HomeMy WebLinkAbout106 N Lincoln St - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
1 circuit for spa
Owner
NAVAL LODGE BPOE
131 E 1ST STREET
PORT ANGELES
36) 457 3355
Permit
Additional desc
Permit pin number 164962
Permit Fee 73 50
Issue Date 5/07/10
Expiration Date 11/03/10
Qty Unit Charge Per
1 00 73 5000 ECH
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 98362
ELECTRICAL ALTER COMMERCIAL
Charged
73 50
00
73 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
10 00000452
782932
106 N LINCOLN ST
06 30 00 5 1 1675 0000
ELECTRICAL ONLY
CENTRAL BUSINESS DISTRICT
0
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
EL BRANCH CIRCUIT WO /FEEDER
Paid Credited
73 50
00
73 50
DATE
Plan Check Fee
Valuation
5I« lo
51(Y ho
00
00
00
Date 5/07/10
WA 98363
00
0
Extension
73 50
Due
00
00
00
RESULTS
stv
Signature of owner or Electrical Contractor X Date
INSPECTOR.
spoki)
Owner Informapon
Name: ,_.:E. .s. V 13fO 13 /tId'
rim
Molina es: 13 &.L—,
City: i. State: wj_ 7Jp: J
Phone: 335" Fax:
License l Exp.
ServicelFeeder 200 Amp.
Service/Feeder 201-400 Amp.
Service/Feeder 401 -800 Amp
Service/Feeder 601 -100D Amp.
Service/Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Sery celFeeder 401.600 Amp,
Temp, Service/Feeder 8014000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ Limited Energy -1 2 FamOy Dwelling
Signal Circuit/ Limited Energy Multi -Family Dwelling
Manufactured dome Connection
Renewable Electrical Energy 5KVA System or Less
Tnermoetat
tIEW CONSTRU1CIJ0A P. 4 X
First 1300 Square, Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Chew
119.90
145.50
204.80
26220
372.50
2.60
73.50
2.61)
92.70
110.30
$148.70
167 90
95.9D
08.20
95.90
63.90
63.90
119.90
102.30
66,00
110.30
35.20
73.50
11030
Sig of owner, electrical .T r or electrical administrator
ostid:5/
REMVEC
CITY OF PORT ANGELES PERMIT APPLICATION Pi ►tl' 7 2009
Building Division/Electrical Inspections
321 East Fifth Street F.O. Box 1150 Port Angeles Washington, 90362 ELECTRICAL
Ph: (360) 417-4735 Fax: (360) 417 -471.1 INSPECTIONS
Date: 51-5
1 2 Single Family Dwelling
Multi- Family or Commercial* X,. Commercial Addition 1 Alteratloq Remodel Repair
Plan Review May Be Required, Please Co plate Electrical Plan Review Information Sheet
Job Address: 0_4_6/
Oes Building on of above 4 4' ,4 C'LR..L' L�1.� -ftstr p �A e
Owner as defined by RCW 19.28261: (1) Owner will occupy the structure for two years after this electrical
mma for In an
N �T�a,,� i t f N E ir die t
Mailing Address: ....P...O 2 F
City State: ZIP
ZIP I
Phone: Q_..., Fax: Si
license 1 Exp._,
Yogi l iAgo .dam Unit Chang
Cl cm 0 chealr
c►Maect�rdiw _�:r9T i I I
X1 1 i
permit Is finalized. 2 :weer Is required
to hire an electrical contractor if above said properly is for sale, rent or lease. Permit expires after six months of last Inspechor
After reading the above statement. l hereby certify that t am the owner of the above named property or a (ionised eiecfifcat cc nl a ^tor lam making
the electrical installation or alteration in compliance with the electrical laws, N.E,C. RCW Chapter 19.28, WAC. Chapter 295- =E 3 The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Appl6calilcrns.
PREPARED 7/11/08, 9'22 15
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR'
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
INSPECTION TICKET
INSPECTOR JAMES LIERLY
106 N LINCOLN ST
BEAUTY EXPOSED
BURFITT CONSTRUCTION INC
NAVAL LODGE BPOE
06-30-00-5-1-1672-0000-
08-00000629 COMM REMODEL
PAGE
DATE
5
7/11/08
SUBDIV
PHONE
PHONE
(360) 683-6780
(360) 457-3355
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
6/16/08
6/16/08
01
FFNL 01
7/03/08
7/03/08
BL99
"fr
JLL
AP
KDD
AP
JLL
7IP
BLDG FRAMING TIME 01 00
June 16, 2008 8 46 50 AM lpangrle
JODI 460-6985
FRAMING
AFTERNOON
PLEASE CALL HER 30-MINUTES BEFORE YOU GET THERE
June 16, 2008 4 20:27 PM ]llerly
FIRE FINAL
July 3, 2008 9 41:08 AM kdubuc.
flre flnal
July 3, 2008 9 41 53 AM kdubuc
flre flnal
BLDG FINAL TIME. 01 00
July 10, 2008 8 25:39 AM lpangrle
JODI 460-6985
BLDG FINAL - (BEAUTY EXPOSED)
AFTERNOON
PLEASE CALL HER
COMMENTS
fi~;
if
AND NOTES --------------------------------------
30-MINUTES BEFORE YOU GET THERE
I
~~(
t( r. (),u
'V &u
/ ;/)\
IjO
PREPARED 6/16/08, 13:12 50
CITY OF PORT ANGELES
ADDRESS
TENANT, NBR.
CONTRACTOR
OWNER
PARCEL . . .
APPL NUMBER:
INSPECTION TICKET
INSPECTOR: JAMES LIERLY
106 N LINCOLN ST
BEAUTY EXPOSED
BURFITT CONSTRUCTION INC
NAVAL LODGE BPOE
06-30-00-5-1-1672-0000-
08-00000629 COMM REMODEL
SUBDIV
PHONE
PHONE
(360) 683-6780
(360) 457-3355
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
6/16/08
I(
I
't
BLDG FRAMING TIME 01:00
June 16, 2008 8:46:50 AM lpangrle.
JODI 460-6985
FRAMING
AFTERNOON
PLEASE CALL HER 30-MINUTES BEFORE YOU GET THERE.
PAGE
DATE
3
6/16/08
COMMENTS AND NOTES --------------------------------------
<i
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER.
Tenant nbr, name
Application type descr1pt1on
Subdiv1s1on Name
Property Use
Property Zoning . . .
Application valuation
08-00000629
865044
106 N LINCOLN ST
015-]9 00 5 1 X6-7-~
BEAUTY EXPOSED
COMM REMODEL
Date 6/12/08
.
C6Y'lect- PNvcY\ "$~
0630 ooSl '''/5
CENTRAL BUSINESS DISTRICT
1100
Application desc
TI - ADD TWO INTERIOR TREATMENT ROOMS
Owner
Contractor
NAVAL LODGE BPOE
ELKS LODGE 353
131 E. 1ST ST
PORT ANGELES
(360) 457-3355
Structure Information
Construction Type .
Occupancy Type
WA 98362
BURFITT CONSTRUCTION INC
P.O. BOX 773
CARLSBORG
(360) 683-6780
WA 98324
000 000 TI - ADD TWO INTERIOR TREATMENT ROOMS
UNKNOWN
BUSINESS'OFF/PRO/MED/REST
Permit BUILDING PERMIT - COMMERCIAL
Add1t1onal desc TI - ADD TWO INT. ROOMS
Permit p1n number 127258
Permit Fee 68.30 Plan Check Fee
Issue Date 6/12/08 Valuat10n
Expiration Date 12/09/08
Qty Unit Charge Per
BASE FEE
6.00 3.0500 HND BL-501-2K (3.05 PER C)
44 40
1100
Extens10n
50.00
18.30
Special Notes and Comments
A minimum 2A-10BC fire eX1nguisher is required.
Extinguishers must be mounted, with the top no more than 5'
off the floor. Suggested extinguisher placement is
adJacent to an eX1t
Other Fees
STATE SURCHARGE
4.50
~
~/
O,-J ~
"
~
,
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 68.30 68 30 00 .00
Plan Check Total 44.40 44.40 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 117.20 117.20 .00 .00
Separate Permits are reqUired for electrical work, SEP A, 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 Whethvup ified herein or not The granting of a permit does
not presume to give authOrity to Violate or cancel the prOVIsions of any state or oc law regulating construction or the performance of
construction. G _ ~ .
'~ 01; cd; ralvty11 '
Da e Print Name SI na re of, Co tractor or AuthOrized Agent Signature of Owner (if owner IS bUilder)
T FormslBUlldlng DlvlslonIBUlldlng Pennl! (10/01/07) wpd
),
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS 0
CALL 417-4807 FOR PUBLIC WORKS UTILITIES oQ
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE \
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. <S"->
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE \;:l
~
"
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS )
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING ()G~/J...,...()~ ';r[, L-
JOISTS I GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR J' .
INSULATION ""
~
SLAB
W ALL I FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE I
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLO DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LIGHTING ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR fO 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 4] 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT . , 4 I 7-~750 ,.~h' PLANNING DEPT ',,",,-'" t>-,~ ~
BUILDING 417-4815 BUILDING fLTi-/tR PB
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, PANE.G1TY OF PORT ANGELES ~ Construction 1'lan<;
The Issu~nce of this permit based ~pon these plans specifi-
cations and other data shall not pr~llllfldtn official
from thereafter requiring the correction of errors n said
pl"~s, specifications and other data, or from pr venting
bUilding operatIOns being camed on thereunder when In
VIOlation of all codes and ordinances of thiS juris 'Iction.
(SCCTi6fJ 3S~(~J . I:l.nlfp[fl! !lU;:dlll~ ellC.!t-J . D2 (p ;cg.c
Approval Date By :::r-ruc.
}jl(
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I. lc...___ hJOA......
W~L.L. AJOT (. HA N(j,~ S TR/X..,T() R~
OF eXIS.""IN~ 8Ull,..tJlNtJ? (>{;.
WILL UrrLI.'zE SPP,/}JItL~
SYSTEM rlV NEW I<<JOMS
W ll-L Vrn.rz. G LZ, HT.r NG,
.l\t'Jo rELECf"RI?Af.- J;AJ AJ(:W
Movv.S
PI-AN TV rAKi t:Jo WN OL.t>
t-T:6Hn:.N6 rJ:xTUI<c.S AetJUc
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wo..L( +. -P{675r
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fiLE
PLANS APPHO\ ED BY
POnT AXCELES FIHE DEPT.
~~
DAT~:~-- (D.<o.os
A.a.l c.. ,
uFl
I DATE: 2;-27-oZ 1
( 'l'O: t
E!'IRE DBPAlrL....1ft-
. 0 PWUIZRQ DBPARDIBIft'
o PDBLIC WOU8/ERc;D!KKWIRG DnrDIOIf
o LIC2r ~'r
o BItI5.KGY
o DGlltKKl(Dfc;
o POLICE DEPARDIER'1'
O&~~=::.- s~)
o RXSX MAHA{jrifIfEHT 0 'i- ~ 0
-I FROM: PllBLl:C lIOllES/lllllLIlDlG D:rvJ:SJ:OH r ~e)v Jo\j
RE: AODRESS-.J 0 G ~. L, ncol h S-t
HAXE/COHTACT -:-S-od \ ~l ~ch l' J
PHONE: '4 bO --6~ ~ S
PERMIT N~ 08-10'2-4
PROJECT DESCRIPrIORJ.]:. -- F\d.A 2- \ V\+er ,'or
~AtmGtlJ- \'bt') 1m (
.. .
.
o HEW CONSTRUCTION
)( ABB~--~AIll'EllATIO~
COMMENTS/ CONDI'l'IONS :
~tVl.I:;W/RETURN
n FILE
?~b 0'8 -21-i
Applicant or Agent Jcd - Fat}chdj
Property Owner ~II(S
Property Owner's Address r~ I ~ \,S+- "5+-,
Contractor/Engineer ~}1 S< VII t:' .5 8l<.,,'r~\~~AA-
Contractor/Engineer's Address ?cBo" ("1~ LtA...r\s~rJ
License # -elA~ f\c.-\q7'-f f>(J
..
.
BUILDING PERMIT APPLICA TION Print in ink
CITY OF PORT ANGELES
Phone ~ ~3 - lP7<;-D
VJ Pro 9 cg ~'1..y
Expires
Parcel Number
PROJECT ADDRESS
t)
Lot
Zoning
Project Tvpe & Brief Description: 0 Residential ~ Commercial 0 Multi-family
Check all that apply
o New Construction
~
~emodel
o Repair
oRe-roof
o Demolition
o Heat System 0 Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o Other
"
Floor Areas
Basement
15t Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
~
Total footpnnt of structures
o Industrial
Existing (sq, ft.) Proposed (sq, ft.)
@$
per sq ft = $
1
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TOTAL VALVA TlON $
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-0
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sq. ft
$...
lp
~
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I have read and completed thiS application and know It to be true and correct I am authonzed to apply for thiS permit and ~
understand that If IS my responsibility to determme what penmts are reqUired, and to obtam permits pnor to workl on s::
projects <)
Date_fllf!/J:b Pnnt Name JrJl WVdulL Signature ~
T FormslBulldlng Dlvlslon/Bldg Permit Appl -2006 Code doc :s
';jon, b/l2-JOB whBl'\' ~~tti'r(c..J<~vf -tl11S Fe;rn,(t. We.dl\Scus~ -ti1e.neeJ ~r G\degll&<Je,'5
V~V\h'A,Hbl'l if no.'U /.L.()rk 110(\\ ba..J..e>ne here.. "3Ocli Sald she ot.Oesh't /(tlOW If 5~ neeJs ~tt {''J/J
Lot size
sq ft = Lot coverage
\~
Max height of proposed structures
Will a lawn spnnkler system be Installed?
Will a fire spnnkler system be Installed?
ft
Occupancy group
Occupant load
Construction type
# of bedrooms
# of full baths
# of half baths
..~
Parcel Lookup
Parcel Number 0630005116750000
Site Address: 131 E FIRST ST PA
,'Print I . Quit I . Back I
Taxpayer:
ELKS LODGE 353
131 E 1ST ST
PORT ANGELES, WA 98362-2902
Title Owner:
NAVAL LODGE BPOE
Ii 6(;
l\;S1 ~-; ')
Description:
SMITH, NORMAN R
LOTS 17&18 EXC TX#1429 BL 16
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. 162,000
Improvements Value' 1,412,200
Total Assessed Value. 1,574,200
Property Characteristics:
Note: Use Code IS for Assessor's purposes only Contact the appropnate planning or
building departments for Zoning and allowable usage of property
Use Code 6992 PROF MEM ORG
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' ZOOlng and zoning codes change constantly Venfy all
zoning with the appropnate planning or bUilding department
Building Characteristics: (Click on Bldg. # for more details)
L Bldg. Type Bldg. Style Total S.F. BD BA
01 Two Story 26791
Tax History
Sales History
:-pri'riq ~ : S-ackl
111,733.98011
http://apps.clallam.net/website/sitis --p.pgm?parcel=0630005116750000
Page 1 of 1
5/27/2008
136
123
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132
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C E RTI!f:I,CA.t;E~;,:O'F~'tOCCU PAN CY
,. .t~'\'.>~ '\V"~'.::,\;;'!..~\:,,' t\'" \: '..'~:~\\"~" ,-~-:",~"f:,<, ~
Cj'fy of Port Angeles.'~ Buildin~~Q,ivl~on
J, ,~~
Thzs certificate is issued p~~~tlahMo/he requzrements of Section 110 of the 2003 International Building
JPr' .,,,,-'-'l ~~<;,'l ,;",~ '.~.A~''h~'\\:~\' \I~
Code certifying that at tHi! lime'oj..{JJsilahcethis structure wasin:ciimplzance witlNhe varzous ordinances
of the City regulati~; f~~l~~~ff?~~tru~ti?~,~,~~se~of-~'tle,!9{l~~?'~~.:\, ":', '" ,\
. ~ ;~,,,~\ ,~\.:~,;,~-',~' \,.,~,~ ~\.\!; ',-"-'""",, -,- 1'1
Bus~ness name: B :~,(:J~~I.!~~pa. ~';,:".,~:<.. "(": lj
Buszness address~ :./'i'!'06 N. Lincoln St. '~.,' Jj'
lJil 1;; ,I \ '''' ; .
Owner ofbusinesJS: t" Chelsea Martin \ . '-', ~ "'",,,:, 'I 3
Owner's address:\ ~=~~~=lBOX 997, Po~:~~~el~.~,' YY~~~~~62~'.',~.~~.:,:.~-~) !
Use & occupancy elass'ijication: Bus'iness,'lt~Y"" .,
. . . 't ~''>*'.l~~ '\\~, ''''':\-\\~~~ .."
Buzldzng permzt nu1er..::J '""~"'''' .. 0. 7 - 1,5.0.3 ii:,~""
Type co stru ion. ~ -~
Post on the premises in a conspicuou
{V\~ teel
t2.-li-07
OS/24/07
Date
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DATE 3/ 2~/o r
I
Address of Propo~d Buslne~s .
/O~ /lJ. [, (/{jOLn
07 -.1:t70~
ROUTING SLIP
~ fbL- Certificate of Occupancy
~ $!]'] Lit Certificate/Inspection Fee
IY1-
01
s1recf~
Applicant ~ 35St,'Z--
::;;: c:z n, e.- 8
Address '- ~ t o. &')( '1'\1
~0r ~h()Y\el~~~e.\S<<. PA- tf'83G>2-
-Phone: b~sl~e~? ~) 5bJ -()ut' home (jb~) 4-/+ 05f9
C- C{[~n.:I- .
biCA-/1c1ec/
New Business. . . . . . . . . . . . . . . . . . . . . .
Transfer of Business location ., . . . . . . . . .
Change of Ownership .....................
New Building ............................
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business. . . . . . . . . . . . . . . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . .
IJe/dt/IC5YIoy' AijJ//16...J
//JU// CpC\..
Brief d~scriptiqr of propose9 9fljiness:
/01' CuR C/-r{ , j;jda/n tf1
t, <F
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
YES ~
-~~
it;(
-~~
- -')-
f;
--T-
-~
==f=
--f-
=t
~=
Admission charged to patrons
Is this a home occupation?
Excavation of filling of lots
Work done In City right-of-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
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.
~\
REJECTED
l Building Section)
Public Works Department
Planning Department
Fire Department
City Clerk
PB.I.A.
.
I/V @. I/l'reA1 f--
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
~i:zt-l or-
::~ ~.
Comments / Conditions
~
i),~~<t
-r~~'
ts-~
=-
~
'"0&;",;;0.<-"
(~)
( )
( )
( )
( )
( )
( )
Ocvl\<:.r: /' I", ') I _ ~(')
~ t..- i 'l; 1 .') '-'. j",
:"\" ~ '
i' HH'~; \ n
: I-~~
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, ''';; I" ,,'
"
,
/} , l - , ROUTING SLIP ~
. f., ~ Certificate of Occupancy G~.......(t
~:: : I ' L "'=-'"
/ , =-
I~ $50:DC9'Certificate/lnspectlon Fee , ~
~lICWO~~
- /
" - -~ , )
DATE New Business. . . . . . . . . . . . . . . . . . . . ( :
. " .. ..... .
Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( )
, /1' . ) Change of Ownership ( )
I , I ~
... . . .... . .... .... . .
Applicant ~ 3g~~ New Building .... . . . ... . ..... . .. . . . . ( ) -
Address ,...) (,) . 'W'~ ");{ ~,' # Remodel . . . . . . . . . . . . . . . . . . . . . . ( )
---- Q ,'-.. (t " ..... . .
~ "'" - ( ...~ ~;, -' (/ e{y OJ)> ~) ,; ;;
. , Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( )
" l) ;. J~I':;'" ."'" r \...(I~';"'(A _J ~"f;;?
I~' . \ ~ I.' i ....~
Phone: business home Change of Use . . . . . . . . . . . ....... . ..... . . ( )
, I" I, "
Bnef d~scnption of proposed business: , , , .
-
/ I
legal Descnptlon: lot Block Subdivision
Current Use of Property: c.,\5:C
Zoning Classification of Property:
WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOllOWING Will BE REQUIRED:
Construction changes -- PERMITS BUSINESS LICENSE
Electrical changes -- 1) BUilding 1) TaXI
Mechanical (heating, cooling, stoves) -- 2) Plumbing 2) Peddlers
Plumbing changes -- 3) Electrical 3) 2nd Hand Dealer
New or relocated signs -- 4) Mechanical 4) Pawn Broker
New septic tanks . . -- 5) Sewer 5) Dance
New sewer service, -- 6) Sidewalk Installation 6) Hotel - Motel
Admission charged to patrons -- 7) Driveway Installation 7) Fireworks
Is this a home occupation? -- 8) Curb Installation 8) Ambulance
Excavation of filling of lots . . -- 9) Sidewalk obstruction 9) Tattoo shop
Work done In City right-of-way -- 10) Water meter Installation 10) Other
Is there sufficient off-street parking? . . -- 11 ) Fire
New driveway openings -- 12) Occupancy
A grading plan for site drainage -- 13) Sign
(parking lots, downspouts, etc ) -- 14) Shoreline
Are the eXisting streets paved? -- 15) Home occupation
Are there eXisting sidewalks? -- 16) Conditional use
Is there curb and gutter? -- 17) Other
Other .... . --
I hereby apply for a Certificate of Occupancy and acknowl- , ,
,
edge that I have read this application and state that the Date:
information I have supplied IS correct to the best of my /
, ' ..
knowledge. Signed: '.
APPROVED REJECTED Comments / Conditions
Building Section
13.1:" ~fA .-fA Public Works Department
Planning Department
I \ )
Fire Department
City Clerk
P.B.I.A.
;' "
"
, .
..
jr)p tAl ho/)I/l,e({ ROUTING SLIP :f~ORT ~'"
Curr@i'lf . !' 0 ~<~I.i~:{~<I'<,~
. H fte... Certificate of Occupancy <.i ~____ <Jl
))011/ S!~ b/'o /?dec/ "- """"-'"
=-
II $~8!6)(!):>Certificate/lnspectlon Fee ~
I " "t-SLICWO<r-+-c:'
DATE 3/21 /01- New Business. " . ... . . . . . . . . ." . . . . . . . . . . (~)
I ~, ,
Address of Proposed Business .s-lr f?ct . Transfer of Business location . . . . . : . . . . . . . . . ( )
/oro ;u, / I '/7 {,.O[ f1 Change of Ownership .... . . . . . . . . . . . . . . . . . ( )
Applicant New BUilding ... . ...... . . ....... . . . . ..... ( )
Address <;;; ~ /"n e . Remodel . . . . . . . . . . . ( )
. . .......... . ......
Temporary Business. . . . ........ . ..... . ( )
Phone: buslness;;;~) ~r ()af) home ("".) L/l1" 0515 Change of Use . . . . . . . . .. ....... . ..... . . ( )
\, '" I
;4dd h CJ>~ oyt7 ~
Brief descnptlon of proposed business: j/1-y ijJ I /Je.s 5 / I/,; ~ tJ/re 11 f-
IDr ()!?071 "' ;lrfdlnC1 !I/Cf/ / cP~
I .r
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
Electncal changes - V 1) BUilding 1) TaxI
Mechanical (heating, cooling, stoves) ==..( 2) Plumbing 2) Peddlers
Plumbing changes Y 3) Electncal 3) 2nd Hand Dealer
New or relocated signs .. . , . ==k 4) Mechanical 4) Pawn Broker
New septic tanks :Y 5) Sewer 5) Dance
New sewer service . , -or- 6) Sidewalk Installation 6) Hotel - Motel
AdmiSSion charged to patrons --y 7) Dnveway Installation 7) Fireworks
Is this a home occupation? -;p- 8) Curb Installation 8) Ambulance
Excavation ot tilling ot lots - Y 9) Sidewalk obstruction 9) Tattoo shop
Work done In City nght-ot-way ==~ 10) Water meter Installation 10) Other
Is there sufficient off-street parking? or 11 ) Fire
New dnveway openings -~ 12) Occupancy
==1>< -
A grading plan tor site drainage 13) Sign
(parking lots, downspouts, etc.) , , . . ~ .X 14) Shoreline .-
Are the eXisting streets paved? ----.Ii ,/ 15) Home occupation
Are there eXisting Sidewalks? f<:. 16) Conditional use
Is there curb and gutter? -y- 17) Other
-- I
Other --
I hereby apply for a Certificate of Occupancy and acknowl- ;S. J? }-Iu }- //
edge that I have read this application and state that the Date: /J
Information I have supplied IS correct to the best of my Signed~j/o6~g
kr;lOwledge
APPROVED REJECTED Comments / Conditions
BUilding Section
Public Works Department
Planning Department
~- \~'fo -' '19' F-r.t- i -
I l '.lJie~~ ,e,fil.a, rT:len
.., ,", ~ '. .
, ,.. "
.. ..{ City 'C1erk- - '... f \, )1 -"
I . ~ t, ~
P.B.I.A. ; ,.. I : 1_ ^,
:j ..
."
/L/e &u' h lr J1 1\ t- ':j"
jJtA// S!~
ROUTING SLIP
I f~L- Certificate of Occupancy
/- u $ea 'Ji'Certiflcate/lnspection Fee
( u r/'I?, It/- .
b/'t/'-/7 c:leC/
DATE
Address of Propo:'}8d Buslne~s (' j /' .?'''''''f ~
/O~ jl/ it (l (--C)LrJ J1LC <-
Applicant
~ c:::z I'll e
Address
- Phone:
busine(:3~) ~6j-oDtJ home 0":) 41+05:}:
Bnef d scnpt,of of propose
o {1.J7 0'?1 " ,
legal Descnption. lot
Current Use of Property.
Zoning Classification of Property.
Block
Will THERE BE ANY OF THE FOllOWING?
Construction changes
Electncal 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 nght-of-way
Is there sufficient off-street parking?
New dnveway 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!
--+-
-4,-
!
==i=
--f-
=!+
? --v-
/7 -
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
~7
Building Section
Public Works Department
Planning Department
Fire Department
P.B.I.A.
New Business .. .. . . . . . . . . . .
Transfer of Business location . . . . . . . . . . . . . . .
Change of Ownership ... . . . .. ..
New Building .... .. ..... . . . . . . . . .
Remodel. . .. ..... . . . . . . . . . . . . .. .
Temporary Business. . . .. .......... ..
Change of Use . . . . '" . . . . . . . . . . .
AI/,J'//lcS.J"
.
I ~ r1A! L/ I' r u1 f--.
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) BUilding
2) Plumbing
3) Electncal
4) Mechanical
5) Sewer
6) Sidewalk Installation
7) Dnveway 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
S#-i-/cJ7--
Dale ' 6:~
Slg~~ .,C:lL....--. .
Comments / Conditions
( ?X'" )
( )
( )
( )
( )
( )
( )
I ·
I
It'e (/t/ In, J I 1\ t- ( f
}/C1 / / S 10--
ROUTING SLIP
I-lv feL-- Certificate of Occupancy
$':'':' QIj Certificate/Inspection Fee
r: u rF'f?,)1./- .
btt/"-/?cJec/
c:kecf~
~ C'Z- 1'/1 e. .
- Phone:
buslne~3~) ,?6J-rJ2/tJ home 0"!-) 4-/+051
Bnef d scnptioj1 of propose
V Cv/lv"71 " ,
Legal Descnptlon: 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-of-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 ~
-~
f
===t
--f-
=!+
? -V-
.
r -
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.
~\
REJECTED
Public Works Department
Planning Department
Fire Department
CIty Clerk
P.B.I.A.
New Business. .. ..... ...........
Transfer of Business Location . . . . . . . . . . . . .
Change of Ownership ... ........... ....
New BUilding. . . . . . . .'. . . . . . . . . . . . . . ._._. '..
Remodel . . .. ....... ............... ...
Temporary Business. . . . . . . .. .............
Change of Use . . . . . . .. ..................
AI;;7J//lcS.J"
l-
I/v 0A1 t/l'rt:A1 f--
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 $f!J~I<0- dt
Slg~ .~ --.
Comments / Conditions
(~)
( )
( )
( )
( )
( )
( )
Me ( SPot-
t/I ROUTING SLIP
I()':: --- Certificate of Occupancy
$50.00 Certificate/Inspection Fee
t(;n-~
legal Description: ot
Current Use of Property: l!-A3 D
Zoning Classification of Property:
Will THERE BE ANY OF THE FOllOWING? YES
Construction changes
Electncal 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 ot tilling ot lots .
Work done In City nght-ot-way
Is there suffiCient off-street parking?
New dnveway openings
A grading plan tor site drainage
(parking lots, downspouts, etc )
Are the eXisting streets paved? . . . .
Are there eXisting sidewalks?
Is there curb and gutter?
Other.. .
7;-
~
~- (O(;;L (bep
~
' '"
{J~~l/>
L -=:...s
=-
~
""c.t8L/C wo?-~
o
0\
,
.----
0-
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)
)
)
)
)
)
New Business. . . . . . . . . . . ". . . . . . . . . . . . . . . . .
Transfer of Business location . . . . . . .. ..
Change of Ownership ....... . . . . . . . . . .. "
New BUilding ......... ...........
Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business. . . . . . . . . . . . . . . . . . . . . . .
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . .
-
~
THE FOllOWING Will BE REQUIRED:
PE MITS BUSINESS LICENSE
) BUilding 1) TaXI
2) Plumbing 2) Peddlers
3) Electncal 3) 2nd Hand Dealer ..-
0
4) Mechanical 4) Pawn Broker 6""
5) Sewer 5) Dance
6) Sidewalk Installation 6) Hotel - Motel Z
7) Dnveway Installation 7) Fireworks
8) Curb Installation 8) Ambulance r-.
9) Sidewalk obstruction 9) Tattoo shop
10) Water meter Installation 10) Other '5
11 ) Fire b'
12) Occupancy --
13) Sign :5
14) Shoreline V'
15) Home occupation
16) Conditional use -t
17) Other
I hereby apply for a Certificate of ccupancy and acknowl-
edge that I have read this app cation and state that the Date:
Information I have supplied I correct to the best of my
knowledge. Signed: .
irp;:~ REJECT
~B()
BUilding Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
Comments / Conditions
O\Jt Q f 6v Sc'vve s. S
see... new \:, v S;: V\e SS;
10 c.o,.'Ho ::tt
Nl\~ \
l--.
Port Angeles, W A. 98362
Port Angeles, W A. 98363
.
.~-
CERTIFICATE OF OCCUPANCY
-City of Port Angeles
Building Division
This CertificatIOn issued pursuant to the requirements of Section 301 of the
International BUilding Code certifying that at the time of Issuance this structure was
in complzance wzth the varzous ordznances of the CIty regulating Buildzng
construc!,zgnJ}r use For the following:
Use ClassIficatIon Business
BUlldmg PellnleNo .,..0.6.=:1'083 ... _._.,~ ~jJ~!!!~ss:~ame Branded.
-....
,..,...,,-;:;:.::;~~
~:;::..:"--:;:;-- -,.::;.;:--::.:-:' 'Y-~" 'CY' \l:;f-'i"~~,.",~"-~-::'~~;:
Group ~
Type of ConstructIOn "V -N""
~ ~~~...-
. ""~"""U;;Z;;ne CBD
Owner of Busmess Marlen Ravelo.
Address 1420 S. Oak Street
BUlldmg Address 106 N. Lincoln Street
(j / ~. 1 t'\?,iZ'~:-~7;;;;:~'".'"
~/:f./.-fJ . .~ 1,'-" ~~:.,:; .:'><: " <.'
-- -- A~ 4~J -,.,"" . ',"
Planning:1S4anager ~,'\> ~ "~.:' ". '
/ "'<<)!"~'< "
December 8, 2006
Date
/
"
l3iZ.4U7et?
Phone:
()h, J 1JfJ3'
M
New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. (1)<
Transfer of Business location . . . . . . . . , . . . . .. (
Change of Ownership .... . . . . . . . . . . . . . . . .. (
New BUildIng ............................ (
Remodel. ................. ............ (
Temporary Business. . . . . . . . . . . . . , . . . . . . . .. (
Change of Use . . . . . . . . . . , . . . . . . . . . . . . . . ., (
,
Brief description of proposed business: 'Ee II r~ IcvJJ C lo+L--;':j ~ ItCL. -(0r J4~Y\c W~c:"J1'
legal Description: lot tA1L.f rg-
Current Use of Property:
ZOning Classification of Property:
Block
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes
Electncal 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 nght-of-way
Is there suffiCient off-street parking? . . .
New dnveway 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. .
'It
YES NO
--4-
_ ..k-
6(
==f)(
~.
--
~
-~
--
()I..
--
~
--
U
--
_-'L
-+
-Dr
--
~-'--
--If-~
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.
~ REJECTED
IDh~/ 06 5 R-
I
j({)O
~IA
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B I.A.
1I-14G
I~
SubdiVision
THE FOllOWING Will BE REQUIRED:
PERMITS
1) BUilding
2) Plumbing
3) Electncal
4) Mechanical
5) Sewer
6) Sidewalk Installation
7) Dnveway 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 . ~~~
Slgne~
Comments / Conditions ~ (S~\6 a...\ l'bvJ-e&
,^ PglA - GRf)
CERTI FIC-~TE::()Ff;0cCCU P ANCY
liP,>, '-~
/?--' City of Port Angeles~~:"
. . /.. Building Division '\
~hls C%fti[ic~twn Issued p.ur~uant to the re~Ulrem~nts of Sectl.o~ 09 of the
Unifor"l(3u~ldmg C.ode c~rtifY.l1ig tha~.?!J the tIme of Is!uance thl~ st(iuc~u~e was
m c~Jnplzance wlth the'varwus ordinances of the ,City regulatmg Buddmg
H , ' construction or use~ For the following: ,
Use ClassIficatIOn RetaIl, BuIldIng Permit No: ~ BUSIness Name' _ Stuff for Home & Garden
I U
Group M i1 TyPe ofConstrucMn' V -N Use Zone' CBD
~ - #1
. ~
Owner of Business Sandra YV. Long Address 2935 East Bay Street Port AngelesNW A. 98362
\\ ' '1/'-
~t. _ , '
Building Address 106 North Lincoln Street ~ ' Port Angeles. W/A. 98362
'~7,
.( cl%ber 3 2003
~~ ",.<,
,{Date
._ p"~S place.
_ ,...\/jiI~lding Official.
~~~ ';1
.c....f.. - , 11_
". L....\\-
.(- C- -
U'-'h~e
{. .
r
./
L ' -~. -c <.. ~ \.
ROUTING SLIP
, 1., 'J Certificate of Occupancy
$47.00 Certificate/Inspection Fee
<tt5'17
DATE ~J ;).. } D 3
Address of ,roposed Business
J 0(0 N. LI AJ(O&N
Applicant 5A-"-lDR^ W. L-D N0
Address ~ C{ ?J 5 t:3" I (5 A '-I S r
:PO,Q r ANG:,eLE~ vJ8 qg!:}b ~
Phone: business home 4~2.. - 901 D
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building .................... . . . . . . . . .
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . .
v
legal Description: lo
Current Use of Property:
Zoning Classification of Property:
Gao
Will THERE BE ANY OF THE FOllOWING?
YES NO
-~
.;
- -::r
- ---v'
--
~-
..;
- ---;-
--
-+
-~
~-L
-:.L-~
--L-
Construction changes . ., ,... ".......
Electncal changes.. .
Mechanical (heatmg, cooling, stoves)
Plumbing changes
New or relocated signs
New septic tanks
New sewer service
AdmiSSion charged to patrons
Is thiS a home occupalion?
Excavalion of filling of lots
Work done In City nght-of-way
Is there suffiCient off-street parking?
New dnveway 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
~-
~-
-2=
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.
REJECTED
BUilding Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A. ..l\
~,;t\.
THE FOllOWING Will BE REQUIRED:
PERMITS
1) Building
2) Plumbing
3) Electncal
4) Mechanical
5) Sewer
6) Sidewalk Installalion
7) Dnveway Installalion
8) Curb Installalion
9) Sidewalk obstruclion
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:
& I '2-1 0 3
.~ -uJ )etJ7Lr
Signed:
Comments / Conditions
~
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oq
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~
.t;p,...
This certificate is issue
certifying that at the t
regulatzng building c
Buszness name'
Business address'
Property owner.
Property owner's
Automatic fire sprz
Use & occupancy c
Building permit num
Type of construction
Occupant load.
-
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6'
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CERTIFICATE OF OCCUPANCY APPLICATION Permlt# 08--602-
CITY OF PORT ANGELES
Attn BUilding Permit Technician
321 E Fifth St , Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
$50.00
$100 00
FEES
Certificate / Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
-
Pnnt In tnk
Business owner's name
Business owner's home addres~ll6(Q
PLEASE NOTE:
A Business License IS also required for the followtng bustnesses TaxI, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417-4634 for additional tnformatlon
ACTION v'
/
New business V
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PBIA location
Change of ownership
Remodel
Temporary business
Change of use
Will THERE BE ANY OF THE FOllOWING? NO-/' YES-/' IF YES, CONTACT
Electrical chanQes .L<. (>"..... ~1.W\.PX~ 1/"" Electrical Dept at 417-4735
New or relocated slans "T'\-);l ,10 A -\-() \-'Q ~'/'JoJ(\-t Il \tJ. :'~a", \,/"" BUilding DIVIsion at 417-4815
Construction changes t-S" f'e..r P\ ,+ ,^", 'o~pj v v "
Mechanical chanQes (heating, coollnQ, stoves) oet- ~Y'n 1- V" "
Plumblnq changes L/ "
Fire sprinkler system changes v "
Fire alarm system changes L,../ "
Is thiS a home occupation? [.../' Planning DIVIsion at 417-4750
Second-hand dealer or pawn broker? \./" City Clerk at 417-4634
New or relocated sewer or water service ,,/' Public Works at 417-4807
Excavation or filling of lots 1/"" "
Work done In the City right-of-way v "
New driveway openlDgs V "
GradlnQ site dralnaQe (parking lots, downspouts, etc) v "
Landscape Irrlaatlon system (backflow deVices) v Water Dept at 417-4886
Off-street parking .r
EXlstlnQ streets paved {,../
EXisting Sidewalks v
Curb and gutter ....-
Call for Certificate of Occupancy inspections before opening business:
BUlldmg Department InspectIOn 417-4815 & Fire Department InspectIOn 417-4653
Please proVIde a mmlmum 24-hour notIce for mspectlons
Please sign up for utility
services at the cashier counter.
I hereby apply for a Certificate of Occupancy I acknowledge that I have read thIS applIcatIOn and state that the mfo bon I have
supplIed IS corect to the best of my knOwle~ge '. - ...
Date S/IY:/-tJ?{ Print Name J{~ 'f--tLtYCl1LP..d Signature
Forel!
Approved
Initials & date
Department
BUilding
Fire
PBIA
Planning
City Clerk
Public Works
Comments f Conditions
I3vi Itl~h
Occupant Load
Automatic fire sprinkler system reqUired
no
yes
T Forms/BuIlding DIVIsion/CertifIcate of Occupancy Application
.JZ.-
Parcel Lookup
Page 1 of 1
.'
Parcel Number 0630005116750000
Site Address 131 E FIRST ST PA
I Print) [Quit I I Back I
Taxpayer:
ELKS LODGE 353
131 E 1ST ST
PORT ANGELES, WA 98362-2902
Title Owner:
NAVAL LODGE BPOE
Description:
SMITH, NORMAN R
LOTS 17&18 EXC TX#1429 BL 16
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
Senior/Disabled or Current Use programs (except Commercial Forestland properlies)
Land Value' 162,000
Improvements Value, 1,412,200
Total Assessed Value 1,574,200
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' 6992 PROF MEM ORG
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)
JL Bldg. Type Bldg. Style Total S.F. BD BA
01 Two Story 26791
Tax History
Sales History
I Print I ~ I Back I
111.727.89011
http://apps.clallam.net/website/sitis -'p.pgm?parcel=0630005116750000
5/19/2008
ROUTING SLIP
Certificate of Occupancy
$47.00 Certificate/Inspection Fee
DATE ~2 i ~ ) ~ '-~ New Business ............................
Address of proposed Business Transfer of Business Location ................
Applicant .~:~'~)~}'D~./~' ~/, gD/~ New Building .............................
Address ~q ~)~- ~-' 1~/t:~'~ ,~- Remodel .................................
Phone: business home ~L,~-:Z. - ~]~2i 0 Change of Use ............................
Legal Description: Lofv'~ ~' 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), v/ 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? ....................... V' 8) Curb installation 8) Ambulance
Excavation of filling of lots ...................... ~/ 9) Sidewalk obstruction 9) Tattoo shop
Work done in City right-of-way ................... V/ 10) Water meter installation 10) Other
ts there sufficient off-street parking? .............. ~/ 11) Fire
New driveway openings ...................... ~ 12) Occupancy
A grading plan for site drainage ................... ~,/ 13) Sign
(parking Iots, downspouts, etc.) .................. 14) Shoreline
Are the existing streets paved? ............... *,/ 15) Home occupation
Are there existing sidewalks? .................... v// __ 16) Conditional use
Is there curb and gutter? ........................ V/ 17) Other
hereby apply for a Certificate of Occupancy and acknowl- ~,
edge that I have read this application and state that the Date:
knowledge.inf°rmati°n l have supplied is c°rrect t° the best °f mY Signed:
REJECTED Comments / Conditions
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
EB.I.A.
CERTIFICATE OFOCCUPANCY
~/,~ City of Port Angel~%~
~?~' Building Division
This C~ttiftcation issued pursuant to the requirements o c the
Unifor~Building Code ceni~ing t~t at the time of iss~nce this, ~ was
in c~piiance with the various ordi~nces of the Ci~ reg~ latin,
~ construction or use. For the following:
Use Classification: get~ Building Pen~t No.: Business N~e: Stuff for Ho~e ~ (
Group: M ~ T~ofCons~ction: ~'N Use ~ne: C
Owner of Business: Sandra~W. ~ng Po~ 98362
Building Aa~ess: 98362
2003
place.
Shall not be ilding Official.