HomeMy WebLinkAbout403 S Lincoln St 2 - Building 40
CERTIFICATE OF OCCUPANCY
City/of Port Angeles Build Division
This certificate is issued; pursuant to the requirements of Section 111 of the 2009 International Building
Code certing that at;th e`time of issuance this structure was in compliance with the various ordinances
of the City regulating1building ,construction or use for the following
Business name: The Bike Garage
Business address 403 S L' incoln Street #2
Property owner: i Ken }.Price
Property owner's address I F 403 S Lincoln Street is
Automatic fire sprinkler- system. Not .Required r
Use occupancy classtfcation: Business
Building permit number: 12
Occupant load: Per 2009 IBC, Tab 00
lee14 1 1
Type of construction. V B r a
a 4 -13 -12
Sue Roberds,{ nniManager Date
Post on the premises in a conspicuous placeThis certificate shall not be removed except by the
Building Official.
c soRTAA,. 4-,/ -,-,21( CERTIFICATE OF OCCUPANCY APPLICATION Permit-,-,21(
CITY OF PORT ANGELES $50 Certificate Inspect ion
Attn: Permit Technician
NNW 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360) 417 4815 fax (360) 417 4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Check one: New business in P.A. ?Change of ownership only? Moving location from within P.A.? Zoning O___5
BUSINESS NAME Oil e 44 s' f 9
Business address if 03 S. Li rl Pd /i1 99 ice 2 M iling address
Phone number Opening date 3 /2 /L Days hours of operation 7 J 8iver
Business owner's name Minas is 491.4)5k Contact phone360 7 $8/
Business owner's address fr f( ye At _Heap' 74401wa ye, IOW 98re
Brief description of business Q,'d Y e /e l Sa /e t 0 ie,vi c e-
Property owner's name f(eA /3■1 e Contact phone &KO y6o S.1/Q
Property owner's address /contact
BUILDING DEPARTMENT phone 417 -4815 Bldg approval by l IA, on 4 10
Is the business a restaurant or bar that will seat 50 or more people? Yes No L
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps, bathrooms, electrical, heating /cooling /ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417 -4653 Fire approval by Y-DO bloPt' 5.22. irr
Changes to a fire sprinkler system or fire alarm system? Yes No
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? PBIA notified 0 I o
e
Is business moving within the PBIA? Yes No �Q
CITY CLERK phone 417 -4634 City Clerk approval by .04 on q` 3--12
X (,1,d.- I 0 6, V1.0 ✓Sete
Second -hand dealer /pawnbroker business? Yes Iii
N /o 4.%_________--1,e sa�
Will there be dancing at this business? Yes No i
I LA e. eLfi d ..Jr :t
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance,
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 CED approval by on ,L■
Number of off- street parking spaces available for employees and
customers?
(A parking plan may be required.)
Signs? (wall- mounted, freestanding, projecting, awning, A- frame, etc
Signs planned:
511npex I2 -c21 .€1,v4 &t 41I 2.
PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City.of Port Angeles.
PWE approval by0 Dy kfr on 21 4 I
PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417 -4812
Is site work planned (new or re- located sewer or water service,
excavation, grading or filling, work in City right -of -way,
new driveway openings, site drainage, parking lots, downspouts,
irrigation system backflow devices, etc.). Yes No'
Work planned:
PWW approval by 0 IA old
PUBLIC WORKS WASTEWATER phone 417 -4845
Will waste, other than domestic household waste, be discharged into the sewer system? Yes No
If yes, what will be discharged:
Cal! for Certificate of Occupancy inspections BEFORE opening business.
Building Department Inspection 417 -4815
Fire Department Inspection 417 -4653
Please sign up for utility services at the cashiers' counter.
1 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. Incorrect information may result in revocation of
permit. 01"
Date D (Z Print Name M' M 1CJ1' 0,5 K I 1 Signa 4 i
T: \Forms \Building Division \Certificate of Occupancy Application (2010).doc
Page2of2
J 'TYp OF7 x�s poR S ,q WASH I N G T O N, U.S.A.
n° Community Economic Development Department
April 13, 2012
The Bike Garage
Thomas Michowski
403 S Lincoln Street #2
Port Angeles, WA 98362
RE: Certificate of Occupancy
Dear Mr. Michowski:
This is the Certificate of Occupancy for your new business. The City
Clerk, Janessa Hurd, wanted to make sure you were aware that if you
were planning to sell used bicycles or equipment, you would need a City
Business License. I've included her card with her contact information if
you need to ask any questions.
Sincerely,
kLai 111*
Heather Catuzo
Building Permit Technician
Phone: 360- 417 -4750 Fax: 360- 417 -4711
Website: www.cityofpa.us Email: smartgrowth @cityofpa.us
321 East Fifth Street P.O. Box 1150 Port Angeles, WA 98362 -0217
Heather Catuzo
From: Sue Roberds
Sent: Friday, March 23, 2012 12:57 PM
To: Heather Catuzo
Subject: RE: Certificates of Occupancy Routings
Dave's Heating No land use issues anticipated.
Made in Washington Business office uses are permitted in the CA zone with off street parking for the use. 20 parking spaces are indicated on the
application but only 6 are available on site 3 spaces are required. A frame signs may not be in the right of ‘vay but can be on private property in front
of the window.
Iron Apparel No land use issues anticipated
Bike Garage No land use issues anticipated
Bev's Biz know I signed off on this one before) No land use issues anticipated although parking needs to be identified that is not in the street.
Aloha Brewing No land use issues anticipated. Site is in l'BIA.
Sue Roberds
Planning Manager
City of Port Angeles
P.O. Box 1150
Port Angeles. WA 98362
sroberds ct cityofpa.us
360 -417 -4750
From: Heather Catuzo
Sent: Friday, March 23, 2012 10:04 AM
To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds
Subject: Certificates of Occupancy Routings
Importance: High
Comments Due: March 30, 2012
Please email any comments directly to me so that I can process.
Thank you,
Heather Catuzo
Building Permit Technician
City of Port Angeles Building Division
321 East 5th Street
Port Angeles, WA 98362
(360) 417 -4817
hcatuzoc cityofpa.us
v c)i r a.1c
CERTIFICATE OF OCCUPANCY APPLICAT ION Permit
i
,t. FEES
C I TY OF PORT ANGELES
$5 0 Certificate /Inspection
s y, Fifth Permit Technician
St., Port Angeles, I 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA)
(360) 417 -4815 fax (360) 417 -4711 fee charged for Downtown locations
PLEASE PRINT IN INK
Check one New business in P.A. ?XChange of ownership only? Li Moving location from within P.A.? 11 Zoning C°,`j)
BUSINESS NAME Or ke- 44/'45 e
Business address if a 3 S. £r h e O IA p ice 2 M address
Phone number Opening date 3 Z D pays hours of operation 7 t (freer
Business owner's name O Met Mit sk Contact phone36a q7 7 SR /0
Business owner's address re f ye4.# //cJ' �r/'u.1a l er &94 18 re I
Brief description .of business {2 ,4 f" /e
SA. /e f 0 .71 frv('c e-
Property owner's name fr /iv e a— Contact phone 340 0C g' /Q
Property owner's address /contact
BUILDING DEPARTMENT phone 417 -4815 Bldg approval by on
Is the business a restaurant or bar that will seat 50 or more people? Yes E No
Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work,
adding /altering stairways, ramps, bathrooms, electrical heating /cooling /ventilation systems, etc).
Work planned:
FIRE DEPARTMENT phone 417 -4653 Fire approval by ma. on 3.Z5. Zalz
Changes to a fire sprinkler system or fire alarm system? Yes Li No
l
Work planned:
PBIA (Parking Business Improvement Area Downtown) phone 417 -4623
Square footage of business? PBIA notified on
Is business moving within the PBIA? Yes _i No
r
CITY CLERK phone 417 -4634 City Clerk approval by on
Second -hand dealer /pawnbroker business? Yes No
Will there be dancing at this business? Yes No y
A City of Port Angeles Business License is required for:
Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance,
Hotel Motel, Fireworks, Ambulance, and Tattoo Businesses.
Page 1 of 2
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number 12- 00000127 Date 2/15/12
Application pin number 176629
Property Address 403 S LINCOLN ST 2
ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -1- 6920 -0000- REPORT SALES TAX
Application type description SIGNS
Subdivision Name on your state excise tax form
Property Use to the City of Port Angeles
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 315 (Location Code 0502)
Application desc
30.5SQ FT WALL MOUNTED SIGN
Owner Contractor
KEN W PRICE MILLER SIGNS
5418 S OLD MILL RD 1190 CARLSBORG RD
PORT ANGELES WA 983621972 SEQUIM WA 98382
(360) 460 -8310 (360) 683 -6790
Permit SIGN
Additional desc WALL MOUNTED FOAM LETTERS
Permit Fee 85.00 Plan Check Fee .00
Issue Date 2/15/12 Valuation 315
Expiration Date 8/13/12
Qty Unit Charge Per Extension
1.00 85.0000 PER S -WALL SIGN OR MARQUEE 25 SF 85.00
Special Notes and Comments
February 13, 2012 4:07:29 PM sroberds.
The building mounted sign package will result in 31 sq.ft.
of signage within the confines of the lease area. No land
use issues are anticipated.
Fee summary Charged Paid Credited Due
Permit Fee Total 85.00 85.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 85.00 85.00 .00 .00
,v ctQ 1 l a" re—
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.
/o)/X7) mo IW
Date Print Name Signature of Contractor or Authorized Age t Signature of Owner (if owner is builder)
T:Forms /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS \-5
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. V
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING:
Under Floor Slab
Rough -In
Water Line (Meter to Bldg) 1
Gas Line
Back Flow Water FINAL Date Accepted by
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 FINAL Date Accepted by
MANUFACTURED HOMES:
Footing Slab
Blocking Hold Downs
Skirting
PLANNING DEPT. Separate Permit #s SEPA:
Parking Lighting ESA:
Landscaping SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735 per'
Construction R.W. PW Engineering 417 -4831
Fire 417 -4653 v
Planning 417 -4750
Building 417 -4815 14.1a.1?- T/v
T:Forms /Building Division /Building Permit
1 .4r SIGN PERMIT APPLICATION Print in ink
r
CITY OF PORT ANGELES
Attn: Building Permit Technician For City Use Only: i
g Date Received c9
321 E. Fifth St., Port Angeles, WA 98362 Permit i*)-
(360) 417 -4815 fax (360) 417 -4711 Date Approved a. 3 -73_
Applicant or Agent 2,/ 7 Phone j- 6-7 c/a
Property Owner A /c re- Phone
Property Owner's Address
Contractor 4" %4'p 5/.` Phone 4k3— 6790
Contractor's Address Lp 2p v
License c c /74/ q j £s Expires r 9 y
Project :23 G t r coc�/'c
Business Name
Parcel Number 5730S q rzvo Lot g loci Zoning C
Submit an 8'A "x 11 "site plan three sets of plans that include:
Type of sign (wall mounted, projecting, freestanding, illuminated, other...)
Placement and sq. ft. area
How the sign will be securely attached (Engineering specs may be required for freestanding signs)
Separation distance between the bottom of projecting and freestanding signs and the surface below
See "Chapter 14.36 Sign Code" of the City of Port Angeles Municipal Code for sign requirements.
Siqn Type Brief Description: (Type, location, sq. ft.)
Sign #1 Cv. L ,j4 do it JG7' /~'Uri ce77h2r g/ iie 361 �i�i✓i y
Sign #2
Sign #3 9 40
Sign #4
Totals (Unit charges Sign(s) Q>
Unit Charge Quantity multiplied by quantities) Type of Siqn Valuation S
S47.00 x All signs less than or equal to 25 sq. ft.
$85.00 x j' S a"i Wall sign or marquees, over 25 sq. ft.
$115.00 x Freestanding sign or projecting sign, over 25 sq. ft.
GRAND TOTAL Make Checks Payable to: City of Port Angeles
Credit Cards (Except American Express) are accepted
tee"' sq. 1
Existing sign(s) area r: 4 ft. Proposed sign(s) area 30 C sq. ft. Total sign(s) are 3O S sq eft.
Building fagade area (height ft. X width 3') ft.) Afar sq. ft. (If a building ha3 one
business in it, only measure the area of the building facade that is used by the business applying for this permit.)
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; and to obtain permits prior to working on projects.
Date DAY/..761.1- Print Name C19 Signature -72 .6
T:Forms /Building Division /Sign Permit Application.doc
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
INSTALL A DUCTLESS HEAT PUMP
Owner
KEN W PRICE
5418 S OLD MILL RD
PORT ANGELES
(360) 460 8310
WA 983621972
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit pin number 179721
Permit Fee 64 80
Issue Date 1/03/11
Expiration Date 7/02/11
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total 64 80
Plan Check Total 00
Grand Total 64 80
4a z���.,e) o
T:Forms /Building Division /Building Permit
10 00001516
849432
403 S LINCOLN ST 2
06 30 00 0 1 6920 0000
MECHANICAL APPL PERMIT
COMMUNITY SHOPPING DISTR
5160
Contractor
DAVE S HTG COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452 0939
Plan Check Fee
Valuation
BASE FEE
1 00 14 8000 EA ME FURN /HP /FAU OR 5 TON
Paid Credited
64 80 00
00 00
64 80 00
Date 1/03/11
Due
00
00
00
00
0
Extension
50 00
14 80
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
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.
Inspection Type Date Accepted By Comments
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 I FINAL Date
MANUFACTURED HOMES.
Footinq Slab
Blocking Hold Downs
Skirting
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping 1 SHORELINE.
T Forms /Building Division /Building Permit
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
FINAL Date Accepted by
Accepted by
Date Accepted By
PREPARED 1/04/11 8 34 24 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/04/11
ADDRESS 403 S LINCOLN ST 2 SUBDIV
CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939
OWNER KEN W PRICE PHONE (360) 460 8310
PARCEL 06 30 00 0 1 6920 0000
APPL NUMBER 10 00001516 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 1/04/11 JLL n MECHANICAL FINAL
January 3 2011 10 47 01 AM 1pangrle
DAVE (DAVE S HTG 452 0939)
MECHANICAL FINAL HEAT PUMP ON THE ROOF
THE KEY IS NEXT DOOR AT LINCOLN' STREET STATION
COMMENTS AND NOTES
Dec 30 10 08 45a
Applicant Jc ve s Ke0-1-1 h e>0.
Property Owner e r
Property Owner's Address 5tf 13 C%(L IILI t I
Contractor
Contractor's Address {'_v f (3; {ol 5
License 1)AVE.5 Hcc'd1 1 KG Expires s /.o II
PROJECT ADDRESS 1 7 40 3 S. L r h c. a I h
Parcel Number
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Dave s Heating Cooling
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98362
(360) 417 -4815 fax (360) 4174711
3604520939 p1
BUILDING PERMIT APPLICATION Print in ink
Phone 5( 57: —0 `13
Phone 4 1 C. o —R O
br-1- ate(
Phone
E -mail
For City Use Onlyyi
Date Receivedd_ j2.-
Permit# 10 ta i(¢
Date Approved
Z
j n D j c.¢ s r cc.1 i r1G.c L-i i sill reihz c9-it r
Lot Zoning
Protect Noe Brief Description: o Residential Multi family JCommercial Industrial
Check all that apply
New Construction
Addition
o Remodel
v Repair
o Demolition
Re roof House n garage o other o tear off re -roof o lay over one.layer
'Heat System (Heat pump o wood buming stove o gas fireplace pellet stove o other
a Other d.�css
Floor Areas Existing (so. ft) posed (g. ft.1
Basement per sq. ft.
1 Floor
2 Floor
3"' Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION 16, C-
Total footprint of structures sq ft. T Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage
of bedrooms
of full baths
of half baths
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 re nsibility to determine what permits are required, and to obtain permits prior to�voriking on projects.
O(d�►,K�cv+.P Signature f,
Date 0 Print Name
T:Fonnsl uilding Division/8Idg Permil.doc
Clallam County Assessor Treasurer Property Details 57305 KEN W PRICE for Yea. Page 1 of 5
Clallam County Assessor Treasurer
Property Search Results 57305 KEN W PRICE for Year 2011 2012
Property
Account
Property ID 57305 Legal Description. LTS 8 &9 BL 169
Geographic ID 0630000169200000 Agent Code.
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 59
Open Space: N DFL N
Historic Property N Remodel Property N
Multi- Family Redevelopment: N
Township Section.
Range
Location
Address: 403 S LINCOLN ST Mapsco
PORT ANGELES WA
Neighborhood' Cycle 5 Comm Map ID 2
Neighborhood CD 20953140
Owner
Name KEN W PRICE Owner ID 47062
Mailing Address. 5418 S OLD MILL RD Ownership 100 0000000000%
PORT ANGELES WA 98362 1972
Taxes and Assessment Details
Property Tax Information as of 12/30/2010
Amount Due if Paid on M.
Exemptions
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID i Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid
2010 40307 ST SCH STATE SCHOOL $569 56 $569 55 $0 00 $0 00 $1139 11
2010 40307 CC -GEN COUNTY CLALLAM $303 10 $303 10 $0 00 $0 00 $606.20
2010 40307 PORT PORT OF PORT ANGELES $42 60 $42.60 $0 00 $0 00 $85.20
2010 40307 PORT ANG CITY OF PORT ANGELES $701 78 $701 77 $0 00 $0 00 $1403 55
2010 40307 SD #121 SCHOOL DISTRICT #121 $737 73 $737 73 $0 00 $0 00 $1475 46
2010 40307 NTH OLY LIB NORTH OLYMPIC LIBRARY $88 08 $88 07 $0 00 $0 00 $176 15
2010 40307 HOSP #2 HOSPITAL #2 $124 34 $124 34 $0 00 $0 00 $248 68
2010 40307 WSMET PK DIST WILLIAM SHORE MET PARK DIST $39 56 $39 57 $0 00 $0 00 $79 13
2010 40307 CITY_STORMWATER CITY STORMWATER $123 16 $123 17 $0 00 $0 00 $246 33
2010 40307 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63
2010 40307 TOTAL. $2730 73 $2730 71 $0 00 $0.00 $5461 44
2009 573052008 ST SCH STATE SCHOOL $664 69 $664 69 $0 00 $0 00 $1329 38
2009 573052008 CC -GEN COUNTY CLALLAM $336 40 $336 38 $0 00 $0 00 $672 78
2009 573052008 PORT PORT OF PORT ANGELES $47 65 $47 65 $0 00 $0 00 $95 30
2009 573052008 PORT ANG CITY OF PORT ANGELES $737 85 $737 84 $0 00 $0 00 $1475 69
2009 573052008 SD #121 SCHOOL DISTRICT #121 $821 99 $822.00 $0 00 $0 00 $1643 99
2009 573052008 NTH OLY LIB NORTH OLYMPIC LIBRARY $97 74 $97 75 $0 00 $0 00 $195 49
http. /vpn.clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year= 2011 &prop_id =5 12/30/2010
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 10 00001422
Application pin number 119766
Property Address 403 S LINCOLN ST 2
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6920 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning COMMUNITY SHOPPING DISTR
Application valuation 0
Application desc
6 circuits remodel
Date 12/07/10
Owner Contractor
PRICE KEN W TWEETER ELECTRIC INC
5418 S OLD MILL RD 423 BLACK HAWK LOOP
CY
PORT ANGELES WA 983621972 PORT ANGELES WA 98362
(360) 417 1151
O
Permit ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit pin number 178517
Permit Fee 86 50 Plan Check Fee 00
Issue Date 12/07/10 Valuation 0
Expiration Date 6/05/11
Qty Unit Charge Per Extension
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50
5 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 13 00
Fee summary Charged Paid Credited
Permit Fee Total
Plan Check Total
Grand Total
86 50
00
86 50
86 50 00
00 00
86 50 00
INSPECTION TYPE DATE.
DITCH
SERVICE i 421
ROUGH IN 12 l9 (i6
FINAL Z 1 ill
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Due
00
00
00
RESULTS INSPECTOR.
Signature of owner or Electrical Contractor X Date
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
x
CITY OF PORT ANGELES PERMIT APPLICATION
Building Division/Electrical Inspections
321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98 4 2 .;TCICAL
Ph (360) 417-4735 Fax. (360) 417 -4711 INSPECTIONS
Date. z`6 /la
1 2 Single Family Dwelling
Multi Family or Commercial*
7
r
V
L V
Plan Review May Be Required, Please Complete Electri 1 Plan Review Information Sheet
Job Address: Vc 1-./A/l7./Xi ST ,,4!7
Building Square Footage:
Description of above
Owner Information
Name: .k&/ 32It2r
Mailing Address:
City
Phone:
License Exp.
61/nr:ziz7 /4/773-W /41r1 not)
State: Zip:
Fax:
Item
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp
Service /Feeder 401 -600 Amp
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp.
Temp. Service /Feeder 401 -600 Amp.
Temp. Service /Feeder 601 1000 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 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
Thermostat
NEW CONSTRUCTION ONLY.
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Unit Charae
119.90
145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
63.90
63.90
119.90
102.30
56.00
110.30
35.20
73.50
110.30
Contractor Information
Name:
Mailing Address: "i"zz e'
City 9- State: Zip:
Phone 3_6c) 'i/7 //.'7 F ax:
License Exp.
Ply
Dated: Z� g� �1!v 01/01/2010
Commercial Addition Alteration Remodel Repair*
Total (Qty Multiplied by Unit Charnel
5
5
5
5
5
l)
Total
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 an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection
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 installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28 WAC Chapter 296 -46B, The City of Port
Angeles Municipal Code, and Utility Specifications and PAMC 14 05 050 regarding Electrical Permit Applications
Signa re f owner electrical contr r electrical administrator Cash A Check
Credit Card
0 ,pORT 0
1 .1
Application Number 06 00000713 Date 7/07/06
Application pin number 016156
Property Address 403 S LINCOLN ST 2
ASSESSOR PARCEL NUMBER 06 30 00 0 1 6920 0000
Tenant nbr name LONE STAR SUITE 2 &3
Application type description SIGNS
Subdivision Name
Property Use
Property Zoning UNKNOWN
Application valuation 310
Owner
PRICE KEN W
5418 S OLD MILL RD
PORT ANGELES
Permit SIGN
Additional desc
Permit pin number 81778
Permit Fee 85 00 Plan Check Fee 00
Issue Date 7/07/06 Valuation 310
Expiration Date 1/03/07
Qty Unit Charge Per
Fee summary
T• \Policies \I 102_15 building permit inspection record05 wpd [1/4/20051
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Contractor
MILLER SIGNS
30 CHILDERS LN
WA 983621972 SEQUIM
(360) 683 6790
1 00 85 0000 PER S SIGN WALL 25 SF+
Charged Paid Credited
WA 98382
Due
Permit Fee Total 85 00 85 00 00 00
Plan Check Total 00 00 00 00
Grand Total 85 00 85 00 00 00
Extension
85 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. -1- hereby certify- that -I- have read and- examined- this application and- knowthe_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
4 12 77 07)
Signature of Contractor or Authorized Agent /Dafe Signature of Owner (if owner is builder) Date
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
FIRE
PLANNING DEPT
BUILDING
417 -4815 I
T \Policies \1 IO2_15 building permit inspection record05 wpd [1/4/2005]
YES I NO
FOUNDATION:
FOOTINGS IO
SHEAR WALLS WALLS I v
FOUNDATION DRAINAGE DOWN SPOUTS I
PIERS r
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB I
ROUGH -IN I
WATER LINE (METER TO BLDG) I
GAS LINE I FINAL DATE ACCEPTED BY.
BACK FLOW WATER I
AIR SEAL
WALLS I
CEILING I
FRAMING
JOISTS GIRDERS I
SHEAR WALL/HOLD DOWNS I
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY) I
T -BAR
INSULATION
SLAB I
WALL FLOOR CEILING I
MECHANICAL
HEAT PUMP FURNACE DUCTS I
GAS LINE I
WOOD STOVE PELLET CHIMNEY I FINAL DATE ACCEPTED BY.
COMMERCIAL HOOD DUCTS I
MANUFACTURED HOMES
FOOTING SLAB I
BLOCKING HOLD DOWNS I \N‘
SKIRTING I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING I I ESA.
LANDSCAPING I I I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
‘....7-
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL -..'4
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
417 -4653
417 -4750
I I I
I I I
I I I
FIRE DEPT
PLANNING DEPT
BUILDING
I I I
I.11 lfJ I I
I 'i,) /Io I I
1I
Applicant or Agent. b (WA. Mr? (1-r z,— Phone: S3 7_670
Phone.
Address: I (7 b (Iliac iZLS A City .S U t VIA t.J t9 Zip 3-
Architect/En Qineer Phone:
Contractor L Lt fl S( Gv] State License #.1/14 «-L 'f Wl C Exp f Phone:1 6710
Address: I (SO C A-2_ G St cei fir City Cpl l AA k Zip ci
PROJECT ADDRESS 1:::)` A.00( r1 77 ,P �-f s ZONING C_S\Th
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
Residential New Constr
Multi family Addition
Commercial Remodel
Repair
BRIEF DESCRIPTION OF TAT', PROJECT
COMIYERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size:
Total lot coverage
OA
Sign Other
TAFORMS\B]dgPermitform.wpd Applicant:
�(f
BUILDING PERMIT APPLICATION
Fill out CO_MPLETELI and in INK. 1_ 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
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION X mo d
�.,5 c 1 ,r -1 r? S In et
Re roof Stove
Move Garage
Demolition Deck
PLANNING USE ONLY* J2 J s
r) .7b0
■M C?— g1 -Q
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
Existing Sq Ft.
Block. Subdivision.
1.14/012(
I
Date: 1/d
Occupant Load. Construction Type
R Proposed Sq Ft. TOTAL Sq Ft.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and maybe 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 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 Biiilding/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. 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 I
must obtain such permits prior to work.
FOR OFFIC L 3 0 NL'Y
Date Rec. 1 3
Permit
to kppro' ad:
ate lssued:2
APPROV
PLAN 7 e
BLDG
DPWU
FIRE
OTHER
I6_
t'
a
k
T"
FILE
"S Y OF PORT ANGELES Lo Luc
Yhr Issuance of this permit based upon these p
c�lions and other data shall not prevent the buil
Wm thereafter requiring the correction of err
pd+, specifications and other data, or from
7 'ng operations being carried on thereund
�rtis ;can of all codes and ordinances of this i
r•
illppovai Date BY —dam
Plants 0
official
in said'
renting
hen in
fiction.
2.00 g. i3C�
71-6
r 64-
t of) 0-P te124