HomeMy WebLinkAbout118 E Front St - Buildings'ArN CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
9 acvot o
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
COLOMPOS TTE EFFIE
217 W 4TH ST
PORT ANGELES
WA 983622807
Signature of Contractor or Authorized Agent
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
06 00001003
837599
118 E FRONT ST
06 30 00 5 1 1612 0000
PAUL WESLEY
SIGNS
CENTRAL BUSINESS DISTRICT
325
Owner Contractor
Qty Unit Charge Per
1 00 47 0000 PER S SIGN LES THAN 25 SF
Fee summary Charged Paid Credited Due
Date 9/25/06
JACKSON S SIGNS GRAPHICS
472 MOUNT PLEASENT RD
PORT ANGELES WA 98362
(360) 457 3703
Permit SIGN
Additional desc
Permit pin number 86835
Permit Fee 47 00 Plan Check Fee 00
Issue Date 9/25/06 Valuation 325
Expiration Date 3/24/07
Permit Fee Total 47 00 47 00 00 00
Plan Check Total 00 00 00 00
Grand Total 47 00 47 00 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
fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I- hereby certify that -I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming 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 to aw regulating construction or the performance of
construction.
Extension
47 00
(MC p
()-7_1
k Q
Date Signature of 0 -r is builder) Date
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES
1
1 1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
I 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
NO
FINAL
FINAL
SEPA.
ESA.
SHORELINE.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
1 BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
I A I
I L41
I(O 101 1
Applicant or Agent:
Owner la tik I LtJe s icy
_Address: 72-. icl r Lai/1.Q
Architect/En weer
TYPE OF WORK.
Residential New Constr.
Multi- family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF THE
T•\FORMS1B1dgPertnitformwpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELt and in INK. X our application and site plan MUST
COMPLETE to be accepted for review If you have any questions, ca
PERMITS (360) 417 -4815 FAX(360)417 -4711
Contractor IG(e A.Cfm s Si j s State License
Address: 4 1 lJuhi gyprftU A,1 City
PROJECT ADDRESS //P
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
7�
Block.
Re -roof Stove
Move Garage
Demolition Deck
Other
PROJECT
Phone:
Phone.
City f An 01-eteS
-i �.'IiY /i°r
STZEIVALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION
5?�4 1 II. lgt ofiapte .may 3h M DO 1ly icaoo sa( nferl nos per a finchmeo+
MotIn +P,k Mon ✓P main /,c)Iv iN) �n cfn�n 1 ,,S (0(1��fil106
COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Contraction Type.
No. of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Subdivision.
Proposed Sq Ft.
Phone:
Exp
I 9 ?.s
Zip 9 tr 3 3
Phone. 2 S7 ?7o2
Zip 90 z
ZONING 6
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no pent is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to
apply for this permit and understand that it is myesponsibility to determine what permits are required not the City's, and that
must obtain such permits prior to work.
Date: 9 6
FOR OFFIC
Date Rec.
Permit
Date. Approved:
Date issuedg/2Gj
TOTAL Sq Ft. S
APPROVA
PLAN 9 /i�D �C
BLDG
DPWU
FIRE.
OTHER.
Income Tax Service
Insurance
are_ vv/761 `e_irf. fr
5
DO plcciw000k, a(-16(cCtpci( 4 Fro -f—
ain w 4 0
Jackson*s Sijis 0 472 Mount Pleasant Rd Port tin Wfi
360 —457-3703
pc 44(s keu
Eo€ pro
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s),,,t CD vvivvtil-L
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00000831
989620
118 E FRONT ST
06 30 00 5 1 1612 0000
PAUL WESLEY
SIGNS
CENTRAL BUSINESS DISTRICT
200
Owner Contractor
COLOMPOS TTE EFFIE
217 W 4TH ST
PORT ANGELES
WA 983622807
OWNER
Date 7/31/06
Permit SIGN
Additional desc
Permit pin number 83717
Permit Fee 30 00 Plan Check Fee 00
Issue Date 7/31/06 Valuation 200
Expiration Date 1/27/07
Qty Unit Charge Per Extension
1 00 30 0000 PER S A FRAME 30 00
Fee summary Charged Paid Credited Due
Permit Fee Total 30 00 30 00 00 00
Plan Check Total 00 00 00 00
Grand Total 30 00 30 00 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 as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby- certify that -I have read -and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified jrein or not. The granting of a permit does not
I d
presume to give authority to violate or cancel the provisions of any state or local I gulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
2 T\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Date Signature of Owner (if owner i
elder) date
T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
ELECTRICAL LIGHT DEPT
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
FOUNDATION:
FOOTINGS I I 1
SHEAR WALLS WALLS 1 1 1 1
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS I 1 I
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB 1 1 I
ROUGH -IN 1 I I
WATER LINE (METER TO BLDG) 1 1 I
GAS LINE 1 1 1 FINAL DATE ACCEPTED BY.
BACK FLOW WATER 1
AIR SEAL
WALLS 1 1 1
CEILING 1 1
FRAMING
JOISTS GIRDERS I 1 I
SHEAR WALL/HOLD DOWNS I I
WALLS ROOF CEILING I 1
DRYWALL (INTERIOR BRACED PANEL ONLY) I I I
T -BAR 1 1
INSULATION
SLAB 1 1 I
WALL FLOOR CEILING 1 1
MECHANICAL
HEAT PUMP FURNACE DUCTS 1 1
GAS LINE 1 1 1
WOOD STOVE PELLET CHIMNEY I 1 FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD DUCTS 1 1 1
MANUFACTURED HOMES \J
FOOTING SLAB
BLOCKING HOLD DOWNS 1 1
SKIRTING 1 1
I I I
PLANNING DEPT SEPARATE PERMIT #'s SEPA. 4
PARKING /LIGHTING I I 1 ESA.
LANDSCAPING 1 1 1 SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 1
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION RW PW/ CONSTRUCTION R.W
ENGINEERING 417-4807 PW ENGINEERING
FIRE 417 -4653 I I 1 I
PLANNING DEPT 417 -4750 I 1 I 1
BUILDING 417 -4815 1 1 1
FIRE DEPT
PLANNING DEPT
BUILDING
xplree I
0
Applicant or Atrent: Al alecier
Owner �eect 7 1LA.z1 a 6 P-,-
_Address: '72 XA .1c 7, r 2„ City
Architect/Engineer
Contractor
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr Re -roof Stove
Multi family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DES TION OF THE PROJECT
/9 �iame r1 Si' C- s dezler /k
too ba(e)
COMIYIERCIAALSIDENTIAL. Occupancy Group
Existing Sq. Ft.
No. of Stones: 2 Lot Size:
Total lot coverage
PLANNING USE ONLY
Fill out COMPLETELI and in INI:. I our application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
OA
T•\FORMS\B1dgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
State License
Ciit
r�
City
/N S/
Block.
22y
ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other
',de/
Phone:
Phone.
J Phone:
Occupant Load.
Proposed Sq Ft.
Date:
Exp
Zip
P4. 9 ,00Z-ZONTNG
Subdivision.
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION Z(✓O
FOR OFFICIAL SE O LY
Date Rec. -7
Permit 46r T/3
Date Approved: 3 O 6
Date Issued: 7/ (t
346 ysz q1
Zip ?R'. 3
Phone:
e_OVYI i4fQ /n/ S r
Construction Type
TOTAL Sq Ft.__
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the apphcant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No apphcation can be extended more than once.
1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that
must obtain such permits prior to work.
PL ANO7�,AL� S
PLAN
BLDG
DPWU
FIRE.
OTHER.
the nght to
on the property located at:
FOR AND IN CONSIDERATION of permission from the City of Port Angeles for
ah cr wt e 5( (VI
The undersigned, for themselves, their heirs, successors and assigns, hereby waives,
releases, and forever discharges any claims agamst the City of Port Angeles or its employees for
personal injuries or damages arising out of the entry onto the above referenced property for the
purpose as set forth above.
Dated this 3 day of I 2006
STATE OF WASHINGTON
ss.
COUNTY OF CLALLAM
On thisj day of 2006, before me, the undersigned, a Notary
c in and for the State of Wa ngton, duly commissioned and sworn, personally appeared
to me known to be the individual described m and who
executed the foregoing in trument, and acknowledged to me the (s)he signed and sealed the said
instrument as his/her free and voluntary act and deed for the uses and purposes therein mentioned.
Given under my hand and official seal the day and year m this certificate first above written.
N •\P W KS\LIGHT\CONS \CATE \WAI V ER. wpd
WAIVER AND RELEASE
2»
NOTARY PUBLIC in CI for the State
Of Washmgton, residing at Port Angeles,
Washington.
PREPARED 6/26/06 10 31 00 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/26/06
ADDRESS 118 E FRONT ST
TENANT NBR PAUL WESLEY
CONTRACTOR MOON CONSTRUCTION SPEC INC
OWNER COLOMPOS TTE EFFIE
PARCEL 06 30 00 5 1 1612 0000
APPL NUMBER 06 00000644 COMM REMODEL
PERMIT BPC 00 BUILDING PERMIT COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLCG 01 b/26/06
JLL
BUILDING CEILING GRID TIME 13 00
PAUL 477 2619
06/23/2006 11 37 AM DYASUMUR
L
SUBDIV
COMMENTS AND NOTES
PHONE (360) 683 5865
PHONE
3.
0
Group: B
Type of Construction: VN
Owner of Business: Paul E. Wesley Address: 118 E. Front Street
Building Address: 118 E. Front Street
No. 124
Plann
)1 /.1
Use Zone: ..C'BD
Port Angeles. WA. 98362
7Port.Aneeles. WA. 98363
August 24. 2006
Manager R.� Date
Post on the place
Shall not be removed except by Building Official
CERTIFICATE CF 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 compliance with the various ordinances of the City regulating Building
construction or use. For the following:
Use Classification: Business ;Building Permit No. 06 -571 Business Name: Art Gallery Tax Service
O
b
0
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 compliance with the various ordinances of the City regulating Building
construction or use. For the following,
Use Classification: Business Building Permit-No: .06=686- -T-- ,Business =Name: Ten Forward
Group: B
Owner of Business: Aneeliaue Boyd Address: 118 E. Front Street
Building Address: 118 E. Front Streei
Li
No. 126
l as► :z p_n Aueust 24.2006
Planning Ail
Type of Constiiidtion:
UseZone: CBD
Port Aneeles, WA. 98362
*Part Aneeles, WA. 98363
Date
Post on the premises; ;conspicuous place
Shall not be removed except by Building Official
U
6
Teri FotzwAseo
DATE (0 ?h(n
Address of Proposed Business
I k F. 71Thi,\ r c �.c C
Applicant ni_f t1 1/4 sL. 2 of
Address l c� Z r■-\ 1 4 7 ti
PA- L041\- k3 L
Phone business' �S1 qOalome 6 0-Q -I I Ui
Legal Description Lot
Current Use of Property
Zoning Classification of Property
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
APPROVED/ REJECTED
V al?
10 -29 -0(9 -SR
J�CDp
YES
ROUTING SLIP
icate of Occupancy
ertificate /Inspection Fee
Block
T
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
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
Brief description of proposed business -I`1 rI1-9 S PT Of 9 i �J _n f —Ten 1p rL 211' r L
Date
Signed
THE FOLLOWING WILL BE REQUIRED
PERMITS BUSINESS LICENSE
1) Building.
4 2), Plumbing
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 c
Comments Conditions
Subdivision
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
CA-I r U E r 4 Q-
no O,
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
COLOMPOS TTE EFFIE
217 W 4TH ST
PORT ANGELES
Construction Type
Occupancy Type
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
14 00
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 983622807
T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
06 00000644
274552
118 E FRONT ST
06 30 00 5 1 1612 0000
PAUL WESLEY
COMM REMODEL
CENTRAL BUSINESS DISTRICT
1875
Contractor
MOON CONSTRUCTION SPEC INC
90 CROWNVIEW LN
SEQUIM WA
SEQUIM
(360) 683 5865
Structure Information 000 000
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
BUILDING PERMIT COMMERCIAL
80416
92 70 Plan Check Fee
6/21/06 Valuation
12/18/06
Unit Charge Per
BASE FEE
3 0500 HND BL -501 2K (3 05 PER C)
STATE SURCHARGE
Charged Paid Credited
92 70 92 70 00
60 26 60 26 00
4 50 4 50 00
157 46 157 46 00
Date 6/21/06
WA 98382
Due
Extension
50 00
42 70
4 50
00
00
00
00
FAA CT
60 26
1875
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 as commenced or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified h rein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local, egulating construction or the performance of
construction.
Date Signature of Owner (if owner is by
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
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
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
BUILDING
T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
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1 I 1
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I‘.-/ 2 /41L1 I c. 1 24
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FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
417 -4807
417 -4653 I I
417 -4750 I
417 -4815 I 7 -d./ 0 L I Te I
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT I
PLANNING DEPT
I BUILDING I
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FOR OFFICIAL USE ONLY
I Date Rec /6
r Permit #-e6 El di
Fill out COMPLETEL'I and in INK. Your application and site plan MUST Ty Dat °.pp�o•
PERMITS (360) 417 -4815 FAX.(360)417 -4711 I/ Date]ssved6"
BUILDING PERMIT APPLICATION
COMPLETE to be accepted for review If you have any questions, call
Applicant or U ((A-1 Ci 5 fee
Owner: �Gr�t
Address: 7 Z s City
Architect/Emmneer•
Contractor ,,1 r�s. State License Exp
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot Block. Subdivision.
CLALLAM COUNTY PARCEL NUMBER. e;l' 30 d 6
TYPE OF WO
Residential
Multi- family
Commercial
Repair
FK.
New Constr
Addition
%Remodel
Sign
BRIEF DESCRIPTION OF THE PROJECT
No of Stones: Lot Size:
Total lot coverage
PLANNING USE ONLY
City
rr e F .OtI7 �T
Re -roof Stove
Move Garage
Demolition Deck
Other
COMMERCIAL/RESIDENTIAL. Occupancy Group.
Existing Sq Ft.
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
Phone:
X Date:
Phone.
Phone.
4028 /2
Zip q d _rrn T
Phone:
Zip
ZONING
STZF /VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION 0
1 S7.A ?Jrz iU I
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
APPROVALS
PLAN
BLDG
DPWrU
FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the tune of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI05.3.2 of the International Buildmg/Residential Code, 2003). No application can be extended more than once.
1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to
apply far this permit and understand that it is responsibility to determine what permits are required not the City's, and that l
m obtain such permits prior to work.
TAFORMS\B1dgPermitform.wpd Applicant:
co
101
02
117
50
Feet
Verti a! Datum /VA I'D 88
ital Datum NAD 83/91
10
123 125
P to
/lic
122
106
Area Map
124
130
114
I
136
Tins ap at ite tiled to be ed as legal deso pIlaF
Tin aplth zg is produced hi the City of Port Angeles fo as of Ise and pz rpo
Ant. other use of this nap/drawing shall tot be the responsibilitz of the Cm'.
Moon Construction Specialties, Inc.
90 Crownview Lane
Sequins, WA 98382
(360) 683 -5865
NAME /ADDRESS
Paul Wes
106 N Laurel
Port Angeles, WA 98362
7F1�
Due on receipt
DESCRIPTION QT I UNIT AMOUNT
SUSPENDED C'EILINC: Supply and install Dorm Dh grid with 1 1,875 00
all suspension wire per manufacturer's specs including seismic
and light wires; and USG 'Radar' 2 X 4,X 5 /8ths sclualre edge
lay -in tile, all debris and excess material to be removed at
completion. Configuration of lighting may require adjustment in
price
Sales Tax
CITY OF PORT ANGELES Construction Plana
The Issuance of this permit based upon these plans, specifi-
cations and other data shall not prevent the building official
from thereafter requiring the correction of errors in said
plans, specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
Approval Date C)LD By
All material is guaranteed to be as specified,.and the above work
to be performed in accordance with the drawings and
specifications submitted for above work, and completed in ar
substantial wort nanlike manner. Any alteration or deviation
from above specifications involving extra costs will be axocuted
only upon written orders, and will become an extra charge over
and above the written estimate All agreements contingent upon
strikes, accidents or delays beyond our control All employees
covered by worlanens compensation. This proposal may be
withdrawn In uc if not accepted within 10 dava.1v1C'S ig not
1 a t r1 r
PROPOSAL
ESTIMATE NO.
1,524
DATE
6/10/2006
PROJECT
Front St Retail
TOTAL
1,875.00T
8.30% 155.63
TOTAL $2,030.63
DATE
Address of Proposed Business
Applicant R_ G(je..0
Address '22 4Qudi P.4
Phone business home ef,2Y' /.2 2
Brief description of proposed business
Legal Description Lot
Current Use of Property
Zoning Classification of Property
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
ROUTING SLIP
Certificate of Occupancy
$50 00 Certificate /Inspection Fee
Qd'34 3
lUf Ail I (e i coal.e (00c
YES
Block
NO
X
X
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
77 1 REJECTED
Building Section
Public Works Department
(0-2 6, Planning Department
K i) 3 Fire Department
t2L -0 City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
Date
Signed
de Gg c✓Z CW l
Subdivision
THE FOLLOWING
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
�ccupancy
13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
,e0
ce r✓t Le
WILL BE REQUIRED
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
44, c
Comments Conditions
K 41.. f eci AOC,Ilr(s
MC C A ,/,,e244^97 -rep //f E
CERTIFICATE1DF QCCUPANCY
City of .Port..Angel s,
Building Division
This Ce/ttfi 1 taon issued pursuant to the requirements of Sectio 109 of the
UniformtBuilding =`Codecertifying -that at the time of issuance this structure was
in compliance with the various ordinances of the City regulating Building
construction or use. For the following
Retail Building Permit No. Business Name:
The Blue Doldhin Unlimited
Use Classification:
Group: M
Owner of Business: J. R. Johnson
Building Address: 118'?3EastFront.Street.
Type of Construction: VN
Use Zone: CA
Address: P. 0. Box 2105. Port Angeles, WA 98362
Jarivary 15. 2004
BiildtngOf k h �'r Gi, F 0' Date
P St u.�� ate.
the premises�,in place
Shall not be removed` except byoB'uilding Official
Port An e1es. WA 98362
O
6
0
'Lt r oLp/f //9 uivLimrTF,O
S
DATE 7 h4/0
i
Address of Proposed Business
Applicant 9i- FR/ /4 //A1 yo/'/
Address f. .O, OX c 1 Ds
eT 4NIELL S JA T g 3 (e
Phone business home
Brief description of proposed business. 16 �7 fL kli C/9-4-c
Legal Description Lot W Block
Current Use of Property
Zoning Classification of Property
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
P�d
AP
pit
SR
D REJECTED
ROUTING SLIP
Celt icate of Occupancy
$47 0s ertificate /Inspection Fee
L A})
YES
-c�
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
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
PB I.A.
New Business
Transfer of Business Location
Change of Ownership
New Building
Remodel
Temporary Business
Change of Use
NO THE FOLLOWING
x PERMITS
X 1) Building
.J 2) Plumbing
X 3) Electrical
X 4) Mechanical
X 5) Sewer
X 6) Sidewalk installation
X 7) Driveway installation
X 8) Curb installation
9) Sidewalk obstruction
10) Water meter installation
11) Fire
X 12) Occupancy
X 13) Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
Subdivision AR t i
WILL BE REQUIRED
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
C WoP
Date 7 0 3
Signed 4S -Acier�
Comments Conditions LA) lLc—
1� I� I A .i T A- -rn
I it a S .I
02/05/09
Date
all.not be removed except by the Building Official.
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CERTIFICA TE OF OCCUPANCY APPLICA TION Permit # O~ -b~b
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St., Port Angeles, WA 98362
(360) 417-4815 fax (360) 417-4711
Print in ink
BUSINESS NAME
BUSINESS ADDRESS
$50.00
$100.0Q
FEES
Certificate / Inspection
Parking Business Improvement Area (PBIA)
fee charged for downtown locations
~rt hvtTt:
Zoning
Phone #
Business owner's name
Business owner's home address
PLEASE NOTE: 6'0 X Z5' ~ i 57)0 SF
A Business License is also required for the following businesses: Taxi, Peddlers, Second-hand dealer, Pawn broker, Dance, Hotel-
Motel, Fireworks, Ambulance, Tattoo shop. Contact the City Clerk at 417-4634 for additional information.
ACTION ./
New business
Transfer of business
location from a
PBIA location
Transfer of business
location from a
non-PBIA location
Change of ownership
Remodel
Temporary business
Change of use V
Will THERE BE ANY OF THE FOllOWING? NO v'" YESv'" IF YES, CONTACT
Electrical changes s.--- Electrical Dep!. at 417-4735
New or relocated signs aff~ /' ~ Building Division at 417-4815
Construction chanoes ~ "
Mechanical chanoes (heatino, coolino, stoves) ..e- "
Plumbing changes ~ "
Fire sprinkler system changes e.-- "
Fire alarm system changes ~ "
Is this a home occupation? V- Planning Division at 417-4750
Second-hand dealer or pawn broker? t-' City Clerk at 417-4634
New or relocated sewer or water service L./ . Public Works at 417-4807
Excavation or fillino of lots ~ , "
Work done in the City right-of-way V-- "
New driveway openings /~ "
Gradinq site drainaqe (parkinq lots, downspouts, etc.) t,../ "
Landscape irrioation system (backflow devices) // Water Dept. at 417-4886
Off-street parkinq D -~ ~ ~ A V
Existing streets paved , AIJ!IT ~
Existing sidewalks .. ~
Curb and quUer ~
Call for Certificate of Occupancy inspections before openinq business:
Building Department Inspection 417-4815 & Fire Department Inspection 417-4653
Please provide a minimum 24-hour notice for inspections
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 information I have
supplied is correct to the best of my knowledge. y(J J~. ./;? ___
DateG-/(J-1i) Print Name~CTlS6-ffl.-~~ Signature ~~-
Department
Building
Fire
I"'BIA
Planning
City Clerk
Public Works
Rejected
Initials & date
Comments I Conditions
Type of construction
Occupant Load
Automatic fire sprinkler system required
no
yes
T:FormsiBuilding Division/Certificate of Occupancy Application
cu
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
COLOMPOS TTE EFFIE
217 W 4TH ST
PORT ANGELES
Construction Type
Occupancy Type
Other Fees
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000644
274552
118 E FRONT ST
06 30 00 5 1 1612 0000
PAUL WESLEY
COMM REMODEL
CENTRAL BUSINESS DISTRICT
1875
Owner Contractor
Qty Unit Charge Per
1 00 61 3000 ECH EL COMM ALT <5 CIRCUITS
Fee summary Charged Paid Credited Due
Date 7/10/06
MOON CONSTRUCTION SPEC INC
90 CROWNVIEW LN
WA 983622807 SEQUIM WA
SEQUIM WA 98382
(360) 683 5865
Structure Information 000 000
TYPE V NON RATED
BUSINESS OFF /PRO /MED /REST
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc OWNER/ REMODEL
Permit pin number 80473
Permit Fee 61 30 Plan Check Fee 00
Issue Date 7/02/06 Valuation 0
Expiration Date 12/29/06
61 30 61 30 00 00
00 00 00 00
4 50 4 50 00 00
65 80 65 80 00 00
Extension
61 30
STATE SURCHARGE 4 50
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
DITCH I I I
ROUGH -IN COVEk I I I
SERVICI I I I
FINAL I I I
I I I
I I I
I I I
I I I
PW- 1102.15 (44961
/Installation description
E3'O
Job wired by Electrical Contractor wner
Electrical contractor name License number Date Expires
Purchaser's mailing address
City State ZIP
Telephone number FAX number
'Premis wner's name
AI L aes v
Address of inspection
E Fr'ovL- 5-1
City lOt'1 A to
Phone number to schedule
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.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation 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.
/Signature ner electrical co
Inspection
Date
7-3-617
Date Appr ed By
SAL
Date° Appr ed By
Electrical Load Additions and or siilifirktions
4ieN0 LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
electrical admini rator Expiration Date
fcard
Ins7tion fee
Date
Service Information
Overhead Service
Temp Service
Underground Service
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT
Date
Area, Building or Equipment Inspected
6
ELECTRICAL WORK PERMIT APPLICATION
Commercial
New
��❑��Residential
dekltered /Addition
Pei° lac .mg_ o l 'if Km r c f
Xv1 Ph s (A Mit (WO O J I FixtcAre
-0-Y±1_0_) (r 1 T i UI p p n +l't'tr\
J V
Cash Check
Credit Card Visa Mastercard Discover
Card
Voltage //0
Phase 1 3
Service Size:
Feeder Size:
SERVICE
Appr ed By Date Appr ed By
DITCH FEEDER
Date Appr ed By Date Appr ed By
Action Taken
Electrical
Inspector