Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
105 E 5th St - Building
CERTI FIC- 0,':F;-0CC.0 PAN CY Cay of Port Angeles -Bunt j;#�8iViisiion This certificate is issue� pjigrsyaW,to. he requirements of Section 111 of the 2009jnte) certifying that at the tine as in complan an fiss4aniqo. -k '"i R, ce. with the varioz, s mctury w regulating building c&sirWqg: Business name fly Business address k V Property owner Property owner s ad Automatic fire sprITA Use & occupancy c18 Building permit num, Occupant load. Type of construction. Y5th St. Brian Paul'FQ-6nd&4, 101 E 5th n. Not Reqpired; in. R-2 Post on the premises in a conspicuous place. ational Building Code ordinances of the City 09-13-11 Date shallnot be removed except by the Building Official. 1�1 �� q-15-11 W M PREPARED 8/24/11 9 53 12 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/24/11 ADDRESS 105 E 5TH ST SUBDIV TENANT NBR TOAD LILY CONTRACTOR PHONE OWNER BRIAN PAUL COUGHENOUR PHONE (360) 452 4567 PARCEL 06 30 00 0 1 6865 0000 APPL NUMBER 11 00000892 CO CHANGE OF OCCP/USE PERMIT CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 8/24/11 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 08/23/11 TIME 16 32 48 August 23 2011 4 31 34 PM 1pangrle ALETHIA 670 3117 C OF 0 FINAL TOAD LILY AFTERNOON PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES PLEASE PRINT IN INK Check one New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME IAC? A(5 L) Ly Business address 1 nc� 5f11 SST . cl A 3Lp Z Mailing address l �)c5 St" St ci b -)lQ o Phone number )-I c Business owner's name C,JD j�C tC) lv&1*} _ �� ?`Lt���A i-A�f 'Opening date Days &hours of opera ions ClmVVI Contact phone N �� � � 3 i Business owner's address 1 15 �,7t Sit , 9'FP3 Brief description of business fct nb(LIIV1 L �Ct .��;�(,IIL)3 � N16R14l W411 PA��� j Property owner's name H- _oContact phone 31j, 0) ycl�2- 44 lIP-3 Property owner's address/contact 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 Ki Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approvalby-Aza on Changes. to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned 1 �+D�iNr_ crnGr;-P �riresz f����-� 3 � EXTr,uc.cYsrici2s PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? -P PP�, (, I 5c 0 I PBIA notified on Is business moving within the PBIA? Yes ❑ No K CITY CLERK phone 417-4634 City approval b Clerk a y on Second-hand dealer/pawnbroker business? Yes ❑ No1 Will there be dancing at this business? Yes ❑ No Mr A City of Port Angeles Business License is required for- Taxi, orTaxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 CERTIFICATE OF OCCUPANCY APPLICATION Permit # �_. - �.. CITY OF PORT ANGELES Attn Permit Technician 50 FEES Certificate / Inspection 321 E. Fifth St. Port Angeles WA 98362 $ 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? ❑ Moving location from within P.A.? ❑ Zoning BUSINESS NAME IAC? A(5 L) Ly Business address 1 nc� 5f11 SST . cl A 3Lp Z Mailing address l �)c5 St" St ci b -)lQ o Phone number )-I c Business owner's name C,JD j�C tC) lv&1*} _ �� ?`Lt���A i-A�f 'Opening date Days &hours of opera ions ClmVVI Contact phone N �� � � 3 i Business owner's address 1 15 �,7t Sit , 9'FP3 Brief description of business fct nb(LIIV1 L �Ct .��;�(,IIL)3 � N16R14l W411 PA��� j Property owner's name H- _oContact phone 31j, 0) ycl�2- 44 lIP-3 Property owner's address/contact 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 Ki Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approvalby-Aza on Changes. to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned 1 �+D�iNr_ crnGr;-P �riresz f����-� 3 � EXTr,uc.cYsrici2s PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? -P PP�, (, I 5c 0 I PBIA notified on Is business moving within the PBIA? Yes ❑ No K CITY CLERK phone 417-4634 City approval b Clerk a y on Second-hand dealer/pawnbroker business? Yes ❑ No1 Will there be dancing at this business? Yes ❑ No Mr A City of Port Angeles Business License is required for- Taxi, orTaxi, 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? (D (A parking plan may be required.) Signs? (wall -mounted freestanding projecting, awning A -frame etc?) Signs planned: GBJl�. 5t�nra� lu�I� stkcw o� tutF�,., Rx�s�s�F� fv.e.cl c N r -u �� -to sF ; 61act<5 r: — 90.y2 hZty. 6LC.0Pa n -F -K1e St°Gv-, COAA r 5 1 :1 �PrJ{ kz/.,0`HOt'1 PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles PWE approval by on PUBLIC: WORKS DEPARTMENT ENGhVEERiiliG phone 41i7 -481i2 Is site work planned (new or re -located sewer or water service excavation grading or filling work in City right-of-way new driveway openings site drainage parking lots downspouts, irrigation system backflow devices etc ) Yes ❑ No X 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 ❑ Noxl 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 /� Print Name l/"�/ �������USignature T\Forms\Building DivisionlCertificate of Occupancy Application (2010).doc Page 2 of 2 o, roe7q;�c CERTIFICATE OF OCCUPANCY APPLICATION Permit # - CITY OF PORT ANGELES FEES Certificate / Inspection Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK y� Check one New business in P.A.?[]Change of ownership only? El Moving location from within P.A.? EJ Zoning Cs BUSINESS NAME —I (? A LLL I Ly Business address i llci : nth ST ,RR3L2 Mailing address 105 S1- Phone number 4=_�`l� __��Opening date Days & hours of//opera ion Business owners name C,,DD"-1 ���nI NS ,�awf Contact phone (b)to-lo Business owner's address 115 F- Ste` a , 9'F;13�_ Brief description of business 1-tbS-rtL._ ff[ C)bfLM L_A�LC-t_lliD(,IN� �-W Nl6t-'t-'i��1�- 4 PA��� r Property owner's name K_ lA�N ll �P C-'?l!�,HFr��'J�c Contact phone U) Ll aS"P-q Property owner's address/contact I h i F n ST "� `1?52? G'-2_ BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on I Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No K Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc) Work planned. FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned I PBIA (Parking Business Improvement Area Downtown) phone 417-4623 Square footage of business? A f PI �Gw zce 'r7 I PBIA notified on Is business moving within the PBIA? Yes ❑ No K 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 NT 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 f COMMUNITY &ECONOMIC DEVELOPMENT phone 417=4750 CED approval by on ,9/,-�t3 //f Number of off-street parking spaces available for employees and �,� P customers? (D (A parking plan may be required.) Signs? (wall -mounted freestanding projecting, awning A -frame etc?) Signs planned: 5R_Q_Q_ 5tA—nraG tL ( I I s (kGW Pt—i:�v�+ W �� 9ave h,w. a cQ�n-F the st'c G S1U:'1 armL4— PLEASENOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC; WORKS DEPARTMENT ENGII'YtER&G. phone 4i7 -48i2 Is site work planned (new or re -located sewer or water service excavation grading or filling work in City right-of-way new driveway openings site drainage parking lots downspouts irrigation system backflow devices, etc.) Yes ❑ No X Work planned PUBLIC WORKS WASTEWATER phone 417-4845 1 PWWapprovalby on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ Noxl 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 /� Print Name l/"%/ C.DU��iSignature T'1FormskBuilding DivisionlCertificate of Occupancy Application (2010).doc Page 2 of 2 P0RT_14G. CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES FEES Attn Permit Technician $50 Certificate/ Inspection 321 E. Fifth St. Port Angeles WA 98362 '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? ❑ Moving location from within P.A.? El Zoning CS D BUSINESS NAME l+(? A[,L 1 Ly Business address fih S I C'l p31p 2 Mailing address 11 L)5 Sfi^ S1- x' 8 -)Lo < Phone number `� ?;-19 Opening date Days & hours of/opera ion "�aM - 1(�prn�lr�Q y Business owner's name C�b�! C 0=v��1i �� :1L��` ��'4A`'t`'� Contact phone t0E)tcn() 31Ii y /w� Business owner's address 1 91;P3�- r Brief description of business tt0S_'r1,6!L A riUiLM, b OCItt)6 PW NIGtfiLW 4CA's � 1 Property owner's name I �t�3 r �r i) �,r-1�tJ�'J L Contact phone too y s`7-- as" -,I Property owner's address/contact i t) iS-i- 5, tin 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 K Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc) Work planned FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned I �aDij�zt'_ e_-mur-P -Tit(C;cl5t-tr-t " PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? PPPS i acs r7 I PBIA notified on Is business moving within the PBIA? Yes ❑ No KI CITY CLERK phone 417-4634 Second-hand dealer/pawnbroker business? Yes ❑ Nol Will there be dancing at this business? Yes ❑ No Mr A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page1of2 City Clerk approval by C4 on 2 3 t ?1Wool • r COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parking spaces available for employees and customers? (O (A parking plan may be required.) Signs? (wall -mounted freestanding projecting, awning A -frame etc?) Signs planned. VG" st_ 5 t w-_ n r r- G lu(II sIA-CLIW o"»,- ►ut��t•, t?x��s s F� tiece rAu eu r�-. -ta s� �tact�5 r gaue CZIPLI n -F -44,e 5i!q -, coA PLEASE NOTE. NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT EAiGiNEtRINh phone 41i7 -48i2 Is site work planned (new or re -located sewer or water service excavation grading or filling work in City right-of-way new driveway openings, site drainage parking lots downspouts irrigation system backflow devices etc ) Yes ❑ No �I Work planned PUBLIC WORKS WASTEWATER phone 417-4845 ( PWWapproval by on Will waste other than domestic household waste be discharged into the sewer system? Yes ❑ Nox 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 1 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. - -i, < i j �i Date /� Print Name V"�/ t�d�bi���Uv'� Signature T'Torms\Building Division\Certiricate of Occupancy Application (2010).doc Page 2 of 2 R,(3 jOr easoaT,�;�c� CERTIFICATE OF OCCUPANCY APPLICATION Permit# • "�'- FEES CITY OF PORT ANGELES 5 Certificate / Inspection Attn Permit Technician i w 321 E. Fifth St. Port Angeles WA 98362 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IA/ .INK Checl, one New business in P.A.?❑ Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning �� D BUSINESS NAME I VA rLL I LY Business address i f)c� il�-, 1�fh ST 1 C'1 �� 2 Mailing address (US -6. Sti" St- q s�-)1>2 Q Phone number -7Opening date Days & hours of/opera ion 'lam- 1Dprr,7rgL0 W� Business owner's name C�b�l ���-n� �� AL���'� �'°`�`' Contact phone (�b)t�� y / Business owner's address 1Brief description of business tibS it -L. ` PLOW hbfLM L_IkLC- (_Dt_)(�IRNG �r-W N16i-V"L1/WK- 4 CATS l Property owner's name r -Contact phone as(' -3 Property owner's address/contact I (l i F -Z�th (=A, n- ?," to-2 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 KI Construction changes planned (moving walls adding/enlarging windows or doors roofing siding foundation work, adding/altering stairways ramps bathrooms electrical heating/cooling/ventilation systems etc) Work planned. FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned I AUDI..3r.- c_me," /rkmjz (A-V:7V" t -7I -t C,dsrtE0"7 PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? 11) PPS 1'l6b 5c -f7 I PBIA notified on Is business moving within the PBIA? Yes ❑ No KI CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ NoI Will there be dancing at this business? Yes ❑ No Y 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 1of2 4 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 Number of off-street parking spaces available for employees and customers? (o (A parking plan may be required.) Signs? (wali-mounted freestanding projecting, awning A -frame etc?) Signs planned: CED approval by on 'G� 5 t p- n r +-3 G i,, t I [ S IkCt,W Dt -i�v I1J I { •v tax���5 FD Nw-e 'l I 'v eu {'}'S `fC: SF i Pi igGt<�7 So -ye- h,w. o-cno j n-f-Hies�Jf cDA i, rack, PLEASE NOTE: NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT El GiNEERiNG phone 41i7 -48i2 Is site work planned (new or re -located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings, site drainage parking lots downspouts irrigation system backflow devices etc ) Yes ❑ No X Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PINE approval by—RV on S-19 -I I NLS �tMYK�,vI� PWW approval by on Will waste other than domestic household'waste be discharged into the sewer system? Yes ❑ NoXl If yes what will be discharged Call for Certificate of Occupancy inspections BEFORE openinq 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. COW (?0V,6�rVC1t)< , Date /� Print Name Signature T1Forms\8uilding DivisioMCerliricate of Occupancy Application (2010).doc Page 2 of 2 • sOKT_ CERTIFICATE OF OCCUPANCY APPLICATION Permit# -- ;, CITY OF PORT ANGELES FEES � $5o Certificate /Inspection g Attn Permit Technician ilwliil i i " 321 E. Fifth St. Port Angeles WA 98362 $ 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? ❑ Moving location from within P.A.? ❑ Zoning CSL> BUSINESS NAME T(? App 1 Ly Business address i n rri e, ' tk' Mailing address St' of 8,_5LQ2 Phone number Opening date Days & hours ofpera ion 'lq` 1(pma_Iril g Business owner's name CiaD�1 C OVG71�E�� ,ALt��1°� '�'' Contact phone r� m V'0 3lI% / rwk Business owner's address 115 F S St . �_ Brief description of business {ibS-Tt-L—QUW Li7n6ilU� FO[' NIGtt"�Ly,lhli!L� ATOS Property owner's name �5Q I,hU p C:aUC11-�FNDL1� Property owner's address/contact 101 E. Stn S* VA, BUILDING DEPARTMENT phone 417-4815 Is the business a restaurant or bar that will seat 50 or more people? Contact phone ( aLOo) Li 45to-q Bldg approval by on ��.. 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 12 FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No ❑ Work planned I A0011 -a/•, C -Me -e E1T1&(C3d5ttE0,T PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? flPb'zt-� I �ac rl I PBIA notifiedon Is business moving within the PBIA? Yes 11No K X \ CITY CLERK phone 417-4634 City Clerk approval by_ a 2 o Second-hand dealer/pawnbroker business? Yes ❑ NoI Will there be dancing at this business? Yes ❑ No Y 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 �Ae COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by S R on 9-2�3 -I% Number of off-street parking spaces available for employees and customers? (® (A parking plan may be required.) J Signs? (wall -mounted freestanding projecting awning A -frame etc?) Signs planned r 'CR�.�e_ Stat-•.. n r ►.s C� l�1rr2C� i N cv li 3 `fes SF �1aGt<5` I % T ' I Saye -.htwx a,cn of --he Sly\ coAp� PLEASE NOTE. NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PWE approval by R -V .on ( q-/( PUBLIC WORKS DEPARTMENT ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service, excavation grading or filling work in City right-of-way new driveway openings, site drainage parking lots downspouts irrigation system backflow devices, etc ) Yes ❑ No X Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by Will waste other than domestic household waste be discharged into the sewer system? If yes what will be discharged on Yes -❑ Nox, Call for Certificate of Occupancv inspections BEFORE opening business, Building Department Inspection 41.7-4815 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 l 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 1� Print Name �/"�/ ��Ubh�Uc�� Signature ! ti� T Torms\Building DivisionlCertificate of Occupancy Application (2010).doc Page 2 of 2 2 a , Ak -%jo 19 m Clallam County Assessor & Treasurer - Property Details - 57296 BRIAN PAUL COUGH Page 1 of 1 Clallam County Assessor & Treasurer Property Search Results > 57296 BRIAN PAUL COUGHENOUR for Year 2011 2012 Property Account Property ID- 57296 Legal Description: LOT 11 BL168 TPA Geographic ID- 0630000168650000 Agent Code: Type: Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 65 Open Space. N DFL N Historic Property N Remodel Property N Multi -Family Redevelopment: N Township- Section: Range. Location Address. 105 E FIFTH ST Mapsco: PORT ANGELES WA Neighborhood: x ref Cycle 5 Comm Map ID- 2 Neighborhood CD- 20953140 Owner Name. BRIAN PAUL COUGHENOUR Owner ID- 19566 Mailing Address 101 E 5TH ST % Ownership- 100.0000000000% . PORT ANGELES WA 98362 3013 Exemptions: Taxes and Assessment Details Property Tax Information as of 08/17/2011 Amount Due if Paid on. a ° . NOTE. If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due Click on 'Statement Details' to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due Statement Details 2011 152008 $78564 Statement Details 2010 40298 $772.10 Values Taxing Jurisdiction Improvement / Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement $785.54 $0.00 $0.00 $785.64 $772.09 $0.00 $000 $154419 $785.54 $0.00 This year is not certified and ALL values will be represented with N/A Website version: 9 0 32.2200 Database last updated on: 8/17/2011 3:49 AM © 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http.//websrv8 clallam.net/propertyaccessIProperty.aspx?cid=0&year=2011&prop_id=57296 8/17/2011 CERTIFICATE OF OCCUPANCY I C1t3' of 'Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances ql'the City regulating Building construction -or use. For the following Use Classification: Business BuiidinjF'it-No.-06-832---'-- -,BusinessName 'Sound Bodv Nutrition. Group: B Type of Construction: U .. §&iZone: CSD Owner of Business: Vickie Dodd. Address 105 E. $4 Street Port,Anp-eles, WA. 98362 Building Address: 105 E. 5"' Street- Port Anl;eles. WA, 98363 '411 V, December 8. 2006 WW ,-- V-51-Ij , J Plan Manager Date Post on the premises in -a conspicuous place No. 147 Shall not be removed except by Building Official �LtlJ(� 'pat�.Ji�'Y N1.tTt2tT'ie�IJ DATE 1, a�'L - o Address of Propos Business 10,5 e-'- 6-*Ifn S +' XApplicant v� L*� —k-- � Address ROUTING SLIP Certificate of Occupancy ificate/Inspection Fee PA Phone business home GSD New Business Transfer of Business Location Change of Ownership New Building Remodel Temporary Business Change of Use r Brief description of proposed business )U, 1 CPQ +� �.� S -e-v-�1 '} fZ�^Zmxf — llvt� - Legal Description Lot Block Subdivision Current Use of Property- �" fir , &C " AC4- ' pk ReAej ,' /jLti-d�2 -7.n Zoning Classification of Property. WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED Construction changes PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots _ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way X 10) Water meter installation 10) Other Is there sufficient off-street parking? 11) Fire New driveway openings 12) Occupancy A grading plan for site drainage X 13) Sign (parking lots, downspouts, etc.) X 14) Shoreline Are the existing streets paved? 15) Home occupation Are there existing sidewalks? 16) Conditional use Is there curb and gutter? 17) Other Other I hereby apply for a Certificate of Occupancy and acknowl- - 2) / U edge that I have read this application and state that the Date information I have supplied is correct to the best of my l knowledge Signed _ F211 4RVREJECTED h 3- off SR uon Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. Comments / Conditions - 7iZA+A ri'E5� L Address of ProposO |{}'5 6`44~ ,� -L / XApplicant\ / , ��� �� ��� \ l Address Phone business ROUTING SLIP Certificate ofOccupancy 611P _j New Business ( ) Transfer ofBusiness Location ( ) Change ofOwnership ( ) New Building ( ) Rernodo ( ) Temporary Business ( ) Change ofUse ( ) Brief description ofpmo' - �e business (~ r A�4���� — ~ ��� Description 'on' Lot Block Subdivision . ~ �� -- CurrentUse ofProperty* A 0-n^ /`LL~^~^JOL��- Zoning Classification of Property* WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BEREQUIRED Construction changes __ PERMITS BUSINESS LICENSE Electrical changes -___ 1) Building 1) Taxi Mechanical (heauing.cooling, stoves) — 2) Plumbing u) Peddlers Plumbing changes ___- o) Electrical o) 2nd Hand Dealer New o,relocated signs ____ *) Mechanical *) Pawn Broker New septic tanks — -_lL' s) Sewer u) Dance New sewer service ____ X s) Sidewalk installation sy Hma! mcxe| Admission charged vopatrons \/ 7> Driveway installation 7) Fireworks |athis ahome occupation? ____ oV Curb installation 8) Ambulance Excavation o,filling oflots ____ xY Sidewalk obstruction 9> Tattoo shop Work done inCity rigm'nf-way 1o} Water meter installation 10) Omo, |othere sufficient off-street parking? 11) Fire New driveway openings ____ 12) Occupancy Agrading plan for site drainage 13) Sign (parking lots, downspouts, etc.) 14> Shoreline Are the existing streets paved? ____ 1:V Home occupation Are there existing sidewalks? 16V Conditional use |othere curb and gutter? � 17) Other Other Ihereby apply for oCertificate ofOccupancy and ecknovv- x 2� edge that | have read this application and state that the Date _- / information | have supplied is correct to the best of my�� / \ r.� �L knowledge ��igned \��"=^�^--- APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk Comments /Conditions CERTIFICATE OPIOYC.CU PAN CY City of Port Angele� f Building Division a This Certification issued pursuant to the requirements of Sectiom301 of the International Building Code certifying that at the time of issuance thstructure was in compliance with the various ordinances of the City regulating Building ;s{ f,. construction or use. For the following Use Classification. Business Building Permit No. 04-1198 Business Name: Bodv Wisdom Theranv Group: $ Type of Construction: V -N Use Zone: CA Ow= afBusiness: Aleilah.P. Lawson Address: 105 E. 51' Street. Port Angeles'. WA. 98382 Building Address: 105 E. 5`h"A Street Port Angeles. WA. 98362 �`-��!�� " 1'(,! Y 2005 E<, a;September 29. V 9'Date Post on °fihe premisesinr a.conspicuous place Shall not be removned'exceptFby Building Official u e Kr qlmla� . -o 38 ROUTING SLIP Certificate of Occupancy �w $47 00 Certificate/Inspection Fee O ✓�� p S �� �No DATE n- _/ D `i New Business Address of Proposed Business Transfer of Business Location ( ) s� Change of Ownership ( ) Applicant A t'? I P. IA I K 0)"\ New Building ( ) - Address I b AC� St� Remodel ( ) Po iq Ayfree t�-4--el g )& v Temporary Business ( ) Phone business home +0--1N1q Change of Use ( ) Brief description of proposed business. Af ,R U 1 P-44 SOJ `orb 1A1f 41 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 ✓ PERMITS BUSINESS LICENSE Electrical changes 1) Building 1) Taxi Mechanical (heating, cooling, stoves) 2) Plumbing 2) Peddlers Plumbing changes 3) Electrical 3) 2nd Hand Dealer New or relocated signs 4) Mechanical 4) Pawn Broker New septic tanks ✓ 5) Sewer 5) Dance New sewer service 6) Sidewalk installation 6) Hotel Motel Admission charged to patrons 7) Driveway installation 7) Fireworks Is this a home occupation? 8) Curb installation 8) Ambulance Excavation of filling of lots —� 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way 10) Water meter installation 10) Other Is there sufficient off-street parking? 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? Pf" 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 information I have supplied is correct to the best of my knowledge Al A PR ED REJECTED as�� 9 ZA 0S 2 -1 -os -A) Date �"_;� to Signed Comments / Conditions Building SectionPpr/r Public Works DepartmentT,v► Planning Department Fire Department City Clerk PB I.A. SdoIri ITh I cc �� ROUTING SLIP �Certificate of Occupancy $47 00 Certificate/Inspection Fee 11 DATE Address of Proposed Business Applicant f. n Address Phone business home'' 0 Brief description of proposed business A"A n -c<{,((- .=r Legal Description Lot Block Current Use of Property - 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-of-way Is there sufficient off-street parking? V,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 NO a d% I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department 1 fX,i City Clerk PB I.A. �J CUW° New Business Transfer of Business Location ( ) Change of Ownership ( ) New Building ( ) Remodel ( ) Temporary Business ( ) Change of Use Subdivision `CS_ \ ) THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer j 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline YES NO a d% I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department 1 fX,i City Clerk PB I.A. �J CUW° New Business Transfer of Business Location ( ) Change of Ownership ( ) New Building ( ) Remodel ( ) Temporary Business ( ) Change of Use Subdivision `CS_ \ ) THE FOLLOWING WILL BE REQUIRED PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer j 5) Dance 6) Sidewalk installation 6) Hotel Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date %� q Signed Comments / Conditions CITY OF PORT ANGELES LIGHT nEPARTN[ENT ELECTRICAL PERMIT NV 17239 Port Angeles, Washington------- ------------ 19I-6 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----------------•----------,,-�------�--rr- -------------- �---- ----------•---- Tenant------------------------------- ----------- ----- ------------.....----- Wiring Contractor --- /,Ik�-fi-,ia -{XC�-0.-------By--------------------------------------------------------------------- Light Outlets ................................... _..... Receptacle Dryer, KW Range, KW........ Water Heater: KW------------- Heal: KW ............. Motors: size, volts and phase: Total Remarks:-------l.f ..' Service, volts ........ No. wires ......... Size wires........ Main fuse ......... Enclosure ........ Type of wiring: Entrance Cable Rigid Conduit ............................... Metallic Tubing ........................... Current transformers: No. & Size ....................................... Ser. No... ........................................... Ser. No. Ser. No. Ser. No. Permit Fee Tress. Receipt Type of Wiring: Armored Cable ............................ - Non -Metallic ................................. Knob & Tube ................................. Rigid Conduit ............................... Metallic Tubing ........................... Raceway ....................... ....... ------ Circuits, Light------------- ------------------_- Utility ....................... _.................... Heat-------------------------------------------- Range............................................. Water Heater ............................... Motor..._ ..................-----................ Dryer................................................ - Furnace ........... . ............ ......... ... ...... Total $ -------------------------------------- No ------------------------ ---- By ... 1+.!_ V d' 1'Y� .!s a � r✓ /2 �� -� 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 ELECTRICAL PERMIT Address Owner N? 17239 WiringContractor. ......................................................................................................................... By ....................................................... ....... 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. t 1M Olympic Printers, Inc. Signal f owner, X � r contractor or electrical administrator: ❑ Cash Q Check ❑ Credit Card # Dated:` �/ /' 01101/2012 r 111 PORI CITY OF PORT ANGELES PERMIT APPLICATION L Building Division/Electrical Inspections 321 East Firth. Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 -1D co Date: _ 9 & 2 Single Family Dwelling * Plan Review ••iv�i Be Rewire , Please Complete Electrical Plan Review Information Sheet Z Job Address: 5. 5` Building Square Footage: Description of above Owner ln�ormationC, Contractor Information Name: L:. -t y `yL� ,(/ , � Name: &d ss: Mailing Address: CiMing . i' `d State: _ zip; City: State: Zip: Phone: Mi` Phone: Fax: License # I Exp, License # l Exp. Item Unit Charae QtV Total (Qtv MUItiDlied by Unit Charae) ServicelFeeder 200 Amp. $120.00 _� $ d Zb°G ServicelFeeder 201-400 Amp. $146.00 $ ServicelFeeder 401-600 Amp $ 205.00 $ ServicelFeeder 601-1000 Amp. $ 262.00 $ ServicelFeeder over 1000 Amp, $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 �_ $ 2.0 "o Branch Circuit W!0 Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/ Feeder 200 Amp, $ 93.00 $ Temp. ServicelFeeder 201-400 Amp. $ 110.00 $ Temp. Service/Feeder 401-600 Amp. $ 149,00 $ Temp. Service/Feeder 601-1000 Amp. $16800 $ Portal to Portal Hourly $ 96,00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5,00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbullding or Detached Garage $ 74,00 $ Each Swimming Pool or Hot Tub $ 110.00 $ $ 1 Llt"7"c Total Owner as defined by RCW,19,28,261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N,E,C,, RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signal f owner, X � r contractor or electrical administrator: ❑ Cash Q Check ❑ Credit Card # Dated:` �/ /' 01101/2012 r 111 ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE PERMIT A INSPECT X15 h -5 � d'3 —2 OWNER CONTRACTOR ADDRESS APPROVED NOT APPRO E 0 .................. - DITCH ........ 11 ..... - ... .... ROUGH IN/COVER .... ......... 0 0 .......... - ....... SERVICE . .................. 0 0 ............. ...... FINAL .................... 0 ) CORRECTONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — ELECTRICAL INSPECTION ow iL- moc=z-m WIRING REPORT ORKS 9' 417-4735 DATE: � PERMIT tk INSPLGTOR 13 13 OWNER CONTRACTOR ADDRESS ID 57 APPROVED NOT APPROVED 0 ........ ... DITCH ................... , 11 0 ................ ROUGH IN/COVER..... . - - . ... I-] 0 .................... SERVICE ................... 11 ................. FINAL ........ ....... 11 6) CORRECTIONS NEEDED: 6:060, ll!.!!l::)l T.kA/ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 13-00000298 nate 3/27/13 Application pin number , . . 24301B Property Address , , . . 109 E 5TH STS tei� ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6870-000D- ApplicatiQn type description ELECTRICAL ONLY Subdivision Name . . , , . . Property Use . . , . , Property Zoning , . . . , , . COMMUNITY SHOPPING DISTR Application valuation . . 0 Application desc 100 amp sub panel. and 4 circuits ---------------------------------------------------------------------------- Owner DATE: Contractor DITCH COUGHENOUR BRIAN OWNER -� 101 E 5TH ST FINAL � � � � �4r7� PORT ANGELES WA 983623013 Permit , . , . . . ELECTRICAL ALTER RESIDENTIAL Additional. desc . , Permit Fee 140.00 Plan Check Fee 00 Issue Date 3/27/13 Valuation . . . . 0 Expiration Date 9/23/13 Qty Unit Charge Per Extension 4.00 5.0000 BCH EL -ECU ADDNT BRANCH CIRCUIT 20.00 1.00 120.0000 ECH EL -0-200 SRV FEEDER120.00 - Fee summary Charged Paid. Credited Due Permit Fee Tot21 140.D0 140,00 .00 ,00 Plan Check Total .00 .00 .00 .00 Grand Total- 140.00 140.00 1 00 .00 & SNS t • tl l - 1/ 6 1 l REPORT sAL.Es TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN -� FINAL � � � � �4r7� COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: IEXCHANGEIBUILDING Application Number . . . . . 22-00000923 Date 8/04/22 Application pin number . . . 394550 Property Address . . . . . . 105 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6865-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Heat pump ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Sonia Saldavia BLACK DIAMOND ELECTRICAL CONTR 115 East 5th St 502 BLACK DIAMOND RD PORT ANGELES WA 98362 PORT ANGELES WA 98363 (831) 588-2152 (360) 565-1035 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 8/04/22 Valuation . . . . 0 Expiration Date . . 1/31/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 7/25/22, 7:18:50 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000923 105 E 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 8/4/2022 22-923 TAP OWNER CONTRACTOR Black Diamond Electric PROJECT ADDRESS 105 E 5th St Application Number . . . . . 23-00001293 Date 12/11/23 Application pin number . . . 728215 Property Address . . . . . . 105 1/2 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6867-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Dog Wash ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SONIA S SALDAVIA TTE JOHNSON ELECTRIC COMPANY 115 E 5TH ST 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (831) 588-2152 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 170.00 Plan Check Fee . . .00 Issue Date . . . . 12/11/23 Valuation . . . . 0 Expiration Date . . 6/08/24 Qty Unit Charge Per Extension 10.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 50.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 170.00 170.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/5/2024 23-1293 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 105 ½ E 5th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/16/2024 23-1293 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 105 ½ E 5th St Application Number . . . . . 23-00000464 Date 5/08/23 Application pin number . . . 311872 Property Address . . . . . . 105 E 5TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-1-6865-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Service and rewire ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Sonia Saldavia JOHNSON ELECTRIC COMPANY 115 East 5th St 3129 S REGENT PORT ANGELES WA 98362 PORT ANGELES WA 98362 (831) 588-2152 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 160.00 Plan Check Fee . . .00 Issue Date . . . . 5/08/23 Valuation . . . . 0 Expiration Date . . 11/04/23 Qty Unit Charge Per Extension 8.00 5.0000 ECH EL-BRANCH CIRCUIT W/FEEDER 40.00 1.00 120.0000 ECH EL-0-200 SRV FEEDER 120.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 160.00 160.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 160.00 160.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 5/05/23, 8:22:42 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000464 105 E 5TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 160.00 TOTAL DUE 160.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/13/2023 23-464 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 105 E 5th St ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/21/2023 23-464 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 105 E 5th St 'ffi1ffi ELECTRICAL INSPECTION WIRING REPORT 417-4736 NOT APPROVED D]TCH ROUGH IN/COVER SERVICE . FINAL . APPROVED CORRECNONS NEEDED: tr ,x tr. tr. tr tr tr tr NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WTHIN 15 DAYS - DO NOT REMOVE - DATE:INSPECTOR m iker@olym picelectric.net From: Sent: lo: Ken Haman < Khaman@cityofpa.us> Thursday, June 1 5,2023 8:25 AM m iker@olym picelectric.net FW: Rough in inspectionSubject: /c Mike, Here is another one, if you can fit it in Thank you very much ! Ken Haman Deputy Director of Light Operations City of Port Angeles (360)4L7-47 31 office khama n@citvofpa.us From: Trent Peppard <Tpeppa rd @cityofpa.us> Sent: Thursday, June 15,2023 8:22 AM To: Ken Haman <Khaman@cityofpa.us> Subject: Fwd: Rough in inspection Get Outlook for iOS fn't ,rLl From: ieremiah@iohnsonelectric360.com <ieremiah@iohnsonelectric360.com> Sent: Thursday, June 15,2023 8:05:32 AM To: Trent Peppa rd <Tpeppard @citvofpa.us> Subject: Rough in inspection [CAUT|ON - EXTERNAL EMAtrl Good morning, Wondering if I can get a rough in inspection done this afternoon at 105 E. 5th street. Permit number 23-00000464 1 Thank you, [***h 4*ul*^ Johnson ElectFic [0rPAIY fi0-4/i.1f5l91 | PortAngeles, WA Johnson Electric360.com NOTICE: This email and any attachments may be subject to disclosure as a public record under the public Records Act, RCW Chapter 42.56 2 ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/12/2023 23-464 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 105 E 5th St