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HomeMy WebLinkAbout128 E 5th St - Building Certificate of Occupancy 12 8 E. St'' St . 13 - 1057 CERTIFICATE OF OCCUPANCY City of Port Angeles - Building Division This certificate is issued pursuant to the requirements of Section 111 of the 2009 International Building Code certifying that at.-the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use for the following: Business name: Peninsula Jazzercise Business address.`; 128 E 5th Street Business owner: Anne,Amar Business owner's address: 3083 E Sequim Bay Rd Sequim, WA 98382 Automatic fire sprinkler system: N/A Use &occupancy classification: Business Occupant load.• Per 2012 IBC, Table 1004.1.1 Type of construction: _ 77 5 k xi`!».Y.`�SS.a®awz•4 M'- HY",wsY„G.c'4�s r=.2� --friL--kuA§".mk'*�k�C 1 4r.e.ob��+ 11/22S/2013 biteierds > ntzg Mannager Date Post on the premises in a conspicuous place. This certificate shall not be removed except by the Building Official. • CERTIFICATE OF OCCUPANCY APPLICATION Permit# I ltlS� ```v 0�.pOR I i.1 MR= CITY OF PORT ANGELES FEES N-- i L $50 Certificate/Inspection .�-�� Attn: Permit Technician 321 E. Fifth St., Port Angeles,WA 98362 $100 Parking Business Improvement Area (PBIA) (360)417-4815 fax(360)417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A.?❑ Change of ownership only?X Moving location from within P.A.? ❑ Zoning BUSINESS NAME j CkZ-,RrC1'�X-- Business addre s 3111110 - WAz S*,N Paid f�nSEbs Mailing address E Phone number Opening date z113Days &hours of operation -SS - Business owner name Contact phone&► -S3 1 Business owner's address 30 SIB- 91a W13,77 Brief description of business Cl Se, cls Property owner's name Uort t P24er 5 Contact phone(31g0) H?-1 - 110S3 Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by on Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: t PBIA (Parking Business Improvement Area -Downtown) phone 417-4623 Square footage of business? PBIA notified on Is business moving within the PBIA? Yes ❑ No L0 CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No c Will there be dancing at this business? Yes ❑ No A City of Port Angeles Business License is required for: Taxi, Peddlers, Second-Hand Dealer, Pawnbroker, Dance, Hotel-Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 r COMMUNITY&ECONOMIC DEVELOPMENT phone 417-4750 CEO approval by on Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall-mounted, freestanding, projecting, awning, A-frame, etc?) Signs planned: PLEASE NOTE: NO flashing,intermittent,or chasing signs are permitted in the City of Port Angeles. PWE approval by on PUBLIC WORKS DEPARTMENT-ENGINEERING phone 417-4812 Is site work planned(new or re-located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ Nox Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWW approval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. I hereby apply for a Certificate of Occupancy. I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. Incorrect information may result in revocation of permit. Date -17 3 Print Name in/1e- ►�7�/� yyior Signature �� ax CL4- T:1Forms\Building Division\Certificate of Occupancy Application(2010)doc Page 2of2 FORM No.429-COMMERCIAL LEASE. 0 2008-2013 WASHINGTON LEGAL BLANK,PORTLAND,OR —..Mblom .mm NO PART OF ANY WASHINGTON LEGAL BLANK FORM MAYBE REPRODUCED IN ANY FORM OR BY ANY ELECTRONIC OR MECHANICAL MEANS. A 41 T IS LE E, enteFed into on -_'_ _ ___________ 2_U 13 ____ between TT --- ------------------ ---�c _cam LANDLORD'S LEGAL TITLE ------- ----------- _ _ , hereinafter called lessor, ------ -------------------------- ----- --- ------- ------ - ---------------------- and _ _ �'12s---- -1✓►Q-Y---------------� A---c�'S-SQ ZG�^�C�,g'�--------------- TENANT'S LEGAL TITLE - -------- ---- ---- ---------- S,�t-----------------------------------,hereinafter called lessee. In�conRideratiop of the promises herein, lessor lea es/A lessee those certain premises, situated in the City of -- �--- --- _-((e`L __Ai----------------------------- -----CI4_L_Lk'�-------------------------- County, State of Washington, described as follo�+s: 7-4 e- So--fhos " uni�J un : 12� 11. � The lease term begins at __ __ OV_____ o'`lock __ A_. M. on -_�Lz_dz�'__ ____�Df 3____-_ ---------- and ends at midnight on __ � z�+ z�____ � 3 ___ a J-''j------- 1.Base Rent. l.a.Lessee shall pay to lessor,at lessor's address as set forth herein,a base rent of$_____� for ®the first year of tie term ❑each year of the term(indicate w�icl),to be paid in the monthly amount of$__11X1 ------------ on ----_______on or before the __ _ ___ day of each month,commencing _ZP�3____. Lb. _________ _________ (Each party initial if applicable.)The base rent shall be adjusted annually on the one year anniver- sary date of the commencement of this lease by the percentage increase, prior to the date on which rental adinstmento , empar-ed to the 1—-F-1 month prior-It shall, for- F this lease, be the Cnasu >, . ' �taies-Bepartsnen�af Labor-, B ' '71s� Cx�6/f .SI,�jHi°►q /T 2n .(� ��-iA.fy 1e-- _______ _________ (Each party initial if applicable.)If the base rent set forth in paragraph I.a.is for the fust the term, then wit succeeding year lessee shall pay to lessor base rents to be paid at the following times and in o owing amounts: _________ _________ (Each party initial if I.d. and Le. apply) As ❑ an additional rent ❑ its rent (indicate whi , lessee shall each ay to lessor __________________ percent(______ %) of lessee's prior month's gross sales,as da in para- graph Le.In no case shal ay less than the base rent stated in paragraph La. above. I.e. Statement of Gross On or before the tenth(10th)day of each month, lessee_sWeliver to lessor a complete and correct statement showing in reasonab a 'I all gross sales for the immediatel�pFd n calendar month, which statement shall be signed by an officer or authorized agent of e ertifying it to bei�-arfdaccurate. The term"gross sales"shall include all money and things of value received by, or paid to, lessee o r�lessee's use and benefit, and all credit extended by les- see in connection with the business conducted by it on the ses, a s the amount of any actual refunds or credits made by lessee on returnable merchandise. Lessor may agaap a statement without a ' " as to its accuracy, and may, upon reasonable notice,inspect and audit all of lessee's and records relating to gross sales.Lessor ear all inspection and audit expenses, but lessee shall reimburse less al such reasonable costs incurred in the event such audit revea understatement of gross sales by more than ten e 0%).Audits may be conducted by any professional or agent selected by less o , lessee may require that indivi al-Cg a reasonable confidentiality agreement.Within fifteen(15)days after lessee's income tax retu a filed,les- s furnish lessor with a signed statement certifying the amount of gross sales reported in lessee's income tax returns t- .39.Number and Gender. In construing this lease, the singular term "lessor"or"lessee"may include more than one person P,F�equally'to ty. If the context so requires, the singular pronoun shall be taken to mean the plural.All grammatical changes necessitated by rease in number orby a change in gender shall be assumed and implied in order to permit the provisions of this lease to apply individuals,corporations and other entities. 40.Additional Provisions.The parties further agree as follows(if no further provisions are needed, state"none"): {< $LG <i1r�'�S / v �QN Q /yLOst14/a— va !-cr r, e_ •tHowVV 4,,,str ?��r Su��Tt r4, pr{N7i,rel A� �(ttq;✓t�d t'1 e.-zi.� -for tour�''rr Gr s'�oi T ��<`�►+ /mac"��t(f C1�4vi2�o(tS ; a s-e moi�j b�.fl.�t�� P���� �t.���f� a� �b�� classes . �� jor%Ir"r� /.� �[ 'nQi•�`it4i/!4 iGo % /�.z6il� t1 fp,, gt1grc:yr+T�. IN WITNESS WHEREOF, the parties have executed this lease;any signature on behalf of a business or other entity is made with the authority of that entity. ---- - --------- --- ---- ------------------------------ Lessor By-- --------- -- ------------------------------------ By ----------------------------------------------------------- Title------d-W ----------------------------------- Title ------------- --------------------------------------------- STATE OF WASHINGTON, County of_____L�,4�&,kA _______________�ss. I certify that I know or have satisfactory evidence that_____ _ Cr_C,2�>_____________________________________ _________________________________________________________ is/are the individual(s) who appeared before me, and who acknowledged '1j? (check and complete for individual acknowledgment) that he/she/they signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. ❑ (check and complete for corporate acknowledgment)that he/she signed this instrument,on oath stated that he/she was authorized to execute the instrument and acknowledged it as the _____________________________ _____________________ _______________________ of ___________________________________________________________________________ to b s/her free and volun act for the uses and pur- poses mentioned in the instrument. DATED ----B---tq —k --- ---T' ------- ----- ---------------------------- N.- - Notary Public for Washington Notary Public My appointment expires ------ Ai(___ ----------- ---------- State of Washington ROB-RT N. BERMODES My COMMISSION EXPIRES May 19, 2014 --------------------------------------------------------------- �i By ------ = ------- - -=------ -------Lessee--- By ------------------------------------------------ ----------- Title------ --------------------------------------------- Title ---------------------------------------------------------- STATE OF WASHINGTON, County of --- _____________________) ss. _.J `------------------------ Icertify that I know or have satisfactory evidence that ________�t�"_�____L-_____ __ �_'��_ ________ is/are the individual(s) who appeared before me, and who acknowledged Check and complete for individual acknowledgment) that he/she/they signed this instrument and acknowledged it to be his/her/their free and voluntary act for the uses and purposes mentioned in the instrument. ❑ (check and complete for corporate acknowledgment)that he/she signed this instrument, on oath stated that he/she was authorized to execute the instrument and acknowledged it as the _____________________________________ _____________________ _ ____________ of ___________________________________________________________________________ to be the free d voluntary act of sue arty for the uses and purposes mentioned in the instrument. DATED __ _ � _�� ---- --------------- --- -------------------- -- - m= ----- - --- - Notary Public for ashington Notary Public q ------ State appointment expires _-_----- . ----`--_- l----__� • State of Washington ROBERT N. BERMODES My CONINUSSION EXPIRES May 19, 2014 Page 6- PREPARED 9/26/13, 9:05:50 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/26/13 -- ----- ADDRESS . : 128 E 5TH ST SUBDIV: CONTRACTOR : PHONE OWNER VERNON D PETERS PHONE PARCEL 06-30-00-0-1-6715-0000- APPL NUMBER: 13-00001057 CO- CHANGE OF OCCP/USE ------------------------------------------------------------------------------------------------ PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESU RESULTS/COMMENTS ----—------------------- - --------------------------------—---------------------------------- 0099 01 9/26/13 BLDG C/O FINAL * OVERRIDE TAKEN BY PBARTHOL DATE: 09/26/13 TIME: 08:32:00 September 26, 2013 8:33:28 AM pbarthol. Ann 360-797-3622 **************** Call 45 min ahead ******************** -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/16/08 9 22 50 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/16/08 ADDRESS 128 E STH ST SUBDIV TENANT NBR JAZZERCISE CONTRACTOR PHONE OWNER VERNON D PETERS PHONE PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 08 00001279 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 10/16/08JLLA Ll BLDG FINAL October 16 2008 8 36 18 AM 1pangrle ROBYN 582 7679 BLDG FINAL JAZZERCISE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00001279 Date 10/10/08 Application pin number 022039 Property Address 128 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Tenant nbr name JAZZERCISE Application type description SIGNS Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 30 Application desc 24 SQ FT WALL-MOUNTED SIGN Owner Contractor VERNON D PETERS OWNER PO BOX 2461 PORT ANGELES WA 98362 Permit SIGN Additional desc 24 SF WALL-MOUNTED SIGN Permit pin number 135939 Permit Fee 47 00 Plan Check Fee 00 Issue Date 10/10/08 Valuation 30 Expiration Date 4/08/09 Qty Unit Charge Per Extension 1 00 47 0000 PER S SIGN LESS THAN 25 SF 47 00 Special Notes and Comments October 9 2008 4 57 38 PM sroberds The proposal is a 24 sq ft building mounted sign in the CSD No land use issues anticipated Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction p �j wl Dat6 rPrint NaV Signature 6f dontrafo r or Authorized Aggnt Signature of Owner(if owner is builder) T Forms(Building Division/Building Pennit 0 O� BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- .� Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4807 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 FINAL Date: Accepted by, AIR SEAL. _ Walls n Ceiling " FRAMING Joists/Girders Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/Ducts v l Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date. Accepted by- MANUFACTURED yMANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE Accepted By, Commercial Date Accepted By- Electrical 417-4735 Electrical Construction R.W Construction R.W PW /Engineering 417-4807 PW/Engineering Fire 417-4653 Fire Plannin 417-4750 Planning Buildin 417-4815 Building 16-16-03 I-(r T Forms/Building Division/Building Permit o�.rakr.�1 SIGN PERMIT' APPLICATION Print in Ink � .fes` � - CITY OF PORT ANGELES — For City Use Only Attn Building Permit Technician Date Received tO--G—Q$ 321 E. Fifth St. Port Angeles WA 98362 ermit# 0'6— 12 1 Ci (360) 417-4815 fax(360) 417-4711 ! ate Approved Applicant or Agent kO 6VA Phone 5-0 zr74, 7!2Property Owner S Phone Property Owner's Address Contractor/Engineer UQ�1�VL Phone Contractor/Engineer's Address til A License # Expires Project Address 17a T 777 PTr7 AT14,7,� s Business Name Parcel Number Lot Zoning O S D Submit an 8 %"x 11 "site plan & three sets of plans that include. ■ Type of sign (wall-mounted projecting freestanding, illuminated other ) ■ Placement and sq ft. area ■ How the sign will be securely attached (Engineering specs may be required for freestanding signs) ■ Separation distance between the bottom of projecting and freestanding signs and the surface below See "Chapter 14 36 Sign Code"of the City of Port Angeles Municipal Code for sign requirements. Sign Type & Brief Description. (Type, location, sq. ft.) Sign #1 3y- i e v(2r lsJ Sign #2 Sign #3 Sign #4 Totals (Unit charges Sign(s) Unit Charg Quantit multiplied by quantities) Type of Sign Valuation $ 30 $47 00 x �_ _ $ q-?-.rrD All signs less than 25 sq ft. $85 00 x = $ Wall or marquees, over 25 sq. ft. $115 00 x = $ Freestanding and projecting, over,25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ Credit Cards (Except American Express) are accepted Existing sign(s) area_ sq. ft. +Proposed sign1s) area sq. ft. = Total sign(s) area Z'"' sq. ft. 7:698 Building fagade area (height X width) q ft. Maximum allowed sign area sq. ft. 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 toobtainpermits prior to working on projects Date /0 �O Print Name C� G� Signature IW440J T.Forms/Building Division/Sign Permit Application.doc VI IXI u a 18 ' q, m. 102 12,0 ST VS. IVKI ~ � �'^•, ate'. 504 Ael: �• "'V w �" ." �„: �. � t � r .:�� �'pa ,y,Wyk , .,0 0 571 520 n yam. ` 5 13 N r I,. ". ' `, 06-11 WD"e"k- Nbc)ue " �V a,cc, J IN s � C CITY OF PORT ANGELES—Constriction Plans The Issuance of this permit based upon these plans,specifi- O cations and other data shall not prevent the building official 1 �" from thereafter requiring the correction of errors in said pla:s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances this jurisdi tion j 214W Approval Date ' b BY All �r ��� c N N 00 U'1 1 � CERTIF TP UPANCY Cit o1 P rt Ange.., UMIE,tar, ` ision p� This certificate is issue ursuant to the requirement`of Section IIOt�f the.Z 6 International Building . ,.. Code certifying that a he,krrtewof assuance this structure was in compliance w h the various ordinances of the City regulatin uil lznggeon z sucZm`o a-ws'e r the fano arr r .. ' . y g;Z`... 4 # a. „£,_ ;} _= P'olige.es�(`O�rrin Robyn Caynak) Business name azzerclse Fitrress'CenterE. ♦ th Business address Fj 128:-E' S St. � : Property owner Vernon C0,ters .- Property owner ci'lzsessF PO Box 24f 1aPo Angxe`less�49;$36FZ:Or 15 . � A- rA. °°, : Y ; Automatic fire sp nkle ystem. Notigiaed a `5 7" Use & occupancy asscation. Busitirleas, .., a Building permit nu : e Type of construction A , x Occupant load �� „:�� 09/26/08 Date Post on the premises in a conspicuous place, e, ' IC t be removed except by the Building Official. PREPARED 9/09/08 10 27 06 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/09/08 ADDRESS 128 E 5TH ST SUBDIV TENANT NBR JAZZERCISE CONTRACTOR PHONE OWNER VERNON D PETERS PHONE (360) 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 08 00000962 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/13/08 JLL BLDG FRAMING 8/13/08 AP August 13 2008 8 09 22 AM pbarthol VERN 477 1053 August 13 2008 4 40 16 PM jlierly BL99 01 9/09/08 JLL BLDG FINAL TIME 04 15 September 9 2008 9 25 38 AM 1pangrle FIT VERN 477 1053 BLDG FINAL PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE HE D LIKE AN INSPECTION AFTER 4 00 PM COMMENTS AND NOTES L,,O.t.°Rr4��Y,f CERTIFICATE OF OCCUPANCY APPLICATION Permit# —t� 2A CITY OF PORT ANGELES FEES r Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362750Certificate/Inspection (360)417-4815 fax(360)417-4711 $$ arking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME �� ��v�-tea S BUSINESS ADDRESS J Z j k C>r-+ N ��� �j�(o Z Zoning Business mailing address 'Z-Phone# 51z--7&7 , Days O enin date Z�p� r -n Washington State Tax I D Z If known list the name of the revious 1L1 business at this location L i ilor 5-h re--, Brief description of proposed business .. _V-Ci 5 vte5 Business owner's name Phone# Business owner's home address V—Vi PLEASE NOTE. 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? NO-/ YES✓ IF YES CONTACT Electrical changes s ` Electrical Dept.at 417-4735 New business New or relocated signs lui ,\ r n t 'K-AD CL hA Building Div at 417-4815 Construction chan es P-e Rem per $^ Transfer of business Mechanical changes(ventilation, heating,cooling,etc.) location from a Plumbing changes PBIA location Firesprinkler system changes Fire alarms stem changes Transfer of business New or relocated sewer or water service ✓ Public Works at 417-4807 location from a `,/ Excavation or fillip of lots non-PBIA location �W Work done in the City right-of-way New driveway openings Change of ownership Grading site drainage( arking lots,downspouts,etc.) Landscape irrigation system(backflow devices) V Water Dept.at 417-4886 Remodel Is this a home occupation? V Planning Div at 417 4750 Is this a second-hand dealer or pawnbroker business? City Clerk at 417-4634 Temporary business Is there off-street parking for this business? How many spaces? Z Is the street in front of this business paved? Change of use Is there a sidewalk in front of this business? Is there a curb&gutter in front of this business? Call for Certificate of Occupancy inspections before opening business Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and tate that the information I have supplied is correct to the best of my knowledge Date P� Print Name �� V h ( �� j4 .d` Signature C For City use only, Department Approved 1 Rejected Comments/Conditions Initials&date Initials&dater),2 Building ®$ gjU�lOr�ng Type of construction Occupant Load Fire _12.08 K Automatic fire sprinkler system required no yes PBIA Planning q_tz-og S(Z City Clerk 9_9-09 Ru Public Works _1-7_OgRV T:Forms71 Division/Certificate of Occupan, t pplication • "r i't. 'a�a i Y�r �� �, :lv 4+' `-h rN�'o �""F$" -'T W��., w�•a ",Fry 'd •� `i., y a,.,� Y R a-g,vim °<s, ��:• '{� 101 Ilk „»S n ,tea� � �� �s:e�'er'� � °' '• �+i'F. » 4 �' kn.Yt Y� ",yi�"C5•.'i. .., d+,,N�*.,4nT ' X u'v r h.+� , S, a,re5r•`,s�[ �, �'a', �v � ',� va r'�� � r ( ,F,e�..y, a u°"E-Tr-U" '��q,dam. � "�"� � `,d t� Y s S $' ' E d X� •� F i ,'S` �.y"yr � ' ".} �+ pre x �^�''�:a� d:`� j�,,r�, �� .- ;t p�s,�j,: t "•;Sz., ,,� �` :�. IJ` Parcel Lookup Page 1 of 1 Parcel Number 0630000167150000 Site Address 120 E FIFTH ST PA Print Quit Back Taxpayer- PETERS VERNON D PO BOX 2461 PORT ANGELES WA 98362-0315 Title Owner- PETERS VERNON D PO BOX 2461 PORT ANGELES WA 98362-0315 l Description LOTS 3 &4 BL 167 l Value Summary Note-Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs(except Commercial Forestland properties) Land Value. 196 000 Improvements Value 338,200 Total Assessed Value. 534,200 Property Characteristics Note:Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 5920 LIQUOR STORE Land Size (acreage) 00 Note:Acreage is not listed for all properties in the Assessor's records More information about land size. Tax Status Taxable Tax Code Area. 0010 Note:Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics. (Click on Bldg.#for more details.) # Bldg. Type Bldg. Style Total S.F. BD BA 01 One Story 5856 Tax History Sales History Print Quit Back 1,$31,316 http.//apps.clallam.net/website/SITIS_P pgm?PARCEL=0630000167150000 9/8/2008 Application Number 08 00000998 Date 8/15/08 Application pin number 133196 Property Address 128 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning COMMUNITY SHOPPING DISTR Application valuation 0 Application desc 1 5 circuits Owner Contractor PETERS VERNON D BOB S ELECTRIC INC 1034 E 8TH ST 2293 DEER PARK RD PORT ANGELES WA 983626623 PORT ANGELES WA 98362 (360) 457 6887 Permit ELECTRICAL ALTER COMMERCIAL Additional desc �v Permit pin number 132183 nj Permit Fee 58 00 Plan Check Fee 00 Issue Date 8/15/08 Valuation 0 Expiration Date 2/11/09 Qty Unit Charge Per Extension 1 00 58 0000 ECH EL COMM ALT <5 CIRCUITS 58 00 Fee summary Charged Paid Credited Due Permit Fee Total 58 00 58 00 00 00 ( �I Plan Check Total 00 00 00 00 Grand Total 58 00 58 00 00 00 SPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH - IN FINAL COMMENTS : 1 PPEPaRED Bit /0B 47 31 IN-PECTION TIr':ET PAG=' 4 I��.p ST i. S� !� SUED TENANT NBR Rti RCIS� CONTRACTOR PHONE OWNER VERNON D PETERS PHONE (360) 477 1053 PARCEL 06 30 00 0 1 6715 0000 APPL NUMBER 0800000962 COMM REMODEL -- --- - ---- -- --- PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 8/13/08 BLDG FRAMING August 13 2008 8 09 22 AM pbarthol VERN 477 1053 COMMENTS AND NOTES 08 - 962 PORT ANGELES FIRE DEPARTMENT PLAN REVIEW Project Name Jazzercise TI Address 128 East 5th Plan# 08-28 Com ® Residential ❑ Date 8.20.2008 We have checked this plan and find that it conforms to the requirements of our codes and ordinances. 1) Maximum occupancy for the jazzercise studio will be 33 persons. 2) Division of the existing space in this way will likely limit the utility of the remaining unoccupied space unless additional exiting is provided. 3) A 2A-1013C fire extinguisher must be provided and mounted. Optimum location is adjacent to the exit. 4) Minimum 6" address numbers must be provided. Numbers must be readily visible and of contrasting color NOTE Prior to the issuance of a Certificate of Occupancy, compliance with the above conditions must be met. Reviewed by- Date 8 zo 016 ® Building Department Copy ❑ Contractor/ Owner Copy ❑ Fire Department Copy DoE ^FN CITY OF PORT ANGELES /�� DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION �' 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 08 00000962 Date 8/29/08 Application pin number 913800 Property Address 128 E 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Tenant nbr name JAZZERCISE � � ~ Application type description COMM REMODEL ct Subdivision NameLN ` D Property Use15 Property Zoning COMMUNITY SHOPPING DISTR Application valuation 3000 C 7 1 Application desc (ry'S % S ADD A PARTITION WALL & CHANGE AN EXTERIOR DOOR Owner Contractor `(�� OP VERNON D PETERS OWNER �/� o� PO BOX 2461 V PORT ANGELES WA 983620315 (360) 477 1053 Structure Information 000 000 ADD PARTITION WALL /CHANGE EXTR DOOR Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI WALL & DOOR CHANGES Permit pin number 131789 Permit Fee 109 75 Plan Check Fee 71 34 Issue Date 8/07/08 Valuation 3000 Expiration Date 2/09/09 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL-2001 25K (14 PER K) 14 00 Special Notes and Comments August 29 2008 10 42 37 AM tdahlqui Electrical Permit Required August 20 2008 12 36 09 PM kdubuc 1) Maximum occupancy for the jazzercise studio will be 33 persons 2) Division of the existing space in this way will likely limit the utility of the remaining unoccupied space unless additional exiting is provided 1 3) A 2A 1OBC fire extinguisher must be provided and12 mounted Optimum location is adjacent to the exit 1/ 4) Minimum 6 address numbers must be provided Numbers must be readily visible and of contrasting color Q August 28 2008 3 27 46 PM sroberds The proposal will result in the division of a previously occupied single use to a two occupant structure On site 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 c VN-R I e- OYI -; k Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Bwlding Permit(05/13/08).%vpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT It's SEPA. PARK]NG/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DL-PT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 'v 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 08 00000962 Date 8/29/08 Application pin number 913800 Special Notes and Comments pkg is provided to meet pkg needs as proposed for a Jazzercise studio August 29 2008 10 39 29 AM tdahlqui Electrical Permit Required Public Works Utility Engineering has no requirements for this plan review August 26 2008 10 30 43 AM rbecker Is there anything going into the jazzerise studio that will require a backflow assembly heat pump fire system ect ? If you have any question call Ron Becker at 417 4886 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 71 34 71 34 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 185 59 185 59 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 forms/Building Divisioni[3uilding Permit(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD C� CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS p4 CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE �.p INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING (� FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) ^ T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEATPUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 11's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING �Vn CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00000962 Date 8/07/08 Application pin number 913800 Property Address 128 E 5TH ST 1xk ASSESSOR PARCEL NUMBER 06 30 00 0 1 6715 0000 Tenant nbr name JAZZERCISEQ Application type description COMM REMODEL V Subdivision Name Property Usej� V" Property Zoning COMMUNITY SHOPPING DISTR Application valuation 3000 V Application desc ADD A PARTITION WALL & CHANGE AN EXTERIOR DOOR Owner Contractor VERNON D PETERS OWNER PO BOX 2461 PORT ANGELES WA 983620315 (360) 477 1053 Structure Information 000 000 ADD PARTITION WALL /CHANGE EXTR DOOR Construction Type UNKNOWN Occupancy Type BUSINESS OFF/PRO/MED/REST Permit BUILDING PERMIT COMMERCIAL Additional desc TI WALL & DOOR CHANGES Permit pin number 131789 Permit Fee 109 75 Plan Check Fee 71 34 Issue Date 8/07/08 Valuation 3000 Expiration Date 2/03/09 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL-2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 109 75 109 75 00 00 Plan Check Total 71 34 71 34 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 185 59 185 59 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 mance of construction '7 G� lJ�✓ n � %Y ,v -7 D to Print Name Signature of Contractor or Authorized Agent Signature of Ow owner is builder) "r Forms/Building Division/Budding Permit(05/13/08).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS ) PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL n�— WALLS CEILING r 11 FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS i WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) J� T-BAR v 1 INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE ACCEPTED BY. COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT It's SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 41 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W /PW/ CONSTRUCTION R.W G� ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING v DATE 0 8 -0-7—og C� a,- w°etle wo��'~ 1� TOO 10 QY- a . p pG C] PUBLIC NOR1C8%EnG G DIM p LIGHT DaPBB�aarr r7 E1�GIIxG opl Q POLICE \ 0` Q CrTy CLMM. a� �\ Cq� � Rls�c Marr cin °p FROM PUBLIC NORIKS BUII.DIxG Dlvislox - 5s e, RE: ADDRESS J xmm/c=TAcr �I ear'r� Pte--ek-S PERME: 4-7 7 — 10x3 PERMIT xUIMM R — 9 (o Z— PROJECT DESCRIPzzox:Len&h+ rr)v"we � -- C� a /'tom r a Q c❑ CoNSMCTICS J ATTERA" IoN commm/CoN ONS: 6� Ew�� vxla T7 Fig C)6 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES �,'��0$ For City Use Only Attn Building Permit Technician Date Received Use 321 E. Fifth St. Port Angeles WA 98362 p �C �. Permit# (o (360)417-4815 fax (360) 417-4711p \5 r V Date Approved Applicant or Agent Y, �� qP hone Zco_&/*7 /0 r3 Property Owner OL et f Phone Property Owner's Address Contractor/Engineerro + -er Phone Contractor/Engineer's Address License # Expires WtkAS GZ eSs PROJECT ADDRESS Parcel Number Lot Zoning Project Type & Brief Description. ❑ Residential -Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction Ad) 0,.r4;�;o.-7 1 �loDr. Z; Cc i !i rief ❑ Addition 00,,bbpl -Remodel karl IL.0 IL. A d A oor C. F .oi N ❑ Repair K ❑ Re-roof ❑ Demolition04 v r a r, < K c 33 SA ❑ Heat System ❑ Heat pwjp ❑Wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 15' Floor SoUO .Sam.� 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ QQQ Total footprint of structures DOO sq ft. - Lot size LDOA_'J,, YD sq ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths t 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, andtoo lain permits prior work on projects. DatePrint Name (/.e i^ �I eX Signature T Forms/Building Division/B!dg Permit f, of 2006 Code doc " s `a. �•;, "�n. � AIR; it 1� R� So 7"{r:� „ , �°' � '��`�y ..�,, ``�" ,� �_ �€: - x_ , .+P'c5�sy'` _ �'?'» �x„ P �;- -�.� ^yam-, f+T.:S�,=���•�,Yk.'=,v' `�' � �- '•tk _:q � �< .",4i "�`,''} r4,ya � »r a r=te b%" n "`i„ "c F., J ti?`°-..?.�` g .r w�• e b T'i�`�•;.� nT'f3. ,? �° K, �" ���x� �` d� •k Y" �r '{„°g'�. ,.k' �"�: .•Ya,., } - �L`F �B'xc,,t^ i_-: '�r'i� ' ^,y„r!-s. .3'_ _ x r . ;. �F * � e 1 X9'k�� t�j`� •T ��; 44 2 Vim_ '� Awl, -, - ���� bye , Y'�F��' x 3.. ."Yn ri° r~ � t+' ,ref sta ? sk". = r 'tT--e k.- ,� �.' ., �s=�"'• `� a�. ,e,✓y�s�. ```���---��� ki ";fir q;�',..;-,'f���%r�-. ,�• �'t,�+, _ft N r. "•P” a.s �"�,f� e�,.J,',f )yY�,5.Yy�._ �'� d� F�' } L �-"�F,�Y"�€ •:%�'.r5'.i-F `§ 5�.�i'[. L.,�'i��?� -t1 ' ��`:s. '��=9. :,�,',� — "fc�.':k�� �r�`f '° "„�•,< ' ,m�i`�=- :''► 'syr,.,} '�`��.a���t��"' .�,r�3j. *�;' - °,°�• .�'",�;<. �� t�"`��` _ ? �Y.�, -�:�;�3a.;a_�_.�r;:�tis., rrc,.'•' f F3r�`�;k:, ", �?�' ;�.="'2; r_a s f €�-;�,F�`'-.�:,Y-�' _ .��+�.`� . {� """3 'a 'n,'� .;°` �� ",=",.,c:u:��- s;" , '�•'g "- ""��� •,tfi �x:�.:s`.{�.y.�'�'j�." -;*�����'e ��Y ��' '^ti`='•�`}�' ■■ ■■r n■Or■■■S�■■Srr■rr■r■ Or■i■■■■S _ ■ ■■■■SOS■■■N■■■■■■OO■■■■■■■■NODS ■■ .. ■■ ■NN■■■■OESL r■N■■■■■■O■■■■■N■■■■ ■ ■■■ ■■■■■m SSSS■■■Nr■■■■■■r■OS■■O■ ■ ■■ � ■■■ ■ NINE r■O ■■ ■■ - ,� ■■■■■■■■■■■■■■■■■ SOON■ ■■■■H■ S■r■N■■■■■■■■■■■■SSSS ■O■■■■■ ■■NS ; r-mrom■� , �■t■ ■■r■■■■■■■■■■■N■■ ■NN■ ■N ■■■� r. s r!�r rR:r �i ■r■■■■■■■■■rN■ ■ ■ �� � NONE■■ N■r ■ IN■ mom NONE momN ■■ ■ ■r■■r■ ■ ■■\t ■■■r■ ■r mom No O■■■rr■■■■r■■■■ ■■■S■■ r ■ ; ,, , ;: r■� O■ ■O OSrr■■O■S■ ■ _�:E 'rr■■■r rrr � irS■ rrr■i Sol ■ ;O ..rrr�S�■ rr■■■■■rO■ rO r rr■S � ■ � s r■ON■S■OEM rNo No No ■■ ■r ■O � ■■■ rSO■ rrr■■rr OSr■S■ ■■ No ■ ■ ■ ■■ rr■ S ■ I ■;■■■■r ■■■ ■■■ rOS■■■SO■ ■■■■ No ■N ■ ��0� O rr■r■;rS SSSS■ ri■Sr N�■r ■ ■r ■ ■ 6 '11 CTTY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5THSTREET, PORT ANGELES,WA 45362 ISSUED: 25f2002 PERMIT NO: 13741 NEIVAIPiPLICANT PROPERTY LOCATION A.STATE LIQUOR STORE 12$ STH 3T E Lot: Port Arabes,WA WM Block: 168 L40ng Legal , 2000-,=0 Subdivision: TPA T: S Parcel Flo: CONTRACTOR ARCIfTECT - WESSEL CONSTRUCTION NIA P.C . BOX 1514 Part Angeles,WA gS 00® /457-8544 0000x0000 PROJECT INFO Project Value: $11,875.00 SFD Units: 0 Commercial Pi ct Type: RE-ROOF SFD SG FT: 0 Industrial: 0 '.w. Ods'► Type: COMMERCIAL Garage: 0 Occupancy Groff: MFD Units., 0 Constnac tion Type MF©SO FT: 0 Zoning Use., CSD -PROJECT NOTES OVERLAY ONE LAYER WITH GRANULATED I ECEIPT#9722 FEES ASSESSMENT Building Permit: $209-25 Misc Fee 1: $0.00 Pian Check: $0.00 Misc Fee 2: $0.00 Stere Surcharge:- $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home'. $0.00 Sign: $0.00 TOTAL FEE: $213.75 loliumbing: $0.00 AMOUNT PAID: $213.75 Meohanicat $0.00 Radom", $0.00 BALANCE DUE. $0.i)0 Separate Permits are'required for electricai work,SEPA,Shoreline,ESA,[utilities,private and public improvements.This permit bec*mas mall and void if work or construction authorized is not commenced within 180 days,9 construction or work is suspended or abandoned'' for a period of 1$0 days after the work as commenced,or if required inspections have not been requested within 180 days from the last' Inspection. 1 hereby certify that i have read and examined this application and know the some to The true and correct. All provisions of lam and ordinances governing this type of work will be compiled with whether specified herein or not The granting of a permit does not presume to g ve authority to violate or cancel the provisions of any state or local lave regulating construction or the performance of construction, Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date TAPLLAWN4a41 oR1 V 102.15 l ot¢2] BUILDINGPEPMUMSPEMON RECORD CALL 417-4$15 IOP,BUILDING INSP CTIONS. isL.EASE+PR©VIIDB:A MINIMUM 24 HOUR NOTICE., 'IS-MAK,M Tf! OR.'' INSULATE ON CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTEA POST PERMIT IN A CO LOCATION. N. KEEP PERMIT''CARD ANIS APPRovEID PLANS AT JOB SITE INSI'ItCTi(IN T�°PE HA9"E ACCEPTFIf bizNTB T NO FOUNDATION: ?QTII 1� , . WALLS P(9UMATION DRAINAGE EL> TfMALi (LI MT&SEPT) SEPARATE PERMIT:# 5 ROMH-IN Y. PLU1N$ING ERFLOMI SLATA WATL'R UAE .` CTAS LTNE &*XK FL+ W I WAT14R AM SEAL _ WALLS town I OWE" SNEAK WALL VWALLS)R OF I CEI M DEWWALL T-BAR 114SULATIt I SLAB WALL 9 FLOOK1 CEIt MECHANICAL MAT PLfI V ..1. WOOD STOVE I PE( rr f Cmww. NOO D l Dt1G TS ,s M UMITIES 1$ITE"ItV. (8g %Division) SEPARATE PERTm#'s A WATERMe l I T S 311WER CONNECTIff v SANITARY PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PA I£IN(rf[.IT K11NOEA: LAfi"CAPING SHORELINE: FINAL,INSPWCTIONSP REQUIRE OIK TO OC:V,11 ANC�7Cr$E �1T3ENYIAL 1tATE 7Jlis NO ,,., COMh#SRCIAL. SAT . ACEI#P b. -yjcs pp ELE(TRIcAL'-lJ RT D 417-ME V 'DE": ilk SER N ;i R. '.1 pail 419-4807 -- FIRE 417-0$3 FIRE Dar. PLA3+�+AI ODOT. PLANNMI010T. we " �IIIIi 417-'IST OUILUING TAPLAItNIN : I M2.15 h) CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street v Port Angeles, WA 98362 o Tdt (206) 457-0411 PERMIT NO. LIG DATE ELECTRICAL PERMIT Site Address: y s ❑ READY FOR ElWILL CALL FOR S INSPECTION INSPECTION Installed By: License Number: Phone: Owner/Business: �. Phone: Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL ElFAN/WALL KW ADD/ALTER CIRCUITS VOLTAGE: SERVICE UPGRADE/REPAIR ❑ 1 ❑ 3 SERVICE SIZE AMPS ❑ TEMPORARY SERVICE, FEEDER SIZE AMPS Details/Description: W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. 4^—// Rough-in/cover O.K. lA� ❑ O.K. to connect service / JA*FinalO.K. /1/ Site Address: Permit/Receipt No. Installer: New Meters Date Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered before inspection and 0.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT O EleclAcal Ins ector Permit Fee I WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall /I OLYMPIC PRINTERS INC. OF PORT qNC �Q�,FN CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street v Port Angeles, WA 98362 o,TOt -0411 S(206) 457 . G DATE ELECTRICAL PERMIT Site Address: /,;Z(? r ElREADY FOR [I WILL CALL FOR C INSPECTION INSPECTION Installed By: f License Number: Phone: Owner/Business: � Phone: �i Owner/Business Address: Sq. Ft. ELECTRIC HEAT ❑ RESIDENTIAL ❑ RISER ❑ BASEBOARD KW ❑ COMMERCIAL ❑ OVERHEAD SERVICE ❑ FURNACE KW ❑ NEW CONSTRUCTION ❑ UNDERGROUND SERVICE ❑ HEAT PUMP KW ❑ REMODEL VOLTAGE: ❑ FAN/WALL KW ❑ ADD/ALTER CIRCUITS ❑ 1 El 3 11 SERVICE UPGRADE/REPAIR SERVICE SIZE AMPS ❑ TEMPORARY SERVICE / FEEDERSIZEAMPS Details/Description: y// AJ a'4/ 1 z / X'1) l W.S. No. SERVICE SIZE DATE ENGR. CAPACITY: ❑ O.K. ❑ NOT O.K. ❑ OVERHEAD SERVICE APPROVED ACTION REQUIRED: ❑ CHANGE TRANSFORMER ❑ CHANGE SERVICE WIRE ❑ INSTALL SERVICE POLE ❑ OTHER ❑ Ditch Inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service �§Final O.K. Site Address: Permit/Re�c�ei-p�tr�No. Installer: New Meters �. Date: S Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection.Work must not be covered before inspection and O.K.for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buil g Permit. PHONE 457-0411, EXT. 224. [J/✓j NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Electrical Inspector Permit Fee WHITE—File by address PINK—Top:Eng,Bottom,Customer GREEN—Top:Meter Dept.,Bottom:City Hall OLYMPIC PRINTERS INC. OF PORT 4NC CITY OF PORT ANGELES iwr`y LIGHT DEPARTMENT PERMIT NO. 407 7 �a8 A f ELECTRICAL PERMIT DATE 5/70 G� Site Address: / ��� ❑ READY FOR ❑ WILL CALL FOR INSPECTION INSPECTION Installed By: // License Number: Phone: o GG �• OwneriBusiness: Phone: Owner/Business Address: Sq. Ft. ❑ Residential ❑ New Construction ❑ Overhead Heat KW ❑ Remodel ❑ Underground ❑ Baseboard ❑ Furnace/Boiler ❑ Service updatelalter/repair Voltage ❑ Heatpump ❑ Other ❑ 10 ❑ 30 ❑ Commercial/Industrial load XAdd/alter circuits Service size 10e Amps Total Connected load ❑ Auxiliary power ❑ Temporary (attach breakdown) (list below) Total Motor load ❑ Special equipment (attach breakdown) (list below) Details/Description:- 114 , etails/Description: 4 , W.S. No. Service Size-Date-Hold for: ❑ Easement ❑ Letter Capacity: ❑ O.K. ❑ Not O.K. Comments ❑ Ditch inspection O.K. ❑ Signed up for service/meter ❑ Rough-in/cover O.K. ❑ Meter Department notified for installation ❑ O.K. to connect service ❑ Fire Department notified of inspection k,dr! Final O.K. ❑ Plan Review approved/pending ( lN"` Site Address: Permit/Receipt No. Installer: New Meters Date: D Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224. '\ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT (' Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top:Eng,Bottom:Customer GREEN—Top:Inspector,Bottom:City Hall ELECTRICAL INSPECTION WIRING REPORT 4 N` ®`SW 417-4735 wCflN56J DATE PERMITp INSPECTOR 5 bg © —C) I OWNER/CONTRACTOR ' S ADDRESS APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS.INC.(360)452-1381 FROM : BOB'S Electric FAX R LS C fE4 *e93 Aug. 14 2008 08:41AM• P1 AUG 1 4 2008 UQHTDEPT CTRICALWORICPERMITAPPLICATION InsWIlon Commercial tion ^ Jab wired by [�E1eMrlcel Contractor ❑Owner ❑ Commeraal 0 Restdeatial i EI tric Ilcont r name License number Date'Eapires 0 New ❑Altered/Addition O Pttrcuet's 31ing o C' Slate ZIP Te one numbc FAX number ((', Premisyye�ir};%r -er's came \J\/ /�LIL'�'� il a,ddr¢ss of :espeet—F clt�� 7 Li+/ �C a cL Phone numb to ached a tnspee on: Owner m defined by RCW.19.Z8.26l:f1) Owner will occupy rhe strucrare Jor IWO yoo s afW this dsuricat peradl is finalized (2)Owner is reguircJ ro hire an elecwicar comracwr ifalww said properry&Jar sale,rear or lease 0 Cmb 0 Geek A After reading the above starement,I hereby eeniN that i am the owner of the above "mod property or a licensed electrical eoutracmr. I am making the electrical instal- gC4edit Card Visa Mastercard Discover lation of alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.25,WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and CardN Utility Specifications. q1t3p.q. of owner,electrical cootraetor or electrical admlalt[rator Expiration Date Inspection fee OP' Date: -0 of cud D $ Elecilricail Load Additions and c, 7subtraqtiona Service Info®ation 0 NO LOAD CHANGES 0 Baseboard _KW Voltage 0 Furnace _KW ❑ Overhead Sarviee Phrase 0 1 0 3 0 Heat Pump _Ton.LAR ❑ Temp Service Service Size: 0 Fen-Wall _KW 0 Underground Service Feeder Size: SAME, DAY INSPECTION. CALL BEFORE 7:00 AM 360-4174735 e�i� UQI-IN THERMOSTAT SERVICE D.ve ppprevm tly Dvrc n".a ayMNAL nrrcltt A Dpro pprq.el By Dels 4ppm+eC tly Inspection Area,Building or Equipment Inspected Action Taken Electrical Date Inspector R 8 b �fl I f L