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Home My WebLink About1225 E Front St - Building % '. CITY OF PORT ANGELES m 1 DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 11-00001172 Date 11/O1/11 Application pin number . . . 668268 Property Address . . . . 1225 E FRONT ST REPORT SMILES TAX ASSESSOR PARCEL NUMBER: 06-30-00-5-3-1360-0000- Tenant nbr, name . . . . . . ROSA JULIA SWANN on your state excise tax form Application type description SIGNS to the City of Port Angeles Subdivision Name . . . . . . �,/ Property Use . . . (Location Co(Je. 0502) Property Zoning . . . . . . . COMMERCIAL ARTERIAL Application valuation . . . . 825 ---------------------------------------------------------------------------- Application desc 24 SF FREESTANDING SIGN ---------------------------------------------------------------------------- Owner Contractor ROSA JULIA SWANN TTE JACKSON'S SIGNS & GRAPHICS 17 WADSWORTH DR 472 MT. PLEASANT RD SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 460-1434 (360) 457-3703 ---------------------------------------------------------------------------- Permit . . . . SIGN Additional desc 24 SF FREESTANDING SIGN Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 11/01/11 Valuation . . . . 825 Expiration Date . . 4/29/12 Qty Unit Charge Per Extension 1.00 47.0000 PER S-ALL SIGNS < OR = TO 25 SF 47.00 ---------------------------------------------------------------------------- Special Notes and Comments October 24, 2011 12:52:22 PM sroberds. Replace face of free standing sign. No land use issues. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- 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 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. VA Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Bullding Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 R 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 INCONSPICUOUS 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 Rou h-In Water Line(Meter to Bid Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL: N Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof I Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: ] Slab Wall/Floor/Ceiling MECHANICAL: �} Heat Pum /Furnace/FAU/Ducts T Rough-in 1 _ Gas Line - Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking &Hold Downs - Skirting PLANNING DEPT. Separate Permit#s SEPA � Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineering 417-4831 Fire 417-4653 75 Planning 417-4750 Building 417-4815 PREPARED 11/29/11, 10:19:02 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/29/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 1225 E FRONT ST SUBDIV: TENANT, NBR: ROSA JULIA SWANN CONTRACTOR JACKSON'S SIGNS & GRAPHICS PHONE (360) 457-3703 OWNER ROSA JULIA SWANN TTE PHONE (360) 460-1434 PARCEL 06-30-00-5-3-1360-0000- APPL NUMBER: 11-00001172 SIGNS ------------------------------------------------------------------------------------------------ PF"IT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------L------------------------------------------------------------------------ BL99 01 11/29/11 J� Y BLDG FINAL November 29, 2011 8:26:57 AM pbarthol. Jackson 457-3703 ------------------------------ COMMENTS AND NOTES -------------------------------------- pnurgn > SIGN PERMIT APPLICATIO Print in ink CITY OF PORT ANGELES For City Use Only: Attn: Building Permit Technician Date Received rl'[ 321 E. Fifth St., Port Angeles, WA 98362 Permit# [- [ (360)417-4815 fax(360)417-4711 Date Approved 1171 . 1 Applicant or Agent Jackson Smart DBA Jackson's 5ign5 Pho a 457-3703 Property Owner Q Swann Phone 460-1434 Property Owner's Address 17 Wadsworth Dr, 5eauim, WA 98382 Contractor _ Jackson's 5ion5 �— Phone Contractor's Address 472 Mt. Pleasant Rd, Port Ang_ ele5, WA 98362 License # `IAC KSSrExpires 1-28-2013 Project Address 1225 E. Front 5t Business Name Willow Ma55aae Therapy Parcel Number Lot Zoning CA Submit an 8 % "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. Sian Tyne&Brief Description: (Type, location,sq. ft.) Sign #1 36" x 96" 51nale Sided 3/4" Free 5tandine Plywood Mounted on exiotind poot5 Sign #2 Sign #3I Ore Sign #4 5�e E Lentc-14— .d-,VQ oPf DGS 5�160..1 Totals(Unit charges Sign(s) Unit Charge uanti multiplied by quantities) Type of Sian FlS Valuation$ 825.00 $47.00 x 1 = $ 47.00 All signs less than or equal to 25 sq.ft. $85.00 x = $ 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 $ 47.00 Credit Cards(Except American Express)are accepted Existing sign(s) area 24 sq. ft. +Proposed sign(s)area 24 sq. ft. = Total sign(s)area 24 sq. ft (Exioting Sign to be removed) 50' Street frontage. Max allowed to 1005q ft = 50 sq. ft. (If a building has more than one business in it,only measure the area of the building faigade 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 16-1 Cb''I 1 Print Name JA ,,V pPJ 50,oriZT Signature ✓ -163e i T:Forms/Building Division/Sign Permit Application.doc �x r �. v y+,s7 r Kamm. 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Front 5t. Fort Angeles, WA 98362 Foot t'1'1outit drawing Lag Bolt and Washer Sign Foot Lag Bolt and Washer , t Jackson's 5igns Fort Angeles, WA 98362 360457-3703 Willow MaocqaOc Therapy 1225 E. Front 5t. Fort Amocloo, 98362 r. � �` j � �� Debbie Collins,�n�P Elizabeth Clark MSW uCSW Main Body n Balance 460.91.55 Mental Health Counseling 683.8998 Melanie Roster, SMP Victoria Rockhol Darya K, Workman LMP Ntassage Therapy 461-�732. .licensed Mental Health Counselor_4118100 36.0.417.5257 ---------__ _ _ — --------- --- --- ---------- -- -- ---�--------- -- - - -- / • x 96 Fort / 96362I0 • N est --� CERTIFI ATFGF70 -CUPANCY Citgo#Port Angegsding;®ia�ision This certificate is issued�iursuant to the requirements of Section 1 44f'i Fe 2009 International Building Code certifying that attheKimerssuance this structure was in compliance with the various ordinances of the City re ulatin 1bu in rtconsiruetion;or;use or the ollgwin `° .. Business name UVillovu=Massa a Thea Ovuner Dsr a K Vorkman) Business address; r>:"1:225E Fron :Sf: �,. . Property owner £. Rosa Julia.Swaian=TTE Property owner s address: 17 Wads 'orth.'r.,�Segi im WA'983$2> n Automatic fire spAinhkrysystem NofR'q-WAtei=l x z Use & occupancy classifeation. Busingess Building permit number- . . 11-2�4; _ - �.: Occupant load. F E<. Type ofconstruction. 05/18/11 Date Post on the premises in a conspicuous place."V-his,certfcateshallmot be removed except by the Building Official. r �r l� l� roa7Ah. CERTIFICATE OF OCCUPANCY APPLICATION Permit# FEES CITY OF PORT ANGELES $50 Certificate /Inspection Attn. Permit Technician _ 321 E. Fifth St. Port Angeles WA 983621$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.? �N Zoning BUSINESS NAME_ (J _ll r,i j) VYI A SSQGf I ira bX/ Business address laa7 '9+. y Mailing ad r ss o k3nx_a3 y 1? A Phone number 310- y/7 5-dTs2 Opening date G ,1 /r7 Days & hours of operation iY1— F 8:3o-5."a Business owner's name DA-1-1 A k. LA3QV jC VYkQ V% Contact phone Business owner's address 1/2 G 0, y M PA. y'83G3 Brief description of business c Er1 Property owner's name Rosa-I 1 i A- 5 W n Y,%n Contact phone . ?Ga 68'3— 73/ 0 Property owner's address/contact /7 i'Al 1 (,ala '9k.3,P2 BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes .0 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 on ,r Changes to a fire sprinkler system or fire alarm system? Yes ❑ No 9 Work planned PBIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? 0— 7 gS PBIA notified on Is business moving within the PBIA? Yes ❑ No CITYCLERK :phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes ❑ .No Will there be dancing at this business?Yes ❑ No X 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 Number of off-street parking spaces available for employees and customers? -f (A.parking_plan may be required.) Signs? (wall-mounted, freestanding projecting awning, A-frame etc?) Signs planned. PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of.Port Angeles. PYWE approvat.by on PUBLIC WORKS DEPARTMENT ENGWEERING 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 A Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby on Will waste, other than domestic household waste be discharged into the sewer system? Yes ❑ No a If yes, what will be discharged- Call for Certificate of iOccupancV inspections BEFORE openin_q business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' 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 Incorrect information may.result in revocation of permit. n Dat e2//&y Print.Name r )N'.(A)oy-�C w C;In Signature�J a� T,1FormslBuilding DivisionlCertifcate of Occupancy Application(2010).doc Page 2 of 2 PREPARED 5/02/11 8 34 12 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/02/11 ADDRESS 1225 E FRONT ST SUBDIV TENANT NBR OLYMPUS NUTRITION CENTER CONTRACTOR JACKSON S SIGNS & GRAPHICS PHONE (360) 457 3703 OWNER ROSA JULIA SWANN TTE PHONE (360) 417 5257 PARCEL 06 30 00 5 3 1360 0000 APPL NUMBER 11 00000289 SIGNS - ------------- --- - -- PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 5/02/11 L BLDG FINAL TIME 01 00 k4 1 April 29 2011 4 53 23 PM 1pangrle STEVE 565 6632 BUILDING FINAL OLYMPUS NUTRITION CENTER 6 SQ FT SIGN ATTACHED TO EXISTING F/S SIGN AFTERNOON THE PERMIT IS AT THE FRONT DESK COMMENTS AND NOTES CITY OF PORT ANGELES i 1.� DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number it 00000289 Date 4/08/11 Application pin number 256315 Property ST ASSESSOR PARCELgNUMBER 06230E00R55N3 1360 0000 REPORT SALES TAX Tenant nbr name OLYMPUS NUTRITION CENTER on your state excise tax form Application type description SIGNS Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 250 Application desc 6 SQ FT SIGN ATTACHED TO EXISTING FIS SIGN Owner Contractor ROSA JULIA SWANN TTE JACKSON S SIGNS & GRAPHICS 17 WADSWORTH DR 472 MT PLEASANT RD SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 417 5257 (360) 457 3703 Permit SIGN Additional desc 6 SF SIGN Permit pin number 183301 Permit Fee 47 00 Plan Check Fee 00 Issue Date 4/08/11 Valuation 250 Expiration Date 10/05/11 Qty Unit Charge Per Extension 1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 47 00 Special Notes and Comments April 7 2011 12 31 54 PM sroberds The proposal will permit a sign modification adding 6 sq ft \ f s sign to existing sign for total signage of 29 sq ft in the CA zone No land use issues anticipated Fee summary Charged Paid Credited Due 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 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. f 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 provi ions of any state or local law regulating construction or the performance of con ru tion. l Date Print Name Signature of Contractor or Authorized Agent 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 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 FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor —> Shear Wall/Hold Downs 1 Walls/Roof/Ceiling " Drywall Interior Braced Panel Only) N T-Sar C INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab 5 Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. LT Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 CA/� Planning417-4750 ��/, Building 417-4815 L� ,\ T.Forms/Building Division/Building Permit S— PERMIT APPLI CA7Pone Print in ink CITY OF PORT ANGELES For City Use Only Attn Building Permit Technician Date Received LJ--Li 321 E Fifth St. Port Angeles WA 98362Permit# (360)417-4815 fax (360)417-4711 to Approved Ulffl Applicant or Agent '� 9P(LCV__1 M +� �` �- -�c��2 Property Owner sa �w1 t a wan \n 36p -fYD-/5I3�/ Property Owner's Address 3�' T— Contractor O&o-,l 'E;[G7rlli� Phone Contractor's Address License # Expires Project Address I ZZS e,, R20r , Business Name p(_ M Parcel Number Lot Zoning Submit an 8 % "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. Sian Type&Brief Description. (Type, location, sq. ft.) Sign #1 &r✓l/M, 4 Sign #2 Sign #3 Sign #4 Totals(Unit charges Sign(s) Cj Unit Chara Quantit multiplied by quantities) Type of Sian Valuation$ $47 00 x _ $ Z4 All signs less than or equal to 25 sq ft. $85 00 x = $ 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 $ q�, or�, Credit Cards (Except American Express) are accepted Existing sign(s)area sq. ft. +Proposed sign(s)area sq. ft. = Total sign(s)area sq. ft. Building fagade area (height 14S- ft. x width 22— ft.) = 6 sq. ft. (If a building has more than one business in it, only measure the area of the building fagade 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 termine what permits are required,/anrequired,/ano to obtain permits prior to working on projects Date C9 Print Name j tija 0j alou"P4 Signature rr T:Forms/Building Division/Sign Permit Application doc \� `J 1224 V ' � �F Ir'1215 PIP 1223 f 1225 > y a 1227 2'i 3 _ 1233 �a 1218- / 20'1 �+ Q 201 a, RM- 1222 1.234 Y t, 7 d-F b� 201 k" 41. s t `SZU VP • A .4"�,$ �"� ��'�•p yam' y Lz4� czzL RIF ! CITY OF P RTA NC,a:LES—Construction Flans The issuance if th permit based upon these plans,specifi- cations and oilher lata shall not prevent the building official from thereaft r reWring the correction of errors in said 1 N dans specifi atioos and other data, or from preventing -- ' building oper tions being carried on thereunder when in i violation of all c es and ordinances of this jurisdiction. ! QUI Web; ode.4 �4 Approval Date BY J� j I i i I J i I _ i t � r Y � S I + � } trlj I I i t 1 N' l .t j� � f ��l Wi i 115 1 i R NEL,. Sty-,�► -�- Z(77 - ---------- - Jill i !I� W � Sf f �I ti 5j1 { {1 i _ r • ark Q;k�1 e -.� F�A Q Iv f -vZ> lam, -�S t/q`IX i PIS F oc SI6,,-S M,(ATCURC �\U,tMNIAM 0-�*Z N1NLJLl co Sgt+ �T l� 1111 l� ��,,poerghCf! CERTIFICATE OF OCCUPANCY APPLICATION Permit# :2S-q a► FEES CITY OF PORT ANGELES $50 Certificate /Inspection Attn. Permit Technician 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.? R Zonin,� BUSINESS NAME q Ll l� �� Q $SQ Q-P I i"1 4 V'Q'b I i ` Business address Mailing ad r ss P0 Eng,,-a--3 y A- ^x S4 2- Phone Phone number 366 V17 SaSZ_Opening date G /D Days & hours of operation -5.b Business owner's name DA-,-I a IC. UD kvYkcty% Contact phone =�Go-yi7-SOs'7 Business owner's address 1/14 W, L/M 110/4- fU(13 Brief description of business knaasa c +rl Property owner's name Rosa 'I') f A- S w4 +n r, Contact phone . 7r n (0$3— 2,310 Property owner's address/contact./7 Pr. Se1:r, �',� l U)a 19X-3P2- BUILDING X-.3PzBUILDING 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 9 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 on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No CR _ Work.planned PBIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? e 7 PBIA notified on Is business moving within the PBIA? Yes ❑ No-A CITY CLERK .phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes ❑ No A Will.there be dancing at this business?Yes ❑ No 2% 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 byjdon 11 Number of off-street parking spaces available for employees and customers? �f I (A parking-plan.may be required.) Signs? (wall-mounted freestanding projecting awning, A-frame etc?) Signs planned: PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. em: approvai.by on 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 (K Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWWapprovalby on Will waste, other than domestic household waste be discharged into the sewer system? Yes ❑ No a If yes what will be discharged: Call for Certificate of Occupancy inspections BEFORE openin_g business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign tap for utility services at the cashiers' 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 Incorrect information may result in revocation of permit. Dated Print.Name r I a, k (k)oy'kw 611.1 Signature T'\Forms\Building DivisionlCerlificate of Occupancy Application(2010).doc Page 2 of 2 PREPARED 3/24/11 6 46 16 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/11 ADDRESS 1225 E FRONT ST SUBDIV CONTRACTOR PHONE OWNER ROSA JULIA SWANN TTE PHONE (360) 417 5257 PARCEL 06 30 00 5 3 1360 0000 APPL NUMBER 11 00000254 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 3/24/11 L BLDG C/O FINAL OVERRIDE TAKEN BY LPANGRLE DATE 03/22/11 TIME 16 12 23 March 22 2011 4 10 36 PM 1pangrle DARLA 417 5257 C OF 0 FINAL WILLOW MASSAGE THERAPY CALL HER AT 809 0623 COMMENTS AND NOTES 10 (Zo) or r CERTIFICATE OF OCCUPANCY APPLICATION Permit# i "dNW� FEES CITY OF PORT ANGELES $50 Certificate /Inspection �— Attn Permit Technician 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 IA/INK Check one: New business in P.A.?❑ Change of ownership only? ❑ nn Moving location from within P.A.? a Zoig BUSINESS NAME L )�l im A) M A SSQ G -; -P 1 h—a V'Gl Business address !aa?S f:77^or± S+. Mailing ad r ss ?p E,c_a-'3 A- ^s x S6 2;- Phone Phone number 366- V17 Sd S7 Opening date G 70 Days & hours of operation i'T1— F S:3 -S'd Business owner's name l,L7okvYX0y1 Contactphone :fso-Y/7-5-05-7 Business owner's address 11,24 (,J, L/M 10/4. fie363 Brief description of business d-re- +rl Property owner's name Rosa Jct) i 9 S Wo h vA Contact phone— ?foD 48-3— Y3/ 0 Property owner's address/contact /J Pr. Se%o f',M 1 (A)a 9M?X BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will.seat.50 or more people? Yes.0 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 on. Changes to a fire sprinkler.s_ystem or fire alarm system? Yes ❑ No Work-planned PBIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? 0— 7 gS PBIA notified on Is business moving within the PBIA? Yes ❑ No f 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 E9 A City of Port Angeles Business'License is required fore Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 t COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off.-street parking spaces available for employees and customers? 4f (A.parking_plan may be required.) Signs? (wall-mounted, freestanding, projecting awning A-frame, etc?) Signs planned: PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles J WE approvai.by on 3-23-11 PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 �o o me , 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 � 5 Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste be discharged into the sewer system? Yes ❑ No C7, If yes what will be discharged, Call for Certificate of Occupancy inspections BEFORE opening business_, Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign yap for utility services at the cashiers' 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 Incorrect information may result in revocation of permit. Dat Print,Name rLa� �i (.c)o/ kyY1.aIn Signature TAForms\Building DivisionlCertificate of Occupancy Application(2010).doc Page 2 of 2 0 . �jj# ORT,NCCERTIFICATE OF OCCUPANCY APPLICATION Permit# "2�� P CITY OF PORT ANGELES FEES n$50 Attn Permit Technician Certificate /Inspection 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.? A Zoning BUSINESS NAME— LL i )I AL1 �� YY1 Q SSQG-P 1 114 V Q`K�xI Business address /ad S E: f'ron't '9+. Mailing ad r ss Po anx a3 y f� 4' 36 z Phone number 366- V17 Sd S:Opening date G /0 Days & hours of operation i7'1— F 8:30-S0 Business owner's name a k. Way'kyyNa%A Contact phone Urso-yi7-So?S7 Business owner's address 1/,2 G 0. Y PA, IM24-5 Brief description of business +r= Property owner's name Rosa JAI f S w4 h.% Contact phone . ?GD 6$3- 2310 Property owner's address/contact Pr, Sc ' BUILDING DEPARTMENT phone 417-4815 Bldg approvaly on _� M J IWT Vr Is the business a restaurant or bar that will seat 50 or more people? Yes 11 No J9 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 on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No R Work planned PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? e 7 95� PBIA notified on Is business moving within the PBIA? Yes ❑ No CITY CLERK .phone 417-4634 City Clerk approval by :Mj_on Y_—I Second-hand dealer/pawnbroker business?Yes ❑ No A Will there be dancing at this business? Yes ❑ No X A City of Port Angeles Business License is required foP- Taxi, Peddlers, Second-Hand Dealer Pawnbroker Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page I of 2 COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? Y (A.parking_.plan may be required.) Signs? (wall-mounted freestanding projecting awning A-frame, etc?) Signs planned- PLEASE NOTE. NO flashing intermittent: or chasing signs are permitted in the City of Port Angeles. PWE approval.by on PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site+sw.orl�;plgMed (new or re-located sewer or water service excavatibn grading or filling work in City right-of-way new driveway openings, site drainage parking lots, downspouts irrigation system backflow devices, etc.) Yes ❑ No 2� Work planned PUBLIC WORKS WASTEWATER phone 417-4845 Pwwappr•val by on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No a If yes, what will be discharged- Call for Certificate of Occupancy inspections BEFORE openin_g business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' 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. Incorrect information may result in revocation of permit. Datk2 Print.Name�gr�q, k Lk)cw-kw a n Signature T\Fors\Building DivisionlCertificale of Occupancy Application(2010).doc Page 2 of 2 -Af >v It, 41, qVN e� i ,.gip � T, .q'tt"�{'s�'1,,°. .t ,Sy ,�"e"' ,t .:v_• �« ?S>< yrt'�, 4 •r ,•ti� v,3� t .f�f, /'v,,,,,} ..F rr p. +w a• � pr` /. �''tel. � `";ix v.+. x � .��„ y. �'°�.i,.e :� fie, �;. � -`•°,..1�• s 's`0°y�`£N of ,9. / a q»a•'r, y. 4 �}.tP{ �, r 2 , •fir:' 'xy .. '\'"'�`�''''e`,4 ,. Y "°_,&_ .�. Clallam County Assessor& Treasurer - Property Details - 61903 ROSA JULIA SWANN Page 1 of 3 Clallam County Assessor&Treasurer y Property Search Results>61903 ROSA JULIA SWANN TTE for Year 2011 2012 Property Account Property ID: 61903 Legal Description E12.5 LOT 15 AND W2LOT 16BL13PS COOP COLONY SUBDIVISION Geographic ID: 0630005313600000 Agent Code: Type: Real 1 Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 65 Open Space N DFL N Historic Property N Remodel Property N Multi-Family Redevelopment:N Township: Section Range: Location Address: 1225 E FRONT ST Mapsco: �- PORT ANGELES,WA 98362 - Neighborhood: Cycle 5 Comm Map ID 2 Neighborhood CD: 20953140 �v Owner Name: ROSA JULIA SWANN TTE Owner ID 55164 Mailing Address: 17 WADSWORTH DR %Ownership 100,0000000000% SEQUIM,WA 98382 Exemptions Taxes and Assessment Details Property Tax Information as of 03122/2011 Amount Due if Paid on: NOTE.If you plan to submit payment on a future date,make sure you enter the date and click RECALCULATE to obtain the correct total amount due. First Second Half Half I Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 156316 ST SCH STATE SCHOOL $13799 $137.98 $0.00 $0.00 $0,00 $275.97 2011 156316 CC-GEN COUNTY CLALLAM $76.18 $76.16 $0.00 $0.00 $000 $15234 2011 156316 SD#121 SCHOOL DISTRICT#121 $180.38 $180.36 $0.00 $0.00 $0 00 $360.74 2011 156316 CITY PORT ANG CITY OF PORT ANGELES $175.86 $175.84 $0.00 $000 $0.00 $351 70 2011 156316 PORT PORT OF PORT ANGELES $10.72 $10.72 $0.00 $0 00 $0.00 $21 44 2011 156316 NTH OLY LIB NORTH OLYMPIC LIBRARY $31.95 $31.94 $0.00 $0.00 $0.00 $63.89 2011 156316 HOSP#2 HOSPITAL#2 $31.27 $31.27 $0.00 $0.00 $0.00 $62.54 2011 156316 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.51 $9.50 $0.00 $0.00 $0.00 $19.01 2011 156316 CITY-STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0.00 $0.00 $72.00 2011 156316 WEED-CONTROL WEED CONTROL $0.82 $0.81 $000 $0.00 $0.00 $1.63 2011 156316 TOTAL. _ $690.68 $690,58 $0.00 $0.00 $0.00 $1381.26 2010 44590 ST SCH STATE SCHOOL $14008 $140.07 $0.00 $0.00 $280.15 $0.00 2010 44590 CC-GEN COUNTY CLALLAM $7455 $74.54 $000 $0.00 $149.0_9 $0.00 2010- 44590 SD#121 SCHOOL DISTRICT#121 $181 42 $181 44 $0.00 $0.00 $362.86 $0.00 2010 44590 CITY PORT ANG CITY OF PORT ANGELES $172.58 $172.59 $0.00 $000 $345.17 _ $0.00 i2010 44590 PORT PORT OF PORT ANGELES $10.48 $10.47 $000 $0.00 $20.95 $000 2010 44590 NTH OLY LIB NORTH OLYMPIC LIBRARY $21.66 $21.66 $000 $0.00 $43.32 $000 2010 44590 HOSP#2 HOSPITAL#2 $30.58 $3058 $0.00 $000 $61 16 $000 2010 44590 WSMET PK DIST WILLIAM SHORE MET PARK DIST $9.73 $973 $0.00 $0.00 $1946 $0.00 2010 44590 CITY_STORMWATER CITY STORMWATER $3600 $3600 $000 $0.00 $7200 $0.00 2010 44590 WEED-CONTROL WEED CONTROL $0.82 $0.81 $000 $0.00 $1 63 $000 2010 44590 TOTAL. $677.90 $677.89 $0.00 $0.00 $1355.79 $0.00 Values (+)Improvement Homesite Value: + N/A (+)Improvement Non-Homesite Value:+ N/A (+)Land Homesite Value: N/A (+)Land Non-Homesite Value: + N/A Ag I Timber Use Value (+)Curr Use(HS) N/A N/A (+)Curr Use(NHS): N/A N/A (_)Market Value: N/A (-)Productivity Loss: - N/A (_)Subtotal: N/A (+)Senior Appraised Value: + N/A http://websrv8 clallam.net/propertyaccess/Property aspx?cid=0&year=2011&prop_id=61903 3/22/2011