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HomeMy WebLinkAbout1025 E 1st St - BuildingPREPARED 11/19/10 8 01 40 CITY OF PORT ANGELES ADDRESS 1025 E 1ST ST TENANT NBR PHOENIX DRAGON MARTIAL AR CONTRACTOR OWNER DAVID AND MEGHAN VENTURA PARCEL 06 30 00 6 2 0325 0000 APPL NUMBER 10 00000851 SIGNS PERMIT SIGN 00 SIGN INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 808 7303 PAGE 5 DATE 11/19/10 REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/19/10 BLDG FINAL November 18 2010 2 26 19 PM 1pangrle MEGHAN 808 7303 BUILDING FINAL SIGN (PHOENIX DRAGON MARTIAL ARTS) COMMENTS AND NOTES 0 N �l'1 16-13-16 � 1 t c OF 0CQUPANCY 'ATE"I City, of tort Angeles - "Iguiidiiin 'D* vaision This certificate is issuedpursuant.to;the requirements of Section 111 of the 2009,International Building Code max. certifying that at the time, of.`issuance.,this..- tr:ucture was in compliance with the various ordinances of the City regulating building construction#or use for the following.• Business name Phoenix Dragon Martial :Arts ''(Owners; David :& Meghan Ventura) Business address V 4025, -Er 1 St St: Property owner David Ventura --and ;,Meghan Ventura Property owner s address- 444 Oceah COV, Lq >Port. Angeles;. 1111 98363 Automatic fire sprinkler system. Per IBC," Use & occupancy classfcarion. Busihe*- Occupant load. "' _.�g _ a; ., . _._:. r. Building 7 permit number TV Type of construction. 10-13 10 Manager Date Post on the premises in a conspicuous.place. This certificate`sliall not be removed except by the Building Official. 0 N �l'1 16-13-16 � (9/28/2010) Linda Pangrle Re #10-757 C of 0 for Phoenix Dragon Martial Arts at 1025 E 1st St Page 1 ,) From Ken Dubuc To: Linda Pangrle Date: 9/28/2010 12 30 PM Subject: Re #10-757 C of 0 for Phoenix Dragon Martial Arts at 1025 E 1st St Hi Linda I have been there, I did approve the facility I signed the permit on site, I will be forwarding the C of 0 paperwork today thanks, Ken >>> Linda Pangrle 9/28/10 11.28 AM >>> Hi Ken, When did you do your final C of 0 approval inspection for the above permit? I haven't received your C of 0 paperwork yet, but the owner stated that you've been there and approved the facility Thanks, Linda a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00000851 Date 8/18/10 Application pin number 266920 Property Address 1025 E IST ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 6 2 0325 0000 Tenant nbr name PHOENIX DRAGON MARTIAL AR on your state excise tax form Application type description SIGNS Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning COMMERCIAL ARTERIAL Application valuation 300 Application desc TWO WALL -MOUNTED SIGNS 20 SF & 6 5 SF Owner Contractor DAVID AND MEGHAN VENTURA OWNER 444 OCEAN COVE LANE PORT ANGELES WA 98363 (360) 808 7303 Permit SIGN Additional desc TWO WALL -MOUNTED SIGNS Permit pin number 171314 Permit Fee 94 00 Plan Check Fee 00 Issue Date 8/18/10 Valuation 300 Expiration Date 2/14/11 Qty Unit Charge Per Extension 2 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 94 00 Special Notes and Comments August 16 2010 5 29 23 PM sroberds The proposal will result in new signage on a bldg in the CA zone A total of 27 sq ft of signage is proposed 195 sq ft is permitted given the building size No land use IVt� issues anticipated \ Fee summary Charged Paid Credited Due \� / Permit Fee Total 94 00 94 00 00 00 Plan Check Total 00 00 00 00 Grand Total 94 00 94 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. mA� �42_>„a-cam Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD – PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS – Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING. Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) I T -Bar INSULATION: I+ Slab I Wall / Floor / Ceiling I MECHANICAL. Heat Pump / Furnace / FAU / Ducts I Rough -In Gas Line I Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting (PLANNING DEPT Separate Permit#s SEPA. (Parking / Lighting ESA. (Landscaping I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 0 I OQ Ul FT) LA 1 v Electrical 417-4735 c Construction R W PW / Engineering 417-4831 V 1 Fire 417-4653 Planning 417-4750 Building 417-4815 N— )o ALL_ Vs T:Forms/Building Division/Building Permit This is a true ed certified When recorded return to; `ODY Of the cr6gin ! document David Ventura Meghan Ventura e rrrnv 444 Ocean Cove Lane Port Angeles, WA 98363 STATUTORY WARRANTY DEED Escrow No. 3035 Title Order No. 109471 THE GRANTOR(S) Chesterfield Mortgage Investors, Inc. a Washington corporation for and in consideration of ten dollars and other good and valuable consideration in hand paid, conveys, and warrants to David Ventura and Meghan Ventura, husband and wife the following described real estate, situated in the County of Clailam, State of Washington: Lots 13 and 14 Block 128, D W Morse's Subdivision of Suburban Lot 8, Port Angeles, Washington, according to Plat thereof recorded in Volume 1 of Plats, page 73, records of Clallam County Washington; OTOGETHER WITH the South 140 feet of the West half of vacated alley adjoining said lots on th East. Subject to Ordinance No. 2030 recorded under Auditor's File No. 497281 Tax Parcel Number(s) 063000 620325 10 Z!5 15+ Dated: C-) R Chesterfield Mortgage Invest _cros. —'",�N Qtfl rte Chesterfield, i�resident \ STATE OF WASHINGTON ) )ss COUNTY OF KING } I certify that I know or have satisfactory evidence that Charles Chesterfield is the person who appeared before me, and said person acknowledged that he signed this instrument and on oath stated that he is authorized to execute the instrument and acknowledged it as the President of Chesterfield Mortgage Investors, Inc. to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument f Dated; FEDWARD M. Nl1fi�TER Notary in and for t o st of Was gton R iI PUBLIC Residing at r flkbHINGTON My appointment a Aires: — SION EXPIRES ARY 19 2012 ; �.�... ............ LPB 1"5(ir-1) z �5b RO 1 o,.poizr�y CERTIFICATE OF OCCUPANCY APPLICATION FEES ` -permit # 0— ��7 CITY OF PORT ANGELES $5 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.40' Change of ownership only? ❑ Moving location from within P.A.? ❑ Zo n i n g >� BUSINESS NAME hrk..n ,-it 17c'c, Business address loa-< P t -5A S4 Mailing address LiYW OCer_r, Pk, 9 fc36_' Phone number lob - ia8 - of ciI Opening date 9 / 1p Days & hours of operation fhwF q-1) Tfh q 7 S 9_Q Business owner's name Lkr, , w (1'\e�),r r qtr,-1.,c� Contact phone "3(oo 9;;18 - DI 91 Business owner's address Ll L4 0ron,r. (r,.re L. -i -N ptr-4- A 11�ba r1; wF::� 4 R726 Brief description of business d1'lA<--'i-\0.\ Arms z .f7A rse-�s Property owner's name`1%.n .rte Contact phone �(n0 -mid f(- Q/ Qi Property owner's address/contact 4U u OLor,.,_ Love L" tAV,"4 Q BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No ig 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 D\ acs e x-� r•, or l FIRE DEPARTMENT phone 4179-4653 I Fire approval by on I Changes to a fire sprinkler system or fire alarm system? Y _L - 2 Work planned: Ark �7` A\ o_r- r,--, i �- Ae-C PBIA (Parking Business improvement Area - Downtown) phone 417-4623 Square footage of business? i _� 9 Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ No (�l PBIA notified on City Clerk approval by on 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 I CED approval by on Number of off-street parking spaces available for employees and customers?/a ex ­ Signs? i_ (A parking plan may be required.) �� 0(et a Signs? (wall -mounted freestanding projecting awning A -frame etc?) Signs planned- 11JS� C, PLEASE NOTE NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by 9V on % --23 - 16 YUCSL/C.. VV0RIIS DEFART h%EiV T ENGi EERil G. (Jhune 417-4617 i ;0v J&_J7_ /Q 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 ❑ Nom c f r Work planned ?r p vv pc- k' w. ®L Ck U T o %/1Q nthd`OV @►� � `ry tel/ 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 wenincr business Building Department Inspection 417-4815 Fire Department Inspection 417-4653 -Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date Print Name I 1�Clrl V112—nAIX0- Signature T Torms\Building DivisioMCertificate of Occupancy Application (2010).doc Page 2 of 2 a 3 4 (10/8/2010) Linda Pang rle C OF O #10-757 Phoenix Dragon Martial Arts 10251E. 1st Sf. _ Page 1 ,) From. Linda Pangrle To- Roger Vess Date- 10/8/2010 3.01 PM Subject: C OF O # 10-757 Phoenix Dragon Martial Arts 1025 E. 1 st St Hi Roger Have you inspected this parking lot and given your final approval? Is it ok for me to issue their C of O? Thanks Linda Phoenix Dragon Alleyway Martial Arts Ventura Entrance Parking Plan 8/16/2010 I E. st t Port Angeles All Spaces shown currently existing. Fence 39' 61 #8 #7 #6 #5 10' x 17' 10' x 17' 10' x 17' 10' x 17' 42' Fence 61 27' t #10 #9 Private Entrance 10' x 17' 10' x 17* Open Area 40'x31 #1 16, 431 OXI- 0 #2 10' x 17' Fence 41' Fence #3 10' x 17' 23' 21 11 LLLLIIII #4 10' x 17' --Entrance----- Sidewalk 1st Street ?D D 00, RECEIVED AUG 16 2010 CITY OF PORT ANGELES BUILDING DIVISION _P Phoenix Dragon Alleyway Martial Arts 61 Ventura ---Entrance— Parking Plan 8/7/2010 10251st Street #10 10, Port Angeles 61 Fence #14 10' _j #910' #810' #710' EU .JPrivate #1310' #12 10, Entrance #11 11 Proprietor Parking open Area 40'x31 Fence #2 10' 4/' #3 10' #4 101 Sidevialk lsv4(eet #512' 1 24' Q N\0 cb #6 ' \ ev, 1-7 Q Qf y" \"'. Fence . ... ­ Entrance---, —21 RECEIVE AUG 112010 V Srp. ANefIES A M Phoenix Dragon Martial Arts Ventura Parking Plan 8/7/2010 10251st Street Port Angeles 14- 'Bxj.v,.%(>cr re4•u���� #1 /#2 47- #3 Sidewalk 1st Street f Alleyvray 61 Entrance #10 #9 #8 #7 40- 12-- #14h 0' 61 Private #113 #12 Entrance #11 NA Proprietor Parking ■ —11 -i F I A� 4 � b r� #s I - 24' #6 21 Entrance . RECEIVED C o� AUG 0 9 2010 CITY OF PORT ANGELES BUILDING DWM -t-ovsr �'er Dour j v xlle i'S - Ches�4erf dck P�o� e, 5 c tF{e w'� el $ to i s /� ` CuSIGN PERMIT APPLICATION Print in ink $© '"�•-"*�- CITY OF PORT ANGELES For City Use Only .•;Attn Building Permit Technician Date Received (l- Id 321 E. Fifth St. Port Angeles WA 98362 o Permit # i ®- '1 (360) 417-4815 fax (360) 417-4711 .� �3�� eq ou�Y` q �� Date Approved ki 14414e Applicant or Agent PSA 1l o v�-��cc• P C,e Property Owner D,�J a � � T-0- Phone Property Owner's Address L1 L4 y �Ar\ Com C, P" ,i-v_s lAA R83_� Contractor/Engineer,,, ry\,c,, Ve,n 4. ,cc, Phone 4 s(,o gO Fg - 730 Contractor/Engineer's Address License # Expires Project Address 10fr 15.'r -S4 �CC-4 0""sAAk wpt (gXe'Ma_ Business Name �1��e ,, , ZJ rod,. M C- 4-\ Pa+� Parcel Number Lot i - y Zoning C A Submit an 8 % "x 11 "site plan & three sets of plans that include. • Type of sign (wall -mounted projecting freestanding illuminated other ) • Placement and sq ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■ Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 94.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. Siqn Type & Brief Description. (Type, location, sq. ft.) Sign #1 ?k�taooa wAh Pc.cv5\ C.cS ;�O s� Sign #2 \ (' : ct,l>y G 5- -s -C- 003 0) Sign #3 Sign #4 Totals (Unit charges Sign(s) Unit Charge Quantitv multiplied by quantities) Tvpe of Sian Valuation $ 3Cb 06 $47 00 x = $ 14,00 All signs less than or equal to 25 sq ft. $85 00 x = $ Wall sign or marquees, over 25 sq ft. $115 00 x = $ Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ 14100 Credit Cards (Except American Express) are accepted Existing sign(s) area 0 sq ft. + Proposed sign(s) area ab S sq. ft. = Total sign(s) area a 6 S sq. ft. Building fagade area (height 1 to ft. X widths ft.) = 9 -7 6 sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) I have read and completed this 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 workin,gr on projects Date F111 /to Print Name �� qi-I V Q r��t�' �O� Signature �, C T Forms/Building Division/Sign Permit Application.doc 933 yv - —J '1617 IF in Phoenix Dragon Martial Arts Ventura Sign Plan 8/12/2010 10251st Street Port Angeles plyuvood circle 1/8" Acrylic Letters Hoar S 61 � 36" x 36 1 x 20' 20SF Phoenix Dragon Martial Arts Front Facade - ' 6.55E for Wall Sign 16" j Location FIR CITY OF PORT ANGELES — Construction Plana The Issuance of this permit based upon these plans, specifi- cations and other data shalt not pment the building official from thereafter requiring ft correction of errors in said p!ar specifications and other data, or from preventing building operations being carried on thereunder when in ioiation of all codes and ordinances of this jurisdiction.n paroval Bate to BYE, CERTIFICATE OF OCCUPANCY APPLICATION k'0 Permb# (6--7S7 CITY OF PORT ANGELES FEES -- $5 Certificate / Inspection �s 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? 11 Moving location from within P.A.? ❑ Zoning BUSINESS NAME ?hrvl_n �-3t \7C'c��, D`\C.v-AN,,\ Businessaddress ioaS F: -5A S4 Mailingaddress yyy OLer-n cow_ Ln ?t> 9R3(a:' Phone number loo - ias - of ,�i I Opening date q / Ja Days & hours of operation fiver; 9-11 TTA q 7 S 9-1a Business owner's nameL7o.,, a (Irle��r, �Yr,-�vc� Contact phone too 9; >T - 61 91 Business owner's address 4uN 0ron" ( no -e_ L -n PDc--+ A r'N6OAC s Brief description of business A') Ac , f7A "e % Property owner's name `nG i, h �\, ,,� V -e-,-, a Contact phone 3(n 0 - Oid F - 0/ 9 J Property owner's address/contact Li Li u oPa _L, 3 U BUILDING DEPARTMENT phone 417-4515 I Bldg approval by on I Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No j9 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 1 _� r"`� {Le��^oc � G FX.—coc,s•-�� Q 0\ c:c-Q- t -'Y F/RE DEPARTMENT phone 417Y-4653 I Fire approval by KA -n on R 214 2010 Changes to a fireer system or fire alarm system? Work planned. F A\ �� �5 i n��� No'f ( kt�\ . k4l. PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? I7r'Q1 y Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ No JI Will there be dancing at this business? Yes ❑ No &V PBIA notified on City Clerk approval by on 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 Iof2 COMMUNITY & ECONOMIC DEVELOPMENT phone 41.7-4750 I CED approval by on Number of off-street parking spaces available for employees and customers? /._4Q�-m 4-r (A parking plan may be required) �� 0�et a 1 U.1 c J Signs? (wall -mounted freestanding projecting, awning, A -frame etc?) Signs planned Q �� S 6\\111 PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City.of Port Angeles. PWE approval by on PUtSLlC. WORKS DEPAR TY7E%V I EXGiFNEER; dv phoiie 457 -pro it i L 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 ❑ Nock Work planned PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ No If yes what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business Building Department Inspection 417-4815 Fire Department Inspection 417-4653 -Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date O Print Name I o � �`�Gr V e_nAl-f0- Signature T WormslBuilding DivisionlCertificale of Occupancy Application (2010).doc Page 2of2 CERTIFICATE OF OCCUPANCY APPLICATION �'-0 ��Pe�iitt# t;7 FEES �.F CITY OF PORT ANGELES $5 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.1 Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME ?I hr-,e.n o3¢ Business address Ioas 9 P c5A SA Mailing address 44U OC.ee,c% core_ Ln P6t 9R3(v1'- Phone number !:�(ao - 19? - o1 q I Opening date 9 ! 10 Days & hours of operation Ih wF 9- 11 TIA N 7 S 9 -la Business owner's name '1or.,, � a fhe j,_,, JYn �v�a. Contact phone ;loo 9:49 - 61 91 Business owner's address clk4 0 r an , C ,,,,ter L -n Poc-+ A r -Ne- Av,, wA 9 8 2b 3 Brief description of business N)cic- �a.l A-� , f7,k r,a%% Property owner's name A")c,t, cl. \/er, 4 re• Contact phone 3�a - gd ?' - O/ 9 J Property owner's address/contact LILALA o(.Oc.— Cb.o 0,�4 c wry 9g BUILDING DEPARTMENT phone 417-4815 Qj�y,� Bldg approval by on_i�c�I Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No ig U 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 Aria l,2ca-� �� tine roc q\ G ccv�c�-�� . Q o\ a(.j2- e AC r-. r, FIRE DEPARTMENT phone 417-4653 I Fire approval byKt)D on Changes to a fire sprinkler system or fire alarm system? Y 7 Work planned OA F` a\ �r �5 t r\,Q. &e,@ PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? M oC 8 Is business moving within the PBIA? Yes ❑ No CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ No Will there be dancing at this business? Yes ❑ No G7 PBIA notified City Clerk approval by. �5_H_on 71121, 1 O 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 Number of off-street parking spaces available for employees and customers? /�;L (A parking plan may be required ) Signs? (wall -mounted freestanding projecting awning A -frame etc?) Signs planned. wr,\\ M0,�. A- CED approval by on et0- W PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. �U PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 PWE approval by on 10— 12-- I() 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 ❑ NocZ Work planned PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by / \ on Will waste other than domestic household waste be discharged into the sewer systf'm? 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 4 I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date -V Iq 1, 10 Print Name mct�G•r VinSignature Y7�, T\Forms\Building DivisionlCertificate of Occupancy Application (2010).doc Page 2 of 2 r m Im Or V J Clallam County Assessor & Treasurer - Property Details - 62180 CHESTERFIELD MOR. Page 1 of 6 Clallam County Assessor & Treasurer Property Search Results > 62180 CHESTERFIELD MORTGAGE INVEST for Year 2010 - 2011 Property Account Property ID, 62180 Legal Description. MORSES DW SUBDIVISION LTS 13 & 14 BL 128&PT VAC ALY Geographic ID- 0630006203250000 Agent Code, Type. Real Tax Area. 0010 PA 121 PORT ST CNTY H_2 L Land Use Code 58 Open Space: N DFL N Historic Property, N Remodel Property- N Multi -Family Redevelopment: N Township Range Section. Location Address: 1025 E FIRST ST Mapsco PORT ANGELES WA Neighborhood: Cycle 5 Comm Map ID - Neighborhood CD- 20953140 Owner Name CHESTERFIELD MORTGAGE INVEST Owner ID- 17935 Mailing Address: 1420 5TH AVE SUITE 1850 % Ownership 100 0000000000% SEATTLE, WA 98101 Exemptions: Taxes and Assessment Due Property Tax Information as of 07/19/2010 Amount Due if Paid on.� First Half Second Half Year Statement ID Taxing Jurisdiction Base Due Base Due Penalty Interest Base 2010 44836 ST SCH STATE SCHOOL $24716 $247 16 $1483 $1483 1 2010 44836 CC -GEN COUNTY _ $131 53 $131 53 $789 $789 9 2010 44836 PORT PORT $1848 $1849 $1 11 $1 11 1 2010 44836 PORT ANG PORT ANGELES $30454 $30453 $18.28 $18.28 9 2010 44836 SD #121 SCHOOL DISTRICT #121 $320 14 $32014 $19.21 $19.21 9 2010 44836 NTH OLY LIB NORTH OLYMPIC LIBRARY $38.22 $38.22 $2.29 $2.29 1 2010 44836 HOSP #2 HOSPITAL #2 $5396 $53.95 $3.24 $3.24 1 2010 44836 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1717 $17 17 $1 03 $1 03 9 2010 44836 CITY_STORMWATER CITY STORMWATER $51 84 $51 85 $311 $3 11 9 2010 4483_6 WEED—CONTROL WEED CONTROL $082 $081 $005 $005 9 2010 44836 TOTAL. _ $1183.86 $1183.85 $71.04 $71.04 1 2009 621802008 ST SCH STATE SCHOOL $28844 $28844 $63.46 $86 53 9 2009 621802008 CC -GEN COUNTY $145 99 $14597 $32.10 $4380 9 2009 621802008 PORT PORT $2068 $2067 $4.55 $6.20 1 2009 621802008 PORT ANG PORT ANGELES $320.20 $32018 $7045 $9606 1 2009 621802008 SD #121 SCHOOL DISTRICT #121 $35672 $35670 $7847 $10702 1 2009 621802008 NTH OLY LIB NORTH OLYMPIC LIBRARY $42.42 $42.41 $9 33 $12.72 9 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=62 7/19/2010 PREPARED 9/29/10 8 33 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/29/10 ADDRESS 1025 E 1ST ST SUBDIV TENANT NBR PHOENIX DRAGON MARTIAL CONTRACTOR PHONE OWNER CHESTERFIELD MORTGAGE INVEST PHONE (206) 464 8770 PARCEL 06 30 00 6 2 0325 0000 APPL NUMBER 10 00000756 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 9/29/10 BLDG FINAL TIME 01 00 September 28 2010 4 29 22 PM 1pangrle MEGHAN 808 7303 BUILDING FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 �y 29/10 MECHANICAL FINAL TIME 01 00 l 4 September 28 2010 4 30 22 PM 1pangrle MEGHAN 808 7303 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL99 01 9/29/10 JL PLUMBING FINAL TIME 01 00 September 28 2010 4 30 49 PM 1pangrle MEGHAN 808 7303 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 9/13/10 8 15 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/13/10 ADDRESS 1025 E 1ST ST SUBDIV TENANT NBR DAVID & MEGHAN VENTURA CONTRACTOR DAVE S HTG & COOLING SRVC INC PHONE (360) 452 0939 OWNER DAVID AND MEGHAN VENTURA PHONE (360) 808 7303 PARCEL 06 30 00 6 2 0325 0000 APPL NUMBER 10 00000962 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 9/13/10 L MECHANICAL FINAL TIME 01 00 September 13 2010 8 10 08 AM 1pangrle DAVE (DAVE S HTG 452 0939) MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES :,;s CITY OF PORT ANGELES `►„� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT — BUILDING DIVISION W 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL A DUCTLESS HEAT PUMP Owner 10 00000962 Date 9/03/10 623278 1025 E 1ST ST 06 30 00 6 2 0325 0000 DAVID & MEGHAN VENTURA MECHANICAL APPL PERMIT COMMERCIAL ARTERIAL 5125 Contractor DAVID AND MEGHAN VENTURA DAVE S HTG & COOLING SRVC INC 444 OCEAN COVE LANE PO BOX 413 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 808 7303 (360) 452 0939 Permit MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit pin number 172684 Permit Fee 64 80 Plan Check Fee 00 Issue Date 9/03/10 Valuation 0 Expiration Date 3/02/11 Qty Unit Charge Per 1 00 Fee summary BASE FEE 14 8000 EA ME FURN/HP/FAU < OR = 5 TON Permit Fee Total Plan Check Total Grand Total Extension 50 00 14 80 Charged Paid Credited Due 64 80 64 80 00 00 00 00 00 00 64 80 64 80 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction \jam Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T-Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD – PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS – G -- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION. I Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs ) PLUMBING Under Floor / Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow / Water I FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING G Joists / Girders / Under Floor Shear Wall / Hold Downs v - Walls / Roof / Ceiling I 1 Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney �I 2 , 10 Commercial Hood / Ducts FINAL Date J Accepted byj MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 —p 4-- T Forms/Building Division/Building Permit Sep 0210 09 45a Dave s Heating & Cooling 3604520939 P1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES For City Use Only- Attn: Building Permit Technician ate 321 E. Fifth St, Port Angeles, WA 98362 Date Received _ Z, 10 (360) 417-4815 fax (360) 417-4711 D # l o � --- Date Approved Applicant �D eLoe_' -s Fie , g Phone Y5a-0'7.3 9 Property Owner ai-- pi.e.2 l,, ah Uer -+kA ra Phone 91:� ?—D I R I Property Owner's Address`fY�{ Oc�a.\ Vt e..� La•�, f �•- ��fiE(As. e2,,,4 Contractor butte---k_S Phone LfSa�oy39 Contractor's Address License #0 _DA P(G`VT I <G Expires ,titer r! / E-mail �c•�s�F,„ PROJECT ADDRESS + lFParcel Number Number Lot Zoninq Proiect Tyne & BdefDescription: o Residential o Multi -family Commercial o Industrial Check all that appy o New Construction o Addition o Remodel a Repair o Demolition o Re -roof c House o garage o other n tear off & re -roof o lay over one layer KHeat System Heat pump o wood -burning stove o gas fireplace o pellet stove o other o Other 4LXCA(245 Floor Areas Basement 1n Floor 2"° Floor 3'" Floor Garage Carport Covered Porch Deck Shed Other Existina (sa. fit.) Proposed (so, ft.) @$ - per sq, ft. = $ TOTAL VALUATION $ J r (-;z s Total footprint of structures sq. ft. - Lot size sq. ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage % Max height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths 1 have read and completed this appfica6on 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 wortdng on pro%ects. Date q Print Name d (,c e t fi_ctr�x a Signature T:Fa m MWIding DivisioNBldg Permit:doc i ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 10 00000922 Date 8/31/10 Application pin number 103378 Property Address 1025 E 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 6 2 0325 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 0 Application desc Ductless heat pump 3 circuits Owner Contractor DAVID AND MEGHAN VENTURA EXTRA MILE TECH & ELECT LLC 444 OCEAN COVE LANE 418 N RACE ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 808 7303 on your excise tax form (360) 457 0198 to the City of Port Angeles Permit ELECTRICAL HEATPUMP Additional desc DUCTLESS HP Permit pin number 172197 Sub Contractor EXTRA MILE TECH & ELECT LLC Permit Fee 78 70 Plan Check Fee 00 Issue Date 8/27/10 Valuation 0 Expiration Date 2/27/11 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 DITCH SERVICE ROUGH IN FINAL COMMENTS DATE. PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION RESULTS INSPECTOR. Signature of owner or Electrical Contractor X Date I t REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Signature of owner or Electrical Contractor X Date I F AUG -25-2010 09 30 PM E JANSSEN City of Port Angeles Permit Application Building OlvlelonlElactrlcal Inspections 321 East Fifth Saoel - P.O. ©ox 1180 Port Angeles Washington, 90362 Ph: 136014174135 Fax; (360) 417-4711 Dale: - %- Zl.0-- t 8 2 Sing lo Family Dwelling Mulli-Family Cr Commercial' -petommercial Addltlon / Alteration l Remr,la RF -o. i:r• 360 452 2982 P 01 R E uIr" FL, � W D AUG 2 C 2W ELECTRICAL INSPECTIONS Si Plan Review May Be Required, Please C,ornc ete Eivelncal Flan Review Information Sheet JobAddrell Building SquaroFootage: �----�. Doscriphon o1 above _._ � el:: _._._<, fS. c �� t�. c� tJlc ri t S$_ � 4 -t A I 't".W Owner Information Name. I?�i.Y.�.P__ V. R -h __ Coqntractor InformatlDn Name !X•f2/F A4,LF 7'.C-r..l� E� Mgmng Address 4jj�c�_-1_ Mailing Address: 1 I r'1. City 'Vfa _-.-- State: _k i Zi 3 ly . P A, Slate ''_ip Z- Phcne- Fax: Phone: IY5'7-552AX Fax. _.$'f l2 U.Iengea lxp-. ._..-. License#/Exp.. .F2�T ti i 1 �3 � /,p6 Unit Charae Tc,al (QIv MUIGDIIed by Unit Charoe) 4119.90 _. ServicelFeeder 200 Amp S 14550 SemcetFeeder 201.400 Amp $204.60 ServicelFeeder401-600 Amp. $262.20 Service/Feeder 601.1000 Amo. $3,250 --.-- ServicafFeeder over 1000 Amp. S 20U Branrn Ciraq,WI,Service. Feed9r S 73 . so 7.�, y , Branch Circuit W/O Service Fooder - _ $ 260 Each nddigonal Branch Circuit S 1.2 70 -.�• _ Temp Service/ Feeder 200 Amp S 11.030 remp Service/Feeder 201-400 Amp S 146.10 _ Tamp Sennce/Foede(401.600 Amp 5 167 90 _-_ - I emp ScrvicolFcodor 601.1000 Amp S 95.90 __- Portal Io Portal Hourly S 66.20 Sign/Cruumo Lighting 5 4540 Signal Circuit/ Limited Fnergy - Commorcigl Atldilionsv r' s 63.90 -. Signal Cireult/ Limited Energy 1 8 2 Family Dwelling S 0 90 Signnl ClrrulV I imlted Energy mull; -rem iy Dweolnq s 11990 __•_. Manufactured Home Connection 1102 30 Rennwatde FIecVlcai Energy 5KVA Systern oe Less $ 1'0 30 First 1300 Square Ft. S :15 20 Each oddlhonai Soo Square Fl or Porton A S r3 50 - _. _ Earn :)utbUrl0ing or Detached Garage 110.30 _• -�. Loch iiwlmming Pool or Hot Tub ti6 Of. 1'hemrostal _ TZ$ ' I C Total 1tP'7r Owner as defined by RCW f9.29.2e1• (1) Owarr will orc.rpy the 5trvchrro for 'wo yaars alter this electrical permit is finallzoo ?r Cvunor is required to liire an elecmcal <oofrlcfce rr above sod proporiy Is for sale, rent or leas o. permit expires after six months of lost Inspection. Atter reading the above Statemen.I hereby co Airy that r am the owner of the above named property ora licensed electrical contractor em making the electrical Installation or alterstlon in compllonce with the electelcal laws: N.E.C. RCW Chapter 19.29, WAC Chapter296468, The City of Port Angeles Mum cloal Code, and Utllily spooifh:allons. Signature of owner electrical contractor or electrical anminlstrator lf7,Aa-- ❑ CrodilCard# Cash cory CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 10 00000756 Date 035264 1025 E 1ST ST 06 30 00 6 2 0325 0000 PHOENIX DRAGON MARTIAL COMM REMODEL COMMERCIAL ARTERIAL 30000 Application desc TENANT IMPROVEMENT REMODEL RESTROOMS & OFFICE Owner Contractor CHESTERFIELD MORTGAGE INVEST OWNER 1420 5TH AVE SUITE 1850 SEATTLE WA 98101 (206) 464 8770 Structure Information 000 000 TI REMODEL RESTROOMS & OFFICE Construction Type TYPE V NON RATED Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc REMODEL RESTROOMS & OFFICE Permit pin number 169797 Permit Fee 468 25 Plan Check Fee Issue Date 8/09/10 Valuation Expiration Date 2/05/11 Qty Unit Charge Per BASE FEE 5 00 10 1000 THOU BL -25 001 50K (10 10 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 169813 Permit Fee 79 30 Plan Check Fee Issue Date 8/09/10 Valuation Expiration Date 2/05/11 Qty Unit Charge Per BASE FEE 1 00 14 8000 EA ME FURN/HP/FAU < OR = 5 TON 2 00 7 2500 EA ME VENT FAN (SINGLE DUCT) Permit PLUMBING PERMIT Additional desc Permit pin number 169821 Permit Fee 57 00 Plan Check Fee Issue Date 8/09/10 Valuation Expiration Date 2/05/11 Qty Unit Charge Per 8/09/10 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 304 36 30000 Extension 417 75 50 50 00 0 V Extension 50 00 14 80 14 50 00 0 Extension Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. r T:Forms/Building Division/Building Permit Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit f BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By I Comments FOUNDATION: 417-4653 Planning Footings Building Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor / Slab I Rouqh-In I Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING. II Joists / Girders / Under Floor Shear Wall / Hold Downs I Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts I FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab I Blocking & Hold Downs I I I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Qty Unit Charge Per 1 00 7 0000 EA Other Fees Fee summary Charged Permit Fee Total 604 Plan Check Total 304 Other Fee Total 4 Grand Total 913 Page 2 10 00000756 Date 8/09/10 035264 REPORT SALES TAX Extension on your state excise tax form BASE FEE 50 00 PL -WATER HEATER 7 00 to the City of Port Angeles ( STATE SURCHARGE 4 50 Location Code 0502) Paid Credited Due 5 604 55 00 00 6 304 36 00 00 0 4 50 00 00 1 913 41 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 has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Date Print Name Signature of Contractor or Authorized Agent T:Forms/Building.Division/Building Permit Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD C - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - J Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By Comments FOUNDATION. Footings 417-4735 7d Stemwall Construction R W PW / Engineering 417-4831 Foundation Drainage / Downspouts Fire 417-4653 O Piers 417-4750 Building Post Holes (Pole Bldgs.) PLUMBING II Under Floor / Slab Rough -in Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. N Walls I Ceiling FRAMING. Joists / Girders / Under Floor I, Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab I I I I ' Wall /Floor /Ceiling MECHANICAL. +I Heat Pump / Furnace / FAU / Ducts I Rough -In I I Gas Line Wood Stove / Pellet / Chimney I 1 1 JJ Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab I Blocking & Hold Downs I I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE P T:Forms/Building Division/Building Permit P 1 4— Inspection Type Date Accepted By Electrical 417-4735 7d Construction R W PW / Engineering 417-4831 Fire 417-4653 O Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit P 1 4— 6 PROJECT ADDRESS Parcel. Number 10 A'5 Lot 1I. I y Zoning Proiect TtrDe Brief Description. a Residential o Mutt -minify CeCommerciai c, Industria! checy- all that app!y o New Q Construction RQ (aG" n5 back � F'r0 nt r)oor5 � 1 � ►O Ix Druot1 mayi4 0. � ikrt o Addition �ns-l-aI 1 a waw hem -I- Remodel ,,r�,,,, QAd.mci 40 walistj emch (^25-l-wom i .. s 9L Repair _V1% e, s"- 1h�.�.c�or�- �.Y-4--¢5� USi►\q same .S Demolition -T s' c.; c . �a r- wa.lK"n coolearJ b ¢i rtq dry-"�,n Il l made infoGi o Re-roor o House o garage ci other a .tear cuff.& rb--roof o lay over one layer V Heat System q Heat pump u Wood -burning stove c gas fireplace ❑ pellet -stove o other a.Kr, ct u )t Itt. g; �u2� �oor Adol i ng Qr1 i s"i2�'n. d^ X100 Ir' ec Other .. Rern�ve. v��1K- �. . A g a,.) rloorAreas rxistina. fsa. ft.) ProDoseo iso. ft:J f\M n9 4WO Ve N+_ -50,h5 Basement @S pet sq. f. = 15 Floor -- 2°" Floor 3`u Floor Garaoe (moi Carport Covered Porch el ina a�s I �� rYtTn Deck Lobo r- I .. c9rrt7 Shed Other TOTAL.VALUATION $ 30 OAC Toial footprint of structures { -} lQ sq. ft. - Lot -size sq.,ft. Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures pave. driveways, sidewalks, patios, and other impervious surfaces. (see PANIC 17.94 135 for exemptions) Site coverage 100 % Max. height of proposed structures fIL Occupancy group # of bedrooms 0 Will a lawn sprinkler system be installed? n D Occupant load #'of full baths C--) Will a fire sprinklersystem be iristalliad? Construction type #.of half baths Z. /have read and completed this application and know it to be true and correct 1 am authorized to apply or this permit and understand that it is ray responsibility to determine what permits are ragyired, and to obtain permits prior to. n ppmocts. Date -7-1-9-4D Print Name /!;/1� Signature �. ,}G,� f/ ,e T:Forms!6u11d1r9 Division/Building permit application (C v Cuhv,en'� oche►^ r5 alloi,.:►ng The TV`iz,ve. owmar `% o c 0.. Y1 `Kn i 5 Per rnI t d0 (tne w o r - Mat wovks `For mt t0-r- BUILDING PERMIT PLICA TIO Print in ink L� a�is3't,: ter CITY OF PORT ANGELES Building Perini: Technician For City Use Only l cl ` - +4ttr 321 E. Fifth St. Port Angeles, WA 98.362 (360) 417-4815 fax (360) 417-4711 �"1d, 01 b eat �1n d Dare Received 1- ( — 16 Permit #� j 0 — — Date Approved ;ng rAe-o Applicant her. - Das_,+.4�, 1,I-UVAv 0�- W,A V\ a Phon -�(6e at Rf Property Owner .o.� car; 1 I`y\C Vk� Phone .7)4'J (4 - y y - .87-70 Property Owner's Address (y,.z, S-"` .Av-,- I'.7,S- Seoct4L& UJA Q Th) Contractor N \„&Y,. , f -).-,v "a 1f.(3fi� Phone 3Lpl) - c%a8 -.oi 41 Contractor's Address y%#N Oc.r Goes L,r... �cc'cA�.; qq License # Expires PROJECT ADDRESS Parcel. Number 10 A'5 Lot 1I. I y Zoning Proiect TtrDe Brief Description. a Residential o Mutt -minify CeCommerciai c, Industria! checy- all that app!y o New Q Construction RQ (aG" n5 back � F'r0 nt r)oor5 � 1 � ►O Ix Druot1 mayi4 0. � ikrt o Addition �ns-l-aI 1 a waw hem -I- Remodel ,,r�,,,, QAd.mci 40 walistj emch (^25-l-wom i .. s 9L Repair _V1% e, s"- 1h�.�.c�or�- �.Y-4--¢5� USi►\q same .S Demolition -T s' c.; c . �a r- wa.lK"n coolearJ b ¢i rtq dry-"�,n Il l made infoGi o Re-roor o House o garage ci other a .tear cuff.& rb--roof o lay over one layer V Heat System q Heat pump u Wood -burning stove c gas fireplace ❑ pellet -stove o other a.Kr, ct u )t Itt. g; �u2� �oor Adol i ng Qr1 i s"i2�'n. d^ X100 Ir' ec Other .. Rern�ve. v��1K- �. . A g a,.) rloorAreas rxistina. fsa. ft.) ProDoseo iso. ft:J f\M n9 4WO Ve N+_ -50,h5 Basement @S pet sq. f. = 15 Floor -- 2°" Floor 3`u Floor Garaoe (moi Carport Covered Porch el ina a�s I �� rYtTn Deck Lobo r- I .. c9rrt7 Shed Other TOTAL.VALUATION $ 30 OAC Toial footprint of structures { -} lQ sq. ft. - Lot -size sq.,ft. Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures pave. driveways, sidewalks, patios, and other impervious surfaces. (see PANIC 17.94 135 for exemptions) Site coverage 100 % Max. height of proposed structures fIL Occupancy group # of bedrooms 0 Will a lawn sprinkler system be installed? n D Occupant load #'of full baths C--) Will a fire sprinklersystem be iristalliad? Construction type #.of half baths Z. /have read and completed this application and know it to be true and correct 1 am authorized to apply or this permit and understand that it is ray responsibility to determine what permits are ragyired, and to obtain permits prior to. n ppmocts. Date -7-1-9-4D Print Name /!;/1� Signature �. ,}G,� f/ ,e T:Forms!6u11d1r9 Division/Building permit application (C v Cuhv,en'� oche►^ r5 alloi,.:►ng The TV`iz,ve. owmar `% o c 0.. Y1 `Kn i 5 Per rnI t d0 (tne w o r - Mat wovks `For mt t0-r- r NOTES f Permit # tTn p- HT U 0 keAA D_ 5 a4 .moo VWJ 40 T Forms/Building Division/Notes S. Clallam County Assessor & Treasurer - Property Details - 62180 CHESTERFIELD MOR. Page 1 of 6 Clallam County Assessor & Treasurer Property Search Results > 62180 CHESTERFIELD MORTGAGE INVEST for Year 2010 - 2011 Property Account Property ID- 62180 Legal Description. MORSES DW SUBDIVISION LTS 13 & 14 BL 128&PT VAC ALY Geographic ID- 0630006203250000 Type. Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Open Space: N Historic Property- N Multi -Family Redevelopment: N Township 2009 621802008 Range $3.24 Location Address: Neighborhood Neighborhood CD Owner Name Mailing Address: 1025 E FIRST ST PORT ANGELES WA Cycle 5 Comm 20953140 Agent Code - Land Use Code 58 DFL N Remodel Property- N Section Mapsco Map ID - CHESTERFIELD MORTGAGE INVEST Owner ID - 1420 5TH AVE SUITE 1850 % Ownership SEATTLE, WA 98101 Exemptions. Taxes and Assessment Due Property Tax Information as of 07/19/2010 Amount Due if Paid on L Year Statement ID Taxing Jurisdiction 2010 44836 ST SCH STATE SCHOOL 2010 44836 CC -GEN COUNTY 2010 44836 PORT PORT 2010 44836 PORT ANG PORT ANGELES 2010 44836 SD #121 SCHOOL DISTRICT #121 2010 44836 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 44836 HOSP #2 HOSPITAL #2 2010 44836 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 44836 CITY_STORMWATER CITY STORMWATER 2010 44836 WEED CONTROL WEED CONTROL 17935 100 0000000000% First Half 2010 44836 TOTAL. 2009 621802008 ST SCH STATE SCHOOL 2009 621802008 CC -GEN COUNTY 2009 621802008 PORT PORT 2009 621802008 PORT ANG PORT ANGELES 2009 621802008 SD #121 SCHOOL DISTRICT #121 2009 621802008 NTH OLY LIB NORTH OLYMPIC LIBRARY 17935 100 0000000000% First Half Second Half Base Due Base Due $24716 $789 9 $24716 $131 53 $131 53 $1848 $19.21 9 $1849 $30454 $3.24 $30453 $32014 $1 03 1 $32014 $38.22 $005 $38.22 $5396 $71.04 3 $5395 $1717 $32.10 $1717 $51 84 $5185 $082 $78 47 $081 $1183.86 $1183.85 $28844 $28844 $14599 $14597 $20 68 $2067 $320.20 $32018 $35672 $35670 $42.42 $42.41 Penalty Interest Base $1483 $1483 9 $7 89 $789 9 $1 11 $1 11 9 $18.28 $18.28 9 $19.21 $19.21 9 $2.29 $2.29 9 $3.24 $3.24 1 $1 03 $1 03 1 $311 $311 1 $005 $005 9 $71.04 $71.04 3 $6346 $8653 1 $32.10 $4380 1 $455 $6.20 1 $7045 $9606 1 $78 47 $107 02 1 $9 33 $12.72 3 http.//vpn.clallam.net.8084/propertyaccess/Property aspx?cid=0&year=2010&prop_id=62 7/19/2010 0 FII � oI��I v � s � �3 l� J M e t �8 i J J t,1 J w rV to � 3 J o 3 U -�a CITY OF PORT ANGELES — Constmction Plans The Issuance of this permit based upon these plans, specifi- Q cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordimmces of this jurisdiction. ISEMON Approval Date By .d.s8 �a n `kq I Moy wt� t)p��40t 0. ...... ----- 80 ¢ CITY OF PORT ANGELES / / I FEE RECEIPT NUMBER DEPARTMENT OF LIGHT A 1_o /PPERMIT NUMBER APPLICATION.AND ELECTRICAL PERMIT ®' TOTAL FEE / d Q - I] ✓"� Al CONT LIC NO. TIMETOCOMPLETE NO.STORIES I LEGALOCCUPANCY ELECTRICQ AL PERMIT ONLY NO OCCUPAINCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 2 E /r/ S-7— ll - j C- W e. £C k 77 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner 1- 'Q £ C K £2 Installation By c,9&cf u c2 Owner's Address c7 SR -Mr Installers Address Day Phone T.j % — gL / Installers Phone Application is hereby made for Perto install Electrical Equipment as follows: TAS � 4 -GC iv J (I A,1L17ff£ w R £ L 1,� Z, / ,VO AJEA�l C t k - Wiring Method � r USE OF CIRCUIT NUMBER AMPCIRCUITS PER CIR ILIGHT I•LIGHT CONVENIENCE - CONVENIENCE APPLIANCE (DISHWASHER DISPOSAL (RANGE ® I OVEN WATER HEATER LAUNDRY DRYER FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT ELECTRIC HEAT A.0 UNIT FEEDER SERVICE 240V _ 120V NUMBER AMP 240V 120V 10OR FEE USE OF CIRCUIT PER 10OR FEE 10 30 CIRCUITS CIR 10 30 SIGN VOLTS I50 OR LESS MOTOR I I I MOTOR I I I I I MOTOR I I I I I FIREALARMS _- ((BURGLAR ALARM II MISC REINSTALLATION LIGHT FIXTURE k SUB TOTAL FEE , IENERGY FEE BASIC FEE TOTALFEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE SIZE OF SERVICE ENTRANCE CONDUCTORS II kW G SUB -TOTAL I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH (,certify that the work to be perform d udeter/this ermmit will be done by the installer and in con 'th/ Electrical Code. Date Application mad- `/�b _ ,19 By / I/COFACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditionskefeon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the CityofPort Angeles. LIGHT Date Permit Issued !i J / �/ By / !!! PLANS A ROVED ' ® Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. , WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — WHITE -Original CANARY -Duplicate PINK -Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTERS, INC — — CI DATEOFVISIT REPORT OF INSPECTOR MADEBY REMARKS FAU69:Kr Jl �k� <,- #*a , ©0 I" z Q Q 2 r z LU 7 ❑1J • CITY OF PORT ANGELES LIGHT DEPARTbUM ELECTRICAL PERMIT Ni? 16866 , Port Angeles, Washington.....) -�� ------ 19------% 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 do electrical work as listed below. Address �Occupancy - Owner------ ._...... Tenant ....... ---------------•---------------------- -------------•----...-- Wiring Contractor ------------ By------------ ------------------------------------ ------------- Light Outlets.................... ..............._..... Service, volts f..^'=.'--.`f'.-G.. Type of Wiring: , Receptacle Outlets...1.0............... No. wires ..... ......... ...............��Armored Cable ......................-...... �Non-Metallic Dryer. KW ...................'------- ......... Size wires .....//..,,.........-...----......._................................... i� ,c Knob & Tube ................................. Range. KW ------------------------------------------ Main fuse ....._----........./-......_......... Rigid Conduit ............................... Water Heater: Enclosure ....................................... Metallic Tubing .................... KW Type of wiring: -� Raceway ........... Heat: KW ............................................. ..... Entrance Cable ............................. Circuits, Light..._�: '............................ Motor , size volts and phase: Rigid Conduit ................. -............ Utility ..... -C7.-__......................... � .� Metallic Tubing ................_......... Heat ...... .........._....._........ ..... _..... w..1 y Current transformers: Range ............................................. ..r..; .. .... .. No. & Size ....................................... Water Heater ............................... Ser. No .............................................. Motor .... ......... ........................... ..... ............... . ...... ..... Dryc .................... Ser. No .............................................. y- Ser. No .............................................. TotalLoad ............................. Ser. No .................. _......................... Total .....!.......................... Remarks: �,%� t _! .............. ------ Permit Fee Treas. Receipt Z r 's 00 NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION 4. ---_,^`__ELECTRICAL PERMIT N° 16866 Address............ ------- ------- ------------------------------------------------------------------------------------ '-..........---..... Date Owner.._.....--'--".................._......_.._.............._.._..........---.......................-'-----...-----.... Tenant. ----- WiringContractor ........................................... _.............. _............................................................. By NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- aled due notice must be given the Inspector so that work may be inspected before concealment. t 1M Olympic Printers, Inc. I