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Home My WebLink About113 S Eunice St - Building 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.: 06-133 Business Name: Marian Birch D.M.H. Type of Construction: VN Use Zone: CA Owner of Business: Marian Birch D.M.H. Address: 113 S. Eunice Street Building Address: 113 S. Eunice Street Port An~eles, W A. 98362 Port Angeles, W A. 98363 711~t[-7 '"' May 5, 2006 " Date ~ Post on the premises in a conspicuous place. Shall not be removed except by Building Official. ..~- -[fJ. CERTIFICATE OF OCCUPANCY City of Port Angeles Building Division This Certification issued pursuant to the requirements of Section 30i 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 constmction or use. For thefollowing: Use Classification: Business Building Permit No.: 05-669 Business Name Pamela DeSanto Counseling Owner of Business: Pamela DeSanto Building Address: 113 S. Eunice Street ~~ 1. )Jl~. ../ Building qtficial Type ofConstruclion: V-N Use Zone: CA Address: 113 S. Eunice Street Port Angeles, W A. 98382 Port Angeles, W A. 98362 March 21, 2006 Dale Post on the premises in a conspicuous place. Shall not be removed except by Building Official. ~ f)it:J ~ .- -;>~o .;..... A"- ~V? .... t '33 =Lo4 fVltk-l~ B.r-'C/h [} rn.H. ROUTING SLIP . ~ ~ fORT JII", ~,vJ'"J ~a'" -vt'~ <-O~Otl': <>~-<;;, Psy"",t.1..o JDSI~CAJ S ~Vl'oz,5 Certificate of Occupancy ~~\i ..~. L..~ ~ $50.00 Certificate/Inspection Fee .~ ~ '1.0;"....... DATE kh ..3 2-00 ~ New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ~ Address of Proposed Business \EtOI "') Transfer of Business location . . . . . . . . . . . . . . . ( "3 $.. E~~a.... Sf" (Po &O')C Change of Ownership ..... ......... ....... ( ) Applicant /F'fI?Itru-; a.,oa Blrch New Building .. . . .... ... ... .... .......... ( ) Address '54 K la.hha..V1e. R ;~e.. Dr . Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) p 0 yo ,. A n~e...le.., Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business 4 I 7 - 30' S- home 4.<;7 . ~~)4 Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) Brief description of proposed business: Ps "c/,-,o /0 a i ca....1 S erV1' ce..5 I Legal Description: lot It) J W 'h of ' I Block 2S" Subdivision IJ(}.,...~ f2..~~ Current Use of Property: Zoning Classification of Property: Will THERE BE ANY OF THE FOllOWING? YES NO THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . ./ PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............. -~ 2) Plumbing 2) Peddlers -~ Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 3) Electrical 3) 2nd Hand Dealer New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . 4) Mechanical 4) Pawn Broker New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - ---z 5) Sewer 5) Dance New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . -~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons ... . . . . . . . . . . . . . . . . -~ 7) Driveway installation 7) Fireworks -~ Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . -~ 8) Curb installation 8) Ambulance Excavation of filling of lots. . . . . . _ . . . . . . . . . . . . . . . . -~ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way . . . . . . . . . . . _ . . . . . . . 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . -r . 11 ) Fire -- New driveway openings ............ _ . . . . . . . . . . . ./ 12) Occupancy -- A grading plan for site drainage . . . . . . . . . . . . . . . . . _ -- 13) Sign (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . _ . . ~-L 14) Shoreline Are the existing streets paved? . . . . . . . . . . . . . . . . . . . 15) Home occupation Are there existing sidewalks? .. _ . . _ . . . . . _ . . . . . . . . L' 16) Conditional use Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . 17) Other Other.................................. _..... -- , I hereby apply for a Certificate of Occupancy and acknowl- kb 3 200 " 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: ~ REJECTED Comments / Conditions Building Section Public Works Department 2'}V-Di-i( Planning Department ~J Fire Department City Clerk P.B.I.A. .. -it L2l2- ROUTING SLIP fVORT ~'" iJ~O~Q~C" Certificate of Occupancy ~~<P ,,~; 'L... -==.:....:w =- tel ~\~ )LS;CVy) \u CllN'Y'I~) I ~ $50.00 Certificate/Inspection Fee j tv-y-... 2.. I LOD~ ~ "'""",.... DATE Hd<b \C)'$ I New Business. . . . . . . . . . . . . . . . . . . . . . . . . . . . ( JI ) Address of prrosed ,Business -Pl\ 1.. ~ hcoa. Transfer of Business location . . . . . . . . . . . . . . . ( ) ; I ~ S LA. VU <..a.... S {- Change of Ownership .... . ................ ( ) Applicant P 4 ~ \ 0-... be. StL Y\ -tv New Building .... . ..... ...... ... '" ...... ( ) Address fo I \ <C. sr& 'S.-t- Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) rA- Temporary Business. . . . . . . . . . . . . . . . . . . . . . . ( ) Phone: business ql2..-0D~ ~ home ,-\s -) ~IL\ S., Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) lJ' , tr~~ Brief description of proposed business: ~~S-<.It'') s..eJ\\.l1 UL \I'\~) ~) legal Description: lot Block Subdivision Current Use of Property: Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES ~O THE FOllOWING Will BE REQUIRED: Construction changes . . . . . . . . . . . . . . . . . . . . . . . . . . PERMITS BUSINESS LICENSE Electrical changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ==~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) ............. -~ 2) Plumbing 2) Peddlers Plumbing changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ 3) Electrical 3) 2nd Hand Dealer -- New or relocated signs . . . . . . . . . . . . . . . . . . . . . . . . . "- 4) Mechanical 4) Pawn Broker -- New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ 5) Sewer 5) Dance -- New sewer service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ 6) Sidewalk installation 6) Hotel - Motel -- Admission charged to patrons ....... . . . . . . . . . . . . '-.J _ 7) Driveway installation 7) Fireworks Is this a home occupation? . . . . . . . . . . . . . . . . . . . . . . -.. 8) Curb installation 8) Ambulance -- ......... Excavation at filling at lots. . . . . . . . . . . . . . . . . . . . . . . -............ 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-at-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? ......... . . . . . . . . . . . "'-..,. 16) Conditional use -- Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . '" 17) Other -- Other....................................... . -~ I hereby apply for a Certificate of Occupancy and acknowl- Dale: r .}-~ 5 edge that I have read this application and state that the \;y information I have supplied is correct to the best of my knowledge. Signed: ~ a.. ~ ~ REJECTED Comments / Conditions Building Section Public Works Department Planning Department ff)[) Fire Department 11-8~()c,/~ City Clerk P.B.I.A. os :tt Cl1 ~ ROUTING SLIP Certificate of Occupancy $50.00 Certificate/Inspection Fee ( ,'. I, DATE I~I<{, It)." Address of Proposed Business j I ...., ,. I ~ Applicant r I I . ..._ > Address I i \ ^ T r ~ ", tJ~ ,.- ~- h411(. ,\ ~ Phone: \ business 'f I l.. ~ '- 'l home \ I ,,' ) t I _' '1 . Brief description of proposed business: l \.....J i.."-. ,'\ legal Description: lot Current Use of Property: Zoning Classification of Property: Block CJ) 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 ot tilling ot lots. . . . . . . . . . . . . . . . . . . . . , . Work done in City right-ot-way ..... . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings .....................,.. A grading plan tor site drainage . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) . . . . . . . . . . . . . . . . . . Are the existing streets paved? . . . . . . . . . , . . . . . . . . . Are there existing sidewalks? ........ . . . . . . . . . . . . Is there curb and gutter? . . . . . . . . . . . . . . . . . . . . . . . . Other..........,..........,............,.... . YES NO " ~- "" ., -- -~ 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 ~~/o.~ I Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. os- tit l2l2- . J/:t,-:' . I ft New Business. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Transfer of Business location . . . . . . . . . . . . . .. ( Change of Ownership ..................... ( New Building ............................ ( Remodel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( Temporary Business. . . . . . . . . . . . . . . . . . . . . .. ( Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . .. ( - '\ \ t- v , I I 'V r -..J, tt\"~~- \ \.. Subdivision THE FOllOWING Will BE REQUIRED: .... PERMITS 1) Building 2) Plumbing 3) Electrical 4) Mechanical 5) Sewer 6) Sidewalk installation 7) Driveway installation 8) Curb installation 9) Sidewalk obstruction 10) Water meter installation 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other BUSINESS LICENSE 1) Taxi 2) Peddlers 3) 2nd Hand Dealer 4) Pawn Broker 5) Dance 6) Hotel - Motel 7) Fireworks 8) Ambulance 9) Tattoo shop 10) Other '"', I } I / { Date: , , tit 1\ - t I \. - Signed: ^ ;,1 .)\1 \ ~I"ORT -1", (;~O~Q~~ 'f1i;.~t L -=::::JI =- ~ "%:~~. , ) ) ) ) ) ) ) Comments / Conditions (0 j) ~ \, ^+~ " _-\- ,\,G'Y-. ~. r... ~ )2-+- \ -"'0 r'\J. .1\ ..:t:f ;,~~:rr 4~fr > o Z <C c. :J o ~, 0-= ~ :e O ~.- = .~ LL -< .:: .....Q .. 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(Xl II) II) .s:: C) ~ c<3 ~ ..... c:: ro ~ - II) .s:: U u u c ... "0 .;;; ... ~ ... c .;;; '" Ctl .... o ~ ... c ~ o N o o N . - .co 00 0>.- I-< (.) (.) II) .- ..o..co= 5 ~ 0.0 > tn c) o ~ c: 0.- :I" :.u= - ~ "m !t->- .Q ~ '~a - tn- o co Q..c: (/) ~ ~a r= rn J4AJ+Lt) ,M.II- ROUTING SLIP ~,ORT ~-\I ~Hc-~YL <,O~.~ ,,~<;. Certificate of Occupancy ".~~fIt ?.:lrvo-.. ;I~ "- -=..:II =- Certificate/Inspection Fee ~ "'""',.,.... DATE 1(-5-07- New Business ........................... . ( /) Address of Proposed B~siness 9I-r Transfer of Business location. . . . . . . . . . . . . . . . ( . ) il3 5. bUY/ICe ee.+ Change of Ownership . . . . . . . . . . . . . . . . . . . . . . ( ) Applicant CHEI<'1L ff1ftArf-LE) Mdt! New Building ............................ . ( ) Address A /) I 130/- .:L 97 D Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( /) ~ Temporary Business ( ) 'w- t Ar.~e/~s, J1J.N- '1f3t. ...................... . Phone: business"~'%~- ZUD home3~o.bcf3-701 'J Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( ) , Brief description of proposed business: JJjEt) fA L HE- It I ~ 6 UM Se II~ /l6yc1b I-itEMfJ 'I / legal Description: lot /o-t 'h , I Block 2S- Subdivision ,U .R ~I 'f It Current Use of Property: ~~C e- Zoning Classification of Property: C.O WILL THERE BE ANY OF THE FOLLOWING? Y7 NO THE FOllOWING Will BE REQUIRED: Construction changes. . . . . . . . . . . . . . . . . . . . . . . . . . . ~- PERMITS BUSINESS LICENSE Electrical changes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---r - 1) Building 1) Taxi Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . '=?L == 2) Plumbing 2) Peddlers Plumbing changes ............................. 3) Electrical 3) 2nd Hand Dealer New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . ---r 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. . . . . . . . . . . . . . . . . . . . - --r- 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... ---y- 8) Curb installation 8) Ambulance Excavation of filling of lots ....................... --y 9) Sidewalk obstruction 9) Tattoo shop Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . -y-- 10) Water meter installation 10) Other Is there sufficient off-street parking? . . . . . . . . . . . . . . . 11 ) Fire New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . - ----;;r- 12) Occupancy - ---r; A grading plan for site drainage. . . . . . . . . . . . . . . . . . . -7 13) Sign (parking lots, downspouts, etc.) ................. . ~- 14) Shoreline Are the existing streets paved? ................... ~- 15) Home occupation Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . ---7 - 16) Conditional use Is there curb and gutter? ........................ -- 17) Other Other........................................ . -- I hereby apply for a Certificate of Occupancy and acknowl- II S-07 edge that I have read this application and state that the Date: information I have supplied is correct to the best of my Si~~/ (2. IJ1 ".-?4it ) mA. ~tl! knowledge. $ REJECTED Comments I Conditions Building Section Public Works Department h.~ -02-'~ Planning Department 7 Fire Department ! J- B - ()z .iifjJ City Clerk P.B.I.A. . , ..- .. {'U1sC!j/n~ ROUTING SLIP Certificate of Occupancy '~r~;~,~ ~u Certificate/Inspection Fee DATE 1/- ,.4)- - ~.:Jo 6l-.. Address of Propose~ Business S. I Phone: New Business 0 0 . 0 0 . 0 . 0 . 0 . 0 . 0 . 0 0 . 0 . 0 0 0 0 0 0 . Transfer of Business location. . 0 . 0 . 0 0 . 0 0 0 . 0 0 . Change of Ownership 0 0 . 0 . 0 . 0 . . 0 . . . . . . 0 . 0 . 0 New Building . 0 . 0 . . 0 . 0 . 0 . 0 . 0 . 0 . 0 . 0 . 0 . 0 . . . . Remodel 0 0 0 0 . 0 . 0 . 0 . 0 . 0 0 0 0 . 0 . 0 . 0 0 0 0 0 0 . . 0 0 . Temporary Business . 0 . 0 0 . 0 . 0 0 0 0 0 0 0 0 0 0 . 0 . . . Change of Use 0 . 0 . 0 . 0 0 . 0 . 0 . 0 0 0 0 0 0 0 0 0 0 0 0 0 . 0 ) 'i-) ) ) )C) ) ) ,050LA~ TAey~fJ~ ~rU'<(~ Block 2S- Subdivision NR ~M,'+IA Brief description of proposed business: legal Description: lot 10 ~ Jz Il Current Use of Property: ~~' co ~ Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? Construction changes. . . . . . . . . . . . . . . . . . . . 0 . . . . . . Electrical changes. . . . . . . . . . . 0 . . . . . . . . . . . . . . . . . . Mechanical (heating, cooling, stoves) . . . . . . . . . . . . . . Plumbing changes ..... 0 . . . . . . . . . . . . . . . . . . . . . . . New or relocated signs. . . . . . . . . . . . . . . . . . . . . . . . . . New septic tanks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . New sewer service ............................. Admission charged to patrons. . . . . 0 0 . . . . . . . . . . . . . Is this a home occupation? ...................... Excavation of filling of lots . 0 0 . . . . . . . . . . . . . . . . . . . . Work done in City right-of-way. . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . A grading plan for site drainage 0 . . . . . . . . . . . . . . . . . . (parking lots, downspouts, etc.) .................. Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ......... 0 . . . . . . . . . . . . 0 . Other........................................ . c () YES NO A-_ ~- ~- .L- L-_ ==f= -~ -~ --t- -~ -A-- -~ - -t.- --A- ~- -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. ~D REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.Bol.Ao JI-~-b)-~ I//JO #-Q~j)?N 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: //1/;5/ f2/)/}/:) Signed --1Ji,c LL fl. ,d,j}~ Comments / Conditions ..I 11 Ie; ROUTING SLIP Certificate of Occupancy $~ertificate/lnspection Fee DATE Cf....Zl-07 Phone: business New Business ............................ ( ) Transfer of Business location. . . . . . . . . . . . . . .. ~ Change of Ownership . . . . . . . . . . . . . . . . . . . . .. ( ) New Building ............................. ( ) Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Temporary Business ....................... ( ) Change of Use. . . . . . . . . . . . . . . . . . . . . . . . . . .. ( ) Brief description of proposed business: .t4 Ct ~S ~Q. ~X"O P---( Wl J t ~ legal Description: lot I (') ~ /'7 l~ Block 2 .-, Subdivision Current Use of Property: Zoning Classification of Property: c.. A 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 ot tilling ot lots ....................... Work done in City right-ot-way . . . . . . . . . . . . . . . . . . . . Is there sufficient off-street parking? . . . . . . . . . . . . . . . New driveway openings . . . . . . . . . . . . . . . . . . . . . . . . . A grading plan tor site drainage. . . . . . . . . . . . . . . . . .1 (parking lots, downspouts, etc.) .................. I Are the existing streets paved? ................... Are there existing sidewalks? . . . . . . . . . . . . . . . . . . . . . Is there curb and gutter? ........................ Other........................................ . YES NO --L- -~ -~ "- -- -~ -~ === -~ -~ ::X:f -~ ==== " ~- -- -~ ,v: R, 5~JYLt 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 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: >> REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. /D-? --(j) . D~ lJio-2 -{)j~ fjJ Comments / Conditions ..711 -; a tA... ~_... ~ ROUTING SLIP Certificate of Occupancy $~O"'Certificate/lnspection Fee DATE q... 2,- 02 ( ) (;><) ( ) ( ) ( ) ( ) ( ) New Business ............................ Transfer of Business location. . . . . . . . . . . . . . . . Change of Ownership . . . . . . . . . . . . . . . . . . . . . . New Building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Remodel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Temporary Business ....................... Change of Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . AddjeSS of proposed Business II', ',"\ (' \ \. \.\ I C, ~ Applicant J .- f -~_ I K. t: F ~, ,..\ "-1 , ".) ^ .. A Address <.), .(' I (.,",' f.... \ -' t'i \ (', C' l (> <.. ( ',., Phone: businessJ (-; -, -'ll77~home -,L c,~.(;.( - I ,i -t ? 7"-; q~,?~~ - <-.( " ,C - Brief description of proposed business: )-J \ (.I. ~c.., (.J C '->0. ( \ \ \~ ~'(("l J" I ' \- 2<:"'" legal Description: lot I (") ~ W y.., Current Use of Property: Zoning Classification of Property: ~ Block Subdivision THE FOllOWING Will BE REQUIRED: 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . YES NO / -- -~ \.. -- ....... 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 -~ -~ -~ -~ -~ \. -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. q (" t Date: - I j 1- Q_ Signed: ^ (.I ( )~ t \ (t--:i! ({ r. ,./ ^ ~y~ ,/, ,\ ) -.--- - ,.I J APPROVED REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16031 Port Angeles, washlngton__ml.~.m=....2.__E_m...__m.ooo.oooooo.__, 19__27 / 111 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- :~::r: i:.~.:~~~I:~.'~~:e~~::~~~:~::~_~:_I::~.~:..~:IO:~cupancy_A~f-.,~~......______.._..........._.. l' 7/- . - O~~~r .---.oooooo--';-c;71t::.~-::&:;-p2J;.P (l;~(!L...--..-ooo--mooo--....--..-----.-ooo--.--ooo---ooo...---...ooo.... Wmng Contractor _....___.__h___ooo'-__.ooo.__ooo__ooo_____.____h._<<l!.ooo.__ By__.m__ooo______ooo..ooo.mm_.__..___ooo__hm_ooo.__.__..ooo..__ Llghtl OUtletB_......!...>.............._.__.'!. Service, VOltB __/~_'?/--d..!:'!.Q.__. Type of Wiring: . ~ g/ Rece~tacle OUtlets....i:z.~.~n.._mn... NSIO. wI:eB ...--;;7;)";;7;/ ~:.:::Bl~:bl.~__::::::::::::::::::::::::::::: Dryer~ KW u........_____.............._._...____... ze w res../_-;'n......._.............._.. J :J 1"1 ::) ;r..1 Knob & Tube.._...___......................._ Rangd, KWm...__..__L____.__...__.__mm____. Main fuse ......."7.__....L____...:.......__.. r " Wat~r Heater: / Enclosure n.nn ...~.._. _.. ..___....... !l:W...__m__..yr.__?...........__mm__ Type of wiring: Heat: Kw.__.......I.:b-..__.J?J?........__...... Entrance Cable .....--...----........ RIgid Conduit .......__.........__._......... Metallic Tubing ..__..____.......__...____. Raceway ______._.......................__..._ Circuits, Light.........._.....___m_.._..m........ Motors: sIze, volts and phase: /JJ "=~.,..J.,J~.J,=o..__........._.....__... Cf;7 r ,- A /J.. , ...--~ p .__._--_.._-----.--/....:."'~...._............_......_. Rigid Conduit ____...._......_m.....___.... MetalUc Tubing ____m Utility...._..._.._n.__.....n..__................_ Heat 00..00_..__.00..._....................._...... " Ser. NO..n.n.._............................__....... Range ........_.._...._.._____.....___............. Water Heater 00___00__00._.................. Motor .............__....................._.__.._.. Current transformers: No. & Size_____n.._______..___________.._____... Ser. No. n.._nn.._nn....n..n......n.n__...... Dryer _....._...................._..00__.00..00......... Furnace .__......................'_......_00..__...... Ser. NO........___.....n_...._.___...........n..... Total lAIad....hnh....__hnhn..... Ser. NO.n__._h_.........h............h........... Total ..n..n__....n..n._..n............. Remarks: .hooo.__.___.n__.h__._______._____...mn..____......__.__...n...h__ooo.___n.___n._....__........__.____.......__.....____..__....._____....__....__ .U....Uh__~_nnn.nn.__nn______n____nn______nu.U.n.n.hnn.n.._____.__~hn____n~.._nnn_..n.n._.n_n.n____nnn___n__u__...un.....__..d.....u.. _;~:;~.;~~..n.n..-.--.............m;~:~:.n~:~:;~~--oooooo----m..----.-------.-.h)11.](--2.....-----.z--ooo---- . $_~.--.........---m............----. No.__.__....................__. By jfJ,'+ooo'ooo-l!lE.d.~_.:m~::f.~~<!b.."""____ J NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector 80 that work may be inspected before concealment. I NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION I I / ELECTRICAL PERMIT N? 16031 J\ddress....._..._..._..______......__...._........____..................................._....n................................___.__.._.__..Date..._.............._......................_......_...._.... I Owner..__.._._._._..__..__..........__.__________.__.....__....._.._........_............__.........______..___.______.........Tenant.....__.._...____.__....___......____._______.__...._._._.__........ Wiring Contractor.....................h......__............................_....n.......h..hn.n..h_____._n_...h._......_.n.._n. By..........h.................................................. i NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due notice must be given the Inspector so that work may be inspected before concealment. I - -. <___ T_~ ~ ~"~ / / g~r~rFf~-~/i~'~//~'~-~-,~' ROUTING SLIP d Ce~ificate of Occupancy ~r~:~~ Ce~ificate/Inspection Fee DATE ,//- ~'-'~ New Business ............................ Address of Propose~ Business Transfer of Business Location ................ //~ -~" ~ ~-//~E.~ Change of Ownership ...................... Applicant ~/~C~. ~r~L~ New Building ............................. Address ~ ~ ~,~ Remodel ................................. ,, T.m.or. Bus,. s ....................... Phone: busineSs~hom~/~-~/7~/ Change of Use ............................ Brief description of proposed business: F~/~2 ~&~-~ Legal Description: Lot IO~ ~1 Block 2~ Subdivision Current Use of Properly: Zoning Classification of Prope~: ~, (~ WILL THERE BE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Construction changes ........................... ~ PERMITS BUSINESS LICENSE Ele~ricalchanges ............................. ~ 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. ~ 2) Plumbing 2) Peddlers Plumbing changes ............................. ~ 3) Ele~rical 3) 2nd Hand Dealer New or relocated signs .......................... ~ 4) Mechanical 4) Pawn Broker New septic tanks ................................ ~ 5) Sewer 5) Dance New sewer sewice ............................. ~ 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... ~ 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... ~ 8) Curb installation 8) Ambulance Excavation offilling of lots ....................... ~ 9) Sidewalk obstruction 9) TAttoo shop Work done in Ci~ right-of-way .................... ~ 10) Water meter installation 10) Other Is there sufficient off-street barking? ............... ~ 11) New driveway openings ......................... ~ 12) Occupancy A grading plan for site drainage ................... ~ 13) Sign (parking lots, downspouts, etc.) .................. ~ 14) Shoreline Are the existing stree~ paved? .................. ~ 15) Home occupation Are there existing sidewalks? ..................... ~ 16) Cpnditional use Is there curb and gu~er? ........................ ~ 17) Other Other .......................................... hereby apply for a Certificate of Occupancy and acknowl- / edge that I have read this application and state that the Date: 1,1. information I have supplied is correct to the best of my knowledge. Signed: ? ~/-/;'"/~/z~' REJECTED Comments / Conditions ~D Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. ~__.H~-C~.V~_ )/~I~/[,J'r-/LL~,,) /J,/,)'lt- ROUTING SLIP Certificate of Occupancy [~) ~ ;-[- t~ ~ Certificate/Inspection Fee DATE i [~.~' - O ~Z.---- New Business ............................ Address of Proposed Business -- Transfer of Business Location ................ ~1 ,~ ~' ~--~l,(~? ~ (~ (~ ~'J~'df~+ Change of Ownership ...................... Applicant ~--./¢,~,~ Y(-- /~ f j I LE) New Building ............................. Address ¢2 ¢, ,~¢~:..,2.-~ "7 D Remodel ................................. /,¢3~¢-../L ,,~¢./.¢,$, /,~,~L ~f~,~. '_7 Temporary Business ....................... Phone: businessd~-¢,~2.-ZZ&D home;~.¢-t,¢¢..$-?~:~? Change of Use ............................ Brief description of proposed business: ,)'~4/~]/-~ (-- /'¢~-~ / '~-¢~ ~ ~ ~., SG-/,',J'~ /,/~ LegalDescription: LotiOn' /~_ll Block ~--~-*~"- Subdivision Current Use of Property: ~-~--~'~.(_~- Zoning Classification of Property: ~-- ~ WILL THERE BE ANY OF THE FOLLOWING? Y~ NO THE FOLLOWING WILL BE REQUIRED: Construction changes .......................... .. PERMITS BUSINESS LICENSE Electrical changes ............................... 1) Building 1) Taxi Mechanical (heating, cooling, stoves) .............. '/" 2) Plumbing 2) Peddlers Plumbing changes ............................. v~ __ 3) Electrical 3) 2nd Hand Dealer New or relocated signs .......................... 4) Mechanical 4) Pawn Broker New septic tanks ............................... ~ 5) Sewer 5) Dance New sewer service .................... ,/.- 6) Sidewalk installation 6) Hotel - Motel Admission charged to patrons .................... ¢., 7) Driveway installation 7) Fireworks Is this a home occupation? ...................... 8) Curb installation 8) Ambulance Excavation of filling of lots ................ ~7-- 9) Sidewalk obstruction 9) Tattooshop Work done in City right-of-way ................... 10) Water meter installation 10) Other Is there sufficient off-street parking? . ~'-- 11) Fire New driveway openings ......................... ~7-- 12) Occupancy A grading plan for site drainage ................... ~ 13) Sign (parking lots, downspouts, etc.) V 14) Shoreline Are the existing streets paved? ................... ~__ 15) Horneoccupation Are there existing sidewalks? ..................... v/',/ 16} Conditional use Is there curb and gutter? ....................... Cf __ 17) Other Other .......................................... hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: iinformation I have supplied is correct to the best of my Sig~___.~K~ ,~.~,/ knowledge. Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. Certificate of Occupancy $~/~l~l'Certificate/Inspection Fee DATE ~' ~- O~ New Business ............................ Address of ProposN Business Transfer of Busine~ Locmion ................ I j~ L~J ~ Change of Ownership ...................... Appli~nt~t~ ~ ~~ New Building ............................. C~ ~]O~ ( ~. ~n~ Tempora~ Business ....................... Phone: buslne~ ~-~ome ~ Change of Use ............................ Cuffent Use of Prope~: Zoning Classification of Prope~: ~ ~ Wl~ THERE aE ~Y OF THE F~LOWlNG? YES ~O THE FOLLOWING WILL BE REQUIRED: ~s~u~on ~ang~ ................... ~ PEflMI~ BUSINESS LICENSE Ele~Hcal chang~ .............................. ~ 1) Building 1) T~i M~hani~l (heffiing, cooling, ~oves) ............... ~ 2) Plumbing 2) P~dlers Plumbing ~ges .............................. ~ 3) El~d~ 3) 2nd Hand Dealer N~ or m~ted sig~ .................. ~ 4) Mechani~l 4) Pawn Broker ~ s~tic mnks ................................ ~ 5) S~ 5) D~ N~ sewer se~ice ............................. ~ 6) Side~lk ins~liati~ 6) ~tel - Motel A~ission c~ged to ~ons ................. ~~ J ~ OrNeway in~llafion ~ Fi~o~s Is ~is a home o~upation? ....................... ~ 8) Cu~ in~lafion 8) Ambulan~ ExciSion ~ filling of I~ ....................... ~ 9) Sidewalk o~u~ion 9) Taboo shop Work done in CJ~ ~ght-~-~y .................... 10) Water m~er J~latJon 10) ~ Is the~ s~icie~ off-~r~t peking? ............... ~ 11) Fire N~ driveway openings ....................... 12) Occu~ncy (parking I~, do~s~u~, etc,) .................. t4) Shoreline Are the ~i~ng ~e~s pave? .................... ~ 15) Home o~pation ~e there exi~ing sid~Nks? ................... ~ 16) Cond~on~ use Is ~ere curb ~nd gu~e~ ............. ..... , ..... ' ' ~~ 17) ~ ~her ......................................... 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 tothe best of my Signed: J~g~J i knOwledge. ~.~_ APPROVED REJECTED Comments / Conditions Building Section Public Works Department Planning Department Fire Department City Clerk RB.I.A. t ! .ou.,.. Certificate of Occupancy j ~ Ce~ificate/Inspection Fee DATE ;/~ '~'/)Z New Business ............................ Address of.~rggosed Bus,ess ; ~ - Transfer of Business Location ................ Change of Own. ,h p ...................... Applicant ~/)'~- ~- ~ ~ New Building ............................. Address ~,~ ~/./~ Remodel ................................. ....................... Phone: business/'~ home ~ Change of Use ............................ Brief description of proposed business: Z~¢,~ ~ '-'7~ LegalDescription: Lot JO ~ ii Block ~ Subdivision Current Use of Prope~: Zoning Classification of Prope~: ~.~ WI~ THERE aE ANY OF THE FOLLOWING? YES NO THE FOLLOWING WILL BE REQUIRED: Constru~on changes ........................... ~ PERMITS BUSINESS LICENSE 7 Electri~ chang~ ............................... 1) Building 1) T~i M~hanical (he.ting, c~ling, stoves) ~ 2) Plumbing 2) P~dlers ~ 3) Electrical 3) 2nd Hand De.er Plumbing changes ............................. New or relocated sig~ .......................... 4) Mechanical 4) Pawn Broker New septic tanks ............................... ~ 5) Sewer 5) Dance 7 N~ sewer sewi~ ............................. 6) Sidewalk installation 6) Hotel - Motel Admi~ion charged to patens... ~ ~ Driv~ay in~llation 7) Fireworks Is this a home occu~tion? ...................... ~ 8) Curb ins~llation 8) Ambulan~ Ex~vation of filling of lots ........................ 9) Side~k objection 9) Ta~oo shop Work done in Ci~ right-~-way .................... 10) Water m~ installation 10) Other Is there su~cJe~ o~str~t ~rking? ............... ~ 1 1) Fire New ddveway o~nings ......................... ~ 12) Occupan~ A grading plan f~ s~e dr~nage .... ~ 13) Sign (pa~ing lots, downs~uts, ~c.) ~ 14) Shoreline A~ the exis~ng ~reets paved? ................... ~ 15) Home ~cupa~on Are there e~sting sidew~ks? ...... ~ 16) Condition~ use Is there curb and guQe~ ......................... ~ 17) 0~ Other ......................................... I hereby apply for a Ce.i fi cate of Occupancy and ac knowl- ~ ~ 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: ..........~ APPROVED REJECTED Comments / Conditions Building Section Public Works Depa~ment Planning Depa~ment Fire Depa~ment City Clerk RB.I.A. CERTIFICATE OF OCCUPANCY City of ~rt Angeles Building DiviSion This Certification issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying ~hat at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building ~ use. For the Use Classification: Office Building ]?¢rmit No.: LMP Group: B !,.~ onstnlction: Owner of Business: Amy M. , LMP WA 98363 Building Address: 113 S. Eunic~ 8treet, Suite D Port Angeles, WA 98362 2003 place. Shall not be Building Official. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 4/29/2002 PERMIT NO: 13384 OWNER/APPLICANT PROPERTY LOCATION 113 EUNICE S GREENWOOD ENTERPRISES LLP 515 CAMERON RD. Lot: 10 & 1/2 11 SEQUIM, WA 98382 Block: 25 [] Long Legal 360/683-7099 Subdivision: NR SMITH T: S: Parcel No: CONTRACTOR ARCHITECT BLUE SKYE CONSTRUCTION N/A 515 CAMERON RD. SEQUIM, WA 98382-0000 , 98360-0000 360/683-7099 360/000-0000 PROJECT INFO Project Value: $15,000.00 SFD Units: 0 Commercial: 0 Project Type: INT. REMODEL SFD SQ FT: 0 Industrial: 0 Occupancy Type: COMMERCIAL Garage: 0 Occupancy Group: MFD Units: 0 ~J~ Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES RELOCATE INTERIOR WALLS, BATH ROOM & MAKE ADA ACCESSIBLE, REROOF, REPAIR FENCE & DECK RECEIT~J004 ~ , FEES ASSESSMENT Building Permit: $251.25 Misc Fee 1: $0.00 Plan Check: $150.75 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $440.50 Plumbing: $34.00 AMOUNT PAID: $440.50 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 I=or 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 vi?late~_QE, cancel the provisions of any state or local law regulating construction or the performance of constru~ion. //~ ~ Sig~'~ur'-e of C~ontra~or or Authorize~/~gent Date Signature of Owner (if owner is builder) Date T:\PLANNFNG\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD -- CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1TIS UNL4 WFUL 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 ] '3 79 ~ 4 INSPECTION TYPE [ DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING ,OISTS GI ERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL ! FLOOR / CEILING MECDANICAL HEAT PDMP WOOD STOVE ! PELLET ! CHIMNEY HOOD ! DUCTS PWUTILITIES/ SITEWORH {EnglnceringDivislon) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STOKM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOKELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL. LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING F1KE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 41%4815 I ~_~ "~Z~ ~ __Lff~ BUILDING BUILDING PERMIT - APPLICATION fh~ l~tldlng P~,rmtt ,4ppltcatton mu.~t be filled out completely. Please type or print in ink. If you have any questions, please call 4174815 Applicant or Agent: Reuben Chld,,ell Phone: 36O 683 70~9 Owner: GreenwoodEnterl, rise. qLLP Phone: Y~ G~5 ~Oq~ Address: 515 (kamerott Rd City: Seqttittt,~. 08382 Zip: ArchitecffEngineer: Bhte Sfi}'e Consa - dt, s~g, ner Phone: 360 683 7000 Contractor BlueS~re Const. License ~: BIUESC*OITBN Exp: 3/21/2003 Phone: ~ ~ ._ Address: 515 (~meron R~I - Cit~:~?t. -~ ............ Zip: .,9ff3_~] PROJECT ~D~SS: ti3 & Eunice St. P.A. /~NING: commercial LEGAL DESC~ION: Lot: 10. W 1/2 o[ I 1 Block: ~5 Subdivision: ~ort~an R Smith ~ Subdivision CL~LAM COUN~ P~CEL NUMBER: 063000512525 Credit Card ~older Name: Billing Address: City:_ Credit Card ~: Exp. Date: VISA MC TYPE OF WO~: SIZE~,UATION: ~ Residential ~ New Constr. ~ Re-roof ~ Wood-sto*~ SF. ~) $ /SF. ~ Multi-lh~ly ~ Addition ~ Move ~ Garage ~ SF, (~ $ /SF - S ~ Conm~ercial ~ Remdel ~ Demolition ~ Deck SF. 67~ $ /SF :~ $ ~ Repa~ D Sign D TOTAL VALUATION $ ].~ ~ ~ B~EF DESC~PTION OF THE PROJECT: Remodel ~triq'ting treatment center relocatit~ce and hath rot~m, replttce roq[shitlgles. repair decg and prh,a(T [i, ttce. COMMERCIA~SI~ENTI~: Occupancy Group: Occupala Load: ~ Constmctioa T~e:. No. of Stories: ~ Lot S~e: % Lot Coverage: % Existing Lot Coverage: /sq. Il. ~ Propo~d Lot Coverage: ........ /sq fl - ~OTAL i~O1' COVE~GE: PLANNING USE ONLY: ~PPROV~S: PL~ Notes: BLDG. DPW FIRE ESA/Wefland(s): m Yes ~ No SEPA Checklist required'? ~ Yes ~ No Other: OT~ER BUILDING PE~IT APPLICATION SUBMI~: Your a~plication and xite plan must be~lled out completely to be revi~. The Building Division c~ provide you wl~ ~rc detailed in[om~tion on the app[ica~on and plan sabmit~l ~quiremcnB. Your co~leted application, site plan (for additions) ~d building construction plans are to ~ snbmitted to the Building Division VALUATIO~ OF CONSTRECTION: In all tast~, a valuat~n amount mast be entered by tim applicaut. Tins figure wdl be reviewed ~d may be revised by the Building Division to comply with cu~nt fee schedules. Conlact the Petit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Yo~ plan check fee is due at the time the building permit application and congtmction plans are submiHed. All other pc~u fees are due at the lime of permit issuance. EXPIATION OF PLA~ ~VIEW: If no pemt is issued ~bt 180 days of the date of applicatian, this application will expire. The Bulldog Official c~ extend the time for action by ~e a~licant ~ to 180 days upon ~i~en request by Om applicant (see Section 107.4 the Unifom] Building Cnde, current edition). No applicahon can be extended more than once [ hereby ccrt(~' that I have re, ad and examined thL~ application and ~ow the same to be true and correct, and t am authorized to apptyfbr responsibility to determine what permits are required and to obtain .such. , App/icant~ate: LOT6 LOT13 LOT7 LOT12 LOT8 .... Eunice St. CI~ OF PORT ANGELES -- ~n~n Plans The I~uance of th~ ~it ~s~ u~n th~ plans, spe~fi- cations and other da~ sha;I not prevent the building from thereaRer requi~n; t~ ~r~ction of err~ in ~d pla~a, specifications and o~er data, or ~ preven~ng building o~ra~ons ~ing ~rr~ on t~eunder when in v~ota~ofl of ail c~ and ordinanc~ ~ ~ ~u~i~ion. (SECTION 3~3(c) - Un~fo~ B~ing ~ FROM . FRX NO. : 3605830?22 Nou. 1,4 2002 08:51AM Pi storage 78 sq' II 33 xq' 63 sq' / 217 sq' ! halJ ...... ' Office C -- landin 143 sq' 2nd Floor Planned 3/16" SCALE W GA}U~GE 834 sq' total (1 st & 2nd) ~ 4' Frcmch dr ~ GROUP R(X)M U 297 SQ' I 4' French dr '-6 1/2" ~ ,' ] 4' French tk ~ ~ ~ 38 SQ' [I ~ / ~ IIAIL < 221 SQ' 10'-9 8'-7 1/2' ~ OFFICE B T ~- I S~EW~K i 2~o SQ' GARAGE 834 sq' Iota] ( I st & 2nd) 187 SQ' 4' French dr ¼ GROUP R(X)M ~ 297 SQ' -- 4' French dt fom~er bath nn existing walls 4' French dr OFFICE A ~ 165 SQ ~ BATHROOM ADA e- ~ 12'-11 11/16" / ~r IIALL : ~ 221 SQ~ ~ ~ ENTRY OFFICE B ' -- ~ SIDEWALK 210 SQ' 2 -5 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~ * / ~ - o ~.~ Time Received by ~ L~ (phone, person) Location of Work to be inspected //,~ 2, ECL ~C~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation ~Chimney Plumbing Final Sewer Excav. Other INSPECTION NOYES: ~ Inspected: Date ~ ' ~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel I~Asphait ~IPCC I-]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: /'-~ Date /' ~' ~? ' =;~ * Time Received by ~ -/ {phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final ~SewerExcav. Other INSPECTION NOTES: · Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [-~Asphalt I~PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) Application Number . . . . . 22-00001309 Date 10/14/22 Application pin number . . . 778145 Property Address . . . . . . 113 S EUNICE ST ASSESSOR PARCEL NUMBER: 06-30-00-5-1-2525-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . COMMERCIAL OFFICE Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Convert office back to residence ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GREENWOOD ENTERPRISES,LLP JOHNSON ELECTRIC COMPANY 62 PIERSON LN 3129 S REGENT SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 728-4327 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 130.00 Plan Check Fee . . .00 Issue Date . . . . 10/14/22 Valuation . . . . 0 Expiration Date . . 4/12/23 Qty Unit Charge Per Extension BASE FEE 75.00 11.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 55.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 130.00 130.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 130.00 130.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:-------------------------------------- Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 10/13/22, 7:25:51 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:22-00001309 113 S EUNICE ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 130.00 TOTAL DUE 130.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: Remodel NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 10/20/2022 22-1309 TAP OWNER CONTRACTOR Johnson Electric PROJECT ADDRESS 113 S Eunice St