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HomeMy WebLinkAbout324 W 1st St - BuildingYQ10-6). 0 C E RTIfTcE PCCIJ PA N CY City Of Angele certificate is issued uftatit-to the requirements of Section 110 of the certifying that at the trineipitissaancelthis'struvure was in compliance with ro,f, eTfPrft ZW, regulating building consliiiCtiononusefaitefolloying. 'Le4t_ Business name infJ ucKert 7•70 Business address P 44 247W 7 1 st Property owner c John Krigtirk7r#ker„,,, Property owner s '44blress, 185 HoarePct,ii-iP,Q,00nieles-:A448:gy Automatic fire sprehe,system Per IB or C: Use occupancy classification. Business, V' Building permit num -----0•8=14e Type of construction Occupant load. Perj et' gnnwng Manager 2006 Building Code the Various ordinances of the City 01-11-10 Date Post on the premises in a conspicuous place. This ceitifiafe'shill not be removed except by the Building Official. PREPARED 1/05/10 8 19 50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/ 5/10 ADDRESS 324 W 1ST ST B SUBDIV TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC PHONE (360) 457 1809 OWNER JOHN KRISTIN TUCKER PHONE (360) 457 357 PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/23/09 JLL BLDG FRAMING 6/24/09 AP June 23 2009 8 42 19 AM 1pangrle JOHN 417 2726 FRAMING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED June 24 2009 9 12 04 AM pbarthol BLI 01 6/29/09 JLL BLDG INSULATION 6/29/09 AP June 29 2009 8 46 25 AM 1pangrle JOHN 460 4094 INSULATION THE FRONT DOOR ON 1ST STREET IS UNLOCKED June 29 2009 4 17 18 PM jlierly BLCG 01 7/27/09 JLL BLDG CEILING GRID TIME 01 00 7/27/09 AP July 27 2009 8 16 36 AM 1pangrle JOHN 460 4094 ACOUSTICAL CEILING AFTERNOON July 27 2009 4 10 27 PM jlierly BL99 01 12/16/09 JLL BLDG FINAL TIME 01 00 12/17/09 DA December 16 2009 8 12 48 AM 1pangrle JOHN 457 7357 BLDG FINAL KRISTEN TUCKER ACCOUNTING AFTERNOON JOHN WILL BE IN THE BACK OR DOWNSTAIRS SO PLEASE MEET HIM THERE December 17 2009 9 35 42 AM jlierly BL99 02 BLDG 1 /05 /10 Jl� I l FINAL TIME l0la00 bathroom /j11 January 4 2010 5 06 11 PM 1pangrle JOHN 460 4094 BLDG FINAL KRISTEN TUCKER ACCOUNTING v AFTERNOON COMMENTS AND NOTES PREPARED 12/16/09 8 17 48 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/09 ADDRESS 324 W 1ST ST B SUBDIV TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC PHONE (360) 457 1809 OWNER JOHN KRISTIN TUCKER PHONE (360) 457 7357 PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 12/16/09 1 JOHN 417 2726 ROUGH IN PLUMBING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED June 24 2009 9 12 04 AM pbarthol PLUMBING FINAL TIME 01 00 December 16 2009 8 14 41 AM 1pangrle JOHN 457 7357 PLUMBING FINAL KRISTEN TUCKER ACCOUNTING AFTERNOON JOHN WILL BE IN THE BACK OR DOWNSTAIRS SO PLEASE MEET HIM THERE COMMENTS AND NOTES PREPARED 12/16/09 8 17 48 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/09 ADDRESS 324 W 1ST ST B SUBDIV TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC PHONE (360) 457 1809 OWNER JOHN KRISTIN TUCKER PHONE (360) 457 7357 PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 6/23/09 JLL BLDG FRAMING 6/24/09 AP June 23 2009 8 42 19 AM 1pangrle JOHN 417 2726 FRAMING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED June 24 2009 9 12 04 AM pbarthol BLI 01 6/29/09 JLL BLDG INSULATION 6/29/09 AP June 29 2009 8 46 25 AM 1pangrle JOHN 460 4094 INSULATION THE FRONT DOOR ON 1ST STREET IS UNLOCKED June 29 2009 4 17 18 PM jlierly BLCG 01 7/27/09 JLL BLDG CEILING GRID TIME 01 00 7/27/09 AP July 27 2009 8 16 36 AM 1pangrle JOHN 460 4094 ACOUSTICAL CEILING AFTERNOON July 27 2009 4 10 27 PM jlierly BL99 01 12/16/09 JL BLDG FINAL 2IM9 01 00 December 16 2009 8 12 48 AM 1pangrle JOHN 457 7357 BLDG FINAL KRISTEN TUCKER ACCOUNTING AFTERNOON JOHN WILL BE IN THE BACK OR DOWNSTAIRS SO PLEASE MEET HIM THERE PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/16/09 JLL MECHANICAL FINAL TIME 01 00 December 16 2009 8 14 13 AM 1pangrle JOHN 457 7357 MECHANICAL FINAL KRISTEN TUCKER ACCOUNTING AFTERNOON JOHN WILL BE IN THE BACK OR DOWNSTAIRS SO PLEASE MEET HIM THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/23/09 JLL 6/24/09 AP PLUMBING ROUGH IN June 23 2009 8 28 54 AM 1pangrle CONTINUED ONTO NEXT PAGE PREPARED 7/27/09 8 22 09 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/27/09 ADDRESS 324 W 1ST ST B TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC OWNER JOHN KRISTIN TUCKER PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV COMMENTS AND NOTES PHONE (360) 457 1809 PHONE (360) 457 7357 BL3 01 6/23/09 JLL BLDG FRAMING 6/24/09 AP June 23 2009 8 42 19 AM 1pangrle JOHN 417 2726 FRAMING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED June 24 2009 9 12 04 AM pbarthol BLI 01 6/29/09 JLL BLDG INSULATION 6/29/09 AP June 29 2009 8 46 25 AM 1pangrle JOHN 460 4094 INSULATION THE FRONT DOOR ON 1ST STREET IS UNLOCKED June 29 2009 4 17 18 PM jlierly BLCG 01 7/27/09 LL BLDG CEILING GRID TIME 01 00 July 27 2009 8 16 36 AM 1pangrle ,Rompr. JOHN 460 4094 ACOUSTICAL CEILING AFTERNOON PREPARED 6/29/09 8 59 27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/29/09 ADDRESS 324 W 1ST ST B TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC OWNER JOHN KRISTIN TUCKER PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 1809 PHONE (360) 457 7357 BL3 01 6/23/09 JLL BLDG FRAMING 6/24/09 AP June 23 2009 8 42 19 AM 1pangrle JOHN 417 2726 FRAMING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED June 24 2009 9 12 04 AM pbarthol BLI 01 6/29/09 BLDG INSULATION June 29 2009 8 46 25 AM 1pangrle JOHN 460 4094 INSULATION THE FRONT DOOR ON 1ST STREET IS UNLOCKED COMMENTS AND NOTES PREPARED 6/23/09 8 44 24 INSPECTION TICKET PAGE 3 C'TY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/23/09 ADDRESS 324 W 1ST ST TENANT NBR KRISTEN J TUCKER ACCTNG CONTRACTOR J J CONST OF PT ANGELES INC OWNER JOHN KRISTIN TUCKER PARCEL 06 30 00 0 0 3425 0000 APPL NUMBER 08 00001464 COMM REMODEL PERMIT BPC 00 BUIL DING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 1809 PHONE (360) 457 7357 BL3 01 6/ /09 JLL BLDG FRAMING June 23 2009 8 42 19 AM 1pangrle I JOHN 417 2726 FRAMING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/23 09 JLL n PLUMBING ROUGH IN !9 June 23 2009 8 28 54 AM 1pangrle JOHN 4I726 ROUGH IN N PLUMBING (UPSTAIRS) THE DOOR ON THE ALLEY SIDE OF THE BUILDING IS UNLOCKED AND THE PERMIT IS POSTED COMMENTS AND NOTES C 45 1k\ Application Number 08 00001464 Date Application pin number 898016 Property Address 324 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3425 0000 Tenant nbr name KRISTEN J TUCKER ACCTNG Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 10365 Application desc TENANT IMPROVEMENT INT WALLS WINDOWS HEATERS Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Contractor JOHN KRISTIN TUCKER J J CONST OF PT ANGELES INC 185 HOARE RD 233 ALICE RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 7357 (360) 457 1809 Structure Information 000 000 TI WINDOWS INT WALLS 5 HEATERS Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit MECHANICAL PERMIT Additional desc VENT FAN HEATERS Permit pin number 145052 Permit Fee 61 65 Issue Date 5/01/09 Expiration Date 10/28/09 Plan Check Fee Valuation Qty Unit Charge Per 1 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 3 00 14 8000 EA ME HEATER(SUSP /WALL /FLOOR MTD) 1 00 10 0000 EA ME SUPPLEMENTAL PERMIT Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT BATHROOM KITCHEN SINK 145086 100 00 Plan Check Fee 5/01/09 Valuation 10/28/09 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 EA PL PLUMBING TRAP 21 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 1 00 7 0000 EA PL -WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 5/01/09 Extension 7 25 44 40 10 00 Other Fees STATE SURCHARGE 4 50 Date Print Name Signatur T:FormsBuilding DivisionBuilding Permit AA 0 0 0 00 0 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 gran ng of permit does mt presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performanc�f construction. tor or Authorized Agent Signature of Owner (if owner is builder) 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T /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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 I ESA. Landscaping 1 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001464 Application pin number 898016 Fee summary Charged Paid Credited Page 2 Date 5/01/09 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Due Permit Fee Total 161 65 161 65 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 166 15 166 15 00 00 T:FormsBuilding Division/Building Permit FOUNDATION Footings Stemwall 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By t i {5 Bod u FW e ki J©ile1 New s 6t.+1,1 ZX) New kV H o HT/2_ Vend- -Rh 3 Woc* qe.eu4ers cA) a ll 164 4-o CoYI`Fi` u rcc i o n s So k \`ten baser, 6 1 64 i s e A RECEIVED APR 3 0 2009 CITY OF PORT' ANGELES BUILDING DIVISION \fct\uck.- o V\ i S i irI C vr e6A b y 5 0-60 It og c2k �co e te. o v\ rer Mt 1 S9Ge9 04614) 3 a 1l2-4/bg (S (net° p teAA-\) 9 CITY OF PORT ANGELES Construction Puns The Issuance of this permit based upon hPc se plans, specifi- cations and other data shall not prevent th building official of errors it .said specifi ^atiens and niter ddtd: ur from prcvctftiiT building operations being carried on thereunder when in violation of all codes and oromances ei G?,s ,wtc or m mg 2 bo L-- Approval Date i tLYA r �2 p 9 o f Q l&_ teepee c O n 9 ILE RECEIVED' APR 3 0 2009 CITY OF PORT ANGELES BUILDING DIVISION 0 NEW PARTITION, DRYWALL TO 9'4 O EXTEND EXISTING WALL, ADD 3 -0 DOORWAY 0 REFRAME EXISTING OPENING, ADD 4 -0 DOUBLE D00R O ADD NEW WALL AND 4 0 DOUBLE DOOR REPLACE EXISTING SINGLE GLASS WITH INSULATED VINYL PICTURE O REMOVE EXISTING 8 -0 PATIO DOOR, REFRAME AND INSTALL 6 -0 VINLY WIN Oj REPLACE EXISITNG SINGLE GLASS WITH 6 -0 VINLY WINDOW NO CHANGE IN.SIZE 0 10 0 0 ADD 4 -0 ADD 3-0 ADD 4 -0 DOUBLE DOOR DOOR DOUBLE DOOR No 13 EXTEND EXISTING STAIR RAIL TO CEILING INSTALL 7 -6 FRAMED PARTITION WITH 3 -0 DOOR AND 3 -003 -0 WINDOW 0 y IS /�,7Zir'.� c 44 C�Ji r 9 LED EXIT LIGHT &►�a,K a ,�;n A8 S C y a e a lenoaddy 11 uogoipsunrsup fo saoueuipio pue sapo3 lle to uolleioln ui uayM aapunalagi uo pawn 2uleq suoilejado 2wplinq 2U ;Uanald woii Jo 'elep Jay {o pue suoi}eaglaads pies w slona jo uo!panoo agl 2uumbaJ Jai;eaiayl well lero? }lo 2u1pilnq ail luanaad aou ;legs lop laglo pae ,ueL,ea ad; •sueld anti), uodn past liwiad sl to a; r. ;l au La .31' %4SuO3 SalaidV .L Od s0 Ali3 (10 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001464 Date 11/24/08 Application pin number 898016 Property Address 324 W 1ST ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 3425 0000 Tenant nbr name KRISTEN J TUCKER ACCTNG Application type description COMM REMODEL Subdivision Name Property Use Property Zoning COMMERCIAL ARTERIAL Application valuation 5365 Application desc TENANT IMPROVEMENT INT WALLS WINDOWS HEATERS Owner Contractor JOHN KRISTIN TUCKER J J CONST OF PT ANGELES INC 185 HOARE RD 233 ALICE RD PORT ANGELES WA 98363 PORT ANGELES WA 98363 (360) 457 7357 (360) 457 1809 Structure Information 000 000 TI WINDOWS INT WALLS 5 HEATERS Construction Type UNKNOWN Occupancy Type BUSINESS OFF /PRO /MED /REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI WALLS /WINDOWS /HTRS Permit pin number 138164 Permit Fee 151 75 Plan Check Fee 98 64 Issue Date 11/24/08 Valuation 5365 Expiration Date 5/23/09 Qty Unit Charge Per BASE FEE 4 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments Other Fees Fee summary Charged Paid Credited Due T:Forms/Building Division/Building Permit Extension 95 75 56 00 Permit MECHANICAL PERMIT_ Additional desc 5 WALL HEATERS Permit pin number 138180 Permit Fee 124 00 Plan Check Fee 00 Issue Date 11/24/08 Valuation 0 Expiration Date 5/23/09 Qty Unit Charge Per Extension BASE FEE 50 00 5 00 14 8000 ECH ME INSTALL FLOOR /WALL FURNACE 74 00 STATE SURCHARGE 4 50 O b r 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 perf ce of construction. Date Print Name of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bidgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists/Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type 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 FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Page 2 Application Number 08 00001464 Date 11/24/08 Application pin number 898016 Permit Fee Total 275 75 275 75 00 00 Plan Check Total 98 64 98 64 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 378 89 378 89 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days 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 Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Inspection Type 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling 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 MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECT IONS 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Date Accepted By 6 —?3 -09 to 23 —v9 6 -29 -o 5LL- I I I Inspection Type PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Comments FINAL Date 126-0 1 Accepted by cc) u ai Cei I; via. 7-27 O FINAL Date �Z 16^ o9 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 5- 1 0 1 YLL 9 3 PREPARED 11/19/08, 13 29 56 'CITY OF PORT ANGELES FEE DESCRIPTION PLAN CHECK FEES BUILDING PERMIT COMMERCIAL MECHANICAL PERMIT STATE SURCHARGE TOTAL DUE AMOUNT DUE 1 v c-Ker APPLICATION NUMBER 08- 00001464 324 W 1ST ST 98 64 151 75 124 00 4 50 378 89 PAYMENTS DUE RECEIPT PROGRAM BP820L Please present this receipt to the cashier with full payment Applicant or Agent Property Owner Property Owner's Address z Contractor /Engineer Contractor/Engineer's Address License PROJECT ADDRESS ,--?Z Lot 2" Zoning d,4 Proiect Tvpe Brief Description: Residential tkommercial Multi- family Industrial Check all that apply New Construction dition Remodel Repair Re -roof Demolition Heat System Other Parcel Number Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Ac.couvA," BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn. Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Expires Pho Phor E -mail For City Use Only: -Date Received 11— 1 Permit Date Approved 706'7 1 Phone i -d7 72.S %n UV' —0111 it one. t,Jirl AJ -Fvr_mino, Cbr,hcies /t r1 A- Pi-irr LiaiLS U ,.0 Ai heeler s Heat pump wood- burning stove gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Pposed (sq. ft.) Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. T Lot size ft. Occupancy group Occupant load Construction type persq.ft. 41 p 5 S in p pi TOTAL VALUATION j a lp35. 00 sq. ft. Lot coverag 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 obja permits prior to working on projects. Date fob Print Name 7 %ZL Signature U of bedrooms of full baths of half baths 0,0(2 Ong PROPERTY LINE PIPE TACK 4 PIPE TACK r T PROPOSED LANDING AND STAIRS ona DIAGONOL PARKING FOR (12) CARS u ALLEY 0 PLOT PLAN 324 WEST FIRST' STREET EXISTING BUILDING Z 24' Ai/NING/ FIRST STREET r J NORTH PIPE TACK 1 E j Print in ink mov∎n9 S trom w N BUSINESS NAME -R +t Y1 T BUSINESS ADDRESS `3 aL 1 je s f 1515frefi e Zoning CA Business mailing address ,O 'tR x a 0 �2 P 1 �'i Phone or/ y Opening date Es+ -1 -bq Washington State Tax I D Brief description of proposed business 1 Business owner's name }{RI �-t1 r'l I,(_(?. i e_ 4- Phone L '7 1 Business owner's home address k. 1 I A C' G P v 13s Gt *cj€tes W/{- 983 (03 A Business License is also required for the following businesses Taxi Peddlers, Second -hand dealer Pawnbroker Dance Hotel Motel, Fireworks Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information PLEASE NOTE. ACTION New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use Call for Certificate of Occupancy inspections before opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy 1 acknowledge that I have read this appli ation and state that the information supplied is correct to the best of my knowledge Date /0 ,�1 -0g Print Name 2i,ST�t Yl \T i lit. e_k si /.a.tizn For City use only: Department Building Fire PBIA Planning City Clerk Public Works T.Forms /Builcing Di CERTIFICATE OF OCCUPANCY APPLICATION Permit O$ -1336 CITY OF PORT ANGELES Attn Building, Permit Technician 321 E. Fifth St. Port Angeles WA 98362 C (360) 417 -4815 fax (360) 417 -4711 Approved Rejected Initials date Initials date kin 10.4 oq ertificate of Occ oancy Application FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations Days hours of operation I 5CL.Gw r)" or- F rt If known list the name of the previous business at this location GLot WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs I06/.R G p6r(r,d Construction changes td) JQ PI bP.tr _t e Mechanical changes (ventilation, heating' dooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off- street parking for thisibusiness? Is the street in front of this business paved? Is there a sidewalk in front of thisibusiness? Is there a curb gutter in front of this business? Type of construction Automatic fire sprinkler system required NO/ I YES/ I IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 X Cofnments Conditions Occupant Load no Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 1 O HOW many spaces? Please sign up for utility services at the cashier counter yes ilo o( t 12, 09 G 28 09 it 8 O ct V5ee 'ctAtuse6%4 awooto S. 1 have Print in ink CERTIFICATE OF OCCUPANCY APPLICATION Permit# O$ 1336 CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA. 98362 (360) 417 -4815 fax (360) 417 -4711 mov∎ ng fy°m l lfo t4 BUSINESS NAME �-Kts -Vi y A k BUSINESS ADDRESS a� sf Is 5i �)e-reefi Zoning CA Business mailing address `}7 R()x aO 2 Pil- °i j,, L Phone 1-f 5 °r?. y 01 Opening date ESf -1 -b°I Days hours of operation I ?j 5d-CLy rhoh -Fri Washington State Tax I D If known list the name of the previous business at this location 'P)ru Brief description of proposed business A 6(0 1 n G 1 Business owner's name KR.I S +t T Tt,t Lke✓ 1 Business owner's home address Tr)hh1 b. Tt.tCA< ei� PLEASE NOTE. 140a Q.d Po K1- CL rlCi€ I eS VII )4 98 Bk 3 A Business License is also required for the following businesses. Taxi Peddlers, Second -hand dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance, Tattoo shop Contact the City Clerk at 417 -4634 for additional information. ACTION WILL THERE BE ANY OF THE FOLLOWING? Electrical changes 1C New or relocated signs tot G2t Oek-r t,t Construction changes u, li Pt 'pet Mechanical changes (ventilation, heating,'cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work.done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel Temporary business Change of use For City use only Department Building Fire PBIA Planning City Clerk Public Works Call for Certificate of Occupancy inspections before opening business Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that have read this appli ation and state that the information have supplied is correct to the best of my knowledge Date 10 ,19-0g Print Name WO/ n \T I tAC_KerSi Ldll!if_/ Approved Rejected Initials date Initials date u 1_5 _lb OS _11 64 f of construction K90 10 -1-0 9 RK to -2 o cg PR 10-2-7-0$ B U -20- 018 F I0 -20-08 T:Forms /Building Division /Certificate of Occupancy Application FEES Certificate Inspection Parking Business Improvement Area (PBIA) fee charged for downtown locations NOV YES/ X l C ments Conditions Automatic fire sprinkler system required no Phone# (-157- 7 ,57 Occupant Load 4 Per owner Thts cons(-wd;oh WoIrk 0 not b Bona un'' 1 Tune,Zoo9 r �o hol sAexi, I J IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? Please sign up for utility services at the cashier counter yes Clallam County Assessor Treasurer Property Details 55971 JOHN /KRISTIN TUCK. Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 55971 JOHN /KRISTIN TUCKER for Year 2010 2011 Property Account Property ID 55971 Legal Description LOT 7 BL 34 Geographic ID 0630000034250000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 59 Open Space N DFL N Historic Property' N Remodel Property' N Multi Family Redevelopment: N Location Address. 324 W FIRST ST Mapsco PORT ANGELES WA 98363 Neighborhood: Cycle 5 Comm Map ID Neighborhood CD• 20953140 Owner Name JOHN /KRISTIN TUCKER Owner ID 56869 Mailing Address 185 HOARE RD Ownership 100 0000000000% PORT ANGELES WA 98363 Taxes and Assessments Due Property Tax Information as of 01/06/2010 Amount Due if Paid on 1. Exemptions First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 559712008 ST SCH STATE SCHOOL $171 79 $171 80 $0 00 $0 00 $343 59 $0 00 2009 559712008 CC -GEN COUNTY $86 95 $86 93 $0 00 $0 00 $173 88 $0 00 2009 559712008 PORT PORT $12.32 $12 31 $0 00 $0 00 $24 63 $0 00 2009 559712008 PORT ANG PORT ANGELES $190 69 $190 71 $0 00 $0 00 $381 40 $0 00 2009 559712008 SD #121 SCHOOL DISTRICT #121 $212.45 $212 46 $0 00 $0 00 $424 91 $0 00 2009 559712008 NTH OLY LIB NORTH OLYMPIC LIBRARY $25.26 $25.26 $0 00 $0 00 $50 52 $0 00 2009 559712008 HOSP #2 HOSPITAL #2 $35 66 $35 65 $0 00 $0 00 $71 31 $0 00 2009 559712008 CITY_STORMWATER CITY STORMWATER $61 11 $61 12 $0 00 $0_00 $122.23 $0 00 2009 559712008 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 2009 559712008 TOTAL. $797.05 $797.05 $0.00 $0.00 $1594 10 $0.00 2008 559712007 ST SCH STATE SCHOOL $182.43 $182.43 $0 00 $0 00 $364 86 $0 00 2008 559712007 CC -GEN COUNTY $88.28 $88.26 $0 00 $0 00 $176 54 $0 00 2008 559712007 PORT PORT $12.90 $12.89 $0 00 $0 00 $25 79 $0 00 2008 559712007 PORT ANG PORT ANGELES $190 10 $190 09 $0 00 $0 00 $380 19 $0 00 2008 559712007 SD #121 SCHOOL DISTRICT #121 $212 79 $212 78 $0 00 $0 00 $425 57 $0 00 2008 559712007 NTH OLY LIB NORTH OLYMPIC LIBRARY $25 65 $25 65 $0 00 $0 00 $51 30 $0 00 2008 559712007 HOSP #2 HOSPITAL #2 $8 77 $8 76 $0 00 $0 00 $17 53 $0 00 2008 559712007 CITY_STORMWATER CITY STORMWATER $61 11 $61 11 $0 00 $0 00 $122.22 $0 00 2008 559712007 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63 $0 00 http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =5 5971 1/6/2010 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation 08-00000104 Date ,1/25/08 865336 324 W 1ST ST 06-30-00-0-0-3425-0000- MECHANICAL APPL. PERMIT COMMERCIAL ARTERIAL 1975 Owner Contractor BRYANT AERLYN D 1136 GRANT ST PORT ANGELES WA 983622729 PENINSULA HEAT 782 KITCHEN nICK RD SEQUIM WA 98382 (360) 681-3333 Permit MECHANICAL PERMIT Addi bonal desc INSTALL CEILING HUNG LP FURNAC Permit pin number 119800 . Permit Fee 64.80 Plan Check Issue Date 1/25/08 Valuation Expiration Date 7/23/08 Qty Unit Charge Per BASE FEE 1. 00 14.8000 ECH ME- INSTALL 100- FAD Fee .00 o Extension 50.00 14,80 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 64 .80 64 .80 .00 ,00 Plan Check Total .00 .00 .00 .00 Grand Total 64 .80 64 .80 .00 .00 0/ , 'b , o c:f'l. ~ ? ?/ ~ 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 jf required inspections have not been requested within 180 days from the last inspection. \ hereby certify that \ 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 c/~~cf~OP Carr 4. Jilt d/uN Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/BuilJing Division/Building Permit (lO/OI107),wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WOR[(S UTILITIES PLEASE PROVIDE A MINIMUM 24 I-lOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED_ POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT J08 SITE. o (Xl I Co -+=- INSPECTION TVPE DATE I ACCEPTED COl\lt\-lENTS I YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS rOUNDA TION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUi'v!BING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW I \V A TER AIR SEAL WALLS I I CEILING I I FRAMING JOISTS I GIRDERS SHEAR W ALLfHOLD DOWNS WALLS I ROOF I CElLlNG .. - DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE / DUCTS GAS LINE . Pro WOOD STOVE J PELLET I CHIMNEY fiNAL Q (-3 0- O~JA'rE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANurACTURED HOI\:IES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNINC DI<;PT SEPARATE PERMIT iI's SEPA: PARI(ING/LlGHTING ESA: LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUlRlm I'UIOR TO OCCUPANCY/USE RESID(~NTIAL DATE YES NO COMMERCIAL DATE ACCEPTED \'ES NO ELECTRICAL - LIGHT DEPT. 4\7-4735 ELECTRiCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-'1807 PW / ENGINEERING r:IRE ,1\7-4553 PrRE DEPT PLANNING DEPT. 417-'1750 PLANN1NG DEPT. BUILDING 417-4815 BUILDING \N N -{:. 2- ..-- \f\ -i" ~ r- -0 ~ j :5 ~ f:FonnslBlllldlllg DivlslonlBlIddlllg Perlml (1010 1 107).wpd '" ~ro o ~ o M ~ ri ~~ 0" ~~ ~a ~ ~ M ~ ri ro 00 " "' " ~ H "' " ~m "~ ~~ "~ Z 0" HO "" UU ~~ "~ moo ~H5 o 00 M ~ o ro o ro ~~ ZZ 00 roro "" ~ , , ri 0", o~ au ~~ 'ro a~u M~ . " " ,,' " 00 "'" O~Z E-<;I;Ul;><O mo,;I;...:l ,'" ::J ~oo f-< .:CUl Irl (I)(/)...:Iotoo r-\ -::J 00 E-<UlE-<ID ~~C5~;;;;; .".>> ~ >< I I NO::r<lO::\DOJ f""lillP<rIloO , rim ~ -", ro~ 00 ~~ ~" ri" o ~ " 'ro " Zo " 00 _u Ulb<l: ...:lZ ~~~&lrl...:l r::1ZZ:zn::o. QW03:oto. otE-<UOo..t a ~" "0 ~ ~" ~" "H ~u 00 " z ~ z~ 00 HU "~ "00 H" ""' UO rom ~oo "0" ~ "" R ""' 5~~ :H~ ~ I~~ ~} ro~ ~ g ~ p; ;; r<' o. ~ ~O ri "U ~ " " " 00 " "' " " < " '00 ro '~ " i " W ri " '" " m . OH o ri' 0< "00 OO~ ~ro ". OM ~ ...:JroM..:J otOM.o:: :<::;o.z H('lr-lH " 00" _00 ",0 "' otf<1UlotZ U E-<UO H >'E-< H 0 Z><OZZ .t<tl...:l.:Cr>: ;I: ;:H>::J:i:iI U>::.O:;UE-< U:l<tl:r.Dlo. ::s,"u:t:.t o m ~ ~ " " ri o ro ro 00 . m 00 " o Z o ~ m " Z 00 . . o U ~ ~ \t 01/21/08 13:08 FAX 3606812086 Peninsula Heat I4J 02 BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES AtIn: Building Permit Technician 321 E. Fifth St. Port Angeles. WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant or Agent Ie 11 f 115 fA (a i-k ~f- / k c- Owner a Y/~n lSJ a"vl- Owner's Address Z' Contractor/Engineer ContractorlEngineer's Address ~ tz:; License # IlEiAJ / /V Jt:) L/ <.; (; I~ / For City Use Only: Date Received /,~.~ Permit # 6~ - If!).q Date Approved I' :;;';-. 013 PROJECT ADDRESS Phone 1,<;'-/-3 3.1',:S Phone S Phone bJ- 3'""3 53- .5;.; v . 4: Expires N /A.- . W. Ii rs-f- 5fy~r Parcel Number Lot Zonin Proiect Tvpe & Brief Descri~tion: o ResIdential ~mercial o Multi-family o Industrial Ched< .Hlllal apply o New Construction o Addition o Remodel o Repair o' Re-roof [) Demomion o Sign o wall mounted o projecting o freestanding Dawning o other ~ System Total sign area sq, It. Maximum allowed sign ares sq. It, o Heat pump 0 wood-buming stove 0 gas fireplace 0 pellet stove ~r (j..Qlher L.P -I1'Y'~d r~I/ln U -},u nh lI~a~ .-';:v oJ Floor Areas Existfna (sa. ft.) Proposed (sa. ft.) Basement @$ per sq. It. = $ 1'1 Floor 2"' Floor 3" Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ ),17S- Total footprint of structures . sq. It. -:- lot si~e sq. It. .. Lot coverage % Max. height of proposed structures fl. 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 I have read and completed this application and know illo be true and correct. I am authorized to apply for this permit and understand fhat it is my responsibility to determine what permits am required, and projects,} / /J f II J~ A / Date 112-'ItJ~Print NameU/1a. r'/07'J'e..-'/fY1d~ Signature T:Forms/BLJi1ding DivisionJBldg Permit Appl.-2D06 Code.doc ....' ,~ CJ rtJcJ CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND, ELECTRICAL PERMIT A 000409 FEE AECEIPT NUMBER PERMIT NUMBER -. TOTAL FEE 70, OeJ i7k ,/,,1' A5'S-cf .2 ..c Ofi"//>l, CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT SiieAddress 3:2 'I \..U F;.es'l , CORRECT .ADPRESS IS ,RESPONSIBILITY OF ~PPLlCANT PER.MllS WITH WRONG ~~ESS. 5 ARE CANCELL~D Owner P, R y'" ,v ,<:; Uf J..." Is 7(. e. 'r Installation By /,v(.. .........,...,v 'oS 1:. Owner's Address '=i'J Y w) \ 5 T . Installers Address .2 3" IA./ 8 '74 ' D~Y Phone -'7'.$' '2. 9:<:"""3 Installers Phone '7.s-? S-~ f5 9 Application is hereby made for Permit to install Electrical EquiplT)~nt as follows: .;.2,I!l3C;4 Nt.tJ S e~ v 1 ~ C. e 'C/(J; Wiring Met~od P:Pe . AM~_ 240V , AMP 240V NUMBER 120V - NUMBER -120V . USE OF CIRCUIT 100A FEE USE OF CIRCUIT PER 100R FEE CIRCUITS PER . 10 CIRCUITS 10 CIR 30 CIR 30 LIGHT SIGN LIGHT -- -- 50 VOLTS ' OR LESS CONVENIENCE . MOTOR CONVENIENCE. . . MOTOR . - . - APPLIANCE. , -- MOTOR -- . , DISHWASHER FIRE ALARMS ~ - . ., DISPOSAL BURGLAR ALARM - RANGE MiSe, OVEN WATER HEATER . ~.- ., , LAUNDRY DRYER . REINSTAllATION LIGHT FIXTURE # . 'FURNACE - SUB TOTAL FEE . . GAS - Oil FURNACE ENERGY FEE ELECTRIC .. BASIC FEE ELECTRIC HEAT . TOTAL FEE ELECTRIC HEAT . SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT --260 AMP . / ~ PHASE , FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS ., . .:J-SO /ZS'O /:3/ AW.G. SERVICE I SUB. TOTAL SIZE O"F GROU~D #" SIZE OF ENTR~N~E SWITCH 200 -. 1 certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electncal Code. Date Application made Se 0 T /r ,19 ;JX:6- BY~ ~ , CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is ~ereby given to do the above described work, according to the conditions hereon and according.to the approved plans and. specifications pertaining thereto, subject to compliance with the Ordinances. of the City of Port Angeles. \ . ~ By /Y1r/?;1/;::>~'" ' "," \ Date Permit Issued PLANS~VED 1 r _ . . 1'-, I / ~ c()' WARNING I 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. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WHITE - Original CANARY" Duplicate PINK - Triplicate WHITE CARD -Inspector's Report ill.YMPIC PRINTERS, INC. ~ ~ t: ; ~ \' " REPORT OF INSPECTOR MADE BY REMARKS DATE OF VISIT ,. - - -- ~ -- -- - - , -' .~'_-r-...;; - UGHT 0 :;r ,.. LIGHT 0 t-: TURN ON WATER 0 Date Jr- 1'- SHUT OFF WATER 0 .r H t3/fy AN 7.5 ql,( c L.5 TOy 5},if t<.' 15 r t y NAME ADDRESS ACCT, NUMBER , r, ~ DEPOSIT Mailing Address AMOUNT H c The undersigned he,eby maim application to the City of Po" Angeles fo, Utility 50mce subject to the 'e<lns and conditio", . '6 of applicable City Ordinances which are hereby agreed to and are made a part of this application, t-t gf f rc NEW APPLICANTS: 1 EMPLOYER ADDRESS eft X t' (" c 10..-' ~;"r- -r AI'(!\(!) ~t"(~It'e H I'JJ. -. /)/ f-'-J ItJ~/O-~S- -t PHONE NO. . -f '" ~ ~ 0 0 H OWN RENT PROPERTY OWNERS NAME '" J. .B PREVIOUS RESIDENCE ! '" I\DDRESS CITY STATE :( Q, APPLICANT ACKNOWLEDGES RECEIPT OF A COpy OF "CITY OF PORT ANGELES, GENERAL -~ ;i E INFORMATION RESIDENTIAL UTILITY SERVICE". I 8 - -.it ~ ~ SIGNATURE Date .B '" :;:1 '" -71 ~ c!5 Ol.YN"'le "'''INTER., INe . \.- " __ ,I f---C- -- -- n, --~- ---...... """"--' " , , -- " . " . -- ~ - . ;-1..l.f-'j{) ~ 'IU O.K, FOR COVERINQ fO-jtl -t "-'~ lId :. O.K, TO CONNECT SERVICE (I-I) -1 s- 1) :-f~ FINAL O.K. ~-- ~ ;, I/: it liE tl F z ,... lu ~ ;- ~. b :z o p .~ , ~ RETURN ADDRESS: City of Port Angeles P.O. Box U50 Port Angeles, WA 98362 2007-1211377 Pase 1 of 2 Easement City Of Port Angeles Clallam County Washington 1Qf29f2007 01:32:23 PM I11I ~'I"'j, rtr.llfJl H:,:~~l,lltl~ 11~',I~~Ir.'IIItI/,'~VI~ ~'illllll DOCUMENT TITLE: Temporary Construction Easement Grantor(S): Aerlyn D. Bryant Grantee(S): City of Port Angeles STREET ADDRESS: 324 West First Street ASSESSOR'S PROPERTY TAX PARCEL: 063000034250000 -rF '4 City of Port Angeles Public Works Engineering Division PO Box 1150 Port Angeles, W A 98362-0217 TEMPORARY CONSTRUCTION EASEMENT The Grantor(s), /lof/LLVII) Q, ,gf2-'-I~4 , for and in consideration of mutual benefits, grant(s) to the City of Port Angeles, a municipal corporation (hereinafter referred to as the "City"), a temporary construction easement over and along the full width and length of the premises situated in Clallam County, Washington, and described as follows: Tax Parcel Number 0630000034250000 324 West First Street, City of Port Angeles, W A The temporary construction casement hereby gral1ted shall include the right, privilege and authority, to said City and its contractor(s), of ingress and egress to and over said described premises during the construction of water main, sidewalk, fire sprinkler piping, and related facilities as part of the Downtown Water Main Project, Phase m. The City or its contractor shall, upon completion of said facilities, restore the premises of the Grantor(s), which are disturbed by the City or its contractor, to as good condition as they were in prior to any such construction offacilities. The City and its contractor shall indemnify the Grantor(s) against, and hold the Grantor(s) harmless from, all claims, damages, and lawsuits related to the construction of said facilities. In consideration of the City's construction of fire sprinkler piping for the benefit of the Grantor(s), which the City is undertaking in the interest of public safety and to take advantage of the cost effective opportunity made available by the Downtown Water Main Project, the Grantor(s) hereby agree that the City shall have no legal responsibility or liability for the fire sprinkler piping constructed pursuant to this easement. Grantor(s) further agree to indemnify the City against, and hold the City harmless from, all claims, damages, and lawsuits related to the operation of the fire sprinkler piping following completion of construction. of signature of the Date 7 STATE OF WASHINGTON) ) ss. COU1;"ty{ ,,,,Ii (i:1i\l)am ) ",\;.,'2. RINt/"I; "<,:i0\'" ..... '"'-<1. // . ::o-'.f:J..... On tl1;s~il!., before me the undersigned Notary Public in and for the State of t()",~\-W.l"TtlV, :f~y~~i\.Nlp~.i'~d ~n.\.\I-'Go\ "~IZ..I..'/,J ~'l ~V'1 , to me known to be the individual(s) who executed :: ~~ f\!ji,~'-'111!1-'rem5>!:?ry ConstructlOn Easement and acknowledged to me that they signed the same for the ~ 'IP"{illJ:S\fglt.i&tt~:&~"'i::in mentioned. ....:...>.. .~.... ~;"'l";:'cW' ''f:~:''~ /// c...~ ~Wp<\.'111S "5 I" \\\ 'IJlilIH~\\ day of Oc=:tb~~ ,2007. 0~",,',,-~ .~\.A.,.1,L'~~-\ NOTARY PUBLIC in and for the State of Washington, residing at~o'a.T' ~L,,-r... ':"'5.. My commission expires: "3- I-oen ~:\PROJECTS\OO-19 DO\\o"NTO\\f:'.I WATER.\tAIN PHASE 3\09 RlGHT OF \VA Y\EASEMENTS\324 WEST FlRST.DOC