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HomeMy WebLinkAbout522 W 8th St - Building This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifYing that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For theIol/owing: Use Classification: Business Building Pennit No.: 05-1150 Business Name The Arc of Olympic Pen. -~. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division Type of Construction~ V - N Use Zone: CA Owner of Business: J eaneal Parker Address: 522 W. Eighth Street Building Address: 522 W. Eighth Street ~A,~~'- { Building ~fficial '- - "'--- ~~ I ,\",__ Port Angeles, WA. 98382 Port Angeles, W A. 98362 - __ ",..- "':,_ -May 5, 2006 Date ." ~~~ ~ ~ ~ ;::- Post on the premises m,a conspicuous place. Shall not be removed except by Building Official. -~. r 1F~--ll0o :II IO]J ROUTING SLIP ff>ORT "-\I lO~Q~~ Certificate of Occupancy ~. L -=.J It 11M Certificate/Inspection Fee -=- ~ '\.8LIC~"" DATE 113..11 Jptl New Business ........................... . ( X ) I , Address of Proposed Business Transfer of Business location. . . . . . . . . . . . . . . . ~) 5J.J. W. ~~ 6+-f' p~ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant Th {., 11 0 I . Per>. New Building ............................ . ( ) Address p. [).' /.3p).( ~ () q;}.. Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) p~ firt~eJes.,WA qg3b~ Temporary Business ...................... . ( ) Phone: business </0 - I '-i2. hp~e Ji~5' '1-1 ~ '1'/- Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) \JC-ttr)t:-A-( 'Pt<.r~ -/' F v..... t.,.;........., J4A'ff Brief description of proposed business: o f.t, (., e.- fo-r Y1 tr11 - P r () .t::,'t /lJjeYl ~'1 legal Description: lot Block Subdivision Current Use of Property: 11-t' .!1-; cI e J-{ t/ d Zoning Classification of Property: Will THERE BE ANY OF THE hOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . .P:~. . . . . . . . . . . . ~ PERMITS BUSINESS LICENSE Electrical changes. " . . . . . . . . . . . . . . . . . . . . . . . . . . . . V-- 1) Building 1) Taxi -- Mechanical (heating, coo~g, stoves) . . . . . . . . . . . . . . V" 2) Plumbing 2) Peddlers -- Plumbing c~.anges ...... .PIt. . . . . . . . . . . . . . . . . . . V 3) Electrical 3) 2nd Hand Dealer -- New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . Y'" 4) Mechanical 4) Pawn Broker -~ New septic tanks. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -- 5) Sewer 5) Dance New sewer service ............................. ....... 6) Sidewalk installation 6) Hotel - Motel -- Admission charged to patrons. . . . . . . . . . . . . . . . . . . . v 7) Driveway installation 7) Fireworks -- Is this a home occupation? ...................... V'" 8) Curb installation 8) Ambulance -- Excavation ot tilling ot lots ...... . . . . . . . . . . . . . . . . . V 9) Sidewalk obstruction 9) Tattoo shop - v Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . -- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -- 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? . . . . . . . . . . . . . . . . . . . . . V 16) Conditional use ~ -- Is there curb and gutter? ........................ ...- 17) Other ~I~;; -- Other........................................ . -- I hereby apply for a Certificate of Occupancy and acknowl- rId. '1)1>'1 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my I..-{ A-r ~ ~l- ~4 knowledge. Signed: 1J;R(VEt REJECTED Comments / Conditions (p ob Building Section Public Works Department //-2J~OS-Se Planning Department JPD Fire Department U~I~-D~~~V City Clerk P.B.I.A. .s.4"-{;{. fi ~ORT "'Lv ,,-:-O~~ G~'i" ~ -=-:II' ~ ~-;;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appl~cation type descr~ption Subdivision Name Property Use Property Zoning . . . Appl~cat~on valuat~on 06-00001234 Date 825080 522 W 8TH ST 06-30-00-0-2-6322-0000- MARK SHAMP COMM REMODEL 11/15/06 COMMERCIAL NEIGHBORHOOD 11000 H,(/~t~o /Z/~/tJ{, Lasered CED ~ \ ~ ~ Owner Contractor MARK/SHELLY SHAMP 910 W 10TH ST. PORT ANGELES OWNER WA 983625810 Construct~on Type . . Occupancy Type Structure Information 000 000 TYPE V NON-RATED BUSINESS:OFF/PRO/MED/REST Permit . . . . . Add~t~onal desc . Permit p~n number Permit Fee Issue Date Exp~rat~on Date BUILDING PERMIT - COMMERCIAL 90613 221.75 11/15/06 5/14/07 Plan Check Fee Valuation 144.14 11000 9.00 BASE FEE 14.0000 THOU BL-2001-25K (14 PER K) Extension 95.75 126.00 Qty Unit Charge Per Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 221.75 221. 75 .00 .00 Plan Check Total 144.14 144.14 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 370.39 370.39 .00 00 ~ ~ ~ ~ ~ ,~ ~ . Separate Permits are required forelectncal work, SEPA, Shoreilne, ESA, utiiltles, private and public improvements. ThiS permit becomes null and void if work or construction authorized is not commenced withm 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 withm 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 compiled 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. /7~ Signature of Contractor or Authorized Agent If ~ 1<5- (;6 l Date Signature of Owner (If owner IS builder) Date \ T \Po]lcles\] 102_] 5 bUlldmg perrm! mspeClIon record05 wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE IT IS UN LA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. VOST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARr! AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION. FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF I CElLlNG DR YW ALL (fNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 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 OEPT SEPARATE PERMIT#'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W./ PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEJ'T PLANNING DEFT 417-4750 I_I PLANNING DEPT BUILDING 417-4815 J-VfJ KX- \....Tk- BUILDING T IPol1cleslll02_15 bUlldmg pennll mspectlOn record05 wpd [1/'2005] ~ , ~ C'\ ~ ~~ ~ t\l E ~ PREPARED 12/05/06, 10 41:39 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 522 W 8TH ST MARK SHAMP INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 12/05/06 SUBDIV MARK/SHELLY SHAMP 06-30-00-0-2-6322-0000- 06-00001234 COMM REMODEL PHONE PHONE 11/20/06 11/20/06 JLL DA PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 BL99 02 11/21/06 JLL 11/21/06 CA BL99 03 11/,Y06 ~ BL99 04 12/05/06 \\ , BUILDING FINAL SUE 11/20/2006 08 53 AM DYASUMUR --------------------------- 11/20/2006 01 45 PM JLIERLY ---------------------------- down spout obstructlng ramp access/hande ralls to return to post/t&P valve and draln llne to be 3/4" ID and termlnate at exterlor of bUlldlng/ strap water heater wlth approved selsmlC straplng materlal/]ll BUILDING FINAL TIME. 13.00 RENEE 452-1689 11/20/2006 10.44 AM 11/21/2006 04.37 PM not ready renee called BUILDING FINAL 11/22/2006 10 44 AM JLIERLY ---------------------------- BUILDING FINAL TIME 13 00 RENEE 452-1689 12/04/2006 04 49 PM PERMITS ---------------------------- TIME 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- and cancelled lnspectlon/]ll -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/20/06, 9.02 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 11/20/06 ADDRESS TENANT, NBR, CONTRACTOR OWNER PARCEL . APPL NUMBER 522 W 8TH ST MARK SHAMP SUBDIV, MARK/SHELLY SHAMP 06-30-00-0-2-6322-0000- 06-00001234 COMM REMODEL PHONE PHONE PERMIT, BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~;;-~~---~~/~:/~~--~---~~;::~::~:~~::-~:;~::~-::~:~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~----- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 11/21/06, 10:02 57 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR' JAMES L LIERLY PAGE DATE 13 11/21/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 522 W 8TH ST MARK SHAMP SUBDIV: MARK/SHELLY SHAMP 06-30-00-0-2-6322-0000- 06-00001234 COMM REMODEL PHONE PHONE PERMIT: BPC 00 BUILDING PERMIT - COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 11/20/06 11/20/06 JLL DA BUILDING FINAL TIME 13 00 SUE 11/20/2006 08 53 AM DYASUMUR --------------------------- 11/20/2006 01 45 PM JLIERLY ---------------------------- down spout obstruct,ng ramp access/hande ra,ls to return to post/t&P valve and dra,n 11ne to be 3/4" ID and term1nate at exter,or of bU11d1ng/ strap water heater w1th approved se1sm1C strap1ng mater1al/Jll BUILDING FINAL TIME 13'00 RENEE 452-1689 11/20/2006 10 44 AM DYASUMUR --------------------------- BL99 02 11/21/06 IA tL& 'iI ---------------------------------- COMMENTS AND NOTES -------------------------------------- 2006/NOV/DS/WED 09:03 AM CITY OF PA BLDG DEPT FAX No, 360417 4711 p, 003 I . 1--' i ___ tJ-Jl due.d ~ ~V C~' '(~r) _ W " J~~cl' 8~ ro.:J t-\ ~o r {-r--U3-----l~LAf~-~e-~ L~6 (( 1>>0..-') {II n.r~\ U LfI1 ~V ~{ofe- ",f".v.-+- "'-A, r II \.1.. BG" /7 c:> ,<' ID 5" h t II u; '11 ~ lC ('t>7f" I.\: 'F"\. (D$ \- _ __ _ _ _ ___\ ___ _ _ _ n" _ __.. _ ~\ rc>~J- s~ ""f~-' -~.f 'b~---- - ~ yL-\ _.v ~'6~ ~()~ 200~/NOV/~8/WED 09:03 AM CITY OF PA BLDG DEPT FAX No, 360 417 4711 p, 001 ~ f~~ [ffi IE ~ lEl\VTre lDJ lNOV-9~J CITY OF PORT ANGELES Dept. of Community De~elopmeot 1 \) (?J \) V\ ~~ ~ I W. lJ\ .. @ ~t '" - ~2, .Ji. . €I ~t y. r. t ~ ~~ ~ ~\ .... @ ;;.9t- \T~ .~J!:; .. CD ~ ,....- i- "-- r ANGELE.S - CQnstmctlo:'\ Plar\9 CITY OF pOR .... 'f' . b ed u on these plans, spem I- The IsS\Jance of this per~l\ a\ pre~ent the buildmg offiCIal C8tlonS ano other data ,5 a\:o correction of errorS in said fr0111 the(e~ftGr reQumng e from preventing -. -. 'I C tlOns ar.rl- otMr data, or. - . - .- - - --- . . ola ;;S. sp _Cl I ~ , med on thereunder when In tHljlr\ln& operat!Cins bS,r.go ca d nances 01 this JUriSdictiOn.....,., c.. "!chl,or 01 ~\\ codes an or 1 ~'? ~~ ,S'-- I',,~ ' (Cl~~i'rl\ ~~BY ~- ;,1,'1 (,\'~t D"" 11l~ AuW ury 1>_ OG"' 'l> ~ @ ..D :D@ V"\ ,-~/ -, --~l- - '~ l.t~' 1 ,R~ ~ ~ $\~ ~ ) '0." ~fl c~ ~'-.f'--,- C) 1- 't-\J' ~ 1~ ..r- J OJ ,-I-- r FClE lP ~ '}::! (;\ III , ~ ~ \-"" ~ -" ~ I- <"0 ~ 0~ '- ~~ ~ ~&--<l'---.Y" "-..J ." <..- '1J r- '):>~L- -tl -.. -\)\ ~$ (1'2: ~- r;: ~- -l).L - -~";V ~,fR ~ r- ..... VI . ..... \l) i.r. - 200~/NOV/~8/WED 09:03 AM CITY OF PA BLDG DEPT FAX No, 360 417 4711 p, 002 - _'V"h-;J , -,_~_.._. .__.. "..,__ __._,__ ___,,_ ___._ -l ,... ...--~_."'.. ~.. _ t!~~ - ' '.I. ..... lO ~ ---:!::!.-I~-_..-_...~---- .. _. _v_, __...___ _~...____~._~~,~_~~. ~~ ~_ _ ._ <;:l:.)?.J ~tj ~Q. 3 ~~ ------ --"-'-~-"' ~ -....--J-=-~~-~ ~ 0- . G ~ t-= c.:: -:t: ^- "'''1 .. . - --. . t:=:A-= V) ~ ~. _ --{~~- =.==~ ~_c_c:~~_ _d_ ___= ~-___~___ - --- ......~----...._-----_._~----. .,,'-..._--------,---,,- -'~--=:-:-~ - ........""'7 - ~- -... .~..- 'c;L . E--?~ '7- ~ 9 -~ l- -J.>> 'Y .9( G1 -;t., (() (' ~ I ?c!:> , ~ ">< - ~ r-=- 00 I ~ >c. - c::r I Ir ~ ->-... - Itfl r.tb b :t-- ~J ~ ---p.- ~-O -1- > Y. ~ ~. ~').\. D ~:$~ ~ - ;:; u: .--.(I;}----. ...... ~}) - (l; - \.D ~it -I~" - 1 _t __ I ~- .c~ ". . ..-- '-'d~d ..f-"'?'V'\----=-~ rS'; ..- no"__ 2006/NOV/OS/WED 01 :30 PM CITY OF PA BLDG DEPT FAX No, 360 417 4711 p, 001/00 I =I 1 ! I ~ City: ~ I 0' . ~-~"'~ (i BUILDING PERMIT - APPLICATION 1 I Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call I . ~E~!TS P.60).417-:4.815 .FAX(36!})4).7-4711. . .. I I ~ Address: . . .Architect/Engineer: Contractor Address: City: Exp: Phone: Zip: ZONING: ~/C1)V'V\lNl ~ State License #; PROJECT ADDRESS: 5"2'2.. U). g--tb. LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY P AReEL NUMBER: Subdivision: D-!E OF WORK: J4 Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition C1 Move t:J Garage X Commerclal 0 Remodel 0 DelllolitJ.on 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PRO.mC~: lH ~ _ ~~\kO\1CC1f>(~f.l ~-a\.tO SIZEN ALUATION: SF. @'$ /SF. = $ SF.@$ /SF.=$ SF.@$ /SF.=$ TOTAL VALUATION $=0 ( DoC) lJO ~. COl\1J.\1ERCIALIRESIDENTIAL: Occupancy Group: f?rfpant Load: No of Stories: L Lot Size: Existing Sq. Ft. 9f1)( I~')i. Proposed Sq. Ft. Tota110t coverage % COIlStruction Type: '= TOTAL Sq. Ft. PLANNING USE ONLY: I APPROVALS: PLAN: BLDG: DPWU: ESAlWet1wd(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: FlRE: OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. This figure will be reVIewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due 1t must be submitted at the tJme the buildmg permit application and constructioo. plans are submitted, All otheJ:'pomrit fees are due at the time ofpennit issuance. EXPIRATION OF PLAN REVIEW; 1foo permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tmle for action by the apphcant up to 180 days upon vmrten request by the applicant (see Section RI053.2 of the International Building/Residential Code, 2003). No application can be extonded more thau once --' I hereby c@rtffy that I have read and examined this application and know the sam@ to be true and correct I am authorizftd to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, end that / must obtain such permits prior to work. I I {#It:'''l /"'1 1'IFO\<MSIB]"",,,,,,,,,,,",,,,,,,O Aw1 ~ ~ D...: ~ PREPARED 10/17/06, 10 38 07 ". CITY OF PORT ANGELES Jo INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 13 10/17/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 522 W 8TH ST JULIE DANSEREAU SUBDIV NAPIONTEK MARK A/MARY M 06-30-00-0-2-6322-0000- 06-00001128 CO- CHANGE OF OCCP/USE PHONE PHONE PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS C099 01 10/17/06 Ii/I JLL BUILDING C/O FINAL * OVERRIDE TAKEN BY PERMITS DATE 10/16/06 TIME 12 15 57 ]eannle 417-2193 10/16/2006 12 15 PM PERMITS ---------------------------- .vA -------------------------------------- COMMENTS AND NOTES -------------------------------------- Sa C5;, . ~ -.... ...... ~ ~ . -.. .... -... ..". --. . . BUI:LDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at ,52.-"2--- /.lei 8' ~ &1tI r Inspection of your work revealed that the following is not in acco!dance with the codes governing the work in this jurisdiction: ~ (~'- t4tUr5 &LI!-/lri.~ cJ, d/fYL d~&~/ ~ ~ Si:41" 7-€.v~r~*no(.{}s 6Ur.5,D~ .!'Ii- (')L.,.,)9' J ( t1+odJtL "'-' } (} C ~ ) 'I ADA t! ~/1-1 /1/ A/l/r ~;OUt// A/ P ;$ TO 'RaOrk-S J .)I- .7IJ~,o~~17pds dd h ~t"'~~#/- ? ~ These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ijl / - ~6/ ( for inspection. Date ~ 'inspector for Building Division DO NOT REMOVE THIS TAG ~. ........ _. ...... r -. ~ ...,...-. ~----- . ...- - _ - "'':I:... ...,.:-... _ _.... '........ _ " , . BU~LD,ING DIYISION -~- CITY ,OF PORT ANGELES ! j / Correction Notice * * - < \ Job Located at -.52.2- l/~/ . ~/~ Inspection of your work revealed that the following is not in accordance with the codes governing the wor.k in this jurisdiction: ,.. /) . ~I>~ ~*~)- 'I .t# A/o -;;/<;4~rJA/.S od t)'i'-I/ / ( ~M't.UI2.~ IV ('0YH.P'?)'" """'LL LJ:.<oul-f IN g$dc/~ 71.. ~ a' ~~=) M u.-.L ~ I>j 13.c Pl/~. cYJ {hf(/~r ba A/ Sfburs ~ kH?tf)v'~() 2.wcJf'F; ~ J./n f/,wlj ~L /-'iU,v r 5r"..}rL/7 /J _ /. / _ c- . /. ~ P'i-d /I-P~/()Y.c.tJ ~ rl4-KJ(/~ /-0 r -..JT/LL- /t./OT ~ 'v-TZ/~~ ~v ~ 7iflJfP~ ~.4$5 U./lnfdV 2411 O~ bn/J':'Y y ~;J~rRl) - fir p1-r~ Ii (f) r 7() A-tfI[o i -rfI! II hJ Ii:- JI4 / 1J /J-t-l- rrI /c- tu 4j' cur o P---&f./IL-tJI,u6 . These correctF6ns must be made and are not to be , covered until reinspection is made. When corrections ~ have been made, please call for inspectio.n. Date . / 0 ;;~ Ick'" / /- Inspector for Building Division DO NOT REMOVE THIS TAG ,~, , "".. I ',- ' ! \ [~ t... I' , , t '\,.' ' L.... Ol.?- l/'.:.V ROUTING SLIP // c"Cer.\ificate of Occupancy r' $50.00/Certificate/lnspection Fee " ./ 1'"" ,_ f DATE "" i : ' ,; '", Address of Proposed Buslne~s ~~-~) '} !.I1 -; +-t, .F) t t \ ,1 v'n 'H~,",pt-t~ ~ Applicant ~'" ,. - Address ( . , \ ( t J L , _ f -.,..t l t . I i \ if'" Phone: bUSiness LIt '/ J I t'1 J 1 ' I home; .', 'I ; ; New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . Transfer of Business location . . . . . . . . . . . . . . . Change of Ownership ..................... New Building .............. ............. Remodel . . . . . . . . . . . . . . . . . . Temporary Business.. .... .......... .... Change of Use . . . . . . .. ................ Brief description of proposed business: c.Ol~.QJt , ~ .&.es- 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 legal Description: lot Current Use of Property: ZOning Classification of Property: 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 NO "'.... -- ../ -~ v -- "I ,/ -~ -~ ./ -- v' .,,/ -- ../ ~/ ./ - ----:T ~- / ./== I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the information I have supplied is correct to the best of my knowledge. APPROVED REJECTED /%oY~ Building Section Public Works Department Planning Department Fire Department City Clerk PB.IA Subdivision CJ-J 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 Date: \ I ! I L \ :.. '. . ('IJI .>,r { Signed: ' - ( _ . ." ~ ,'.' .A_C ~U Lit: DA-N ~e~.A'U ~ \,ORT..q"" iJ~O~G~t h. '- -=--.3# =- ~ "'U8(/C wo""'f..~ ( ,,/ ) ( ) ( ) ( ) ( ) ( ) ( ) Comments / Conditions ~~ :~~1t~'~~ :~~ Ie' ~) ~ J.' '+~ ,llY\ X\'+ ~G\, -\:}, , .' \ ~ ~ \:: i.{ 00 t:f "-- ~fENt7J'.Jt1P DiV~IO;.J ~~IW~l$. O(P..-IIZfJ ~ o 6' , .. ROUTING SLIP ~f'OAT >4..... S'O~Q~~ ~"'~licate of Occupancy c;~\~ "- ....:=-3f '=- $5000 ertificate/lnspectlon Fee "-' 'oV8tlc wo'i':t..".3 DATE J9/ ~~ I D ~ New Business. . . . . . . . . . . . . . . . . . . . . ... . ( if ) Address of Proposed Busineps Transfer of Business location . . . . . . . . . . . . . . . ( ) 5"dJ. W. 8+\tt s-h if-!- -AY\jeL-e,+. c1~1b/"- Change of Ownership ..................... ( ) Applicant 0VL(l'C~ Ut.Vl:$'"C'v''\r:''G-L<--i New BUilding .... . . .... . . . . ....... . . . . ( ) Address ~. ')..1- W ~si-Vt Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) _Po. T ~ e.J..r') VV''A- I')l:'~ 1; l:; z... Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone. business Ll 11- 2..1Cf 3 home :'.H)l...s?lb~' Change of Use . . . . . . . . . . . . . . . . . . . ...... . ( ) Brief description of proposed business: legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes ... . V PERMITS BUSINESS LICENSE -- Electncal changes V 1) BUilding 1) TaXI -~ Mechanical (heating, cooling, stoves) .. 0 0 . -- 2) Plumbing 2) Peddlers Plumbing changes v 3) Electncal 3) 2nd Hand Dealer -- New or relocated signs -- 4) Mechanical 4) Pawn Broker New septic tanks V 5) Sewer 5) Dance -- New sewer service V 6) Sidewalk Installation 6) Hotel - Motel -- Admission charged to patrons ../ 7) Dnveway Installation 7) Fireworks -- Is this a home occupation? ./ ~) Curb installation 8) Ambulance . . -- Excavation of filling of lots v 9) Sidewalk obstruction 9) Tattoo shop -- Work done In City nght-of-way .... . v 10) Water meter Installation 10) Other -- Is there sufficient off-street parking? ./ 11 ) Fire -- New dnveway openings / 12) Occupancy -- A grading plan for site drainage 0 0 ./ 13) Sign /1 -~ (parking lots, downspouts, etc ) -- 14) Shoreline Are the eXlsllng streets paved? ~- 15) Home occupation o%O~eo/ Are there eXisting Sidewalks? ./ 16) Conditional use Is there curb and gutter? /== 17) Other Other ........... . -- a~... I hereby apply for a Certificate of Occupancy and acknowl- \D\ \2-1 Die ~/ edge that I have read this application and state that the Date: information I have supplied IS correct to the best of my Signed: l\)..~Le b/,t(/l'S"eJU? CuA.. knowledge. oj ~' '~EJECTED Comments / Conditions ~ " , t f Building Section 1I/IDOt'^q oJ D?-8.uS lnuil&JilCj tnL 4.11161 I Public Works Department 'tb 'l.-l1.. B 5#\ ~ ~ Will ti<6'bto 2- Planning Department YDD Fire Department l?Ju 10 -I h--o~ City Clerk <6t pq' bl J~'t~~ P.B.I.A. - ~ \J1 ~ ~ <:A ~ ~ , (:) ~ G ~ BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL(INTE~ORBRACEDPANELONL~ T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING - PLANNING DEPT SEPARATE PERMIT #'s SEPA. P ARKlNG/LIGHTING ESA LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING 01>/301 (\1 "jU- ~ ~ ~ Cl\ 0l\) \3\ ~ ~ ~ ~ l~ V' J " T IPoliclesl1102_15 bUlldmg permIt inspectIOn record05 wpd [1/4/2005] <I'ORT ~ fj; ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cation Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivis~on Name Property Use Property Zoning . . . Appl~cat~on valuation 06-00000658 Date 232270 522 W 8TH ST 06-30-00-0-2-6322-0000- JACKSON SIGNS 7/31/06 Owner Contractor ~ ~ \ ~ ~ SIGNS COMMERCIAL NEIGHBORHOOD 514 NAPIONTEK MARK A/MARY M 522 W 8TH ST PORT ANGELES WA 983625810 OWNER Perm~t . . . . . Additional desc Perm~t pin number Perm~t Fee Issue Date Exp~ration Date SIGN 82248 47.00 7/31/06 1/27/07 Plan Check Fee Valuation .00 514 Qty Unit Charge Per 1.00 47.0000 PER S- SIGN LES THAN 25 SF Extens~on 47.00 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 ~ ~ -2 Y' a~ ~ ~~ ~ C) ~ ~~ \'\~ +, t , 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-l have-read-and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date "i-a J A '0A~d3Xt Signature of Owner (if owner is builder) '" 1/1i 1/)(" ( Date T \Pohcies\II02_15 bUlldmg permIt inspectIon record05 wpd [1/412005] PREPARED 8/30/07. 9 38' 07 CITY OF PORT ANGELES ADDRESS TENANT, NBR: CONTRACTOR OWNER PARCEL APPL NUMBER 522 W 8TH ST JACKSON SIGNS NAPIONTEK MARK A/MARY M 06-30-00-0-2-6322-0000- 06-00000658 SIGNS PERMIT: SIGN 00 SIGN REQUESTED INSP TYP/SQ COMPLETED RESULT BL99 01 8/3 Ore I<f INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE / 1 8/30/07 -------------------------------------- COMMENTS AND NOTES -------------------------------------- SUBDIV PHONE PHONE DESCRIPTION RESULTS/COMMENTS BLDG FINAL 08/29/2007 04:35 PM LPANGRLE JULIE 457-8768 BLDG FINAL - SIGN (FRIENDSHIP DIVERSION SERVICES - SEE PHOTOCOPY) Q\J ~~ C- \) [\3~ ~ 0 ~ () ::s I ^" () )> ~\}l <S\ ~ ::s 0 -......] 0 ~ c C) ::s ~ Cl> ::s \}l <S\~ Cl> ~ lj') Cb ~<S\ \J &)' -- ~ Cl> ::s ~ <S\ <S\ - ~ ~ ::s .. ~ - 7\) - s::L en ~ ~ \):) ::s '" '" ""'l N '" '" X ~ ""'l \):) '" N '" '" X '" X (jJ ~ :t;: \):) '" :: '" $: Q 0 \) '3 << 0 ~ ::s () 0 } 0 Cb s:L ~ Cb - 1.- -~ t.. .... ~ ~ '" Ci"j" OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, speclfi. catIOns and other data shall not prevent the bUilding official flom thereafter requiring the correctIOn of errors In said pla~s, specIfications and other data, or from preventing bUilding operations bemg carried on thereunder when m vIOlation of all codes and ordmances of thiS JUriSdiction. (m:TIlm 3Q3(e) I:IlIlf61", BUilding Cede.) "'2 C;r) -a.. x@ <:.....- Approval Date ~BY ;J L t (}I (j) '" '" ~ -Ar\~ ~~-Jt:;-J..- \-c h'e:1J ~~ t. ~D/.--\L BUILDING 'PERMIT .. APPLICATION Fill Qut COMPLETELY and in INK. Y ollrapplieauoJl and site plan MUST]JE COl\'lPLETE to be accepted for review. Ifyou'have any questions, call PERMITS (360) 417-4815 FAx(360)411-4711 Applicant or Agent: Owner: Friendship Diversion Servjces Phone: 417-2193 Phone: Address: 522 West.. Eighth City: . Zip: 98362 Architect/Engineer: Phone,: Contractor Jackson's Signs StateLicense#:JackssGjo22M1 Exp: 1/28/07 Address: 472 Mount.el~as~nt &d.-city: Port Angeles PROJECT ADDRESS:' 522 West. Eigbth LEGAL PESCRIPTION: Lot; Block: - :)ubdiwslon: CLALLAM.cOUNTY PARCEL NUMBER: ()fp. 'PO - a> - 0 - 2. - ~p ~ 't.. Phone: 457-3703 Zip: 98362 ZONING: ~ TYPE Ol?-WORK: SIZEIV ALUATION: o Residential 0 NewConstr. 0 Re~rO(if Cl Stove SF.@$ /SF.'-$ lJ Multi-family 0 Addition' 0 Move 0 GarageSF.@$ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ ISF. =$ o Repair )( Sign 0 Other TOTAL V ALUA110N $ $514.4-2 , BRIEFDESClUPTIONOFTHEPROJECT: Install one (1) 72" x ,18" 9 SGt. Ft. Sign ~ - - . Building Front-age 29' Allovvable signage 100 sOl.-f1? G ccil~ I .' ' , -1~~ ~ X)~ ' COMMERCIAL/RESID'! : ccupancy Group:, OccUpant Load: ConstruCtion Type: No. of Stories: _ Lot.Size: Existing Si{'Fi &.Ptoposed Sq.,Ft = TOTAL Sq. Ft. , Total lot cover~ % ' APPRq.,V~: , ',P,LAN~.t;~ DLDG: DPWU:: FIRE: OTHER:--".... PLANNING USE ONLY: BSAlWetlai1d{s}: tJ Yes 0 No SEPA Checklist required? a Yes 0 No Other:. VALUATION OF CONS1'RUCTION: In aU eascs, a v;iluati()1lamonnt must he entwal by the applicant This figUre '\Wlbe.:reyJewed and may be revise~ by.the Building Division to complywitb Qurrentf~e s~edules. Contact the Pennit C!iordinator,at4 174815'for assistance, PLANCHECK1i'EE: IF'aplan Check:.fee.is due it1'nUStbe submitted:at the~ th.ebuilding,pet'llrit appliCation and,(ion.lrtrUctionplans,are submitted. All otherpemiitfees are due at the time ofpennitissuance. ',' EXPIRATION OF p~ REVIEW: If no petmit is isSlted within 180 days of the qate ofapplicatiOQ, the, applicatibn will expire. The Building Official can extend'the time for action by the applicant up to 180 dl1YS'UPOll written request by the applicant (see Section Rl 05.3~2 of the International BnOOinglltesidential Code, 2003), No application can be eXtended tm:tmthan O:Q.ce._ ' I herePY'Certi~ that 1 have read and examined is eppDeation and know the same to be'true ancfcorrect.l am authorized to applylor:1hispermil and understand that it 1s my respon~ibility.to det9ftflin what rmits;8re, . 'redij;oHhe~Cify'S, and that I must obtain such. permits prior to Work: T:\Pnlic.ies\BL-1I02_13.wpd Applic . ' ate: ,7 -7.- 0 b CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION is hereby given that it is unlawful to occupy . . . ~.~ . y . . . . . . . . . . . . . . . . . . . . . . . .~~. 9~ . . . . . . . . . . . . . . . . . . . of this building, located at Number . .~~?-,-. . . . . . Street. . ~. . . . . . . f! .~ . . . 1ft. . . . . . . . . . on Lot. . . ~.l. . . of Block. . . l <; . . . Addition. . . . . .t-. (. . . . . . . . . . . . . . . . . until this notice has been removed by a representative of the Department of Buildings and until written authority to occupy said building has been given the owner or lessee by the Superintendent of Buildings. This notice is posted because ~...:t ~...l.~-:-. .~..... !-?~~!~... .~.~J3.. .1. ~,-:,-?:pJ(~~ ~... 'Dh9.1.?P.IJ.~.... 9R-1M--.. .k>... .~.vf;,~&f~Sfkh, DEPARTMENT OF PUBLIC WORKS --fC -h'~1 ~~J-('e0 0W~.l~79..B."~.~~~~~i Date of Posting: . . . .).1)1 f;:) ~ .fr? . . . . . . . . . , 20 . 'P.~. . Bo~ -~? WARNING The removal, mutilation, destruction or concealment of this Notice is a Misdemeanor punishable by fine and imprisonment. t any person shall continue to occupy premises after the issuance and posting ENT OF BUILDINGS directing their vacation shall be deemed a separate owner or his agent. Every day t of a Notice by offense co -,.. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION ~ t - - is hereby given that it is unlawful to occupy. . . . . .A.AJ. V . . . ~~~,y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . of this building, located at Number . ~?~ . . .~.. Street. . . fl. ~. . . . . . . . '5~~. . . . . . . on Lot. . . .~ '?:. of Block. . ~.4. . Addition. . . . ~ . . . . . . . . . . . . . . . until this notice has been removed by a representative of the Department of Buildings and until written authority to occupy said building has been given the owner or lessee by the Superintendent of Buildings. This notice is posted because ~.-tA-t jUft-F....4.... .~4\~... .~~,...t~..j. .;!i!5:&;~S: '* .Q(-t.<-:,p.~/. . . 'T~.l?~. . :-t<?. . . . P~i?-,:,,:~.J-!i:+J' ~.. ri-;;;.~"J 1 DEPARTMENT OF PUBLIC WORKS *' -::h \<-'-.0.-- ...J---~~t 0><--1 \2-eQo \I~ B(t;gr~ 0 L(.. J {Jlfh.--l-cy } By . . . . . .=::1:::=. ~1;eI~ .:/ . Date of Posting: . . .1 I. . IfF: . ~ .~. . . . . . . . . . . , 20 lJ. ~ . . WARNING The removal, mutilation, destruction or concealment of this Notice is a Misdemeanor punishable by fine and imprisonment. Every day that any person shall continue to occupy premises after the issuance and posting of a Notice by the DEPARTMENT OF BUILDINGS directing their vacation shall be deemed a separate ,p.nse committed by the owner or his agent. . ~ORT ANGELES WAS H I N G TON, U. S. A. -GI+\,-QF October 19, 2006 Mark Shamp 518 W 8th Street Port Angeles, WA 98362 Re: 522 W 8th Street Dear Mr. Shamp: This letter is a follow up to the conversation I had with Renee on October 19, 2006, regarding the building located at 522 W 8th Street. Specifically we discussed the lack of inspections on work done under permit #05-1111, as well as the stripping and signage for the parking lot (of both 518 and 522 W 8th Street). The inspection on October 17, 2006, was for an occupancy permit application. A number of items needing attention were listed on a correction notice given to the tenant and I believe forwarded on to you. Occupancy of this building was and is predicated on completion and approval of work needed to bring the structure into compliance with all applicable codes and regulations. Work necessary for approval of permits(s) and occupancy must be completed and approved no later than November 14, 2006. Failure to comply will result in posting the building for no occupancy and possible removal of the electrical meters. If there are questions regarding any of the work to be completed you can contact me at 360-417-4712. ~.. ./ / " 0 ~ ,"ORT ~ 84.0~~~ rea "- -==or ~ "4i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subd~v~s~on Name Property Use Property Zoning . . . Applicat~on valuat~on 05-00001111 Date 1/20/06 936472 522 W 8TH ST ?:x~ ,~ ~ / 06-30-00-0-2-6322-0000- ,- \ rL-f'r ;. I(O/t)b, MARK SHAMP COMM REMODEL COMMERCIAL NEIGHBORHOOD 11000 Owner Contractor MARK / SHELLY SHAMP 910 W. 10TH ST PORT ANGELES WA 983625810 OWNER Structure Information 000 000 CHANGE FROM SFR TO COMMERCIAL Construct~on Type . . TYPE V NON-RATED Occupancy Type BUSINESS:OFF/PRO/MED/REST Perm~t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Exp~ration Date BUILDING PERMIT - COMMERCIAL CONVERT TO COMMERCAL/ADA ACCE 67058 221.75 Plan Check Fee 1/17/06 Valuation 7/16/06 144.14 11000 Qty Unit Charge Per Extension 95.75 126.00 BASE FEE 9.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments The F~re Department has rev~ewed the project appl~cat~on and has no comments 01/13/2006 04:44 PM SROBERDS - park~ng plan has been mod~f~ed to identify 13 off-street pkg stalls that meet the City'S requirements. Stalls must be striped prior to final approval. Electrical load calculations and elctrical permits are required. Any upgrade~ng to City Facil~te~s will be at the customers expense. 11/14/2005 04:48 PM GMCLAIN ---------------------------- Parking lot is to be str~ped and ADA signage. Call for inspection when completed. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pa~d Credlted Due ----------------- ---------- ---------- -------'--- ---------- Perm~t Fee Total 221.75 221.75 .00 .00 Plan Check Total 144.14 144.14 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 370.39 370.39 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized IS not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 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 const ~cti n. J '3 3 o~ ure of Con actor or Authorized ge Date Signature of Owner (if owner is builder) , T:\PoItCles\11 02_15 bUlldmg penmt mspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ o ~ ~ INSPECTION TYPE DATE ACCEPTED COMMENTS " YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUJLDING 417-4815 BUJLDING \\\ ~ ~ ~ ,~ T \Pohcles\1 102_15 bUildIng permIt InspectIOn record05.wpd [1/4/2005] If pORT ~ "..J.,O~~ ~f'ra'" "- -=.. ~ "l.lii:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appllcatlon Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Appllcatlon type description Subdlvlslon Name property Use Property Zonlng . . . Application valuatlon 05-00001111 Date 936472 522 W 8TH ST 06-30-00-0-2-6322-0000- MARK SHAMP COMM REMODEL 1/20/06 COMMERCIAL NEIGHBORHOOD 11000 Owner Contractor MARK / SHELLY SHAMP 910 W. 10TH ST PORT ANGELES WA 983625810 OWNER Structure Informatlon 000 000 CHANGE FROM SFR TO COMMERCIAL Constructlon Type . . TYPE V NON-RATED Occupancy Type BUSINESS:OFF/PRO/MED/REST Permlt . . . . . Additional desc . Permit pin number Permlt Fee Issue Date Explration Date SANITARY SEWER HOOK UP 65748 55.00 1/17/06 7/16/06 Plan Check Fee Valuatlon .00 11000 Qty Unlt Charge Per 1.00 55.0000 EA STORM DRAIN C/B Extenslon 55.00 Speclal Notes and Comments The Fire Department has reviewed the project application and has no comments 01/13/2006 04:44 PM SROBERDS - Parklng plan has been modifled to identify 13 off-street pkg stalls that meet the City's requirements. Stalls must be striped prlor to final approval. Electrical load calculations and elctrical permlts are requlred. Any upgradelng to Clty Faciliteis will be at the customers expense. 11/14/2005 04:48 PM GMCLAIN ---------------------------- Parklng lot lS to be striped and ADA slgnage. Call for lnspection when completed. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permlt Fee Total 55.00 55.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 59.50 59.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced Within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that 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 constructi n. \ Signature of Owner (if owner is builder) Date T.\Pohcles\1102 15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIVISIOn) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PohclesIII02.15R [1/05] v '3 ';fioc., 10'.3 0 4-"" M~ \./J~flr ( N) sfb~ \0 VI N &:z- I tz-1O PUl\-l NlZJj -/itod0 r Au-n-y 5p~ 8ZI:J 2'-- ~ - e{)a~})N IUS tL -iZ PC> 7 ~ J)t ;Cc; Il i&d- II ~(/ ~ I r -g" tJ dut{) ();ZItI f.- Tlfr2v. \ ~ t/7f-JIh- vJ IL ~/) ~ D J/;p/ZLltl~ ~iL~ Kvw ~ p<(j2Mlr~thO ~ Bt 17 ~ (!VL lJjlL WO'-'L-O \=6"5\ ~ N-dI OUA);O ( [;;9#; ,; -I-k-i/Ii 71It.. ~ ~~- ( ( 60 iii B c/-IvL> ;~t s- ) I qlNt !/tIJU 4 /kaf; -P'J!r1'f ;10 HI If /I1y ctfs : ,~ /fr,tw'i- ftlM1t:.- ~ ,r: I~ -f/-vH; r;rJ~1ttlubc 'v- '(;;::: L-1-Fr !fr1J11T !!on OF ffJ tV / ~t7~W :eORTANGELES WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT December 30, 2005 Ma* Shamp 518 West 8th Street Port Angeles, W A 98362 RE: 522 West 8th Street An inspection was performed at 522 West 8th Street for completion of your project. In order for a final inspectioll there are a couple of items that still need to be completed. First, the approved parking painted striping needs to be completed along with the designated ADA parking space and appropriate signage. Second, in order to achieve " the approved parking design you will need to remove the stored items from that area. , These items will not be stored in this parking area after striping has been completed. " When this work has been completed please contact me for a final inspection ,at 417-4812. , Sincerely, ~~ Roger Vess Assistant Civil Engineer I encl: ' i" cc: ':'; ", ' ,'~, '.,', " , 1:/RVESS/shamp522w8th.wpd "" > ',- <' ~ I 1_ ,>'" < , ," ~, ~ < " if" cl , ::.\"," , ,<, ': 321 EAST FIFTH STREET · P. O. BOX 1 150 · PORT ANGELES, WA 98362-0217 PH~NE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4.645 E-MAIL.publlCWorks@cltyofpa.us !-~YO;RT' N./ . NG.E,LE:S , II , ..:. _ ~i ___ "'-' WAS H I N G TON, U. S. A. December 9,2005 Mr. Mark W. Shamp Re: Building Permit # 05-1111 Dear Mr. Shamp, We have attached this memo and copies of photographs to your Building Permit. This information is to inform that paint striping designating the parking area needs to be done, required ADA signs needs to be installed, and parking lot cannot be used for storage. The above needs to be done prior to final acceptance. If you have any questions on this matter, please call me. Sincerely, ~ Y~mnuru Permit Technician Owner or Agent Date: 321 East Fifth Street - P. O. Box 1150 Port Angeles, W A 98362-0217 OFFICE TRANSMITTAL DATE: September 19,2005 TO: PATRICK BARTHOLICK RE: CERTIFICATE OF OCCUPANCY FOR: THE ARC OF OLYMPIC PEN. 522 W. 8th Street Our records shows that the Occupant have applied for a Certificate of Occupancy Permit, however, the owner of the building they are renting from made construction changes without a building permit. The owner made plumbing changes to meet ADA requirements and did their own parking setup, they were to submit a parking plan to Public Works. The owner of the building needs to obtain a building permit first before we can issue a Certificate of Occupancy Permit to the renters. The Arc of Olympic Pen, should also realize that the lack of a Certificate of Occupancy may affect their insurance issues. Thank you, vid Yasumura t-II ~~ ~ -'~:rre= '>~r171rl r ",,0"\" ~9-r 1::.~ "";":~"'" ,..lvi,"; ",.".,,'____ --- ur'I~;1'p';jj~f ,'lIJ F ,"':lJ:c'CJ y" ',,,,'" ',' .~,~~:.~ VI U;:/U','. :~J~"~ '~i'!,~U' JC (;-"1 _L.,. 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"" ~ €> ...r>--t) "'l< 'j' ';? ~ , 9t/ ~ ~ (- CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans. specifi- catIOns and other data shail not prevent the bUilding offiCial from thereafter requumg the correctIOn of errors In said plans, speCIficatIOns and other data, or from preventing bUilding operatiOns be:ng carned on thereuflder when In "Iolat,on of ail codes and ordinances of thiS lunsdlcuon. ~S~;;~IUN lJ (e), U101 orm \ 'J1 I too?;1 ~C- 1\\Jfi'O\!al [I"te 11 I o~ By .:JtJ. Au~y HI @ J) ~ ~ ~ '1.'3::' ~ (~ 1 \) ('J \) \J\ ~~ c~ yU'-" 9:.-\5' ~ )~ ~/ J OJ ,+ ,... ~u~E tP -l ~ (.\ h' i ~ ~ t. ~ ,-" -'\ v.... I- <' ~ () - 1.- 0~ ~ --e 1\ ~ ~:(I' "--/' <.. 1) r- ')>~L tJ \J\ ~$ (1\2: '1 ))...... J: ~, . -- Q) i1\ - ~SU ~':v '-'\ Ii1 (j)'~ ~ r- I' \1\ I JI I~ 1+1 I ~I I~ I 5 1\/\ i . I I ; i , ~ , , I . at\-.h Rl!:tCT ..-t k -:1- i I ~I ~ I I -J I ; ! I I I I I ! I I " /115 I I ! . 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PARKING ANGLE r. CENTER TO CENTER WIDTH STALL WIDTH G. or DOUBLE ROW WITH ..., 19'5TALL TO CURB AISLE BETWEtN D. AISLE WIDTH r. CURB TO CURB t. CURB LENGTH PER CAR G. STALL CENTER G F \ q \~ \ q FIGURE 2 ~.-R: 150" AREA REQUIRED FOR PARKING ONE CAR 400 iht ~f'I'"lIo/ ~ 3nrJ p.r c.ar At di~t 300 ~I~ Qn91.~ 200 (7 JJIO' ~. 270' 10' ~50' 6ft 270' ICO 10' 400' '70' '280' , so' 1.75' ~' 5/0 0 40' W' '10' tiS' ,I I I I , ; .{ ) .j f I , I ~)/l .! .. t I '4( !li 1 ~ i j I; . ' ll! I, I , ! \ I .I.:' ", \ . , " :"'1:,..." : ~. ~l.,';... . . I f II ...... I :}",t. ~, I , ~ ;.',J.:'" I -.l't ;/ ---- Ilo... .- , , , I I ~) , ~~.R , ( J i .. " / '" l. i l' .~ , .' O' to' 'lc! !lOt. 4-0' ~ bo' 70' ~II &:1, 'lC: 1 I , , , I Return Address: ~ 1/.'~~/m1 ~ ~?/o6 - .:kan~ cp~ I~~~~ tZ--~ ?5~~~~m-vf - Ihc-t;- U~~ ~ ,4. tf';(d~ Prrb /t:'n> LEASE AGREEMENT - COMMERCIAL PREMISES IndeXIng mformauon reqm.red by the Weslunglon State Auchtor'slRecorder'. Office, (RCW 36 18 and RCW 65.04) 1/97 Reference 41 Grantor/Owner(s): (1) (2) Grantee(s): (1] (2] Legal Description (abbreviated]: (please pnnt last name first) Addl'.onpg_ Addl'. on pg_ Addl'. legalls on pg_ Assessor's Property Tax Parcell Account # TillS LEASE made thlS ,1 p t-f.. day of S jrV'"4 ' d V-V' '7 by and between (Names and Addresses): H jV( ~ P r t-f t r+-r e5 I J...--l-- L _ (hereinafter called Lessor), and J11 e~ It Ie p.f Gl f rvp r C P e.n I ~ b. uX. rv ,(hereinafter called Lessee): WITNESSETH: 1, PREMISES: Lessor does hereby lease to Lessee, those certain premises commonly known as 5:J, A U).e 5 -r t;.. l'lt) h 'fh 6--h--e- e+ I P pr t frh j.e.-( f !; i U-Jll- Or 3 3. fp;;L. as shown on Exhibit B attached hereto, (hereinafter called "premises"), being situated upon land described in Exhibit A attached hereto. 2'4TERM:The,termOfthiSLeaseShallbefOr -()AlP y-eAr-5 commencing the +; r~ t day of _ V ~ j).!J t , ~ V'1 'I and shall terminate on the ,$ [ c-s... t: day of 51-/. L~l ,J. PTp . ' , , 3. RENT:LesseecovenantsandagreestopayLessor,attheoffic8SofLessor, q I /:J W. ) Pth ~-/;:y-e e.j; f P r 1 4ft!J vi e '; uJ A or to such blther p~ or at such other place as Lessor ~ay hereafter designate, monthly) rent in the amount of l L f Jr.,-t h vt--vLd to f pf h:P htJ -- Dollars($ ~!::J fi. iTD ), in ad}QIDce", on the first day of each month of the lease term. Lessor hereby acknowledges receipt of ?-i-"'2 h- r '^- U/vLttf' e.-l"L +--l r -MJ Dollars ($ ~ 5'" (l f i7J) 1, for the first and _ months rent. If Lessee is in possession of the premlS8S for a portion of a month, the monthly rent shall be prorated for the number of days of Lessee's possession during that month. Arfcy rental paymlf,lts received five or more days after the beginmng date of each,..:antal period will be subject to a service charge of $ ik v/~ - +-<., l/ (-- -' - ~ Dollars ($ J:r" l"lJ) ) to cove;:..adchtional accounting, notices, administrative and handling costs, and loss of use of funds. Lessee has deposited the sum of $ ~ )/(,.-t.--r J+"...!./vuJ 'j -t pL .--- Dollars ($ 1/) V . iJ1) - 1, recelpt of whlch is hereby acknowledged, which sum is security for Lessee's full performance of the obhgatlOns hereunder and those pursuant to O1apte~ 59 Revised Code of Washington, or as such may be subsequently amended ::) I J7 v' P i' t7:f "-1ft e cJ e.. p (J:S f-.--L j.:!. r1. t:rYt - .r t::- ..p k.-P1. J K b i e . Lea... Agraement (Commercial) WIth CPI Clause Page] of 6 ClWashmgton Lega] Blank. Inc., Issaquah, WA Form No 430 10/96 MA TI:RIAL MAY NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER t~ 1-v'\-~ }J4. ~ bove base monthly rental rate plus changes, if any, provided in Paragraph 5, "Taxes", shall be adju ed annually 1 e following manner: The monthly rental rate shall be adjusted at each yearly a ate by using the revise surner Price Index (CPI) for All Urban Consumers as pu y the United States Department of Labor for ttle-Everett Metropolitan area. The ind e shall be those published for ,the nearest period preceding the mon . ch the initial I ar begins and the same period preceding the anniversary date. The percentage of change frO r ier index to the later index shall be multiplied by the rent rate at the beginning of each lease nd the result to that beginning rate to arrive at the adjusted rate which will apply to each of welve months of the succeedin se year, except in no event shall rent rate be less than the origin onthly rate. When. this paragraph becomes e e' upon renewal, the first two (2) sub-paragraphs 0 aragraph 5, "Taxes", do not further apply for the reason that are included in the Consumer Pri aex calculations. Should the components of the CPl change or be discontinue r inception of thi se, lessor shall notify lessee of a substitute index which in the Lessor's discretion approxim e It of the CPI and such index shall be utilized for subsequent adjustments. 4. UTILITIES AND FEES: Lessee agrees to pay all charges for light, heat, water, sewage, garbage, drainage, metro and all other utilities and services to Athe premises during the full term of this lease. Above items, if any, included in the rent payment are N I /"f" . All' other items including all license fees and other governmental charges levied on the operation of Lessee's business on the premises will be paid directly by Lessee. In the event the leased premises are a part of a building or larger premises to which such charges are charged as a whole, with the consent of the Lessor, then Lessee agrees to pay. upon demand, a proper and fair share of said charges. 5. TAXES: In addition to the rent provided in paragraph 3, Lessee agrees to pay any increase over base year N ) It in the portion of the real estate taxes and assessments applicable to the premises which are due and payable during the term of this Lease or any extension hereof. Lessee shall pay its portion of the increase of the taxes on the building equal to the percentage of the total net rentable area in the building leased to Lessee, plus the portion of the taxes applicable to the land described in Exhibit A which is equal to the ratio of the square feet of the premises to the total square feet of net rentable area of buildings on said land. Lessor shall submit to Lessee a copy of the actual statements received from the taxing authority as they become due and shall invoice Lessee for its portion according to the provisions of this paragraph. Lessee shall pay such invoice within fifteen (15) days. If the term of this Lease commences and terminates on dates other than January 1 and December 31, respectively, taxes payable shall be prorated in the first and last calendar years of the term of the Lease. Should there presently be in effect or should there be enacted during the term of this Lease any law, statute or ordinance levying any tax (other than Federal or State income taxes) upon rents, Lessee shall pay such tax or shall reimburse Lessor on demand for any such taxes paid by Lessor. 6. COMMON AREAS: If the premises are part of a building occupied by other tenants, Lessee agrees to conform to Lessor's rules and regulations pertaining to the parts of the building that are in common use by tenants. 7. REPAIRS AND MAINTENANCE: Premises have been inspected and are accepted by Lessee in their present condition. Lessee shall, at Its own expense and at all times, keep the premises neat, clean and in a sliIlitary condition, and keep and use the premises in accordance with applicable laws, ordinances, rules, regulations and requirements of governmental authorities. Lessee shall permit no waste, damage or injury to the premises; keep all drain pipes free and open; protect water. heating, gas and other pipes to prevent freezing or clogging; repair all leaks and damage caused by leaks; replace all glass in windows and doors of the premises which may become cracked or broken; and remove ice and snow from sidewalks adjoining the premises. Except for the roof, exterior walls and foundation, which are the responsibility of the Lessor, Lessee shall make such repairs as necessary to maintain the premises in as good condition as they now are, reasonable use and wear and damage by fire and other casualty excepted. Le.... AgreemODt (Commorcial) with CPI ClalUll Pago 2 oU ClWuhington Logol Blank, Inc.. w..quah. W A Form No 430 10/96 MATERIAL MAY NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER 8. SIGNS: All signs or symbols placed by Lessee in the windows and doors of the premises, or upon any exterior part of the building, shall be subject to Lessor's prior written approval. Lessor may demand the removal of signs which are not so approved, and Lessee's failure to comply with said request within forty-eight (48) . hours will constitute a breach of this paragraph and will entitle Lessor to terminate this Lease or, in lieu thereof. to cause the sign to be removed and the building repaired at the sole expense of the Lessee. At the termination of this Lease, Lessee will remove all signs placed by it upon the premises, and will repair any damage caused by such removal. All signs must comply with sign ordinances and be placed in accordance with required permits. 9. ALTERATIONS: After prior written consent of Lessor, Lessee may make alterations. additions and improvements in said premises, at Lessee's sole cost and expense. In the performance of such work, Lessee agrees to comply with all laws, ordinances, rules and regulations of any proper public authority, and to save Lessor harmless from damage, loss or expense. Upon termination of this Lease and upon Lessor's request, or Lessor's approval, Lessee shall remove such improvements and restore the premises to its original condition not later than the termination date, at Lessee's sole cost and expense. Any improvements not so removed shall be removed at Lessee's expense provided that Lessee shall pay for any damage caused by such removal. 10. CONDEMNATION: In the event a substantial part of the premises is taken or damaged by the right of f:minent domain, or purchased by the condemner, in lieu thereof, so as to render the remaining premises economically untenantable, then this Lease shall be cancelled as of the time of taking at the option of either party. In the event of a partial taking which does not render the premises economically untenantable, the rent shall be reduced in direct proportion to the leased property taken. Lessee shall have no claim to any portion of the compensation for the taking or damaging of the land or building. Nothing herein contained shall prevent the Lessee from his entitlement to negotiate for his own moving costs and his leasehold improvements. 11. PARKING: Lessee understands that parking is apportioned in conformity with controlling zoning ordinances and that Lessor shall have the right to make such regulations as Lessor deems desirable for the control of parking automobiles on the real property described in Exhibit" A" or property under Lessor's control, including the right to designate certain areas for parking of the Lessee, employees of Lessee, his customer and other Lessees of said bui}dings. '"! ~ p ~ II e ~ f k rK u'\ B f.lp (L l. t 5 ,^-.-r e.. in e-I V de pL f) S u-- P P.-f-t:- j} p.. "f-ft e P r e-i1A I f:, e 7' 1<: 12. LIENS AND INSOLVENCY: Lessee shall keep the premises free from any liens arising out of any work performed for. materials furnished to, or obligations incurred by Lessee and shall indemnify and hold Lessor harmless against the same. In the event Lessee becomes insolvent, bankrupt, or if a receiver, assignee or other liquidating officer is appointed for the business of Lessee, Lessor may cancel this Lease at its option. 13. SUBLEITING OR ASSIGNMENT: Lessee shall not sublet the whole or any part of the premises, nor assign this Lease without the written consent of Lessor, which will not be unreasonably withheld. This Lease shall not be assignable by operation of law. Any assignment shall not release the Lessee from liability under this lease unless the assignment states such. 14. ACCESS: Lessor shaU have the right to enter the premises at all reasonable times for the purpose of inspection or of making repairs, additions or alterations, and to show the premises to prospective tenants for one hundred eighty (180) days prior to the expiration of the Lease term. 15. POSSESSION: If for any reason Lessor is unable to deliver possession of the premises at the commencement of the term of the Lease, Lessee may give Lessor written notice of its intention to cancel this Lease if possession is not delivered within thirty (30) days after receipt of such notice by Lessor. Lessor shall not be liable for any damages caused by delay, and Lessee shall not be liable for any rent until such times as Lessor delivers possession. A delay of possession shall not extend the term of the termination date. If Lessor offers possession of the premises prior to the commencement date of the term of this Lease, and if Lessee accepts such early possession, then both parties shall be bound by all of the covenants and terms contained herein, including the payment of rent during such period of early possession. 16. DAMAGE OR DESTRUCTION: 'In the event the premises are rendered untenantable in whole or in part by Le... Agreoment (Commtrd.l) with (]I) CI."", Page 3 of 6 CWashington Legal Blank, Ine , lsaaquah. W A Form No. 430 10/96 MATERIAL Mh Y NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER *' J..-e.~5e~ will jJr.c.vei--t+ J.f~ Cf/CYJTf:> J<.....nld VJ~/tL'15 +Y-t.:~ p u. ;-- k I Yl!1 ; tI + r L't nt L e,!;sp, S p r-v-p-e~tV' K-.t- Sf 8 W. l?<jJh M ~.t_ fire, the elements, or other casualty, Lessor may elect, at its option, not to restore or rebuild the premises and sball so notify Lessee, in which event Lessee shall vacate the premises and this Lease shall be terminated; or, in the alternative, Lessor sball notify Lessee, within thIrty (30) days after sucb casualty, that Lessor will undertake to rebuild or restore the premises, and that such work can be completed within one hundred eighty (180) days from date of such notice of intent. If Lessor is unable to restore or rebuild the premises within the said one hundred eighty (180) days, then the Lease may be terminated at Lessee's option by written ten (10) day notice to Lessor. During the period of untenantability, rent shall abate in the same ratio as the portion of the premises rendered untenantable bears to the whole of the premises. 17. ACCIDENTS AND liABIliTY: Lessor or its agent shall not be liable for any injury or damage to persons or property sustained by Lessee or other, in and about the premises. Lessee agrees to defend and hold Lessor and its agents harmless from any claim, action and/or judgment for damages to property or injury to persons suffered or alleged to be suffered on the premises by any person, firm or corporation, unless caused by Lessor's negligence. Lessee agrees to maintain public general liability insurance on the premises with broad form property damage and contractual liability endorsements and in the minimum combined single limit of $1,000,000 and deductible of not more than $5,000 for bodily injuries and death, and shall name Lessor as an additional insured. Lessee shall furnish Lessor a certificate indicating that the insurance policy is in full force and effect, the Lessor has been named as an additional insured, and that the policy may not be cancelled unless ten (10) days prior written notice of the proposed cancellation has been given to Lessor. 18. SUBROGATION WAIVER: Lessor and Lessee each herewith and hereby releases and relieves the other and waives its entire right of recovery against the other for loss or damage arising out of or incident to the perils described in standard fire insurance policies and all perils described in the "Extended Coverage" insurance endorsement approved for use in the state where the premises are located, which occurs in, on or about the Premises, unless due to the negligence of either party, their agents, employees or otherwise. 19. DEFAULT ANDRE.ENTRY: If Lessee shall fail to keep and perform any of the covenants and agreements herein contained, other than the payment of rent, and such failure continues for thirty (30) days after written notice from Lessor, unless appropriate action has been taken by Lessee in good faith to cure such failure, Lessor may terminate the Lease and re-enter the premises, or Lessor may, without terminating this Lease, re-enter said premises, and sublet the whole or any part thereof for the account of the Lessee upon as favorable terms and conditions as the market will allow for the balance of the term of this Lease and Lessee covenants and agrees to pay to Lessor any deficiency arising from a re-letting of the premises at a lesser amount than herein agreed to. Lessee shall pay such deficiency each month as the amount thereof is ascertained by Lessor. However, the ability of Lessor to re-enter and sublet shall not impose upon Lessor the obligation to do so. 20. REMOVAL OF PROPERTY: In the event Lessor lawfully re-enters the premises as provided herein, Lessor shall have the right, but not the obligation, to remove all the personal property located therein and to place such property in storage at the expense and risk of Lessee. Lessee agrees that a landlord's lien shall continue to attach to the property whether or not removed from the leased premises. 21. COST AND ATI'ORNEY'S FEES: If, by reason of any default or breach on the party of either party in the performance of any of the provisions of this Lease, a legal action is instituted, the losing party agrees to pay all reasonable costs and attorney's fees in connection therewith, including cost and fees to collect any judgment. It is agreed that the venue of any legal action brought under the terms of this Lease may be in the county in which premises are situated. Interest on unpaid sums shall accrue at the rate of 12 percent per annum from due date, even if unliquidated at that time. 22. SUBORDINATION: Lessee agrees that this Lease shall be subordinate to any mortgages or deeds of trust, placed on the property described in Exhibit A, provided, that in the event of foreclosure, if Lessee is not then in default and agrees to attorn to the mortgagee or beneficiary under Deed of Trust, such mortgagee or beneficiary shall recognize Lessee's right of possession for the term of this Lease. 23. NO WAIVER OF OOVENANTS: No conduct of a party shall constitute accord and satisfaction unless contained in a writing to such effect and signed by the parties. Any waiver by either party of any breach hereof Le... ^81"emODt (Comm.rcial) with CPI Cia.... PaS" 4 oCe ClW811hlngton Legal Blanl;.lnc..l.aaaquah. W A Form No. 430 10/96 MATERIAL MAY NOT BE REPRODUCED JN WHOLE OR IN PARTIN ANY FORM WHATSOEVER by the other shall not be considered a waiver of any future similar breach. This Lease contains all the agreements between the parties; and there shall be no modffication of the agreements contained herein except by written instrwnent. 24. SURRENDER OF PREMISES: Lessee agrees, upon termination of this Lease, to peacefully quit and surrender the premises without notice, leave the premises neat and clean and to deliver all keys to the premises to Lessor. 25. HOLDING OVER: If Lessee, with the implied or express consent of Lessor, shall hold over after the expiration of the term of this Lease, Lessee shall remain bound by all the covenants and agreements herein, except that the tenancy shall be from month to month and shall be for a monthly rate of 125 percent of the last rental rate under the lease. 26. BINDING ON HEIRS, SUCCESSORS AND ASSIGNS: The covenants and agreements of this Lease shall be binding upon the heirs, executors, administrators, successors and assigns of both parties hereto, except as hereinabove provided. 27. USE: Lessee shall use the premises for the purposes of "If: I L -e -S P A- C 't:.... and for no other purposes, without written consent of Lessor. In the event Lessee's use of the premises increases the fire and extended coverage or liability insurance rates on the building of which the premises are a part, Lessee agrees to pay for such increase. 28. NOTICE: Any notice required to be given by either party to the other shall be deposited in the United States mail, postage pr!;Waid, addressed to the Lessor at 1 f P w~ I iY th tri-J: flrr-t If--n fJ e J e 7, k.JJf It 81b::L. or to the Lessee at y.". t9 >t d J)1j:A Z-i'r. JI\ t! ' {). or at such other address as either party may designate to the other in writing om time to time. A facsimile transmission will suffice in lieu of mail if receipt is confirmed as to date and time. 29. RIDERS: Riders, if any, attached hereto, are made a part of this lease by reference and are described as follows: ''f'h e ~ V m i9 f 4 O.!J. frP o?r yv<. p-n Th .sA/'./L-L L e () tl; j r 'J J . If) ,LP_' . i 0 r. IJ C J.../t-- -t- PT .:?- I W" P"Yl '1115 tJ ,- TT~ e. te rm p.{ rn e.. {e Ii 5 e if J e~.5 tf-r It..-vt- ~ if' f-h t--t'-JfHbvr5-eWleytt- +c #Ie L-e.55f)r..f . 'J ':1-1t'P't ~ fi-5 . 30. TIME IS OF THE ESSENCE OF THIS LEASE. r. . _rr A- 0'1. YV1 P c+ ( f- I L IL h ()-11 f 'W k ... i~tw . . ." l-<-- ~E c: t-!;,i ,I D cd ~; /vM Jf-L)~ e..cl 31. If Lessee IS a corporatIOn, each mdlvIdual executmg thIS Lease on behalf of said corporation represents and warrants that he is duly authorized to execute and deliver this Lease on hehalf of said corporation in accordance with a duly adopted resolution of the Board of Directors of said corporation or in accordance with the By-laws of said corporation. and that this Lease is binding upon said corporation in accordance with its terms. If Lessee is a corporation, Lessee shall, within thirty (30) days after execution of this Lease, deliver to Lessor a certified copy of a resolution of the Board of Directors of said corporatIon authorizing or ratifying the execution of this Lease. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals the date first above written. LESSEE(S):j.{ lLt4 /{ IITfj LJ / R. ~ L ~~ ~. MLCvRDy LESSOR(S): ~~~ jVJ fA r 1<... fA..;, S h~/V\ P Le..e Agreement (Commeraal) with CPI ClauB. Page 50f6 OWashingtoD Legal B1ank.Ine.. 19saquah. W A Form No 430 10/96 MATERIAL MA Y NOT BE REPRODUCED IN WHOLE OR IN PART IN ANY FORM WHATSOEVER MMB Properties, LLC. LANDLORD IMPROVEMENTS: 1. The landlord will renovate the bathroom so as to make it handicap accessible. This includes: replacing the toilet; adding a handicap hand rail; and widening the doorway to allow the access of wheelchairs. 2. The landlord will renovate the hallway entrance so as to make it handicap accessible. This includes: widening the doorway to allow the access of wheelchairs. 3. The landlord will renovate/build the walk-way and ramp making it accessible for wheelchairs. Tenant has agreed to allow landlord till the end of October 2004 to finish the renovations as indicated in this improvement. ADENDUM TO THE LEASE AGREEMENT: 1. The landlord has the sole discretion and use of the East portion (indicated as the side yard) of the Property. BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 3 ~ I '-I' oS- Penmt# O!?- lit I Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Date Approved Date Issued \ I ApplIcant or Agent. (V\c:V k.. lfJ. Sh.tZ.i-U f Mv../ '^- UJ. ,~b- . Address. Cl to l;-) LO~ Owner: Lj 3C/l 5 ~f CIty: I, A r Phone: 3bD -t{52 ,- t6~ Phone: "3 bO - if!; I -- 3~ s'f Zip: 92 3b ,3 ArchItect/Engmeer: Contractor Phone: State License #: Exp: Phone: Address: City: S2-L.- &V 8'~ Zip: ZONING: f!.e.o I CfRtfI. , PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: BIQck: SubdivisIOn: Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: )( ResldentlaV 0 New Constr. 0 Re-roof o MultI-faIDlly 0 Addition 0 Move :t$( COIDlllercml 0 Remodel D' DemohtIOn o RepaIr 0 Sign BRIEF DESCRIPTION OF THE PROJECT: /I/lPt-Le- ~d CPtf tt ece-5'5~bLe- COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: -L Lot SIZe: '} EXiStIng Sq. Ft. -.9 Sd ;5~ & Proposed Sq. Ft. Total lot coverage % City: MC # Exp. Date: o Stove o Garage o Deck o Other SIZEN ALUATION: SF @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $/{I'X'YJ <::jC) ConstrucTIon Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checkhst required? 0 Yes 0 No Other BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIvisIOn can prOVide you With mformatIOn on the apphcatIOn and plan subIDlttal requIrements If you have questions. VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by the apphcant ThIS figure will be reviewed and may be reVised by the BuIldmg DIVIsIon to comply with current fee schedules. Contact the PefIDlt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE' IF a plan check fee is due it must be subIDltted at the hme the buIldmg pefIDlt apphcatIOn and constructIOn plans are subIDltted. All other pefIDlt fees are due at the trme of pefIDlt issuance. EXPIRATION OF PLAN REVIEW: If no permit is Issued WithIn 180 days of the date ofapphcation, the application will expire. The BuIldmg OffiCIal can extend the trme for actIOn by the apphcant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the InternatIOnal Building/Resldennal Code, 2003). No applicatIOn can be extended more than once. I hereby certify that I have read and exammed this applicatIOn and know the same to be true and correct I am authonzed to apply for thiS permit and understand that it is my responSibility to determme what permits are required ,not the City's, and that I must obtam such permlts.prior to work. T\RVESSIBLDCi-f~-b=h='~OO,""",ldmgp=,twpd Appli"nt ~# ~a"- ah", 104 " / -, ~( . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'? 15853 )- ~r /h Port Angeles, Washlngton_u_m__~oom__m__oooomoo_mmm_moomm_____m_, 1900'00000 In accordance with the City Ordinance to regulate the instalJation, 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 ;{"ical work as Hsted below. Address _mooi.oo;:d_d_~m~oot:.L_m____noohm__moomm_mmmmm OccupancYoooo_~__1?~'hmmoohn_m_oo___m. Owner oommmmoo._____oooo__._.moommmoomoooo________h_oo_oooo TenanLoomoooomoo._m_oomn____mm_h___hd__oooo_moo_m___._oo Wiring Contractor~~=m..--{~!~-:.m By._.oommmoommoon__nn_mh_oooomoom_m__m_.oooooooo Light OutletB___._______.mm__mmm__________. Service, VOltB 4?/oo-?:--'t.?!.m Type of Wiring: Receptacle Outlets______..._____................. No. wires ..._~......... ..................n... Armored Cable ............................- SI I ~ Non-Metallic ............................-..-- Dryer, KW......unnu...__.____....____._u._____ ze w res.7/j..--.---.---n.--.......--. :'ldlJ4. Knob & Tube____.mmmm.mmm______ Malu tUBe __m<1l':_______m. m...____. S Enclosure nnn___..........mmnm..nun. Range, KW ____<n________.________________________.. Water Heater: KW.oooouu_________.____________________.. HeUl: KW...m.l:f..:.J3.B._________________ Type of wiring: ,. Entrance Cable ......m..._____.:...___.... Motors: sIze, volts and phase: Rigid Conduit .......mnn___....___....__. Metallic Tubing ........................... Current transformers: No. & Size.n.................................... Ser. NO.........._.........__.nn........n......... Ser. NO....n__...................nn.......nn.... Ser. No. ............................................. RIgid Conduit uUm'mm__"'''''''m___ Metallic TubIug m''''m...._._m....___ Raceway ..............................._....._ CIrcuits. LIghL...............nu.........mm.... UtilIty ....n.nn............_......d............ IJeat ............................................... Range ............................................. Water Heater ........h.h.................. Motor ....................h....................... Dryer ...............d................................. Furnace .........................._................... Remark:~ta:oo~~:_~:=~__===,___mnn_~~2::.::__:_.)24___.~~mmoo~-~~::--::::::.J.:::--::.:.:.::::--..-- Permit Fee Treas. Receipt NO.m_______..__..__....._... By oo9/Y:_f?!~4~_~L2~~moomoo $.oo_m._m______mmm._moo___. NOTICE-Current must not be turned on until CertifIcate ot Inspection has been issued. It work is to be con. cealed due notice must be gIven the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15853 Address........................................................................................................................................Date..._......_.........._.........._.............._......... Owner ..........hh.........__.........._......____......_......_.._..........h...........................nnn.............. Tenant........n....nn......n......un.................d.....hd.... Wiring Contractor ..................................._....n_............................................................................. By.......................................................__..... N!1'.l'ICE-Current must not be turned on until Certiflcate ot Inspection has been issued. It work Is to be cea1ea-due notice rat be given the Inspector so that work may be inspected betore concealment. . 1M Olvrnolc Printers. Inc. con-