HomeMy WebLinkAbout922 C St - Building
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
property Zoning . . .
Application valuation
04-00000511 Date
.010332
922 S C ST
06-30-00-0-3-0196-0000-
COMM REMODEL
8/06/04
COMMERCIAL NEIGHBORHOOD
8000
Owner
Contractor
THANEM, RICHARD
236 WEST 10TH STREET
PORT ANGELES
(360) 452-6840
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
OWNER
WA 983620807
CONVERT SFR TO COMMERCIAL RETAIL
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
Permit ELECTRICAL NEW COMMERI CAL
Additional desc
Permit Fee 61. 30 Plan Check Fee
Issue Date 8/06/04 Valuation
Expiration Date 2/03/05
.00
o
~
N
Qty Unit Charge Per
1.00 61.3000 ECH EL-COMM ALT <5 CIRCUITS
Extension
61.30
lI)
Special Notes and Comments
Retail in CN zone reqiures 3 off street parking spaces.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61. 30 61.30 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 65.80 65.80 .00 .00
()
CA
~
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
con ction. .
-...
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMS\1102.15 [11/14/2003]
i_H_
I
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING
UNDER FLOOR / SLAB
ROUGH.IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL I
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
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 PU-m rr €-~? Jle~--D
PLANNING DEPT. SEPARATE PERMIT #'s SEPA: i - eJ.' -tJ~
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 O~ / ,r ~""'" ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ , , CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\ 11 02.15 [11/1412003]
~
,
,; City of Port Angeles
/ Building Division
This Ceftijication issued pursuant to the requirements of Section 109 of the
UnijormfBuilding Code certifying that at the time of issuance this Jiructure was
in cottnpliance with the various ordinances of the City regulating Building
I~ construction or use. For the following: ,
Use Classification: Shop.. Building Pennit No: Business Name: The Vi~lin Shop
Gro,p' --IL- I Typ< of Com,",";o" V - N Ure "",,' I eN
Owner of Business: RichJd Thanem Address: 236 West 10th Street. Port ~eles W A 98362
\ I
Building Address: 922 South C Street. Port Angeles. WA 98363
\ I
~, ember 17 2004
.. ~~" .
ate
.~.
'": ~;~.I'~ ,
1'"
, ,
'1 :, ........ .
7, ". ,. I / /'1- ,'1-/" J/..,
'~l /
7 /':~';
;j
ROUTING SLIP
Certificate of Occupancy
$47-,0-8 Certificate/Inspection Fee
DATE AI;" r-). '1 7 "7 d' '-I
,
Address of Proposed Business
12 Z. 5 ~,/fh 'r' 'C;-t.
k,'rl.,nyd ,-I,r-;" ......~
7,'-', ~ u/. I () -I-l- 57'
,; h.-A"J t?'"I I ,d A ' 1 f 5 ~ z..
busine"ss l/5 7-(,$5''7 homel!.>-} t:,f (/0
"
Applicant
Address
P~t .;
Phone:
Brief description of proposed business:
I." ." /'7 (" "', J~.
legal Description: lot
Current Use of Property:
Zoning Classification of Property:
t
/
5t!l)...... Ii..
I. --I .~ . II, fit i Block
'j)r' S, e/.rt, ..f, "'" .r
New Business ............................
Transfer of Business location. . . . . . . . . . . . . . . .
Change of Ownership . . . . . . . . . . . . . . . . . . . . . .
New Building .............................
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Temporary Business .......................
Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Ii. "
,
-
, l- , ~. I, .
;' 111
l.I I 1,/5 /J.1"'~ (
)
-
T F'A
Subdivision
(" ~ 1"- ~ I-I-...Pr r, 4 /
11/-1"/~A haY'J/tlPC/'
./
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . .
Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . .
Plumbing changes .............................
New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . .
New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
New sewer service .............................
Admission charged to patrons. . . . . . . . . . . . . . . . . . . .
Is this a home occupation? .. .,. . . . . . . . . . . . . . . . .
Excavation of filling of lots .....,.................
Work done in City right-of-way. . . . . . . . . . . . . . . . . . . .
Is there sufficient off-street parking? . . . . . . . . . . . . . . .
New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . .
A grading plan for site drainage. . . . . ... . . . . . . . . . . . .
(parking lots, downspouts, etc.) ..................
Are the existing streets paved? ............. . . . . . .
Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . .
Is there curb and gutter? ........................
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
YES NO
V
-\T
--
-~
~-
~-
V
--
-~
-~
==~
1-~
-~
....;
--
~-
V
-\T
~-
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge. '
APPROVED
REJECTED
THE FOllOWING Will BE REQUIRED:
PERMITS
CD Building
<ID Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
@ Driveway installation
8) Curb installation
tm\ Sidewalk obstruction
1cl) Water meter installation
11) Fire
12) Occupancy
@>> Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
(~l 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
)
""""")
)
( )
( V )
( )
( V )
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
t, (I, 'I~ L.
r
?5 / :J,/6~Wtz
7
Date: ~/7? / / l./
r .: -A--r~
SignedY..2&.o L.. "'" I. ~ - ~~
~
/3i/~ lne~.:; M4WC-e,
Ikvtd/f~ S~
~/
ROUTING SLIP
Certificate of Occupancy
h_O Certificate/Inspection Fee
~ pORT...",
lO~G'('/'~
~~.
L. -=->J
=-
~
"t,:JLJC~~
DATE A'//lI-1~t- '27r Z-tJ?/ '-I
Address of Proposed Business
'1 ZZ 5,. 4"'- i'~ /' ,<;-f.
Applicant ~'c~Y'4 -,-1-14 J-} ei.'IA....;
Address ~ ~t7 f"-- ,<(t.
~,rf. ~ IA.//f. qr!~2-.
Phone: business l/S7-tdSJ homell~ l--~f" i.fl)
New Business ............................ ( )
Transfer of Business location. . . . . . . . . . . . . . .. ( v )
Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( )
New Building ............................. ( )
Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( V )
Temporary Business ....................... ( )
Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( v )
Brief description of proposed business: -f'h. /1/;;;:"'" .f~ / Cllrn'u-l /'vS /~.rf
.h, v-...? IA /h .J.p, ,.
s'vr.... YL ...."1
legal Description: lot iM<; ..q~'7.iJ Block ~O,
Current Use of Property: /2R S ,'clev-r -t:.~
Zoning Classification of Property: ~. ;"'Pi;;"/
WILL THERE BE ANY OF THE FOLLOWING?
Construction changes. . . . . . . . , , . . . . , . . . . . . , , , . , .
Electrical changes. . . . . . . . . . . . . , . . . . , . . . . . . . , , , .
Mechanical (heating, cooling, stoves) . . , , . . . . , , . , , .
Plumbing changes ........",......"......",.
New or relocated signs. . . , , . . . . . . . . . . . , . . . . . , . , ,
New septic tanks. . . . . . . . , , , . . . . . . . . , , . . . . . . , , , .
New sewer service ................"........."
Admission charged to patrons, . . . . . . . , , . . . . . . . . . .
Is this a home occupation? ".(..."'...........
Excavation ot tilling ot lots ,'... # . . , , , . . . . . . . . . . , ,
Work done in City right-ot-way . . . . . , , , . . . . . . . . . . , .
Is there sufficient off-street parking? . . , , , . . . . . . . . , ,
New driveway openings. . . . , , , . . . . , , , , . . . . . . . . , ,
A grading plan tor site drainage, . . . . . . , . . . . . . . . . . ,
(parking lots, downspouts, etc.) ........,........,
Are the existing streets paved? ,......".........,
Are there existing sidewalks? . , , . . . . . . . . , , , , . . . . . .
Is there curb and gutter? ...,.".......",.......
Other.,.........,..................",....... .
YES NO
~-
if
--
-~
U--
..:L..- _
V
--
-~
--\L
==~
-~
~
V-~
--
if
-./ -
==V
~-
I hereby apply for a Certificate of Occupancy and acknowl-
edge that I have read this application and state that the
information I have supplied is correct to the best of my
knowledge.
~~rRpV" I
~
REJECTED
Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
lR
~ '1-0y-/p;J
vVI5"'4/~
Subdivision
THE FOllOWING Will BE REQUIRED:
PERMITS
('D Building
(g) Plumbing
3) Electrical
4) Mechanical
5) Sewer
6) Sidewalk installation
(!) Driveway installation
8) Curb installation
f'9j) Sidewalk obstruction
1m' Water meter installation
11) Fire
12) Occupancy
@Sign
14) Shoreline
15) Home occupation
16) Conditional use
17) Other
BUSINESS LICENSE
1) Taxi
2) Peddlers
@ 2nd Hand Dealer
4) Pawn Broker
5) Dance
6) Hotel - Motel
7) Fireworks
8) Ambulance
9) Tattoo shop
10) Other
Date: 3/22/ / Y
SignedD..-L ~
Comments / Conditions
q'o/oC;
~ ~ORT ~
l~~~
rea
"-~
-----
~C~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000053 Date 1/27/04
922 S C ST
06-30-00-0-3-0196-0000-
ELECTRICAL ONLY
COMMERCIAL NEIGHBORHOOD
o
Owner
Contractor
SCHILDKNECHT LOIS
PO BOX 1630
PORT ANGELES
OWNER &~ MOe.,..
WA 983620807
7---------------------------------------------------------------------------
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
76.30
1/27/04
7/25/04
Plan Check Fee
Valuation
.00
o
~
\-.:)
~
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30 76.30 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
(J\
(:)
V\
~
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.
~(kd U, #}J1~
Signature of Contractor or Authorized Agent
1- 1,1~()~
Date
Signature of Owner (if owner is builder)
Date
T \PLANNING\FORMS\1102 15 [11/14/20031
BUILDING PERMIT INSPECTION RECORD
"
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735'FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-IN I
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 W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 J/~,1()1 ,Mt! ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ , , CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T'\PLANNING\FORMS\1 102 15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl~cat~on description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000511 Date
.010332
922 S C ST
06-30-00-0-3-0196-0000-
COMM REMODEL
6/09/04
COMMERCIAL NEIGHBORHOOD
8000
~t25t?
4- J'Z? ICJ~
V-/
Owner
Contractor
THANEM, RICHARD
236 WEST 10TH STREET
PORT ANGELES
(360) 452-6840
Structure Informat~on
Construct~on Type . . . .
Occupancy Type . . . . .
OWNER
WA 983620807
CONVERT SFR TO COMMERCIAL RETAIL
TYPE V NON-RATED
BUSINESS:OFF/PRO/MED/REST
Permit
Add~t~onal desc
Permit Fee
Issue Date
Exp~rat~on Date
MECHANICAL PERMIT
54.25 plan Check Fee
6/09/04 Valuat~on
12/06/04
.00
o
Qty Un~t Charge Per
Extension
47.00
7.25
BASE FEE
1.00 7.2500 ECH ME-VENT FAN
61.00
6/09/04
12/06/04
Plan Check Fee
Valuation
.00
o
~
~
Perm~t
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
Qty Un~t Charge Per
Extens~on
47.00
14 .00
R!-
~
BASE FEE
2.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
Permit BUILDING PERMIT - COMMERCIAL
Additional desc
Permit Fee 176.75 Plan Check Fee
Issue Date 6/09/04 Valuation
Exp~rat~on Date 12/06/04
Qty Unit Charge Per
BASE FEE
6.00 14.0000 THOU BL-2001-25K (14 PER K)
,.
{\
114.89
8000
"
"
Extension
92.75
84.00
~
Special Notes and Comments
Reta~l ~n CN zone reqiures 3 off street parking spaces.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 292.00 292.00 .00 .00
Plan Check Total 114.89 114.89 .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 atter 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
Signature of Owner (if owner is builder)
T \PLANNING\FORMS\1102 15 [11/14/2003]
i VORT ~
~.J...O~~
iJ'~'"
'L -=--
---
'l.,\~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Applicat10n Number
pin number
Other Fee Total
Grand Total
04-00000511
. .010332
4.50 4.50
411.39 411.39
Page 2
Date 6/09/04
.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
Date
Signature of Owner (if owner is bUilder)
Date
T \PLANNING\FORMS\1102.15 [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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION'
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING F,Jlh-l- <f - J r;}. --0 ~ IJ--~ .jtL
UNDER FLOOR / SLAB
ROUGH-IN '7-I)..Cf -OJ..J ~J u
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS / ROOF / CEILING fJ-(J.9-OJ./ td/
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB ,
WALL / FLOOR / CEILING I I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARAT,E PERMIT #'s SEPA
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT I
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W. \
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT \
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 IS [11/14/2003]
r/
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
....
ApphcantorAgent: ~~~/ ~~ Wk.-Phone 3~o'" '6~7'-~3S/
Owner: J?;~iu:e~ tI.~~L-vr ~- Phone: 3~~'152--bR'ItJ
Address: z.-~ U,/, 1c:Ytt- ,t::;f \ CIty:~rf~~<,~ 11;//'1. ZIp' r g5~ 2
ArchItect/Engmeer: Phone:
Contractor
State LIcense #:
Exp:
Phone:
Address: CIty:
PROJECT ADDRESS. 1 z'Z s~ - 1(7 . \ ,$L. lY.-4--J4
I
LEGAL DESCRIPTION: Lot:,) ~ L+ 1~'t-20Block: sO t SubdIvIsIOn:
CLALLAM COUNTY PARCEL NUMBER: Ob:5 0t906 <t'\/ 4' ~c.:C)Q
ZIp:
ZONING: ~W1l41r A!er?Mr.
I
TPA-
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o ResIdentIal 0 New Constr 0'Re-roof 0 Stove
o ~u1tl-farmly 0 Addltlon 0 Move 0 Garage
if CommercIal la'""Remodel 0 Demol1tlOn 0 Deck
o Reparr ~lgn 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ~V\.{ e.r- ; Or-
i<e.c, ~ C"') Q.vv-b ~ a..l ~f.6,^^Me,t-e. ~Q \
-
COMMERCIAL/RESIDENTIAL: Occupancy Group'
City:
Exp. Date:
SIZENALUATlON:
SF @ $ /SF = $
SF @ $ /SF = $
SF @ $ /SF. = $
TOTAL VALUATION $ 8.OCCoo
12...e.. 1M..~.t2.... \ 'b R"Q. '" ~~ ~. Q.o V\. v ~ r- t
~ / '
~~ ~/ R-<2-TC(.:J
I
Occupant Load. Constructlon Type:
No of Stones:
Lot SlZe:
EXlstmg Sq. Ft.
Total lot coverage
& Proposed Sq. Ft.
= TOTAL Sq. Ft
%
PLANNING USE ONLY:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA ChecklIst requued? DYes D No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Buildmg DlVlSlOn can proVIde you WIth mformatlOn on the apphcatlOn and
plan subrmttal requrrements If you have questlons.
VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the applIcant Tills figure wlll be revlewed
and may be revIsed by the Bmldmg DIVlSlOn to comply Wlth current fee schedules. Contact the Penmt Coordmator at417 -4815 for aSSIstance.
PLAN CHECK FEE IF a plan check fee IS due It must be subrmtted at the trrne the bmldmg penmt apphcatlOn and constructlOn plans are
subrmtted. All other pernnt fees are due at the trrne of penmt Issuance.
EXPIRATION OF PlJAN REVIEW: Ifno pernnt IS issued WIthin 180 days of the date ofapphcation, the application will expire. The
Bmldmg OffiCIal can extend the trrne for actlOn by the applicant up to 180 days upon wntten request by the apphcant (see SectlOnl 07.4 01
the Umform Buildmg Code, current edltlOn). No apphcatlOn 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 authonzed to apply for this permit andl
understand that If IS my responslbillfy to determme what permits are reqUired ,not the City's, and that I must obtain such permits pnor to work. !
TIFORMSIAPPSIB"ldmgp'=" wpd 'Apph"nt ~ ~ D,'e: ~~ sL" ' ,I
I ,
I
I
PREPARED 8/12/04, 12 51 08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
6
8/12/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
922 S C ST
SUBDIV
PHONE
PHONE
(360) 452-6840
THANEM, RICHARD
06-30-00-0-3-0196-0000-
04-00000511 COMM REMODEL
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2 01 7/29/04 RV PLUMBING ROUGH-IN TIME 17-00
7/29/04 AP R1Ck 452-6840
~:::_::____:~:~~:~___~___~:~::N:o::::::6:::M:OT:: ::____________________________________
PREPARED 8/10/04, 12 58 59
CITY OF PORT ANGELES
7
8/10/04
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER
922 S C ST
THANEM, RICHARD
06-30-00-0-3-0196-0000-
04-00000511 COMM REMODEL
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
SUBDIV
PHONE
PHONE, (360) 452-6840
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3 01
7/29/04 RV
~~
BL99 01
BUILDING FRAMING
R1Ck 452-6840
BUILDING FINAL
R1Ck 457-6359
Please call lf posslb1e prlor to lnspectlon so R1Ck can be
there, he's hau11ng materlal back and forth so he doesn't
want to mlSS you
-------------------------------------- COMMENTS AND NOTES --------------------------------------
3ft{ JII.
11:)
~. ~
Ts: 9
LJ-~0"
PREPARED 7/29/04, 12 51 34
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR ROGER VESS
PAGE
DATE
2
7/29/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
922 S C ST
SUBDIV
PHONE
PHONE
(360) 452-6840
THANEM, RICHARD
06-30-00-0-3-0196-0000-
04-00000511 COMM REMODEL
PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL3
RV / BUILDING FRAMING
~~ R1Ck - 452-6840
,
----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------------
01
7/29/04
OX
S + rc. V€...-
-
~L<."",b I ':j' 1<0 IA..j it - 1: fA,
cd S t:> c..e> CAlvp ( -e i-Q. &
(- 29'--0,", RV
Pi/:f /I-1-C'j'.5 i'tc'..(': t-vt.e
., _w
itr.-e VI d Ii '-"v U ~--&p
/ '1 C/ IV ry,<
~~--'-' '\
ROUTING SLIP ~ f'ORT AA{
l o~~~(t
Certificate of Occupancy ~~
L.. -==-'"
~::::-.ifo Certificate/Inspection Fee =-
~
'<>U8LIC wo~":>
DATE , '/411L t ~ 7. Z'(}# t.f New Business ......... . ................ . ( )
,
Address of Proposed Business Transfer of Business Location. . ... . . . .. ... ( v )
92Z 5,J/f\. fIt'], ff cS--t. Change of Ownership . . . . . . . . . . . . .. ...... . ( )
Applicant ~'c~~/~~/ 'lh4vJe...~ New BUilding .... . .. . . .. ... .. ( )
Address ~uI ~on-Sj' Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( V )
:p,,"-f Temporary Business . . . . . . . . . . . . . . . . . . . . . . . ( )
, :.A?h-':) tM~' qr:~ ~ . .
Phone: business 1./!>-7-~3S/ homelf.> L-0[" i./tJ Change of Use. . . . . . . . . . . . , . , . . . . . , . . . . . . . ( v )
Brief description of proposed bUSiness. "1"h II/;b~ S~7f! - {itrrY'VLI- I,u{ /V~f5' Lvi ~4 t~
.k' o'v7 /0 r4 k. ~ t f / ' ,
.f,'Gvt L LY Block -:;0 I T?.4
legal DeSCription: lot f&<fc, t q p~D Subdivision
Current Use of Property: 'j2t? $ t' e:::Ievt ~e~~ /l/-e {J A t (7Y" h tIV.c/
Zoning ClaSSification of Property: t.' """ ;'- P. e; ,.4
Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING WilL BE REQUIRED.
Construction changes V PERMITS BUSINESS LICENSE
Electrical changes ==V ~ BUilding 1) TaXI ~
Mechanical (heating, cooling, stoves) -~ Plumbing 2) Peddlers
Plumbing changes .. ~- 3) Electrical @ 2nd Hand Dealer ~
New or relocated signs ~- 4) Mechanical 4) Pawn Broker
New septic tanks V 5) Sewer 5) Dance tt
--
New sewer service .. . -~ 6) Sidewalk Installation 6) Hotel. Motel
AdmiSSion charged to patrons --\L (f) Driveway Installation 7) Fireworks ,
Is thiS a home occupation? ... .. . ==~ 8) Curb Installation 8) Ambulance ...
Excavation of filling of lots .. .1 ... . (~ Sidewalk obstruction 9) Tattoo shop (\
Work done In City right-of-way _.JL 1 Water meter Installation 10) Other
Is there sufficient off-street parking? .L_ 11 ) Fire
New driveway openings .. . ~ 12) Occupancy QP
A grading plan for site drainage --:;r- @Slgn
--
(parking lots, downspouts, etc ) . . if 14) Shoreline
Are the eXisting streets paved? . ../ - 15) Home occupation
Are there eXisting sidewalks? ... . ==V 16) Conditional use
Is there curb and gutter? . . v' _ 17) Other
Other --
I hereby apply for a Certificate of Occupancy and acknowl- Date: 3/22/ I Y
edge that I have read this application and state that the
information I have supplied is correct to the best of my SlgnedO-L ?~
knowledge e?-
m REJECTED Comments / Conditions
~ t Building Section
Public Works Department
Planning Department
Fire Department
City Clerk
P.B.I.A.
.;:
:-t
01\ 111(/
,
Use Classification
C E RTI FI CAT"E~'~O"F\~:0C,C UP AN CY
-<,~j;~f,:,,"
City of Port Angelestl
4i~l' Building Division
This c~~J~cation issued pursuant to the requirements of sect~'!l 09 of the
Uniform;Building' Code ~ertifying that at the time of issuance this itrpcture was
in Cll/np'liance withthe various ordinances of the City.regulating B,uilding
f ' " construction or use. For the following: ""':'.\.
Shop ~" Buildmg Pemllt No Busmess Name. The V H~lm Shop
~ ~
~ I
iiii:! Type of Construction' V - N Use Zo~e' It eN
~ ' ' .
RichJh Thanem Address 236 West 10th Street. Pori A.d~eles W A 98362
, i~1
I.
Port Angeles. W/A 98363
J'
"r 17 2004
Group. ~
Owner of Business.
Building Address
.~.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . . .
REQUEST:
Date I - i 7 - 07
Time
7 jJ ~ Received by 0-<:""1 IS r-- - (phone, person)
Location of Work to be inspected q Z Z So' 'C" Sf-.
Name of person requesting inspection D<.v' -'1. ,'." t: .
Address of person requesting inspection c..:>.~tJ '10.-,-1)
I
Type of Inspection (circle appropriate one):
17q.-B Phone No. YI7-ifNCJ
Sewer Foundation Framing Chimney Plumbing Final
Permit No. ~
Sewer Excav. O~ Wo-..-te-;:J
INSPECTION NOTES:
Inspected: Date I ~ 11 -() 7
Remarks: k!.e .tJ~_(r- e..!. z i,
f
Time 7 I'M.. By 1Je.h./o1.: 5
C.I.. 1Vl.... "V'\. bre-a..k w:t- L.. ~
E.
r~.tI<:;.(r &o.vt<!.
,
RESTORATION REQUIRED. . . . .. YES
NO X
}~
0 Z.zi PUf )(
-l- Z" cr. It-- '37' ~
'yJ 'f-
. 'If)
{J 1'k ,
,
~\J . ID - ~.\J
,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 10~c.tz...-fl.'7
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE I
ELECTRICAL PERMIT APPLICATION
FOROFF!C!AL USE ONLY
DaldRec
Permilfl:
Dale Approved
Dale Issued
The Electrical Permit Application must be filled out completely.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4-711
O'f-53
Property Owner:
Owner or Elec. Contractor Agent
1~0~
q:;(~ .s,
$'" \ -
r
\-S0h ~I!J~
rY\ oI<-
"C
(-
Phone:34i () '1r7-1' ''lax:
Phone: 4 ~-7 - 1(0 en
Pc> r/~.DiJ~ CA./(J- Zip c;R 3.:07
Address:
City:
Electrical Contractor:
License #: Exp: Phone:
Address:
City:
Zip:
INSTALLATION WIRED BY:
"'OWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA: MC:
PROJECT ADDRESS:
9 :J.. ;;J..
~ 0 If 1-.1-.,
'e
fA., uJ!+
ifJ3fOL
TYPE OF WORK:
Check i3!! that apply: 0 New
o Alteration/Addition
!f(Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
/{XJO
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Teiecom. 0 Sign
Number of Circuits added or altered:
( ) (Xl r (7 cft-L-
I
A/J?~ ~~...{~ vLJo~
1Yl~7e:~ l3()z6(Pfl/J@_ \
/
Electrical Heal Load Additions and or Subtractions
DESCRIPTION OF THE ELECTRICAL PROJECT:
{YM,v&L
OJ...vU, ?
~D
A~J
P_0( Of' A"J-TF-D
DON{
t:Jj
fI1--
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON_ LRA
KW
0\ Overhead Service
o Temp Service
o Underground Service
Voltage: 11. 0 ~ 'J. 40
Phase: 1KI1 0 3
Service Size:) n()
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature:
Date:
Owner or Elec. Cant. Signature:
No /ID06O {of}D?
LJ-t-. ~4~
C:/ELECTRICALPERMIT APPLICATION (
~
1;1 crL
Date: /~ 2 > ,0'/
,
(/~6/o!
PERMIT FEE: $
'1(0, 30
ddJ l-t1,.t!)~
1.'\1
Z;/~
~
ELECTRICAL PERMIT APPLICATION
FOR OFF!CL...L USE ONLY
Dal~ec
I'ennit#
Dale Apl'mved
Dale Issued"
/
The Electrical Permit Application must be filled out completelv.
I
. Please type or reprint in ink. If you have any questions, please call (360) 4174735
Fax number: (360) 417-4711
tJr- ~II
Owner or Elec. Contractor Agent: _"- Phone: Fax:
Property Owner fB C~v-r:: -;-t"" ~ PhoneY~c::1~Y~ 2 -60YO
Address -, CJ'Z2 S~. "c /. 5/ ' City ~ -1---7 e ~~ ,u/ /f Zip <9 fl36' ?
f ,
Electrical Contractor: License #: Exp: Phone:
Address:
City:
Zip:
INSTALLATION WIRED BY:
,(tJWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
VISA:_ MC:
PROJECT ADDRESS:
q 2-2.
~~ "C" 51-
TYPE OF WORK:
Check all that apply:
o New
~ AlterationlAddition
o Residential 0 Multi-family
~ Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT: r-f ~/ Ol. tJ~ f-le.-rs .
I ,
.uw :'" I~ (;r-f~ved.s~ #/",f) pJ ~~ _ ~~-/
C' tVeVI is ,
,
m <; ok l/e0::7
, /
.5'~
Electrical Heat Load Additions and or Subtractions
Service Information
o Baseboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
KW
TON_LRA
KW
1fVIfX
o Overhead Service
o Temp Service
o Underground Service
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
C:lELECTRICALPERMIT APPLICATION
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
B\~ I 'D~ Credit Card Holder's Signature: Date:
,/ Owner or Elec. Cont. Signature: Date:
#V~MY
(,)L-P)~ -D(p
'1/,J-b
PERMIT FEE: $
(PI SO
;ftJO
8};/or