HomeMy WebLinkAbout416 E 1st St Ste 201 - BuildingR H E6JEJi''' 1 bS el `0 Q war a 1 S 1 h c C'_ V7etre
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CERTIFICATE OF OCCUPANCY APPLICATION Permit# \9 -7ci2 o
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. PorttAngeles WA 98362
1.� fax- 601.4-1.7 -4711,
Certificate Inspection ptu bis e4
.00 Parking Business Improvement Area (PBIA)
fee charged for downtown locations
G 6� r IC on
ichivl f_ [SPr 4Gpt�
BUSINESS ADDRESS 2 :8 sa S 6r>L /,v s i j #t 5i 34 Z. Zoning P
Business mailing address »O /e10 k.'4 9436 Z Phone# (36 p) gog yy
Opening date 8 .54E Days hours of operation in- se.- .5
BUSINESS NAIGC
Washington State Tax I D
6ez -PZZ
Brief description of proposed business „i
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
or City/ use on
Department
iuilding
ire
BIA
la_ i. g
I
Call for Certificate of Occupancy inspections before ooenina. business.
Building Department Inspection 417 -481.5 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
hereby apply for a Certificate of Occupancy
supplied is correct to the best of my knowledge
fL'
)ate 7/7D 1 Print Name r-P/!'►a S
lin le 7
rr
WILL THERE BE ANY OF THE FOLLOWING?
4 Electrical changes
New or relocated signs No S Iyn e.n' 'ed0
Construction changes
Mechanical changes (ventilation,',heating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off- street parking for this business?
Is the street in front of this business paved?
Is there.a sidewalk in front of/his business?
Is there a curb gutter in front of this business?
I Approved Rejected
Initials date Initials date
1- ;II
/Mvi-v1a s t'4 s s
he's eth`h0. F E s 4
If known list the name of the previous tic Cuss me-.
7 0 business at this location
L-6- b ¢-01. L, emPlatlees) (no, 1- r*rcl��A-
hUS1Ple
Business owner's name
I Business owner's home address /7 /44,0 G l,•,.,,� L
PLEASE NOTE.
A Business License is also required for the following businesses, Taxi Peddlers, Second -hand dealer
Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information.
Signature
Type of construction
Automatic fire sprinkler system required
Comments Conditions
Phone*
Lv..
'Nov YES✓> IF YES CONTACT
Electrical Dept. at 417 -4735
Building Div at 417 -4815,
Please sign up•for utility services
at the cashier counter
I acknowledge that I have read this application and state that the information I. have
Occupant Load
no yes
D' y s s Seckev-
Pawnbroker Dance Hotel-
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
J
ilaA4 O(- It o 9
S
0 0
CERTIF
Cit
This certificate is is
Code certing that
of the City regulatin
Business name
Business address
Property owner
Property owner
Automatic fire sp
Use occupancy
Building permit nu
Type of construction
Occupant load
sued' ursuant to the requirements of Section 11`0tof the
a hetirit ofissuance this structure was in compliance w
building construction_lorause for the foilowrng<
OIymp. Oral
.1s St 'Ste'rs� 2®1
Rick Surratt;f,
ddressP 424 S Oak, °St Rome,
n k l e j s y s t e m Not Ret wi red=
ass f cat Bu P`
09- 75;3'y
.rn.i Ag a w a::� s:e,�
af�Rok Ange ees
Post on the premises in a conspicuous place.
UPANCY
ision
06 International Building
the various ordinances
Moss)
09/24/09
Date
t be removed except by the Building Official.
PREPARED 8/12/09 8 39 19 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/12/09
ADDRESS 416 E 1ST ST SUBDIV
TENANT NBR OLYMPIC ORAL PROSTHETICS
CONTRACTOR MARK S AMERICAN PLUMBING INC PHONE (360) 452 4548
OWNER RICK SURRATT PHONE (360) 808 2677
PARCEL 06 30 00 5 1 2805 0000
APPL NUMBER 09 00000753 PLUMBING REPAIR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01
8/12/09
l
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 8/12/09
MECHANICAL FINAL
August 11 2009 9 43 00 AM 1pangrle
THOMAS 452 6740
MECHANICAL FINAL OLYMPIC ORAL PROSTHETICS
PLUMBING FINAL
August 11 2009 9 45 32 AM 1pangrle
THOMAS 452 6740
PLUMBING FINAL OLYMPIC ORAL PROSTHETICS
COMMENTS AND NOTES
Application Number 09 00000753 Date 8/11/09
Application pin number 528544
Property Address 416 E 1ST ST
ASSESSOR PARCEL NUMBER 06 30 00 5 1 2805 0000
Tenant nbr name OLYMPIC ORAL PROSTHETICS
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning PUBLIC BUILDINGS PARKS
Application valuation 240
Application desc
ADD A SINK TWO- BURNER STOVE AND VENT HOOD
Owner
RICK SURRATT
424 S OAK
PORT ANGELES
(360) 808 2677
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00 10 6500 EA
1 00 50 0000 HR
1 00
1 00
1 00
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
7 0000 EA
7 0000 EA
15 0000 EA
WA 98362
Fee summary Charged
T:FormsBuilding Division/Building Permit
MECHANICAL PERMIT
ADD A VAPOR
150870
110 65
8/11/09
2/07/10
189 65
00
189 65
VENT HOOD
Contractor
BASE FEE
PL- PLUMBING TRAP
PL -WATER LINE
PL -SEWER LINE
189 65
00
189 65
MARK S AMERICAN PLUMBING INC
420 E 11TH ST
PORT ANGELES
(360) 452 4548
BASE FEE
ME HOOD /DUCT MECH EXHAUST
ME ADDITIONAL PLAN REVIEW
WA 98362
Plan Check Fee 00
Valuation 0
Extension
50 00
10 65
50 00
Permit PLUMBING PERMIT
Additional desc ADD A SINK
Permit pin number 150862
Permit Fee 79 00 Plan Check Fee 00
Issue Date 8/11/09 Valuation 0
Expiration Date 2/07/10
Qty Unit Charge Per Extension
Paid Credited
00
00
00
Due
00
00
00
50
7
7
15
00
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 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.
N I aitC4 apt05 `Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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
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.
Date Accepted By
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
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
FINAL Date
Comments
Date Accepted By
O
8 -12 -oq I �L
ittY\
Accepted by
Accepted by
Cr-
Print in ink
BUSINESS NAME r Ora .0 s
4
BUSINESS ADDRESS /6 it $7L te f .7 v 4. 9� 3(; z Zoning i j r
Business mailing address O /3 •/v0 j i- l 142-, GiJ4 5'/S' 36 Z Phone #(36 o) g0
Opening date I s4 P Days hours of operation JT 8.- S
Washington State Tax I D If known list the name of the previous f(p Cusieme+l
6 0Z 5 Z Z /70 business at this location h-- -c-Pi
Brief description of proposed business J 4-_ 1 d.. 6 v.rw 4-03. (fie.einp\oI4ee-S) mail- thrael-
Business owner's name %`t owl, s L /)e Me 4 S
Business- owner's home address //y/p, Lam✓% Z..a ,e_
PLEASE NOTE.
A. Business License is also required for the following businesses. Taxi Peddlers, Second- hand Pawnbroker 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
CERTIFICATE OF OCCUPANCY APPLICATION Permit# 9 _76Z
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port WA 98362
(360) 417 -4815 fax (360) 417 -4711
v
ILL THERE BE ANY OF THE FOLLOWING? I NO/ I
I Electrical changes
New or relocated signs Pte S ion �rtp.r�'�ri etl�
Construction changes
Mechanical changes (ventilation,)eating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking. lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
is there off- street parking for this business?
Is the street in front of this business paved?
Is there.a sidewalk in front ofthis business?
Is there a curb gutter in front of this business?
Call for Certificate of Occupancy inspections before opening. business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy
supplied is correct to the best of my�kn wledge j�/J
Date I �5 Print Name �Ge ma S L 4 J t s' S Signature
For Cit u s e only
Department
Building
Fire
PBIA
Planning
Approved Rejected
Initials date Initials date
Cit
3 -656
1e
Puolic Vrlorrs
'rns/ ■n :on /Cei y kpolir
he's e1 fI h O FEES tan i( ,I
$50.0• Certificate Inspection ply rv.brn5
ek
$1.x.00 Parking Business Improvement Area (PBIA) �ltt
fee charged for downtown locations
Type of construction
Automatic fire sprinkler system required
L.ad
b`d ye k Se -f 1(, s
i v U Sine'
SS.
Comments Conditions
no
Phone
r
P. 4 /Sw.
YES/J.- IF YES CONTACT
i/ Electrical Dept. at 417 -4735
Building Div at 417-4815
Please sign up for utility services
at the cashier counter
I acknowledge that I have read this application and state that the information I. have
7
Occupant Load
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk. at 417 -4634
How many spaces?
yes
+4, ec kev-
‘,3
To Fire Department
Other Department
CITY OF PORT ANGELES
BUILDING DIVISION
TRANSMITTAL
j,
R
Date 7-3o-o 9
Project Address E S 2- 0 1
Contact I hovn6 c be,M,OSS
Phone number(s) g O 3 1 �f f
Permit number 01-'753
Project Description Oka A_ a, Si v k i oC- bd rn
e t ec,-1-r -i c c-) ye VarE to r `Fr- varors
K 31 J oat IGevt b u b u -c.
New Construction
In ee-a 4 UeVteuJ ,tsa
Alteration
T Forms /Building Division/Transmittal
Please review return to the Building Division, Permit Technician
Applicant
Property
Property
Contractor
Contractor's
License
I
s BUILDING PERMIT APPLICA TI II Print in ink
CITY OF PORT ANGELES 4
Attn Building Permit Technician 'i o t VI c City Use Only
321 E Fifth St. Port Angeles WA 98362 2 aA Date Received 7- 3D -o9
Q Permit 0ci. =15'4
(360) 417 -4815 fax (360) 417-4711 Q R K° �S Date Approved S
Q w p,04,04‘e` •S 1A 34,0 452 VP-10-' (1
h
nr 0. s 'De_M 0 S S p.`c' ,,gu` t _3
Owner /2, ,.fi _h'�,r .cam Phone .3 0 -fr o f6 Zl4 77 r v�
Owner's Address i/ /6 t s� G; e,s w /4 9g 3 b 2-
/Via/IL 3 k ma- 's A�vy�>°,+ic if(urnb 36 o -95Z- y 5yS
Address i{Z 1 t- /A i sic 1 1"✓f `V 33( Z
Expires E- r4iail
PROJECT ADDRESS y 36 Z
Parcel Number No r Or6. //o 5 9 L if c 5 Lot Zoning It .g F
Project Type Brief Description. Residential .Multi- family Commercial Industrial
Check all that apply
New Construction i vi p t�-
Addition �\n`it
emodel e i S; ex,- vv,a o_l- Iw�c,".h 1'ri ,l lw.e 7 r0
Repair 1 4 ..r ,-1 0Up-f4n,e-� -(L r (JP 1-, /e /,'p
Demolition r „n tA, ,i- o c.S f" C, ‘l 4 Neka oc.. r tvi'
Re -roof dl-louse o g other tear off re -roof lay over one layer I
Heat System Heat pump wood burning: stove gas fireplace pellet stove other
Other
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement per sq ft.
1 Floor N
2 Floor
3 Floor
Garage A V Carport
Covered Porch “laskenti.1 S I2.G)
Deck v: b�. 17-6
Shed
Other
a
Total footprint of structures sq ft. T Lot
Site Coverage the amount of impervious, urface on a
and other impervious surfaces. (see PAMC 7 94
Max height of proposed structures ft Occupancy group
Will a lawn sprinkler system be installe• •ccupant load
Will a fire sprinkler system be instal Co •struction type
'1�e �e�r line build n�
1.1 4 1 r
TOTAL VALUATION
s e sq ft. Lot coverage
cel including structures paved driveways, sidewalks patios
5 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
Z LI- O
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, Qd to obtain permits prior to working on projects.
/3
Date 0 Print Narne !/L0 -rIc. /<'l SS Signature 7
L e, o
T FormsBuildf Division /Bldg Perm doc
icp
T.
J
L
.-__f S
9 t /44
t L i cz,
414:-
2
d
FILE
,SNk-
CITY OF PORT ANGELES Construction Plans
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
plan specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdictio
Approval Date k'
4--tic
✓1
Akpfrotiok J rc-
1.
Print in ink
BUSINESS NAME r Oral peps S
Opening date As4p Days hours of operation 44— B
Washington State Tax I D If known list the name of the previous g cus
6 ez_ Rzz —/70 business at this location 4-1
Brief description of proposed business I) I N) 4.--u,...1 1.-.6, too-rt.-4-ov L (v.to einp1oLkees) in,a, I dreier
usiness,
I Business owner's name %`lvyvta s L /42/0e, De /no s S Phone
Business owner's home address /7 7 s 3 L Lie_ Se p.. r..., c,' g y, 2
PLEASE NOTE.
A Business License is also required for the following businesses Taxi, Peddlers Second -hand dealer Pawnbroker 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
CERTIFICATE OF OCCUPANCY APPLICATION Permit 9 --IQ—
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. PortAngeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Iv
,WILL THERE BE ANY OF THE 'FOLLOWING?
Electrical changes
New or relocated signs No S lcm C'Ve. c'ed
Construction changes
Mechanical changes (ventilation ,)leating, cooling, etc.)
Plumbing changes
Fire sprinkler system changes
Fire alarm system changes
New or relocated sewer or water service
Excavation or filling of lots
Work done in the City right -of -way
New driveway openings
Grading site drainage (parking lots, downspouts, etc.)
Landscape irrigation system (backflow devices)
Is this a home occupation?
Is this a second -hand dealer or pawnbroker business?
Is there off street parking for this business?
Is the street in front of this business paved?
Is there a sidewalk in front of this business?
Is there a curb gutter in front of this business?
Call for Certificate of Occupancy inspections before opening business.
Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653
Please provide a minimum 24 -hour notice for inspections
I hereby apply for a Certificate of Occupancy
supplied•is correct to the best of my�kn wledge
Date f 7 17o Print Name vim S
For Cit/use on/
Rejected
Initials date
,���n Wei P�+ t- e
ype of construction
5—oq 1
aI 69
7
/..9—O' 1)
Public Works
Department
Building
Fire
PBIA
Planning
City Clerk
T -orrnsl6..diny Division /Cer'dh
Approved
I als dat
O
'occupancy Apoli it; n
e �io S S Signature
he's 5e 1-6h 0 EES. nmet
$50.0. Certificate Inspection pturyii54 n3 ems
$1I .00 Parking Business Improvement Area (PBIA)
fee charged for downtown locations /S3
NO/ YES/ IF YES CONTACT
Electrical Dept. at 417 -4735
I Building Div at 417 -4815
D
Comments Conditions
Occupant Load
Automatic fire sprinkler system required no
Public Works at 417 -4807
Water Dept. at 417 -4886
Planning Div at 417 -4750
City Clerk at 417 -4634
How many spaces?
Please sign up for utility services
at the cashier counter
I acknowledge that I have read this application and state that the information I have
yes
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