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HomeMy WebLinkAbout1919 E 1st St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES ti 360- 417 -4735 C> Application Number 12- 00001096 Date 8/23/12 C3" Application pin number 003168 Property Address 1919 E 1ST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 12 -5 -0- 0310 -0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Security system Owner Contractor EW GRAY REV LIVING TRUST HI TECH SECURITY INC 1736 E 4TH ST 723 E FRONT ST PORT ANGELES WA 983624914 PORT ANGELES WA 98362 (360) 452 -2727 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit Fee 96.00 Plan Check Fee .00 Issue Date 8/23/12 Valuation 0 Expiration Date 2/19/13 1^' Qty Unit Charge Per Extension 1.00 96.0000 ECH EL- LIMITED 1ST 1500 SQ FT 96.00 Fee summary Charged Paid Credited Due Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 7 12- 01• FINAL 1 T 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING LI 1, 1 j ,li iL F r 8ar C ITV OF PORT ANGELES PERMIT APPIACATION 12,;'.3 23 Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 1 Port Angeles Washint.,rton. 98362 ELECTRICA CTRICAL l'h: (i6{))417-4735 Fax: (360) 417-4711 I Date: a27-12 El Multi-Family or Contrne.rciar Plan Review May Required Please Complete Electrical Plan Review Information Sheet Job Ares i9=. Building Semi Footage: Description of above inma .1 Owner Information Contractor information me: f- N ame H Toth y, tic Wg ALtdreSS: OW E.titt 1.. Mailing Arjer 72ili &tic Fmrel sr.. Qty Po. Ame-. st WA Zip f rA.102 City: Af9 State: WA Zip; E32 Phon tv.0-1.52-stoa Fax Phone: -.-,452 Far 7 0- ”r 4 Cal LCelliC Evp u t: i E hitTECTEil7MLIS Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. 132_00 Service/Feeder 201400 Amp 160.00 5 Service/Feeder 401-500 Arnp 5 225.00 ServicelFeeder 601-1000 Amp 5 288.00 Service/Feeder over 1000 Amp. 5410.00 Stanch Circu;# W/ Service 5 5.00 Brunch Circuit WtO Service Feeder 5 74,00 5 Each Added Branch Circal 5.00 5 Branch Circuits 1-1 86.00 5 Temp. Service/ Feeder 200 Amp. 102.00 Ternp. Service/Feeder 201-400 Arnp. 121.00 5 Temp. Servica er 401-600 Amp. 164.00 5 Temp. Service,' 601-1000 Arnp 5 185.00 5 Pirtal to Portal liourty 95.00 S Sign/Outine Lighting 88.00 S Signal Circuit/ Umi..*d Energi -14U6-Farndy 5 64.00 5 Signal Circuit/ Limited Energy First 1500 sf Commercial 5 90.00 5 gm Note: 55.00 for each addition d 1500 sr Renewable Electrical Energy 5KVA System or Less 113.00 Thermostat 5 56.00 5 Not $5,00 for each aziddorrd T-Stat Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit s finalized. (2) Owner is required to him 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 1 am the owner of the above named property or a licensed electical contractor. I am making the electJical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296-458, The City of Port Angeles tvlunicipal Code, and Utgity Specifica6ons and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator. 0 cash 0 awls [9 Credit Card 0 0,1 ,__k\, a: X D A 22.12 0 MR012 0~Q~ ~J .~- ~'0~'l-01 ....D ,.- -D \11 - \P t ~ \ ~OY\ P---V \-tome, <4\A\'""eSS: pOBox 'jbO, i'A) WA. Owlle("": bwigh+ l?,OhJ~ 01- 009 .' "-\- ROUTING SLIP perfl\1 Certificate of Occupancy ~o fee $50.00 Certificate/Inspection Fee D JO/z-3/' "..Fer f f1one. 0/ -fh, 1'lJ 111 OWI'\er- 5~ New Business!JdJJ.(~ h4/s.h~f' ~) Transfer of Business location . . . . . . . . . . . . . . ) Change of Ownership . . . . . . . . . . ) New Building ....... .l~w tjht .Q:t) (1. . . . . ) Remodel...... he-.~. his.So.n. .C0-:-0.W.I1 ( ) TemporaryBusiness.'!h~.\;>.4'l.0-\~.'..i-J.I:S ion ) Change of usedoe.s .1\05'? .l \3.o.i')(\~l$. .<;; 1<(\ S::;) ) wi . ,1 1/ y- ;t-.o~ "'CY / e J S'a.-!e.c:: DATE Address of Proposed ~ess I (. / 19/'7 r. rc7:::Ji Applicant J::? 0 .... d I ) S' K V AdirS jq! 7 E. Ef r~-r ~+ , ~-I- 4 {elrs A- fR t>z.. Phone: businessSM .L{~/-b7~me Brief description of proposed business: ffTV legal Description: lot Current Use of Property: J+/~ .f-n Zoning Classification of Property: Block (:;;/ti>S ~ eA SUbdiViSi~ :r 1'\ s-f.c. It&t+' M 1 ~rOQ ,'r- , THE FOllOWING Will BE REQUIRED: WILL THERE BE ANY OF THE FOLLOWING? YES N 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........ . PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12} Occupancy 13) Sign 14} Shoreline 15} Home occupation 16) Conditional use 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. Signed: ~/2...<j/a7 #$P! r REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. ~ f3D ~-Ol BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other bondu \ S p-.-V o~~~;~~;gl~t'~;~'J~--" . , . '^- D7-(otyi 1 , " J , '"" P, /01. ' - f?O"'." ,~ , ROUTING SLIP ....lr fhOn:3/0'1 $o~o<'(", Certificate of Occupancy (;~Cl'" ~Il') n)ss ,,---=:::;;JI' , ~ $50,00 Certificate/Inspection Fee o ""her ':3 '-' ---...... .0",;;:",,,,,,,,,,,,, DATE 5"/.::{9/07 Vi~J).J ' -J- ,.- -I ,) "<') r , New Business!".!... . ~. I,~.. ,r., .,~y.~s., {~. f' ( Address of Proposed Business-/ S..} Transfer of Business Location . . . . . . . . . . . . . .. ( ) /9Fi r C-;"r Change of Ownership . . . . . . . . . . . . . . . . . y( ( ) Applicant -r:?,. .... dL. ., R V New Building ....... .):>.I.!..!i.~\:It.. Q).;(i.... ( ) Address jQrS' E'/ h" c:-1 C-I Remodel. ... . . h('..4i. hi.<~on. .C-9.-:-!l41.n .( ) , i:J., J -1 '.d...,,;:p(,,-: i~ ) II tf'!\s&L Temporary Business~~ .1?~.i.I~;,'~.' . ~/> O(on ) , /' 7> Change o:~se .Joe.s .~l(ts.,? .( \39.I')~.lj'S. .<? Iq,Ss) Phone: business~6 . '-It I- 1071t;ome ) J'bwic,1, ,i"""c, 150htl~'s itV' oJ ATV /l-o.fo... C/~ / e) - ~. fp~ Brief description of proposed business: 'I ::::,,,, ,- Legal Description: Lot Block Subdivision Current Use of Property: .l)._.j" (:,/" <;;<;: * :r v :;-/r..,{ I a-l I ~ "1 v ';? to /.J Q / or l' A , Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes .... r PERMITS BUSINES,~'.L1c'~~~E, .~/l~ Electrical changes. -~ 1) Building 1) Tax,' .f', . , ,'. .. Mechanical (heating, cooling, stoves) -~ 2) Plumbing 2) 'peddler~"""' ," , f' -,- '. .' o. -v" Plumbing changes. ....... .......... I 3) Electrical . 3) '2nd Hand Dealer , New or relocated signs ....... --r 4) Mechanical 4) Pawn Broker New septic tanks ..... ....................... --r 5) Sewer 5) Dance New sewer service. --r 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ... ......... ...... --r 7) Driveway installation 7) Fireworks Is this a home occupation? . .......... --r 8) Curb installation 8) Ambulance Excavation of filling of lots. . ....... ........ ..... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City rjght~of-way ....... -~ 10) Water meter installation 10) Other Is there sufficient off-street parking? . ......~. ---r 11) Fire New driveway openings ............ -~ 12) Occupancy A grading plan for site drainage. . ............. - ---r- 13) Sign (parking lots, downspouts, etc.) . -~ 14) Shoreline Are the existing streets paved? . ... ...... = I 15) Home occupation Are there existing sidewalks? . \ 16) Conditional use Is there curb and gutter? . ..... ...... ............ -~, 17) Other Other.... . ..... ................... - ---;v II I hereby apply for a Certificate of Occupancy and acknowl, ::>/27~ '7 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my ,4--<: -z;; knowledge. Signed:-../~-' \ , '_/ /" / APPROVED REJECTED Comments / Conditions /... ~a ~ ~...... - Building Section ~ J--;h- "1 , "i tl 0 (. H ~, ~;41V1 Public Works Department ?~J~' VLff,'70 , " ).. !L ~ Planning Department "+:: l+- -, . Fire Department City Clerk P.B.I.A. '1 -, .fi..' . ;; '-\' ,- , I;,. CERTIFIGA:rE 'OFOCCUPANCY " ",,:, City of Port Angeles /:,!~~:;f' Building Division This Certification issued pursuant to the requirements of Section 30i of the international Building Code certifying that at the time of issuance tiiis structure was j- , in c'Ji11pliance with the various ordinances of the City regulating~Building ;/ constnlction or use. For the following: ~ .! . \ Use Classification: Buslness Buildi!1gpemiit"No.: 06-727 BusinessName~Bondv's Glass. Inc. ::o;:,",,,.J',"" L~:." :::,::::7,"":;:' "II~i_i w A. 98382 \l.:."'<""t,<\,.~ E' 1919 E.\j:;irst Street Port Ang~les. WA.98362 .,~ i~ -, August 24. 2006 Date -~,... --~, Post on tfiep"rerills~~ conspicuous place. Shall not be removed except by Building Official. -:tt CJ(;,-l'2t . ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee DATE 7 hlo c; , . Address of Proposed Busine,;f ;:; j /9/c; C, !~ T Applicant ~;>1 f~r ~~/uc<;; ;:;T;, Co. Addrei-2 J ~o =- 'J~ <;;.f . /' . "'-'leks,?.Iff- i8sc::.? Phone: businessf.S::?0 5'7' home~(-~1Z:3 New Business. . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . New Building ....... . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business. . . . . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . Brief description of proposed business: 4",.-10 alq~<;; oA..~ rA_ "'I-- legal Description: lot Current Use of Property: (.)C;'('c? u:.J. Zoning Classification of Property: Block Subdivision WILL THERE BE ANY OF THE FOLLOWING? YES 12- THE FOllOWING Will BE REQUIRED: PERMITS BUSINESS LICENSE --r 1) Building 1) Taxi -- -~ 2) Plumbing 2) Peddlers ---L 3) Electrical 3) 2nd Hand Dealer _ ---.L 4) Mechanical 4) Pawn Broker - ---"& 5) Sewer 5) Dance -4 6) Sidewalk installation 6) Hotel - Motel _ --"L 7) Driveway installation 7) Fireworks -~ 8) Curb installation 8) Ambulance - --J;,. 9) Sidewalk obstruction 9) Tattoo shop -~ 10) Water meter installation 10) Other ~- 11) Fire v:.- 12) Occupancy -~ -- 13) Sign -~ 14) Shoreline i== 15) Home occupation 16) Conditional use +- y:. 17) Other 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-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........ . I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: information I have supplied is correct to the best of my knowledge. REJECTED f)-/D-DIo ~ rDo ~ ~.nlo$U Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. " / /}11k. :l4. [)b , C-A *j'2'{ ..QRr~o\' l"~%.. 'f1i:~ \ "' ~~ ~ - """l1Cod>#'" ) k,) ) ) ) ) ) ,'! Use Classification: Group: ~ Owner of Business: Building Address: CERTI FIC.A;PE""O'F'~eCCU P ANCY ~~ ,~~ -", '~. . .....' C~~;~~i:;r~~~7:~S" ThIS C%!tific~t~on Issued pur~uant to the reqUlrem~nts of Sectwri~ 09 of the Unijomj7B~tldlng Code certifying that at the tw,e of Issuance thIs st~cture was m comphanc/! wIth the varIOus ordinances of the City regulating ~utldmg - I. '. construction or use. For the following: :....;. \ . . Offices , Building Penuit No., 04-165 Business Name, The FInish Crew p m 1 TypenfConstroction, V-N .. use,ne: CA Lee Meszards Address: 2704 Mt Pleasant Road. Port Angeles. W A 98362 1919 Ea~'I" Port Angeles. w198362 , I e tember 16 2004 .~, i"if 'offiCial Z' Date <;;, <;}. P tb~I1'Wl~~~~dli~?Jj!SPJS?U~US pla.c:" Shall not be remo~\{ea'exceQtQy"BUlldmg OffiCial. ~J!:'J"~~~ ROUTING SLIP 1tb'i - t (,5"" ,.OR' ~... lO~Q\ 7~~ Certificate of Occupancy ~l .........:::::...:11 ~ $47.00 Certificate/Inspection Fee - ~jC~~ DATEL- - 2-b - 0'-1 New Business ...................... ...... ( ./) Address of ProRosed BUSinj:st Transfer of Business Location. . . . . . . . . . .. .... ( ) Iqiq FAST Change of Ownership. . .. .............,.... ( ) Applicant Le..e.... f}1e'S'2AQ..c.5 New Building . . .. ,< ... .. ............,.. .. ( ) Address ) J 64 IJ1T. PLI:.() <)AN\ eo Remodel. . . . .. , . . . . . . . " ................. ( ) Temporary Business ...,. .................. ( ) Phone: business 4;';7- /6 )() home Lj~2 -3 9 il I Change of Use. . . . . . . . . .................. . ( ) . Rf:. Ihc.'PH , () /...;1.-'-;- Brief description of proposed business: (llf\ ,^--('>A "-'''\: ~ OS'E='/c..f Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: Cf.} 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? ................. .. ... _L- 8) Curb installation 8) Ambulance Excavation of filling of lots ..... ... -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . -- 10) Water meter installation 10) Other Is there sufficient off-street parking? . ---L _ 11) Fire New driveway openings ........... -~ 12) Occupancy A grading plan for site drainage. ..... _ ...4- 13) Sign (parking lots, downspouts, etc.) .......... ... -~ 14) Shoreline Are the existing streets paved? . ~- 15) Home occupation Are there existing sidewalks? . ...... ... ---L _ 16) Conditional use Is there curb and gutter? ............ ~- 17) Other Other. ... .......... ...... j hereby apply for a Certificate of Occupancy and acknowl- L- d-o~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my q /f knowledge. Signed: ( / A;~r~ "",mD Comments / Conditions ';) . Building Section Public Works Department Planning Department .K0f) Fire Department 2<'((;-0'/ City Clerk I P.B.I.A. ., The j:::; "'" 15 k. C. l'e.o..J ./ ~\a..o<.( . ...h. -, TL ...., ~~.,:' ,.f_ V\ e. , j::",:"i.15~ , C. l' ?- u;.J 0:....... " \ ROUTING 'SLIP 7~d C!lrtificate of Occupancy $47.00 Certificate/Inspection Fee DATE 2..- 2-6 - 0 LJ Address of Pro[1osed Busines~ /q/1 FAST / . Appiicant Le..r<-. Ine'S "Z Alto S Address 2 10'-1 ff1T. PL.{.,(J"IJN''::O Phone: business ~/r;;7- /~ )() home 9\2 -~ 90 I Brief description of proposed business: R r-- {}-.r, Dr-. t Legal Description: L9t Current Use of Property: Zoning Classification ofPr08erty: Block cA 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 ~nd gutter? Other.......... . YES NO .<. ~~ ^ ~~ ~ --L- ~ --L- -< ~~ '" ---=-~ ~-L- ~~ L- -=-- L- ~~ ~-L- ~~ ~~ ----6- ~ ~ ----" ---L5-...~ ~ ".-. 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 Building Section, . Public Works Department Planning Department Fire Department City Clerk P.B.I.A. ..; ..~ ?1f,.-C'r 1tc>~ - t <:,5" New Business ........... . . . . . . . Transfer of Business Location. . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business . . . . . . . . . . . . . . . . . Change of Use. . . . . . . . . . . . . . . . . . . . . . . . (I", ""- j'\",,- '\ , - (H':E'=/( f () /V'- '-;- Subdivision r R THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: L- 2J -O~ ~~ L I . --- Signed: Comments / Conditions~' ,~' .... C -<l....." ~ i 1 ;:..-/ ,/ .,OR'." /o~o"(" ~," ~~ ~ - "t8(,c'/<o"""" ./) ) ) ) ) ) ) . ,., CERTIFI,GA1e'cfF't)"S,C;,UP ANCY , City of Port Angeles" "" Building Division " '.,. '.. 'C',.,.. ',C This Certification issiiei:lpursuantto the requirel1lepts ofSectionJe09 of the Uniform Building Code certifYing/hat ar./he li"!~Jjf$ift4rlCeJl}is stfu,cture was in compliance with the various ordinancesojthe.Cify,,~gliliill'ng Building 1',1 . ",-""'; (i construction or use, For the following: , Ure Classification Glass Retail/Repair :, .', Building Permit No. Group M ~; Type of Construction VN Use Zone CA OwncrofBusinesslResiden~':::M~r"in A.nnprsnn Address)SO Stllr:lrt Dr. PA WA 9816) ~ ~ Buildmg AddreS1191~':;~ '~~~=r7;;:,:;:::Jc;'"",,:),;'::'P?:r::t,'An#les. WA 98362 L~" N~;;A{'fi::;~~.i;:~~::~{~;~ii;::~~~~ 1;, 2001 <':'Bullding Offitial~~~-,,~:c,r.lri\~J!;7:f"i7':T'('i;'(';=~':'~'~' :;";nl:;',;>":/'::?i.~;',,'-'~ Date Post oi1,th~)"ii'~~mii~~liifi~~:.i"'(jh~!ij'i~'" OllS lace. Shall not bs'~:Ui:~~~~~~~~:~iY6~'~tJ'i~ing 6niciai. '~\;";':':;;,"!"",,',,~;~'~';J;'P;.-.:..<::~!,,fK.~':'~- . -~'-....., ... - ~ - ..OM~-l' ROUTING SLIP lO~"'-;... """--- Certificate of Occupancy .= .......~ ~ $47.00 Certificate/Inspection Fee - ~"",' DATE ~ - ~-DO New Business ( ) ............................ Address of Proposed B~siness Transfer of Business Location. .... . ... .... ... (::--- r -J:3-1'"\ E.. 1-;5_ St Change of Ownership. . . . ..... . ........... ( ) Applicant MAIL" IN. !\f'.H~F' f2 ~AJ New Building .." .... . ....... . .. ... . ..".. ( ) Address .~~~ ~TI)Af2..T '1;)~ Remodel. . . . . . . . . . . . . . . . . . . ..... ......... ( ) Temporary Business ........ . .... ........ .. ( ) Phone: business"'" - 562 'l home ~(V\ G Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: G LA 5'5 1< Go.A I L. / f2E'7A It? / (' A.4 ) Ml?\'.le:eA.. L C'n,0\i2.P\C-:lll/2- I j Legal Description: Lot PEl Block Subdivision Current Use of Property: -STa12--~ Zoning Classification of Property: CA WILL THERE BE ANY OF THE FOLLOWING? ~N~ 1/ THE FOLLOWING WILL BE REQUIRED: Construction changes. ...................... .... PERMITS BUSINESS LICENSE Electrical changes. ,........... ................. --L 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . ......... .... =-f 2) Plumbing 2) Peddlers Plumbing changes ........................... 3) Electrical 3) 2nd Hand Dealer New or relocated signs. ..... ..... ............... - ---I..L 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. - ---tT:- 7) Driveway installation 7) Fireworks Is this a home occupation? ........ .............. -~ 8) Curb installation 8) Ambulance Excavation of filling of lots .... --tf- 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? . . ...1L:...._ 11) Fire New driveway openings. . . . ... ...... _ V' 12) Occupancy A grading plan for site drainage. -~ ~ (parking lots, downspouts, etc.) .. ... .. .. _ ----iL 14) Shoreline Are the existing streets paved? ... ... ~- 15) Home occupation Are there existing sidewalks? . ---lL _ 16) Conditional use Is there curb and gutter? .. .. ... ~- 17) Other Other. ........ .......... ........... I hereby apply for a Certificate of Occupancy and acknowl- Date: ~ -3 ~ .;2coo edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Sign;d: :M /' ~ / ., , . APml D REJECTED Comments / Conditions r>H Building Section f/ Public Works Department Planning Department ~-2S.CO ? Fire Department GJ City Clerk P.B.I.A. ... \ ~_l.:l_ .~... -- . X:C~-{~" c~ _,,_ t.- ._~_ ~. .,# 1" , I ~ .ORT." lO~Q",~", '--' :-~ ~~ ~ - ~-' ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee .". .. \ DATE <7, - :/.::.- - 00 4Address of P;oposed Business 1'11"\ E-. ,-;:5_-19t Applicant MA!<:-v,...t ~\F')'fl2S,-,.u Address 2<S" :;;'llAC.:T f)/L Pp., Phone: business ,. S021 home ;'";A,V\ (::' .- New Business ................",.,....." Transfer of Business location, ' , , ' , . . . . . . . . , , Change of Ownership, , . , , , ' , , , . , , , , , , , . , New Building .. , , , , , , , , . . , , , . , , , , , , , , , , , , . Remodel. . . . . . . . , . . . . . . . . . . ...: , . . . , , . . , . . . , Temporary Business ,........ .'. . . . . . . . . . . . , Change of Use. . . . . . . . . . . . . . , , , , , , , . . . . . . . ( ) (:;::=--)~ ( ) ( ) ( ) ( ) ( ) R c=. '1',<\ I L..! i<:. E,-PA Ii<' ( (/l1) -- /' Brief description of proposed business: G L /;", 5-:':' G~NE12A. L C()t0\12.Ar-rr,iZ.- legal Description: lot Block Current Use of Property: PE:.:T -5 T c ) 12-~ Zoning Classification of Property: C A Subdivision f - will THERE BE ANY OF THE FOllOWING? ,.- ~N~ - j ./ = /' THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . Electrical changes. ............ Mechanical (heating, cooling, stoves) . Plumbing changes ......................... New or relocated signs. . . . . . New septic tanks. . . . . . . . . . . . . . . . . . . . . . New sewer service ................... Admission charged to patrons. . . . . . . . . . . . . . ;1' .'; . . 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......................................... PERMITS 1) Building 2) Plumbing 3) Electrical. 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy _13)-5i9'0 -") -;:..-- 14) Shoreline 15) Home occupation 16) Conditional use . 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel. Motel 7) Fireworks I r- 8) Ambulance \[ 9) Tattoo shop 10) Other ,~ = :/ -~ _ --'--L _ l(...... _ ---lL _-L V_ _ 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. Date. 8,..3 - :;)000 Sign~~~--:4~_./ ~ L Comments / Conditions 1 ~ ,) (J,.41 ",j (i .fHJ -)-;, !) J'I -1;", Vb A A/t'I' '" ELL<> -, /'\, ~ --r--J--;; ~) .' ~ -I- ().." (' /) /, ,;-1- 0_ ~&I' JP. ~ 1 ..l1-Y\ V); + 0 A + (ryI 2 _ ~:,:C)o (11: 0 CU ~ 3(Jn 7p ~ /l ,1' YJiJD ,~ ~.?,.r{, J REJECTED Building Section Public Works pepartment Planning Department Fire Department City Clerk P.B.I.A. P.u CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 11/02/2001 PERMIT NO 7450 OWNER/APPLICANT PROPERTY LOCATION ERNIE GRAY 1919 1ST ST E 1919 E. 1STST Lot: 15 Port Angeles, WA 98362 Block: 3 [] Long Legal 000/000-0000 Subdivision: PSCC T: S: Parcel No: 063012500416000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Type: COME MISC. Project Value: $0.00 Occupancy Type: Construction Type: Occupancy Group: Zoning Use: ACD '-~ Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 125 Feeder Size: 0 PROJECT NOTES 125 AMP SERVICE AND WIRING FOR ESPRESSO STAND FEES ASSESSMENT Service: $0.00 ri, Additional Feeders: $0.00 '.~ Circuit Wiring: $74.30 / Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 (?OMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED DITCH ROUGH-IN / COVER tl/z SERVICE FINAL I /g/~/~l I ~A~ I GENERAL COMMENTS: tfJ ~~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT OWNER/APPLICANT ERNIE GRAY 1919 E. 1ST ST Port Angeles, WA 98362 000/000-0000 T: S: CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $250.00 Project Type: SIGN/FREESTAND Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: ACD ISSUED: 7/20/2001 PERMIT NO: 12813 PROPERTY LOCATION 1919 1ST ST E Lot: 15 Block: 3 ~ Long Legal Subdivision: PSCC Parcel No: 063012500416000 ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SO FT: 0 MFD Units: 0 MFD SO FT: 0 Commercial: Industrial: Garage: --.... --0 ..----C\ o o o ~ PROJECT NOTES INSTALL A 2 SIDED 24 SO FT FREESTANDING SIGN MOUNTED TO POSTS W / 4-2 3/4 " CARRIAGE BOLTS . V> ~~ FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $30.00 TOTAL FEE: $30.00 Plumbing: $0.00 AMOUNT PAID: $30.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This penmlt becomes null and volet 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 iaws and ordinances govemin9this 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 slate or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date X' ~ rf}Y'yf Signature of Owner (if owner is builder) Date 7-dJ-vl BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVEk. INSULA TE 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I I I CEILING I I T FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR INSULATION SLAB I I T WALL I FLOOR/CEILING I I I MECHANICAL HEAT PUMP WooDSTOVE I PELLET/CHIMNEY I INSERT HOOD/DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s; WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R. W. ENGINEERING 417~4807 PW / ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. ~("ytJ- BUILDING 417-4815 BUILDING 1f)'t-1'1...1' (-<\ I C:\APPLWPD s ~~ BUILDING PERMIT - APPLICATION FOR OFflCIAL USE ONLY: DaleRec.: 7-2.0 -01 Pennit#: "2..11,"', Date Approved: Dale Issued: The Building Permit - Pre-opplication must be fUUd out completely. Please type or print in ink. If yon have any questions, please caU 417-4815 Applicant and/or Agent: ~ Owner: 'D~ 4. ;;;:;~ Address: \'\t"\ -[>., E; \<:,~ ('p, , Q.'-A I Phone:\ '3J-.,o-) '-{'5J.. -~::s L $" Phone: City: ,0,,,,,, t iL,,.,,,, r",s ~ w \I '^->A- Zip: q,~0.:L ArchitectJEngineer: Phone: ~ntrac~ License #: Exp: tJ\M Yo"", () ll- /1-, L Address:t1Yb l'"Cl~\W--~ Q, City: lO~ ~~ PROJECT ADDRESS: \ l\ l ~ -4- ~ \ 'b\--- LEGAL DESCRIPTION: Lot Block: CLALLAMCOUNTYPARCELNUMBER: ... .'.' ,- -. Billing Address: Credit Card #: Phone: Zip: 9.e.)?,i(:> J- ZONING: Subdivision: ":,Ci~~rtmtcardt,: Ider Name: .E"P.b.tllt 'j t VISA ~ " " TYPE OF WORK: . ,. W;~ftLlTION: o Residential 0 New Constr, 0 Re-roof . 0 Woodstove..' ~ . @ $ ISF. = $ o Multi-family 0 Addition 0 Move ," 0 Garage - , F.@$/SF.=$ o Commercial 0 Remodel ? .J)emolition 0 !{eck.' F. @$ ISF. = $ o Repair ...-1{ Sign \" '~.. t:AL VALUATION $ BRIEF DESCRIPTION OF PROJECT: -.. 0' t --3< MC " - , ,I.. '" ' .,' '. ..',Il:-'!._l' '0:"" ':r.. 't/.:i COMMERCIALlRESIDENTIAL: Occupancy ,p: ,'~. ,~ Wi.... .~CC1qlant;Load: No. of Stories: Lot Size: .rI;~~~cc!t.. :! % Existing Lot Coverage: Isq. It + Propose1='t ~0~~1lI': . ,_ ~ ~sq. ft. = TOTAL LOT COVERAGE: Isq.ft ~~N1l'fGYSEOry-LY: ,,~ ~ 9PROVALS: ~~.%9/8/~ DPW Ii FIRE ESAlWetI s): 0 sO No SEPA Checklist required? 0 Yes 0 No er: OTHER BUILDING APPLICATION SUBMl'ITAL: Yo", applkatio1l fIIId site phm must befl/led out compktely to be acceptedfor rePiew. The Building Division can provide you with more detailed infonnation on the application and plan submittal requirements. Conslruction Type: BUILDING PERMIT APPLICATION SUBMl'ITAL: Your completed application, site plan (for additions) and building constmction ptans are to be submitted to the Building Division. 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 Div. to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE : Your plan check fee is due at the time the building permit application and constmction plans are 'submitted. All other penuit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will npire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once, I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not rhe 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. PW-1I02_I3[revSJOII APPlicant:~~ ~ Date: ~ '" SITE PLAN ~,. DEPARTMENT OF PUBUC WORKS, BUILDING DlVISION APPLICANT: PHONE: PROJECfIDEVELOPMENT ADDRESS: See Page 4for _Iio", 011 . ,he 9te plan. Forman iIIfo-1I, coU 457-0111, umuiDIIl2S. / / 1/ / 1/ I ~~~ ,. t / ~.~~ ~ / ,..- ff r.i' , ~ Hi '" "'\ , i) Ie ,"'. \ . 0 1/ ~ It' . .. ? / I r " I / v " 11 \ \; ~ \ J / T I / , J / PAGE 5 ", 5:' r T /,,/r' / Q cJ c:J 'I p~ 0'< s .....~ CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 BUILDING PERMIT OWNER/APPLICANT ERNIE GRAY 1919 E. 1ST ST Port Angeles, WA 98362 000/000-0000 T: DAILY GRIND ESPRESSO S: ISSUED: 9/21/2001 PERMIT NO: 12985 PROPERTY LOCATION 1919 1ST ST E Lot: 15 Block: 3 ~ Long Legal Subdivision: PSCC Parcel No: 063012500416000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $2,500.00 Project Type: ESPRESSO STAND Occupancy Type: COMMERCIAL Occupancy Group: Construction Type: Zoning Use: ACD ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: SFD SO FT: Commercial: Industriai: Garage: o o o o o - ~ --. -Cl MFD Units: MFD SO FT: o o f'J\ - PROJECT NOTES CONSTRUCTION OF AN 8'X14' ESPRESSO STAND RECEIPT # B097 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $83.25 $49.95 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 ':-!'> ~ Misc Fee 1 : Misc Fee 2: Misc Fee 3: $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $137.70 $137.70 $0.00 Separate Permits are required for electrical work, SEPA, Shoreline. ESA, utilities, private and public improvements. This penmit 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 iaws 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. ~ j~!?aU t Signature of Owner (if owner is builder) Signature of Contractor or Authorized Agent Date q - dl-ol Date BUILDING PERMIT INSPECTION RECORD CALL 4 I 7-4815 FOR BUILDING 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 I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: # ROUGH.IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL I-BAR INSULATION SLAB I I WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP WOODSTOVE I PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES { SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARA IE 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 CONSTRUCTION R. W. I PW I CONSTRUCTION. R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. s::'{O,re.C BUILDING 417-4815 BUILDING )"\;17 --IX i!.V C:\APPL.WPD tit ~~ BUILDING PERMIT - APPLICATION FOR O~ Jl:lE QliLY: Dale~.:~ Pennil': Dale Approved: O..........d: The Building Permit - Pre-applicatlon fIfJISt be JUkd out completely. Please type or print in iak. Ifyoa bave aay questiou, please caD 417-4815 ~p n.9~C Applicant and/or Agent: -r~L ~r...., \.'-'{ b...... ",,L "'l<??....s.sv Owner: -:'\D ~ ~~ CD fAtJ ') Address: \ '\ l'\.- Pr r:; \~:r City:_P-nvrJ- ~NJ. Q.l,l!'-o .. ArchitectlEngineer: Contractor License #: Exp: Phone: Zip: ZONING: (',# Address: City: PROJECrADDRESS: /9./9 /9. "kac;,T j..5T LEGAL DESCRIPTION: Lot Block: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card": Subdivision: Credit Card Bolder Name: City: E:rp. Date: VISA MC TYPE OF WORK: o Residential .x New Constr. 0 Re-roof o Multi-fianiIy 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPI'ION OF THE PROJEct": o Woodstove o Garage o Deck o ~ ~ALUATION: -- e~ SF.@$ /SF.=$ 2-~01l SF. @ $ /SF. = $ SF.@$ ISF.=$ TOTAL VALUATION $ 1n",,\~4..o-" \"'~ ~......L ~CiU.tRESIDENTIAL: Occupancy Group: Occupant Load: ~ __ Lot Size: % Lot Coverage: % Existing Lot Covenge: Isq. ft. + Proposed Lot Covenge: Isq. ft. = TOTAL LOT COVERAGE: Construction Type: Isq.fl PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW IIIRE ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes )(,No Other: ~ BUn.DING APPLICATION SUBMrITAL: y"",.1Ipp/kIIIIon ad aile pItm fIfJISt befllled tJUt ctmqIldttIy ID be tu:t:qtdJO, rwiew. The Building Division can provide you with more detailed infOlDllltion on the applicaIion and plan submittal requirements. BUILDING PERMIT APPLICATION SUBMl'ITAL: Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. V ALUATIOl'! OF CONSTRUcnON: In all cases, a valuation aDlount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Div. to comply with current fee schedules. Contact the Pennit Coordinator at 417-481S for assistance. PLAN CHECK FEE : Your plan cbeck fee is due at the time the building pennit application and construction plans are'submitted. All other pennit fees are due at the time of penuit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days oflbe date of application, this applieation wiD el<pire by limitations. The Building Official can extend the time for action by the applicant up to 180 days, on written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifj that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this pennit. I anderstand it is not the City's legal responsibility to determine whot permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. PW-II02_13[rev5JOII APPlicant:~ ~ Date:~ ~ ~ SITE PLAN DBPARTMBN1'OI' PVBUC WORKS; BUILDING bIVISION , APPLICANT: ~ Da.,; ~ c.-wW> <L- PHONE:{~,,) <{'!;L.-~~IS- PROJECTIDEVELOPMENT ADDRESS: \~ l'\ -A C \.s+ ~ Aw.~ I..J.A "Ve~t."", -- Se. Ptlll.4ft1r__""~ ,hultepl_ For_l1tfotrllfltitm, coIUS1-0111, ~ us. C// ~- S - ...!l f ~ -I bt" I(~ ,L, ~ , ,......~ y i'" ,- ~ '"" ... ~ J II } IX"- :-,\. .~ IV ,{ \ 117 ;~f ] I . - ..- PAGES ROUTING SLIP 1t6~ -ib":;- <J '0", ~1. <'~"'c< rJd~ Certificate of Occupancy C~~(~ . ~_. , $47.00 Certificate/Inspection Fee ~ - "'v&,.'cwol'~~ ....., ?-b- OLl New Business ( /) DATE L.:' .. ....... ....... . . , . . . . . . . . . Address of Pror!osed Busin'j~ Transfer of Business location. . . . . . . . . . . . . . . . ( ) 191'1 C'/lST Change of Ownership. . . . . . . . . . . . . , .. ...... ( ) Applicant Le:...e..- /tie "32 A 0.0 S New Building ... . . .,... ............... ... . ( ) Address 2~Jo4 fJ7T. PL.{IJ';,JrJ\ E.D Remodel. . . ... ........... . . . . . . . . . . " .. .. ( ) Temporary Business ..... ..... ...... -.. ... ( ) Phone: business Ljr; J- Ii )6 home yr::2- -s 91l i Change of Use. .. .. ... . ............ ...... . ( ) . Rr:: 0....1\1"'('= l , ()J..,.JL'--;- Brief description of proposed business: (l&- ~..........()A.t<-, - o Fe:- ICE legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: CA 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) . ............. _ ---L- 2) Plumbing 2) Peddlers Plumbing changes ............ _ ---L- 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 ot tilling ot lots . -4- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-at-way. ...... -- 10) Water meter installation 10) Other Is there sufficient off-street parking? ..... .... -L_ 11) Fire New driveway openings ........................ -~ 12) Occupancy A grading plan tor site drainage. - -A...-- 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? -L_ 17) Other Other. I hereby apply for a Certificate of Occupancy and acknowl- L- LA -O~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my if L knowledge. Signed: ( / A;F;r:~ "",CTE' Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. The.. ~;'-'L; sL L,'€.u..J ... -S::I ~ - -i:\ v,: - \'!' ..,. V'i --1 . , Use Classification: Group: ~ Owner of Business: Building Address: CERTI FICATE"OF'OCCU P ANCY ,,/ City of Port Angeles "'i... ..' i" Building Division "\", f:'" '\ :!" . This Cetti}ication issued pursuant to the requirements of Sectidh) 09 of the Uniform:Building Code certifying that at the time of issuance this ;rructure was )," 'i in Climpliance with the various ordinances of the City regulating ~uilding t construction or use. For the following: ~~, Offices Building Pennit No.: 04-165 Business N1Ine: The Finish Crew ," II:; ~!: Type of Construction: V -N Use !ne: b I Lee M6szards Add,ess: 2704 Mt. Pleasant Road. Port An~e1es. W A 98362 ~,; 'il'!; 1919 East 1st Street CA ill' Port Angeles. WA 98362 ;':;,,'1,:<': :;:{,::i>;mrif:,p:~rii:~~r Ii: . 'Septerriber 16. 2004 "';~,',,~,:~'~'~~;_:::' "c_,,-,,, .,.:i,i:Date ",,-.:;::;, ;:":':;',,::;;,-,'1;;:">::':.":'"';';':;""'-':<-:',''i-:';',i..:\,,:=,::1i"' ,;:4J p th"."pr~mi.seis .iila conspip,Oous place. Shall not be rl!!moVed except by6uilding Official. ,Y''-"<:-""},,,;,;,",,,';'-;--'':' .~'~ fid e ""r...~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98J62 ELECTRICAL PERMIT PERMIT NO 6882 ISSUED: 3/02/2000 OWNER/APPLICANT DEAN ROURK 1919 A E. 1ST ST Port Angeles, WA 98362 360/452-6189 T: S: A ARCHITECT N/A CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Type: Occupancy Type: Occupancy Group: Electrical Heat: D Baseboard D Furnace D Heat Pump D Fan Wall PROPERTY LOCATION 1919 1ST ST E Lot: 15 Block: 3 ~ Long Legal Subdivision: PSCC Parcel No: , 98360-0000 360/000-0000 Project Value: $0.00 Construction Type: SERVICE INSTALL Zoning Use: ACD COML. MISC. o KW o KW o KW o KW D Riser D ~ Overhead Service D Temp Service Underground Service Voltage: 120,240 Phase: [8] 1 D 3 Service Size: 100 Feeder Size: 50 PROJECT NOTES ELECTRICAL SERVICE TO ESPRESSO STAND FEES ASSESSMENT - Service: Additional Feeders: Circuit Wiring: Temp Service: .Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE COMMENTS/ACTION NEEDED $72.25 $0.00 $0.00 $0.00 $0.00 $72.25 $72.25 $0.00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPKCTION TYPE DATE ACCEPTEll YES NO COMMENTS 3 2. ?4lM pIP>-, GENERAL COMMENTS: PW-II02.I)(4I96] $e ~:ii" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ELECTRICAL PERMIT Issued: 4/21/97 Permit No: 5893 OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------ STEVE UVILA 1919 1ST ST E 1919 E. 1ST ST Lot: 15 Port Angeles, WA 98362 Block: 3 Long Legal: 360/452-6189 Sub: PSCC T: S: Parc No: CONTRACTOR-----------------------------DESIGNER--------------------------------- JARMUTH ELECTRIC P.O. BOX 635 SEQUIM, WA 98382 360/683-4104 , 000/000-0000 PROJECT INFO----~--------------------------------------------------------------- prj Type: COML. MISC. prj Value: $0.00 Occ Type: COMMERCIAL Cnstr Type: Occ Grp: Occ Load: Land Use: ACD Electrical Heat Baseboard KW: Furnace KW: Heat Pump KW: Fan/Wall KW: Service Type o Riser o Overhead Service o Underground Service o Temp Service Voltage: Diameter: Service Size: Feeder Size: -1 o -3 o AMPS o AMPS PROJECT NOTES------------------------------------------------------------------- exterior motion lights-1 circuit PROJECT FEES ASSESSMENT--------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $50.00 Temp Service: $0.00 $0.00 Misc TOTAL FEE: Amount Paid: $50.00 $50.00 --------------------------------- --------------------------------- TOTAL FEE: $50.00 Balance Due: $0.00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M1NlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO lJiTCH -11'1 I CUVJ::\K IlbK V ll.-b , tINAL I 'f/~Hlf{ 1 I,"A~A I GENERAL COMMENTS: PW-II02.1514196) , . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 5j:2S- /)(31 jciS- DATE ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: o WI LL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW _ o RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: D116 D316 SERVICE SIZE FEEDER SIZE AMPS AMPS Details/Description: ~4r~ ~ 1rf Ii //~1d/t1.L1a1 L (. . , .5"; X f' I . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. D O.K. to connect service ~Final O.K. Site Address: /9 E jd--' New Meters Installer: . .zU41 Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and OK for covering has been given by the electrical inspector in writing on either the Wiring Report or on t~ Per it. HONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ J E>: 0 c> Permit Fee WHITE - File by address PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC.