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Home My WebLink About103 W 1st St - Building CERTIF.I CAT: OF OCCUPANCY City of Port Angeles Building D vis ion This certificate is issued pursuant e2 ifying that a theetirrieof to the requirements of Section 111 of the 10, International Building Code certifying issuance compliance with the various ordinances of the City regulating bu lding this structure was in n or use for the following +a SF fi� r."�N r'� k a� l,Y z"` a r9 Bus nam e: Angeles' Supply Fj Business address 103 WFirst Street Property owner: Diane Markley x ii Property owner 'staddr 3r "A ngele W Automatic A 9.8362 fire sprinkler system Box Not 285 Requ l' l W N, x ,k, Use occupancy classification Business Building permit number 1 141 Occupant load: 'r 2009 C Tae' 1� T e o construction: V Pe B p g IIB bl 01a�� t al' e Ai �i� 4 -11 -12 a y ue Roberd PI rn ng9 Ma n, alter Date Post on the premises in a conspicu place Ts certifica shall not be removed except by the Building Official. 4 CERTIFICATE OF OCCUPANCY APPLICATION Permit /s4_ /4/ V CiTI OF PORT ANGELES FEES 1 1 1' 50 Certificate Inspection Attn: Permit Technician 321 E. Fifth St., Port Angeles, WA 96362 $100 Parking Business Improvement Area (PEIA) (360) 417-4815 fax (360) 417 -4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A. ?KI Change of ownership only? I Moving location from within P.A.? Zoning 660 BUSINESS NAME -446' l Business address 103 t 4 Mailing address 1%3.5 Sly ,54. Phone number 1 .46 1- 3439 Opening date 03 Days hours of operation ;u, 3 -7 3 /4--4 Business owner's name `C"o5e,l.� L,'��tele.r Contact phone Business owner's address /g35 E. PI 5d. P,,,6 /I �d i. i,Q 03 Brief description of business 12e�G; I ey r-P 1.✓; s ,arol;e Property owner's name %J; ti ,,,e /`1 ce• ley Contact phone '-IS 7.- St 78 Property owner's address /contact BUILDING DEPARTMENT phone 417 4815 Bldg approval bj L t' on 67 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: /o FIRE DEPARTMENT phone 417 4653 Fire approval by VIVIV-IVC- 3-2S. L Changes to a fire sprinkler system or fire alarm system? Yes L No 'h Work planned: PJOL PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? I yO O PBIA notifie V ia on 9J /2.-9j• �Z Is business moving within the PBIA? -Yes No CITY CLERK phone 417 4634 City Clerk approval by on 41_11_12_ Second -hand dealer /pawnbroker business? Yes No II Will there be dancing at this business? Yes No x' 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 on Number of off street parking spaces available for employees and customers? /A (A parking plan may be required.) Signs? (wall mounted, freestanding, projecting, awning, A- frame, etc Signs planned: No S svi3 ‘14- 4t;3 4 „tee PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by NV PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 c S Is site work planned (new or re- located sewer or water service, v' excavation; grading or filling, work.in City right -of -way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes 0 No g Work planned: PUBLIC WORKS WASTEWATER phone 417 -4845 PWW approval by +'I on PU P Will waste, other than domestic household waste, be discharged into the sewer system? Yes 0 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 fora 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. Date2 /7/1)- Print Name ..)oSE /1 L Signature i:, T.1Forms\Building Division \Certificate of Occupancy Application (2010).doc Page 2of2 Heather Catuzo From: Sue Roberds Sent: Friday, March 23, 2012 12:57 PM To: Heather Catuzo Subject: RE: Certificates of Occupancy Routings Dave's Heating No land use issues anticipated. Made in Washington Business office uses are permitted in the CA zone with off street parking for the use. 20 parking spaces are indicated on the application hut only 6 are available on site; 3 spaces are required. A frame signs may not he in the right of kvay hut can be on private property in front of the window. Iron Apparel No land use issues anticipated Bike Garage No land use issues anticipated Bev's Biz (I know I signed off on this one before) No land use issues anticipated although parking needs to he identified that is not in the street. Aloha Brewing No land use issues anticipated. Site is in PI3IA. Sue Roberds Planning Manager City of Port Angeles P.O. 'Box 1150 Port Angeles. WA 98362 sroberds(ikityofpa.us 360 417 -4750 From: Heather Catuzo Sent: Friday, March 23, 2012 10:04 AM To: Janessa Hurd; Ken Dubuc; Roger Vess; Sue Roberds Subject: Certificates of Occupancy Routings Importance: High Comments Due: March 30, 2012 Please email any comments directly to me so that I can process. Thank you, Heather Catuzo Building Permit Technician City of Port Angeles Building Division 321 East 5th Street Port Angeles, WA 98362 (360) 417-4817 hcatuzo@cityofpa.us 1 r N p r i O N i I r1 M I I r I I O I H ww1 a q I H 1 F N m 1 H r 11 1 p N r 1 0 '0 1 O W 0 N F N 1 ry' M Q 0 r7 b a U w I H H 0 a I O w w 1 N F I Q O Z Z O 0 01 w m w O O F a w W I Q x x 1 f m 0 U< (naa 1 X0 '0 0 H x O 01 z F h 1 r- 2 I Da o ff O a (0 S H O I 1 (n F 1 W 1 H W E U U 1 V7 I Z W W N X 0 F W W Q I W Z E- 0 z a a 1 I I- H F o w X X 1 a 1 0 0 H N N ,01 X z I u 1 H O w w 0 H H I U I H U Q 0 O 1 Fv OH v U H V a N 0 1 H F u a W u n 0011(0(11(11 QO H N 0 C 1 4 1 4 1 a rt o 1 DQ X [q0 X0 o x o uI Ho 0 1 4 0 o U I W (0 m a� H I Q H a w X O (r 1 a F a H I W 01 cq 0 0 1 0 W H 0 0 1 Q Q W O O I W W N N W 1 2, m O I F H O I rn 1 (1) W 1 0 H (0 N I O W H Q O H I O N I a X W O 40 a 1 a 1 a u O a rq 1 O a 0 w 1 u Q F W w 1 V7 U (0 1 H a 0 1 V7 az1 0 O H 01 a T a FWU a 1 m w F' Q z z a a 1( a 01 W U Ca UUoa a y i W E-I 0 F IF)C A OF OCC rFA NC A PP/ /'`,4 T !Of\I ?ermi: FEES I CfT'r' OF PORT ANGELES .$50 Seri i; icc e InSpecec tron ti Attn. Permit ecnni pan Fifth St, Port Anoel \N 90362 s10v rcrkinc Business Improvement Area fpe_f i 360 417-4E16 fax (36 417-47': fee charged for Downtown locations ep,OGE P .EAS= PRINT IN IN. Check one: New business in P.A., ?L+.' Chani2t of ownership oni )\CIO \'iuy location from within P.A.; _i Zoning r 6 l BUSINESS NAM f s a W ��n p Business address (3 t 1. Maiiing address i 8 ,5 ;54, Phone number 1 46 3.4-13 J penina date r:a3 2.. Days hours of operation 71,, 1 ,3 7 .3 ,7 Business owners name u' „•in.rili reie.r°' Contact phone MSl —Vial Business owner's address N'3 6.- 1' 5• t ,de Brief description of business 4 1 i i r" -P I p i Property owner's name t J; i G �c Contact phone L-1.3 7;63 Property owner's address /contact BUILDING. DEPARTMENT phone 417 -4015 1 Bleu approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes 7 No 5 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. 1,4 341e. FIRE DEPARTMENT phone 417-4653 I Fire approval by on •2.•2012 Changes to a fire sprinkler system or fire alarm system? Yes No Z Work alarmed: !'•J s PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? 4 2 I PBIA notified on Is business moving within the PBIA? Yes -1 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 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc RUP #10 24 A FRAME SIDEWALK ADVERTISEMENT Owner DIANE MARKLEY PO BOX 2835 PORT ANGELES WA 983620333 (360) 457 5678 Permit Additional Permit pin Permit Fee Issue Date Expiration Date T' \Policies \1 102.15 [10 /08] desc number Qty Unit Charge Per 1 00 40 0000 ECI1 Fee summary or or Authorized Agent RIGHT OF WAY RUP 10 24 A FRAME 170241 40 00 7/29/10 1/25/11 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 10 00000761 671122 103 W 1ST ST 06 30 00 0 0 1569 0000 PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT 0 Contractor OWNER SIGN Date Plan Check Fee Valuation RIGHT OF WAY PERMIT Special Notes and Comments Permit to be renewed prior to expiration date on Evidence of insurance to be provided at renewal meet the requirements of 14 36 070(K) PAMC Charged Paid Credited Permit Fee Total 40 00 40 00 00 Plan Check Total 00 00 00 Grand Total 40 00 40 00 00 12/31/10 Sign to Date 7/29/10 Due 00 00 00 00 0 Extension 40 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 as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to viol e or cancel the provisions of any state or local law regulating construction or the performance of 'construction Signature of Owner (if owner is builder) Date CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 I 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER T \Policies \]102.15 [10 /08] RESIDENTIAL PERMIT INSPECTION RECORD YES NO DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 40 amp sub panel repair Owner DIANE MARKLEY PO BOX 2835 PORT ANGELES (360) 457 5678 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 983620333 160473 119 90 2/09/10 8/08/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 -417 -4735 10 00000121 765426 103 W 1ST ST 06 30 00 0 0 1569 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER COMMERCIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 119 9000 ECH EL 0 200 SRV FEEDER Charged Paid Credited 119 90 119 90 00 00 00 00 119 90 119 90 00 tilsoitO #4 Li/ lea r Date 2/09/10 WA 98363 DATE. RESULTS 00 0 Extension 119 90 Due 00 00 00 Signature of owner or Electrical Contractor X Date INSPECTOR. k Plan Review May Be Required Please Compiee EI Plan Review Information Sheet Job Address: I 0 t.0 ;if. &e.talaai J' Building Footage: D escrip criptlo of n of above I Owner Info Name; Malting Add City' Phone: License I Fxp. Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. ServicelFeeder 401 -600 Amp Service/Feeder 601.1000 Amp, Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/0 Service Feeder Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp, Tamp, Serolce!Feeder 201 -400 Amp. Temp. Service/Feeder 401 -600 Amp, Temp, Service/Feeder 601-1000 Amp Portal to Portal Hourly Sign/Outline Lighting Signal Circuit/ Limited Energy i First 1500 sf Commercial 95.90 Note: 35.00 for each additIona11500 sf Signal Circuit/ Limited Energy 1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Mufti- Family Dwelling 63.90 Manufactured Home Connection 3119.90 Renewable Electrical Energy 5KVA System or Less 3102.30 Thermostat 56.00 NEW cON$TRUCTION ONLY: First 1300 Square FL $110.30 Each Additional 600 Square Ft. or Portion of 3 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimming Pool or Hot Tub 110.30 Unit Charge 119,90 145.50 3 204.60 3 262.20 372.50 2.60 73.50 2.60 92.70 110.30 3148.70 $167.90 3 95,90 88.20 Signat ner, electrical n actor or electrical administrator' A 7 A' Wed: 9 W V R FEB 3 2009 ELECTRICAL INSPECTIONS O Out 0 Cheek g Crow Cod k X71 01101/2010 D y soar fr fr rir 1W11111 1111r It NOW CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 11501 Port Angeles Washington, 913362 Ph. (360) 4174735 Fax: (360) 4174711 Date: ,2— -/D 1 2 Single Family Dwelling 4 Multl- Family or Commercial* Commercial Addition Alteration Remodel Repair* Name. Ctor Information t G.Le, Melling dA d City: State Phone Fax: license Exp., i Total fjl r Multiplied by Unit Charm 3.. 1 yU x 1 1 9, Total Owner as defined by RCW 19.26.261 (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 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance watt► the electrical laws, N.E,C., RCW. Chapter 19.26, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. •a 0 N OP PORT.µ, 6 rw rl Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner MARKLEY TTE DIANE L PO BOX 2835 PORT ANGELES P ermit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 76 3000 Fee summary Permit Fee Total Plan, -Check Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983620333 ELECTRICAL ALTER 50 A SUB- SERVICE APS ELECTRIC 76 30 12/19/03 6/17/04 03 00001199 103 W 1ST ST 06 30 -00 0 0 1569 0000 ELECTRICAL ONLY CENTRAL BUSINESS DISTRICT 0 Contractor APS ELECTRIC 546 BENSON RD PORT ANGELES PORT ANGELES (360) 452 6753 COMMERCIAL FOR FUTURE Per ECH EL -COM ALT 0 200 SRV FDR Charged Paid Credited 76 30 76 30 00 00 00 00 76 30 76 30 00 Date 12/19/03 WA 98363 Plan Check Fee 00 Valuation 0 Due Extension 76 30 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\PLANNING\FORMS \1102.15 [11/14/2003] CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS 1 1 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS 1 ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN 1 I PLUMBING UNDERFLOOR /SLAB I ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE I BACK FLOW WATER AIR SEAL WALLS I CEILING FRAMING JOISTS GIRDERS I SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING I DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR I INSULATION SLAB y I WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY I I� HOOD /DUCTS 1 PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T• \PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD I I I 1 I I I 1-7-Heft /2-7/0 SEPA. ESA. 0 /J�7 �L 9 7 0 f�� VG� d 1 SHORELINE. AL 741b47'-/ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO YES 1 NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING 62//54_Al) I I FROM A P 5 ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Dec 08 2003 05 35PM P1 t he kler-tri -al Permit Application must be filled out completely. Please type or reprint in ink If you have any questions, please call (360) 417 -4735 Fax number- (360) 417 -4711 /L REQUEST INSPECTION Owner or Elec. Contractor Agent: A rJ y '1 a Gk Phone: '1 Z -6753 Fax: Sa 1'rl e_ J Property Owner n k a...01 ir La 1-- r....... e ),r Phone: 567 Address PG oOX a B 3 C C ity P A ZiD: r Q`R t AP '-��RS)�N Electrical Contractor' A P S 5. t C, f�l C 1 C 7>lc (11'.11C License Exp_ Lj Phone:: L /5 675 Address l Fop �n I�- �rQ.CY City 1'1 Y1Q Zip: K 363 INSTALLATION WIRED BY 0 OWNER PROJECT ADDRESS. C} 1 la r'A ELECTRICAL PERMIT APPLICATION LECTRICAL CONTRACTOR Credit Card Holder Name_ p s. 6 e C/ am- 4' Ca/ Co rl f `G{ Cam j� O Billing Address n `5O r1 Road City- PI r 4 nc j s i ®3 i)Ssf l 6 -e &'f TYPE OF WORK. Check all that apply 0 NewPAlteration/Addjtion ".l Residental 0 Multi- family Commercial Mobile Home Sq. Ft Remote Meter 0 Detached garage Hot Tub Swim Pool CJ Septic Pump Low Voltage 0 Telecom. Sic Number of Circuits added or altered OESCRIPTMN OF THE ELECTRICAL. PROJECT 5 Q rrt-D A.10 S� I C'2 f n Ho ()and 1-6L),),1 r- q1 re. L+, r c il.r Fs Electrical d Additions PERMIT FEE-41(0 E J V Service Information, 0-62,10 6j2,ette4 Baseboard KW Furnace KW Heat Pump _TON LRA Fan -Wall KW Overhead Service Temp Service Underground Service FOR OFFICIAL USE ONLY DatdRcs: Fcrmit Date Approved: Date Issued: Zip: i6cf 7 VISA. MC :2 o stQ t l 6 6P Voltage: 1 33 Phase: X1 3 -Service Size: Feeder Size: 3t PAMC 14 05 060(8). For industrial commercial. residential projects larger than a duplex, a one line drawing of the Electrical Service Feeders building size (sq ft.), load calculations and the type of conductors and /or raceway is required and shall accompany the Electrica Permit application I hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit I understand it is not the City's legal responsibility to determine what permits ar required it remains the applicants responsibility to determine what permits are required and to obtain such 0 C /ELECTRICALPERMITAPPLICATION ,`✓(.o /1/8/ Credit Card Holder's Signature ,��U1 (c_,06,49 9 Q��J P' Owner or Elec. Cont Signature: c c� :�.U`- Date.) 5 -03 3 7. I CE RTZI . 'I" .G~m-;E, 1r,),Q, jB"",,,,~,;",,,QC'{i, ,U PAN CY .~~ ~~fjf~"'"'!'t!.1'1/,,~fi(;~lt~~'1"~' Ci. ,g'1d;port Arig:'ele,~,~li, ",:~:/f"BUi!aih",.g""~D,, i,vision /' ""~W~ '-"~~'T '" This certificate is issue(1fP';,f;4';fg~~;!1ereqUirell1en;;;~ Section;lfjj!~20a(i International Building Code certifymg that at the time 6Jj;lssuance.'tlps,str.ucture was In cOlllI2lzance wIlh the 0bnous ordmances oj the Otl' regulating building co'fzst~'1i,'t!.'i,i67f;.61:tJts~V~"''/!1tFi''lJJOlliJWing",, 7' , , ~ . Business name: ({ e,"''''',f,' ~~lmpc~ "COp'" '", Business address: , .~)!Jfl1 51 St. r Owner ,oj businesS'\: ~r~Bef Kauffman., ' , '. \. ~1:~ M Owner s address: \~;.1:52,9fBlack Dlamor:l ~.', ,;., ,.9ft, ,Iilg~ es;\~ ''(i..~,98G6G ,~,~;, 1.""'~~,>:,ill!tj~l.l;;1-~~"~~'i:~ Automatic}lre sprinklel,;:s~stem: Not geq!llrce9~ ""~',".""'.',,' -~-' \~"'1"'l'2.1 h'::'"~';:''':''~~M ~"'....,.~'"'"' Use & OCCl/pancy class/flEation: Busili)e~s~f',:",.,~~"" "p,' ..,.,..".':("",; Building permit nllln~e;~"- . -at' ,~,,>L, ''',,''''''''~.k . . ,'" "",-, , Type of construction: ~\: Occupant load: Pe Brief description of proposed business: LLC Ol-~72 o ...-1 1 00 -.l ~ -\0 0 ~ eA" ,,\0..(\7 ::\e- . J --\1) \ u-. f{\,,,, New Business. . . , . . . , . . . . . , . . . , Transfer of Business location . . , Change of Ownership . , , . . . . . , , . . . . , . . . New Building ...,...."....,....' Remodel . , . ",' . , . . . . ' . . . . . , . . . . , . . . . , . . . . Temporary Business, . . . . . . , . . . , , . . . . . . Change of Use. . . , . . ' ,. . . , . . . ' ('><. ) ( ) ( ) ( ) ( ) ( ) ( ) legal Description: lot . Block Current Use of Property: Df''trvlItAf~a/c,..j.(,! ShtJf Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. Electrical changes . Mechanical (heating, cooling, stoves) Plumbing changes. . . . . . . . . . . . . . . . New or relocated signs . . New septic tanks .. ................ New sewer service. . . . . . . . . . . . . . . . . Admission charged to patrons . Is this a home occupation? . Excavation of filling of lots. . Work done in City right-af-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. Subdivision YES NO THE FOllOWING Will BE REQUIRED: _L PERMITS BUSINESS LICENSE -X- 1) Building 1) Taxi --A- - 2) Plumbing 2) Peddlers 0 -~ 3) Electrical 3) 2nd Hand Dealer v-J ~- 4) Mechanical 4) Pawn Broker -~ 5) Sewer 5) Dance 2-, -~ 6) Sidewalk installation 6) Hotel - Motel _1- 7) Driveway installation 7) Fireworks -~ 8) Curb installation 8) Ambulance - \f\ .,( 9) Sidewalk obstruction 9) Tattoo shop -t -- -~ 10) Water meter installation 10) Other )( 11) Fire oJ) -- _1- 12) Occupancy -t _ --.:L 13) Sign ---2L 14) Shoreline K.~ 15) Home occupation X 16) Conditional use -<= 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. APPROVED REJECTED 3/ Si/SD ~blo7 KD p,u 7{30/117 R1L--- Building Section Public Works Department Planning Department Fire Department City Clerk PB.I.A. Date: 7/25/07 a. ,..... 3 ?:.'- ~~ "1\ o Signed: Comments / Conditions ~e- df Ull'\9tnJch'oh ~ o c.c..vfMt-. (~: o .s> \ When you are almosl ready 10 open your business. please call for Certificate of Occupancy inspections: CaJl417-4815 for a Building Dcpt. Inspect. Ca1l417~4653 for a Fire Dcpt. Inspection Please provide a minimum 24 hour notice {'J I o -J '- M' riO ~ ri M ~ 00 woo 0e << "0 ~ ~ ~ ~ ~ e ww y'(.l U~ H< e~ Z O~ HO ee uu woo "" ww 33 00 . ri ri o riW 00 -~ '00 00 ;:;~ M ~e OO~ o " o 00" ~O < "~ W~ ~H "U > 8 00 o W woo ZZ 00 ~~ "" ~ e' W" " e~ ~~ '00 u M< o~ ri0 , ow 00 ~g~ 00'. ~~u H' OriO , U 000 e N co, '00 _00 '00 00'0 ~oo ~MO " , <w, '00 " " 'Ill ~ . >iJ ZO 00 CIl J) . '~ ml-<<t ..:lZ ~~~gHJ..:l OZZZ~A< ~~86~~ 00 W ~ ~ " U U o " o W e Z 00 , Z~ 00 HU e~ "W He "~ U~ WWW www 00" ~ U e O"~ W~ "ZW OHW " W ~~~ ~ee woo OW~ O~" '" 000 ~u 8 e i " . . N ri , ri 00 ~ e , o ~ o M ~ 00 o 00 e < o 00 ~ " 000 ~~ 0" ~~ " ~, " ~ 00 ri Zri 00 ....:l:>::"'lrl .o::<X:oo Zf-< 00 H M ~~r--Irz.. (:l01"-0 OHO...... ........O::N<orU U"~ [ilolil.J (')::>""IU<'l; ClO.......'O:::z ..:l mp::H III ~ a CJ ~ j~ ~~ ~t- " W ~ " ~ e ri o m m o U U ~ ~ U ~ " < " o o e o ~ " W Z 8 W m W " " ~ ~ ~ ~ " 00 e m 'i- (\:j ~\ :~ W 00 e o Z a ~ ~ ~ \~ ~ m e Z 00 ~ ~ o U ._-_._._----_._.._._~.__._--._-- , . Ob-/co/ (b@./:) "fij 100 ROUTING SLIP {~o"r _",. ,,,,o'/<:jjl1ii;/~<,,, .~ertificate of Occupancy "~----.'" <1'~; "--~ "/Nl!:lz10l-Z... ~OS ~ ( $50.0oyertificate/lnspection Fee ~ '-' ~'C~.. DATE 9- /..,;>.rj (; New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Address of Proposed Business ~ /~ Transfer of Business Location . ,.... . . . . . . . . . ( X ) /0.3 L.J~S.j. h><; Change of Ownership . . . . . . . .... ..... ..... ( ) Applicant 0D\"'~J I 0o..-\.-\:-, ~~ New Building ...., ...... ..... ..... ....... ( ) Address ~ Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Temporary Business. . . . . . . . . . . . . . . . . . . .... ( ) Phone: business ':'//7. ()([t() home '15-,) ~;J':+ <,~ Change of Use . . . . . . . . . . . . . : . . . ... . ...... ( ) . /':::-0;; Y/ t' ...-r- . ec-l,,:,> Brief description of proposed business: S I 7 rrv, S ( Legal Description: Lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes. . . . . . . . . . . ... - -X.- PERMITS BUSINESS LICENSE Electrical changes ...... ..... ........ -1 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ...,. ...2;". _ 2) Plumbing 2) Peddlers Plumbing changes. ... -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs . ...... ~ 4) Mechanical 4) Pawn Broker New septic tanks . . ... ....,. - -$.. 5) Sewer 5) Dance New sewer service. . ........ ... "'. ,... _ --2L 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ." ........ _..l 7) Driveway installation 7) Fireworks Is this a home occupation? . ....... - --'P.. 8) Curb installation 8) Ambulance Excavation of filling of lots. ......... -- 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way ...... .. ........ 'f.= 10) Water meter installation 10) Other Is there sufficient off-street parking? . . 11) Fire New driveway openings ..... .... ..... 'f = 12) Occupancy A grading plan for site drainage . . . . 13) Sign (parking lots, downspouts, etc.) . . -- 14) Shoreline Are the existing streets paved? . . . ...... ---f:,...._ 15) Home occupation Are there existing sidewalks? . . . ............. ~- 16) Conditional use Is there curb and gutter? . ...... ~- 17) Other Other......... . .... ..... ........... I hereby apply for a Certificate of Occupancy and acknowl. ~ edge that I have read this application and state that the Date: information I have supplied is correct to the best of my ( ./: .. Inyl / knowledge. Signed: f\ /7 / , A~RRO~ \' REJECTED Comments / Conditions , ol~ Building Section I': Public Works Department Cf-IS-O'v, SQ. Planning Department j<,vO Fire Department ').. j1, -O\" .~v City Clerk 7 P.B.I.A. if . 14$. CERTI FICA:ra::'O'F' OCCU P ANCY .#"'" _,",,' -o\~t'~~~'F1ff>4~::.,8.l't;,;,__ . . ,"-<""Git'"'VOf;Rotf'An "eles',c, . '" ',' Y ~,t,., .......gP.... . .~\:; ...~i""" ~~ ~~'~', '" ''\',,:. ~ ~ ,p;.\.<.;. .,.. W',;:-"$-.... "~ <~_ ~'... .,,':!!,~? B uildiiig' '.;DjvisiOn1)..,>.;,~., d;ql;-"''''\~-'-~ "'\"':Y'~ '-!;'-:';'<f~~;;'..~",$.:~. .... <;;~....- ~'- \, This Cerlijicciiionissuedpursuant to the requirements afSecti~'nJ09 afthe '" ,-.':"".J"':"""'<';'M'.'.: .,_'" .:.. '_ .... \\. Unifan1::B!fU~i!'IJ:C*d.iCf!tiff)!,g,ti!at at the tiTe~fJ.sfYPf}ce this structure was in coinpliimce'withrthe vaTiousofdinances of the CitJrei{ulating Building ; .'.~.'.;.'.i.~;.~. ,0 ::canst?u~iiO....iz."'if. 1j;",fe,Forihelollow. ini.' '-.'.'.~~. :~. Use Classification; Deli i:' B~ildi~~~" .; No.: Vi:~~i~ess:Nam~~Honari&JINt'~.~; ..' ...' ~t~~\-~~~1P;'f~~- " Group: M ,A f~'~i~':::-~"-'~~i' -BD ~,~ JI~~~r~ .' Own" of B";n,,,: RebecJa avid PilIint: .Ad~:.301..~. ;,. treet, ,art, ngeles, W A 98362 Bu;ld;ng Address 1 03 FirJ;;~lt-- tfi.mr~k~t\l'{mifs'!iW~f~~i? }I{< h'i14 2003 ..Jbate .#' !PUOU5 place. y'Building Official. . " ~c>v i's-l-I..t. ,. op-eV\. Ihlla.,~ Have\;\.. ROUTING SLIP Certificate of Occupancy ~ Certificate/Inspection Fee DATE \ 0 II h I 0 ').- ~\ff~osed Business r:-,+ Set Applicani~C'cC\ ~!f)A0\'O 'P,' II IYl~ Address 3J \ vJ I s+ '5-\-1~ ~<:\- ~OP)) U\ A q g3lo '- Phone: business 4;7-'1000 home ~7-6l f 8 ? jD:;> Brief description of proposed business: Legal Description: Lot Current Use of Property: Zoning Classification of Property: P l)m-~Clf\ Block New Business ............................ Transfer of Business Location. . . . . . . . . . . . . . . . Change of Ownership. . . . . . . . . . . . . . . . . . . New Building .............. . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ..................... Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . ,.0"T4" lO~o<'(", """-' f1 '~ ~~ ~ - "t>,;Llow<ft'''~ ( ) ( :)( ) ( ) ( ) ( ) ( ) ( ) G rCJCJu\'i ~'y'U lOr O.i !F:S(MoAbJ , (I Subdivision ~~ COYY'\ ~L c0L WILL THERE BE ANY OF THE FOLLOWING? Construction changes. .,............. Electrical changes. . . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, SaOves) . . . . . . . . . . . . . Plumbing changes.... .ctd,,,'lr ~i()lL.:>. 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-af-way . Is there sufficient off-street parking? . New driveway openings A grading plan for site drainage. (parking lots, downspouts, etc.) Are the existing streets paved? Are there existing sidewalks? . . . . Is there curb and gutter? ........................ Other. .............. YES ~ -7 -7 .~= -- -~ ==? =~ 7- -/ =~ --:;T - ~= -- I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is co ct to the best of my knowledge. o Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A'?/!A.~J THE FOLLOWING WILL BE REQUIRED: u} PERMITS BUSINESS LICENSE 1) Building 1) Taxi \J 2) Plumbing 2) Peddlers '-- 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance ~ 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks , 8) Curb instaJ/ation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop '-- 10) Water meter installation 10) Other \~ 11) Fire 12) Occupancy 13) Sign tJ\ 14) Shoreline 15) Home occupation '1 16) Conditional use 17) Other Date:dt~~~ Signed: y\~~((' Comments / Conditions .- ,.. o~V\. ~ov f5-11.,:- . "'-' -<- .... VN M Ha I \ <:l~ H a velA... ~ ." liP " ROUTING SLIP ~ eOR'_" ~<:o~~?&~ Certificate of Occupancy ~~"!!:::iiit,&~ ~~ ~ '$ll>7.;'00 Certificate/Inspection Fee '- "0;;tC~'o DATE I{)f 'I, I fl')- New Business . .~. . . . . . . . . ............... .. ( ) , I )< Addnmf Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) --11 \. \('~+ ~ Change of Ownership. . . . . . . . . . . . . . . . . . . . . . ( ) - ~<~b<,c ((\1lJ AD \' () -p; II I (''V- Applicant New Building .. . . . . . . . . . . . . . . . . .'. . . . . . . ( ) ]i) \ vJ I .:.-\ :,-'-Tr,,~+ v Address Remodel. . . . . . . . . . . . . . . . . . . . . . . . . .. ...... ( ) 1'*(+ ~ . III (\ o ~31.a L. ) -,eve. .J Temporary Business ................." .... ( Phone: business )(.-:;" (jOO&. home q;J;7 . b 1/ t' Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: r .J( () .)..r('. " G I l-c.c < I ~-l( ~~- ',-~ /,)(.( I J F<. ...; .- J :.lJ / , , legal Description: lott ; 1 ..., . Block Subdivision ~ r ~ Current Use of Property.:,)'1. ..,.~.'(J,I'. ~I:. ..~,.'''''''''~ Zoning Classification of!property: [ \1 '{), , '. ' .. , , r.......c-. ('\ is f?1(37) l I ./ THE FOllOWING Will BE REQUIRED: WILL THERE BE ANY OF THE FOLWWING? YES ~ Construction changes. ................. --;;r PERMITS BUSINESS LICENSE Electrical changes. ......... .... .... ',/ /' 1) Building 1) TaXI Mechanical (heating, coollng,\stoves) 2) Plumbing 2) Peddlers Plumbing changes {\ (d""~ S,,: Ie ',) 3) Electrical 3) 2nd Hand Dealer .. 't. '~':"\ -;;r- 4) Mechanical 4) Pawn Broker New or relocated Signs (! -- New septic tanks . . . J V 5) Sewer 5) Dance New sewer service . ',' . =~ 6) Sidewalk installation 6) Hotel - Motel .' J. Admission charged to patrons. - 7) Driveway installation 7) Fireworks Is this a home occupation? ....... ............ V. 8) Curb installation 8) Ambulance Excavation of tilling of tots ..................... = '-: 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-af-way . ..... ...... ----"" - 10) Water meter installation 10) Other Is there sufficient off-street parking? . V 11) Fire New driveway openings . - ../ 12) Occupancy ............. ..... ....... - ../ A grading plan for site drainage. ........ 13) Sign (parking lots, downspouts, etc.) -/ 14) Shoreline Are the existing streets paved? ........ ..... v".- 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- Date: I()JI/~ lo-;J edge that I have read this application and state that the information I have supplied is correct to the best of my ,-____ I ~ i ',) l knowledge. f" Sign"ed ,r( l'.0C'('{1.. \ Ie L, ,/ oK RV - () 3~C9-Oy> ~;;J d'r-r.) APPROVED REJECTED' Comments / Conditions \.,/)fi A <i....{ _~ , V'> , /,- ,,- \\/)~"++r",1 , --LA..e. <// Building Section (1,.Lf /~. /' ~ ~~J Public Works Department J~o~ f- JL.", 1ru(J~A 1%" ! . ~71"5W/ Planning Department / ff ' /0.0'-> . Fire Department City Clerk PB.I.A.y",~J '0J <0 "'-.. ~ "'-... \tJ\ ~ \.J\ '-.\ hO ~ kF $JH-w&/ / /a;J Aj ~//. ~c I S-~w /4f tU~14 ~, -~--- -. ~ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: Owner/Business Address: D RESIDENTIAL ~ COMMERCIAL D BASEBOARD KW _ D FURNACE KW _ D FAN/WALL KW _ D HEAT PUMP KW_ D SIGN D TEMPORARY SERVICE D PERMANENT SERVICE D NEW CONSTRUCTION D REMODEL D ADD/ALTER CIRCUITS D SERVICE UPGRADE/REPAIR D SPECIAL EQUIPMENT (LIST BELOW) DetailslDescription: l?r fl1.rJU~ . 1;;;,.\ 4// Mette! ~ PERMIT NO. ,;:?,s-,f'/ DATE y?.;;,h z ~ READY FOR INSPECTION License Number: D WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. fj OVERHEAD SERVICE D UNDERG.ROUWD S,5RVICE VOLTAGE: /ZClt!2Y(/ I)t SINGLE PHASE iJ THREE PHAS~ SERVICE SIZE /tflo AMPS W.S. No. SERVICE SIZE CAPACITY: D O.K. NOT O.K. ACTION REQUIRED: D CHANGE TRANSFORMER D INSTALL SERVICE POLE DATE ENGR. D CHANGE SERVICE WIRE D OTHER D Ditch Inspection O.K. D Rough-in/cover O.K. /,)'AfJ O.K. to connect service I-'" D Final O.K. Site Address: /03 0, IJ ~ Installer: , / I Permit/Receipt No. ;)>s-cf'/ New Meters Z- . Notify Port Angeles City Light by Street Address and Permit Numberwhen 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 PEAMIT $ Electrical Inspector WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer OLYMPIC PRINTERS INC cX7 ,...:; 0 - Parmi! Fee GREEN - Top: Meier Dept., Bottom: City Hall J