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Home My WebLink About106 N Laurel St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 0 321 EAST 5TH STREET, PORT ANGELES, WA 98362 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) hhaI I.1:'' 1 -2 -- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constriction. i ! _� 121( 14 Y Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit Application Number . . . . . 12-00000832 Date 7/05/12 _b Application pin number . . . 231872 Property Address . . . . . . 106 N LAUREL ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -0 -1S69 -0000 - Application type description SIGNS Subdivision Name Property Use . . . . . . . . _. Property Zoning . . . . . . . CENTRAL BUSINESS DISTRICT ---------------------------------------------------------------------------- Application valuation . . . . 300 Application desc 10' x 14" WALL SIGN "CABLED FIBER STUDIO" �. ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ DIANE MARKLEY FEELEY CONSTRUCTION INC PO BOX 2835 1215 E FRONT ST PORT ANGELES WA 983620333 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 457-5678 (360) 452-7559 Permit . . . . . . SIGN Additional desc . . WALL SIGN Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 7/05/12 Valuation . . . . 300 Expiration Date . . 1/01/13 Qty Unit Charge Per Extension ---------------------------------------------------------------------------- 1.00 47.0000 PER S -ALL SIGNS < OR = TO 25 SF 47.00 Special Notes and Comments July 3, 2012 10:55:33 AM sroberds. The proposal will allow a 8 sq.ft. sign in the CBD for total ---------------------------------------------------------------------------- site signage of 8 sq.ft. No land use issues anticipated. Fee summary Charged Paid Credited Due ----------------- ---------------------------------------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 47.00 47.00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) hhaI I.1:'' 1 -2 -- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constriction. i ! _� 121( 14 Y Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit T•Pnrm¢/Riiilriinn nivicinn/Rni1dino Permit O BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments V� FOUNDATION: Footings Stemwall Foundation Drainage / Downspouts I Piers I I Post Holes (Pole Bldgs.) I PLUMBING: Under Floor / Slab I Rough-In Water Line (Meter to Bldg) Gas Line Back Flow / Water I I FINAL Date Accepted by 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 l MECHANICAL: Heat Pump / Furnace / FAU / Ducts I Rough-In Gas Line Wood Stove / Pellet / Chimney ] Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT. Separate Permit #ts SEPA: Parking / LightingI I ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By n _ Electrical 417-4735 Construction - R.W. PW / Engineering 417-4831 Fire 417-465:3 w Planning 417-4750 Building 417-4815 T•Pnrm¢/Riiilriinn nivicinn/Rni1dino Permit PREPARED 7/27/12, 9:15:37 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES 'INSPECTOR: JAMES LIERLY DATE 7/27/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 106 N LAUREL ST SUBDIV: CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452-7559 OWNER DIANE MARKLEY PHONE (360) 457-5678 PARCEL 06-30-00-0-0-1569-0000- APPL NUMBER: 12-00000832 SIGNS ------------------------------------------------------------------------------------------------ PERMIT: SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------- --------------- BL99 01 7/27/12 BLDG FINAL / July 27, 2012 9:11:44 AM hcatuzo. BILL FEELEY 461-2309 -------------------------- -- -------- COMMENTS AND NOTES-------------------------------------- SIGN PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417-4815 fax (360) 417-4711 Applicant or Agent Mar vsuve rre , d.. Property Owner Q a"r a 1* Khe4 Property Owner's Address Contractor _,�!>, (k Fp.e ie,, Contractor's Address p21 c5 it T�-w'\ t- ST License #L,. Project Address X66 N C.G.0f-e-( Business Name CQhiej F, b--<- -,r ,_u, o Parcel Number—U.0a)(D-CU-) p01__S629Lot For City Use Only: Date Received-L.ZCj, I� Permit # Date Approved Ph e( �;G a v07 35--2,8' Phone Phone �oy2T'v,�IQ S xpires Zoning 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. Siqn Tvpe & Brief Description: (Type, location, sq. ft.) RECEIVE®` Sign #1 Ci-A F, bo,, sr&,,d, a I0' x 4"JUN 3 Q naln Sign #2 Sign #3 CITY OF PORT ANGPIPQ Sign #4 BUILDING DIVISION Totals (Unit charqes - Sign(s) Unit Charqe Quantitv multiplied by quantities) Tvpe of Siqn Valuation $ 300� $47.00 x _ $ q7, 60 All signs less than or equal to 25 sq. ft. $85.00 x = $ Wall sign or marquees, over 25 sq. ft. $115.00 x = $ Freestanding sign or projecting sign, over 25 sq. ft. GRAND TOTAL Make Checks Payable to: City of Port Angeles $ 41. W Credit Cards (Except American Express) are accepted Existing sign(s) area sq. ft. + Proposed sign(s) area 3 sq. ft. = Total sign(s) area g sq. ft. Building fagade area (height 14,,S ft. X width -, '*ft.) = Z.S, 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 4' A Z z- Print Name C 1 12, bt7�x LJ t #-Q.-f"5 Signature T:Forms/Building Division/Sign Permit Application.doc Es. £.��.•i': .�„^'to .tom, °.z "7"�""t :,i:�--£t. °7e• „4,, •ism �• k�P' •4�y �`: :.P v:' "avk 5'• .r•• �,ba, y: r Cw "r<e`x> .�.�•p'» ""�•• .c.i. LAG" •�+' �'•• ,.�..�;•.•� . •� "� :::tet"," ' �. . •T 'y,"" ".Mi',\" t4 d .1 yA '- n"f:"«,: �t'�,•^ .5� •, t•H •vim,,, ,a.,:y 'n,(..�:.:.,ri 33 Q•, it ,M... . E.o y •V �,�ryu{' .,„�.:,.„'..";•.; .tee ,' - "kr.. ,ea;•' "; .(.": :.}''✓• �"nw �` .ct4-"..+. �. �`:,`�• �.,.Knx.xr Cgs .�`�„'��.., �`>�-•�•� r. j� ,/� ,.4 i.'x �, w`. Y'r,:5.':i�'-+ ..�.`.:. >'}'.;'� :.�J`aE"+ '».� `""J" "a•� .."i , Y4. ^5§�'A,'. °,'i t• �,�,', n O •:��~:;n' '^i;;.. �.,a .•aa"yeeg"i'•� '•r. :,X-:^',. "+"•;°xa`..:. :' '�v\`A:..... 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' �- ' .i; ^:�.,< •;ry P t� fir. �, \ �.� �qbR, ,,,,•R.• 8°.r" .Rn .,,,, � ii,._ 'k•"`Y.,''"5'�'�<e "• ��; F' , e r e • a " ay or h" N " , n a t , .4, " ^E ss K�t„ - r• " ;�;�-;"'fit ,3 •l''_ • ,, ''',�ry>~„�+.< Gtr, 4b' ",ww: „,g, ti �x vvt� e"'�`..j• �Y :��:�>:�".. ... .•ts,s.'".'...,''i.:'" . a; �.. ,.. .. .d"•y,-. ._t_.,.», c�..,""lm,, .w,n.. .�sx•w•.."t` .. ,. _ �•.a:'�. ... .. .. ... .... ...>.N ..«.,«,.. ". :7Sk.Y+', .,.re 'S 1 4,!1-, (B b ( D ff-o - r Cdr `- �' +�...._.-.•r '� e' ':t 'O _ .y rte," ��.r '} �` +S �"` ...� ;�,i c4L— Scaawc, 4 SJI J M19 -t or LI (t I Af- T r. 00 ,* CERTIFICATE", "IFICATE F OCCUPANCY City of Port Angeles - Building ,Division V This certificate is issued.pursuant.to the requirements of Section III of the 2009,International Building Code certifying that at the tinie of',issuance this::structure was in compliance with the various ordinances of the City regulating building construction-or'use fof=..the,follo.wing:. Business name: Cabled:Fiber'Studio ' ;(Owner:Wary:Sue°=French)'; Business address: 1;06 N."Laurel St Property owner: Diane Markley Frrope -1y owner's address::.:.. PCJ Box 2835,. PorE;:Angeles., .WA -'9836.2=0333 Automatic fire sprinkler system: Not Required Use cQ occupancy classification: Business. .. Buil - drug permit number =. 11 Occupant load: Per 2009;1BC; Table 1004 1 1 Type of construction: VB 10-20-11 " Sue�I' of ds inn, mg Manager Date Yost on the premises in a conspicuous place., This certificate shall not be removed except by the Building Official. 0 tj 7— NOW Io z4 II � A ` 0�?0Rr,,4Gf� CERTIFICATE OF OCCUPANCY APPLICATION Permit# CITY OF PORT ANGELES FEES Attn: Permit Technician $50 Certificate /Inspection 321 E. Fifth St., Port Angeles, WA 98362 $100 Parking Business Improvement Area (PBIA) (360) 417-4815 fax (360) 417-4711 fee charged for Downtown locations PLEASE PRINT IN INK Check one: New business in P.A..1 Change of ownership only? El Moving location from within P.A.? El Zoning � D BUSINESS NAME C�(A 21td '0 bVIS &- JCAD Business address 0/7 ti CAAAr-PI N k °( 83(9'Z Mailing address ,31�Lf S' 4 Phone numbek:WO) 40-7- 55�$ Opening date00- 6XII Days & hours of operation i Business owner's name i'lr AH S Uf � �1WG� Contact phone (FLDV)1{'7_7- 35'x-2? Business owner's address '3l S . Y_4 LL- i ff�_ 1 t' ?1(0 Z Brief description of business ri,1X1- CAP'Aki L4�1 See vIVN GAJ d- i .t mjF(J Property owner's name v1 a (/moi YVIG( l�lGl ec�i Property owner's address/contact Pb P-r)X BUILDING DEPARTMENT phone 417-4815 Contact phone 4(c 0 pY4- q&3 (V2 Is the business a restaurant or bar that will seat 50 or more people? Bldg approval by on Yes ❑ No 6 Construction changes planned (moving walls, adding/enlarging windows or doors, roofing, siding, foundation work, adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc). Work planned: FIRE DEPARTMENT phone 417-4653 Fire approval by kbh, on I0 —(2- i Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned: PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? 1000 PBIA notified on 1 — 2-- 11 Is business moving within the PBIA? Yes X No ❑ CITY CLERK phone 417-4634 City Clerk approval by__��on 11—,K— I I Second-hand dealer/pawnbroker business? Yes ❑ No [1 Will there be dancing at this business? Yes ❑ No t A City of Port Angeles Business License is required for: Taxi, Peddlers, Second -Hand Dealer, Pawnbroker, Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by Jk on Number of off-street parking spaces available for ernployees and customers? YO 1:� t.,( l'I C, I \J -(k 6J9A 1 (1\ (A parking plan may be required.) Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: 1P6Vcn- W W4ravm A� k o4i- up rldvim) %uww�a vouw(, WCW lvlw,&Lk� VMU R" Mw `She- Fecet'ved, ek sir fPkmi+ S, r► i:ve��i PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 f Is site work planned (new or1re-located sewer or water service, excavation, grading orifilling;`work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No Work planned: PWE approval by KV on PUBLIC WORKS WASTEWATER phone 417-4845 I PWW approval by X on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter. ,, .. i 1 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. Incorr information may result in revocation of permit. DatePrint Name:1�I Signature T:1FormslBuildmg DivisionlCertificate of Occupancy Application (2010). c Page 2 of 2 A , '4. 3124 S Maple Street Port Angeles, WA 98362 September 1, 2011 To Whom it may concern: I, MarySue French, give permission to Tori Lucier Miller to act on my behalf and apply for the occupancy permit,for my business. Physical Address: Cabled Fiber Studio 106 N. Laurel St. Port Angeles, WA 98362 Mailing Address: Cabled Fiber Studio MarySue French 3124 S Maple St Port Angeles, WA 98362 Sincerely, MarySue F nch PREPARED 9/06/11, 8:44:02 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 9/06/11 ------------------------------------------------------------------------------------------------ ADDRESS . : 106 N LAUREL ST SUBDIV: TENANT, NBR: CABLED FIBER STUDIO CONTRACTOR : PHONE OWNER DIANE MARKLEY PHONE (360) 457-5678 PARCEL : 06-30-00-0-0-1569-0000- APPL NUMBER: 11-00000957 CO- CHANGE OF OCCP/USE ------ — ----- ------ ------ ------ ------------------ ----------- PERMIT: CO 00 CHANGE OF OCCUP/USE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESU RESULTS/COMMENTS ---------------------- - --------------------------------------------------------------- 0099 01 9/06/11 L BLDG C/O FINAL TIME: 01:00 * OVERRIDE TAKEN BY LPANGRLE DATE: 09/02/11 TIME: 14:16:00 September 2, 2011 2:11:37 PM 1pangrle. TORY 586-601-4969 C OF O FINAL - CABLED FIBER STUDIO AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by on Number of off-street parkin ,g spaces available for employees and customers? Yu? � (�( k -IC. I Vi°C�V11 PC� l 4 (�\ (A parking plan may be required.) 1"�J Signs? (wall -mounted, freestanding, projecting, awning, A -frame, etc?) Signs planned: ?6- c nb �l �Slne f<eCe.L,vej. a Sic h QPi- ryll - 6 SiSr► co Ae� PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC VYDRKJ DEPART MENTi- ElV(iIIVEER%N(i phone 417-4611 Is site work planned (new or re -located sewer or water service, excavation, grading or filling, work in City right-of-way, new driveway openings, site drainage, parking lots, downspouts, irrigation system backflow devices, etc.). Yes ❑ No Work planned: PUBLIC WORKS WASTEWATER phone 417-4845 PWEA approval by _RV on VCS C, --O& AA ,0— VA t< PWWapproval by on Will waste, other than domestic household waste, be discharged into the sewer system? Yes ❑ No If yes, what will be discharged: Call for Certificate of Occupancy inspections BEFORE openin,q business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at thecashiers' counter. 1 hereby apply for a Certificate of Occupancy. I acknowledge that l have read this application and state that the information 1 have supplied is correct to the best of my knowledge. Incorr information may result in revocation of permit. I Ir I �- Date'(IlI Print Name VUG��r IItC// Signature WA& kb r M aIV&FT66�0 - T:TonnslBuilding DivisionlCertificate of Occupancy Application (20 Page 2 of 2 I CERTIFICATE OF OCCUPANCY APPLICATION Permit# 110 — " � FEES CITY OF PORT ANGELES l�e'�5 Certificate /Inspection Attn Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 0 Parking Business Improvement Area (PBIA) 417-4815 fax (360) 417-4711 fee charged for Downtown locations 0- mm% — PLEASE PRINT IN INK 7e�{� rcti,-y!-� Gout zrnos K one: New b�lsiness ir1 P.A.. Change of ownership only? ❑ Moving location from within P.A.? ❑ Zoning ce p BUSINESS NAME ::� U io rb_4-00.d4P_ kc, Business address (01-) nl. Laure.I Sfreel Mailing address Phone number Opening date IS a i Days & hours of operation Business owner's name Rill Contact phone l 1�09) 931;� - 37 Vo Business owner's address IIS 1N Part c- .Avp.. C P e 900 Sl^ZaT A q,90? of Brief description of businesseyan _<-+yci(io , :Pnr -n ooraa o �P Property owner's name Diavi2 0av Kltw Contact phone ("',G�6� `i foo - -�9 Property owner's address/contact BUILDING DEPARTMENT phone 417-4815 I Bldg approval by on Is the business a restaurant or bar that will seat 50 or more people? Yes ❑ No Z Construction changes planned (moving walls, adding/enlarging windows or doors roofing, siding foundation work, O adding/altering stairways, ramps, bathrooms, electrical, heating/cooling/ventilation systems, etc) 61 Work planned. t Jnr,P FIRE DEPARTMENT phone 417-4653 Fire approval by on `- Changes to a fire sprinkler system or fire alarm system? Yes ❑ No Work planned- PBIA (Parking Business Improvement Area - Downtown) phone 417-4623 Square footage of business? (� I PBIA notified R" on Is business moving within the PBIA? Yes 9 No ❑ CITY CLERK phone 417-4634 City Clerk approval by on Second-hand dealer/pawnbroker business? Yes ❑ No gl Will there be dancing at this business? Yes ❑ No �1 A City of Port Angeles Business License is required for Taxi, Peddlers, Second -Hand Dealer Pawnbroker Dance, Hotel -Motel, Fireworks, Ambulance, and Tattoo Businesses. Page 1 of 2 k\ 9 COMMUNITY & ECONOMIC DEVELOPMENT phone 417-4750 CED approval by S K Number of off-street parking spaces available for employees and customers? (A parking plan may be required.) Signs? (wall -mounted freestanding projecting, awning A -frame etc?) Signs planned C) r\ e, PLEASE NOTE: NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. PUBLIC WORKS DEPARTMENT- ENGINEERING phone 417-4812 Is site work planned (new or re -located sewer or water service excavation grading or filling, work in City right-of-way new driveway openings, site drainage parking lots, downspouts, irrigation system backflow devices, etc.) Yes ❑ No X Work planned PUBLIC WORKS WASTEWATER phone 417-4845 PWE approval by PIv on -,Zy— I o on q-IPT- 10 9 PWW approval by pn Will waste, other than domestic household waste, be discharged into the sewer system? ❑ No If yes, what will be discharged - Call for Certificate of Occupancv inspections BEFORE opening business. Building Department Inspection 417-4815 Fire Department Inspection 417-4653 Please sign up for utility services at the cashiers' counter I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information 1 have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. Datel- - 10 Print Name I wt Signature, T•\Forms\Building Division\Certificate of Occupancy Application (2010).doc Page 2 of 2 PREPARED 9/14/10, 10 33 58%� 1 PAYMENTS DUE RECEIPT CITY OF PORT ANGELES �d10 coe cadge - -TnL -----PROGRAM BP820L ------------------------------------------------------------ APPLICATION NUMBER 10-00001018 106 N LAUREL ST FEE DESCRIPTION AMOUNT DUE -j ------------------------------------------------------------------------- CHANGE OCC/USE FIRE DEPT 25 00 PBIA 100 00 CHANGE OF OCCUP/USE 25 00 TOTAL DUE 150 00 Please present this receipt to the cashier with full payment V Q..r- Key)A- (,, yx,s ski e, R FAM ,o, oC) q-tq-10 Clallam County Assessor & Treasurer - Property Details - 55941 DIANE MARKLEY for Page 1 of 4 Clallam County Assessor & Treasurer Property Search Results > 55941 DIANE MARKLEY for Year 2010 - 2011 Property Account First Half I Second Half Property ID- 55941 Legal Description. Geographic ID- 0630000015690000 Agent Code. Type Real 2010 39011 Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code Open Space: N DFL Historic Property, N Remodel Property Multi -Family Redevelopment: N $25358 Township $0_00 Section Range PORT PORT $3564 Location $000 $000 Address: 104 N LAUREL ST 112 Mapsco PORT ANGELES WA $0 00 Neighborhood: Cycle 5 Comm Map ID - Neighborhood CD- 20953140 _ $617.21 Owner $000 $61 Name. DIANE MARKLEY Owner ID - Mailing Address: PO BOX 2835 % Ownership $7 PORT ANGELES WA 98362-0333 _ HOSP #2 HOSPITAL #2 $10402 $10403 Exemptions. ` Taxes and Assessment Due w _ Property Tax Information as of 09/14/2010 Amount Due if Paid on. M. LT20 BL 15 59 N N Q ko 1 2 0f 38864 100 0000000000% http.//vpn.clallain.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=55 9/14/2010 First Half I Second Half Year Statement ID 1 Taxing Jurisdiction Base Due Base Due Penalty I Interest i Base 2010 39011 ST SCH STATE SCHOOL $47651 $47651 $000 $000 $47 2010_ 39_011 CC -GEN COUNTY $25357 $25358 $0 00 $0_00 $2: 12010 39011 PORT PORT $3564 _ $3564 $000 $000 $: 2010 39011 PORT ANG PORT ANGELES $587 13 $0 00 $000 $5E 12010 39011 _ SD #121 SCHOOL DISTRICT #121 _$58712 _ $617.21 _ $617.21 $000 $000 $61 2010 39011 NTH OLY LIB NORTH OLYMPIC LIBRARY $7368 $7369 $000 $000 $7 , 2010 39011 _ HOSP #2 HOSPITAL #2 $10402 $10403 $000 $000 $1 C 2010 39011 WSMET PK DIST WILLIAM SHORE MET PARK DIST $3310 $3310 $000 $000 $C 2010 39011 CITY—STORMWATER CITY STORMWATER _ $62.90 $62.89 $000 $000 $E 2010 39011 WEED CONTROL WEED CONTROL $082 $081 $000 $000 9 2010 39011 TOTAL. $2244.57 _$2244.59 $0.00 $0.00 $224 2009 559412008` ST SCH STATE SCHOOL _ $55610 $556 10 $000 $000 $111 2009 559412008 CC -GEN _COUNTY $281 44 $281 43 $0_0_0 $000 $5E 2009559412008 PORT PORT _ $3986 $3987 $000 $000 $7 2009 559412008 PORT ANG PORT ANGELES $61731 $61730 $000 $000 $12: i 2009 559412008 SD_ #121 SCHOOL DISTRICT #121 $68771 $687_71 $0_00 $000 $_137 12009 559412008 NTH OLY LIB NORTH OLYMPIC LIBRARY $81 77 �$81 78 $000 $000 $1E 2009 559412008 HOSP #2 HOSPITAL #2 $11542 $11542 $000 $000 $2; i 2009 559412008 _ CITY—STORMWATER CITY STORMWATER $62.89 $62.90 M $000 $000 $12 http.//vpn.clallain.net.8084/propertyaccess/Property.aspx?cid=0&year=2010&prop_id=55 9/14/2010 R 14 M543 NK- ry.W;e Ig % 'A .. Ap" ?M- ii A z —a K tT q 11-5 141, y. km vjX , W1, r k nz* A* L HE "s, Wpm W ZMA,01t T ..p. q�l d �v vF FA- too 1 Ja :i t0 sag Ak Owe,17 ON 01 - Snl , J , M 44, Z ym. s"I Fill" 43 os¢ 44,Y, ;W<":€• %A e q. -mk " r1— it V, N 16,0 - 41 � YT,*1 SA ot, lot & V, Q . ..... fl.j� Al-lk -11 '0,1� io M �-y Y A'N y!" AM Wp 4P jg� 0 MUM al, <,i " 4 11 . 1� k Z- !114 W W%A r"'vwlilv , vq4w I A two' V, 7- w Y CERTIF This certificate is is,- Code s:Code certifying that of the City regulatin, Business name Business address Property owner Property owner A Automatic fire spr Use & occupancy t Building permit nu Type of constructic Occupant load. UPANCY )ry sion emcee > �� suant to the requirements of Section 17 - of the ( 6International Building W. !issuance this structure was in compliance wzth the various ordinances �Q,.construction 6imuse„for the follo CI tFa a Diane Markley° n , a'LMg �=,il ni"Aa PO Box 28, PO VA, nN1e§eVW-A,98362 stern. Per IBC> ation. Mer mnfii'e�� ?'y 1 Zvi? Ir, Post on the premises in a conspicuous place. 08/21 /09 Date be removed except by the Building Official. �m�-A6\(vemk a-� our Couh4e,+- M-Z5) -09 A (8/21/2009) Linda Pangrie Re Certificate of Occupancy for Tiger Lily Clothing (#09-679 106 N Laurel St.) Page 1 From Ken Dubuc To: Linda Pangrie Date: 8/21/2009 12 14 PM Subject: Re Certificate of Occupancy Hi Linda for Tiger Lily Clothing (#09-679 106 N Laurel St.) Yes we did, it was last week, or early this week, but I never received a C of 0 sheet for it. We went because they called me. Actually it was the day they saw you, so you can use that date. Thanks! Ken (8/21/2009) Linda Pangrle Certificate of Occupancy for Tiger Lily Clothing (#09-679 106 N Laurel St.) Page 1 From Linda Pangrle To: Ken Dubuc Date: 8/21/2009 11 25 AM Subject: Certificate of Occupancy Hi Ken, for Tiger Lily Clothing (#09-679 106 N Laurel St.) Did you inspect and approve Tiger Lily Clothing store for a C of 0? If so, when? Thanks, Linda PREPARED 8/11/09 9 19 41 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/11/09 ADDRESS 106 N LAUREL ST SUBDIV TENANT NBR TIGER LILY CLOTHING CONTRACTOR DESIGN BUILD CONSTRUCTION INC PHONE (360) 914 1804 OWNER DIANE MARKLEY PHONE (360) 460 5639 PARCEL 06 30 00 0 0 1569 0000 APPL NUMBER 09 00000739 SIGNS PERMIT SIGN 00 SIGN REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ')8/11/09 7��_A Qip— JLBLDG FINAL -{`12��A1 .� s /l� August 11 2009 9 12 24 AM 1pangrle PAT B BLDG FINAL TIGER LILY CLOTHING SIGN COMMENTS AND NOTES PREPARED 8/10/09 8 57 56 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 106 N LAUREL ST SUBDIV TENANT NSR TIGER LILY CLOTHING CONTRACTOR DESIGN BUILD CONSTRUCTION INC PHONE (360) 914 1804 OWNER DIANE MARKLEY PHONE (36bJ 460 5639 PARCEL 06 30 00 0 0 1569 0000 APPL NUMBER 09 00000691 COMM REMODEL PERMIT BPC 00 BUILDING PERMIT COMMERCIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 8/1 /09 JL BLDG FINAL ��.�, /t} August 10 2009 8 46 30 AM 1pangrle ��-(j''[—J' PHIL 360 914 1804 BLDG FINAL TIGER LILY CLOTHING STORE PAGE 10 DATE 8/10/09 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION L 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 14 SQ FT WALL -MOUNTED SIGN Owner 09 00000739 Date 8/04/09 237102 106 N LAUREL ST 06 30 00 0 0 1569 0000 TIGER LILY CLOTHING SIGNS CENTRAL BUSINESS DISTRICT 500 Contractor DIANE MARKLEY DESIGN BUILD CONSTRUCTION INC PO BOX 2835 94 BUCKHORN RD PORT ANGELES WA 983620333 SEQUIM WA 98382 (360) 460 5639 (360) 914 1804 Permit SIGN Additional desc 14 SF WALL -MOUNTED SIGN Permit pin number 150698 Permit Fee 47 00 Plan Check Fee 00 Issue Date 8/04/09 Valuation 500 Expiration Date 1/31/10 Qty Unit Charge Per Extension 1 00 47 0000 PER S ALL SIGNS < OR = TO 25 SF 47 00 Special Notes and Comments August 3 2009 10 10 01 AM sroberds 14 sq ft wall sign in CBD No land use issues Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Grand Total 47 00 47 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance c nstruction. Fji'ffo 9 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs) PLUMBING II Under Floor/ Slab I Rough -In Water Line (Meter to Bldg) Gas Line Back Flow/ Water I FINAL Date Accepted by AIR SEAL. I Walls Ceiling I I I FRAMING. Joists / Girders / Under Floor Shear Wall / Hold Downs I Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) T -Bar l INSULATION. Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump I Furnace I FAU / Ducts Rough -in Gas Line Wood Stove / Pellet / Chimney I Commercial Hood / Ducts Date Accepted by MANUFACTURED HOMES (FINAL Footing / Slab Blocking & Hold Downs I Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / Lighting I I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 — i! (7 T:Forms/Building Division/Building Permit 41 � 4OR], %,,` SIGN PERMIT APPLICA TIO Print in ink '�'"+•- CITY OF PORT ANGELES For City Use Only t - V `m Attn Building Permit Technician 321 E..Fifth St. Port Angeles WA 98362 Date Received_ - -0q (360) 417-4815 fax (360) 417-4711 Permit # ate Approved Applicant or Agent �y� /�U�-1 Ph ne 3E,o- SS2`- �(o7Z Property Owner AN E M ARIr, LE 4/ Phone 46o-5G39 Property Owner's Address pp P;,o)c x335 A o G-EZES' Contractor/Engineer H kLL t P PA Q- 'l-I -Phone -?6 Q - `i 14��- Contractor/Engineer's Address CJ p, VCK H oP_Nc�Z> License # '-D r✓ SS-G c -L c +5 C Es Expires 2 J2 8/( o Project Address 10G N LAURA-- Ste' Business Name -V'�vCR L) L`( CLOt�11NG Parcel Number Lot Zoning 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.) 1M 6u t--� Sign #1 WALL-`I'StT-'Roe s1 Or- V�,utLDrs%sz-1 A960 -i LOwCX- Wtr4DoWS � )-4 SQ eT Sign#2 MPGA C ircled. tekrs eh rail Sign #3 hen- i IIVrvlvNo4eA Sign #4 Totals (Unit charges Sign(s) s v 0Unit Charae Quantity multiplied by quantities) �e of SicLnn Valuation $ . $47 00 x _ $ 4-7 All signs less than or equal to 25 sq ft. $85 00 x $ Wall sign or marquees, over 25 sq ft. $115 00 x = $ Freestanding sign or projecting sign, over 25 sq ft. GRAND TOTAL Make Checks Payable to City of Port Angeles $ 4-7 _ cl Credit Cards (Except American Express) are accepted Existing sign(s) area 0 sq. ft. + Proposed'sign(s) area 14 sq ft. = Total sign(s) area ("A' sq ft. Building fagade area (height 1`61r ft. X width 17 lZ ft.)- 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 Print Name Signature T.Forms/Building Division/Sign Permit Application.doc Lot Alk 9M cm eu 'CLL LLL J CITY OF PORT ANGELES — Construction Plans The Issuance of this permit based upon these plans, speciff- cations and other data shall not prevent the building official from thereafter requiring the wrection of errors in said 4 plans, specifications and other data, or from preventing building operations being evM on thereunder when in viola �j AAfall codes and artNnsnces of this jurisdiction. Au F ° Approval Date Z E7 By . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ` 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000691 Date 7/22/09 532378 106 N LAUREL ST 06 30 00 0 0 1569 0000 TIGER L'ILY CLOTHING COMM REMODEL CENTRAL BUSINESS DISTRICT 4000 Application desc T I REMOVE INT WALLS ADD INT WALLS & DOOR Owner Contractor DIANE MARKLEY DESIGN BUILD CONSTRUCTION INC PO BOX 2835 94 BUCKHORN RD PORT ANGELES WA 983620333 SEQUIM WA 98382 (360) 460 5639 (360) 914 1804 Structure Information 000 000 TI REMOVE WALLS ADD WALLS & DOOR Construction Type UNKNOWN Occupancy Type MERCANTILE Permit BUILDING PERMIT COMMERCIAL Additional desc TI ADD WALLS & DOOR Permit pin number 150045 Permit Fee 123 75 Plan Check Fee 80 44 Issue Date 7/22/09 Valuation 4000 Expiration Date 1/18/10 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Special Notes and Comments A minimum 2A 1OBC fire exinguisher is required Extinguishers must be mounted with the top no more than 5 off the floor Suggested extinguisher placement is adjacent to an exit Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 80 44 80 44 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 208 69 208 69 00 00 9-M-aq Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 7/2-2-/aq Piq« F,*u-ai a��-, Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding 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 INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By Comments FOUNDATION 417-4653 Planning Footings I Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs) PLUMBING Under Floor/ Slab Rough -In Water Line (Meter to Bldg) I Gas Line I Back Flow/ Water IFINAL Date Accepted by AIR SEAL. Walls I I I Ceiling FRAMING. Ij Joists / Girders / Under Floor I Shear Wall / Hold Downs I I Walls / Roof / Ceiling I Drywall (Interior Braced Panel Only) I T -Bar INSULATION Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rouqh-In I I Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab I Blocking & Hold Downs I I I Skirting I IPLANNING DEPT Separate Permit #s SEPA. Parking / LightingI I ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building p 417-4815 T.Forms/Building Division/Building Permit CD4 19 Q 6� 1 C Z-- ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000697 Date 7/15/09 Application pin number 097767 Property Address 106 N LAUREL ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 1569 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning CENTRAL BUSINESS DISTRICT Application valuation 0 Application desc 5 circuits for lighting & Rcpt Owner DATE Contractor MARKLEY TTE DIANE L DITCH JARMUTH ELECTRIC PO BOX 2835 PO BOX 635 SEQUIM PORT ANGELES WA 983620333 SEQUIM ROUGH IN 816%a� (360) 683 4104 Permit ELECTRICAL ALTER COMMERCIAL Additional desc 9 Permit pin number 150110 Permit Fee 65 50 Plan Check Fee Issue Date 7/15/09 Valuation Expiration Date 1/11/10 Qty Unit Charge Per 1 00 57 5000 ECH EL -BRANCH CIRCUIT WO/FEEDER 4 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Charged Paid Credited Permit Fee Total 65 50 65 50 00 Plan Check Total 00 00 00 Grand Total 65 50 65 50 00 WA 98382 ! Z2?Z 00 0 Extension 57 50 8 00 Due 00 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 816%a� FINAL— bide 9 COMMENTS Signature of owner or Electrical Contractor X Date 00 07/14/2009 08 08 360-681-7272 J It/ z u U V L va U d u t) -b1 Vi?1' OF COMM DEV Na� f l u CIO/ Of00ftAngola Permit AppticaHon JUL 1 4 2009 104frig DlvlrondWatricel mspedione X" Ent Fft t3lraat - PA. Box 1100 Port Anaalse Wnhy"n, atl3gii ELECTRICAL Ph: $") 4174766 Pex; (M) 611.4111 INSPECTIONS Dam., '7— /Y -v7 _.1.g 2 Single Family Dwelling _ Mulli-Family or CCmnlerdQ• X- Commeroial Addition f ARemOm I Remodel I Repair• Plan Review May? Bred_ lost C� omK ,plecir�"tl flan Review IMbrm"on Sheet .lob Addnae: - o� ll,( r",�-� Bulding Square Foo": Oeeorlptlon of above^, _'R ,,, T. (:::4 Q.L U ) -T- S PAGE 01 a 001/001 Ow wr lnf0 an COnt�gdtp( Dfnlation Name:r , Name: et' rin u 1 �(•s'1 rte, Mallin Addraae City: "� 5tote: lam_ 7Jp: Phone' - Majfin Addreso: _Zb CRY State ` Ft1IC Phorle: Feac �i w Licenae 0I Erg, Llwwe M / Exp.Al /1-�D/O _UPA WE Qb( ,TiiSisl (QtY Mull died by n� :$ 63.70 $ sendoe/Feedw 200 Amp. V IIT6.� _ .$ SwWFeWw 201/00 A". $160100 ; . 9arvloe/Faa0401-M Amp. $x05.00 $ SOMWFeeder 6014000 Amp. =261.26 $ SarvloelFeadar over •ftJ00 Amp. $ 2,00 $ Brooch MOO W! Solvhn Foodar, $ 57.608 Brarlah CW W10 Service Feeder ' i g Each Aikhonal.Branch Circuit 1-"'— 12.00 T $ Ternp. a&VW FSWO(200 Atnp. 8526 ; Temp. SatvlCalFeeder 2M 400 Amp, $116,26 _ $ Tomp, WhimPeader W -41M Amp. $131.26 9 Temp, 84161100eedwSM-1000Arnp, $ 76,00 S poneltdpoftel ly $ 09.00 _ $ SipMOutline Lotirlg -$ 70.00 $ 3lgnel CkWV UftVW Energy Commercial 460.00 ; Signal Clr N Umiled Energy 11, 2 Family Dwelling $ moo $ Signet OrWV UdO Energy Multi -Family Dwe" $ 93.76 $ Mepuladumd Home Connsdon $ 80.00 ! Renewable Elaut w Energy 5KvA sydern orteea $ 89.25 3 Rd I 3 6q mm FL $ 27.00 $ Tech Additional 500 Square R. or Porton of $ 37.50 $ EKh Outbuilding or Detabhad Garage $ 86,25 ; Each Swimming Pool cr Not -Tub Thermogtet $ bS, Sy Tobi Owrwrat dafblael at RCw.1tr.21.261; (1) OWnorwill occupyew a moiro forhvo rants afforfait MactftiI parmit;s finalized -f2) 0*0668 MWPOdto hire on aJactriw! coptreetarlJillow gaff wwffw is forealq M1 orwjo, AW reading the about amtement, I hereby artily Mat i aril the owner Mile above named property or s Ilos+rood electrical contractor- I am nuidn/ the atactdCa, inaulloon oraaaraton M compliance wkh the alactrical laws, Nx.G, RCW. Chao* 18.21, WAC. Chapter Z118,The Cky of Pon Angeles Muitlelpel Cede, and tld69r 9pu iadona. StgnaWreofoWnor elaetrtoaleontraeto►ordectriealad��nfa4ator C3 Cash / 0 Check D.te; R 0�°°"T,4� BUILDING PERMIT APPLICATION Print in ink +►- CITY OF PORT ANGELES For City Use Only, Attn Building Permit Technician Date Received % — { 3r 09 321 E. Fifth St. Port Angeles WA 98362 Permit.# 09-69( (360) 417-4815 fax (360) 417-4711 yQate Approved Applicant 124 f-1 F' w T -k Rhqoe 1�2-- 0lo-7 2 Property Owner _D i ktI E: 1-A,AFZKLEPhone Property Owner's Address -104 N L/ -\,U KEL ST -�" AMC-sELES Contractor � (�\� Fp.VT�� /Des�,�►-i�,tld C.�OV p%6 e -1 04 Contractor's Address Cj 4_ `-B U Ce({H,6 gn1 -WD i SEC JIM �l Vel N 9 `3382 License # ��S161CT.C)4SC8 Expires 2jZ�3/o . E-mail LYf`1.FAuTH&.CTMPiL PROJECT ADDRESS ) O G kl� 1._N URS ST A1r_Z_CLES Parcel Number i T13a- b I (',16'ih'nJ.Lot Zoning Proiect Tvpe & Brief Description. ❑ Residential ❑ Multi -family X'Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition remodel "D, NEW WAt-LS Cures1 1<1 -6-AMS,itna ❑ Repair s v --mom PriVc�Cu P -Demolition —Removiz ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existin4 (sq. ft.) Proposed (sq. ft.) @ $ per sq ft. _ $ Mi4e,r i al S a. Go O La 66 l.-21 t)00 TOTAL VALUATION $ 4,000 Total footprint structures sq ft. T Lot size sq ft. = Lot coverage Site Coverage = th amount of imp ious surface on a parcel including uctures pa d driveways sidewalks patios, and other imperviou urfaces. ee PAMC 17 94 135 for exemptions) Site coverage %_ Max. height of proposed str ures ft. Occupancy group # of bedrooms Will a lawn sprinkler syst be ' stalled? Occupant load # of full baths Will a fire sprinkler system be installed? Construction ty # of half baths /have read and completed this application and know it to be true and correct. /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;o working on projects. Date Ooj Print Name L t S FAUT14 Signature T For-ns,,Building Division/Bldg Permit doc 1 1;711. '14, -I oQ °108 ,167 102 I 117 41 123, Q JQc 4CF Lw A �. 4f N �� o �¢°• c' �` rod cy ro IR m 1 �J► o, NEW TRACK ICYKTIN6 pooy- b�'� C.00y- N N 10CD N LAURIEL QQ tlEw CEI;LIN63 FANS NEW WALL FLOOR PLkKI .:!5C.A,LE t/4 -"-ILO" 3.- '1''i Fly JAIL DEPT DA .+ L Z 7AL ...- wee. I Z�,10 a 1F1R.E. Ejlrc� 115 wt1Z„ .NEW WALL 0 2 � 0:� �X1S�Ifk� �o , STORE gooM — I _ V I � I 0 New, wo'l FLOOR PLkKI .:!5C.A,LE t/4 -"-ILO" 3.- '1''i Fly JAIL DEPT DA .+ L Z 7AL ...- wee. I Z�,10 a 1F1R.E. Ejlrc� 115 wt1Z„ 7 �ON °Krj CERTIFICATE OF OCCUPANCY APPLICATION Permit # 07-6-71 CITY OF PORT ANGELES \ Ste' �FE'I_s t%'- i� OR^ 61 Attn Building Permit Technician Certificate / Inspection 321 E Fifth St. Port.Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 $100 00 orking Business Improvement Area (PBIA) Print in ink fee charged for downtown locations BUSINESS NAME 'G�� L I' /y Cho A (I!t BUSINESS ADDRESS l d (o 7), La-ura S7`', vOT,0"ee.Z . Zoning C &D Business mailing address ' /S �2X Phone # Opening date Days & hours of operation /a , oo — �F, o D Washington Stat Tax I D # a X If known list the name of the previous 601SD 9 & %x—z& 6g2aZ ?S / 9 business at this location Go //Pr v Brief description of proposed business J-?eqLa,-`/ &_/p¢1J1Jq A �gccesSo�^i'P_S iCll 1/9/4 1) Business owner's name /—uk A, f -a- 74Ac Phone # S,F�— 06 7 Z Business owner's home addres's 941 �� %0/',t /?dJ PLEASE NOTE. A Business License is also required for the.following businesses. Taxi Peddlers Second-hand dealer, Pawnbroker Dance Hotel - Motel, Fireworks, Ambulance Tattoo shop .Contact the City Clerk at 417-4634 for additional information. ACTION I ✓ I WILL THERE BE ANY OF THE FOLLOWI G? NOV YES,/ IF YES CONTACT Electrical changes u.110 net anerr�ni�- e � Electrical Dept. at 417-4735 New business V New or relocated signs Witt\ Vie{- 0_ rerml+ � Building Div at 417-4815 Construction changes t>,i II ge-t-o. perms+ _ !/ I Transfer of business Mechanical changes (ventilation'heating, cooling, etc.) location from a Plumbing changes PBIA location Fire sprinkler system changes ✓ } I Fire alarm system changes Transfer of business I New or relocated sewer or water service I t/ I I Public Works at 417-4807 I location from a I Excavation or filling of lots non-PBIA location Work done in the City right-of-way New driveway openings I �/ Change of ownership I I Grading site drainage (parking lots, downspouts, etc.) </ Landscape irrigation system (backflow devices) Water Dept. at 417-4886 Remodel I I Is this a home occupation? i� I Planning Div at 417-4750 Is this a second-hand dealer or pawnbroker business? I �� I City Clerk -at 417-4634 I Temporary business I Is there off-street parking for this business? How many spaces? �Q7IG�g • Is the street in front of this business paved? Z&0` J Change of use I Is there a sidewalk in front of this business? I [/ cWtV.9S Is there a curb & qutter in front of this business?S1�'2f°Y— Call for Certificate of OCCupancv inspections before openinq business. Please sign up for utility services Building Department Inspection 417-4815 & Fire Department Inspection 417-4653 at the cashier counter Please provide a minimum 24-hour notice for inspections I hereby apply for a Certificate of Occupancy I acknowledge that l have read this application and state that the information I have supplied is correct to the best of my knowledge Date pQ0 Print Name Lvn / r 1A Signature i U For City use only Department Approved Rejected Comments / Conditions 1 IniijaIs fda Initials & date 1 Building V1 Pef v Type of construction Occupant Load Fire $_) 09 Automatic fire sprinkler system required no yes I� 1 PBIA Planning 1'7-20-d9 SRI City Clerk - - I -7-g-09 ISO I Public Works I'7_I'3-bq f hY T rorms/Building Division/Certificate of Ur ancy Application LIN `109; Street Lookup Page 1 of 1 W Parcel Number 0630000015690000 Site Address 104 N LAUREL ST PA ' 0� Quit Taxpayer• MARKLEY DIANE PO BOX 2835 PORT ANGELES WA 98362-0333 Title Owner, MARKLEY DIANE PO BOX 2835 PORT ANGELES WA 98362-0333 Description LT20 BL 15 Value Summary Note- Listed values do not reflect adjustments made for exemption programs such as Senior/Disabled or Current Use programs (except Commercial Forestland properties) Land Value 119 000 Improvements Value 405 400 Total Assessed Value 524 400 Property Characteristics Note- Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 5900 OTHER RETAIL Land Size (acreage) 00 Note Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status Taxable Tax Code Area. 0010 Note Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics (Click on Bldg # for more details.) # Blda_. Tv_ De Blda. Stvle Total S.F. BD BA 01 Two Story 13940 Tax History Sales History Other parcels at this address Quit http.//apps clallam.net/website/sitis_s.pgm?address=104 &street=LAUREL ST &p 7/8/2009 AnAer5oo Gcd�e*-Y CA) ROUTING SLIP Certificate of Occupancy 459-W Certificate/Inspection Fee I Ali. (%;� DATE �_-%~ � - 0 Address of Pro�osed Business. Applicant MICAACEC Address � I `t S ?t i0 5 F !PA WA G( CMZ Phone: business' 0 -'W 31ttyhome 4A(,A Brief description of proposed business Legal Description: Lot Current Use of Property: ' �A r A Q, i Zoning Classification of Property: New Business ............................ ( ✓ ) Transfer of Business Location ............... ( ) Change of Ownership ............ ....... ( ) New Building ................. .......... ( } Remodel................................ ( ) Temporary Business ....... ............... ( ) Change of Use ........................... ( ) 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........................................ I hereby apply for a Ce edge that I have read information I haves j knowledge. Block YES NO fcate of Occupancy and acknowl- iis application and state that the lied is correct to the best of my /U A PR VE /REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. �n 0\ Subdivision �M O / THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop, 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: Signed: ,/ r L Comments / Conditions �er Kein 0 6v 1'he- 5+0 r -t-- I' C (o Z-00 /06 ROUTING SLIP v �w�qF Certificate of Occupancy" $47.00 Certificate/inspection Fee DATF O� 9' 200 2 New Business Address of Proposed Business Transfer of Business Location ................ q ( ) /6 � R.14L La,..rsr_( Change of Ownership ...................... ( ) Applicant ferry a0reoUC New Building ............................. ( ) Ara�ress r C a' 22A ( Remodel ................................. ( ) te,k5 LM Qoel/ Temporary Business ....................... ( ) r Phone: business home e - V/9 Change of Use ............................ ( ) Brief description of proposed business: } 1 d - t U':> (' (n Legal Description: Lot Block Subdivision Current Use of Property: Vc.ewt 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..... ........................... 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. gzo REJECTED Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A, Date: 6Pj 15 2 66 i . Signed: JL[ Comments / Conditions THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: 6Pj 15 2 66 i . Signed: JL[ Comments / Conditions CERTIFICATEOF-OCCUPANCY City of Port Angeles Buildiing"]Wvision�' This Certification issued pursuant to the requirements of Section 109 of the Uniform:!Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating Building ' constructtomor,use. For the following: v _ Use Classification, Office Building Permit No • ,. : ' ,Busmess,Name: •'_St1I( 16•.1:06 ° Group B Tgpe of Construction: VN" �, f Use'Zpne: SBD Owner of Business, Terry Breabve Address- P. O. Box -2261, Forks . WA 98331 Building Address- 106 X00 -L turetStreet Port=Angeles. WA 98362 // _ ,.. _..... .�._i..�.�,.._......wr,..i,.....is_..,u..,.... i.u.ae..i.yi....I.e .a. nr.iY.11L+ Post on the Shall not be re 20.2002 Date ,nous place. ilding Official. pOR) ROUTING SLIP w°F Certificate of Occupancy v $47.00 Certificate/Inspection Fee DATF 041_� �-Co `2 - Address of Proposed Business Applicant -eccyl�ctl�e0U Q Add�ress rid 1�ox- �21( �-"ks LA 4C -?3/ Phone: business home 3 - S3 iu New Business Transfer of Business Location ...... ....... . ( ) Change of Ownership ...................... ( ) New Building ............................. ( ) Remodel ................................. ( ) Temporary Business ....................... ( ) Change of Use ............................ ( ) Brief description of proposed business: Legal Description: Lot Block Current Use of Property: __% Zoning Classification of Property: WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes. 1) Taxi Electrical changes . ......... Plumbing 2) Mechanical (heating, cooling, stoves) .. 3) Electrical Plumbing changes 2nd Hand Dealer 4) New or relocated signs 4) Pawn Broker New septic tanks ........ Sewer 5) New sewer service .... .. 6) Sidewalk installation Admission charged to patrons . ..... Hotel - Motel yj Is this a home occupation? 7) Fireworks Excavation of filling of lots Curb installation _ Work done in City right-of-way ... 9) T Is there sufficient off-street parking? .. .... w 10) New driveway openings ..... . 10) Other A grading plan for site drainage . ..... Fire (parking lots, downspouts, etc) 12) Occupancy Are the existing streets paved? .. 13) Are there existing sidewalks? Is there curb and gutter9 ....... Shoreline Other.. . ......... . 15) Home occupation 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. PP � REJECTED to 8-02 Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. L-r—Lo Subdivision THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Budding 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other Date: 6"1 Signed: Comments / Conditions CERTIFICA�7EOF OCCUPANCY .of Port Angeles Building Division This Certification issued pursuant to the requirements of Section ;109 of the Uniforml Building Code eertifying that at the time -of issuance this structure was in compliance withihe'warious rdinancesbf-the-City.-reguldling Building constru�etivn=o 'se. For the followi g !; Use Classification 0ffiCe_ Buildutg Permit Nd; Busrn' aiti : p c'i }IIVIII� SC11001 {, _: y =.^ CBD Group B,'. of Construction.�x.. mow:' USe lone: ° 01 was `La f 7: Owner ofBusmess/Residence: Tat ottinr Address: 422.Jarliestovvh-Beach Lane:-Sedulm, WA 98362 Building Address. 106 NQrt `L --Port Ell'` 98362 ,l Post on tft,,f Shall not be re November 9, 2001 Date !i ous place. uilding Official. ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee / DATE 1 q /,97-/ O I Address of Proposed Business / o L � . 1_o,.. w,< -e., l Applicant Rh t e � Address t Z a�v�.eMIL v, 1 � i,. 1-v� Ze 9Ta81 Phone: business -"Zlo C 1 066_ home L,9-3 —q n 1 Brief description of proposed business: -0t'i 1; v-9 P111114� New Business ....................... ( ) Transfer of Business Location -o-� -� 1.� 4-. ( ) Change of OwnershipoC.... t New Building ............................. ( ) Remodel ............................... . ( ) Temporary Business ....................... ( ) Change of Use ... 'Y\e:3... + P� .�'* .... Sr1.do1 Legal Description: Lot Block l Subdivision Current Use of Property: Xfo-c-&-tt <z-�'n V - o'h�-_ rz 1'v'_earc �� i ►,q Zoning Classification of Property: C 6 V-4-- -e-"i C--ta C /_1?[,�> J 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 THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Budding 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker _AZ_ 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks J� 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy J� 13) SigK<O--��) `` 0 6�uj-u 14) Shoreline 15) Home occupation 16) Conditional use —>, 17) Other I hereby apply for a Certificate of Occupancy and acknowl- edge that I have read this application and state that the Date: / S information I have supplied is correct to the best of my knowledge. Signed: AP D REJECTED Mot Building Section Public Works Department Planning Department Fire Department City Clerk P.B.I.A. Comments / Conditions ROUTING SLIP Certificate of Occupancy $47.00 Certificate/Inspection Fee �M1 DATE a Address of Proposed Business Applicant Address Phone: business-�-- home c _a Brief description of proposed business: a Legal Description: Loth Block Current Use of Property: Zoning Classification of Property:` WILL THERE BE ANY OF THE FOLLOWING? YES NO Construction changes I ...... `✓ Electrical changes .... s' Mechanical (heating, cooling, stoves) Plumbing Plumbing changes Peddlers New or relocated signs Electrical New septic tanks . .... 2nd Hand Dealer New sewer service Mechanical Admission charged to patrons 5 Is this a home occupations Sewer Excavation of filling of lots Dance Work done in City right-of-way .... Sidewalk installation Is there sufficient off-street parking? Hotel - Motel New driveway openings + y� A grading plan for site drainage .... f (parking lots, downspouts, etc ) Curb installation Are the existing streets paved? ... Ambulance Are there existing sidewalks? . Sidewalk obstruction Is there curb and gutter? r Other New Business Transfer of Business Location Change of Ownership r - 3 New Building ............................. ( ) Remodel ................................. ( ) Temporary Business ....................... ( ) Change of Use . ' ... A ..:................. ( ) G >d' A Subdivision 7N, a• - s 1.j_ t":_ i' THE FOLLOWING WILL BE REQUIRED: PERMITS BUSINESS LICENSE 1) Building 1) Taxi 2) Plumbing 2) Peddlers 3) Electrical 3) 2nd Hand Dealer 4) Mechanical 4) Pawn Broker 5) Sewer 5) Dance 6) Sidewalk installation 6) Hotel - Motel 7) Driveway installation 7) Fireworks 8) Curb installation 8) Ambulance 9) Sidewalk obstruction 9) Tattoo shop 10) Water meter installation 10) Other 11) Fire 12) Occupancy 13) Sign 14) Shoreline 15) Home occupation 16) Conditional use 17) Other 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: APPROVED REJECTED Building Section Tim) Public Works Department �r-y Planning Department Fire Department City Clerk P B.I A. Comments / Conditions d'wc CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET, PORT ANGELES, WA 98362 L ELECTRICAL PERMIT Issued: 6/15/99 Permit No: 6667 OWNER/APPLICANT------------------------PROPERTY LOCATION ------------------------ LIL ANGELS 106 LAUREL N 106 NO. LAUREL Lot: Port Angeles, WA 98362 Block: Long Legal: 360/000-0000 Sub: T: S: Parc No: CONTRACTOR-----------------------------DESIGNER------------------------ STRAITS ELECTRIC P.O. BOX 2914 PORT ANGELES, WA 98362 360/452-9104 000/000-0000 PROJECT INFO -------------------------------------------------------------------- Prj Type: COML. MISC. Prj Value: $0.00 Occ Type: Circuit Wiring: $42.50 Cnstr Type: ADD CIRCUITS Occ carp: $0.00 Occ Load: Misc Land Use: Electrical Heat ------------------- TOTAL FEE: Service Type -------------------------- Balance Due: $0.00 Baseboard KW: 0 Riser Voltage: 0 Furnace KW: 0 Overhead Service Diameter: -1 -3 Heat Pump KW: 0 Underground Service Service Size: 0 AMPS Fan/Wall KW: 0 Temp Service Feeder Size: 0 AMPS PROJECT NOTES ----------------------------------------------------------- CLEAN IIP WIRING. REMOVE UNPROTECTED WIRES & REINSTAL IN CONDUIT PROJECT FEES ASSESSMENT --------------------------------------------------------- Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $42.50 Temp Service: $0.00 TOTAL FEE: $42.50 Misc $0.00 Amount Paid: $42.50 ------------------- TOTAL FEE: $42.50 -------------------------- Balance Due: $0.00 CONINIENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MRM" 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCH ROUGH -IN / COVER I SERVICE I FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE I ACCEPTED COMMENTS YES I NO i PW -1103.1516 1 • CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: /O(0 Installed By: Owner/Business: Owner/Business Address: ❑ Residential Heat KW ❑ Baseboard Cl Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description: ❑ New Construction ❑ Remodel �4 Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) ❑ Special equipment (list below) PERMIT NO DATE ❑ READY FOR INSPECTION License Number: ❑ Overhead ❑ Underground Voltage ❑ 10 ❑ 30 Service size ❑ Temporary W.S. Nn 4ervice Si7P Capacity: ❑ O.K. ❑ Not O.K. CommentQ ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service $ Final O.K. /Wali— / 7S ❑ WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. Amps pato Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending r Site Address: t)� F�p�•�d/ I Permit/Receipt No. /7s 8 Installer: New Meters Date: Cr4 C_ 'ZSext/IIC.0 I 0 I 71111f' • Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411/1, EXT. 158 or EXT. 224. 1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 7X 06 Inspector ///TTT Amount paid WHITE—file by address YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN—Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC.