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1020 Caroline St - Building
0 CERTIFICATE n &fi N ,U PA N CY city o'f Port A nge' es "Build ng Division This certificate is issued pursuant to,the requirements of Section 111 of the 200'9 International Building Code cor certifying that at the b ane issuance °this struct in co liance the various ordinances of the City regulating building con uucct�n or use for the�fo Zoayin k Business name l il Host Non= o t e e` o ffice) Business address a "1.0 aroline a A x Property owner Kavon, A ir Property owner s addre PO Box 300117, o Automatic fire sprinkler system. Per IBC t: Use occupancy classi ation. Bus Occupant load. Building permit number. Type of construction. 07 -30 -10 Date Post on the premises in a conspicuous place. This ceibic fall not be removed except by the Building Official. Vlaj\QA B 3 o PREPARED 6/07/10 8 49 13 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/07/10 ADDRESS 1020 CAROLINE ST TENANT NBR CLALLAM COUNTY HOSTELRIES CONTRACTOR OWNER KAVON A WA LLC PARCEL 06 30 00 1 0 3110 0000 APPL NUMBER 10 00000533 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 6/07/10 SUBDIV BLDG FINAL TIME 01 00 June 3 2010 8 51 42 AM 1pangrle CAROL 452 9663 BUILDING FINAL SIGN (CLALLAM COUNTY HOSTELRIES) AFTERNOON COMMENTS AND NOTES PHONE PHONE (360) 457 1431 Application Number 10 00000533 Date 6/02/10 Application pin number 611786 Property Address 1020 CAROLINE ST ASSESSOR PARCEL NUMBER 06 30 00 1 0 3110 0000 Tenant nbr name CLALLAM COUNTY HOSTELRIES Application type description SIGNS Subdivision Name Property Use Property Zoning COMMERCIAL OFFICE Application valuation 500 Application desc 16 SQ FT SIGN MOUNTED ON THE FENCE Owner Contractor KAVON A WA LLC PO BOX 3017 PORT ANGELES (360) 457 1431 Permit SIGN Additional desc 16 SF FENCE MOUNTED SIGN Permit pin number 166611 Permit Fee 47 00 Plan Check Fee 00 Issue Date 6/02/10 Valuation 500 Expiration Date 11/29/10 Qty Unit Charge Per 1 00 47 0000 PER S ALL SIGNS OR TO 25 SF Special Notes and Comments May 28 2010 4 41 45 PM sroberds The sign proposal will result in a 17 sq ft sign in the CO zone No land use issues anticipated Fee summary Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or perfo ance of construction 2 WO AK&X 7 i 411 g /ate Print Name Signature of Contractor or Authorized Ag;y" Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Charged Paid Credited OWNER Due Extension 47 00 9 FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 G I0 (.L er Cocrn'J weirAlte 5 /z1 Rayon A- WA LLC B o)3ot�. l PA VA q$3 (9Z ow ,i. i3ORT SIGN PERMIT APPLICATION Print in ink Applicant or Agent l ALL... Avv) Ca, os1'g,_i2 t� Property Owner ,5f, l;'"1 /1/© VA K Property Owner's Address P-c Eer 307'7 4 Contractor /Engineer ,i5 7� tm-- if Contractor /Engineer's Address ,,,1Oy�7 j fl/!Z License N /:Q Project Address Business Name Parcel Number CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 /010 (4t Z P o-eAr' /-i cr v5 G( t C; )41 ;161./ TH G0 5 Lot Zoning Cr) Submit an 8 "x 11 "site plan three sets of plans that include. Type of sign (wall- mounted projecting freestanding illuminated other Placement and sq ft. area How the sign will be securely attached (Engineering specs may be required for freestanding signs) Separation distance between the bottom of projecting and freestanding signs and the surface below See `Chapter 14.36 Sign Code of the City of Port Angeles Municipal Code for sign requirements. Sian Tvpe Brief Description. (Type, location, sq. ft.) Sign #1 y$ v ,0 `moo i9 A so 4 s4g9-#2 15 t Jcr o4) ,ucv2 ,c, o") PL /ice ;eer> L"4 S' .r� Totals (Unit charaes Unit Charae Quantity multiplied by auantities' $47 00 $85 00 $115 00 x x x T Forms /Building Division /Sign Permit Application.doc GRAND TOTAL Type of Sian All signs less than or equal to 25 sq ft. Wall sign or marquees, over 25 sq ft. Freestanding sign or projecting sign, over 25 sq ft. Make Checks Payable to City of Port Angeles Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. Proposed sign(s) area I 7.1. 4 7sq. ft. Total sign(s) area 7 sq. ft. Building facade area (height __/(6 ft. X width it& ft.) id sq. ft. (If a building has more than one business in it, only measure the area of the building fagade that is used by the business applying for this permit.) I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to working on projects Date /a4 Print Name %/c X12 L, /Al'ignature Expires Sign(s) Valuation For City Use Only Date Received 5-26 10 ermit 16-5 3 Date Approved n 56O oe 66o 4ls7 —/44 5 21,x 4 7 et '250 Late_ ,5 CLAL COUNT HOSTEL A Y.F0,,Frr ANGELES Construction Plans ppriT#Wea: 116re teq t whn *Or dAt ta,.; 24 ae. 4k. -`re r .,„■11 14•Vt. ',Aki;:44; •Lk,A 4 'U C.,74 It rov 54 tot-}4 •fti vf-e-A y„WI eikifoN tom tio)t) _Ft T 16 "..9 IP•1441A d e r br k c.KG.pivii0V sc uAYIE If 7 mot- &y_1( LsTuvls V a. p n 37 PREPARED 5/11/10 8 27 38 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/11/10 ADDRESS 1020 CAROLINE ST SUBDIV TENANT NBR CLALLAM COUNTY HOSTELRIES CONTRACTOR PHONE OWNER KAVON A WA LLC PHONE PARCEL 06 30 00 1 0 3110 0000 APPL NUMBER 10 00000447 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS C099 01 5/11/10 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 05/10/10 TIME 15 37 44 May 10 2010 3 36 19 PM 1pangrle HERB 452 9663 C OF 0 FINAL CLALLAM COUNTY HOSTELRIES AFTERNOON COMMENTS AND NOTES Print in ink BUSINESS NAME l-.. LA-I.1,fs1/41\A Coo n T 1:40.S4e 1, 5 BUSINESS ADDRESS 1020 C_Gt.ro< kyle_. Si— Zoning CO Business mailing address-P,n f' 2I 9cl Phone #3o-45 z. 9(L,3 Opening date frICUA I Z, 7- CD 1 0 Days hours of operation MO a- �'f2(OA'-[ Co .30 AM— 5 1- CO PM Washington State Tai I D If known list the name of the previous A/irnt nl9tvudrlve, tffi business at this location Brief description of proposed business Rf,s►cle -,ii.I I rcr- t- Sefur.e, •y- fotom.vtr, r �,L,f t Business owner's name MEQ 0- P P r P.- t- n xv(E (97n CP_ Phone �,r n -L1- Gf„r,-, I Business owner's home address 4/ P PLEASE NOTE. A Business License is also required for the following businesses Taxi Peddlers Second -hand dealer Pawnbroker Dance Hotel Motel, Fireworks, Ambulance Tattoo shop Contact the City Clerk at 417 -4634 for additional information. New business Transfer of business location from a PBIA location Transfer of business location from a non -PBIA location Change of ownership Remodel ACTION Temporary business Change of use CERTIFICATE OF OCCUPANCY APPLICATION Permit# 1 I CITY OF PORT ANGELES FEES Attn Building Permit Technician $50 00) Certificate Inspection 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 -$19497130 Parking Business Improvement Area (PBIA) fee charged for downtown locations WILL THERE BE ANY OF THE FOLLOWING? Electrical changes New or relocated signs Construction changes Mechanical changes (ventilation, heating, cooling, etc.) Plumbing changes Fire sprinkler system changes Fire alarm system changes New or relocated sewer or water service Excavation or filling of lots Work done in the City right -of -way New driveway openings Grading site drainage (parking lots, downspouts, etc.) Landscape irrigation system (backflow devices) Is this a home occupation? Is this a second -hand dealer or pawnbroker business? Is there off street parking for this business? Is the street in front of this business paved? Is there a sidewalk in front of this business? Is there a curb gutter in front of this business? _AlIruscn4 UPrmi +S i NOV I YES/ U IF YES CONTACT Electrical Dept. at 417 -4735 Building Div at 417 -4815 Public Works at 417 -4807 Water Dept. at 417 -4886 Planning Div at 417 -4750 City Clerk at 417 -4634 How many spaces? I Call for Certificate of Occupancy inspections before Opening business. Building Department Inspection 417 -4815 Fire Department Inspection 417 -4653 Please provide a minimum 24 -hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Date Print Name CAP t tl aQ Signature� c For City use only Ft t ChCC G' le_ Approved I Rejected Initials date Initials date Department Building Fire PBIA Planning City Clerk Public Works 5 -11- to h7-2 ktio 52 -lo SR 5- is 16TH I5 -2o -to KV T: Forms /Building Division /Certificate of Occupancy Application Type of construction Automatic fire sprinkler system Comments Conditions Clallam Count Hostelries P.O. 13ax 2199 Port Angeles WA 98362 Phone 360 -452 9663 Fax 360 -452 -8020 Email www.cchotfon.com Please sign up for utility services at the cashier counter Resitiormal s.,. fa. InclIvkluots With .Dowebrt,,.„n iDr,obiina, cwiifi, County Carol Lil jedahl Financial Manager 4 Clallam County Assessor Treasurer Property Details 60871 KAVON A WA LLC f Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 60871 KAVON, A WA LLC for Year 2010 2011 Property Account Property ID 60871 Legal Description TX #293 EX W 25' SUB LOT 31E Geographic ID 0630001031100000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 65 Open Space N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Location 1 Address. 1020 CAROLINE ST Mapsco \`OJ vQ\ PORT ANGELES 3 Neighborhood Cycle 5 Comm Map ID Neighborhood CD 20953140 Owner Name KAVON A WA LLC Owner ID' 34033 Mailing Address: PO BOX 3017 Ownership: 100 0000000000% PORT ANGELES WA 98362 Exemptions. Taxes and Assessments Due Property Tax Information as of 05/06/2010 Amount Due if Paid on 21. First Second Half Half Statement Base Base Base An Year ID Taxing Jurisdiction Due Due !Penalty Interest Paid Du 2010 43703 ST SCH STATE SCHOOL $287 14 $287 14 $0 00 $0 00 $287 14 2010 43703 CC -GEN COUNTY $152.81 $152 81 $0 00 $0 00 $152 81 2010 43703 PORT PORT $21 48 $21 47 $0 00 $0 00 $21 48 2010 43703 PORT ANG PORT ANGELES $353 80 $353 79 $0 00 $0 00 $353 80 2010 43703 SD #121 SCHOOL DISTRICT #121 $371 92 $371 93 $0 00 $0 00 $371 92 2010 43703 NTH OLY LIB NORTH OLYMPIC LIBRARY $44 40 $44 40 $0 00 $0 00 $44 40 2010 43703 HOSP #2 HOSPITAL #2 $62 68 $62.69 $0 00 $0 00 $62 68 2010 43703 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19 94 $19 95 $0 00 $0 00 $19 94 2010 43703 CITY_STORMWATER CITY STORMWATER $61 82 $61 81 $0 00 $0 00 $61 82 2010 43703 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82 2010 43703 TOTAL. $1376.81 $1376.80 $0.00 $0.00 $1376.81 $1 2009 608712008 ST SCH STATE SCHOOL $335 10 $335 10 $0 00 $0 00 $670.20 2009 608712008 CC -GEN COUNTY $169 59 $169 59 $0 00 $0 00 $339 18 2009 608712008 PORT PORT $24 02 $24 02 $0 00 $0 00 $48 04 2009 608712008 PORT ANG PORT ANGELES $371 99 $371 98 $0 00 $0 00 $743 97 2009 608712008 SD #121 SCHOOL DISTRICT #121 $414 41 $414 42 $0 00 $0 00 $828 83 2009 608712008 NTH OLY LIB NORTH OLYMPIC LIBRARY $49.28 $49.27 $0 00 $0 00 $98 55 2009 608712008 HOSP #2 HOSPITAL #2 $69 55 $69 55 $0 00 $0 00 $139 10 2009 608712008 CITY_STORMWATER CITY STORMWATER $61 82 $61 81 $0 00 $0 00 $123 63 http.//vpn.clallam.net:8084/propertyaccess/Property aspx ?cid =0 &year 2010 &prop_id =60871 5/6/2010 0 O c› CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 301 of the International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building construction or use. For the following Use Classification: Business Building.Permit No. 05 -669 Business Name Cedar Grove Counsehne. Inc. Group: B Owner of Business: Gill On Building Address: 1020 Caroline Street No. 93 Building[ficial .J Type of Construction: V-N •Use:Zone: CA Address. 1020 Caroline Street Port Aiiaeles. WA. 98382 Port Aneeles. WA. 98362 21, 2006 Date Post on the premises in °a place Shall not be removed except by Building Official C fi Z 2o(e C.a L /AJG, ROUTING SLIP Certificate of Occupancy $47 00 Certificate /Inspection Fee DATE 7 /24 /DS New Business i Address of firoposed Business Transfer of Business Location /C& 6 oue0�' r/V/96£21 S Pe" Change of Ownership Applicant 6 0 New Building Address zi 27'3 4i s 2O Remodel ..4'T' 4/)6e cc r (-4 .1 );'763 Temporary Business Phone business ys home X.a -4 69 Change of Use Brief description of proposed business c U re /�J/; d cb; R•9TENi" Legal Description Lot 3I e Block Subdivision Current Use of Property (2,i) nr6, .0 Fic Z- Zoning Classification of Property WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electrical changes Mechanical (heating, cooling, stoves) Plumbing changes r relocated signs w 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 YES N'A 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 APR REJECTED b Building Section Public Works Department 13 3 pc (3q Planning Department 7 2R ')s` Fire Department '3-2,8 -05_bt City Clerk PB I.A. Date Signed THE FOLLOWING 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 Comments Conditions 6- 7 6r,WfC1 WILL BE REQUIRED 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 7/zG4 r ,-(0" 0 CERTIFICATE OF OQCUPANCY City of Port Angeles"` Building Division This Certification issued pursuant to the requirements of Section109 of the UnifornOuilding Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building 4 construction or use. For the following Use Classification: Off e Building Permit No. 04 351 Business Name: Woodlands Cou Inc. Group: B Type of Construction. V N Owner of Business/Residen e: Woodlandlands Councelina Inc Building Address: 1020 Caroline Street. 4P Pos Shay ott 'e Of6cialt Use Zone: CO T. Address: 1020 Caroline. Port.Aneeles, WA 98362 Port Anae1es, WA 98362 e 16, 2004 Date qp p i,cuo a s place wilding Official BiG DATE Wg;-/(2.'1 Address_ f P ro p ed Bu sin ss Transfer of Business Location t 1 u t S h t Change of Ownership Applicant -1e -L4 Building Addres 11�� c210 (4/12-C 1 vi Remodel Pe ti e_l.e S C; /iQ 9r 3.6 Temporary Business Phone businessg3 J 2 qW3 home 1 2 Change of Use _Cji_ezat eiAtettWhtt Brief description of proposed business Legal Description Lot BlockA Current Use of Property' 40 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 AP "R'V EJECTED 5 io oLLS yiLad ROUTING SLIP Certificate of Occupancy ifW) Certificate /Inspection Fee New Business YES Building Section Public Works Department Planning Department Fire Department City Clerk PB I.A. N 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 Date Signed 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 Comments Conditions Subdivision 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 v/2 1-e" ROUTING SLIP Certificate of Occupancy "'$@B Certificate/Inspection Fee -:;to~ -- 551 Phone: Bnef descnption of proposed business: Legal Descnptlon: lot ~ . Current Use of Property: (2..... Zoning Classification of Property: " . BI~c;i I _ '.. _ ?t1 r9 ~ WILL THERE BE ANY OF THE FOLLOWING? Construction changes Electncal 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 nght-of-way Is there sufficient off-street parking? New dnveway openings .. A grading plan for site drainage (parking lots, downspouts, etc) Are the eXisting streets paved? Are there eXisting sidewalks? . . . . . Is there curb and gutter? Other YES N~ ~ I- . -* At ==* ~ New Business .. ......................... Transfer of BUSiness location. . . . . .. ........ Change of Ownership . . . . . . . . . . . .. ..... .. W BUilding .. ...... Remodel. . . . . . .. ...... ........... .... Temporary BUSiness ... . . . . . . .. .... .... ange of Use. .. .. . . . . . . . THE FOllOWING WilL BE REQUIRED: PERMITS 1) BUilding 2) Plumbing 3) Electncal 4) Mechanical 5) Sewer 6) Sidewalk Installation 7) Dnveway 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 I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date' information I have supplied IS correct to the best of my knowledge Signed: Ah~~rv\791 -ff4 \fj EJECTED BUilding Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions 1!::.IAf"i4 ./ ( ) (K) ( ) ( ) ( ) ( ) ( ) - (:) 6 o ~ ::::--, ~ \\ c CERTIFIC _",=rE:~e'F)~"O:CCUPANCY ~ """i~~: "" #p;'; City of Port Angei~~~ ,ll~" Building Division ,,~. !"Y. This clJliijication issued pursuant to the requirements of Secti ;t, 109 of the Uniform,iJ3uilding Code certifying that at the time of issuance this s"tJ;ucture was in c~fnpliance with the various ordinances of the City regulating 1J"uilding Nf construction or use. For the following: ~:~, L ~ Use ClassificatIOn Offiee Building Perrmt No 04-351 Business Name W ood1ands Counseling rne. ~'" ;1 '1 Group ...!L [: Type of Construction V - N i Owner of Busmess/Resldence W oodlandlands Couneeling rne , P, BUlldmg Address' 1020 Caroline Street. li ,f;fl II iilber 16 2004 i'Date ~~tt (( '<m:, r~ifJ~"""""'l"Jl-fr"'lJ~""';.~. ,<-~.~,> t..~,~'4Il. "~~~""'I'd'; "'N!;"'; 7",~~:,~, I'"' "r,*.""-",,....'rJ. r I o "', ,";",~!I?~~,~I:~~~~~',~~;~:;~,~~"~~J,~~~~- space. at l5eJiemci{fedl:ex'ce" 'fJ;6~',,;BiIU:ain Official. _,I' '-L<"<i,O,'L';[ ,h ;J;c~-'"'C".. J? ""~Q~Y ",,,,,, 9 c' ;'"''':~~~~~,:~~;~.',~~~::~~~~~';;';;; ""~- Iil' ::iel\,' ~'?fl ~~ Use Zone. ao 11 Address 1020 Caroline. PortilAngeles. W A 98362 If Port Angeles. W A 98362 CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT ~~ 1/:>~4 I . . T-? V Port Angeles, Washlngton............._____________..._..._____...__.__...__.....__, 19........ In allCordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure In the City of Port Angeles, per- mission Is hereby granted to dO electrical work as listed below. Address ...!.?-._?r:2...._..~tfk.1;;?r.:Ii~......--.--.................. Occupancy____~<f..I.?::::o?:.--.-.............----....-- ~::~~~:~-:.~.~~~~~~~;:....:::::..::::...~_.~.~~:::::::::=::::::::::::::::::::::::::::::::::::::: 6 /3G/~/u Light Outletsn........__......_.........._._..___... Service, volts ......m.....7.....n............... Heceptacle OUtlets_...f?_(;.?...n......n... No. wires .....n;!.mm..__....n_......_ Dryer, KW....nn....n......____n..._n.n____._. Size wires.......n.....__n__n......__....._.. Main fuse ..__......00.........___..........00... Range, KW ____._._._._n...._.____n_____._______ Water Heater: Enclosure nn....m___.....__n___.....__ KW.....m..mm........m.....mmm.. Type of wiring: Entrance Cable ...__n.....__mn.... lleat: KW............................n__......._._n..nn: Motors: size, volts and phase: ~ , Y' J::?? ,,, /./--b"J?_~ ..-c='..,::..::.;.:.;............___n.:;;......._n..nn...._n____n. Rigid Conduit ........mn....... MetalUc Tubing ...nm Current transformers: No. & Size_........._.n__.........._........__.. Ser. No. Ser. No. ...__.00..................000000.....__.00___ Ser. NO........__._.........n_....................... Type of Wiring: Armored Cable ....__mn....m.......____ Non-Metallic .................__.............. Knob & Tub.................................. RIgid Conduit ............................... MetaUic TubIng ........m_...n........_. Raceway ___.n...............__........_._n._ Circuits, Light___.......__....________....._._.....__ Utility............................................. Heat ..--..-.....--.......---......-.......-..-- Range ....._..00..............0000___....__........ Water Heater .....n......m_.....n....... Motor ..._...00......_000000.._._.00_....._....... Dryer __....._..___.............._____........__....__ Furnace _...........__......._...__......__........._. Total Load.......______..n.._....n.. Ser. NO.....__n........._.......nn._n......_._n Total ........n.......__.n.............._n Remarks: ___.__.;.(-',__.-:-t'?-d?~f:~."'.--......................--............--..--.......--............----............--....--......---.......... .nn__.nn_n.u.n__n...__nunnunnn_n...nn.n.n_nn..__...__n.n__nnn.nn_nnn.n..u.n_....___n.....__n.nn.u.n__.._._nnu.nn_dn.n.nnnn ;':;:;~-:::~_-:::-::~=---~g1e~:-~: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work Is to be con- cealed due notice must be given the Inspector so that work may be Inspected belore concealment. ~ NOTIFY THE INSPECTOR BY PERMIT NUM~ER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N~ 1 7 5 9 4 Address.....____._.__........_..............__.._...._....._____....________..........._............__d__...._____n_.............._..........Date..._....___.._.._____......-.--......-.-....-......-.. Owner ..................................._.........._....00_......_.._.__00......00....00...00___.._.......00000000.....__.__.... Tenant..._..._....n.nn...._n__nnn....._n_.nnn...._._nnn_._.. '\ Wiring Contractor .__......____.__..........._._....._......_..~_.......___............................_.....__........._._............. By........................._.................................... \. NOTICE-Current must not be turned on untll Cert1flcate 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 conceblment. ( , ' , ., '-..... 1M Olympic Printers, Inc. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N9 16469 Port Angeles, washlngtOll...nm__1.2n__=LJ_mn___._.________m_m., 192(; 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. ~::::s__::~f~~::::::~~;:~~::::::::::::::::m.;~~~~~:::_n~::~~~.~:_~:::::::~::::::::::::::::::::::::::::::::::::::: Wiring Contractor mnC2g:,<!._E.11?:-E::';t..~:::::mnn.._._nnm By_..mmmmmn_________mnn._nm.m__n_m___._m____.n Light out1etB....nm:nJ.Q.____nnn___~m. Service, volts ml.-lP./2t.'9..--m Type of Wiring: Receptacle Outlets___...~Q.........___. No. wires .......6.P.'3.... ...................... Armored Cable .............................. Si i d ()".tlcfl1~~ ~ Non-Metallic ................................. Drye,. KW ___.nnnn_____n.____.___h__h___mn ze w res__.m_ ______.m_:_________.I........... 7tJ!fA Main fuse ......._.............!................ Enclosure ......C-:!/'!:.?............. Range, KW..................... Water Heater: KW.....n__hmm.hmm_____m__m He.. KW____/~)m.~.e'A_A_ / ... Motors: size, volts and phase: Type of wiring: Entrance Cable ........................ Rigid Conduit ............................... MetalUc Tubing .................. Current transformers: No. & Size............................. Ser. No.............................................. Ser. No.............................................. Ser. No............................................... Knob & Tube................................_ Rigid Conduit m_mm_________..____.__m Metallic Tubing .....................___... Raceway ..............................._........ Circuits. Light....................................... Utility............................................. Heat ......................................._...... Range ............................................. Water Heater ............................... Motor ..._........................................ Dryer ................................................_ Furnace .........................._......_........... Total Load............................. Set. No.................._.......................... Total....................................... Remarks: _mhh_nm_'__,::::"."-l:?-::~,,n.~d.!'.,'~:H.~.d2::atZ.nm____mnmmmnmn___m___mm_m_mm____..._n --- I _::_=.~~~:~_:~..~~~~~_~..~~~~~~-__~-m--.---::~_~.~:_-_~_~_~_~~~_~...__~__hm-.n---m---~:.j{;2ZL2!~:,=:::-::: NOTICE-Current must not be turned on until Certificate of Inspeetion 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~ 16469 Address........................................................................................................................................Date..._......_.._.._.._.........._......_......_......... Owner ..................................._......_.._......_......_.._........................................................... Tenant.................................................................... WiringContractor..................................._.....................................................................................By.............................................................. NOTICE-Current must n()t be turned on until Certificate of 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. -. 1M Olympic Print~s, I?c.