Loading...
HomeMy WebLinkAbout133 E 1st St - Building Certificate of Occupancy 133 E St 12 - 1406 CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: Skin Care Suites Spa oBusiness address: 133 E 1ST ST6 V' Business owner: Jodi Fairchild p Business owner's address: 1106 W 16th St Port Angeles, WA 98363 Automatic fire sprinkler system: N/A Use & occupancy classification: Business Occupant load: Per 2009 IBC, Table 1004.1.1 Type of construction: VB- _ )42 -__Ust/z4-_atj:±-LX. 1 _,. -rc,-.--7_,A 3/29/2013 Sue Roberds, Pla ing Manager Date Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. V 400 -QO • CERTIFICATE OF OCCUPANCY APPLICATION Permit# �► A_ CITY OF PORT ANGELES 50 Certificate /Inspection Attn: Permit Technician $ p 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...?I1 Change of ownership only? Moving location from within P.A.? 11 Zoning BUSINESS NAME ii'-'( X / • Business address./06Q it? (iii cO(.w /33 L )S-- Mailing address /a 6. !U (.l n ' Sf Phone number5(oO5' -OZ.-DOOpening date/b22-00g Days & hours of operation `�uisa �'2�t, %0 -:.P1P/►-) Business owner's nameJo L riter d� & 1 - 1/ a,AContact phone3(00 -/(o I- 0 (D I Business owner's address //0(0 kt), 160'41- • Brief description of business -Spa-, S.e.AU l fL 5 , (-1-4-0.1P Property owner's name i(,K5 LOON"-, Contact phone 3u o LiSV7 - 3S Property owner's address/contact I, .I S. S-fr-e4 fi BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No ZIF Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairw_,ys, 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 C" Work planned: PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? 'LUDO 7 PBIA notified on Is business moving within the PBIA? Yes No'] 77 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 11 No 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 l . COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on 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: OSP Of -iitiazn c c5-7731.6- 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 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 I No, 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' 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 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. I ,^ J Date 1010/12- Print Name j OCt, -Fa l rC I[( Id 1 Signatureje4!.. T Worms\Building Division\Certificate of Occupancy Application(2010)doc Page 2 of 2 CITY OF PO11T ANG.E.L.ICS PEI ER. �5. 11'x1TA.S'P:Pax�A7C1®.1�C Building Division/Elect;ical Xingpections } 321 East.Fifth Street�-P,O. 80K].'150/Port Angeles�Vash,iingtott,9$362- Ph: (360)417 pax: (360)417-4711 mm MAMulti-Family or Co 6"d�iY 2 4 201:Y g Y INSPECTIONS Plan ReviewMay Be Required, Please mplete Efectrical Plan Review Information Sheet Job Address: Building Square Footage: besorlption of above _ ---- OwneTIn anon Name: In contracto Info►rraat Mailing Ad ress: _ J „ M�mn:�, ✓i'}'1' 1e& � L I(� City, State: 2i 9 Q a Q Phone: _Fax -Zip: City: . �- License#I Exp. Phone, •• F Zp4 it p Ite f s�'�.pse t ii_ ,gn�,�►. ra Service/Foeder 200 Amp. unat � Total$ Multi need ltrlit c a e Service/Feeder 201-400 Amp, 0132o0 Servi0elFeeder401-600 Amp $160'00 $ ServfcelFeeder 601-1000 Amp. $289,90 Service/Feederover 1000 Amp, $a1a CO Branch Circuit WI Service Feeder $ 5,00 $-- - Branch ClrcO W10 Service Feeder $ 74 00 Each Additional Branch Circuit $ .00 $ Branch Circuits 1-4 5 $ 85.00 $ " Temp.Service/Feeder 200 Amp, 102.00 R I� Temp.Service/Feeder 201.400 Amp. $121-00 Temp,SarviceTeager 401.600 Amp, $164,00 Temp.Service/Feeder601-1000Amp, $185,00 Portal to Portal Hourly $ 96,00 Sign/Outline Fighting $ 88.00 $— Signal Circuit/LimW Energy—Multi-Family $ 64,00 $ �� Signal Cireulft Limited Energy/Fist 1500 of Commercial $ 96.00 Note: $5,00 for each additional 1500 of Renewable Electrical Energy-5KVA System or Less $113,00 Thermostat $ 58,00 $-- Nate:$5.00 for each addVoral T•Stat Owner as defined by RCW.19.28,261:(1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)1;)wner is required to hire 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 contra�„ the electrical installation Cod a alteration in compilance WM the electrical laws,N.E',C., RCW, Chapter 19.28,WAC, Chapter 296.468 Thel�ity oMaking Angeles Municipal Code,and Utility Specifications and PAMC 14,05,050 regarding Electrical Permit Applications. Sfgra r of owner,electrical cont or or Qlectrlcal administrator: Cflsh C Check gif Credit card#_� � •/ DaCetl, �+�-� ®3 " a11p112r192 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 1 Application Number 13-00000561 Date 5/24/13 }, Application pin number . . , 031067 c 3„a P®RT SALES TAX Property Address . . . . . 133 E 1sT ST REPORT ASSESSOR PARCEL NUMBER: 06-30-00-5-1-1675-0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name , . . , . . to City of Port Angeles Property Use . , . , Property Zoning , . . . . . , CENTRAL BUSINESS DISTRICT (Location Code 0502) Application valuation . . , . 0 Application desc STACK WASHER AND DRYER Owner Contractor ------------------------ ------------------------ ELKS LODGE 353 SI.MPSCN ELECTRIC 131 E 1ST STREET 243036 W HWY 101 PORT ANGELES WA 983622902 PORT ANGELES WA 98363 (360) ----3355 --------------(360) 457-9270 \ K Permit , . . . . , ELECTRICAL ALTER COMMERCIAT, \V� � Additional desc STACK WASHER AND DRYER Permit Fee 66.00 Plan Check. Fee 00 Issue Date , . . . 5/24/13 Valuation . . . . 0 Expiration Date 11/20/13 Qty Unit Charge Per Extension BASE FEE 86.00 Fee summary Charged Paid Credited Due ----------------- ---------- -- ------ ---------- ---------- Permit Fee Total 86.00 86.00 ,00 .00 Plan. Check Total 00 .00 .00 00 n Grand Total 85,00 86.00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGEIBUILDING CERTI JiC 'E: F .00CUPANCY pity of `Port Angeles Bluildii.ngXonOsion This certificate is issue dyursuantto.the requirements of Section 111 of the 20O9nlnternational Building Code certifying that at the timeofssuance :trsstructure was in compliance with the various ordinances of the City regulating building construatiant*use fgr the follow Business name fl elOeffeinat+ed C`lethier a Business address 1''33 `1st St.' t Property owner Property owner s crddri?ss_ Automatic fire sprinklersyst Use occupancy clzssif ca, Building permit number. Occupant load. P i e Type of construction. VB Elks Lodge ;3°3 131 E 1s S .,A1PoAngeies' *V1A�;98, X62!2902 em. Not Reguiredf tion. Mercantile= tY- 09 -13 -11 Date Post on the premises in a conspicuous place. This ce iificate'shall not be removed except by the Building Official. 57 PREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11 ADDRESS 133 E 1ST ST SUBDIV TENANT NBR THE CAFFEINATED CLOTHIER CONTRACTOR PHONE OWNER ELKS LODGE 353 PHONE (360) 457 3355 PARCEL 06 30 00 5 1 1675 0000 APPL NUMBER 11 00000563 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 9/07/11 I BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 09/02/11 TIME 14 00 30 September 2 2011 1 58 50 PM 1pangrle ZAN 452 5040 (I CALLED HER TO FINAL THIS PERMIT C OF 0 FINAL THE CAFFEINATED CLOTHIER SHE REQUESTED YOU INSPECT BEFORE 3 00 PM COMMENTS AND NOTES 3 PREPARED 9/07/11 9 11 38 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/07/11 ADDRESS 133 E 1ST ST SUBDIV TENANT NBR THE CAFFEINATED CLOTHIER CONTRACTOR PRECISION PLUMBING PHONE (360) 452 1850 OWNER ELKS LODGE 353 PHONE (360) 457 3355 PARCEL 06 30 00 5 1 1675 0000 APPL NUMBER 11 00000639 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 02 9/07/11 1 PLUMBING FINAL TIME 01 00 September 2 2011 2 01 23 PM 1pangrle ZAN 452 5040 (I CALLED HER TO FINAL THIS PERMIT PLUMBING FINAL GREASE TRAP SHE REQUESTS THAT YOU INSPECT BEFORE 3 00 PM COMMENTS AND NOTES 1 I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 525 Application desc INSTALLATION OF A GREASE INTERCEPTER Owner ELKS LODGE 353 131 E 1ST STREET PORT ANGELES (360) 457 3355 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 0000 EA WA 983622902 PLUMBING PERMIT GREASE INTERCEPTER 188094 57 00 Plan Check Fee 00 6/22/11 Valuation 0 12/19/11 Per Z c LOUJ Date (0/42 /Ir rint Name T:Forms /Building 6ivision /Building Permit BASE FEE PL- PLUMBING Charged Paid 57 00 00 57 00 11 00000639 Date 6/22/11 893058 133 E 1ST ST 06 30 00 5 1 1675 0000 THE CAFFEINATED CLOTHIER PLUMBING PERMIT Contractor PRECISION PLUMBING P 0 BOX 2910 PORT ANGELES (360) 452 1850 57 00 00 57 00 TRAP Credited Due 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 Signat o tractor or Authorized Agent WA 98362 Extension 50 00 7 00 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) (kn' Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 1 FINAL Date Accepted by FINAL Date Accepted by ll -5t 3 Cof o made., ci- 15-4) Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 Applicant Property Property Contractor Contractor's License 1 Como Owner )3m)e.t., av- S (mfr 3� Owner's Address 3/ 5` 28T p LA: OALc.tstv■ 9 I viol Address C- jjo 13 G /c, I PT LA.9.a g 92 F C I P l i -I -O f Expires ff f 1. PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System 'Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 0,01 6z5 a Total footprint of structures sq ft. T Lot size sq ft. Lot coverage ok 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 Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date (P, i3 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove o other Existing (sq. ft.) Proposed (sq. ft.) 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 Print Name ZAP CA-15 T Forms /Building Division /Building permit application 33 F f7R-s s7R 7 ,e'Co- r'sv Residential Multi- family a.,c.,#4 Var-12_ I me v- rs..ol.� is rat» `Ii-R 2L e PA e 1 /l c9 G' Q to n YI DA U v ft. Occupancy group Occupant load Construction type Signature Phone Phone Phone E-mail Lot For City Use Only Date Received Permit# U— CO39 Date Approved 3(oO 457- 530c 36.v (15 3' Zoning per sq ft. of bedrooms of full baths of half baths ommercial Industrial CERTIFICATE OF OCCUPANCYAPPLICATION Permit# 5 G3 CITY OF PORT ANGELES Attn. Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 -4653 CITY CLERK phone 417 -4634 Second -hand dealer /p Yes 1A No Will there be dancing at this business? Yes No 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 v g +0 0 3E h q a I r iu oc'n w�,4 Certificate Inspection $1000Parking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK QQ Check one New business in P.A. Change of ownership only ?Moving location from within P.A.? CI Zoning C-B BUSINESS NAME —the r[LF.Ldl Business address I f- /s% S� Mailing address /33 E (i2Sr S7 Phone number 4,f 0C. f 7 6c6 Opening date Co/ I Days hours of operation '7C L -4,O Business owner's name 2 1∎3 atzvd Contact phone 360 S 2 '715'7 5 t 9 Business owner's address 20S 7 f' f�tccQd20 4 rd P W P q� 3 62 Brief description of business `m,? ar s,, SS /r, Property owner's name Ef (G-S /0 e Contact phone J Property owner's address /contact 44121", A .Q_ y� 2 S� ij 11 Is the business a restaurant or bar that will seat 50 or more people? Changes to a fire sprinkler system or fire alarm system? Yes No Work planned Bldg approval by on Construction changes planned (moving walls, adding /enlarging windows or doors, roofing, siding, foundation work, adding /altering stairways ramps bathrooTns electrical heating /coolin /ventilation systems etc) Work planned ___1,.... w l Vv --mac_ o,-ri& n le n'6,-e" s, s ,iz u 'WI 11 ate- a Qoir vn i+ v Na Fire approval by �l Y on 4 j 6 PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? A p -z c pc`i© fi PBIA notified on Is business moving within the PBIA? Yes NoX City Clerk approval by on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of oft-street parking spaces available for employees and customers? ou) h4v w n rQ�t r}�� n J 10+5 (A parking plan maybe required) Signs? (wall- mounted freestanding, projecting awning A -frame etc Signs planned y 5ra raw c :tt .r� d Q-e \I t t•U.4 1 Sc /Sri S" too S rn n Perm i--i- n e.P Per T 6 -4- II- PLEASE NOTE. Work planned CED approval by on 0 flashing intermittent, or chasing:signs are permitted in the City of Port Angeles 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, PUBLIC WORKS WASTEWATER phone 417 4845 PWE approval by on PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes No( 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 up for utility services at the cashiers' counter I hereby apply for la 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. D &/6//f Print Name Z Ce Signature TAFormslBuilding DiwsionTerlif4te of Occupancy Application (2010).doc Page 2 of 2 R(:) 3r" you CERTIFICATE OF OCCUPANCY APPLICATION e,R Permit# 5�3 CITY OF PORT ANGELES 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 Check one New business in P.A. Change of ownership only? Property owner's name Ef k -S f oef2c.P Property owner's address /contact 442-ro vLQ II BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? FIRE DEPARTMENT phone 417 -4653 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned CITY CLERK phone 417 -4634 Second -hand dealer /p Yes No Will there be dancing at this business? Yes No 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 Certificate Inspection PLEASE PRINT IN INK Moving location from within P.A.? Zoning CBS BUSINESS NAME c—rhe Cal k',r,nafrcc 0.16 LN Business address f=. w %ST Mailing address /33 E a r S7 /9-- Phone number '�12C) 4f3 5 Opening date Go/ Days hours of operation 2e-44.4(D t tc-et Business owner's name 2,4A) C t-r., d Contact phone 360 R2 -'7. 5'7 514 v "'9 Business owner's address ?"5 r gic,e0o64 1-ca P hf Pc d 62 Brief description of business /3n2cc aisv 6 S4,,,p) /64-42_(„ Sf Q0 _mo0/44. fr cA /5, _p Contact 'phone 44 Bldg approval by 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 .'L[2:- w i (l Vno- -tee_ th- rca P f s-frz./..ec -I' u 'Wilk ate\- a oo- vi J Fire approval by on PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? ,rox. oo© PBIA notified on Is business moving within the PBIA? Yes No24 City Clerk approval by on ui tr FEES p h on NO feSi I] Work planned COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of ofEStreet parking spaces available for employees and customers? ocu) r -o w r r n J (A parking plan may be required.) r Signs? (wall mounted freestanding projecting awning A -frame etc Signs planned 5 r4 Yl (.L:3 PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. 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 PUBLIC WORKS WASTEWATER phone 417 -4845 Se d {fie J I B( —0,44-4-r7 1 rx perm +-r n e ii Oer T rvt L 6 -4 -I(- CED approval by on PWE approval by kV on 6 -g" Al CovV V\A vvt_s 041+ l i -63q r ar 6- e. T- PWW approval by V on Will waste other than domestic household waste be discharged into the sewer system? Yes No(' 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 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 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Signature 7. Page 2 of 2 \Forms \Building Division\Certificte of Occupancy Application (2010).doc Naval Elks Lodge #353 131 E. First Street Port Angeles, WA 98362 Phone 360- 457 -3355 June 7, 2011 To Whom It May Concern. The Naval Elks Lodge 353 Board of Trustees has granted permission for Zan Cloud (DBA Caffeinated Clothier) to purchase permit to install grease interceptors at business location in Elks building 133 E First Street Port Angeles WA. Naval Elks Lodge Board of Trustee Vernon Reidel libmel NNW -0 C 2 CERTIFICATE OF OCCUPANCY APPLICATION Permit CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 f die�o 3.*hgO plurabi W0. FEES P Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations PLEASE PRINT IN INK Q Check one New business in P.A. Change of ownership ?Moving location from within P.A.? Zoning C-B BUSINESS NAME `.---I-The C DLO\ k inna�Ee,' C -1 wv Business address J /5r 5� Mailing address /33 E r, 257— S Phone number •z,( '.667 53c6 Opening date Lo` I Days hours of operation wo S -6P g,`( Business owner's name ZfNV Cu40 Contact phone 360 R2- '7/5"7 ShWT 5' Business owner's address 2.05 r. ikekddock rc' PA v4 P q8'' 62 Brief description of business /ir,s Sit..-c) C L -LatO .....4/1214.6.&.-( c f cI. .P v Property owner's name 2i g-s f o Property owner's address /contact ,k�21 a/LQ BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? FIRE DEPARTMENT phone 417 -4653 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? ,p p-rmc I. o00 Is business moving within the PBIA? Yes NoXl CITY CLERK phone 417 -4634 Second -hand dealer /pawnusiness? Yes 7- No Will there be dancing at this business? Yes No 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 Contact phone Bldg approval by Fire approval by PBIA notified R H on Ii Hi on Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways, ramps bathrooms, electrical heating /coolin /ventilation systems etc) Work planned v w i t t env -ot_ o,-ri& e r, x ,7 Siet -e V Wilk ae} a QP�re il+ J 7 on (0.-2-1 —0 City Clerk approval by 3 M on W e 10 �L COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? vu) b 4v u. rpa r}<i n j icri (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned: Oct 'h PLEASE NOTE., NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles 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 r PUBLIC WORKS LWASTEWATER phone 417 -4845 PWW approval b y on Will waste other than domestic household waste be discharged into the sewer system? Yes 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 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. Date e/W/f Print Name 74-f•-) C(...01-)0 T \Forms \Building Division \Certificate of Occupancy Application (2010).doc .L_ Sci sue, .f ,Sf C ►-1 r. Derv, i+ Oe r T ry L 6 -i, -11 Page 2 of 2 PWE approval by R V on Please sign up for utility services at the cashiers' counter Signature �1 CED approval by S on 6 g f Clallam County Assessor Treasurer Property Details 61423 ELKS LODGE 353 for Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 61423 ELKS LODGE 353 for Year 2011 2012 Property Account Property ID Geographic ID• 0630005116750000 Agent Code: Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 69 Open Space: N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Township Section: Range: Location_ Address: 131 E FIRST ST Mapsco: PORT ANGELES WA Neighborhood: Cycle 5 Comm Map ID' 2 Neighborhood CD 20953140 Owner Name. ELKS LODGE 353 Owner ID' 23082 Mailing Address: 131 E 1ST ST Ownership. 100.0000000000% PORT ANGELES WA 98362 -2902 Taxes and Assessment Details 61423 Property Tax Information as of 06/06/2011 Amount Due if Paid on. Legal Description: Exemptions. SMITH, NORMAN R LOTS 17 &18 EXC TX #1429 BL 16 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 Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due 2011 155860 ST SCH STATE SCHOOL $1368 65 $1368.65 $0.00 $0.00 $1368.65 $1368.65 2011 155860 CC -GEN COUNTY CLALLAM $755.56 $755.54 $0.00 ,$0.00 $755.56 $755.54 2011 155860 SD #121 SCHOOL DISTRICT #121 $1789.07 $1789.05 $0.00 $0.00 $1789.07 $1789.05 2011 155860 CITY PORT ANG CITY OF PORT ANGELES $1744.24 $1744.23 $0.00 $0.00 $1744.24 $1744.23 2011 155860 PORT PORT OF PORT ANGELES $106.34 $106.34 $0.00 $0.00 $106.34 $106.34 2011 155860 NTH OLY LIB NORTH OLYMPIC LIBRARY $316.87 $316.86 $0.00 $0.00 $316.87 $316.86 2011 155860 HOSP #2 HOSPITAL #2 $310 16 $310 15 $0.00 $0.00 $310 16 $310 151 1 2011 155860 WSMET PK DIST WILLIAM SHORE MET PARK DIST $94.28 $94.27 $0 00 $0.00 $94.28 $94.27 2011 155860 CITY_STORMWATER CITY STORMWATER $80 75 $80 75 $0.00 $0.00 $80.75 $80.75 2011 155860 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 2011 155860 TOTAL. $6566.74 $6566.65 $0.00 $0.00 $6566.74 $6566.65 2010 44136 ST SCH STATE SCHOOL $1430 44 $1430 43 $0.00 $0.00 $2860.87 $0.001 2010 44136 CC GEN COUNTY CLALLAM $761.22 $761.24 $0.00 $0.00 $1522.46 $0.00 2010 44136 SD #121 SCHOOL DISTRICT #121 $1852.80 $1852.80 $0.00 $0.00 $3705.60 $0.00 2010 44136 CITY PORT ANG CITY OF PORT ANGELES $1762.50 $1762.49 $0.00 $0.00 $3524.99 $0.00 2010 44136 PORT PORT OF PORT ANGELES $106.99 $106 99 $0.00 $0.00 $213.98 $0.00 2010 44136 NTH OLY LIB NORTH OLYMPIC LIBRARY $221.20 $221 19 $0 00 $0.00 $442.39 $0.00 i 2010 44136 HOSP #2 HOSPITAL #2 $312.28 $312.27 $0.00 $0.00 $624.55 $0.00 2010 44136 WSMET PK DIST WILLIAM SHORE MET PARK DIST $99.36 $99.37 $0.00 $0 00 $198 73 $0.00 12010 44136 CITY_STORMWATER CITY STORMWATER $80.75 $80 75 $0.00 $0 00 $161.50 $0.00 2010 44136 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0 00 $1.63 $0.00 2010 44136 TOTAL. $6628.36 $6628.34 $0.00 $0.00 $13256.70 $0.00 http. /websrv8 clallam.net /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =61423 6/6/2011 rf pORT ~ l"O~~~ ~ L~ ~ 'tri;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property zoning . . . Application valuation 5/04/04 "'nJ e . ~~ 04-00000347 Date .549479 133 E 1ST ST 06-30-00-5-1-1675-0000- @ PLAY INTERNET CAFE COMM REMODEL CENTRAL BUSINESS DISTRICT 20000 Owner Contractor NAVAL LODGE BPOE HOCH CONSTRUCTION 131 E 1ST STREET 4201TUMWATER TRUCK TRAIL PORT ANGELES WA 98362 PORT ANGELES WA 98363 ( 36) 457-3355 (360) 452-5381 Structure Information REPAIR FIRE DAMAGE Construction Type . . .. TYPE V NON-RATED Occupancy Type . . . .. BUSINESS:OFF/PRO/MED/REST Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT - COMMERCIAL REPAIR FIRE DAMAGE 344.75 Plan Check Fee 5/04/04 Valuation 10/31/04 224.09 20000 Qty Unit Charge Per Extension 92.75 252.00 BASE FEE 18.00 14.0000 THOU BL-2001-25K (14 PER K) Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 344.75 344.75 .00 .00 Plan Check Total 224.09 224.09 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 573.34 573.34 .00 .00 - W lJJ \tJ .......... ~ ~ ~ ~ t' ~ \ ~ ~ \1'1 \ ~ \' Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified 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 constr~.9i9n . ,,$- u 7"-0 4 Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\ 1102.15 [11/14/2003] Date '-- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS .S-(;., . CI-1 .J.r ,k CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING .~ -(;; .- r.) t-I J.~ DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 - BUILDING j - ?:,.:.; '5' J./.-. T:\PLANNING\FORMS\1102.15 [11/14/2003] tJj tJj >-3 '" i;;~~8t;JE; n'" ::: t< >< ; H:U W '" ",:uZZZtJ >-3Dl :u '- t<[Hl;d~[:l ><'" w >-< ;t> 0 0 0 >-l ~t"l :J;:t!-3{f) O:U .... .... n- w "lDl . >-3 tJ txI tJj OZ '" W '" Dl' :u tJj . 0 n:un :u :u :UUl ODl >-3'- 3:0 0 ",c::O aoZ:I:@1--' ~-::: t<DlO ,(:::.0'\)::10 W DlW , , <:n"Ow 1;)0 >-3>-3tx1 Qw);:l:I:t"' Dl'" tltJ S oot"l ~tI:ll t<- o. n>< Dl El oot"'O .... w.... 1000 Z H (J) W t~ >-< W I t1{f)Z~ :u iZi ~U1G1I-]t-3 Ul DlHQ ..,JltIj::dtI:lU) W wZ n~tJ:lX~t-3 c::w", 0 ;;"'; 0""" I'd 1-3 tI:l ... 3;0'\OHt-3 3:.....:JtJjo H Ul zn >-3 :u. ;t> 010 "l tJj tJj :utJ, 3:0 Dl 8 c:: DlDl 00 H g]~8 tJo t< t< Dl' tJ tJ t<:U1 t< Z H >-3H Z w'" n I;) I;) '->-3 0 nH(J H 3: ;t> "l OOH HZ 3: H :u ~z~ Zw Dl :u ~ w'" Z Dl "'Dl >-3 W Z Z Dln W Dl >-3 n>-3 ;t> I;) W >-3H ~ t< 00 , :UZ tJ , '-<>-3 Z , ~~ 0 "'''' W , >-3 :>:::>:: [;1 , Dl~ Dl 00 , WDl W ZZ tJ , >-3 DlDl < , t< , .. , t< , H , Dl W :u w'" t< "'0 >< ...... UlUl ...,"-> , , WUl W W UlOO Ul.... tJ'" ;t>;t> >-31;) DlOl Ul '- 0 ..., '- 0 ......, tJj tJj tJj tJj tJj , >-3 'tl i;;~~8tH; 0'0 t< r< t< ;J> t< >< ~ H:U '" '" :€ H W '" 'O:UZZZtJ >-3Dl '" '" [J) :u '- t<Q~~~~ ><'0 [J) H ;J> 0 0 0 0 0 10 >-3 Zt< ;J>>-3[J) o:u "-' ... ... ... ... ~. 0- [J) "'Dl >-3 tJ tll tJj OZ '" ~ '" Dl' :u tJj . 0 Cl:U(l :u :u :u... "'''' 0\0'IU1U1U1lJ1 ODl >-3'- '-'- ................................................................. 310 0 ... ... 1-'-1--'0000 "'C::O ooZ::r:@1-' ~~ 0000 CDOJ-...J...J-...JO"I t<DlO ~O'\:t:'O w '-'- .............................................................. Dl[J) , , <n"tlW Clo 00 000000 >-3>-3tll ow~::r:t"l Dlen ."." .t::..t:>,t::.,p.,p.,s::.. DlDlC:: oat< ;J>Dl t< . tJtJH 0 , 0>< Dl e; coLlO ... [J)'" OOOZHC;) "-' H w, tJ[J)Z>-3 0, tJo, ;J>o,;J>o,;J>o, :u = '(:::'V1GJ~l-3 0 t< ;J>t< I'Clt"l'Ut"'ItOL' DlHQ ..., , tI:l:::DtI:lUJ w t< t< t< t< [J)Z ... C:::U>-3 C::(I)'tl Cl , tJjOZ en ~"t1~ QI--'''tll-3tI:l w 3:mOHt-3 3:...Jtr:10 H en Zo >-3 :u , ;J> DlO '" ttl:(:::dtIln::dtl:l tJj tJj :utJ , 30 Dl c::..........Hc:::OHc:: ::1 ::1 DlDl 00 H::Y(1H3:()H ~~8 tJo t-l ?::t"'ttl~t"' t< t< Dl , t:1 ti t:l H t::l tJ tJ t<:U1 t< HCl> HZ H Z Z >-3H Z.o 'Z;J> Z [J)'" 0 ClP. Cl>-3 , Cl Cl Cl '->-3 0 H OHO H 3 "'''' "''''0 H ::: '" OOH HZ 3 HCl> "'HZ Z :u ~Z~ Z(I) Dl ZN OZ .t;>.(J) :u ~ (I)'" Z ;J>;3 I;J::tHO'\C:: Dl 'ODl >-3 t< f-'. wt"'Zot"" (I) H Z DlCl (I) () 00 [J) , ;J> Dl Z >-3 0>-3 "-' c::w>-3 ;J> Cl (I) >-3H ~ '" ." t<ooH t< 00 <T ;J>"-'O :UZ tJ " >-3"'Z '" H 0,>-3 Z '0 0 :€ ;J>H 0 Z ;J> "'''' (I) 30 >-3 '" t< :.::.: 6J Dl~ Dl " ~ t< 00 [J)Dl (I) P. '- ZZ t:l >-3 tJ '" DlDl H t< <T t< <: '" '" 0 t< '0 Z 0 H :u Dl -< ;J> w :u '" t< w", t< f-' "'0 >< -< Cl> ."." P. en en " ...,"-' '" ' , f-'. wen " w w en 00 f-' en... f-'. " Cl> '- ~. f-' f-' tJ'" ;J>;J> >-3Cl DlDl ... ..... 0 '" '- 0 enw BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at ! 3?:, b h 12-~ +- :r'\-\c~2t-l~~ Wt Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~ ~ ~T2-A\P , u) /J IrE 'i4d IP' ~h" \J~ I t=:~1$- \ J::AI/h~ f ~ ~U:-r ~sp ~PQO These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call \ :~t~ns:r;;) 0+ DO NOT REMOVE THIS TAG