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114 E Front St - Building
ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 11-00000716 Date 12/23/11 Application pin number . . . 778432 Property Address . . . . . . 114 E FRONT ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1615 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . ... . CENTRAL BUSINESS DISTRICT Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 10 circuits to take over for ---------------------------------------------------------------------------- revoked permit Owner Contractor LESTICE ENTERPRISES, LLC ANGELES ELECTRIC 1729 W 7TH ST 524 E. 1ST ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 417-0964 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.90 Plan Check Fee .00 Issue Date . . . . 7/14/11 Valuation . . . . 0 Expiration Date . . 3/21/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 73.50 9.00 2.6000 ECH EL-ECH ADDNT BRANCH CIRCUIT 23.40 ----------------------------------------------------------------------------- Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 96.90 96.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.90 96.90 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) V P'V_T tP, L_ -7)2,-,->11 W_" 7*P INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN �I23 /l ITPP FINAL 2— D COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ` 2./ G:\EXCHANGE\BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 V Application Number . . . . . 11-00000505 Date 6/06/11 Application pin number . . . 841690 Property Address . . . . . . 114 E FRONT ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -5 -1 -1615 -0000 - Tenant nbr, name . . . . . . LESTICE ENTERPRISES LLC Application type description COMM REMODEL Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT Application valuation . . . . 50000 ---------------------------------------------------------------------------- Application desc REMODEL INTO CAPTAIN T'S & THE BEANERY ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LESTICE ENTERPRISES, LLC OWNER 1729 W 7TH ST PORT ANGELES WA 98363 (360) 417-0964 --- Structure Information 000 000 REMODEL INTO CAPTAIN T'S /BEANERY Construction Type . . . . . UNKNOWN Occupancy Type . . . . . . BUSINESS:OFF/PRO/MED/REST ---------------------------------------------------------------------------- Permit . . . . . BUILDING PERMIT - COMMERCIAL Additional desc . . Permit pin number 186312 Permit Fee . . . . 670.25 Plan Check Fee 435.66 Issue Date . . . . 6/06/11 Valuation . . . . 50000 Expiration Date . . 12/03/11 Qty Unit Charge Per Extension BASE FEE 417.75 25.00 10.1000 THOU BL -25,001-50K (10.10 PER K) 252.50 ---------------------------------------------------------------------------- Permit . . . . . MECHANICAL PERMIT Additional desc . Permit pin number 186320 Permit Fee . . . . 134.35 Plan Check Fee .00 Issue Date . . . . 6/06/11 Valuation . . . . 0 Expiration Date . . 12/03/11 Qty Unit Charge Per Extension BASE FEE 50.00 4.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 59.20 2.00 7.2500 EA ME -VENT FAN (SINGLE DUCT) 14.50 1.00 10.6500 EA ME -VENT SYSTEM (NON -HVAC) 10.65 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 186338 Permit Fee . . . . 135.00 Plan Check Fee .00 Issue Date . . . . 6/06/11 Valuation . . . . 0 Expiration Date . . 12/03/11 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or thepeFformance of construction. - �. Date Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit Xignature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By I Comments FOUNDATION: 417-4653 Planning Footings Building Stemwall Foundation Drainage / Downspouts Piers I I Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date Accepted by AIR SEAL: i Walls Ceiling FRAMING: Joists / Girders / Under Floor I Shear Wali / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts 1 Rough -In j Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts (FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting I ESA: Landscaping I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit i - CITY OF PORT ANGELES 1� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION ._ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number . . . . . 11-00000505 Date 6/06/11 Application pin number . . . 841690 Qty Unit Charge Per Extension BASE FEE 50.00 6.00 7.0000 EA PL -PLUMBING TRAP 56.00 1.00 7.0000 EA PL -WATER LINE 7.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER ---------------------------------------------------------------------------- 7.00 Special Notes and Comments May 24, 2011 8:03:55 AM rbecker. The mop sink has to be equiped with Atmospheric Vacuum Breaker in the faucet. I will need to inspect this when it is installed. If you have any questions please contact Ron Becker at 417-4686, E-mail:rbecker@cityofpa.us or Fax me at 452-4972. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. A minimum 2A-10BC fire exinguisher is required. Extinguishers must be mounted, with the top no more than 5' off the floor. Suggested extinguisher placement is adjacent to an exit. May 27, 2011 9:21:27 AM kdubuc. Rear exit must be maintained. May 27, 2011 9:22:22 AM kdubuc. If basement is to be utilized, two exits must be provided. June 2, 2011 5:05:37 PM sroberds. Project will result in remodel of a commercial building in the CBD zone. No land use issues anticipated. Public Works Utility Engineering has no requirements for this plan review. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE ---------------------------------------------------------------------------- 4.50 Fee summary Charged Paid Credited Due ----------------- ---------------------------------------- Permit Fee Total 939.60 939.60 .00 .00 Plan Check Total 435.66 435.66 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1379.76 1379.76 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD ' I I I -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- to `' Building Inspections 417-4815 Electrical Inspections 417-4735 \ Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 �— -1= 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 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 I Wall / Floor / Ceiling MECHANICAL: Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES: Footing / Slab I Blocking & Hold Downs Skirting Date I Accepted By I Comments 1 I I I ��Qsfi 5�de, 5'1-rezt leve( ' I�f 6 ��� Q�23-II I FINAL Date Accepted by c�Z,L I I I (�-� Rough_t h St'airS 7La. ?;_12-1k I �— -1= I I I I I I I � S 5�^{Z' I1 TLL 1 ,�asfi S+cQ2� 541,4es(' (e-t'ejl l FINAL Date 9--1'3-1 (Accepted by F lj w I 1�,77t� PLANNING DEPT. Separate Permit #s SEPA: Parking / Lighting I I ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical Construction - R.W. PW / Engineering Fire Planning Building T:Forms/Buildinq Division/Buildinq Permit Date Accepted By 417-4735 (b 417-4831 417-4653 417-4750 �� IIF r4h� -- 417-4815 q;->� (For- T&4 --Q P y Fe r The' f3'Q .tj�)I) ` Or `i' l,e Bearietr OOL'ileA to -2 -4 -II 2 let I 1:L JYLL PREPARED 2/09/12, 9:22:02 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/09/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL ---------- - ------------------------- PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- ------- ------------------- ---- -- BL3 01 6/07/11 JLL BLDG FRAMING 6/07/11 AP June 8, 2011 4:45:53 PM 1pangrle. FRAME June 8, 2011 4:46:22 PM 1pangrle. BL3 02 8/12/11 JLL BLDG FRAMING 8/12/11 AP August 12, 2011 8:15:43 AM 1pangrle. JAMES 477-0972 "ROUGH-IN STAIRS" August 12, 2011 4:40:15 PM jlierly. BL99 01 9/23/11 JLL BLDG FINAL TIME: 01:00 9/23/11 AP September 22, 2011 11:25:53 AM 1pangrle. JAMES 477-0972 BUILDING FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON September 23, 2011 4:29:11 PM jlierly. Partial final on street level of the 116 e front side (beanery) temp occupancy ok for this unit only/jll October 20, 2011 11:01:44 AM 1pangrle. BL99 02 2/09/12 BLDG FINAL February 9, 2012 8:18:34 AM pbarthol. James 477-0972 -------------------- ----- ---------------------- - -------- COMMENTS AND NOTES -------------------------------------- 11//,, L V� PREPARED 2/14/12, 8:51:27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/13/12 -------- —---------------------------------- --------------------------------------------------- ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------- ---------------- BL3 01 6/07/11 JLL BLDG FRAMING 6/07/11 AP June 8, 2011 4:45:53 PM 1pangrle. FRAME June 8, 2011 4:46:22 PM 1pangrle. BL3 02 8/12/11 JLL BLDG FRAMING 8/12/11 AP August 12, 2011 8:15:43 AM 1pangrle. JAMES 477-0972 "ROUGH -IN STAIRS" August 12, 2011 4:40:15 PM jlierly. BL99 01 9/23/11 JLL BLDG FINAL TIME: 01:00 9/23/11 AP September 22, 2011 11:25:53 AM 1pangrle. JAMES 477-0972 BUILDING FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON September 23, 2011 4:29:11 PM jlierly. Partial final on street level of the 116 e front side (beanery) temp occupancy ok for this unit only/jll October 20, 2011 11:01:44 AM 1pangrle. BL99 02 2/09/12 JLL BLDG FINAL 2/09/12 DA February 9, 2012 8:16:34 AM pbarthol. James 477-0972 February 9, 2012 4:54:58 PM jlierly. electrical final reqd/jll BL99 03 2/13/12 BLDG FINAL February 13, 2012 10:18:22 AM permits. PERMIT: ME 00 MECHANI PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME1 01 8/12/11 JLL MECHANICAL ROUGH -IN 8/12/11 AP August 12, 2011 8:14:03 AM 1pangrle. JAMES 477-0972 "HEATING" August 12, 2011 4:40:15 PM jlierly. ME99 01 9/23/11 JLL MECHANICAL FINAL TIME: 01:00 9/23/11 AP September 22, 2011 11:37:21 AM 1pangrle. JAMES 477-0972 MECHANICAL FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON September 23, 2011 4:30:26 PM jlierly. ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 2/14/12, 8:51:27 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/13/12 --- - - — ------ __ ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------------------------------------------------- ME99 02 2/13/12 Ao MECHANICAL FINAL February 13, 2012 10:18:43 AM permits. PERMIT: PL 00 PLUMB NG ERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS — - — ----------------------- —----------------- ------------------------ — --------- PL2 01 6/07/11 JLL PLUMBING ROUGH -IN 6/07/11 AP June 7, 2011 8:43:16 AM 1pangrle. MARK 477-0626 ROUGH -IN PLUMBING June 7, 2011 4:40:14 PM jlierly. PL2 02 8/12/11 JLL PLUMBING ROUGH -IN 8/12/11 AP August 12, 2011 8:15:14 AM 1pangrle. JAMES 477-0972 "PLUMBING" August 12, 2011 4:40:15 PM jlierly. PL99 01 9/23/11 JLL PLUMBING FINAL TIME: 01:00 9/23/11 AP September 22, 2011 11:38:27 AM 1pangrle. JAMES 477-0972 PLUMBING FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON September 23, 2011 4:30:31 PM jlierly. PL99 02 2/13/12 PLUMBING FINAL 4February 13, 2012 10:18:54 AM permits. ------------------------,------------ COMMENTS AND NOTES PREPARED 9/23/11, 8:42:07 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/23/11 ----------------------------- ADDRESS 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL ---- PERMIT: --------------- BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----- —------------- BL3 01 6/07/11 — -- —--------- JLL — ----------- BLDG FRAMING -' ----- 6/07/11 AP June 8, 2011 4:45:53 PM 1pangrle. FRAME June 8, 2011 4:46:22 PM 1pangrle. BL3 02 8/12/11 JLL BLDG FRAMING 8/12/11 AP August 12, 2011 8:15:43 AM 1pangrle. JAMES 477-0972 BL99 01 9/23/11 JLL "ROUGH -IN STAIRS" August 12, 2011 4:40:15 BLDG FINAL TIME: PM jlierly. 01:00 Iko IK September 22, 2011 11:25:53 AM 1pangrle. rV"!/�►i5`�'.�. •V ( e JAMES 477-0972 6 BUILDING FINAL - FOR JAMES STATED THAT THE BEANERY SIDE ONLY THIS PROJECT IS BEING COMPLETED IN THREE PHASES. PERMIT: - AFTERNOON ME 00 MECHANICAL PERMIT ace— #4%L w REQUESTED INSP DESCRIPTION t•/j�,(! TYP/SQ COMPLETED RESULT RESULTS/COMMENTS �( ME1 01 -------------------- 8/12/11 JLL ------ MECHANICAL ROUGH -IN 8/12/11 AP August 12, 2011 8:14:03 AM 1pangrle. JAMES 477-0972 "HEATING" August 12, 2011 4:40:15 PM jlierly. ME99 01 9/23/11 MECHANICAL FINAL TIME: 01:00 September 22, 2011 11:37:21 AM 1pangrle. JAMES 477-0972 MECHANICAL FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS — ----------------- PL2 01 6/07/11 —--------- JLL —----------------------- PLUMBING ROUGH -IN — ------------------------------------- 6/07/11 AP June 7, 2011 8:43:16 AM 1pangrle. MARK 477-0626 ROUGH -IN PLUMBING June 7, 2011 4:40:14 PM jlierly. PL2 02 8/12/11 JLL PLUMBING ROUGH -IN 8/12/11 AP August 12, 2011 8:15:14 AM 1pangrle. ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 9/23/11, 8:42:07 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/23/11 ------------------------------------------------------------------------------------- ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL --- ------------- ------- REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --- ----------- JAMES 477-0972 "PLUMBING" o August 12, 2011 4:40:15 PM jlierly. PL99 01 9/2 111 PLUMBING FINAL TIME: 01:00 September 22, 2011 11:38:27 AM 1pangrle. PON JAMES 477-0972 PLUMBING FINAL - FOR THE BEANERY SIDE ONLY JAMES STATED THAT THIS PROJECT IS BEING COMPLETED IN THREE PHASES. AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/12/11, 8:17:19 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/12/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL ------------------------------------------------------------------------------------------------ PERMIT: BPC 00 BUILDING PERMIT - COMMERCL?1L REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------_ BL3 01 6/07/11 JLL BLDG FRAMING 6/07/11 AP June 8, 2011 4:45:53 PM 1pangrle. FRAME June 8, 2011 4:46:22 PM lRangrle. BL3 02 8/12/11 J L BLDG FRAMING August 12, 2011 8:15:43 AM 1pangrle. JAMES 477-0972 "ROUGH -IN STAIRS" ------- --------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- --------------------- ------------ ME1 01 8/12/11 J MECHANICAL ROUGH -IN August 12, 2011 8:14:03 AM 1pangrle. JAMES 477-0972 "HEATING" ------------------------------------------------- - --- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 6/07/11 JLL PLUMBING ROUGH -IN 6/07/11 AP June 7, 2011 8:43:16 AM 1pangrle. MARK 477-0626 ROUGH -IN PLUMBING June 7, 2011 4:40:14 PM jlierly. PL2 02 8/12/11 J PLUMBING ROUGH -IN August 12, 2011 8:15:14 AM 1pangrle. JAMES 477-0972 "PLUMBING" -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/07/11, 8:44:22 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/07/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: LESTICE ENTERPRISES LLC CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000505 COMM REMODEL -- ---- — PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ _ COMPLETED RESULT RESULTS/COMMENTS PL2 01 6/07/11 ja, 19 PLUMBING ROUGH -IN June 7, 2011 8:43:16 AM 1pangrle. MARK 477-0626 ROUGH -IN PLUMBING -------------------------------------- COMMENTS AND NOTES -------------------------------------- v ---------------------------------- Flu COPY E RTI FISA.Y.TE • ,VN C . . Cityf,,of: Port Angeles - wilding iivision This certificate is issued -,pursuant to the requirements of Section 117 of the 2009 International Building Code certifying that atthe: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: Captain Business address`! :114 .,East Front Street. ' Property owner. < L:estice Enterprises LLC Property owner's>:`address; 1729 W. 7�".Stt`eet -;. Automatic fire spt nkler=system: N/A i. Use & occupancy classification: Business.. Occupant load. " Per 2009:;I:B,C; Table 1.0.04.1; :;1.- � � Buildin number g permit Type of construction: 12/15/11 :�»j!��`�^ '1'a]� ��6�`'�@h`�u'i^.'�'k: {:k<. ��MidP' •bz�zq ✓z£;i`..n."S$k`.r 1llanager Date -z Post on the premises in a conspicuous place."" This.-cer Mc Wilo"t be removed except by the Building Official. 1 Flu COPY 6 M e P, CERTIFICATEF OCCUPANCY City of Port Angeles -- Building :Division This certificate is issued' pursuant to the requirements of Section H] of the 200 International Building Code certifying that at the tiineo(,issuance,.this structure was in compliance with the various ordinances of the City regulating building cons'truction: or.usefior.ihefoilowin g-, Business name: ..The'�Beanery� n o ) _Nv 6r* �j hnnie' Im ontice Business address.-,' -1,1::6.-E: Front St. Property owner: Lestice Ehter ri' es LLC Property owner's address-: 1729 W. 7t`.St.,_,`Pott Ang6les,WA .98362 Automaticfire sprinkler, -system: Not Required Use & occupancy classification: Business Building permit number.tF-.--- -?,, Occupant load: P&K-2,00OB' _T,a bidI �-"'C' Type of construction: V&, 10-20-11 anning Manager Date Post on the premises in a conspicuous place. This cerfificfte`slmll not be removed except by the Buildin- Official. M e P, CERTIFICATE OF OCCUPANCY APPLICATION Permit # 1 `-354 CITY OF PORT ANGELES Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 ouk4`'FEES \• rj�� Certificate / Inspection $100 arking Business Improvement Area (PBIA) ee charged for Downtown locations ;p,,z0 PLEASE PRINT IN INK Check one: New business in P.A.?Change of ownership only? ❑ Moving location from within P.A.?. Zoning C6D BUSINESS NAME �a Phi ✓� `�S /�`a rte Business address 1 I y 4 111 �'c ' -)l-- -S-�- Mailing addfess P6 F�5x L1Q - PA Phone number OpeningdateT5 b Days & hours of operation Business owner's named��-t -rtrl i VY'10y�'t ' c e Contact phone 4-,a -05`iq Business owner's address l`T;L_GI GAJ — f�A Brief description of business Ct(-4c5- yl -5co2e I�_'Cl A,1 n9 fe4a,% I Property owner's name Lt -L Property owner's address/contact 1-7 2-9 VJ --7-+1--) RA BUILDING DEPARTMENT phone 417-4815 Is the business a restaurant or bar that will seat 50 or more people? Contact phone Bldg approval bye' on Yes ❑ No �( rt Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairway , ramps, bathrooms, electrical, heating/cooli g/v n ilation systems, etc). Work planned: ZG4 I Y) 1A) (� S Ct In<LCD /C�f ► h /ado i G�.1 FIRE DEPARTMENT phone 417-4653 Fire approval by Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned.- PBIA lanned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? (00002— Is DDg2— Is business moving within the PBIA? Yes ❑ No 1-h-2 i3e&hn CITY CLERK phone 417-4634 PBIA notified R, H City Clerk approval by " 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 I of 2 on on 4--2-2-- 1 l on —1 —Zl- II COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? 1 in P& 1 A (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) CED approval by15 K on Signs planned: I to 5 W) LL_ G �T A, -5 (CA Fl�-�I—F PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 4417-4812 Is site work planned (n lk,,or re -located sewer or water-�ice, 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: `JC S t b I _ uDo i 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: IjO G/2�_--> 6;, PATS A-&"& -f - --4,� PJUYh�_+ #((-505 Call for Certificate of Occupancv 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. Date�'a� "� Print Name�dY1V111 le h�GVk CO__ Signature � T:\Forms\Building Division\Certificate of Occupancy Application (2010) doe Page 2 of 2 NOTES Permit # Lt +cu The �e�nex-� (��� shc��r�-�ac.l 4e5?yt%,o he- 4e5?yt%,o cs � IAJQ Z I" h CIS T:Forms/Building-Division/Notes CL CLALLAM TITLE CORWANY 204 South Lincoln/P.O. Box 248, Port Angeles, WA 98362 Phone: (360) 457-2000 Fax: (360) 457-9330 Escrow File No.1 10811 MS Title Order No.: 110811 Purchasers:- James -R; Lesterand Johnella -Montice Sellers: Port Angeles Development Company CLOSING AGREEMENT AND ESCROW INSTRUCTIONS For Purchase and Sale Transaction The undersigned buyer and seller (referred to herein as "the Clients") hereby designate and appoint Clallam Title Company (referred to herein as "the closing agent") to act as their closing and escrow agent according to the following agreements and instructions, IT IS AGREED, AND THE CLOSING AGENT IS INSTRUCTED, AS FOLLOWS: Terms of Sale. The terms and conditions of the transaction which is the subject of these instructions (referred to herein as "the transaction") are set forth in the Clients' Purchase and Sale Agreement, Earnest Money Agreement, or other written agreement, and any attachments, amendments or addenda to that agreement (referred to herein as "the Clients' agreement"), which is made a part of these instructions by this reference. Any changes to the Clients' agreement will be made a part of these instructions, without further reference, when signed by the Clients and delivered to the closing agent. These instructions are not intended to amend, mod ' ify or supersede the terms and conditions of the Clients' agreement with regard to the rights and obligations of and between the Clients and if there is any conflict or inconsistency between these instructions and the Clients' agreement with regard to their respective rights and obligations, the terms and conditions of the Clients' agreement shall control. However, as to the rights and obligations of and between the Clients and the closing agent, this agreement shall control. Z� Description of Real Property. The real property which is the subject of the transaction (referred to herein as "the property") is identified in the Clients' agreement, The documents required to close the transaction must contain the "legal description" of the property. If the Clients' agreement does not yet contain the correct legal description, the Clients or the real estate agent shall obtain an addendum setting forth the legal description as soon as possible and deliver it to the closing agent, Closing Date, The date on which the documents required to close the transaction are filed for record (referred to herein as "the closing date") shall be on or before the date for closing of the transaction -specified in the Clients' agreement or in an addendum extending that date. Documents. The closing agent is instructed to select. , prepare, complete, correct, receive, hold, record and deliver documents as necessary to close the transaction. The closing agent may request that certain documents be prepared or obtained by the Clients or their attorneys, in which case the Clients shall deliver the requested documents to the closing agent before the closing date. Execution of any document will be considered approval of its form and contents by each Client signing such document. Deposits and Disbursement of Funds. Before the closing date, each Client shall deposit with the closing agent all funds required to be paid by such Client to close the transaction, less any earnest money previously deposited. The closing agent is authorized, but not required, to consider a lending institution's written commitment to deposit funds as the equivalent of a deposit of such funds, if all conditions of the commitment will be met on or before the closing date. All funds received by the closing agent shall be deposited in a trust account with any bank doing business in the State of Washington and may be transferred to any other such accounts. The closing agent shall not be required to disburse any funds deposited by check or draft until it has been advised by its bank that such check or draft has been honored. All disbursements shall be made by the closing agent's check, SPECIAL NOTE: If this escrow has not been placed in a condition to close by 4/18/2011, the above items deposited by us are to be returned to us upon written demand, at which time we will pay all your charges in connection herewith, but in the absence of such written demand, you will proceed with these instructions as soon as practicable. Settlement Statement, The closing agent is instructed to prepare a settlement statement showing all funds deposited for the account of each of the Clients and the proposed disbursements from such funds. No funds shall be disbursed until the Clients, have examined and approved the settlement statement. Some items may be estimated, and the final amount of each estimated item will be adjusted to the exact amount required to be paid at the time of disbursement. The settlement statement will be subject to audit and any errors or omissions may be corrected at any time. If any monetary error is found, the amount will be immediately paid by the Client liable for such payment to the Client entitled to receive it. c.,IrAXES op STATE tic of adto" '*ta MA, •i,'oVa �'�, A A • n2 5Q6 Secretar"Y of State I, SAM REED, Secretary of State of the State of Washington and custodian of its seal, hereby issue this CERTIFICATE OF FORMATION to LESTICE ENTERPRISES, LLC 'VIgr �O a/an WA Limited Liability Company. Charter documents are effective on the date indicated below. Date: 4/4/2011 UBI Number: 603-101-775 APPID: 2001670 STATS Given under my hand and the Sea] of the State. of Washington at Olympia, the State Capita] O y. a � � Sam Reed, Secretary of State 0 `L1889� 0 Clallam County Assessor & Treasurer - Property Details - 61409 P A DEVELOPMENT ... Page 1 of 2 Clallam County Assessor & Treasurer Property Search Results > 61409 P A DEVELOPMENT CO for Year 2011 - 2012 Property First Account Property ID: 61409 Legal Description: SMITH, NORMAN R Half Half W44 OF E 45 LT 6 BL 16 } Geographic ID: 0630005116150000 Agent Code: Base Type: Real Tax Area: Open Space: 0010 - PA 121 PORT ST N CNTY H2 L WMP Land Use Code 59 DFL N , Historic Property: N Remodel Property: N ST SCH - STATE SCHOOL Multi -Family Redevelopment: N Township: Section: f Range: $204.41 $204.41 i 2011 Location CC -GEN - COUNTY CLALLAM $112.86 $112.82 Address: 114 E FRONT ST Mapsco: $112.82 2011 PORT ANGELES, WA SD #121 - SCHOOL DISTRICT #121 $267.20 Neighborhood: Cycle 5 Comm Map ID: 2 $267.20 Neighborhood CD: 20953140 ( l CITY PORT ANG - CITY OF PORT ANGELES Owner $260.50 !\\'9J' $0.00 Name: P A DEVELOP/,WA98362 O Owner ID: 44693 Mailing Address: 1021 E. 2ND S % Ownership: 100.0000000000% PORT ANGEL Exemptions: Taxes and Assessment Details Property Tax Information as of 04/20/2011 Amount Due if Paid on: *t 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. http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=61409 4/20/2011 First Second Half Half } Base Base Year Statement ID Taxing Jurisdiction Amt. Amt. PenaltyInterest Base Paid Amount Due 2011 155846 ST SCH - STATE SCHOOL $204.41 $204.41 $0.00 $0.00 $204.41 $204.41 i 2011 155846 CC -GEN - COUNTY CLALLAM $112.86 $112.82 $0.00 $0.00 $112.86 $112.82 2011 155846 SD #121 - SCHOOL DISTRICT #121 $267.20 $267.19 $0.00 $0.00 $267.20 $267.19' 2011 155846 CITY PORT ANG - CITY OF PORT ANGELES $260.50 $260.50 $0.00 $0.00 $260.50 $260.50 2011 155846 PORT - PORT OF PORT ANGELES $15.88 $15.88 $0.00 $0.00 $15.88 $15.88 ` 2011 155846 NTH OLY LIB - NORTH OLYMPIC LIBRARY _$47.33 $47.32 $0.00 $0.00 $47.33 $47.32 2011 155846 HOSP #2 - HOSPITAL #2 $46.32 $46.32 $0.00 $0.00 $46.32 $46.32! 2011 155846 WSMET PK DIST - WILLIAM SHORE MET PARK DIST $14,08 $14.08 $0.00 $0.00 $14.08 $14.08' 2011 155846 CITY STORMWATER - CITY STORMWATER $55.34 $55.33 $0.00 $0.00 $55.34 $55.33 2011 155846 WEED CONTROL -WEED CONTROL $0.82 $0.81 $0.00 $0.00 $0.82 $0.81 i 2011 -155846 TOTAL: $1024.74 $1024.66 $0.00 $0.00 $1024.74 $1024.66 2010 44122 ST SCH - STATE SCHOOL $209.42 $209.41 $0.00 $0.00 $418.83 $0.00 2010 44122 CC -GEN - COUNTY CLALLAM $111.45 $111.44 $0.00 $0.00 $222.89 $0.00: 2010 44122 SD #121 - SCHOOL DISTRICT #121 $271.24 $271.25 $0.00 $0.00 $542.49 $0.00' 2010 44122 CITY PORT ANG - CITY OF PORT ANGELES $258.02 $258.03 $0.00 $0.00 $516.05 $0.00 2010 44122 PORT - PORT OF PORT ANGELES $15.66 $15.67 $0.00 $0.00 $31.33 $0.00: 2010 44122 NTH OLY LIB - NORTH OLYMPIC LIBRARY $32.38 $32.39 $0.00 $0.00 $64.77 $0.00 2010 44122 HOSP #2 - HOSPITAL #2 $45.72 $45.71 $0.00 $0.00 $91.43 $0.00' 2010 44122 WSMET PK DIST - WILLIAM SHORE MET PARK DIST $14.54 $14.55 $0.00 $0.00 $29.09 $0.00 + 2010 44122 CITY STORMWATER - CITY STORMWATER $55.34 $55.33 $0.00 $0.00 $110.67 $0.00 2010 44122 WEED CONTROL -WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0.00 2010 -44 122 TOTAL: $1014.59 $1014.59 $0.00 $0.00 $2029.18 $0.00 http://websrv8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=61409 4/20/2011 Clallam County Assessor & Treasurer - Property Details - 61409 LESTICE ENTERPRIS... Page 1 of 1 Clallam County Assessor &. Treasurer Property Search Results > 61409 LESTICE ENTERPRISES LLC for Year 2011 - 2012 Property Account Property ID: 61409 Legal Description: W 44 OF E 45 LOT 6 BL 16 NORMAN R SMITH SUBDIV Geographic ID: 0630005116150000 Agent Code: Second Half Type: Real Base Amt. Penalty Interest Base Paid Amount Due Statement Details Tax Area: 0010 - PA 121 PORT ST CNTY H2 L WMP Land Use Code 59 Open Space: N DFL N Historic Property: N Remodel Property: N Multi -Family Redevelopment: N Taxing Jurisdiction Township: Improvement / Building Section: Range: - . - - Property Image Location Land Address: 114 E FRONT ST Mapsco: Deed and Sales History PORT ANGELES, WA 98362 Payout Agreement Neighborhood: PA East Comm Map ID: 2 Neighborhood CD: 5005000 Owner Name LESTICE ENTERPRISES LLC Owner ID: 209722 Mailing Address: 1729 W 7TH ST % Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/20/2011 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. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 155846 $1024.74 $1024.66 $0.00 $0.00 $1024.74 $1024.66 Statement Details 2010 44122 $1014.59 $1014.59 $0.00 $0.00 $2029.18 $0.00 Values Taxing Jurisdiction Improvement / Building Sketch - . - - Property Image q Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N/A". Website version: 9.0.32.2200 Database last updated on: 10/20/2011 3:48 AM © 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http://websrv8.ciallam.net/propertyaccess/Property.aspx?cid=0&year=2011 &prop_id=61... 10/20/2011 �C,; T,j"t� CERTIFICATE OF OCCUPANC.YAPPLICATION Permit # 1 `fit �aklrj. `FEES _ CITY OF PORT ANGELES "'j 011 _ Attn: Permit Technician Certificate /Inspection 321 E. Fifth St., Port Angeles, WA 98362 arking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 �C:!) ee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?Change of ownership only? ❑ Moving location from within P.A.? Zoning BUSINESS NAME �a P�`i ✓� ��j ��-a���/ Business address 11 y 111,, 15- S4 Mailing addiess P6 P Sox 99- - PA Phone number Opening date -T 3 -r) Days & hours of operation Business owner's name-U-�k r)ni e VY)oAi C C Contact phone -U5-1 Business owner's address VJ -7+i ) -- 1:!'>A Brief description of business C-U-4am SLC' �Y't YA) of i f-e_4a'j I C(3F-We Skop I ) I Property owner's name LL -C- Contact phone n__--..�.. s_ 1.____�__._� 1 1� n riopeILy v-wi-la s adUIessicuflLauL 1 / 2_ I VV _. ('rj-, r—/-\ cfd36-3 BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No �( Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairway , ramps, bathrooms, electrical, heating/cooli g/v- n ilation systems„ etc). Workrr planned: r) C,- VE iDco I LO I LL) 6_7 1�-_T P� RAn 1 i FIRE DEPARTMENT phone 417-4653 Fire approval by on 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? g2- I PBIA notified��- on Is business moving within the PBIA? Yes ❑ No f -Th-e, P_)e,& 1P�r'U CITY CLERK phone 417-4634 J City Clerk approval by on Second-hand dealer/pawnbroker business? Yes Q 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 1of2 i / 7;411 CERTIF/CA TE OF OCCUPANCY APPLICATION Permit # I �} CITY OF PORT ANGELES "'l %3 uk FEES Attn: Permit Technician Certificate /Inspection 321 E. Fifth St., Port Angeles, WA 98362 $100 arking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 ee charged for Downtown locations PLEASE PRINT IN INK n 22 Check one: New business in P.A.?Change of ownership only? ❑ Moving location from within P.A.? Zoning BUSINESS NAME P-1�i ✓� `T���� (-ani Business address i ► y 111 1 1=c ons S� Mailing add ess P6 P>,,x '99 -'FSA Phone number Opening date T3 Days & hours of operation Business owner's name_7-mak on i,-- V),On�Vi C E Contact phone 4ha Business owner's address L`77 --a-9 Vd Brief description of business C�Sf ,4c�,m SLC Y'j h+1 og % f-eia'� I 1 ) 1 Property owner's name i�S-} ILS �✓1�2+��i'iSe�, LLL Contact phone 1.. _ _f_ _ I _ _ IA A rOUPCILy vvvilCl a aUUrCJJ/GU11LdCL 1 ( 4 J VV t- k"V r—/-\ BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Ix Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairway , ramps, bathrooms, electrical, heating/cooli g/v- n ilption systems, etc). Work planned: CCi n r -S-E�I TS I �'? e L to UD I LLL- C,_ AA 1 FIRE DEPARTMENT phone 417-4653 Fire approval by on 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? � 0 002- Is business moving within the PBIA? Yes ❑ No 1 h -p— f3e_&V\n CITYCLERK phone 417-4634 PBIA notified on City Clerk approval by =on 4 y Second-hand dealer/pawnbroker business? 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 1of2 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? '1 i-, F & 1 A (A.parking.plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) CED approval by Signs planned: 5 � � PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by 'R V on V-2 5 11 PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PW Pia 0-4s wvx Is site work planned ilnr re -located sewer or wat�ice, excavation, grading oar _frilling, work in City right-of-way, a— r' End � -�.t� 'tra v- � wv�,Sf•> new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ 5, 'I :r— `��0A PA M—ALini Q (d� pr -R � s cove mPm�hs . Work planned,' Q�S.� X17 I6'� i�o��\ G�6� 11 l C�� . ie Corytmetn S.D She'll Ao Ctw-rilrj PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ccb `` s If yes, what will be discharged: /\)o GR:_�-k�_ C-R iv. CZ Call for Certificate of OccuAancv inspections BEFORE opening business. Building Department Inspection 417-4815 %� d0�Sq`� Fire Department Inspection 417-4653Y%p IV Please sign up for. utility services at the cashiers' counter.. •tiV. 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. f Date a� �� I Print Name T6�hl) t e t \GvIkk CL Signature 0 �0 TAForms\Suilding DivisionTertificale of Occupancy Application,(2010).doc ' ` - Page 2 of 2 r on PWE approval by 'R V on V-2 5 11 PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 PW Pia 0-4s wvx Is site work planned ilnr re -located sewer or wat�ice, excavation, grading oar _frilling, work in City right-of-way, a— r' End � -�.t� 'tra v- � wv�,Sf•> new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No ❑ 5, 'I :r— `��0A PA M—ALini Q (d� pr -R � s cove mPm�hs . Work planned,' Q�S.� X17 I6'� i�o��\ G�6� 11 l C�� . ie Corytmetn S.D She'll Ao Ctw-rilrj PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No ccb `` s If yes, what will be discharged: /\)o GR:_�-k�_ C-R iv. CZ Call for Certificate of OccuAancv inspections BEFORE opening business. Building Department Inspection 417-4815 %� d0�Sq`� Fire Department Inspection 417-4653Y%p IV Please sign up for. utility services at the cashiers' counter.. •tiV. 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. f Date a� �� I Print Name T6�hl) t e t \GvIkk CL Signature 0 �0 TAForms\Suilding DivisionTertificale of Occupancy Application,(2010).doc ' ` - Page 2 of 2 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by 1_ on Number of off-street parking spaces available for employees and customers? It i-) P & 14 . (A parking.plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: ct I Sforvl/��Ca�T� � K co J Ctn")e t'1+ 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 (n or re -located sewer or wat',r'seL"ice, 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: 00,5S 1 a X11 I b1 PUBLIC WORKS WASTEWATER phone 417-4845 PWE approval by PWW approval by on on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: No �R�_ �� FATS Call for Certificate of Occupancv inspections BEFORE openinq 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. Date-oZ0'� me��YlV11 l i�Gi% '1 C� Signature � Print Na 1 '� 9 _ T:Torms\Building Division\Ceriiftcale of Occupancy Application (2010).doc ! Page 2of2 PREPARED 11/28/11, 11:00:14 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 11/28/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 114 E FRONT ST SUBDIV: TENANT, NBR: CAPTAIN T'S / THE BEANERY CONTRACTOR : PHONE OWNER LESTICE ENTERPRISES, LLC PHONE (360) 417-0964 PARCEL 06-30-00-5-1-1615-0000- APPL NUMBER: 11-00000354 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------ -- -- --------- ----------------- C099 O1 11/28,{11 BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 11/28/11 TIME: 09:47:45 November 28, 2011 9:47:30 AM pbarthol. ------------------------- COMMENTS AND NOTES • 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 FEES Certificate / Inspection $100 arking Business Improvement Area (PBIA) ee charged for Downtown locations PLEASE PRINT IN ZAIK Zoning Check one: New business in P.A.?Xchange of ownership only? El Moving location from within PA.? BUSINESS NAME ' Business address I I ► 11(t, i S i Mailing addtess P0 Rox 9q Phone number qua -!c"54` Opening d ' ate Days & hours of operation Business owner's name—Jc-3rk r)r)i en\< -- )WVk CC Contact phone Business owner's address t-7*�_9 VAI �A Brief description of business CkS-4:�-m n j Chi 3't 19'(+) / Cd r" ��aFJ - Property owner's name LLC_- contact phone 0; \1 -09 bLl A P rope �My owaar's ad d ressiuwn iacL .1 1 :2�1 \i\.J' !'r R'1 BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes El No 1�q/ 7\ Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairway,,ramps, bathrooms, electrical, heating/cook 'g/v- nflOonsystems,etc). 11 �5 (_( �21M Work planned: i IA,) I k��Ci t) I � V'1� // ne L-0 /,41 _,It, !:�. . - I :Z, ', � yy� e FIRE DEPARTMENT phone 417-4653 Fire approval by Ala, on 3-6- I:L Changes to a fire sprinkler system or fire alarm system? Yes IFD Na L1111\' Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? 6 0'?)'2— PBIA notified on is business moving within the PBIA? Yes 0 No•x Rx,_dLV-\n CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes 0 No ❑ Will there be dancing at this business? Yes 0 NOA`� 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 TRANSMITTAL To: XFire Department ❑ Other Department - Date 5-Z34 Project Address Contact Fynd�1 Phone number(s) I � 4 14 (1 (:1 E HYD ri-t— S Permit number ► — Project Description—COM, Remoa-e I ❑ New Construction [Addition Iteration Please review & return to the Building Division, Permit Technician. T.-Forms/Building Division/Transmittal BUILDING PERMIT APPLICATION Print in ink -:3�. , CITY OF PORT ANGELES For City Use On] . Attn: Building Permit Technician Date Received _ - J�- I 321 E. Fifth St., Port Angeles, WA 98362 � Permit # 1�h� (360) J 17-4815 fax (360) 417-4711 \P��—�\� �.,� Date Approve filf�+ Applicant �a vyl Leo4ePho � L4-7-7 —(3q7� Property Owner Phon ' t 1 --O9 jo4 Property Owner's Address 1-7-2-9 \K1-� -4 (n' �-` , PA 91?�, 310 Contractor Phone Contractor's Address License # - - Expires E=mail PROJECT ADDRESS 11 `10 (LE, 'Ft'otn�- (G i -a(nTT f IBeane i Parcel Number a 10 3 o0©5116150 o 0 o Lot Zoning C-5 t5 Prosect Tvpe & Brief Description: ❑ Residential ❑ Multi -family VCqmmercial ❑ Industrial Check all that apply jM� Z2e� &New Construction ❑ Addition ' Remodel ;n+P_ ► or i Alla`, � c'e p1ACe V�-, - -lj CC) c ms I i n -;Si at 1 -5 v -x- ks ❑ Repair I ❑ Demolition -�ir OWU14PoU'�- SGVpPe4-s ❑ Re -roof ❑ House ❑ garage `yother a_ w Iq I (tear off & re -roof ❑ lay over one layer Heat System t4eat pump ❑ wood -burning stove ❑ Os fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft. Proposed (sq, ft.) Basement @ $ per sq. ft. _ $ 1 St Floor 2"d Floor 3`d Floor / 1_�_^ Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures � T Lot sizeXstrur�s�,eft sq. Lot cov e % Site Coverage = the amount of impervious son a parcel, includindrivewa sid asks, patios, and other impervious surfaces. (see P C17.9.35 for exemptions)e coverag % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? 1J Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths /have read and completed this application and know it to be true and correct. /am authorized to apply for this permit and understand that it is my responsibility to determine w t permits are required, and to obtain permits prior to � ing on projects. Date �� o? 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TOOL,-� I ROOM? -- C V 'f UPS SHELVES ~(n m zw c>W �<- EV3 LL1 (� (D J z 0U co FLASH o r) < J J LU m w N C/o Lo ww C 0 w O= cn i FOLDING TABLE OUTGOING SHELVES 7 m W X zo m FLASH SPOT GUN BATHROOM LBLocxourJ- METAL TOP DESK p� ■ �Q ANdl 1nOHSVM HSb'M dd w A L ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000716 Date 7/14/11 Application pin number 778432 REPORT SALES TAX Property Address 114 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1615 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 10 circuits to take over for revoked permit Owner DATE. Contractor INSPECTOR. LESTICE ENTERPRISES LLC ANGELES ELECTRIC 1729 W 7TH ST 524 E 1ST ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 417 0964 (360) 452 9264 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 189050 Permit Fee 96 90 Plan Check Fee 00 Issue Date 7/14/11 Valuation 0 Expiration Date 1/10/12 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 73 50 9 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 23 40 Fee summary Charged Paid Credited Due Permit Fee Total 96 90 96 90 00 00 Plan Check Total 00 00 00 00 Grand Total 96 90 96 90 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN D�3 1 FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G \EXCHANGE�BUILDING 07/13/2011 10 37 FAX 360 452 9265 City-60ortMples Pirml Applicallon DO: -&'2 Si Vli FaMiDwelft - 0imardw* ✓ 1MOrOblAdOMM /AbMUon I RWOM I ROW Angeles Electric • Plan -RWOWMO,8qRKuW'PIM9 Complete EJNWW Plan Review Inbmedm-Shad Job- ddf&t .DeWpHanal.a1mve -UW Ai(Imbm .No x Phoney Fax I 6AWII.Exp, 4.." Name: Jr. .Mfilfchame Tale! (Cly MuMdW by Unit Chame) `; SemberFeader�DAnip: UWaMader 4014M MO. 26220 ; SaMoaftedwOM4000Amp. OmbaFeeder wArtMOArm. BmnchCkmkiWSnftFn* .2-60 .73.50lbaid -makiolor ChAftp - h #7 j .2.00 $ z40 Eah AdEbW k4mb Ck=k .S. 970 $ - -Temp 8errkdFeerler700Amp $ Temp SeMoelFeedr201�00Anp :$148.70 Temp. Smofthr.401-1110Amp. $167,90 a TmV.ftftAWw1114=MjL I pombpama* . 25M a "VmWUffAmd&nW—C;rWwdmLAMbW`Im$5.00 -IM90 V4rdChWIJ*WEnmjj- I A2F&n*Dwoft U.0 $ ftndCkWLMWftW-NijM-fx*DmOM $ MAV$ MMILIfidiolf-Homeconned iagm . I . S Rwmmbbff@;M&AW-5KVASydWGrLm - 1403Q, 11 Fkd1300SpwfL 6.3520 Each Adftmd SM.Vpm Ft or Porkn of -'$ -73J0 EmbOub"jorDilachmiGamp 00001/0002 'Told -m NOW# ..Af**dhV gw&bm.*b=Kl homby as ft I= ilm ftnor of go mbgvonmW property ors bW=d IbCWACMU*dw. lam mmiffia the eloddalUddom or MUML 6;db =W4mModm* 13 Cub 0 Cheek )C ,lie 7113ZOV Trent Peppard From Andrew Slack [apselectrical@msn com] Sent: Monday July 11 2011 7.08 PM To Trent Peppard Cc: hbower@kitsapbank.com Subject: AP S Electrical and 114 & 116 East Front St. Attachments. CaptT Trent.doc Hello Trent I am attaching a letter as you requested for Captain Ts and have provided a copy to Kitsap Bank also We are requesting your inspection of our work as soon as possible, you have the contact info for the owners. If there is anything we can do to assist, we trust you will let us know Respectfully, Sheryl (and Andy) °Fp0Rr44,,F ELECTRICAL INSPECTION WIRING REPORT G L r KS & 417-4735 DATE: PERMI # X17 ! 111 �36� OWNER CONTRACTOR ADDRESS APPROVED ❑ DITCH P- Tl. , Z:.7 T A L,. -.-ROUGH IN/COVER ❑ SERVICE ❑ FINAL INSPECTOR," `0 CORRECTIONS NEEDED- t"\W+t N f:,LDO fZ 2 NOT APPROVED 11 11' ❑, e-.dV,IF_- C—;, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 11 00000368 Date 4/25/11 Application pin number 522064 Property Address 114 E FRONT ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1615 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 320 amp service 30 circuits Sign Owner DATE. RESULTS Contractor LESTICE ENTERPRISES LLC APS ELECTRIC 1729 W 7TH ST ROUGH IN 546 BENSON RD PORT ANGELES WA 98363 PORT ANGELES (360) 417 0964 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION PORT ANGELES (360) 452 6753 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 184390 Permit Fee 311 70 Plan Check Fee Issue Date 4/25/11 Valuation Expiration Date 10/22/11 Qty Unit Charge Per 30 00 2 6000 ECH EL BRANCH CIRCUIT W/FEEDER 1 00 145 5000 ECH EL 201 400 SRV FEEDER 1 00 88 2000 ECH EL COMM SIGN Fee summary Charged Paid Credited Permit Fee Total 311 70 311 70 00 Plan Check Total 00 00 00 Grand Total 311 70 311 70 00 WA 98363 00 0 Extension 78 00 145 50 88 20 Due 00 00 00 INSPECTION TYPE DATE. RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. 71 i�;/ I) )744:� Signature of owner or Electrical Contractor X Date G \EXCHANGE\BUILDING RECEIVE J l MITI' OF PORT ANGELES PERMIT APPLICATION.".�..h a Builclinb Di0sian/Electrical InspectionAPR v 2 52n�1 I W 321 East Fifth Street — P O Box 1150 / Port Angeles Washington, 98362 tic£ Ph (360) =117-1735 Fac. (360) 417-4711 ELECTRICAL � �_•�� Cid ! 9 y�® aQ 1I `7 INSPECTIONS Date 1 & 2 Single Family Dwelling y Multi -Family or ommercial* —Commercial Addition / Alteration / Remodel/ Repair* *Plan Review Ma Be Re aseC, mel e Electfical Plan Reviewipformation Sheet �" 6- n Jcb Address: F-0 KAP]e Building Square Footage. r C.e (' �� Description of above � 1 lar'A. VCS-" .hcr i l3 ii V15 -4-13 e, Owner Igformation, Name: 1 5' a G�- Contr ct In rmion t Name:. Mailing Address: 1-7;2 q 113 % Mailing Address: City P -A State. Zip. _F,:4,3 q 11 -ai Fax: City State: Zip: Phone Fax: Phone: License # / Exp. License # / Exp. Item Unit Charge Qtv Total (Qtv Muftialied by Unit Charge) ServicelFeeder 200 Amp. $119.90 Service/Feeder 201-400 Amp $145.50 $T $' �•�.. �� T Service/Feeder 401-600 Amp $ 204.60 _ $ Service/Feeder 601 1000 Amp. $ 262.20 $ Service/Feeder over 1000 Amp. $ 372.50 $ dp $ l �+ Branch Circuit WI Service Feeder $ 2.60 Branch Circuit W/0 Service Feeder $ 73.50 $ Each Additional Branch Circuit $ 2.60 $ Temp Service! Feeder 200 Amp. $ 9230 $ Temp. Service/Feeder 201400 Amp $110.30 $ Temp Service/Feeder 401-600 Amp. $148.70 $ Temp Service/Feeder 601 1000 Amp $167.90 $ Portal to Portal Hou y $ 95.90 88.20 $ �— $ SQ Sign/Outline Lighting $ Signal Circuit! Limited Energy / First 1500 sf - Commercial $ 95.90 $ Note. $5.00 for each additional 1500 sf Signal CirGuit/ Litnitted Energy 1 & 2 Family Dwelling $ 63.90 $ Signal Circuit/ -Limited- Energy Multi -Family Dwelling $ 63:90 $ Manufactured Home Connection $119.90 $ Renewable Electrical Energy 5KVA System or Less $102.30 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY. First 1300 Square Ft. $110.30 $ Each Additional 500 Square Ft or Portion of $ 35.20 $ Each Outbuilding or Detached Garage $ 73.50 $ Each Swimming Pool or Hot Tub $110.30 $ $ i © Total 5`1 Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease 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 contactor 1 am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05 050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator 0 cash n chscr: credit Card # ItA Dared: y a O U(Q r! (f Ot101/20to X `\ J� • To Trent Peppard, City of Port Angeles Senior Electrical Inspector From. A.P S Electrical Contractor, Inc. Re 114 and 116 East Front Street As of June 29, 2011 we have installed two 400 amp services, labeled all panels and traced out all existing circuits. We have run conduit and circuits for four forced air furnaces, we have run new circuits for espresso kitchen area, we have roughed in and trimmed out all outlets and switches and installed 22 new 8' fluorescent fixtures plus three 4' fluorescent fixtures along with re -installing several of the light fixtures that were removed for demo We roughed in and trimmed out the new baths along with replacing fan in employee bath for 114 We have run circuits through the ceiling into the projection booth with spares for the future for 116, this side is 100% complete. Circuits for the showroom for 114 window lighting are in the function box in the attic, it was at this point Randy told us he could figure out the rest. Remaining items misc. conduit strapping; meter protection, address labeling (we have possession of the placards) Please let us know if you want further detail, and do not hesitate to let us know if you have any questions. Respectfully, Andy and Sheryl Slack A.P S Electrical Contractor, Inc. 546 Benson Road Port Angeles WA 98363 (360)452-6753, phone and fax apselectrical(iDmsn.com 119 COMMERCIAL - SINGLE VOLTAGE 120/208 VOLT CONTINUOUS. INTERIOR LIGHTING 3 W X S.F = PER 220-3 OR WA. ENERGY CODE EXTERIOR LIGHTING. CONNECTED LOAD SIGN (PER 600-6(B)&(C)) 1500 W MINIMUM ! 5tb SHOW -WINDOW -(220=12) 2 0 0 W =X _494_;'_r - _3r ------------------------------------------------------ ---- --------------------------------- SUB-TOTAL /& 13 5;D A ) - ZS .0c),4 3S NON -CONTINUOUS. HEAT AIR CONDITIONING COPIER WATER HEATER ELEVATOR FAN COFFEE OUTLET DISH`JdASHER lo%YXJZ- LARGEST MOTOR X 25 % SUB -TOTAL 0866 _rr i:�j� __ J)3�1 CONDUCTOR SIZE = CONTINT JOUS +NON -CONTINUOUS e,14 OVERCURRENT = (CONTINUOUS X 125%)+ NON -CONTINUOUS PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06 ADDRESS 114 E FRONT ST SUBDIV TENANT NBR PA DEVELOPMENT CO CONTRACTOR AFFORDABLE SERVICES PHONE (360) 683 9619 OWNER P A DEVELOPMENT CO PHONE PARCEL 06 30 00 5 1 1615 0000 APPL NUMBER 06 00000493 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 7/21/06L,�7 L� BUILDING FINAL TIME 13 00 JANE NO PHONE # 07/20/2006 02 06 PM DYASUMUR COMMENTS AND NOTES CITY OF PORT ANGELES VN+O�N DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner 66 00000493 Date 5/11/06 928195 114 E FRONT ST 06 30 00 5 1 1615 0000 PA DEVELOPMENT CO 14— RE ROOF I X�� CENTRAL BUSINESS DISTRICT 22330 Contractor P A DEVELOPMENT CO AFFORDABLE SERVICES C/O DAVID L HAGUEWOOD 258663 HI WAY 101 PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 683 9619 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 77396 Permit Fee 389 75 Plan Check Fee 00 Issue Date Valuation 22330 Expiration Date 11/07/06 Qty Unit Charge Per Extension s BASE FEE 95 75 21 00 14 0000 THOU BL 2001 25K (14 PER K) 294 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 389 75 389 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 394 25 394 25 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 a o viol or cancel the provisions of any state or local law regulating construction or the performance of construction. ure of Co ractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T-\Policies\l 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEI DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW / WATER AIR SEAL WALLS I I CEILING Ij FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB I I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING LANDSCAPINGI I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 4174750 PLANNING DEPT BUILDING 417-4815-7�� VZ BUILDING j•\Policies\1102_15 building permit inspection record05 wpd [1/4/2005] I L �<. roxr y�I FOR OFFICIALSE PNL �� BUILDING PERMIT - APPLICATION Date Rec. ✓ilD�o s 11�.! Permits. 07— 4-q3 � Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date ApprovedI � COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 4174815 FAX(360)4174711 Date Issued. - Applicant or Agent: I Yi �a_ rV/� Phone. 36(`/ t/4y L7& q Owner- w. 479vry ri L ilp Phone: t4c7Z— 67gl Address l Z L YJ5 Z, 3 city. 1�ws f. j* Zip �Z ArchltectJEngmeer- Phone. p�/�q��� Contractoria- \1 E IGeh c c rh State License #• 'Ex— 'iZ3 I a` l Phone:3606 0�,?&fq Address.Z ►(� Nwy/n( W City. 5-, c m W A zip IV2-74 2 E PROJCT ADDRESS i���i� 6 >cro�n�c5+- (/ ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATION ❑ Residential ❑ New Constr. 0"Re-roof ❑ Stove SF @$ /SF = $ ❑ Multi -family ❑ Addition ❑ Move ❑ Garage SF @ $ /SF = $ Cr'Commercial ❑ Remodel ❑ Demolition. ❑ Deck SF @$ /SF = $ El Repair ❑ Sign ❑ Other TOTAL VALUATION $ Z �5 5 — BRIEF DESCRIPTION OF THE PROJECT h a, , 7r3YGh W(/l COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq Ft. & Proposed Sq. Ft. = TOTAL Sq Ft. Total lot coverage % PLANNING USE ONLY APPROVALS. PLAN BLDG. DPWU FIRE. ESA/Wetland(s)- ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE IF a plan check fee Is due it must be submitted at the time the -building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibildy to det ' e wha i s re requi d, not the City's, and that I must obtain such permits prior to work. T-Tolicies\BL 1102_13.wpd Applican . Date: AFFORDABLE ROOFING 258663 Hwy 101 West Sequim, WA PROPOSAL (360) 683-9619 (360) 385-2724 (360) 452-0840 Name n D Cvl�2le-(\� Cd Phone #1 _ Addres Phone #2 Cl t Y� (ANC P e.'S State Zip Code arp house perimeter to protect landscaping Remove old roofing and haul to landfilll t --4,S- 7_ - (9 C1'63 (o Z- �0 L 2— . Install Plywood OSB Install Roofing Felt Install Dnp Edge Metal Install 'Pipe Flashing Install Metal W -Valleys Install Exhaust Vents Install Roof to Wall Flashing Instal l Ridge Vei is Install Roof to Wall Step Flashing Install Attic Vents Cut In Clumney Counter Flashing Install_ Sun Tube Install Chimney Step Flashing Install T Skylights Install Skylight Flashing �_ rn �-� t� �. �lY t CjW (�rv�cae�. A A� �Instal InstaYl_rk� C�`f1m e,� ©1r e r \/O d S CULj -� Install —':�aCC I,-- Inst l e17ra r C,rr a St nr .P R r Orad` 1�V e `r Secure / Locate Septic / Drain Field Location a Price Includes Building Permit 01" of `� n r JA S .e A 171 Customer to Secure Building Permit Description �C t t�( i� 2V,,iln NC� W e,!�;t Payment in full upon completion of project, unless other arrangements accepted. We propose hereby to furnish material and labor, a Ir Z —i4 0 c r,,, Ir c mplete In accordance with the a ove specifications. '� e Al my.cna! s uarantced he ads cd. AJl work to be competed in profess oval manner according to standard practices. Any alteration or deviation from the above specificatioas involving extra costs will be executed only upon written orders and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidcnm or delays beyond our control. Owner to carry Fire, tornado, and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. Acceptance of Proposal the above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment will be made as outlined above. Affordable Roofing's Representative Customer's Signature of Acceptance See attached Warranty Statement_ qVe,V- f� SUBTOTAL 4-L7 2a. j /� 3 00 SALES T� TOTAL . te: this proposal may be withdrawn by us if not accepted within 30 days. TOtn�. Iv &A 4w� ip,r m t - Brand -PC lil"AYear 1-5_ Color Workmanship -- 10 Year Warranty Lifetime Warranty Date, Date: k CERTIFIC. lil:-QqPUPANCY This C ta�epkez:sred, pursuant to the requirements of Sectio' :109 of the S Use Classification: Group: m Owner of Business/Reside Building Address: 114 A isPermit NoV _ Construction: Wo &- Frederick Post on to Shall not be 4em 2-,xvow 7Y-W� CBD �s, WA 98362 ! --JA[uary 4.2042 Date -Zjs place uilding Official 1 ROUTING SLIP °m ate of Occupancy $47 0 Ce ificate/Inspection Fee DATF Q' 1 New Business Address of Proposed Business Transfer of Business Location ( ) 1 ( " C Y-Y—G1rN N-- Change of Ownership ( ) Applicant )_ .rlL New Building ( ) Address `7L? (sem Remodel ( ) �bC11I- ikvci fl A �N Temporary Business ( ) Phone business home Change of Use ( ) Brief description of proposed business. f '/0�f 4 ���//V6 &1j a S'G- Legal Description Lot Block Subdivision Current Use of Property- Q6-7141 4 S/`iG.15-�, Zoning Classification of Property- 01/131) 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 4) Mechanical 4). Pawn Broker New septic tanks 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 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? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 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- edge that I have read this application and state that the Date l 2I 0 information I have supplied is correct to the best of my knowledge Signed APP REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk PB 1. A. -24, J Comments / Conditions CITY {)FPORT ANGELES DEPARTMENT OF COMMUNITY DB\/EL(}9D&IN[ - BUILDING DIVISION 32lEAST 5TH STREET, PORT ANGELES, WA98362 Application Number . ' . . . 04-00000924 Date 10/08/04 Pin uonmcr . . . . . . .er4oso Property Address . . . . . . 114 o ruomr ac ayoEaooa eaoCoL moMamn. 06-30-00-5-1-1615-0000- o so-uo-5z zu1s-oouoAppliration Applicationdescription . . . COMM REMODEL Subdivision Name. . . . . . Property Use . . . . . . . . �� /_ /,��_7//. ezpnezty Zoning . . . � . . . CENTRAL noozmoao ozaTozcr ' ^~ Application valuation . . . . sou Owner Contractor ------------------------ ------ - - A DEVELOPMENT co owmmo -p C/O oavIo L. eAoUEWoon Ponr ANGELES mx 98362 - Structure Information RETAIL Sxnao - Construction Type cvne . . . . . rrPo v NON -RATED Occupancy Type . . . . . . aUazm000.orr/eno/moo/oEor Other atrnct info . . . . . mmnano on nmrro 1.00 - -- -- ' -- ' - - -- - - /| rermit . . . . . . aozLuzmo poomzr commoaczez - - - Additional ueac . . NO uoao mauL WALL oeomzmG Permit pee . . . . 47.00 pzao Check Fee 30.55 zoone Date . . . . zo/oo/o« Valuation . . . . son ~^� Expiration nate . . 4/07/05 Qty Unit Charge Per Extension BASE FEE 47.00 r-� ^ ./ - - - - -- ' -' '- ' - - -- - -- - - otuez r+eo . . . . . . . . . STATE aoacaAnoE - -' -' - «.so Fee summary Charged Paid credited Due ----------------- - - -- - - - -- ---------- - - pezmit Fee Total 47.00 «r.on .on .ou ezao Check Total � � . 30.55 so ss oo � on � Other Fee Total 4.50 ^ su . oo . .00 ' Grand Total 82.05 82.05 .on .00 -/ Separate Permits are required forelectrical 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 nfapermit does not presume to give authority to violate or cancel the provisions of any state orlocal law neOu|n��A construction or the performance of construction./ Signature ofContractor orAuthorized Agent Date Date 102.15 (11/14/2003] 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE I ACCEPTED COMMENTS I` YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH -IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING � I I LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ELECTRICAL - LIGHT DEPT CONSTRUCTION R.W. / PW/ ENGINEERING IFIRE PLANNING DEPT. BUILDING T:\PLANN NG\FORMS\1102.15 [11/14/2003j 417-4735 417-4807 417-4653 I I 417-4750 +I 417-4815 I I I ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW / ENGINEERING FIRE DEPT. PLANNING DEPT. BUILDING ACCEPTED YES NO ON 1'{]R7 qAX, BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan :MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: M(I i— le— FCad,Q r i c_ -I,,- Owner: irOwner: Dn(lr Address: [ 0 'L ► C Z''cj City:_-BrI Architect/Engineer: Contractor Phone: Phone: nial e, -r Phone: State License #: Exp R OFFICIAL USE ONLY: ADattc ,ppp roved: Date Issued: Ht -7- (C'► CZ 3 Zip: 6 Z Phone: Address: City: Zip: PROJECT ADDRESS: [ t'A 4- 'Frn� +-s `Ci: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: ❑ Residential ❑ New Constr. ❑ Re -roof ❑ Multi -family ❑ Addition ❑ Move f4` Commercial ❑ Remodel ❑ Demolitio ❑ Repair ❑ Sign BRIEF DESCRIPTION OF THE PROJECT: Vw" r Ltvw--+ (4 1%04- t Block: City: Subdivision: Exp. Date: SIZE/VALUATION: El Stove SF. @ $ /SF. = $ 11 Garage SF. @ $ /SF, = $ Demolition ❑ Deck SF. @ S /SF. = $ ❑ Other It TOTAL V DATION COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: ' Lot Size: PLANNING USE ONLY: Existing Sq. Ft. Total lot coverage Occupant Load: & Proposed Sq. Ft. ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other: Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: 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 Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that t have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, not the City's, and that 1 mustobta' such permits prior to work. T:\RVESS\BLDG-forms-brochures\2.003-Buildingpermit,wpd Applicant: ate:10 -S- 04 FILE tll!s -Sy iumo bt- Lit iumo bt- a 1� A }0 2 Now 4- usj &,j, WX 10 WWI A }0 2 Now 4- usj &,j,