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Home My WebLink About213 E 8th St - Building1 CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This certificate is issuedpursuant 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 ,v.L 4 Business name :Calvary'Chape`f_Po.rt Angeles Business address .218 St. `S;uites A .B Property owner David Janet `.Erickson Property owner s:,address 144 Thornp.son:;Rd :Port Angeles WA:98363 -9740 Automatic fire sprinkler system. Not required Use occupancy classification. Asserribly Building permit number 10 1.256 Occupant load. Per,2009 'IB'C Tab`Ie; Type o construction. VB` y 09/13/11 S`ue,Rol er s;.Ple ningManager Date Post on the premises in a conspicuous place. "This- certificate.,shall riot be removed except by the Building Official. 9 is-u Alongside the building, there are 14 spaces for parking, plus an additional 2 spaces behind for a total of 16 spaces. We have an agreement with Buzi Bee Daycare that we can use their parking lot (about 16 more spaces) on Sunday mornings, as needed. The only other time that we have need of parking, other than occasional Saturdays or special events (there is activities on Saturday morning regularly but are finished by 11 am) is on Wednesday evenings. Since last November when we moved in there has not been a problem with not enough parking for us or the restaurant on Wednesdays. There is also (I know it is not official parking, but they are clearly marked parking spaces) 840 parking spaces along 8 street on the side of the road alongside of the church. 4idt' tl 4 °,60 `y t2 8 Parking Plan for Calvary Chapel 213 E. 8 St. (Suite A B) FECEHEI auc t s zon CITY OF PORT ANGELES Dept. of Community Development FIRE DEPARTMENT phone 417 -4653 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK b Check one New business in P.A. Change of ownership only? Moving location from within P.A.? Zoning BUSINESS NAME (JAN/as( C-L De' i vr+ )4 e)ee.s Business address Dr's 6. fc s4 s ;k3 44 Mailing address f Six B36,,Z Phone number 5 a t 0 L Opening date II/ 1 Days hours of operation S invtdcv c r o i Business owners name Gh1.4.r i l i 1 t r h i'a54-vir Contact phone 3 (go 32e) 1 c Business owner's address 14/3 s� U Adr t 1, -,,4' es. w4 '8 3& Brief description of business L).11,(Arr L, v✓ed Cc> g Cat_ 9 1 F r r Property owner's name Dc„te. dr>c k Sail Contact phone X08 1 Property owner's address /contact 0-105on tier J /we), frill q ic36 r Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes No X BUILDING DEPARTMENT phone 417 4815 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 /q Changes to a fire sprinkler system or fire alarm system? Yes No f Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business`' Is business moving within the PBIA? Yes No CITY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No CX Will there be dancing at this business? Yes No X A City of Port Angeles Business License is required for Taxi Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance and Tattoo Businesses. Page 1 of 2 Fire approval by on FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations PBIA notified on City Clerk approval by on Permit 17 (0 COMMUNITY ECONOMIC DEVELOPMENT phone 417 4750 Number of off street parking spaces available for employees and customers? L (A parking plan may be required.) Signs? (wall- mounted, freestanding projecting, awning A -frame etc Signs planned C� rnr2 L I k S w 006 1 of a 13Av►vrerS n1a.je h1 re S iCAh PLEASE NOTE NO flashing intermittent, or chasing signs are permitted in the City of Port Angeles. 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 Work planned PUBLIC WORKS WASTEWATER phone 417 4845 Date 10I 7010 Print Name Avld1r eLA) 14cL T \Furn ,B iding Division \Certificate of Occupancy Application (2010). lc 5 r N vl Q2S�t =ts arH PQV`rv\l' et.!)OI c,'-(40n I Page 2 of 2 Signature CED approval by fi_P u l PWE approval by PWW approval by 1,--a3/1/ on SZE,1 t10�_J. on 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 1 acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge Incorrect information. may result in revocation of permit ffe' eie 171- skod N J I kt 14-k --c S IF` AuG 19 20 RT ANGELS ,t Dept PO RI' Developm 1 P RTANGELES W A S H I N G T O N U S A Community Economic Development Department August 12, 2011 Mr Andre McLarty Calvary Chapel P O Box 537 Port Angeles, WA 98362 RE 243 East 8th Street Calvary Chapel Dear Mr McLarty On October 28, 2010, you submitted a Certificate of Occupancy for occupancy of 213 E. 8 Street, Suites A and B, Port Angeles. Over the past 10 months since that C of 0 was submitted, City staff have tried to help you address the parking issue which remains unresolved. To date, we still do not have _either a parking agreement or an operational plan that would indicate that one is not necessary The occupancy may not continue if this issue is not resolved. Our mtent was to work with you and the property owner, but those efforts have not been returned. Following is a history of those contacts 11 -08 -10 David Erickson (property owner-) was contacted and told that a parking plan showing how the parking will operationally work on site with other active business was required prior to the intended Church occupancy Mr Erickson was told that a parking agreement could be used but an operational plan is needed. 12 -06 -10 David Erickson was again phoned. He said he had an agreement with. the Buzi Bee daycare for parking, and that he would provide a copy to the City 06 -23 -11 An unknown man delivered a parking agreement dated 11 -12 -10 from Kathy Hubbard Buzi Bee Day Care. 06 -23 -11 Kathy Hubbard at Buzi Bee Day Care was contacted for clarification regarding the parking agreement. She stated she only agreed to let the church owner park on her property for one month, and doesn't want a long -term parking agreement. Phone 360- 417 -4750 Fax 360- 417 -4711 Website www cityofpa.us Email smartgrowth @cityofpa.us q91 Fact Fifth Street P 0 -Box 1150 Port Angeles. WA 98362 -0217 06 -23 -11 You were phoned.and told of the need to provide an operational plan that would indicate -there :no conflict with other uses on the site You said you would provide an operational parking plan m a couple of day. 08-03 -11 No- 'operational, plan has been received yet. From the above .information, you- can'see-that it is apparent the' City has/tried to work with the property owner in this matter to .enable continued occupancy ofthe •space Technically, structure cannot.be.occupied ;without avand certificate of occupancy You do not have one. Please .provide the -requested operational plan immediately that indicates_ no conflict of operation. with. other businesses during operationalhours. for the church :use .so that we can issue :the Cof 0 and brIngthe site.imto.compliance with building,.regulations. If have any questions with this reformation,, please contact this'off ceimmediately Sincerely; Sue Roberds Plannmg Manager Cc Dave .Erickson, building owner t Linda Pangrle From Sue Roberds Sent: Wednesday August 03 2011 4 04 PM To Linda Pangrle Subject: RE. Question about the unissued C of 0 #10 -1256 for the Calvary Chapel Port Angeles (they applied for their C of 0 over 9 months ago) I II send them a letter letting them know they need to comply or vacate maybe they II take more notice than your politically correct approach. Thank you, as always, for the follow up Sue From Linda Pangrle Sent: Wednesday, August 03, 2011 3 32 PM To: Sue Roberds Subject: Question about the unissued C of 0 #10 -1256 for the Calvary Chapel Port Angeles (they applied for their C of 0 over 9 months ago) Hi Sue, On 10 -28 -10 Andrew McLarty (pastor of the Calvary Chapel PA) submitted a C of 0 application to occupy 213 E 8th St. Suites A B I've contacted the pastor the property owner several times requesting a parking plan (that you requested) We still haven't received an approved parking plan Here is a history of my contacting them. 11 -08 -10 I phoned the property owner David Erickson, at 808 -9919 and told him you want a parking plan showing how the parking will operationally work. I mentioned that you suggested he might get a parking agreement with Buzi Bee Day Care located east of the church 12 -06 -10 I phoned David Erickson again He said he got an agreement with the daycare for parking, and he II provide us with the written agreement. 06 -16 -11 I left David a phone message 06 -23 -11 An unknown man delivered a parking agreement dated 11 12 10 from Kathy Hubbard Buzi Bee Day Care 06 -23 -11 I phoned Kathy Hubbard at Buzi Bee Day Care for clarification regarding the parking agreement. She stated she only agreed to let the church owner park on her property for one month, and doesn't want a long term parking agreement. 06 -23 -11 I showed you the letter and you stated you still need an operational parking plan from the church owner stating how many parking spaces are needed at each of the various times they meet. You mentioned you are especially concerned about Wednesday night meetings 06 -23 -11 I phoned Andrew (the pastor) at 504 2106 and told him your request. He stated he II being in an operational parking plan in a couple of days. 08 -03 -11 No operational plan has been received yet. How do you want to proceed to obtain the requested operational parking plan, so we can issue the C of 0? 1 .T Thanks, r Linda 2 Permit# I( t2-6 r 6-Z3-11 ma" ciaSinrefuLek c l i ves aA tzumedy d I) J -(2 -10 Tiro Ka. Ru 10. batik vzt OeR__ 602Calse (Seed h, nc'Ties colt set e C a4 s tx) i4-L ne, s a& a o dal n p Qec.-. �-j C)+(v) 1) p.rkivi ?p L a In `kr-O vvi Gi r°, Gku -e k 0 ef^. S �y� I J hgi„) w‘a L P a k sP ,S c each 8f-'-�-h Vahou- 4 hoes .-tPA e,u mPP4 S h e, i s P,io i oil t, cornc'.c)rry J (tin U vi- W ('mil AZ a Vv-t- .T X•e i(l°_GPJi VL° s a V (poor k to 4 c J V J --Hnp c1r, uvc,11 LA..) i l\ 1 n aV 2 4 V Ke r-4h ear 0 ar cn a a. rvz, n c 5h .0-- w OLYN±S a wPc:i1 e n 0POrrAi io1 a( r P /A hK V1 fc J lr, -23 -II S a(3„tte.A. AnArow at 5oLj avid --o va k 1 IM v 8 e.s GloesrA-wart P a f Kin 5 U S an QQJr :W.on raay e T Fonns /Building Division/Notes f• s e K 5 e le l ()An t to NOTES -2-166 ckliteA oLovve),-.) 55 P_2tr�2h� Qhyrmt-e. oust-usmq Sake ‘r\e 1) bY J a Coo Q exy 12 7/2010 Linda Pan rle Re C of O that still need approvals Page 1 From Sue Roberds To: Linda Pangrle Date: 12/6/2010 5 26 PM Subject: Re C of 0 Applications that still need approvals I haven't heard from Calvary Chapel. PW &U was to work with Mr Devoney to provide a better site plan. The last I knew, Jeremy was working with them as well as Roger but they weren't ready to sign off I did sign off on this one. Linda Sue ■2-12_01 kA;k-kh 0 .1-6-a" 110 tpoik N e- +0-i 4 tiny. cDwoiA o c.+0 `T aawn y s cu;c1 611 Ca1■ per' o vt wlla± s 0644 E (12/6/ Linda Pangrle C of O Applications that still need approvals Page 1 From: Linda Pangrle To: Sue Roberds Date* 12/6/2010 4 48 PM Subject: C of 0 Applications that still need approvals Hi Sue These two C of 0 applications are still in need of approvals The first one just needs your approval The second one needs both Roger's and your approval 10 -1256 Calvary Chapel Port Angeles 213 E 8th St Stes A B On 11/08/10 I called and talked with Dave Erickson (808 -9919) and told him you need a letter about parking (how it will operationally work etc) Did you receive the letter yet? Would this be something to discuss with Eric at your Tuesday meeting? Thanks Linda 10 -834 Ginger Ginseng 1012 W 15th St On 10 -26 -10 the business owner Michael DeVoney (808 -5605) said he d submit a parking lot waiver request to the Engineering Dept Has he done that yet? I haven t received anything from him have you? 1 November 12, 2010 To whom it may concern My name is Kathy and I am the owner of the Buzi Bee Daycare facility located on the corner of Chase and 8th streets in Port Angeles (716 S Chase St.) We have a parking lot that will hold 18 cars The purpose of this document is to allow Calvary Chapel Port Angeles (213 E 8th St.) the use of our parking lot for their needs as a church here in Port Angeles. Sincerely Kathy f et a a jk;y3 ate..Q.JYY4.1 c/.4 —23 -I RECEIVED CioRcu'M Cerwy wA-@)-4Atz, JUN 2 3 2011 0/4 unrA 4ha., eul rvA 4o C BUILDING VISION S IG►� (wet Ka 6uzi i1RJe Cam. 6 H P 5V 1 1/2- 04- (WA) 20 10) 61/%4- uthn- CertAa ?can, )XefiR, 8et, tv■Aha IAA rt G am- 5- �s a .Q'a' -4eRmi CAA J Clallam County Assessor Treasurer Property Details 58015 KEVIN L HANSON for Page 1 of 3 Clallam County Assessor Treasurer Property Search Results 58015 KEVIN L HANSON for Year 2011 2012 Property Account Property ID Geographic ID Type: Tax Area: Open Space: PA 121 PORT ST CNTY H2 L WMP Land Use Code DFL Historic Property N Remodel Property Multi- Family Redevelopment: N Township: Location Range: Address: 716 S CHASE ST PORT ANGELES WA Neighborhood: Neighborhood CD Owner Name. Mailing Address: Owner Name: Mailing Address: 12010 1 2010 2010 2010 2010 2010 2010 40991 40991 40991 40991 40991 40991 40991 58015 Amount Due if Paid on. E_ 0630000230850000 Real 0010 N Cycle 5 Comm 20953140 Taxes and Assessment Details KEVIN L HANSON 819SGST PORT ANGELES, WA 98362 Property Tax Information as of 06/23/2011 Year Statement ID Taxing Jurisdiction 2011 152700 ST SCH STATE SCHOOL 2011 152700 2011 152700 2011 152700 2011 152700 2011 152700 2011 152700 2011 152700 2011 152700 1 2011 152700 �0. KEVIN L HANSON 819 S G ST PORT ANGELES, WA 98362 \,v) Legal Description: Agent Code: Section: Mapsco: Map ID Owner ID 28982 Ownership. 100 0000000000% Exemptions. Owner ID 28982 Ownership: 100.0000000000% Exemptions: 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 First Half Base Amt. $440.86 CC -GEN COUNTY CLALLAM $243.39 SD #121 SCHOOL DISTRICT #121 $576.28 CITY PORT ANG CITY OF PORT ANGELES $561.83 PORT PORT OF PORT ANGELES $34.26 NTH OLY LIB NORTH OLYMPIC LIBRARY $102.07 HOSP #2 HOSPITAL #2 $99 91 WSMET PK DIST WILLIAM SHORE MET PARK DIST $30.37 CITY_STORMWATER CITY STORMWATER W EED_CONTROL WEED CONTROL 2011 152700 TOTAL. ST SCH STATE SCHOOL COUNTY CLALLAM SD #121 SCHOOL DISTRICT #121 CITY PORT ANG CITY OF PORT ANGELES PORT PORT OF PORT ANGELES NTH OLY LIB NORTH OLYMPIC LIBRARY HOSP #2 HOSPITAL #2 LOTS 17 18 BLOCK 230 68 V n ,.D. N `ty ).)(1; L 4\1 2 Second Half Base Amt. Penalty Interest Base Paid Amount Due $440.85 $0.00 $0.00 $440.86 $440.85 $243.35 $0.00 $0 00 $243.39 $243.35 $576.26 $0 00 $0.00 $576.28 $576.26 $561.83 $0.00 $0.00 $561.83 $561.83 $34.25 $0.00 $0.00 $34.26 $34.25 $102.06 $0.00 $0.00 $102.07 $102.06 $99.90 $0.00 $0 00 $99 91 $99 90 $30.36 $0.00 $0.00 $30.37 $30.36 $119.21 $119.21 $0 00 $0.00 $119.21 $119.21 $0.82 $0.81 $0.00 $0 00 $0.82 $0.81 $2209.00 $2208.88 $0.00 $0.00 $2209.00 $2208.88 $451.80 $451 79 $0.00 $0.00 $903.59 $0.00 44 $240 4$240 42 $0.00 $0.00 $480.8_6 $0.00! $585.20 $585 19 $0.00 $0.00 $1170.39 $0 00 $556.66 $556.68 $0.00 $0.00 $1113.34 $0.00 $33.79 $33 79_ $0.00 $0.00 $67.58 $0.00 $69.86 $69 87 $0.00 $0.00 $139 73 $0.00 $98.63 $98.63 $0.00 $0.00 $197.26 $0.00 http. /websrv8 clallam. net propertyaccess /Property.aspx ?cid =0 &year= 2011 &prop_id =58015 6/23/2011 Permit 1 N 5 6 N OTES \2Ld sue- _\-2_49.416 soa a C \109 C "Ao fe 1 I 1 r I paw s W: &.12.- bale-A.4-Q T Forms /Building Division otes "g -Jo Jt1\ 4. 1, try- ceav CERTIFICATE OF OCCUPANCY APPLICATION C e)/"N- PLEASE PRINT IN INK n Check one. New business in P.A.? Change of ownership only? Moving location from within P.A.? p Zoning BUSINESS NAME c,e1cs Business address aV3 e. 54, 4a 3 Ma ling address P Sox S ?4 PA. »'4 y B3LQZ Phone number 5 RA Olp Opening.date i lI) ID Days hours of operation S invidGy c, awl )14 Business owner's name A n.ctrekt) 7' t+cr s Contact phone 3 4'0 320 Business owner's address 1~/5 14- -sV at- Ai' ivs r iff Brief description of business Cjiwre t o Wed irxt_ tli�trvr Property owner's name Dave Contact phone gO R 99* I 9 Property owner's address /contact I T tior- iPSoii re,-4- 40400, q $34,3 d BUILDING DEPARTMENT phone 417 -4815 Bldg approval by 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 /q FIRE DEPARTMENT phone 417 4653 CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Changes to a fire sprinkler system or fire alarm system? Yes No Work planned. Square footage of business? Is business moving within the PBIA? Yes No X CITY CLERK phone 417 4634 Second hand dealer /pawnbroker business? Yes No I Will there be dancing at this business? Yes No Xl 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 PBIA (Parking Business Improvement Area Downtown) phone 417 4623 '3 c00, FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Fire approval by on PBIA notified on City Clerk approval by on Permit \O 1 7� on COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? .50 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned NA k✓ 00CI 5 1 A i o,'a Savio rs Work planned. PUBLIC WORKS WASTEWATER phone 417 4845 Qes -t i cove, YYt CA, S 1 P424 cyp i Czt ✓{-t t� Ci,�ce :,A +PeX' i�vtt Y1P ll ll PLEASE NOTE NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. 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 Will waste other than domestic household waste be discharged into the sewer system? Yes No )3J 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 1. have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Date 1 ciZ ;o Print Name Arid fad 1 1 Lt Signature T \Fore i6t. ding Division \Certificate of Occupancy Application (2010) doe Page 2 of 2 CED approval by on PWE approval by g v on j—Z; /0 PWW approval by on tqL Zl PREPARED 11 /01 /10 8 23 18 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11 /01 /10 ADDRESS 213 E 8TH ST SUBDIV TENANT NBR CALVARY CHAPEL PA CONTRACTOR PHONE OWNER DAVID AND JANET ERICKSON PHONE' (360) 809 9919 PARCEL 06 30 00 0 2 3068 0000 APPL NUMBER 10 00001256 CO CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 11 /01 /10 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 10/28/10 TIME 16 53 08 October 28 2010 4 52 05 PM 1pangrle ANDREW 320 3999 C OF 0 FINAL CALVARY CHAPEL AFTERNOON COMMENTS AND NOTES 1 Check one PLEASE PRINT IN INK New business in P.A. 'n Change of ownership only? Moving location from within P.A.? Zoning BUSINESS NAME in/a701. ATOP.\ �er+ QQ)a✓S Business address c� \3 Ci si SK ;1�5 Aa t3 Ma ling address P 9• &ox 574 PA. WAS 8336, Phone number 5 09 RA Ole Opening date t /10 Days hours of operation .5 IA yid &v aw4 I Business owner's name 44 /11.4/ Yt cijor'ty∎ ‘ea-s Contact phone 3(eo 320 S I M Business owner's address a 1 5 sv- "'Ott A,ie'Its 14/4 9'83 a R- „tic Brief description of business G) uxtiL, Wed C>? 8 Property owner's name °cote c Sc' 1 Contact phone e08 11/ Property owner's address /contact 199 illorigoo t�� e)e) v64 q $3&' -3 BUILDING DEPARTMENT phone 417 -4815 Is the business a restaurant or bar that will seat 50 or more people? Yes No X 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 Al /A FIRE DEPARTMENT phone 417 4653 Changes to a fire sprinkler system or fire alarm system? Yes No DO Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 4623 Square footage of business? Is business moving within the PBIA? Yes No X CITY CLERK phone 417 -4634 CERTIFICATE OF OCCUPANCY APPLICATION CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (350) 417 -4815 fax (360) 417 -4711 Second -hand dealer /pawnbroker business? Yes No N Will there be dancing at this business? Yes No X A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance Hotel- Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 FEES Certificate Inspection $100 Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by3l,,j on I Fire approval by Kbb on 11 t o PBIA notified e Permit 1 1Z510 City Clerk approval by 51i on 11 3 COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? .50 (A parking plan may be required.) Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned t� 1 0 KAZ k w c�o 5 A vl hreeSTmot d or a 13AnhPrS ocale, k rn cl. s 6 rx PcW rhi-F- P on [1v� i� LIiQ ,cc.A (pe�rc'v�l Y? S PLEASE'NOTE. NO flashing; intermittent, or chasing signs are permitted in the City of Port Angeles Work*planned Date-101100 Print Name Avldlej;) M cbj �4 T' \Forms \fi.. ding Division \Certificate of Occupancy Application,(2DSG).doc 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 Building Department Inspection 417 -4815 Fire Department Inspection,417 -4653 Page 2 of 2 CED approval by PWW approval by A. on' Signature PUBLIC WASTEWATER phone 417 -4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes what will be discharged N Call for_Certificate, of Occubancv inspections BEFORE opening business. PWE approval by KV on Please sign up for utility services at the-cashiers' counter I i 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. Clallam County Assessor Treasurer Property Details 11 DAVID AND JANET ERI Page 1 of 5 I Property Clallam County Assessor Treasurer 58011 DAVID AND JANET ERICKSON for Year 2010 2011 Account Property ID Geographic ID Type Tax Area: PA 121 PORT ST CNTY H2 L Land Use Code Open Space DFL Historic Property' N Remodel Property Multi- Family Redevelopment: N Township Range. Location Address: 213 E EIGHTH ST PORT ANGELES WA 98362 Neighborhood Neighborhood CD Owner Name. Mailing Address: axes and Assessment Details 58011 0630000230680000 Real 0010 N Cycle 5 Comm 20953140 DAVID AND JANET ERICKSON 144 THOMPSON RD PORT ANGELES WA 98363 -9740 Property Tax Information as of 10/28/2010 Amount Due if Paid on E. Year Statement ID Taxing Jurisdiction 12010 40987 ST SCH STATE SCHOOL 2010 40987 CC-GEN COU NTY 1 2010 40987 PORT PORT 2010 40987 PORT ANG PORT ANGELES 2010 40987 SD #121 SCHOOL DISTRICT #121 2010 40987 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 40987 HOSP #2 HOSPITAL #2 2010 40987 WSMET PK DIST WILLIAM SHORE MEf PARK DIST 2010 40987 CITY_STORMWATER CITY STORMWATER 12010 40987 WEED_CONTROL WEED CONTROL 2010 40987 TOTAL. 2009 580112008 ST SCH STATE SCHOOL 1 2009 580112008 CC -GEN COUNTY 1 2009 580112008 PORT PORT 1 2009 580112008 PORT ANG PORT ANGELES 2009 580112008 SD #121 SCHOOL DISTRICT #121 2009 580112008 NTH OLY LIB NORTH OLYMPIC LIBRARY Legal Description LOT 13 BL 230 TPA Agent Code. Section: Mapsco Map ID Owner ID Ownership Exemptions. 65 N N 2 23505 100 0000000000% NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due. First Second I j Half Half Base Base I AmL Amt. j Penalty Interest i Base Paid $371.20 $371 19 $0 00 $0 00 $371.20 $197 55 $197 53 $0 00 $0 00 $197 55 $27 76 $27 77 $0 00 $0 00 $27 76 $457 35 $457 37 $0 00 $0 00 $457 35 $480 79 $480 80 $0 00 $0 00 $480 79 $57 40 $57 40 $0 00 $0 00 $57 40 $81 04 $81 03 $0 00 $0 00 $81 04 $25 78 $25 79 $0 00 $0 00 $25 78 $59 67 $59 67 $0 00 $0 00 $59 67 $082 $0 81 $0 00 $0 00 $0 82 $1759.36 $1759.36 $0.00 $0.00 $1759.36 $433 $433.20 $0 00 $0 00 $866 $219.24 $219.23 $0 00 $0 00 $438 47 $31 05 $31 06 $0 00 $0 00 $62.11 $480 87 $480 87 $0 00 $0 00 $961 74 $535 72 $535 71 $0 00 $0 00 $1071 43 $63 70 $63 70 $0 00 $0 00 $127 40 http. /vpn. clal lam. net: 8084 /propertyaccess/Property. aspx ?cid =0 &year= 2010 &prop_id =5 10/28/2010 p Off- Street Parking Plan Business Name C veer v\ C11 'pe Business Address. a E R S�- SKA-es A (9 0 So (lc A 5 f aces ,`z-, wA.,a)e. )o i-) Property Line K r arty �l3c 1).1 fopi) of a b)c4 it 0 St lo) Pa) A )1 -eY SJCcce .5 a i''lOi- .,%Ftt °5 use c J 512)11\ L�1 5,a z 1 1k LL.' aces s t T Forms /Building Division /off street parking 1 Z 1 S -pa ow+ 5 If you have any questions, please contact Roger Vess in the Public Works Department at (360) 417 -4812 *Bumper stops are required when a parking stall meets a walking area. Show the dimensions of all parking stalls (widths lengths), arrangement of spaces, aisle width, bumper stops (where required the means of ingress and egress, label streets and alleys, etc. Wed even lye uf� u�p K i}} ker 4-lwte5 ,1v- na)eA 5ca P44 r d ZS Qac,e5 (bc4re oeAer aieR n>eM) d '7, t $Pate WALL OR PROPERTY LINES C, i D_ C- X/ L B F A Parking Angle B Stall Layout Width C Stall Layout Depth D Aisle Width h L Stall Length (18.0) W Stall Width (8.5) HANDICAP+S_TALL WIDTHS Consult with Building Official for Current Standards NOTES. FORMULAS. APPROVED BY CITY ENGINEER FILE NAME. PARK /NGLOTDWG C W cos(A L sin(A) D 15 tan [(A /2) sin A)J 7 STANDARD DETAIL DESIGN FORMULAS- X PARALLEL 22=0"* 8' -0" 10=0' 20=-0' \I R 45 17-0' 18' -6" 11' -3' 20' -0" 50 11 -1 18' -6' 12=3' 20' -0' 2.5 55 10' -5' 18' -8' 13 -3' 20 -O' A 60 9 =10' 18-8' 14 -4' 20.0" 65 9' -5" 19=0' 15' -6' 20' -0' 70 9' -1 18' -9' 16 -9' 20' -0' 75 8' -10" 18=8' 18' -0' 20' -O' 90 8'-6' 17=-0' 22 -0' 22' -0" 1 Number of spaces shall be in accordance with Citys off street parking requirements. 2 Handicap parking spaces shall meet City's requirements. 3. Parking area and aisles shall be paved with asphalt or concrete. 4. Spaces shall be delineated by 4' white striping or buttons. 5. Construction shall be, in accordance with City s Clearing, Grading, Filling and Drainage requirements. Catch basins with oil separation 7" are required. 6. Overhangs of 2=6' maximum may be permitted if walkways (3=0' minimum) are not obstructed and curb or fastened curb stops are provided 7 Fire Department may require 20' -0' minimum fire lane when necessary. 8. A site plan (1 =50' or 1 =20') showing all spaces, property fines and dimensions is required for review and approval prior to construction. D ATE 3/1J/09 STANDARD PARKING LOTS PARKING Min Min. MIN. AISLE WIDTH ANGLE STALL STALL WIDTH -DEPTH 1 -Way 2 --Way A B C .D D *ADD 2=0' FOR PARALLEL END SPACES. X= W sin(A) B W /sin(A) R (W /2) sin(A) Z L cos(A) S 2.5 sin(A) PARKING LOT MINIMUM DESIGN REQUIREMENTS PREPARED 4/22/09 8 26 38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/09 ADDRESS 213 E 8TH ST SUBDIV TENANT NBR CURVES CONTRACTOR PENINSULA PRIDE CONST INC PHONE (360) 417 6990 OWNER DAVID JANET ERICKSON PHONE PARCEL 06 30 00 0 2 3068 0000 APPL NUMBER 09 00000117 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 4/22/09 BLDG FINAL IA A/ April 21 2009 10 59 45 AM 1pangrle MARCUS 477 9240 BLDG FINAL SIDING ON THE BUSINESS CURVES COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Place scaffolding along sidewalk Owner ERICKSON DAVID K 144 THOMPSON RD PORT ANGELES Permit Additional Permit pin Permit Fee Issue Date Expiration Date T \Pol icier' 1 102 15 10/08) desc number Qty Unit Charge Per WA 983639740 RIGHT OF WAY SCAFFOLDING RUP #09 02 141416 75 00 2/06/09 8/05/09 Fee summary BASE FEE Special Notes and Comments Scaffolding to be setup taken down daily walking path for pedestrians on sidewalk Permit Fee Total 75 00 75 00 00 Plan Check Total 00 00 00 Grand Total 75 00 75 00 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000128 360704 213 E 8TH ST 06 30 00 0 2 3068 0000 PUBLIC WORKS UTILITES COMMUNITY SHOPPING DISTR 0 RUP #09 02 Contractor Plan Check Fee Valuation Charged Paid Credited maintain a 5 Date 2/06/09 PENINSULA PRIDE CONST INC 90 THOMPSON RD PORT ANGELES (360) 417 6990 WA 98363 Due 00 00 00 00 0 Extension 75 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that 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 Signa ut re of Contractor or Authorized Agent J Date Signature of Owner (if owner is builder) Date PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T' \Policies \I10' 15 [10 /08] INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES 1 NO I I 1 I 1 I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS DATE I ACCEPTED 1 YES 1 NO 1 I I I I I I I I I I I I rig i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000117 957746 213 E 8TH ST 06 30 00 0 2 3068 0000 CURVES SIDING COMMUNITY SHOPPING DISTR 11632 Application desc NEW SIDING ON WEST SIDE OF BLDG CAR DAMAGED BLDG Owner Contractor Date 2/03/09 DAVID JANET ERICKSON PENINSULA PRIDE CONST INC 144 THOMPSON RD 90 THOMPSON RD PORT ANGELES WA 983639740 PORT ANGELES WA 98363 (360) 417 6990 Structure Information 000 000 NEW SIDING ON WEST SIDE OF BLDG Permit BUILDING PERMIT NO PR FEE Additional desc NEW SIDING WEST SIDE OF BLDG Permit pin number 141291 Permit Fee 235 75 Plan Check Fee 00 Issue Date 2/03/09 Valuation 11632 Expiration Date 8/02/09 Qty Unit Charge Per Extension BASE FEE 95 75 10 00 14 0000 THOU BL -2001 25K (14 PER K) 140 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 235 75 235 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 240 25 240 25 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. t-d-ocWle (kS AP.,clp c0 Date Print Name Signature of Contractor or Authorized Agent T.Fonns/Building Division/Building Pennit 015fri44/ Zz a9 Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. T /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By -t- Electrical 417 -4735 f Construction R.W PW Engineering 417 -4831 Fire Fire 417 -4653 6'" Planning 417 -4750 Building 417 -4815 t'�t OP I '3 LL_ 0 Applicant or Agent /"V I an,chAbr)'Pcj .s. Property Owner Pa u t Property Owner's Address q1. at J Contractor /Engineer f.g,r „a Contractor /Engineer's Address S License pc_ gktoo w) Expires E -mail 3p1n nhcldn 71n 6ca fl\I4 i✓ e-1- PROJECT ADDRESS 2 3 &t3.ak e P Vk) A (C',urve) Residential N./Commercial Floor Areas Parcel Number Proiect Tvoe Brief Des Check all that apply New Construction Addition Remodel d Repair Re -roof Demolition Heat System Other Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 criotion. l i y zsv nl �v�� LA), I` f ,�,o _.,Q_ �j, (�l, n 2 .��.�r� 11 7l 1. r,<,r, L MI�P r -LtIC1 A .,n/IJZS-J1GV _I/.t71 rnl �i etn,...c4 (n -Jr Te-C& 1, 1. `T jn _2 A A G n LAY to IOC cti Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type APPLICATION Print in ink For City Use Only Date Received 2--3^ O Permit O9- 117 Date Approved Phone C# L/ g2 LiU Phone C _#k CO 014 l q Phone '{l71H() Lot Zoning Multi family Industrial per sq. ft. TOTAL VALUATION 143 2 1 (n sq. ft. Lot size sq. ft. Lot coverage of bedrooms of full baths of half baths have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Data3 r Print Name tV l ode_ S ®�.0 C_ 0 Signature C- Use Classification Building Address CERTI FICA~E""oiF~'e,c~cu P ANCY .../,j<;'(;."' City of Port Angel;~';""'~'\:" .... .,;;;.. ,~' Building Division . ,j" .\ p.. .... "." . ~l This ciYtif1&#ibh.~,.;S8.uE:4 pursuant to the requirements ofSectioii:!,o9 of the Unifon!fBuilding Code certifY.ingi,;{hq( at the timebflssUflnce this stJ;ycture was ~ :'" '.:: ..:-....... .... in c(>mpliance with the variot{s ordinantesC?Ph~\,City'i'~@('(J!if!$ Bllilding Y' construction or use. For the h"iJWihg: " S Investment Services ~:~~ :~ Building Permit No. B VN CSD Type of Construction Use Zone .- lh 'Northwes t FX Address 213 East 8th.,51 Suite A, PA WA. 213 ~~~----6i Po~An':t. J:: ~~~6~001 ~~Udlng Omcial " , ',.', . ',' , . '. V.ale "\~::'":~ _ ~" ._,. _"'~:,:-:-:';;~;:--~~~:::----~i:--.-:";_"-'-'~'_""~!l" ::r Post on?,~h~ pf,emj~~~ J" )1,;~go.~piC4Pus place. Shall not b~~;re~mov~'a'e~~,epfbY~$unding Official. ":"':"')\"h'.~>.,,;~'>,~;,:,;:;,::,'~. ,,!, " :' ,~"~\,)-' , '~."....... .... ,., " ~ pOAT <4", - ROUTING SLIP - $'o~Q~(f' Certificate of Occupancy o~:.. . L -=->If =- $47.00 Certificate/Inspection Fee ~ "t8LIC~'O DATE ') J) "..1 New Business ( 1..) ........................... . Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ( ) tJ()P~"hl ~~ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant ~~ New Building ............................ . ( ) Address 213 E. r,~ ~ 1\(,'''.\ ....11' ,\...,A A Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) '" 2\ ^\/I~I~ ) I.)A ... Temporary Business ( ) ...................... . 'J ~<;'"-=1. 1/(/-; home Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business Brief description of proposed business: I Nit .:oJ III ~J ~ ..)'" (?V 1<:;;' ') legal Description: lot Block Subdivision c..s~ Current Use of Property: ~ t: I <.'(1 Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES ~ 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 - ---r 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 - ---r Is this a home occupation? ..................... . -- 8) Curb installation 8) Ambulance Excavation ot tilling ot lots ,- 9) Sidewalk obstruction 9) Tattoo shop ...................... . -~ Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . - --,:- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . / f.-I 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . ==/ 12) Occupancy A grading;plan tor site drainage. . . . . . . . . . . . . . . . . . . .- 13) Sign -- ., / (parking lots, downspouts, etc.) ................. . /'== 14) Shoreline Are the existing streets paved? ................... 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . /. 16) Conditional use ----.L _ Is there curb and gutter? / 17) Other ....................... . -- Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- I hereby apply for a Certificate of Occupancy and acknowl- J /~),' edge that I have read this application and state that the Date: 7) information I have supplied is correct to the best of my L ~ knowledge. Signed: ~ ~ _7 ,.,-- f l APPROVED REJECTED Comments / Conditions ~ 0 ~ ~-- Building Section I ~ I .oA Q ~J/) ~ 1-}-7-;; ...../.h1./ + A j) ~il?()~ Public Works Department Cs t:) ~c-yr L --I. A L/::t- ~ \'[)n.A ~. ~~ Planning Department c..3-' 'j /'t---i.J \/lb 0 n + ~ ,/)A ~ ,; 'Y...n ~ Co .A.t A tI -9,(Y) fP' ~ ,J)~ IIJo7 I'i J" Fire Department , ,', C0 / )' City Clerk P.B.I.A. r .. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee home 5:.-J1 TvII-. Brief description of proposed business: 1 ~ veSm eJ{ legal Description: lot , Current Use of Property: ~t:', u. 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? . . . . . . . . . . . . . . . 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Block YES ~ - ----;:7 - ---r --7/ --T -7 --?L -~ --;r /;; -~ -T- ~- -7- 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. REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. q-/9 -[JJ g '/b-DO-iJJ New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building ............................. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use. ........................ ... Se ,'ty las Subdivision THE FOllOWING Will BE REQUIRED: PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other ~ ,ORT "'ot $'o~Q~~ o~~. __ -=..JI =- ~ "t.8;", ...... I) ) ) ) ) ) ) . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. 4//f..;J...s"- /~/h--f , DATE .;:2/3 o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Installed By: ., Owner/Business: Owner/Business Address: o RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION ;g. REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: Phone: Sq. Ft. o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS ~9J} o/fe . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. .~'fJ Rough-in/cover O.K. o O.K. to connect service o Final O.K. Installer: i/' /J -'\. ,. e.-<; c:J'\_ Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Bu~rmit. PHONE 457-0411, EXT. 224. ~ ,r V1ILrl NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ (7' ..J O.ff' Electrical Inspector Permit Fee Site Address: ~I .F. . WHITE - File by address PINK - Top: Eng, Bottom, Customer YELLOW - file by number OLYMPIC PRINTERS INC. New Meters GREEN - Top: MeIer Dept., Bottom: City Hall v CITY OF PORT ANGELES LIGHT DEPARTMENT N~ 18033 ELECTRICAL PERMIT Plirt Angeles, washlngtonmm_.2_~-_m~___mnn_.m__..___.n._..., 19t.(4.: 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. rl/3 E <(SeA Address .n.Lmnnn.mnnu=u.m.u.umnmnm.um..m.m.uuuu_mu.n__. 9cCUpancY..~.n n_muum._n..mm___m___.....u Owner uuf2!i_<?..~ul::;_enl.~_\{;._~.~..~..mn.un.u Tenant_m8~m_~___u.. _ _W:,g~Z.t1.().z::-m Wiring Contractor ....~n!1.!:Lg..u.muu....mumuu__um.m.___ BY.n&~u. _~ - ,__hUU_UU___.Un / - Light Outlets..............................._.._..... Receptacle Outlets..........__................... Service, volts .h._u.._n........................... Dryer, KW n........._.....__.____._........_.___... Size wires.........nn......................_.. Type ot Wiring: Armored Cable O..mn_____m____.___._.m Non-M.talllc ................................. Knob & Tube___....____.......__....__........ No. wires ._n____.__............................ Range, KW hnhmun_________.... Main fuse ...............____.____............... KW.......................mm.mm... RIgid Conduit ............................... Enclosure ________..n.___....mn.............. ""'---:M talll T bl _______ e c u ng .................__........ Type of wiring: _----- Raceway ..............................._......_ Entrance Qable--:___m.mm.............. ----- ,Rigid Conduit ................ Circuits, Light.................______................ Water Heater: Heat: KW.............nnn....................... Motors: size, volts and phase: Utility....__....................................... Metal11c Tubing Unn Current transformers: No. & Size.......................__________...... / , Ser. NO..n..............h______.................... Heat ............................................... Range .............................__u............ Water Heater ....mm....___n__.____..... Motor .............n......__......______.......... Ser. No. _____.n._n__.......................____.... Dryer __.__n.......nn................._..........__ Furnace .........................-_.........m....u. Ser. NO....__.....h..........................h..... Total Loadn.....n.............nn... 5". No. .n.......n.Zn.............n.... Total....................................... ~:~~~~~?::i~::::::~J~:~~::::::-~~~~:2~::.:~:~:~::::~:~: .;:;:;~n;~:mn...n..._._mm_m...;;:~~~_~:~~;~~.....m........m...nmn..-...~..u.m..m~2::7mm-mn..u $:.!!...!.5..~:~.mm..m NO..n...........mm.n..... By ..F/.!.L.dtkm.mmm.....~ NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It wriK is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION N~ 1 8 0 3 3 ELECTRICAL PERMIT :; / "3 ~. fTCh ~ ,f"" ~,(~t3 .fo/ Address........................................................................_........_.............................................__.......Date..._......_.._.._.._.........._._...._......_......._ Own.r .nn.P.!'1.<d...!!........_..l~a.,.!.Q~5::...Q.!'!.nn.......................n......00........00 T.nant...n.......n.........................n........................... Wiring Contractor ...hh5.Al:f...fZ._......_.....................................h..............h......h.'................h.. By.....h.h....__...._......................................... NOTICE-Current must not be turned on until CertIfIcate of Inspection has been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. . 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT/, r:-- O/()6 17832(~ // - 7' F;;; ~ Port Angeles. Washlngton...mm.......m..n........m_....m.mmm..._..m. 19.m_.. . 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. :J. I:? E r !if A- ~:::s.2i:~~~;;t:~j~:=:::::::(~~~~~:::;;::::--ni~i~:::_.~~~~~~.~~~:::~::=::~:::::::::=::::::::::::: Wiring Contractor ..,.i4j/JH?::.l~.?:?:?:~E'.r:l?!:';tYL By.nn..n....mm.mnm.mm._.._....___..m._........n Service. volts ...,,{Zr-qfZc?..... No. wires ..h.-:J........h.........n........jJ ::X Y Size Wlres.-2.XJ....//Ct!1.~'y I X ,,~a~fU~ t;<:jE7~::;:O Enclosure n____'........n.....h_...'_........n "' .:5 . J Type of wiring: , . / Entrance Cable ........h..n._..___........ ELECTRICAL PERMIT F Light Outl.tS.h.n................n..........._hh. Receptacle OutletSn........h................... Dryer, KW._.u.huhn__.__.._..._n____..__._____ Range, KW.h_h__h____n....h____ Water Heater: KW.hhm..hm.hhmh..hh... Heat: KW._........._........_.........h_n_..............: Motors: sIze, volts and phase: # Rigid Conduit ...._.......moo.............. ~ !-~...'}"'lt?,;~.~h../t?!gr.e.~ ~C. M.talllc Tubing .h..........n.....h...n C7 /;.~&~Li':C:-'--::?':-..f?~.,g;jt..;!...:"?:!I..~. Current transformers: 8 ;3)1,A(~v..hn....n:S'&:~...~h...h No. & SIZ...hn...hh........hn............ Ser. NO.....h.._..__......_._._....n_............__. ------...-..---......-----................--.-............. Ser. No. n.......h_.......hn__n_...nn._........ N~ Typ. of Wiring: Armored Cable ....._..........hn........... Non-Metallic ............000000..........._... .'. Knob & Tub'''h..h.............h.........._ I h i Rigid Conduit. hhh.h........hhn........ ! /'(; 1/ I Metallic Tubing ..._....h...___........... . I '-k. I Raceway :.................._............._........_ . , Circuits. .LIght..........................hn............ Utility........nnn........n__...........n____.. Heat .....___._......................._............. Range .....hn_........h.__......___hn......... Water Heater ..........._0000............... Motor .___h_....h_..n_n...__..hn__....._.... Dryer..............n..............n.......n......... ..hn.........hn.......h.........h_n...hn_......._ Furnace ......00..................._......___......._. Total Load.{/k . :::: ~::::::::::::.::::::~:::::::::::::::::::::.::.: Total ...........:....h............. Rema:Oo :.l;;J-!i:;.(]~tX...<;;.g~~;;b.:~J'L7d~...~.,p!!.~.......m..n........... u.nnn"C.;-...-u--u..n_u...n..nu_..nnu.uun....._n.n..............u........u....unn..un.--..nn.nn....h..n..nu_n___...nn_hnn._nn.nun_u_....uu..nn..._.hn. .;~~~:~~........m..n--m..;~~~~...;~~~;~~..mnn..........m.m......(;<<7~:,~~~dm. $.../~m.....nm...m......... No...............m........... By ...m'...~.m....:....!...m.m.'..'nm.....:........?L.~,.,7:"'--.-/ NOTICE-Current must not: be turned on until Certificate of Inspection has been issued. If work ia 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 N~ 1 7832 Address....._._..............................__.........._............_..........._......................_........_........-....................Date..._...._____...__..._........_._......_......._.._....... Owner ......h..........n..............._...__._.._....h__........._.n....h....._.......-...--.._........n_.....h...._.... Tenant..._....hn_...hn..................nn_.....h.........n__..... WiringContractor._.............n_..........................................___.................._..........._.......___.........__.._...___By.__..............__............_._..._........................ NOTICE-Current must not; be turned on until CertifJcate 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. 1M Olympic Printers, Inc. Application Number . . . . . 22-00000908 Date 7/21/22 Application pin number . . . 694376 Property Address . . . . . . 213 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-3068-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMUNITY SHOPPING DISTR Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Corrections ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ SERGIO AND MISTY GALLEGOS UPPER LEFT ELECTRIC LLC 817 S LAUREL ST 1306 ROOK DR PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 461-7720 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER COMMERCIAL Additional desc . . Permit Fee . . . . 96.00 Plan Check Fee . . .00 Issue Date . . . . 7/21/22 Valuation . . . . 0 Expiration Date . . 1/17/23 Qty Unit Charge Per Extension 1.00 96.0000 ECH EL-TRIP FEE-INSPECT EX. INSTAL 96.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.00 96.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.00 96.00 .00 .00 MULTI-FA MILY/ COMMERCIAL ELE CTRICAL PERMIT APPL ICATION Public \Yorks and Utilities Department 321 E. 5th Street, Port Angeles. WA 98362 360.417.4735 I www.cityofpa.us I electricalpermits(s/.cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Multi-Family Residential D Commercial I Industrial/ Public Building Square footage: __________ _ OWNER INFORMATION Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRICAL CONTRACTOR INFORMATION Name: License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS llim! Service/Feeder 200 Amp. Service/Feeder 201-400 Amp. Service/Feeder 401-600 Amp. Service/Feeder 601-1000 Amp. Service/Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1-4 Temp. Service/Feeder 200 Amp. Temp. Service/Feeder 201-400 Amp. Temp. Service/Feeder 401-600 Amp. Temp. Service/Feeder 601-1000 Amp. Portal to Portal Hourly Sign / Outline Lighting Signal Circuit/Limited Energy -Multi-Family Signal Circuit/Limited Energy/First 1500 sf -Commercial (Note: $5.00 for each additional 1500 sf) Renewable Elec. Energy: 5KVA System or less Thermostat (Note: $5 for each additional) Unit Charge Quantity $132.00 $160.00 $225.00 $288.00 $410.00 $5.00 $74.00 $5.00 $86.00 $102.00 $121.00 $164.00 $185.00 $96.00 $88.00 $88.00 $96.00 $113.00 $56.00 Total (Quantity x Unit Charge) $ ____ _ $ ____ _$ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _$ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ ____ _ $ _____ 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. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] lJ CD PREPARED 7/19/22,14:01:23 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00000908 213 E 8TH ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER COMMERCIAL 96.00 TOTAL DUE 96.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: 1. Seal all unused openings, knock out seals, cover plates. 2. Clean corrosion and organic out from inside of meter / mains. 3. Bushings or clamps required for NMB / romex entering panels. 4. Secure exterior light above service equipment. 5. Listed and approved floor boxes required. 6. Light fixture factory wiring section cover required. 7. Install all devices and faceplates. 8. Remove extension cords, Talk with building department about exit lights. 9. Replace damaged meter socket jaw unit A. 10. Remove unused electrical equipment (X-ray). 11. Phenolic labels for A, B and Main required for exterior meter / main. 12. Phenolic labels disconnect 1 of 3, 2 of 3, 3 of 3 required for exterior meter / main. 13. Remove self-tapping screw and install machine screw in panel for ground. NOTIFY INSPECTOR at (360) 808-2613 DATE PERMIT # INSPECTOR 7/6/2022 Required TAP OWNER Silverio Gallegos CONTRACTOR Required PROJECT ADDRESS 213 E 8th St, Main, A & B ELECTRICAL INSPECTION WIRING REPORT WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS