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Home My WebLink About1105 E Front St B - BuildingO- A,: -O t CERTIF TE O UPANCY Cit of 'Port Angele`SB,u;hd=i:n'g x ision This certificate is issue ursuant to the requirements of Section 17{O of7lie 6International Building Aa%`' "" the various ordinances Code certifying that a he%Uzrie ofszssuance this structure was an compliance w� p p �� W� �. of the City regulatin UM -1. construclza�orusefor the followarzg t� paq�i '` k q r f 5' ;T1RE F " 'M Business LLC (O;wt1e`r l ;aIp6-, 016ge) name �CloudtJ y.'.'.,, E�" qd'....-1,ts'Tit n �t ut Business address k�X11®5 E' Front:'St', S7te `R" � x �, Pro ea tv owner gE�` Cloud 9 LtC<`"+f..,k 'W,A, Property owner fid es 346E Simrno°+nW rRd , Poi=t Angeles; 4,a 362 Automatic fare sp tiler system. PerafB=C"' Use & occupancy ash 'rication. Busln'essmam-:` Building permit nu eY ; , 08-6:31 a,}. u<a Type of construction. - Occupant load. 03/31/09 Date Post on the premises in a conspicuous place. -fic t be removed except by the Building Official. 1 1 (fl� Oy-o 1-09 '- Pint in ink BUSINESS NAME PmvW,s cOfO :5ee, -tj-- 0'3—(o32_ CERTIFICATE OF OCCUPANCY APPLICAM0'N"_Pe'r1Ct`_#_7/08 CITY OF PORT ANGELES � FEES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 $50 Certificate /Inspection (360) 417-4815 fax (360) 417-4711 $ 00 Parking Business Improvement Area (PBIA) fee charged for downtown locations 5� R,-- rv6" BUSINESS ADDRESS 1W _k tl(o(r,P> f✓ Business mailing address tovNu, Opening date 2;.- Jq - poi Washington'State Tax I D # �,G�. Brief description of proposed business [-I,, k-� Zoning Phone # q ty.3 Days & hours of operation(�Gt�S 6 fo m 3fi 1 Sa If known list the name of the revious business at this location;L S�nC,N 0 .XI %Vi It 6 )s'\ A ono - A 9 ..w I ® CO3Q `U Q tt Tan/)l ,1-1519Pe,, Business owner's name ted 1?c,, o . Phone # fob L' (,o 2At. -, Business owner's home address V_A 10�i- A rc 4 W f kdI � S',,V PLEASE NOTE, p 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 ✓ WILL THERE BE ANY OF THE FOLLOWING? NO✓ YES✓ IF YES CONTACT Electrical changes ✓ Electrical Dept. at 417-4735 New business New or relocated signs JA i y V Building Div at 417-4815 Construction changes ✓ Transfer of business Mechanical changes (ventilation, heating, cooling, etc.) I / location from a Plumbing changes I ✓ I PBIA location Fire sprinkler system changes Fire alarm system changes ✓ I Transfer of business New or relocated sewer or water service I ✓ I Public Works at 417-4807 location from a Excavation or filling of lots I ✓ I I non-PBIA location Work done in the City right-of-way I ✓ I I New driveway openings I ✓ I I Change of ownership Grading site drainage (parking lots, downspouts, etc.) I ✓ Landscape irrigation system (backflow devices) I ✓ I Water Dept. at 417-4886 Remodel Is this a home occupation? I ✓ I Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? I ✓ I City Clerk at 417-4634 Temporary business Is there off-street parking for this business? �/_ How many spaces? j,/, Shtrgd Is the street in front of this business paved? I ✓ %r Si Change of use Is there a sidewalk in front of this business? Is there a curb & gutter in front of this business? I ✓ Call for Certificate of Occunancv inspections before oneninq business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice .for inspections I hereby, apply for a Certificate of Occupancy I acknowledge that / have read this application and state that the information I have supplied is correct to the best of my knowledge Date 3 -?f OGI Print Name Signature 04 Pr eI . b ` For City use only - Department Approved Rejected Comments / Conditions Initials & date. Initials & date Building Type of construction Occupant Load Fire I Automatic fire sprinkler system required no yes PBIA _ Planning City Clerk Public Works T.Forms/Building Division/Certificate of Occupancy Application I �i PREPARED 3/26/09 13 43 54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/09 ADDRESS 1105 E FRONT ST B SUBDIV TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES PHONE (360) 452 3707 OWNER MAYBEE EDWIN PHONE PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000631 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/22/08 JLL BLDG FRAMING TIME 01 00 10/22/08 AP October 21 2008 4 56 30 PM 1pangrle HALEY 452 9948 OR 460 3951 FRAMING AFTERNOON October 22 2008 4 48 19 PM jlierly BL99 01 3/16/09 JLL BLDG FINAL 3/17/09 DA March 16 2009 8 31 23 AM 1pangrle HALEY 452 9948 BLDG FINAL March 17 2009 4 19 14 PM jlierly address/landing at rear door per code/verify back flow on all equipment connected to city water supply/strap water heater/eletrical final/jll BL99 02 3/24/09JOL BLDG FINAL March 26 2009 1 41 45 PM 1pangrle BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 3/16/09 JLL MECHANICAL FINAL 3/17/09 DA March 16 2009 8 32 39 AM 1pangrle HALEY 452 9948 MECHANICAL FINAL March 17 2009 4 19 14 PM jlierly address/landing at rear door per code/verify back flow on all equipment connected to city water supply/strap water heater/eletrical final/jll ME99 02 3/24/09 J MECHANICAL FINAL March 26 2009 1 42 13 PM 1pangrle MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 1/26/09 JLL PLUMBING UNDER SLAB 1/30/09 AP January 26 2009 8 37 38 AM 1pangrle JOHN 460 6902 UNDERSLAB PLUMBING January 30 2009 8 24 55 AM jlierly PL2 01 1/28/09 PB PLUMBING ROUGH IN 1/28/09 AP January 28 2009 8 33 48 AM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING January 28 2009 4 02 45 PM pbarthol PL99 01 3/16/09 JLL PLUMBING FINAL 3/17/09 DA March 16 2009 8 33 26 AM 1pangrle CONTINUED ONTO NEXT PAGE do PREPARED 3/26/09 13 43 54 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/09 ADDRESS 1105 E FRONT ST B TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES OWNER MAYBEE EDWIN PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000631 COMM REMODEL SUBDIV PHONE (360) 452 3707 PHONE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS HALEY 452 9948 PLUMBING FINAL March 17 2009 4 19 14 PM jlierly address/landing at rear door per code/verify back flow on all equipment connected to city water supply/strap water heater/eletrical final/jll PL99 02 3/24/09 L PLUMBING FINAL March 26 2009 1 42 36 PM 1pangrle PLUMBING FINAL COMMENTS AND NOTES �,pOR7'�QF ELECTRICAL INSPECTION us- I WIRING REPORT R�Ks & 417-4735 DATE PERMIT If -z,r2.3 log 1 OR -08 L l OWNER/CONTRACTOR H ADDRESS I IOS' +� APPROVED ❑. ❑ frzb a -r DITCH ROUGH IN/COVER SERVICE FINAL INSPECTOR NOT APPROVED CORRECTIONS NEEDED k i�SCT1�i�LS l 8 rr-&U L3Z!c-l� ir�oQ Cc>r�8 u sTtT� t� sv fLFAc.I� t9N 1uS rL-0sH N» 314 Zc) 20-0—s R 001,fZe-D -F:;rz Ru- Nrfc- 3a0.115-6 F�cr� '?L14i cru t��'�i..��`TrZt. �� xt� j �►t.�c..�T� �!- wcTH AVt,b,jrib o tai u. b O'l1LTl4z)V N xr- 11 d ) `f •01' 110 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — 0,,.°°"T ELECTRICAL INSPECTION u ��a r- WIRING REPORT kbgKg b 417-4735 DATE �k34 PERMIT # INSPECTOR CI OWNERICONTRACTOR �h�� d iLSCkLs Air— . ADDRES.,Sr C iJ J -05-- APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑. SERVICE ❑ ❑ FINAL\ CORRECTIONS NEEDED: _() L U!5 -r" lJe klT r i Xi"UP$z 4A�lP 6rcm re) c ID vo v Nw-c. I t& ..3 17 SS�L�L At -i. a Al VS 1g-17r� l� h% L 1►f 6, S 110 l z ..A ! I-1 e." -r KTu R S -1'O '3v- 1 P4 -,T"A L.L—IOD 0, al 0 OL 12*,7 rrC& ,646-P&755, r2A7Ti D AJr-6- 1� � K �. t r»•1. D U l : ' t,J cTK 1°t�'PP-.� V �� i--i.#t.�►, ►-1 S NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — -.. w..r.�.-- � r �•-�.Y SC�n r -:,f asy�•;�%.s.V-r .-� P'_'..t..VlV--c^+r!'w+w�Y i^^r.'r'I`iY_b'.n•r'�.-wV.y1'�Ct.»'Y vcY BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located .at I Inspection of your work revealed .that the following is - not in accordance with the odes,governing the work in this jurisdiction UIFP_� "— l y a N l4C ecoi7 "�Lr 1. A These corrections must be made and are not to be covered until reinspection is m de When corrections have been made, please call for inspection Date, -- T�us�p c or for Building Division DO NOT REMOVE THIS TAG PREPARED 3/16/09 8 36 51 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/09 ADDRESS 1105 E FRONT ST B SUBDIV TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES PHONE (360) 452 3707 OWNER MAYBEE EDWIN PHONE PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000631 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/22/08 JLL BLDG FRAMING TIME 01 00 10/22/08 AP October 21 2008 4 56 30 PM 1pangrle HALEY 452 9948 OR 460 3951 FRAMING AFTERNOON October 22 2008 4 48 19 PM jlierly BL99 01 3/16/09,L _ BLDG FINAL ✓—'J,/�, LL March March 16 2009 8 31 23 AM 1pangrle HALEY 452 9948 BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 3/16/09 JL„ L MECHANICAL FINAL March 16 2009 8 32 39 AM 1pangrle HALEY 452 9948 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 1/26/09 JLL PLUMBING UNDER SLAB 1/30/09 AP January 26 2009 8 37 38 AM 1pangrle JOHN 460 6902 UNDERSLAB PLUMBING January 30 2009 8 24 55 AM jlierly PL2 01 1/28/09 PB PLUMBING ROUGH IN 1/28/09 AP January 28 2009 8 33 48 AM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING January 28 2009 4 02 45 PM pbarthol PL99 01 3/16/09 PLUMBING FINAL March 16 2009 8 33 26 AM 1pangrle D�q— HALEY 452 9948 PLUMBING FINAL COMMENTS AND NOTES PREPARED 1/28/09 8 35 45 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/28/09 ADDRESS 1105 E FRONT ST B SUBDIV TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES PHONE (360) 452 3707 OWNER MAYBEE EDWIN PHONE PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER O8 00000631 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 1/ JLL PLUMBING UNDER SLAB / January 26 2009 8 37 38 AM 1pangrle �J L"JOHN 460 6902 / UNDERSLAB PLUMBING PL2 01 1/28/09 JLIL PLUMBING ROUGH IN January 28 2009 8 33 48 AM 1pangrle rMJOHN 460 6902 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 1/26/09 8 40 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/26/09 ADDRESS 1105 E FRONT ST B SUBDIV TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES PHONE (360) 4S2 3707 OWNER MAYBEE EDWIN PHONE PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000631 COMM REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL1 01 1/26/09LL PLUMBING UNDER SLAB 11 k(2 January 26 2009 8 37 38 AM 1pangrle JOHN 460 6902 UNDERSLAB PLUMBING COMMENTS AND NOTES PREPARED 10/22/08 8 52 39 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/22/08 ADDRESS 1105 E FRONT ST B SUBDIV TENANT NBR CLOUD 9 LLC CONTRACTOR COUNTRY HOMES PHONE (360) 452 3707 OWNER MAYBEE EDWIN PHONE PARCEL 06 30 00 8 1 0430 0000 APPL NUMBER 08 00000631 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/22/08 JLL BLDG FRAMING TIME 01 00 October 21 2008 4 56 30 PM Ipangrle �L- HALEY 452 9948 OR 460 3951 FRAMING AFTERNOON - COMMENTS AND NOTES 08-631 PORT ANGELES FIRE DEPARTMENT Project Name Cloud 9 TI Address 1105 East Front Street Plan # 08-22 PLAN REVIEW Com ® Residential ❑ I Date 5.29 2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1 Provide a 2A -1013C fire extinguisher for the new area. Recommended location is adjacent to an exit. Extinguisher must be mounted in an easily accessible location with the top no more than 5' off the floor NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by- Date 5.29 •d$ 9 Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy Job wired by ❑ Electrical Contractor ❑ Owner ELECTRICAL WORK PERNUTAPPLICxkTION -\f.-Installation description 14 Commercial ❑ Residential Electrical contractor name License number Date Expires ,tff��✓✓ s 'a< Cls?> /tel t/QF' j2 4 9l'L— Purchaser's mailing address 944?.�ArF RD City State ZIP 8,09 7- AA16, 1FS jVA 903le Telephone number FAX number '1,'�7 -'780`3 4S'rl '7t�o3 'Premises owner's name ✓moi 6 (Ul-,F7% Address of inspection y �� City jpo )2'7° Phone number to schedule inspection 4'�7 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. New ❑ Altered/Addition 4opA �sriz Y/tr::. __V.c-f__L4;1LZV- >Z— L3 L E I VT n JUL 1 2008 UGHT DEPT ❑ Cash ❑ Check # Credit Card I isa Mastercard Card # 46VI &� _ /Signature of owner electrical contractor or electrical administrator g 'Expiration Date \X gl"M �i4wwo� Date 6/3® 1/0 E `f card 02,11 Electrical Load Additions and or subtractions, NO LOAD CHANGES ❑ Baseboard _ KW ❑ Furnace _ KW Overhead Service ❑ Heat Pump _ Ton _ LAR ❑ Temp Service ❑ Fan -Wall KW ❑ Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360-417-4735 ROUGH -IN THERMOSTAT Date Appr ed By Dale Approved By FINAL DITCH Date Appy \1 Date Appr ed By Inspection Area, Building or Equipment Inspected Date -AU- 0-re3«s 1LrTr�� 6F1I. Discover Inspecti/on� fee N. Service Information Voltage iQ Phase Pi -1 J 3 Service Size: -10DA- Feeder Size: SERVI Date kppr ed By FEEDER Date Appr ed By Action Taken Electrical Inspector O'°°RrgN ELECTRICAL INSPECTION c U �`tcN WIRING REPORT `'OoR&.s`F 417-4735 DATE PERMIT # B-"1-08 08 -cel OWNER/CONTRACTOR 1 R ADDRESS 9 k vo rzs�,•t APPROVED lzr-t e DITCH ROUGH IN/COVER SERVICE FINAL INSPECTOR NOT APPROVED } ❑ CORRECTIONS NEEDED: a�nl D► #0 11Ei�f t� 2�7 S� L J,Rr\Zrrb -a1, Z --g .q Lnoe- AT "�) -f;wi? kA"' –9j-G,L7P 50:PV0fZ, fob t'1ltS�� "tx P+RQ ��Ec��IzZ �D T-67 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS, INC. (360) 452-1381 10L Application Number 08 00000811 Date 7/10/08 Application pin number 451940 Property Address 1105 E FRONT ST B ASSESSOR PARCEL NUMBER 06 30 00 8 1 0430 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc 400 amp service espresso flower shop Owner Contractor MAYBEE EDWIN HALVORSEN ELECTRIC 1 PO BOX 1602 1426 W 11TH ST PORT ANGELES WA 983620195 PORT ANGELES WA 98363 ( n (360) 457 7803 �J\ Permit ELECTRICAL NEW COMMERICAL Additional desc Permit pin number 129692 Permit Fee 175 00 Plan Check Fee 00 Issue Date 7/10/08 Valuation 0 Expiration Date 1/06/09 Qty Unit Charge Per Extension 1 00 175 0000 ECH EL COM 201 400 NEW SRV FEEDER 175 00 Fee summary Charged Paid Credited Due Permit Fee Total 175 00 175 00 00 00 �( Plan Check Total 00 00 00 00 IV Grand Total 175 00 175 00 00 00 INSPECTION TYPE DITCH SERVICE BOUGH - IN FINALL COMMENTS I� DATE RESULTS ELECTRICAL INSPECTOR V / w ELECTRICAL WORK PERMITAPPLICATION / "N/1nstallation description Job wired by ❑ Electrical Contractor ❑ Owner Commercial ❑ Residential Electrical contractor name License number Date Expires r New ❑Altered/Addition Purchaser's mailing address City State ZIP Telephone number FAX number 4,,�7 -70a_� 4S'4 '7 Premises owner's owner's name Address of inspection City Phone number to schedule inspection / Owner as defined by RCW 19 28261 (1) Owner 1 1 occupy the si ukturelf r two years after this electrical permit '� inalized. (2) Own r rs required to h •e andel' tri L — contractor if above said proper is for sale, rent or 1 ase. �i ❑ After reading the above statemgn , I er by certify tht I am the owner, of the above JUL 1 iaa3' LIGHT DEPT ❑ Check # named property or a licensed ele'rica ontractor. I am making the el e trical instal- g(Credit Card is1 Mastercard Discover lation or alteration in compliance_wit %he electr/ic/al laws, N.E.C. R Nt Chapter 19.28, WAC. Chapter 296-46B The iI,y of Pd •E Angeles Municipal Cbde, and Card # Utility Specifications. \ fj ("Signature of owner electrical con ac't.d or electrical administrator Expiration Date �X 'y/ i�!/G � r,G� Date 6,13®163\sq� /`of card Electrical Load Additions and or subttt ktions P(( NO LOAD CHANGES ❑ Baseboard _ KW ❑ Furnace _ KW I Overheadte vice El Heat Pump _ Ton LAR LEI] Temp ry ❑ Fan -Wall _ KW ❑ Und or and Service SAME DAY INSPECTION, CALL BEFORE 7 OQ�A� 360-417-4735 ROUGH -IN THERMOSTAT Date Approved By Date Appr ed By Date FINALDTTCH Dale Appro ed By \ Dale Appro ed By \ Date Inspection Area, Building or Equipment Inspected Date 1 Inspection fee \ $ /7_15�—_ Service Information Voltage '',d Phase Q� 1 3 Service Size: . Feeder Size: SERVICE Appr ed By FEEDER Approved By Action TakenI Electrical Inspector °Rl,t.,<< CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES FEES Attn Building Permit Technician $50 Certificate / Inspection 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 $ 00 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME BUSINESS ADDRESS CV, - Zoning (pMM Business mailing address („vl o Phone # �(�1 ljc;,q qCJN Opening date TC) IR Ck,�-rM t n, nQ Days & hours of operation fy\11(n 1 Kj,/ Brief description of proposed business rQ rA--4n_t\n t r "r r k, 4-) o p._� ��.,r - �h✓� '' Business owner's name J ,��, (-I) �q Phone # 3i,,() 0 Go ',2A S � Business owner's home address ?,fit^ r, � Grnrvu�n� 1�c�. 1'_A . 4 S��b-7 PLEASE NOTE. 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 I ✓ 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 WILL THERE BE ANY OF THE FOLLOWING? NOV I YES,/ IF YES, CONTACT Electrical changes I j ✓ I Electrical Dept. at 417-4735 New or relocated signs U �'Q/��l �rL,,��f 1ili i y�e r(Vt (I - I / I Building Division at 417-4815 Construction changes I 1 Ci. der I ✓ I Mechanical changes (heating, cooling, stoves) I ` I ✓ Plumbing changes I I ✓ Fire sprinkler system changes I ✓ I Fire alarm system changes Is this a home occupation? I / I I Planning Division at 417-4750 Second-hand dealer or pawn broker? I ✓ I I City Clerk at 417-4634 New or relocated sewer or water service I ✓ I I Public Works at 417-4807 Excavation or filling of lots Work done in the City right-of-way I ✓ I I New driveway openings I ✓ I I Grading site drainage (parking lots, downspouts, etc.) ✓ I I Landscape irrigation system (backflow devices) I ✓ I I Water Dept. at 417-4886 Off-street parking I ✓ I I Existing streets paved I I ✓ I Existing sidewalks I I ✓ I Curb and gutter I ✓ I I Call for Certificate of Occupancv inspections before oneninq business Plea:atthe n up for utility Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 (::::services cashier counter Please provide a minimum 24-hour notice for inspections 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 Datet;Z 0'Z) Print Name Zxle �il/(j Vl Signature For City use only Department Approved Initials & date Building Fire PBIA Planning/ S1 City Clerk I- Public Works RejectedI 1 Comments / Conditions 1 Initials & date hType of construction Oar &nt Load I irr s tr no yes 1 l T:Forms/Building Division/Certificate of Occupancy Application UAQA en1�)hr, �(t�SG +k "L) IN A - -z-�—o A �2 > cQe-MJ I IS!i,UA ►r` VWr(. — (moors ec,.o"r.c/ 0. OJ -e__6 -k0 b, P_ UJ `Q2l't- i (\'�- `-" U � ,-(a r, e 4- S CQ r / vN 1- � C,, r V -f •-�_ 6- r 1(0 .� 9, c oz. CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES FEES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 $50 Certificate /Inspection (360) 417-4815 fax (360) 417-4711 $ 00 Parking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME � LL� _ (�J��(�-{�_7M� OS -63 BUSINESS ADDRESSC 1-o t;�/v- y-Vp� 5� Zoning Business mailing address St,7trto hullo Opening date TD :W (kjeNM 1 /fin nQ Days & hours of operation Brief description of proposed business rQ �Q -4 �� t ,� " 41, Business owner's name ►�a Vwtl Phone # Business owner's home address 3�t^ r� S1Mmnnf Y -A f _A- q?)3102 7 PLEASE NOTE. 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 ✓ I WILL THERE BE ANY OF THE FOLLOWING? NO,/ I YES,/IF YES, CONTACT Electrical changes i J `/ Electrical Dept. at 417-4735 New business New or relocated signs o�jenit IrL(.�� "1s1i yae rllh i }— I / I Building Division at 417-4815 i Construction changes �er V - Transfer of business Mechanical changes (heating, cooling, stoves) location from a Plumbing changes I I ✓ I PBIA location I Fire sprinkler system changes J ✓ J J I Fire alarm system changes I ✓ I Transfer of business I Is this a home occupation? / I I Planning Division at 417-4750 location from a I Second-hand dealer or pawnbroker? ✓ I I City Clerk at 417-4634 J non-PBIA location I New or relocated sewer or water service I ✓ I I Public Works at 417-4807 Excavation or filling of lots Change of ownership I Work done in the City right-of-way J ✓ ( J J New driveway openings ✓ Remodel ✓ Grading site drainage (parking lots, downspouts, etc.) ✓ I I Landscape irrigation system (backflow devices) I ✓ I I Water Dept. at 417-4886 I Temporary business I i Off-street parking I ✓ I I J Existing streets paved_ __ ✓ I Change of use ✓ I Existing sidewalks I I ✓ I J Curb and gutter I ✓ I Call for Certificate of OCCunancv inspections before openinq business. Please sign up for utility Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 services at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this a I' tion and state that the information I have supplied is correct to the best of my knowledge V tc a- SUbrn �� zIg' -q dot P � Date�2Z� Print Name �(e v` �VCi Haternature For City use only pet 2 Department Approved Rejected Comments I Conditions Initials & date Initials & date Building 3=Z�-Og1�q t Type of construction Occupant Load Fire ►� Automatic fire sprinkler system required no yes PBIA Planning 572,9-5 S City Clerk Public Works T.Forms/Building Division/Certificate of Occupancy Application 0 /k e >,> >h � �,� �r� �� -) C9 l 54NA_ t ► r, �j (T, — (t1or-e— tc.✓+ct r� W G 6-c4" -4th R_K U.e d `Q2r1G(,_ c�_ Ytj U � r-4) /v, r,X, S C,IJ (/42-^' P fi,r k.t .I CA 1 b S ip�c�Z I* 4X' 4f..... ..... 1114 yj 1105 ills, fIVse 11,12 NO, Application Tracking Action Log Maintenance' -.CITY OF PORT. ANGELES, HT SIARO'wJBs.t(. SEC't.pk ,r, -� Application Tracking Action Log Maintenance Application number- 08 00000632 Address: 1105 E FRONT ST Application type: CO- CHANGE OF OCCP(USE \ Revision/Path/Step/Seq/Agency: A 01 01 PLANNING \ Action date: 52908 Action by: ' ;r J SUE ROBERDS Action code: Ir? J APPROVED Time spent (hours): 1 -3 br*c',ctiQl2 rep0lt4ten0 ! !May 29 2008 11 50 57 AM sroberds tThe current use is a 4 chair' personal service use requiring F° 12 off street pkg spaces 2 tanning Tbeds �will be^added including the,:on site espresso use for a,total.bf 17 off-street parking spaces required 3 - - — Highlighted 'Sequence indicates line is notavailable for List selection. ✓ OK x Exit Cancel. Add standar O pORTq,,O 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 description Subdivision Name Property Use Property Zoning Application valuation 08 00000631 Date 6/06/08 142588 1105 E FRONT ST 06 30 00 8 1 0430 0000 CLOUD 9 LLC COMM REMODEL COMMERCIAL ARTERIAL 17600 Application desc TI TANNING BEDS MOVE ESPRESSO /FLOWERS TO BLDG Owner Contractor CLOUD 9 LLC COUNTRY HOMES 360 E SIMMONS RD 656 SUTTER RD PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 460 3951 (360) 452 3707 Structure Information 000 000 TI TANNING FLOWERS ESPRESSO Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI TANNING/ESPRESSO/FLOWERS Permit pin number 127274 Permit Fee 319 75 Plan Check Fee 207 84 Issue Date 6/06/08 Valuation 17600 Expiration Date 12/03/08 Qty Unit Charge Per Extension BASE FEE 95 75 16 00 14 0000 THOU BL 2001 25K (14 PER K) 224 00 Permit MECHANICAL PERMIT Additional desc THREE BATHROOM VENTS Permit pin number 127282 Permit Fee 71 75 Plan Check Fee 00 Issue Date 6/06/08 Valuation 0 Expiration Date 12/03/08 Qty Unit Charge Per Extension BASE FEE 50 00 A 3 00 7 2500 ECH ME VENT FAN Permit PLUMBING PERMIT 21 75 Ile? lkn Additional desc TI ESPRESSO / TANNING Permit pin number 127290 loe Permit Fee 107 00 Plan Check Fee 00 Issue Date 6/06/08 Valuation 0 Expiration Date 12/03/08 Qty Unit Charge Per Extension 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. DE -e 4Print N me T Forms/Building Divisiori/Building Permit (10/01/07).wpd Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) i 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 INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I ACCEPTED I COMMENTS I` YES I NO FOUNDATION FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLIHOLD 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 FINAL FINAL PLANNING DEPT SEPARATE PERMIT M's SEPA. PARKING/LIGH LANDSCAPING TING I � I SHORELINE, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL RESIDENTIAL ELECTRICAL LIGHT DEPT 417-4735 CONSTRUCTION R.W / PW/ ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT .417-4150 BUILDING 417-4815 T Forms/Building Division/Building Permit (10/01/07).wpd ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW / ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE DATE DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES NO CITY OF PORT ANGELES 4 _ N �1r DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name T.Forms/Building Division/Building Permit (10/01/07).wpd Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Page 2 Application.Number 08 00000631 Date 6/06/08 Application pin number 142588 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00 1 00 7 0000 ECH PLEA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 2 00 7 0000 ECH PL- EA WATER HEATER 14 00 Special Notes and Comments A minimum 2A 1OBC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 498 50 498 50 00 00 Plan Check Total 207 84 207 84 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 710 84 710 84 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name T.Forms/Building Division/Building Permit (10/01/07).wpd Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE OQ INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE I ACCEPTED COMMENTS f ,� YES I NO FOUNDATION - FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR/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 1 MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY COMMERCIAL HOOD / DUCTS I MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL iv -Z2. oe aL_ IJ IFr_1 FINALu�y i ACCEPTED BY, FINAL3'2-4'V I DATE TL -i— ACCEPTEDBY SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W / PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 I I I I FIRE DEPT PLANNING DEPT 417-4750 1 I I : J_PLANNING DEPT BUILDING 417-4915 I I BUILDING T Forms/Building Division/Building Permit (10/01/07).wpd ACCEPTED YES NO I3-4-09 7u - 0 �j DATE TO:'"T PLANK= Det JtTHM PUBLIC DITMON [3 LIGBT nNPa pill M iT Q SSC Cl&MWA4%tsaua64%W Q P=m D8P]lva$u ' A= ill sT I== - [3 cxwz CUM' QRMA,...�+ i FROM PQSLIC WORKS/WILDTXG DIVISION I I, C�D RE ADDRESS S+ NAIL;/CONTACT CL to Kro �l PSONE: 4 (C) 0 — S I r tAzuu 1 4% Walttr tC PROJECT DESCRIPTION Lam: -ra SO �e' s � �--�e)UPWs Jj- Ta -Y) ni n o ho -As `q �roo rn 5 r OV i Vl `ham e-S;PV)sSf6 n q �Ev IEW/RL"MRN r -I ri i?AFo 08 -2,?- • �°� rr BUILDING PERMIT APPLICATION Print in ink �'•-+- CITY OF PORT ANGELES Attn Building Permit Technician For City Use OnlDate Received — —02 321 321 E. Fifth St. Port Angeles WA 98362 �►- (360) 417-4815 fax (360) 417-4711 Permit # ()2:—(o ,tDate Approved�5F'=cC Applicant or Agent 14rA ( Lid) Ph n e! y (eo 3 4 Sl Property Owner 011-lai 1&0116 Phone �3w 41;'2 q q q 7 Property Owner's Address��(� C rnivtons �� 'I�o✓r Ani, �1,e s �n1 FF q v3b 2� Contra ctor/Engineer li*t\ C�yns seA� Phone d �5 3�Q� Contractor/Engineer's Address License # Expires PROJECT ADDRESS Parcel Number 1IDL F c4VPt+ Proiect Tvpe & Brief Description. ❑ Residential Check all that apply o New Construe Ion � A-V\rO ❑ Addition Remodel S ❑ Repair ❑ Re -roof ❑ Demolition commercial 0 ouc� 9 ut" Lot Zoning ❑ Multi -family ❑ Industrial ) &in� dri inAA\%A ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 15' Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? per sq ft. = $ TOTAL VALUATION $ $ i-,) (QU 0 sq ft. T Lot size sq ft. = Lot coverage % ft. Occupancy group # of bedrooms Occupant load # of full baths Construction type # of half baths 1 have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. r Date Print Name —1 n1 vq V.vo1A Signature,, 06-0_� T Forms/Building Division/Bldg-Perm it-Appl:-2006-Code -doc • � W 11✓V�--��.� rental L rental LL Shear Designs SION M)M FE CVA&'�Cv tJ z, �t f fa S- tanning �IXu+ - storage _ tanning L laundry - "j r I _ >! ��/lr handicap �— rest m restroom restroom r�rn�tyt" L r -"I /rjr 1)17(1! t - N anO W ZA -�. n QOP rig u ; -Ywrs) `�✓j�'`�' s �,n ail --� rV l a-1 seating area, 00000 0 at St~ P60iWRf6ELES — Construc Pla Th jlssuance �t{ Vgrp4 based upon these plans, speeifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said pls,s, specifirations and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdicho . ;FR C_ f SEe igN tlu w r 'us l.,'6 a'/d s j W W Approval Date By _�f� R office walk-in Wore! cooter IP.O.S. cooler IsyrupsJcups I _ _ i �--•dnve.thr window r,' FILE kfflh DEPT DAT 5 2A ta$ ice J ,pt%1' 111"0 a 3 compartment In land washing 1 sink R uL r\ oye-()A�2 -Cvfle^+ VJ �ot +w -f fl C, O"rLa ?Vlrj 1? 0 KO JL r I�d OA ZO U CP Ue W �AaOkA)� OA im L