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HomeMy WebLinkAbout121 E 8th St - Building .~. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 o.fthe 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. Forrhefo/Jowing: Use Classification: Business Building Pennit No.: 05-1155 Business Name Simply Flowers Group: ~ Type of Construction: V-N Use Zone: CSD Owner of Business: Sharon Psenak Address: P.O. Box 2604 Port Angeles, W A. 98362 Port Angeles, W A. 98362 August 23,2006 Date BUild~gA/S: 121 E. 8th Street. _ Jl;j;t / ;;;-""~-i &'i"1::; /'" "li -. '-"'"", Post on the premises in a conspicuous place. / w~~ A~ ~Pi PiD =If- 0!3 - //55 UD - 72Nt3L fA, OF uJer2 Jr .- . NA1/1t? c.I/1fN 60 f)/J i Y ROUTING SLIP i,ORT ..<\< $'o~Q('(~ 61upty Ftou.Jeet Ci~~.<I> Certificate of Occupancy '"~ L. -=:::::.:..w =- $"'" "0 Certificate/Inspection Fee ~ "\.0;", ..,..' DATE ~-a3-o~ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Busines~ P/l qJ~;). Transfer of Business location . . . . . . . . . . . . . . . ( ) Jd I ..E g - I-Change of Ownership .. . ...... ..... ..... .. ( ) , l <;HA(2{)/..! ?..:5t::--V 14 k Applicant New Building .... . ..... ...... . .... .... ... ( ) Address 1'0 !30~ d&>Ot? Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) (Sc:: q l/ I rY\. IA,) 14- 9 ~ 3'--'--' Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) I home ~Ki - ;)..,76 Phone: business 5ll"'-J..:J('(.., Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: I=LtJe (J..L s. riD P legal Description: lot Block Subdivision Current Use of Property: F 1-() ell t- sHOP Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . - ./ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - ./ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............. -~ 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -L- 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . _V 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _V 5) Sewer 5) Dance New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . _V 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ................... v/ 7) Driveway installation 7) Fireworks -- Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . -~ 8) Curb installation 8) Ambulance Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ... . . . . . . . . . . . . . . . . -~ 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -L_ 11 ) Fire New driveway openings ....................... . --L 12) Occupancy A grading plan for site drainage . . . . . . . . . . . . . . . . . . -~ 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . ~=z: 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . -~ 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . --L 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- Date: ~-d3~ edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Signed=/l-~ . APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 30i of the 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: Bu'i1ding Permit No.: 05-1155 Business Name A CORNER COPIA Use Classification: Business Group: ~ Type of Construction: V-N Use Zone: CA Owner of Business: Sharon Psenak Address: P.O. Box 2604 Port Angeles, W A. 98362 Port Angeles, W A. 98362 ,. ",'" "'Il' dl1 December 7,2005 Building Address: 121 E. 8th Street. ">7 - y ruItI~~lti;t ~q ~~::2,:~t!~,." 'U mI\. Date ~:r::;l _.~ - ^~~~~J" 0-, ~~.)~,. " Post on the pre"mises in's conspicuous place. Shall not be removed except by Building Official. '.j;: 'W A 'C-&:J eNE:1:Z- Ct?pth +- 00- ll'7!1 ~? ROUTING SLIP ~f'ORT "'", iJ~O~Q~", Certificate of Occupancy ~.. '-- -=:::...111' =- ~e O~<:Sl+tP $50.00 Certificate/Inspection Fee ~ t?F ""'"d. DATE I/-d./-O-S- New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( ) /a/ E 'ZLH-- ~-r Change of Ownership .... ... . ..... .... . ... ( ~ ) Applicant (_<)H /1120 J.I '?S c At /4 K- New Building ... . . ......... ..... .... ..... ( ) Address 1>0 1301-- ~oy Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ~E I). u. ( rr\.., UJ It Q't312. Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) , Phone: business Lf lJ 0 --<.o'l v , home (P 'g 3 ':'J.67K Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: FLOI2r-l1-- SHO~ (;/P7j, ~SjJl2 t: 55 () , legal Description: lot Block Subdivision Current Use of Property: Fl-Del4J..... 6/- GIFT .5d-()fJ Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . -~ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -+ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............. -- 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . -L~ 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _1- 5) Sewer 5) Dance New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons . . . . . . . . . . . . . . . . . . . _ ---X- 7) Driveway installation 7) Fireworks Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . -+ 8) Curb installation 8) Ambulance Excavation of filling of lots. . . . . . . . . . . . . . . . . . . . . . . 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way . . . . . . . . . . . . . . . . . . . -X 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -y- 11 ) Fire New driveway openings ........................ -X 12) Occupancy A grading plan for site drainage . . . . . . . . . . . . . . . . . . - ---x- 13) Sign -- (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . -X- 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . 15) Home occupation Are there existing sidewalks? ... . . . . . . . . . . . . . . . . . ---4- == 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . ~- 17) Other Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- Date: /I-~ /-{)1;;' edge that I have read this application and state that the information I have supplied is correct to the best of my Signed:~~ knowledge. /' ;p;;~~ j~EJECTED Comments / Conditions 2. fA Building Section III Public Works Department 11-1.'5 -D~ - S~ Planning Department ~ Fire Department 11--2J- O~ -.PV City Clerk P.B.I.A. 'j ~ ov" n -e..r - C Ctp I C(., ~ at e~ ROUTING SLIP f,ORT "'.... $'o~Q<(fl' Certificate of Occupancy o~=- . "- -=-'" ~ $47.00 Certificate/Inspection Fee ~ ....,'CwO<<,-' DATE 3 -~'l-tJlj New Business .... ........................ ( ) Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( .~ ) /;( / (, . ~ ,hA'" /'J;C Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant 7n 7 t;." \... /,IJ ~ I P. f' /!c New Building ................ ............. ( ) Address j1 {/J ~ '1 ~ " .s Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business ...................... . ( ) Ph~~:;r ::ess i."J e~ s ~ r,{ime ;;, r / - 7,;4 9 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) :J( <j -/ ~ ,~" Brief description of proposed business: 7~~'~ "" g A/r; ~ t legal Description: lot Block Subdivision Current Use of Property: .iVhtf"j; Zoning Classification of Property: C-S\"::) WILL THERE BE ANY OF THE FOLLOWING? YES , THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . , , . . . . . . . . . . . . . PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . , . , , . . . . . . . . . . . . . . -~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . , . . . -~ 2) Plumbing 2) Peddlers Plumbing changes ............................. --;r 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . , . . . . . . . \:T- 4) Mechanical 4) Pawn Broker New septic tanks. . , . . . . . . . . . . . . . , . , , . , . . . . . . . . . - ---;r 5) Sewer 5) Dance --y- New sewer service ...........,................. -- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons. . . . . . . . . . . . . . . . . . . . ./ 7) Driveway installation 7) Fireworks -~ Is this a home occupation? ..................... . -- 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . 1/- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -- 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . I/' 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . . . . . . . --r (f3) Si~ - ---;;r- (parking lots, downspouts, etc.) ................. . 7:- 14) Shoreline Are the existing streets paved? ................... 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ~ 16) Conditional use Is there curb and gutter? ........................ 17) Other Other........................................ . -- I hereby apply for a Certificate of Occupancy and acknowl- Date: 3 -,,{ J' - 0 r edge that I have read this application and state that the information I have supplied is correct to the best of my signed.k..." - fL.;} I. J/) A . / knowledge. / ~ M/./ ~... A"~> ~\ REJECTED Comments / Conditions . A/u,,"'- Building Section .It-.-<'-z~/ 7 /~ Public Works Department ,~/). 9-I)Y, t/lJ Planning Department Kt)() Fire Department g 1.?-/J'/,A;) City Clerk I P.B.I.A. ~ AC 'f- F/ u .-"- ~ vORT ~ A..J...O~~ l:ir...<'", 'L ~ ~ 'tii~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 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 04-00000254 Date 3/29/04 .048194 121 E 8TH ST 06-30-00-0-2-3170-0000- A CORNER-CORNIA OF FLOWER SIGNS COMMUNITY SHOPPING DISTR o Owner Contractor ------------------------ ------------------------ GUY MADISON, ET AL 316 W 9TH ST PORT ANGELES WA 983627603 OWNER ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date SIGN 25.00 3/29/04 9/25/04 Plan Check Fee valuation .00 o <-p ~\ 1\, "" 1;., " -- ~ ...,. r ('j) ~ Qty unit Charge Per BASE FEE Extension 25.00 Fee summary Charged Paid Credited Due Permit Fee Total plan Check Total Grand Total 25.00 .00 25.00 25.00 .00 25.00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 construction. Signature of Contractor or Authorized Agent ON FILE Signature of Owner (if owner is builder) ~te " "'. Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BillLDING 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: Ii ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB I I WALL 1 FLOOR 1 CEILING I I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT Ii's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 <:'1,x/o.;l j ~ A' BUILDING T:\PLANNING\FORMS\1 102.15 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONL V: Date Rec.: ~ - 2'1 ~ c-v Pelmit #: 6 Lj- 25 '-/ Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. !fyou have any questions, call (360) 417-4815 Applicant or Agent: ~ jLv . Owner: ~>V a/1 izIf!.r-u."L./ Address: ~? j?&/f.t/3305 e /l'1a~//1/ Architect/Engineer: Contractor Address: City: 7 "",~ Phone: J t r) c5t,'S. .' /,;;{ c5' tP Phone: cJ~ c {, Y/ -73 L/. '7 . w'cr.?r?'7/ ZIp: 7 i'l L./ {) (;oL-'" tJ(7/ Phone: State License #: Exp: Phone: PROJECT ADDRESS: /,11 City: f t;?2/ Zip: ZONING: C-'S U LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ------ ~ /1 City: Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF.@$ /SF.=$ SF. @ $ /SF. = $, SF. @ $ /SF. = $ TOTAL VALUATION $. ~~ l\ ( f t _~ ..~- Ie l ---' Occupancy Group: Occupant Load: Construction Type: No. of Stories: ---L- Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit 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 pennit application and construction plans are submitted. All other pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pennit 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 WTitten request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). 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. T:\FORMS\APPS\Buildingpermit.wpd APPlicant:,J4a.-c-t'~0 ;;'/;2.u.c....-<-<-/ Date: 3' --/ y- d 'V' ~ / tJ:l , "3 '" ~:g~8tHi ()'O I:"' , H~ ~ H", \0 , '0 'O",ZZZO >-301 \0 , '- 1:"'[;Jf;J;;J~Gl ><'0 , w H ;J> 0 , 10 >-3 ZI:"' ;J>>-3W 0"' I-' , ~. 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J iL e ,J'-S;. w ROUTING SLIP "PORT ~A,i <o.~c~ Certificate of Occupancy u~~<(<~ .. -=-.]f ---- $47.00 Certificate/Inspection Fee ~ ""V&LiCWO"""'''' . /' 0 (I il New Business ( ) DATE ~ - -, ("-- . . .. .. . . . .... ...... .. .... ... Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( / ) ~ Id I ," (.~ f).j~ /j;C Change of Ownership ....... .. . .. . .. .... . . . ( ) Applicant 7JiA-r. / .,... \1. In' ... I '" p ,k: New Building .. . . .. .. .. . .. .... . ... .. .. .. .. ( ) Address / l' ro (:' f :? "(J .<:' Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) #--" ,. "J -....J " /'J n Temporary Business ( ) --' 'd ~~'1 " (;(/ .. ... .. .. .. .. .. .... .. .. Phone:: business f/,A', I e I"l .5 /1 'h~~e t.,Yl~ '/;JqC? Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) , 5t ',- - / ,j ~. (". Brief description of proposed business: 1-1 J-, (i..//':, ;;Lf' - J J-'1IW/\,/ ,,rl t \..1 legal Description: lot Block Subdivision Current Use of property:.{;11tlfj c...Sb Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES , THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . - PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . --::r 1) Building 1) Taxi - 7" Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . - --:r 2) Plumbing 2) Peddlers Plumbing changes ............................ . \T - 3) Electrical 3) 2ndi Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . - -:r 4) Mechanical 4) Pawn Broker New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - -:T 5) Sewer 5) Dance New sewer service ............................ . - - 6) Sidewalk installation 6) Hotel - Motel / Admission charged to patrons. . . . . . . . . . . . . . . . . . . . / 7) Driveway installation " 7) Fireworks - Is this a home occupation? ,/ 8) Curb installation 8) Ambulance ..................... . - - Excavation of filling of lots j/ 9) Sidewalk obstruction 9) Tattoo shop ...................... . - --r- Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -y- \/ 10) Water meter installation 10) Other - Is there sufficient off-street parking? . . . . . . . . . . . . . . . ,- 11 ) Fire - - New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . - .-L 12) Occupancy A grading plan for site drainage. . . . . . . . . . . . . . . . . . . - ~ ~ (parking lots, downspouts, etc.) ................. . l/ 14) Shoreline -y- - Are the existing streets paved? .................. . --r- - 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ,/ - 16) Conditional use Is there curb and gutter? ....................... . =z - 17) Other Other............................ -............ - - I hereby apply for a Certificate of Occupancy and acknowl- ., -/J' - (/ 'Y edge that I have read this application and state that the Date:J information I have supplied is correct to the best of my SignedJd A I Ail,i j t,J~~~~ knowledge. / ~ /)./ ~ ~\ REJECTED Comments / Conditions /1- ., 'L./ /,..." ,,,<,, I A/ 2/' .--' cull Building Section ..e. ~- 27:7 /~ ~ -~".. ~' L__~~.. ..) Public Works Department Planning Department Fire Department - City Clerk PB.I.A. AC -F 1-/ ~ -- ~l ~ 1 QI1. '-t CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 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 . . . Applicat~on valuation 05-00000781 Date 9/01/05 350500 121 E 8TH ST 06-30-00-0-2-3170-0000- SIGNS COMMUNITY SHOPPING DISTR 500 EXPIRED Z/t-"'~~ Owner Contractor GUY MADISON, ET AL 316 W 9TH ST PORT ANGELES WA 983627603 OWNER Permit . . . . . Additional desc . Permit p~n number Permit Fee Issue Date Expiration Date SIGN 59006 85.00 9/01/05 2/28/06 Plan Check Fee Valuation .00 500 Qty Unit Charge Per 1.00 85.0000 PER S- SIGN WALL 25 SF+ Extension 85.00 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 ~ ..,-- ~' ~ 3 \SJ ~ ~ Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate 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 construction. Signature of Contractor or Authorized Agent Date /v:v zJ~ j?- re of Owner (If owner is builder) T \Pohcles\1102_15 bUIldmg permit mspectlOn record05 wpd [1/4/2005] c,\ rORT }I" 5~~ ..~) ~- - BUILDING PERMIT - APPLICATION rUl\.. urr'lL..lili.. U~.c. UJ'JL~ Dale Rec. ~ -tr -e>r: Penmt"# (!X:J - '7 ~ l Date Appl Dved '&f ~ 6 Date Issued' Fill out COMPLETELY and in INK. Your applicatlOr. and site plan MUST BE COl\1PLETE to be accepted for reVIew. If yon have any qnestions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant Dr Agent A- C~ ,. c.ot)1A ~ i="\c:)wWn..'S Phone ~. .tt:::r~. I~S~ OV\lner. M/44.L"r;;- WIJ:SICfi?J(' Phone. Address' ''2.' CiiI' B"~ 2!.."T" CItY" ~o-cz.:t""" k sc..,:c:l~ ZIp. 9 ~~~ '"";?o - Arclni.ect/El1gmeer ~~ Phone: Co~or~ ' '-'.X: -:~ State Lloeil,e #";f-:: ;.".:'t. Exp . 5-./3 '0-; ~c::::;-' . Address "Po ~~ ".,., o..,~ CIty erA-- W A PROJECT ADDRESS: , a. \ r;;:- ~ ~ Phone: ~7. 7-4c;s ZIp: qa~-:z.... ZONING: ~..-,. s..&O~'" c... __ .___ ,.- _--_" H_ -. - LEGAL DESCRIPTION: Lot Block: CLALLAM COUNTY PARCEL }TUMBER: SubdrVlslOn' Credit Card Holder Name: Billing Address: Credit Card Type VISA TI..'1'E OF WORK: o ResIdential 0 New Constr 0 Re-roof o Mulu-family 0 Addmon 0 Move o Commerclal 0 Remodel 0 DemolitlOn o Repair ~ SIgn BR.lEF DESCRll'TION OF THE PROJECT: ..,Hoo. MC tool. # City: Exp. Date: o Stove o Garage o Decr o Other ~v..... SIZE/V ALUATION: SF @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = f- TOTAL Vi\.LUATION $\ ~ -C7() ~ ~f;"" e,<t$'t""'l,..)c- S\~ COMMERClALJRESIDEl\T'fIA.L: Occupancy Group: Occupant Load: & Proposed Sq Ft ConstructlOn Type: ~ = TOTAL Sq. Ft ~ lfSf .,~ q No. of Stories _ Lot SlZe: Total lot coverage Existmg Sq. Ft. % ESAfWetland(s). 0 Yes 0 No SEPA Chec1clist required? 0 Yes 0 No Other A1'PROV ALS: PLAN: 8 . ~ BLDG: DYWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant This figure will be reVIewed and may be revISed by the Buildm.,g DIViSIon to comply with current fee schedules. Contact the Permit Coordmator at 417-4815 for assistance PLAN CHECR FEE' IF a plan cheT:k fee is due it musfhe subIDltted at the tIme the buildmg pemt applIcatlOn and construction plans are subIDltted All other peIIDlt fees are due at the tIme of permit Issnance. EXPIRATION OF PLAN REVIEW: Ifno pemt IS issued vnthm 180 days of me date of apphcation, the application will expire. The Buildmg OffiCIal can extend the time for achon by the applIcant up to 180 days upon wntten request by the applIcant (see Secuon R105.3.2 of the InternatIonal Buildmg/ResidentIal Code, 2003). No apphcation can be extended more than once. I hereby certify that I have read and exammed this appl1catlDn 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 determme what permits are reqUired ,not the City's, and that I must obtain such permits pnor to work T.\Poh,,~\BL.l1 02_13 wp' Ar>pli=nt: In i1 t.;.. bJ4./!U'" " Date' ~. L '1- " $" .' \/ 44, ~ . i\ 1\ \ '=--~ &1 '\ \ \~' / t & 'J'~ l~1,D cr- ~.J' ~ ~ V\ VI /' ~o v- ~. ~~ j / / 60 N Area Map This map is not Intended to be used as a legal descnptlon l~\ This map/drawmg IS produced by the City of Port Angeles for ItS own I/se and pl/rposes \~ Any other lISe of this mop/drawmg shall not be the responslblbt)' of the C'h' ,,,,.. Feel .' CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. ~ '7/? 1.2 -/5 -yz... DATE ELECTRICAL PERMIT Installed By: ::</ J IkIv'Ol!.Sc'v (/I~~ o READY FOR INSPECTION License Number: ~LL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o RESIDENTIAL [l3-COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ ~ FAN/~ KW ~ o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION '2 REMODEL ]a ADD/ALTER CIRCUITS %1 SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGFlOU.ND'SEmlICE VOLTAGE: LoIVIOZ:~ 0--S1NGLE PHASE o THREE PHASE.... _ _ SERVICE SIZE 6J!J.V AMPS Details/Description: Ruk[ f WfR-f.- ('J1cI Ct.:&. c2a? ~ ~ f3-~E/ /IIu.u ~c, loRe:- .,5~/KL h~ks f . /3 LV W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. 'If'j Rough-in/cover O.K. 1$ O.K. to connect service ~ IS Final O.K. Site Address: Permit/Receipt No. , '/~ New Meters...--- Date: /2 -16 -9'- Installer: . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buil~ Permit. PHONE 457-0411, EXT. 224_ ~ ,/' k NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 3D Electrical Inspector Permit Fee WHITE - File by address YELLOW - fjle by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC