 44 55 PM jlierly
PL2 01 3/31/10 JLL PLUMBING ROUGH IN
3/31/10 AP March 31 2010 8 09 26 AM 1pangrle
JOE 477 8853
ROUGH IN PLUMBING
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
March 31 2010 4 15 23 PM jlierly
PL99 01 6/17/10 PS PLUMBING FINAL TIME 01 00
6/18/10 CA June 17 2010 8 36 01 AM 1pangrle
JOSEPH 477 8853
PLUMBING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
a PLUMBING FINAL TIME 01 00
PL99 02 7/01/10
June 30 2010 10 41 25 AM 1pangrle
WI JOSEPH 477 8853
PLUMBING FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
c5q trViJ rcut 64"`
PREPARED 7/01/10 8 32 42 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 516 E 1ST ST
TENANT NBR HYGIENE CENTER
CONTRACTOR
OWNER SERENITY HOUSE OF
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 4/13/10 JLL
4/13/10 AP
BL99 01 6/17/10 PB
6/18/10 CA
BL99 02 7/01/10 /A
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 6/17/10 PB
6/18/10 CA
ME99 02 7/01/10 JL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE (360) 452 7224
PAGE 2
DATE 7/01/10
BLDG FRAMING TIME 01 00
April 13 2010 8 06 20 AM 1pangrle
JOSEPH 477 8853
FRAMING
AFTERNOON
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
April 13 2010 4 44 26 PM jlierly
BLDG FINAL TIME 01 00
June 17 2010 8 32 54 AM 1pangrle
JOSEPH 477 8853
BUILDING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
BLDG FINAL TIME 01 00
June 30 2010 10 35 38 AM 1pangrle
JOSEPH 477 8853
BUILDING FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
MECHANICAL FINAL TIME 01 00
June 17 2010 8 35 31 AM 1pangrle
JOSEPH 477 8853
MECHANICAL FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE 50 HE CAN
MEET YOU THERE
June 18 2010 8 53 32 AM pbarthol
Cancelled inspection because of questions about ADA access
MECHANICAL FINAL TIME 01 00
June 30 2010 10 40 53 AM 1pangrle
JOSEPH 477 8853
MECHANICAL FINAL HYGIENCE CENTER
AFTERNOON INSPECTION
PLEASE CALL HIM 15 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
CONTINUED ONTO NEXT PAGE
1 c-1
,fJ‘ed'
e J
1�
PREPARED 6/17/10 8 45 23 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000149 CO- CHANGE OF OCCP /USE
PERMIT CO 00 CHANGE OF OCCUP /USE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
C099 01 6/17/10
JLL
C
BLDG C/O FINAL TIME 01 00
OVERRIDE TAKEN BY LPANGRLE DATE 06/17/10 TIME 08 37 31
June 17 2010 8 36 41 AM 1pangrle
JOSEPH 477 8853
C OF 0 FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
COMMENTS AND NOTES
PREPARED 6/17/10 8 45 23
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
CONTINUED ONTO NEXT PAGE
PAGE 5
DATE 6/17/10
BL3 01 4/13/10 JLL BLDG FRAMING TIME 01 00
4/13/10 AP April 13 2010 8 06 20 AM 1pangrle
JOSEPH 477 8853
FRAMING
AFTERNOON
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
April 13 2010 4 44 26 PM jlierly
BL99 01 6/17/10 JLL BLDG FINAL TIME 01 00
June 17 2010 8 32 54 AM 1pangrle
C(A JOSEPH 477 8853
BUILDING FINAL HYGIENE CENTER
f
AFTERNOON
1/A PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
ME99 01 6/17/10 JLL MECHANICAL FINAL TIME 01 00
June 17 2010 8 35 31 AM 1pangrle
JOSEPH 477 8853
MECHANICAL FINAL HYGIENE CENTER
J AFTERNOON
PLEASE CALL HIM 30- MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 2/24/10 JLL PLUMBING UNDER SLAB TIME 01 00
2/24/10 AP February 24 2010 8 19 30 AM 1pangrle
JOSEPH 477 8853
UNDERSLAB PLUMBING
AFTERNOON
PLEASE CALL JOSEPH 30- MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE AND LET YOU IN
February 24 2010 4 44 55 PM jlierly
PL2 01 3/31/10 JLL PLUMBING ROUGH IN
3/31/10 AP March 31 2010 8 09 26 AM 1pangrle
JOE 477 8853
ROUGH IN PLUMBING
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
March 31 2010 4 15 23 PM jlierly
J ®gam
4 fv
PREPARED 6/17/10 8 45 23 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 6/17/10 JLL PLUMBING FINAL TIME 01 00
June 17 2010 8 36 01 AM 1pangrle
V JOSEPH 477 8853
C PLUMBING FINAL HYGIENE CENTER
AFTERNOON
PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN
MEET YOU THERE
eyccG_ COMMENTS AND NOTES
PREPARED 4/13/10 8 10 12 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/13/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBA HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT BPD 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 4/13/10
BLDG FRAMING TIME 01 00
April 13 2010 8 06 20 AM 1pangrle
JOSEPH 477 8853
FRAMING
AFTERNOON
PLEASE CALL HIM 30- MINUTES AHEAD SO HE CAN MEET YOU THERE
COMMENTS AND NOTES
PREPARED 3/31/10 8 12 10 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/31/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 2/24/10 JLL PLUMBING UNDER SLAB TIME 01 00
2/24/10 AP February 24 2010 8 19 30 AM 1pangrle
JOSEPH 477 8853
UNDERSLAB PLUMBING
AFTERNOON
PLEASE CALL JOSEPH 30 MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE AND LET YOU IN
February 24 2010 4 44 55 PM jlierly
PL2 01 3/31/10 L PLUMBING ROUGH IN
March 31 2010 8 09 26 AM 1pangrle
JOE 477 8853
ROUGH IN PLUMBING
PLEASE CALL HIM 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
COMMENTS AND NOTES
PREPARED 2/24/10 8 24 37 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/24/10
ADDRESS 516 E 1ST ST SUBDIV
TENANT NBR HYGIENE CENTER
CONTRACTOR PHONE
OWNER SERENITY HOUSE OF PHONE (360) 452 7224
PARCEL 06 30 00 5 1 2725 0000
APPL NUMBER 10 00000148 COMM REMODEL
PERMIT PL O0 PLUMING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL1 01 2/24/10 LL PLUMBING UNDER SLAB TIME 01 00
February 24 2010 8 19 30 AM 1pangrle
'1 JOSEPH 477 8853
UNDERSLAB PLUMBING
AFTERNOON
PLEASE CALL JOSEPH 30- MINUTES BEFORE YOU GET THERE SO HE
CAN MEET YOU THERE AND LET YOU IN
COMMENTS AND NOTES
T:FormsBuilding Division/Building Pennit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 10 00000148
Application pin number 704320
Property Address 516 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2725 0000
Tenant nbr name HYGIENE CENTER
Application type description COMM REMODEL
Subdivision Name
Property Use
Property Zoning COMMERCIAL ARTERIAL
Application valuation 8000
Application desc
CONVERTING ROOMS INTO TWO BATHROOMS LAUNDRY ROOM
Owner Contractor
Date 2/23/10
SERENITY HOUSE OF OWNER
CLALLAM COUNTY
PO BOX 4047
PORT ANGELES WA 983630997
(360) 452 7224
Structure Information 000 000 CONVERTING ROOMS TO BATHROOMS /LNDRY
Construction Type UNKNOWN
Occupancy Type BUSINESS OFF /PRO /MED /REST
Permit BUILDING PERMIT COMMERCIAL
Additional desc TWO BATHROOMS LAUNDRY
Permit pin number 160853
Permit Fee 179 75 Plan Check Fee 116 84
Issue Date 2/23/10 Valuation 8000
Expiration Date 8/22/10
Qty Unit Charge Per Extension
BASE FEE 95 75
6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00
Permit MECHANICAL PERMIT
Additional desc BATHROOMS LAUNDRY
Permit pin number 160879
Permit Fee 122 65 Plan Check Fee 00
Issue Date 2/23/10 Valuation 0
Expiration Date 8/22/10
Qty Unit Charge Per Extension
BASE FEE 50 00
3 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 21 75
2 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 21 30
2 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 29 60
Permit PLUMBING PERMIT
Additional desc BATHROOMS LAUNDRY
Permit pin number 160887
Permit Fee 142 00 Plan Check Fee 00
Issue Date 2/23/10 Valuation 0
6‘na e�
10
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.
-J() r(_)5 en 4 .>9P1 kSok
Date Print N94 Signature of on for or Authorized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING.
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Fumace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s
Parking Lighting
Landscaping
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
Inspection Type Date Accepted By Comments
Inspection Type
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T•Forms /Building Division /Building Permit
FINAL Date Accepted by
FINAL Date Accepted by
SEPA.
ESA.
SHORELINE.
Date Accepted By
Application Number 10 00000148
Application pin number 704320
Expiration Date 8/22/10
Qty Unit Charge Per
9 00
1 00
1 00
1 00
Special Notes and Comments
A minimum 2A 10BC fire exinguisher is required
Extinguishers must be mounted with the top no more than 5
off the floor Suggested extinguisher placement is
adjacent to an exit
February 12 2010 1 37 15 PM kdubuc
No sleeping or cooking facilities would be allowed in this
occupancy
February 22 2010 4 34 50 PM sroberds
The site is located in the CA zone and the use is considered
to be a Hostel in nature The activity will likely require
some parking as is will be used as a laundry and will
provide shower facilities for homeless persons A site plan
identifying parking availability will be submitted by Brad
Collins
Other Fees
7 0000 EA
7 0000 EA
15 0000 EA
7 0000 EA
Fee summary Charged Paid Credited Due
Permit Fee Total 444 40 444 40 00 00
Plan Check Total 116 84 116 84 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 565 74 565 74 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.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Division/Building Permit
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
BASE FEE
PL PLUMBING TRAP
PL -WATER LINE
PL -SEWER LINE
PL -WATER HEATER
Page 2
Date 2/23/10
Extension
50 00
63 00
7 00
15 00
7 00
STATE SURCHARGE 4 50
Inspection Type
FOUNDATION.
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION:
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
7y I
I/9
U" -13 -io
Inspection Type
Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date 2 2 Accepted byS L-L..
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
Comments
1_H0
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Accepted by �w
Date Accepted By
Z2-- ID
g".
City Clerk
Print in ink
BUSINESS NAME L
Washington State Tax I D
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non -PBIA location
Change of ownership
Remodol
Temporary business
Change of use
CERTIFICATE OF OCCUPANCY APPLICATION Permit# ■0 149
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417 -4711
er
BUSINESS ADDRESS E 6.3 t5 Sf Zoning C pt-
Business mailing address �,Z 6) h 5t, 3 ti Phone y
Opening date /14,- -31_2_0 l!0 Days hours of operation
If known list the .name 'of the previous
business at this location
Brief description of proposed business Qy� P 14 4 c
,4o_�z c
i r' P lVe kQl� v_et_ 4a+ e l
Business owner's nartiie S,�:re.yt l J '4' P Phone
s owner s home .ad :tress S �v Ir,v5e d_q C, .0_ /1 _51 1219 4/44.
PLEASE NOTE;
A Busia'ss License -is also required for the following businesses. Tax Peddlers- Second -hand pealer Pawnbroker Lance, Hotel
Motel Fireworks Ambulance Tattoo.shop .Contact the City Clerk at 417 -4634 for additional- information
P Y q' A 5 t YL er m t4- t-F P PP 4
ACTION ION 1 WILL THERE BE ANY OF THE FOLLOWING? 04NO✓ YES/ !F YE S CONTACT 1
ectncal chap es n Elect.ical e t. at 417 -4735
L :l_ 9 ,n�lrScuSSedSI" its L
New btissn ss 1 Now or relocated signs t_ 4_ J- Buildig Di 't417 -4815
Construction changes See- pe,rrn1 #k
Mechanical changes (ventilation, h lb I_ 1 V
e ating, cooling, etc.) 1
Plumbing changes 1
Fire sprinkler system changes y r--
Fire alarm system changes
New or relocated sewer or water service i Public Woks at 4-17 -4807
Excavation or filling of lots I I V i(
Work done in the City right -of -way 1/
New driveway opening_s
Grading site drainage (parking_iots, downspouts, etc.) l/ I.
Landscape irrigation system (backflow devices) t�, Water Dept. at 41,7 1886
Is this a home occupation? 1/ Planning Div at 417 -4750 1
Is this a second -hand dealer or pawnbroker business? te City r�leri. at 417 -4631
Is there off- street parking for this business? V i 1 How many spaces?
Is the street in front of this business paved? 1
Is there a sidewalk in front of this business? I 1 1/
Is there a curb gutter in front of this business? 1 1 t/!
or City use only OK
Approved ejected
Department Initials date I Ini ials d
;urloing
7-1 IQ 11IJ(Belo- t
Fire
Kip
PBIA 7
Planning
-ZZ- lo 5.L
Pubic ks 2' Iq R✓
T:Formsh3 !lamng Di Jn /Cer ■r; Occupancy Ap,,licalion
Call for Certificate of Occupancy inspections before openi- _business.
Building Oepartmont Inspection 417-4815- Fire Gepartme rt inspection 417 -4653
Please provide a minimum 24-hour notice for inspr'ltio, s
9 F ES Th I I
to
$50. Certificate Inspection
$1 00 Parking Business Improvement Area (PBIA)
fee charged for downtown to -ations
Please sign up for futility servic.es-
'at the.cashaer- ounter
Eko.d. Co1liv)5 wt 11 p -ov■de a earKdn9 ptmr, Pe'-
O 2/tlIto disc-v S5tor. widet u-
hereby apply for a- Certificate of Occupancy 1 acknowledge that i have read this application and state that the information have
suppled is correct tc t :e best of my knowledge
Date2l/2 0 Print Name Signature_
Comments !•Conditions
Type of constru: ;ion' Occupant Load
Automatic fire SDI Inklei system required no yes
1
February 23 2010
Serenity House of Clallam County
P 0. Box 4047 Port Angeles, WA 98363
To City of Port Angeles Community Development Department
From Serenity House of Clallam County
Re Parking Plan for the Mint Building at 516 E First Street
If you have any questions please contact Joseph Johnson 452 -7224
Attachment: Parking Plan on the Mint Building Site
RECEIVED
FEB 2 5 2010
(b r-4 1 6-ea
CITY OF PORT
BUILDING DIVISION
N5191
The Mint Building at 516 E First Street has the following uses, including a renovation creating a
Hygiene Center for homeless individuals
3 one bedroom apartment units on the second floor of the building each unit is provided
with one parking space at the rear of the building off the 1 st -2 Alley
An unfinished storage area on the ground level in the rear of the building the Voices for
Veterans who are using the storage area are provided with one loading space at the
rear of the building off the 1 -2 Alley
A garage storage area on the ground level in the front of the building Gifts in Kind
(through United Way) who are using the storage area are provided with two loading
spaces in the front of the building off of E First Street
The new Hygiene Center which consists of an entry room a small reception room a
small pantry a small kitchen area a small water closet (toilet and sink) a hallway three
small storage rooms for clothes and personal /household supplies a laundry/furnace
room and two bathrooms (toilets sinks and showers) is provided with three parking
spaces at the rear of the building off the 1 -2 Alley
The attached drawing shows the site dimensions and parking locations relative to the building
entrances
A United Way Agency
Spc c. e 3
Sfuc e Z
.Space 1
yo'
S/6 f l 5
Std 2 d SI J'1 /e
cs' /e /k
m5f
2
S act S S c(c.et
RECEIVED
FEB 2 5 2010
CITY OF PORT ANGELES
BUILDING DIVISION
Applicant n t 1
Property Owner
Property Owner's Addr
Contractor S,o e
Contractor's Address
License
Project Type Brief Des
Check all that apply
New Construction
dition
(Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
'(360) 417 -4815 fax (360) 417 -4711
O CCo1 /ate
se ec C` adft-v, C'd,
Expires
Existing (sq. ft) Proposed .(1 ft)
Max. height of proposed structures ft. Occupancy. group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
GU`
Phone
Phone
PROJECT ADDRESS E /s/ S/ UrI e[es
Parcel Number Lot
Phone
E -mail
For City Use Only
Date Received IZ� .IQ
Permit #�I
Approved
/Com
per sq ft.
-72 2'
V77 --51(.5
Zoning C, A
cription. o Residential '0 Multi-family Industrial
1 l (/a'trn, e Cifi-,7`e-'r I Dacons+a.irS
L--,Z.. J
J /P.14 f lit/' ran kvt v Inev U.9■•InrQew
ivi t.P_r�' he hag, toom L.a,,
Co rA_ w arch b a se_ a 114 a ?tilde. ce►nker'
House o garage other 1 ar off re -roof lay over one layer
Heat pump wood- burning stove .gas fireplace pellet stove other
TOTAL VALUATION 0(,)O, el
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
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 am requ ed, and to obtain pert prior to workinn on proje ts.
Date ?—/j)_ Prnt Name .1 1/1 l,, Coi Signature /r -YJ.1 4
T Forms /Building Division /BOding per application
1
a y
.OdAoD 1i
kf09 11INV t X
it 115pM
par,5
-4
v oc
CITY OF PORT ANGELES Construction PIar.S
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the co ition of errors in said
or from preventing
Ala; specifications and other data, or fr.rder when in
building operations being carried on r w in
violation of all codes and ordinances f 1 this 1 Ot9+93BC– I\
Approval Date
0i\9-
\Vi A-Ct s.
A'pvta)
Pc
o‘o %1041,'
FILE
G�\
W °f9 :e
v7
.-so`
6 I 1 1r)
is%'S
c>sz
QS
4NS iif'PRtl\ FE) liY
Pt IRE DEPT
DA E a? 12 2010
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
07-00001131 Date 10/09/07
351217
516 E 1ST ST
06-30-00-5~1-2725-0000-
ELECTRICAL ONLY
COMMERCIAL ARTERIAL
o
Owner
Contractor
MARVELLE JR FRANK J
520 E 1ST ST
PORT ANGELES WA 983623302
ANGELES ELECTRIC
524 E. 1ST ST.
PORT ANGELES
(350) 452-9264
WA 98362
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW COMMERICAL
ANGELES EL/ 300A SVC CHANGE
112185
ANGELES ELECTRIC
175.00
10(09(07
4(06(08
Plan Check Fee
Valuation
.00
o
~
~
Qty Unit Charge Per
1.00 175~0000 ECH EL-COM 201-400 NEW SRV FEEDER
Extension
175.00
Fee summary Charged Paid
Credited
Due
Permit Fee Total
plan Check Total
Grand Total
175.00
.00
175.00
175.00
.00
175.00
.00
.00
.00
.00
.00
.00
~
'"
\"^'
"\
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERvIcE
OUGH - IN
FINAL
OMMENTS:
;4f7 /!cO
AP
/,Ar~_ f'^' r~..n .--,
&ffJ/M< 1& O?
ROUTING SLIP :#- CJ 7- ')..08
Certificate of Occupancy
$50.00 Certificate/Inspection Fee
DATE 2> W67
Address of Prol?osed Business C +
S /(0 I S'- S::tre.:c+ :\,.-A '::,
Applicant CA'c>E't bad Com PA()/f
Address Sb:$, BA't S+r~1;^
~t- UYGhc.rd, VJ"f"\ qB~!oy,
Phone: business3<oo-7JI-l.Olr home";(W 87171 I~
Brief description of proposed business:
~ \ 1onJ.s
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . .
Electrical changes. . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . .
Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . .
New or relocated signs . . . . . . . .
New septic tanks . . . . . . . . . . . . . . . . . . .
New sewer service. . . . . . . . . . . . . . . . . . . . . . . .
Admission charged to patrons .
Is this a home occupation? . . . . . .
Excavation of filling of lots. . . . . . . . . . . . . . .
Work done in City right-at-way .............
Is there sufficient off.street parking? . . . . . . . . . .
New driveway openings ........
A grading plan for site drainage.
(parking lots, downspouts, etc.) .
Are the existing streets paved? . . . . . . . . . . . . . .
Are there existing sidewalks? .
Is there curb and gutter? . . . . . . . . . . . . . . .
Other. ...............................
YES \N.9
-~
--4-
~=
-X-
=~
_L
-y
Y ,
=3=
-1:
~=
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
APPROVED REJECTED
'?Jh-JOl S(L
K'bf)
~f)J
lBUilaing-~eC~on ]
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.IA
New Business. . . . . . . . . . . . . . . . . . . . . , . . . . .
Transfer of Business location . . . . . . . . . . . . . . ,
Change of Ownership .....................
New Building .........,..................
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business. . . . . . . . . . . . . . . . . . . . . . .
Change of Use . . , . . . . . . . . . . . . . . . . . . . . . . . .
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
7) Driveway installation
8} Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
12) Occupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
3) 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date: ~ Y\3/~ 107
Signed: ( (1l J~
\. --- ~- ~
\
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( )
( )
( )
( )
( )
( )
\51.
~.
cs-
\TI
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---r-
Comments / Conditions .
OUt- of b()siV1e'S<~ 12../1(67
fer phnV\e, ('-0.[ \ -k, 'i:he
(<)O.)'y\p.,r- ()I'\ 12./ Ii 107
I '
\
9-19-207 9.03PM
FROM ANGELES ELECTRIC INC 360 d52 9265
P- ,
G-Zo
(1""-
Q,~: . ~
~IJ
~"",...,-
,-
ELECTRICAL WORK PERMIT APPLICATION
EledricOI.l contractor- nume
LiCI:TI5e numba
ANGELES ELECTRIC INr.
~24 EAST FIRST
PORT ANGELES. WA 98367
State: ZIP
Date Expires
Inlo"'tD.I~'description
WYCommereial Residential
o New ~/Addition
Job wired by
cetrieal Contractor 0 Owner
Purchaser's mailing addre.ss
Tclcphl.'nc llumber
FAX number
'3/Jn~
~KE
rJuN~ f>4:1JAJ/a 7lJ
.3 ~ PIkL
~.
~~D
~-
Cit)'
Premise$ OWni!r~"i name
- :-r:.~
Add,." of ;n.'~
City-- ,~ ___
.
~WJf:::.....
~ h~J S-r:
A-
~1L
Phllftl: number to schedule ilupcdion:
s-z -~U
OWIJ('" as c1(!finr:d by RCW,:J9.28.26/:(I) Own(." wiil OC(:I;P."I tht' S ntcturefor '.....0
yeQr.~ ofter thi,; decrriCI1{ permit is fillalized. (2) Owner is requir~d w hire an edcclricul
CtJrltruclor if (JbQ~'c: said pruperty is fur .\:uk r<;nl or leuse.
Aftcr rt'alling the above statemenl. I hcn::by ccrlify (h.ll I 11m lhe owner of lhe ;:lbove
113rnc:d properry or It lic(mscct electrical COl'l'fr3ctor, I am rnakinf, the electrical inst.'ll~
lalian or alteration in compliance with the: electrical law~, N.~.C., RCW. Chapter
'19.28, WAC. Chapter 296.460, The City of Port ^nf,clcs Municipal Code, and
Ulility Spce:iiic'ations.
Signarure 0 owner~elect I a' It
o C~ Check #
~dil Card Visa
Mastercard
Discover
Card #
j~.L--ELt-____
x
Expiration Date
of card
I
NO LOAD CHANGES-
Q Baseboard _ KW
"0 Fumace KW
o Heat Pump Ton
o Fan-Wall- _ KW
tAR
~~'d Service
o Temp Service
a Underground Service
Service Information
Vol1age )?.A/z~
pn.$e~ .
ServicQ Size: A:I!?-O".
Feeder Size: "%~ A<-
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
/
SERVICE
Dllte
ApflraVed Iol)'
I);uc
^JlJ'lTDVt'fl fly
"- D~\e ^Pfltoved ~)'
FEEDER
"- Ilalc "Pl""\)Ved'Hy
Action Takcn I::lcttrical
'nspcctol' .
/J# ~L
~ FINAL ~
q _,!--:f R.7.-. .
_ o~ ^""". '; "/
DITCH
DAle "P""'~l"~ ~y :::;,.
Insrcction
Datt,'
. An.'"a, Building or Equipmr;ot Inspected
_/tJ_':t - 0-'
RECEIV.ED
--~ l) 1 rynr
"""1 ~
.
......