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HomeMy WebLinkAbout415 E 1st St - Building Certificate of Occupancy 415E Pt St 14- 112 • CERTIFICATE OF O UPANCY Cit -;"of Port Angeles - Building Di ision This certificate is issue '.ursuant to the requirements of Section 111 of the 2`1L19 International Building Code certifying that at'he time of issuance this structure was in compliance w'. the various ordinances of the City regulatin:is utldtng construction orzuse for the Motel Business name: latstcne V Business address 1 St Street @> • ngles 3 � Business owner: IvekPatel � *1034 9 Business owner ••res i 415 E 1St S Automatic fire sp nict-, tem: Per c ==- , Use &occupancy ossification: Business . i Occupant load: Per 2012 IBC, Table.1004:1':1 Type of construction: &!1-1111 � Vin . 8/8/14 SW! f?( ) .ris i'i� z<'rr s 1, . • , ,'' Date Post on the premises in a conspicuous place. ' ' • i scat.„ hall's of be removed except by the Building Official. OC <<>c> 4O pQRTANI(F� CERTIFICATE OF OCCUPANCY APPLICATION Permit# /1-/-//Z— FEES 11101.1 CITY OF PORT ANGELES $50 Certificate/Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?❑ Change of ownership only? Q'Moving location from within P.A.? ❑ Zoning C_ p. BUSINESS NAME p sro,:(x- —esqP,441 tuask Business address 4t c is PO4-1- P.119etrayailing address i -c si ro - • - ' • - j6� Phone number-113 t -t c.an Opening date Days & hours of operation +-t>t Business owner's name vz�1 -14 rih wv-m A,Q PACIR Contact phone -r t g ccii -re,Gn Business owner's address u t r C -,&&r rryogrt. Po+> fl-y%9p i2SZ ' Pi- -q gic Brief description of business }-t c't t`i ..- rn r 't L l Property owner's name -Ar18 l G A 1_c �c i -L Contact phone Property owner's address/contact Ll"I c F SLS} S rr' - - P. i-- 4v ' '3 ,¢ c-N-13 2 BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No 0 Work planned: PBIA (Parking Business Improvement Area-Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes 'l No CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business?Yes ❑ No, Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 - - COMMUNITY& ECONOMIC DEVELOPMENT phone 417-4750 CED approval by c. on -- Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: • PLEASE NOTE: NO flashing, intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No :S' Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for 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. Q Date . I Print Name V) �� V eild?-cvict r� ��S Signature . Poe'? T:\Forms\Building Division\Certificate of Occupancy Application(2010)doc Page 2 of 2 PREPARED 2/03/14, 10:51:36 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 2/03/14 ADDRESS . : 415 E 1ST ST SUBDIV: CONTRACTOR : PHONE : OWNER . . : AMBICA LODGING INC PHONE : (360) 457-9494 PARCEL . . : 06-30-00-5-1-1965-0000- APPL NUMBER: 14-00000112 CO- CHANGE OF OCCP/USE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 2/03/14 (I BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 02/03/14 TIME: 10:10:47 a February 3, 2014 10:12:26 AM pbarthol. viven 457-9494 New ownership COMMENTS AND NOTES • • ) Building Permit 415 E . 1St St . 15 -515 ANGELESFor City Use CITY oFpoRT Permit# /-- 5/ 5 W A S H I N G T O N, U . s . Date Received: 321 E 5th Street Date Approved • / 5 Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: l 5 Phone: Primary Contact: Email: Name V l , ) // Phone 713 /ry I 766 Property Mailing Address (` Email Owner City 19° /1 State )4 Zip 856.2 Name e „^ 14,CD � ( _/i Phone 2 /1/(% 1 ¢) Contractor Addres�' erJ` 7 7 "►�1 nC• / �Email Information City p(f,A State tAM Zip igv2 Contractor License# Exp.Date: • 't3 Legal Description: Zoning: Tax Parcel# Project Value: (materialsmand labor) $ cr) Residential 0 Commercial )f Industrial 0 Public 0 Permit Demolition 0 Fire 0 Repair 0 Reroof(tear off/lay over) 0 Classification For the following.fill out both pages of permit application: (check New Construction 0 Exterior Remodel 0 Addition 0 Tenant Improvement 0 appropriate) Mechanical 0 Plumbing 0 Other 0 Fire Sprinkler System Proposed Irrigation System Proposed or Proposed Bathrooms Proposed Bedrooms or Existing? Yes 0 No 0 Existing? Yes 0 No 0 In addition to standard hard copy submittals please send a PDF copy of all Stormwater plans and Engineering to uww.stormwaterPcitvofpa.us Project Description ` OFF" FJ 4 1WOf- konika, I7146,Lir P -/ IoD& Is project in a Flood Zone: Yes 0 NoD Flood Zone Type: If in a Flood Zone,what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date Print Name Si. ure DEPARTMENT OF COMMUNITY.kO C Ib 'ELOPMENT-BUILDING DIVISION` \ 321 EAST 5TH ; T ANGELES,WA 98362 . Application Number 15-00000515 Date 5/12/15 •i Application pin number 941995 P_ ter Address 415 B"191' ST a ptm- �+ '' P74RCEL NTR4BER s;.', + 06-30-00-.5-�-3965 0000 %ors, 0 ±w? A 4.R.cation description _AE-ROOF onState excise tax_ Suivision P 'hty Ube t©the �l 7.- ty Zonin''. Ate'ARTERIAL (Z.O iCation;vs.uation . . .• . . ' �t0 t+ Application desc TEEnt OPF4 Ar ROOF/IN&TAL1+=BIS--PL.Y-Z RANE . ., " Ow rContractor _ ,- k, t _ AM*tCA LODGING INC EMERALD ROOFING INC ;:.._ 415E 1ST ST P. O. BOX 879 PORT,:: WA 98362 ?ORT . FFA 98362 ;... - r4-t (360) 457-9494 (360) 402-4-68/- • ._ i Pezmit BUIL TNG PERMIT - NO PR FEE . . - , Additional desc . TEAR OFF/INSTALL SIN= PLY ME Permit Fee . cF 427.85 Plan Chek ee, . .00 Issue Date 5/12/15 valuation' . . '. 25600 : , Expiration Date . . 11/08/15 $ .1'..:141- „..,.._,, . , „Qty .Unit `g '':Per. : • ' - Extenxi*z '7.-"'"7.'`.7'-'''':727::',. ....;'-'-',-• . 1.':"4:-,.. *; 1 BASE FEE • . . ... 41.7.7.5-. ...-2,.7.-- 1.0 _ . ,,,,,,���... 0 10.1000 THOU BL-25,001-5'0X (10.10:PER R) 10.1.0 .. Other Feia STATE SHARON 4.50 Feel summary Charged Paid • Credited Due r - ` 1 i'f Permit Pee Total 427.85 427.85 .. .00 Y 00 ' Plan Check Total .00 .00 ' ,00. .00 Other_lee.Total ._ 4;40 .4...50 Grand Total 432.35 432.35 .00- 00 rate Permits are required for eiectrkal work,"SEPA.Shorelfrio,ESA,�,priveflaadfpOblioimPeevemeeia.This permfb�°. apn�d`void If work or art_ _ts.�d or _. for-s of 180 days after theyc hear : - .,�.jr'ir x i tt r.180 chis f'odt th i It 9 ce.1Ify that t have4read f a t saner to be true and Ap *s Y. iiw V� -SJR, RAN• v�trJP1 �1 hereai* The • f a give su r to vtollite or can`c =pr sions ofany state or local law .• '� .- s �.- .. 1 1 . . ., P N m .. Sh ►teure sof Contradoror ,-,: Snekuref Diver jY orrri(f Li( /(, C ( sF C - PREPARED 6/01/15, 9:16:12 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/01/15 ADDRESS . : 415 E 1ST ST SUBDIV: CONTRACTOR : EMERALD ROOFING INC PHONE : (360) 452-4681 OWNER . . : AMBICA LODGING INC PHONE : (360) 457-9494 PARCEL . . : 06-30-00-5-1-1965-0000- APPL NUMBER: 15-00000515 RE-ROOF PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 6/01/15 L BLDG FINAL ____t____ June 1, 2015 9:19:18 AM jlierly. Travis 460-4471 COMMENTS AND NOTES Application Number 10 00001414 Application pin number 273908 Property Address 415 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 1965 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Circuit for laundry ROYAL TRAVELERS INC A WA CORP 415 E 1ST ST PORT ANGELES WA 98362 (360) 457 9494 Signature of owner or Electrical Contractor X C ELECTRICAL PERMIT CITY OF PORT ANGELES .L I 360- 417 -4735 Owner I Contractor I APS ELECTRIC 546 BENSON RD PORT ANGELES 1 PORT ANGELES (360) 452 6753 COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Date 12/03/10 WA 98363 Permit ELECTRICAL ALTER COMMERCIAL Additional desc Permit pin number 178418 Permit Fee 78 70 Plan Check Fee 00 Issue Date 12/03/10 Valuation 0 Expiration Date 6/01/11 Qty Unit Charge Per Extension 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 73 50 2 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT 5 20 Fee summary Charged Paid Credited Due Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Grand Total 78 70 '78 70 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 12 1 s J i n FINAL 1ZLr (Lb API/ REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Date c 1 FROM A.P S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 CITY OF PORT ANGELES PERMIT APPLICATION Building, Division /?_Iectrical Inspections 321 East Fifth Street PD. Box 1150 /Pert Angeles Washington, 98362 Ph (360) 41 4.735 Fax (360) 417 -4711 Date J a .01C3 1 2 Single Family Dwelling L-J r) r L, J ELECTRICAL INSPECTIONS Dec. 02 2010 01 55PM P1 Multi- Family orrCommercial Commercial Addition Alteration Remodel Repair" Plan Review May Be Required, Please Comp `e Electrical Plan Rev w Information Sheet Job Address 'f j r�f' �t-f` )Q9$ 'o ne 111eife f Building Square Footage. o 1 f De of above C U i T r i 't o 1... 1... l F- A) 1 Q u-XI.¢ 'L titifita 0 I 'I 1 ..73122trSiPJ Owner In atiop Contractor I formation 1 Name: r 1 et 4 r Enr_, Name: j(' T �P Gl Tt ea Mailinggatress: s e. 1 I Malin Address. 0 City'_ 7iz State: Zip: cf)5Sh:� Cit t Zip: Phon it Fax: I Phone: Fax: License 8 Exp. I License I Exp. Item Unit Charae s& Total Q�t r Multiplied by Unit Chara Service/Feeder 200 Amp. 5 119.90 5 Service/Feeder 201-400 Amp. $145.50 Service/Feeder 401.600 Amp 204.60 Service/Feeder 601 1000 Amp. S 262.20 Service/Feeder over 1000 Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 a ,1ZS Branch Circuit W/O Service Feeder S 73.50 7 .50 Each Additional Branch Circuit S 2.60 Temp. Service/ Feeder 200 Amp. S 92.70 Temp Service/Feeder 201 -400 Amp $110.30 Temp, Service/Feeder401 -600 Amp. 148.70 Temp. Service /Feeder 601 1000 Amp S 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling S 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection $1 19.90 Renewable Electrical Energy 5KVA System or Less S 102.30 Thermostat 56.00 NEW CONSTRUCTION ONLY: First 1300 Square FL $110.30 Each Additional 500 Square Ft or Portion of S 35,20 w Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub $110.30 101 Total 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 his for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify th I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -468, The City of Port Angeles Municipal Code, and Utility Specifications a� d PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator 0 Cash 0 Cheer jq, r Credit Card X r) Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 200 amd feeder replcament 10 circuits Owner ROYAL TRAVELERS INC A WA CORP 415 E 1ST ST PORT ANGELES WA 98362 (360) 457 9494 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 10 00000101 646609 415 E 1ST ST 06 30 00 5 1 1965 0000 FLAGSTONE MOTEL ELECTRICAL ONLY COMMERCIAL ARTERIAL 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 ELECTRICAL ALTER COMMERCIAL 160267 145 90 2/01/10 7/31/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation Qty Unit Charge Per 10 00 2 6000 ECH EL BRANCH CIRCUIT W /FEEDER 1 00 119 9000 ECH EL 0 200 SRV FEEDER Charged Paid Credited Permit Fee Total 145 90 145 90 00 Plan Check Total 00 00 00 Grand Total 145 90 145 90 00 Date 2/01/10 WA 98363 DATE RESULTS 00 0 Extension 26 00 119 90 Due 00 00 00 Z)'l ro °)►P z him Signature of owner or Electrical Contractor X Date INSPECTOR. FROM A.P S. ELECTRICAL CONTRACTOR 2 6753 Feb. 01 2010 08 30AM P1 FEB 12009 ELECTRICAL INSPECTIONS CITY OF PORT ANGELES PERIMIT APPLICATION Building Division/Electrical inspections 321 East Fifth Street —P O. Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax: (360) 417 -4711 Date: I 9d 1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair* Plan Review May Be Required, Please Comple a Electrical Plan Review Information, Sheet Job Address: 1 4 I 6.4 d3' �rt- t '3 -i- se e71" /V, m es e Building Square Footage: Description of above ti' e p 14 tee &_q p e4 t Cn Owner Infor ation Contractor Information Name: o n e 17) Name: A 5...�_iE.1i) _c r s c C O311- Mailing Ad ress: I/16_6 ra Mailing Address: 0 i City State: Zip City' State' i Zip: Phone: =-Fex: Fc� Phone: Fax: 'C_, License Exp. A f .rl license Exp. item Unit Charae Clx Total (MY Multiplied by Unit Charm Service /Feeder 200 Amp. $119.90 1 1 9 .9O Service /Feeder 201 -400 Amp. 145.50 8 Service /Feeder 401 -800 Amp 204.60 Service/Feeder 601 1000 Amp. 262,20 Service /Feeder over 1000 Amp, 372.50 Branch Circuit W/ Service Feeder 5 2.60 Branch Circuit W/O Service Feeder 73,50 Each Additional Branch Circuit •5 2.60 e �y Ink ZI:, Temp. Service/ Feeder 200 Amp. 92.70 Temp. Service/Feeder 201 -400 Amp. $110.30 Temp. Service /Feeder 401 -600 Amp. $148.70 Temp, Service /Feeder 601 1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20. Signal Circuit/ Limited Energy I First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuinimited 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 it) Total 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 contractor I am making the electrical installation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296 -46B, 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 Check Credit Card 1 L'Q� L X i Dated: Cam? a O O, 01/01/2010 .~.- .....-~'k.~~:'il/' ',~'4f~M~E'{...~1tJ~~;~.....~>;.".J...,~,~ ,,~;fil~'<Io . , \H '"' V 1r~~ "....1Jffl;~ , ~- j'>~ " ,~ ,~,t~, _ ~>":t4J(4r-#<-, 'CERT~j"F:~:(;ATE QF '.OC;ClI"PANCY Lasered <;ity of Port Angeles - 'Buildin.g..pivi~ion CEO ,if .' '<<t" f' ., '{., ThIS cert[ficate is issuecl pursuant to the requirements ofSectlOn 110 of the 2005 International BUlldl71g Code certifyl71g that f th.e:t~fi2'eI.oj{isu{1ft~e4th~s'stru~ture was in,~0n:f~I\~~1ce wlthfthe vanous ordinances of the Czty regulatlrrg bt!lZd~1]g,SQnstrucJu;m or use for. the followlI?g." ,w . '^" I.' \ Business name f, ~I~~~~~e Mdi;r:'" . · ..., \- Business addressm 4 ~ ~,;:.~. 151 St. 't.",. ,.:,;;..:, ": .... )1," :'1,' ' ; Owner ofbusines~. , .:Ro.Yal Travelers 'Inc'~", hC. '. - . ~ Owner's address:\ :::'~~,f1~3 E. 151 St., P~'rtA'~~el~~, yv,~' 98'362:. " Use & occupancy 61a~sifiFation. Residential' Building permit nut.,6e~>'(,;".., 07 - 1'62',' line 0 construe 'on:f" .~. --"""""-=-~';: , .1'1"' . '" \il; 02/26/07 Date Post on the premises in a conspicuou ~ -,....~-";~~~ . "i~J:i:a1)/~~lli;.~1.!t~;;-~~.t.;$.-'- emoved except by the Building Official. c~ f IA-G,sf"()f./r;- Me ~ -#-0"'" l'" I). ROUTING SLIP .oeL Certificate of Occupancy r $50.00 Certificate/Inspection Fee DATE- !i fib It,;J- c"'t) JJ Address of Proposed Business ~If I ,) E-.. I s-t 51 P If \V fi- '183/ Applicant R tJ r I J?i..v'i'Jer5 !-,.,.. c . Address rl J) 17. I sf ~T f/rvJ)- q8:~t Phone: business 'I ~ '7 '-7 ~ 'I >frome Bnef descnptlon of proposed business: Jvf 6 -f eIJ legal Description: lot Current Use of Property: ;,,1 ~ -e 1 Zoning Classification of Property: Block c A Will THERE BE ANY OF THE FOllOWING? Construction changes Electncal 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 nght-of-way Is there sufficient off-street parking? . . New dnveway 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 N~ -~ .~ -2 Z7 == ~. ~- -17 ~7 Lasereci CEO New Business. . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . hange of Ownership . .... ............. New Building ................ ........... Remodel ............................... Temporary Business. . . . . . . . . . . . . . . . Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Dnveway 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 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 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. REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. \OZD 4:1- , t7 '1 0' -- E)' ~ ) ) V) ) ) ) ) ..+:: - \J\ m ~ ~ , :s 2.- ~ () ~ o " cr\ ..~~) ~ ~. ,<' . ~ ~ ~ ROUTING SLIP -# t:' rl - I b 1).- x\'ORT ~Iv ~O~Q~ F t A r.7SioNG Mo ""~J, )J Certificate of Occupancy Laserec i}~:t{&('~ CEO "-- -=--'If , t $50 00 Certificate/Inspection Fee ~ ~ , "t-BL1CWOr#-<::J ... . ,- 1,/ J1 DATE '7' New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) ;; v Address of Proposed Business Transfer of Business location . . . . . . . . . . . . . . . ( ) I \" " J -t ! )..', 11'" A ,', ?l~ - -Change of Ownership ( t/ ) ,... r ./ ' ,'" ... .. ........ . . . . .... . . . Applicant .iZ (, I 1 " /, 1 ( I.. (... "(" New Building ( ) p,l ~ V'c t " .. . . .......... . . . ..... ...... Address i I ;' ~ r let r 7 ~ ~ tv P ~'<>\./z. 'Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) . ~ . Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business ' ' .; 'home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) I , .t /, I l Brief descnptlon of proposed bUSiness' , . " legal Description: lot Block Subdivision , I } Current Use of Property: 1.' I r " ( Zoning Classification of Property: \ A , " Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes ... . V PERMITS BUSINESS LICENSE -- Electncal changes -- 1) BUilding 1) TaXI Mechanical (heating, cooling, stoves) .. . -~ 2) Plumbing 2) Peddlers Plumbing changes -~ 3) Electncal 3) 2nd Hand Dealer New or relocated signs .. . . . V 4) Mechanical 4) Pawn Broker ---r New septic tanks -~ 5) Sewer 5) Dance New sewer service .' 6) Sidewalk Installation 6) Hotel - Motel AdmiSSion charged to patrons . . V== 7) Dnveway 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 nght-of-way y" 10) Water meter Installation 10) Other -- Is there sufficient off-street parking? . . ~- 11 ) Fire New dnveway openings l' 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- r th I / - , !'D ....} edge that I have read this application and state that the Date: .t Information I have supplied IS correct to the best of my , 1/ , / - ~:J' /../ t'.- /1-1..._:;;-- knowledge. Signed: Ji' .Il;:/;~ 7 , - p <.' ""i I ( r1 OC(; 6 r '! t ( (_. '- -, APPROVED REJECTED Comments / Conditions Building Section C 11 o-n 7.R ~i A'f) .t rn ~ /) '-4 Jl, . U I ~ Public Works Department CiJZ }"1 I Planning Department Fire Department City Clerk P.B.I.A. f . -, (".y ......1 J c) 0, '-"'t ..... o :# 101 " F ~ /}G; St'tJ1-/ U t1 () 'f1?:V ROUTING SLIP ,OJ. Certificate of Occupancy r $50.00 Certificate/Inspection Fee #-0 '1'" I, b I).. Laserec: CEO New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . ( Transfer of Business location . . . . . . . . . . . . . .. ( P If \v It &16' 3/~ -Change of Ownership ..................... ( 1.. VI c . New BUilding .. .................... .... ( 5: T Fit vJ)- qf>.,t 2 Remodel.................. ............. ( Temporary Business. . .. .................. ( Change of Use . . . . . . .. ... ..... . . . . .. ( DATE- Fi eb / t , ;L 0-0 fJ Address of Proposed Business 'If I S- E"- .. I 5-1 SI Applicant R () \lal I Yc-vc>J tl--5' Address rf J/~ G- ~ i s1 Phone: business I.; ~17 '-70/' 9 ffrome Brief deSCription of proposed bUSiness: N/~ -f ~:J legal Description: lot Block Current Use of Property: ~1 o~t.e 1 Zoning Classification of Property: C A WILL THERE BE ANY OF THE FOLLOWING? YES N~ ==7 .* Z=1Z 7 -~ - --;;7 -v- -7" ~~ Construction changes . . . . .. . . . Electrical changes . . ... . .. . Mechanical (heating, coolrng, 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 . . ........ . .... . . . 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 /f/;-O? Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Subdivision THE FOllOWING Will BE REQUIRED: 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) Shorelrne 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 8) Ambulance 9) Tattoo shop 10) Other Date: H e, h ! t I "J- cr-o '7" ~~ /./ /"';/L -'" _ Signed: /' ///"'"7 ~-P./ (~ "J-- -CI1A-W -J1~~ d10~G- CW~~~O~~~J ft. ~ f'OAT-'I..... ~o~G'y(fl c.;~~"",,\<J> , L_~ '> "- """-,,, =- ~ bU8LJC WQfl.....s ) ) V') ) ) ) ) .~'~ ~d . '. ~.....~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT PERMIT NO 6784 ISSUED: 10/26/1999 OWNER/APPLICANT FLAGSTONE MOTEL 415 E. 1ST Port Angeles, WA 98362 360/000-0000 TSWIMMING POOL S: ARCHITECT N/A CONTRACTOR ANGELES ELECTRIC 524 E. FIRST ST. PORT ANGELES, WA 98362 360/452-9264 PROJECT INFO PROPERTY LOCATION 4/) E. (~ Lot: Block: Subdivision: Parcel No: o Long Legal , 98360-0000 360/000-0000 Project Value: $0.00 Construction Type: SERVICE REPAIR Zoning Use: Project Type: COML. MISC. Occupancy Type: Occupancy Group: Electrical Heat: o Baseboard o Furnace o Heat Pump o Fan Wall o KW o KW o KW o KW D Riser 0 [2<;J Overhead Service o Temp Service Underground Service Voltage: 120,240 Phase: D 1 [2<;J 3 Service Size: 200 Feeder Size: 0 PROJECT NOTES REPLACE 3 PHASE METER BASE FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TOTAL FEE: AMOUNT PAID: BALANCE DUE: COMMENTS/ACTION NEEDED $59.25 $0.00 $0.00 $0.00 $0.00 $59.25 $59.25 $0.00 ELECfRICAL PERMIT INSPECfION RECORD ,y--' CALL 4 J 7-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE- IT IS UNLA WFUL m COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED, KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENtS YES I NO UnCH ~ -INTCUVER VTC'F /6//. 'f/ ro- c FINAL I I I , GENERAL COMMENTS: pw.II02.1'I4'96) . i.~ PERMIT NO. _"'?.53S- ..3 /;f/Y ~ CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 DATE ELECTRICAL PERMIT Site Address: Sq. Ft. o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: Installed By: Owner/Business: Phone: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ ~~~~~1E~p~~~~~j~EPAIR o SPECIAL EQUIPMENT (LIST BELOW) o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS Details/Description: It / i~t' /rlls ~ ~-<-, , I'u ~/r;~ W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. Ar-fJ! Rough-in/cover O.K. O.K. to connect service Ar . Final O.K. New Meters Site Address: Permit/Receipt No. ;] S .3.s- Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ ~ 15! Electrlcallnspector Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC. Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ';<S30 / /.:rO/?t? . . .\ ELECTRICAL PERMIT DATE Owner/Business: D READY FOR INSPECTION License Number: ;1l:WILL CALL FOR INSPECTION Phone: Site Address: /J1p Phone: Owner/Business Address: Sq. Ft. D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other )!lJ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair D Overhead D Underground Voltage D 1.0 D 3.0 Service size D Temporary ~ Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Amps Detai i slDescri ption: 1?ELA.//~ F tZ, I-k. /1 c~* //1/ '7 I??() h / .- 4/ 7r.J:-1s ". C 1: I:r #> c;;2 [) cD @/~'7~ ;;J7:!!!-- W.S. No. Service Capacity: D O.K. D Not O.K. D Ditch inspection O.K. 1\ ..~-tp' Rough-in/cover O.K. 'lP-.~ O.K. to connect service ~ Final O.K. Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending Site Address: / s- r:!: y- Permit/Receipt No. d2s3f) Installer: ~ New Meters . Notify the Department 01 City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the 'nsp~riting on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. J#1r; NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ,ff c::2 7 t(:!!! Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. 4b';:/ 4#15 ;)Cb1J!- # /97C: 1 1;2 u.:.t; tl ~ cJ:.J - 02 '-/ eM .' CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: il I 0 )."--- 10 1/ {7... ('> ;2\ o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel ,0 Service update/alter/repair ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai IslDescription: REwrR-? _ N tis- '. / 111./ /;).. 8" ,4-c!J;:A~ tU 1/ It, - 4 c-~h ~ 0 ':>0 eJ-h 1I:J ~i1J ~ ~ f:lt(~ '6 tt ..;... 6)0 f' d. ~J! I Uu:.I. /,:} 1)/1 W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. ~)lJ. Rough-in/cover O.K. o O.K. to connect service ~Jl Final O.K. Date Hold for: 0 Ease,ment 0 Letter PERMIT NO. /9 7..s- /~,4;? /&P , DATE o READY FOR WILL CALL FOR INSPECTION INSPECTION License Number: Phone; Phone: 1-) Sq. Ft. o Overhead o Underground Voltage 01.0 03..0 Service size o Temporary Amps o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending. e c..f-. New Meters o Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0!J.1, EXT. 158 or EXT. 224. If ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT I)i6" ~t ~ Inspector Amount paid . WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall . OLYMPIC PRINTERS. INC. ../ . 5 .J, .... "T' _, -'.I CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: 3') '1;,'-1 .-71. o Residential Heat KW o Baseboard 0 Furnace/Boller o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~ Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai I s/Descri ption: ~ PERMIT NO. 1 '17 , /.;2 p c/J'l , , DATE o READY FOR INSPECTION License Number: I WILL CALL FOR INSPECTION Phone: Phone: ;}.7 ~:J.G.J( J Sq. Ft. o Overhead o Underground Voltage 01003.0 Service size o Temporary Amps fYFwI'Rr d C,ch:- , IIU /;;J... /Jt 0 i/ ,ed't!?/~ >' o ~M-f 1;2 ) .I Id.- &/cIt'/,'<Ov 4/ dLv1 1JUP?/1 #- /97? I c9- c). ~ ..:2 02,/ C/-/!: -110 - t/ ci-i> #'!ft ~ ;J? cU, Id- C01/1s ;< W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. JUy,,;til Rough-in/cover O.K. o O.K. to connect service ;'}-ft'sjj Final O.K. J",,( G I~ C i. , '\ ,t J 'f Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site AddrVr- c: M- InstallerckcArc--- ~;tt/{ permitlR/17Z New Meters C) Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. 7~ NO OCCUPANCY OA USE ESTABLISHED UNDER THIS PERMIT ~ M Inspector Amount paid WHITE - tile by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hal! g ~'\",\\ \~~s\:-\ . '''\1. '..'.' . ~ ......... ''', . , > -I. ". " 1;:'.. ... ELECTRICAL INSPECTION WIRING REPORT 457.0411 Ext. 158 INSPECTOR \ r~ ~ LtLt- '2.~'i DATE . II 'J-)j fa oWNlRICONTRAZl ----, / ~ ADDRESS q:-llAu..~ -n--- ~1 I I ,:; 'I, r _~ c5./~ .:2 'l, ~) ~<--,27-1 :2 1'.. ~ APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.... .. ........ 0 o .................. SERVICE .................. 0 f. . . . ., . . . . . . . . . . . . .. FINAL. . . . . . . . . . . . .' . . . .., 0 CORRECTIONS NEEDED: ~) Co" Gr-cf ,n ~ 3''1 ~J., 6c..d '" <~ c~~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS _ DO NOT REMOVE - il':;ll QL YMPIC PAINTERS,INC. (206)452-1381 ,~. ' I;<~ ., H_~ . ,'\ ,'" l. -- r--...J" '.",\ . '~h .'(.:'. . "~"., so, ,.-............ , . , I '--J ~ I( I J.::....:tf \~) , I \---/ ~\\ CJ~) ~ 1\JJ\ I .' ~ ? u 1'1'" CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 17896 ELECTRICAL PERMIT Port Angeles, washlngtonu.....'&:...::.2_m.m...mmumu.....m..m, 19.u~3 In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission is hereby granted to d6 electrical work as listed below. Address ...mn.oooomoommu.~\.5mu~un.\:s\.oonmoooou.....m.u Occupancy.-,.t:2::,:!.~~~u....u..n.___... ~:~:~~::::~~!(~t:.~:~;.;~::::::::::oo..~~::~~~:::::::::::::::'.::'.'::::::::::=::::::::::::::::::::::::::::::::::::::: Light Outlet........................................... Service, volts ..............................__....... Type of Wiring: Armored Cable "m Receptacle Outlets____........................... No. wires ..................................__... Dryer, KW..nnn....n.......:.n.....__....__.... Range, KW............____.......__................. Water Heater: Non.Metalllc ................................. Knob & Tube..............______............~ RIgid Conduit ............................... Metallic TUbing .n....mnn............. Raceway ......................._........._..._ Circuits, Light...........nmm.................... Utility............................................. fleat n....................................._...... Range .........n.........................n__..... Water Heater .............m............... Motor ..._.............oo.........oo........!..... Size wfres.................__...........n..._.. Main fuse n...n.__............__............... Enclosure ................__...........n.. KW....................................... Type of wiring: Entrance Cable ........h..m__...... Heat KW.............-.....nn............hn__.... Motors: size, volts and phase: Rigid Coudult ................. Metallic Tubing ....nm...............h. Current transformers: No. & Size............n.........noo__.......... Ser. NO.__.__......oo..........__...............n.... Ser. NO....................................n__...... Dryer oo......n..n...n....................n......._ Furnace nn.....................'_.....hn.......... .nn.n.__.......n.n..............n..............n.._ Ser. NO..n...........n............n.n..........n Total liaadoon__..__....noo........... Ser. No. ..nn...n............;..................... Total ...n.....n......................oon.. .' y , / if', L ' t"l .' fl Remarks: .uuunn:::'1._~.\_.~.~....h.__..~~~......:::::J.-:-:!.L~...._..4.~~d::---::.~___...u.h~..::.!._f2_.~...:~:_'f:c..-::-:.:_::.__.:.'2::!!?!.c::.__n__ mi;;;;'..~oo.'=.~~m.::ooLil.~.';f~.mJt/f~L2{:;;;.;-g".c...m_........m...L..m.......m.......mmu.mm..~...m.m.. .;:~;~.;::m.m---.......m.....m.;~:~~:.;:~:;~~.....-..---mu.....oooo.---...m.;x;:i~tf~.~/;.~.um.:>...-m.m. $..oo..m.......mm...oooom.m.. NO.......mm..........m... By .,.tu...;...!..mL.:[.~oom.:oo_L~~::...::!:.!..:.,__. NOTICE-Current must not be turned on until Certificate of Inspection haa been issued. It work is to be con- cealed due notice must be given the Inspector 80 that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 7896 ELECTRICAL PERMIT Address..................._..............................................................................................................._...Date..._......_.__.._.._.........._......_......_......._ . Owner ................__................._.n......._......_n...._.._............un.......................__.........__....... Tenant....oo........n_............__.oo__......n.....oo........n.__.... Wiring Contractor..................................._....___.............._..oo..................____._.......__.................__..... By.........................n................................... NOTICE-Current must not be turned on until Certlflcate of Inspection has been issued. It work Is to be COD- cealed due notice must be given the Inspector 80 that work may be inspected before concealment. . 1M Olympic Printers, Inc.